"ndc","ndc13","ndcmod","hcpcs","hcpcsmod","relationshipstartdate","relationshipenddate","hcpcsdescription","ndclabel","numberofitemsinndcpackage","ndcpackagemeasure","ndcpackagetype","routeofadministration","billingunits","hcpcsamount1","hcpcsmeasure1","cf","startdate1","enddate1","priorstartdate2","priorenddate2","priorconversionfactor2","priorstartdate3","priorenddate3","priorconversionfactor3"
"00002050101","00002-0501-01",,"J3260",,1/1/2002,3/13/2002,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","NEBCIN PEDIATRIC (M.D.V.) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00002144425","00002-1444-25",,"J3370",,1/1/2002,3/28/2003,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOCIN HCL (TRAYPAK) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00002149825","00002-1498-25",,"J0690",,1/1/2002,8/12/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","KEFZOL (TRAYPACK) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00002149925","00002-1499-25",,"J3260",,1/1/2002,5/20/2004,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","NEBCIN (M.D.V.) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00002535725","00002-5357-25",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM NOVATION 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00002535810","00002-5358-10",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM NOVATION 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00002536310","00002-5363-10",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00002701401","00002-7014-01",,"J0690",,1/1/2002,3/28/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","KEFZOL 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00002704001","00002-7040-01",,"J7682",,1/1/2002,9/30/2003,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","NEBCIN (BULK VIAL) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"00002704001","00002-7040-01","KO","J7682","KO",1/1/2002,9/30/2003,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","NEBCIN (BULK VIAL) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"00002704016","00002-7040-16",,"J7682",,1/1/2002,9/30/2003,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","NEBCIN (BULK VIAL) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"00002704016","00002-7040-16","KO","J7682","KO",1/1/2002,9/30/2003,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","NEBCIN (BULK VIAL) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"00002709001","00002-7090-01",,"J3260",,1/1/2002,3/14/2003,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","NEBCIN (M.D.V.) 40 MG/ML",30,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00002709016","00002-7090-16",,"J3260",,1/1/2002,3/14/2003,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","NEBCIN (M.D.V.) 40 MG/ML",30,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00002714001","00002-7140-01",,"J0130",,1/1/2002,,"INJECTION ABCIXIMAB, 10 MG","REOPRO (VIAL) 2 MG/ML",5,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00002717510","00002-7175-10",,"J1250",,1/1/2002,6/5/2003,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTREX (TRAYPACK) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,1/1/2002,,,,,,,
"00002721701","00002-7217-01",,"J1644",,1/1/2002,1/18/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 10000 U/ML",5,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00002723101","00002-7231-01",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00002723125","00002-7231-25",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00002723401","00002-7234-01",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00002723410","00002-7234-10",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00002724101","00002-7241-01",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME 6 GM",1,"EA","VL","IJ","EA",500,"MG",12,1/1/2002,,,,,,,
"00002724116","00002-7241-16",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME 6 GM",1,"EA","VL","IJ","EA",500,"MG",12,1/1/2002,,,,,,,
"00002726601","00002-7266-01",,"J0690",,1/1/2002,6/5/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","KEFZOL 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00002726625","00002-7266-25",,"J0690",,1/1/2002,6/5/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","KEFZOL (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00002727101","00002-7271-01",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX (10 ML VIAL) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00002727125","00002-7271-25",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX (10 ML VIAL) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00002727201","00002-7272-01",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX (20 ML VIAL) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00002727210","00002-7272-10",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX (20 ML VIAL) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00002727301","00002-7273-01",,"J0697",,1/1/2002,1/10/2002,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX (100 ML VIAL) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00002727501","00002-7275-01",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX (TRAYPACK,100 ML VIAL) 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,1/1/2002,,,,,,,
"00002727801","00002-7278-01",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX (ADD-TAGE) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00002727825","00002-7278-25",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX (ADD-VANTAGE) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00002727901","00002-7279-01",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00002727910","00002-7279-10",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","KEFUROX (ADD-VANTAGE) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00002729001","00002-7290-01",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00002729025","00002-7290-25",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00002729101","00002-7291-01",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00002729110","00002-7291-10",,"J0713",,1/1/2002,8/12/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZIDIME (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00002729801","00002-7298-01",,"J3370",,1/1/2002,3/13/2002,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOCIN HCL (ADD-TAGE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00002729810","00002-7298-10",,"J3370",,1/1/2002,3/13/2002,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOCIN HCL (ADD-VANTAGE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00002732101","00002-7321-01",,"J3370",,1/1/2002,5/20/2004,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOCIN HCL (TRAYPAK) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00002732125","00002-7321-25",,"J3370",,1/1/2002,5/20/2004,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOCIN HCL (TRAYPAK) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00002733501","00002-7335-01",,"J2941",,1/1/2002,2/28/2006,"INJECTION, SOMATROPIN, 1 MG","HUMATROPE (W/DILUENT) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,1/1/2002,,,,,,,
"00002733511","00002-7335-11",,"J2941",,3/1/2006,,"INJECTION, SOMATROPIN, 1 MG","HUMATROPE (WITH STERILE DILUENT) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,3/1/2006,,,,,,,
"00002733516","00002-7335-16",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","HUMATROPE (W/DILUENT) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,1/1/2002,,,,,,,
"00002735501","00002-7355-01",,"J3370",,1/1/2002,3/14/2003,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOCIN HCL (BULK VIAL) 10 GM",1,"EA","VL","IV","GM",500,"MG",2,1/1/2002,,,,,,,
"00002738125","00002-7381-25",,"J7682",,1/1/2002,3/13/2002,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE NOVATION (BULK VIAL) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"00002738125","00002-7381-25","KO","J7682","KO",1/1/2002,3/13/2002,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE NOVATION (BULK VIAL) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"00002738216","00002-7382-16",,"J3260",,1/1/2002,3/14/2003,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE NOVATION 40 MG/ML",30,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00002750101","00002-7501-01",,"J9201",,1/1/2002,,"INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG","GEMZAR (VIAL) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,1/1/2002,,,,,,,
"00002750101","00002-7501-01","QR","J9201","QR",1/28/2005,,"INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG","GEMZAR (VIAL) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,1/28/2005,,,,,,,
"00002750201","00002-7502-01",,"J9201",,1/1/2002,,"INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG","GEMZAR (VIAL) 1 GM",1,"EA","VL","IV","EA",200,"MG",5,1/1/2002,,,,,,,
"00002750201","00002-7502-01","QR","J9201","QR",1/28/2005,,"INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG","GEMZAR (VIAL) 1 GM",1,"EA","VL","IV","EA",200,"MG",5,1/28/2005,,,,,,,
"00002751001","00002-7510-01",,"J1817",,1/1/2003,,"INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS","HUMALOG (VIAL) 100 U/ML",10,"ML","VL","SC","ML",50,"U",2,1/1/2003,,,,,,,
"00002751001","00002-7510-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMALOG (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002751101","00002-7511-01",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002751101","00002-7511-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002751201","00002-7512-01",,"J1815",,11/1/2006,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG MIX 50/50 50 U/ML-50 U/ML",10,"ML","VL","SC","ML",5,"U",2,11/1/2006,,,,,,,
"00002751559","00002-7515-59",,"J1815",,1/1/2003,6/3/2005,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG (CARTRIDGE) 100 U/ML",1.5,"ML","CT","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002751559","00002-7515-59",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMALOG (CARTRIDGE) 100 U/ML",1.5,"ML","CT","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002751659","00002-7516-59",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG (CARTRIDGE) 100 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002751659","00002-7516-59",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMALOG (CARTRIDGE) 100 U/ML",3,"ML","CT","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002762301","00002-7623-01",,"J3490",,2/5/2004,12/31/2004,"UNCLASSIFIED DRUGS","ALIMTA 500 MG",1,"EA","VL","IV","EA",1,"EA",1,2/5/2004,,,,,,,
"00002762301","00002-7623-01",,"J9305",,1/1/2005,,"INJECTION, PEMETREXED, 10 MG","ALIMTA 500 MG",1,"EA","VL","IV","EA",10,"MG",50,1/1/2005,,,,,,,
"00002764001","00002-7640-01",,"J9305",,1/7/2008,,"INJECTION, PEMETREXED, 10 MG","ALIMTA (SINGLE-USE) 100 MG",1,"EA","VL","IV","EA",10,"MG",10,1/7/2008,,,,,,,
"00002803101","00002-8031-01",,"J1610",,1/1/2002,,"INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG","GLUCAGON EMERGENCY KIT (HYPORET DISPOSABLE SRN) 1 MG",1,"EA","BX","IJ","EA",1,"MG",1,1/1/2002,,,,,,,
"00002808501","00002-8085-01",,"J1610",,1/1/2002,6/3/2005,"INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG","GLUCAGON DIAGNOSTIC KIT (HYPORET SRN W/DILUENT) 1 MG",1,"EA","VL","IJ","EA",1,"MG",1,1/1/2002,,,,,,,
"00002808901","00002-8089-01",,"J2941",,1/1/2002,11/7/2005,"INJECTION, SOMATROPIN, 1 MG","HUMATROPE (CARTRIDGE W/DILUENT/PEN) 6 MG",1,"EA","CT","SC","EA",1,"MG",6,1/1/2002,,,,,,,
"00002809001","00002-8090-01",,"J2941",,1/1/2002,11/11/2005,"INJECTION, SOMATROPIN, 1 MG","HUMATROPE (CARTRIDGE W/DILUENT/PEN) 12 MG",1,"EA","CT","SC","EA",1,"MG",12,1/1/2002,,,,,,,
"00002809101","00002-8091-01",,"J2941",,1/1/2002,11/7/2005,"INJECTION, SOMATROPIN, 1 MG","HUMATROPE (CARTRIDGE W/DILUENT/PEN) 24 MG",1,"EA","CT","SC","EA",1,"MG",24,1/1/2002,,,,,,,
"00002814701","00002-8147-01",,"J2941",,8/30/2005,,"INJECTION, SOMATROPIN, 1 MG","HUMATROPE (CARTRIDGE W/DILUENT) 6 MG",1,"EA","CT","IJ","EA",1,"MG",6,8/30/2005,,,,,,,
"00002814801","00002-8148-01",,"J2941",,8/30/2005,,"INJECTION, SOMATROPIN, 1 MG","HUMATROPE (CARTRIDGE W/DILUENT) 12 MG",1,"EA","CT","IJ","EA",1,"MG",12,8/30/2005,,,,,,,
"00002814901","00002-8149-01",,"J2941",,8/30/2005,,"INJECTION, SOMATROPIN, 1 MG","HUMATROPE (CARTRIDGE W/DILUENT) 24 MG",1,"EA","CT","IJ","EA",1,"MG",24,8/30/2005,,,,,,,
"00002821101","00002-8211-01",,"J1815",,1/1/2003,4/1/2006,"INJECTION, INSULIN, PER 5 UNITS","ILETIN II REGULAR PORK (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"00002821101","00002-8211-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","ILETIN II REGULAR PORK (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"00002821501","00002-8215-01",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"00002821501","00002-8215-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"00002831101","00002-8311-01",,"J1815",,1/1/2003,4/1/2006,"INJECTION, INSULIN, PER 5 UNITS","ILETIN II NPH PORK (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002831101","00002-8311-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","ILETIN II NPH PORK (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002831501","00002-8315-01",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002831501","00002-8315-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002841101","00002-8411-01",,"J1815",,1/1/2003,2/1/2005,"INJECTION, INSULIN, PER 5 UNITS","ILETIN II LENTE PORK (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002841101","00002-8411-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","ILETIN II LENTE PORK (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002841501","00002-8415-01",,"J1815",,1/1/2003,9/19/2006,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN L (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002841501","00002-8415-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN L (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002850101","00002-8501-01",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN R U-500 (VIAL, CONCENTRATED) 500 U/ML",20,"ML","VL","IJ","ML",5,"U",100,1/1/2003,,,,,,,
"00002850101","00002-8501-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN R U-500 (VIAL, CONCENTRATED) 500 U/ML",20,"ML","VL","IJ","ML",100,"U",5,1/1/2002,,,,,,,
"00002861501","00002-8615-01",,"J1815",,1/1/2003,7/1/2007,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN U (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002861501","00002-8615-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN U (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002871501","00002-8715-01",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002871501","00002-8715-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002872559","00002-8725-59",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG PEN (PREFILLED DISPOSABLE) 100 U/ML",3,"ML","SR","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002872559","00002-8725-59",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMALOG PEN (PREFILLED DISPOSABLE) 100 U/ML",3,"ML","SR","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002873059","00002-8730-59",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN N PEN (PREFILLED DISPOSABLE) 100 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002873059","00002-8730-59",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN N PEN (PREFILLED DISPOSABLE) 100 U/ML",3,"ML","CT","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002877059","00002-8770-59",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN 70/30 PEN (PREFILLED DISPOSABLE) 70 U/ML-30 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002877059","00002-8770-59",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN 70/30 PEN (PREFILLED DISPOSABLE) 70 U/ML-30 U/ML",3,"ML","CT","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002879359","00002-8793-59",,"J1815",,1/20/2006,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG MIX 50/50 (PEN,5X3ML) 50 U/ML-50 U/ML",3,"ML","SR","SC","ML",5,"U",2,1/20/2006,,,,,,,
"00002879459","00002-8794-59",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG MIX 75/25 PEN (PREFILLED DISPOSABLE) 75 U/ML-25 U/ML",3,"ML","SR","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002879459","00002-8794-59",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMALOG MIX 75/25 PEN (PREFILLED DISPOSABLE) 75 U/ML-25 U/ML",3,"ML","SR","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00002879759","00002-8797-59",,"J1815",,12/10/2007,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG MIX75/25 (KWIKPEN,5X3ML) 75 U/ML-25 U/ML",3,"ML","SR","SC","ML",5,"U",20,12/10/2007,,,,,,,
"00002879859","00002-8798-59",,"J1815",,12/10/2007,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG MIX 50/50 (KWIKPEN,5X3ML) 50 U/ML-50 U/ML",3,"ML","SR","SC","ML",5,"U",2,12/10/2007,,,,,,,
"00002879959","00002-8799-59",,"J1815",,12/10/2007,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG (KWIKPEN,5X3ML) 100 U/ML",3,"ML","SR","SC","ML",5,"U",20,12/10/2007,,,,,,,
"00002897101","00002-8971-01",,"J3110",,1/1/2005,10/15/2008,"INJECTION, TERIPARATIDE, 10 MCG","FORTEO 250 MCG/ML",3,"ML","SR","SC","ML",10,"MCG",25,1/1/2005,10/15/2008,,,,,,
"00002897101","00002-8971-01",,"J3590",,1/1/2003,12/31/2004,"UNCLASSIFIED BIOLOGICS","FORTEO 250 MCG/ML",3,"ML","SR","SC","ML",1,"EA",1,1/1/2003,,,,,,,
"00002898801","00002-8988-01",,"J3260",,1/1/2002,3/13/2002,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN PEDIATRIC AMERINET CHOICE (M.D.V.) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00002898925","00002-8989-25",,"J3260",,1/1/2002,8/12/2003,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN AMERINET CHOICE (M.D.V.) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00002899425","00002-8994-25",,"J0697",,1/1/2002,6/5/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME AMERINET CHOICE 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00002899519","00002-8995-19",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME AMERINET CHOICE 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00002950001","00002-9500-01",,"J0697",,1/1/2002,3/28/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME AMERINET CHOICE 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,1/1/2002,,,,,,,
"00002950425","00002-9504-25",,"J0690",,1/1/2002,3/28/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM AMERINET CHOICE (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00002950501","00002-9505-01",,"J0690",,1/1/2002,3/28/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM AMERINET CHOICE 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00002950901","00002-9509-01",,"J3370",,1/1/2002,3/14/2003,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN AMERINET CHOICE 10 GM",1,"EA","VL","IV","GM",500,"MG",2,1/1/2002,,,,,,,
"00002951501","00002-9515-01",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN 50/50 (VIAL) 50 U/ML-50 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00002951501","00002-9515-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN 50/50 (VIAL) 50 U/ML-50 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00003025150","00003-0251-50",,"J0970",,1/1/2002,10/23/2002,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","DELESTROGEN (VIAL) 40 MG/ML",5,"ML","VL","IM","ML",40,"MG",1,1/1/2002,,,,,,,
"00003033050","00003-0330-50",,"J1380",,1/1/2002,11/23/2002,"INJECTION, ESTRADIOL VALERATE, UP TO 10 MG","DELESTROGEN (VIAL) 10 MG/ML",5,"ML","VL","IM","ML",10,"MG",1,1/1/2002,,,,,,,
"00003034350","00003-0343-50",,"J1390",,1/1/2002,8/29/2002,"INJECTION, ESTRADIOL VALERATE, UP TO 20 MG","DELESTROGEN (VIAL) 20 MG/ML",5,"ML","VL","IM","ML",20,"MG",1,1/1/2002,,,,,,,
"00003043730","00003-0437-30",,"J0285",,1/1/2002,9/3/2004,"INJECTION, AMPHOTERICIN B, 50 MG","FUNGIZONE INTRAVENOUS 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"00003043732","00003-0437-32",,"J0285",,1/1/2002,9/3/2004,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B VHA PLUS 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"00003043760","00003-0437-60",,"J0285",,1/1/2002,9/3/2004,"INJECTION, AMPHOTERICIN B, 50 MG","FUNGIZONE FOR TISSUE CULTURE 50 MG",1,"EA","VL","NA","EA",50,"MG",1,1/1/2002,,,,,,,
"00003049420","00003-0494-20",,"J3301",,1/1/2002,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","KENALOG-10 (VIAL) 10 MG/ML",5,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00003056902","00003-0569-02",,"J2680",,1/1/2002,1/26/2002,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","PROLIXIN DECANOATE (SRN,UNIMATIC) 25 MG/ML",1,"ML","SR","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"00003056915","00003-0569-15",,"J2680",,1/1/2002,12/31/2004,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","PROLIXIN DECANOATE (VIAL) 25 MG/ML",5,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"00003075920","00003-0759-20",,"J2690",,1/1/2002,7/30/2002,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PRONESTYL (VIAL) 100 MG/ML",10,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00003083050","00003-0830-50",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00003218710","00003-2187-10",,"J0129",,1/1/2007,,"INJECTION, ABATACEPT, 10 MG","ORENCIA (W/SYRINGE,PF) 250 MG",1,"EA","VL","IV","EA",10,"MG",25,1/1/2007,,,,,,,
"00003218710","00003-2187-10",,"J3490",,1/3/2006,12/31/2006,"UNCLASSIFIED DRUGS","ORENCIA (W/SYRINGE,PF) 250 MG",1,"EA","VL","IV","EA",1,"EA",1,1/3/2006,,,,,,,
"00003272510","00003-2725-10",,"J3260",,1/1/2002,1/31/2005,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (VIAL) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00003272530","00003-2725-30",,"J3260",,1/1/2002,1/31/2005,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (M.D.V.) 40 MG/ML",30,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00003633517","00003-6335-17",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","DROXIA 200 MG",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00003633617","00003-6336-17",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","DROXIA 300 MG",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00003633717","00003-6337-17",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","DROXIA 400 MG",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00003773199","00003-7731-99",,"J0692",,1/1/2002,10/17/2003,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"00004003822","00004-0038-22",,"J3490",,1/1/2002,,"IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE CLASSIFIED","VALCYTE 450 MG",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00004018809","00004-0188-09",,"J1740",,1/1/2007,,"INJECTION, IBANDRONATE SODIUM, 1 MG","BONIVA 1 MG/ML",3,"ML","BX","IV","EA",1,"MG",1,1/1/2007,,,,,,,
"00004018809","00004-0188-09",,"J3490",,2/24/2006,12/31/2006,"UNCLASSIFIED DRUGS","BONIVA 1 MG/ML",3,"ML","BX","IV","EA",1,"EA",1,2/24/2006,,,,,,,
"00004023709","00004-0237-09",,"Q0166",,1/1/2002,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL (ORANGE) 2 MG/10 ML",30,"ML","BO","PO","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00004023909","00004-0239-09",,"J1626",,1/3/2002,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","KYTRIL (S.D.V.) 1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",10,1/3/2002,,,,,,,
"00004024009","00004-0240-09",,"J1626",,1/1/2002,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","KYTRIL (M.D.V.) 1 MG/ML",4,"ML","VL","IV","ML",100,"MCG",10,1/1/2002,,,,,,,
"00004024126","00004-0241-26",,"Q0166",,1/1/2002,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",20,"EA","BX","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"00004024133","00004-0241-33",,"Q0166",,1/1/2002,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL (UNIT OF USE) 1 MG",2,"EA","BX","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"00004024208","00004-0242-08",,"J1626",,11/8/2004,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","KYTRIL (PF) 0.1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",1,11/8/2004,,,,,,,
"00004025901","00004-0259-01",,"J7517",,1/1/2002,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"00004025905","00004-0259-05",,"J7517",,1/1/2002,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT 250 MG",120,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"00004025943","00004-0259-43",,"J7517",,1/1/2002,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT 250 MG",500,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"00004026001","00004-0260-01",,"J7517",,1/1/2002,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT (CAPLET) 500 MG",100,"EA","BO","PO","EA",250,"MG",2,1/1/2002,,,,,,,
"00004026043","00004-0260-43",,"J7517",,1/1/2002,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT (CAPLET) 500 MG",500,"EA","BO","PO","EA",250,"MG",2,1/1/2002,,,,,,,
"00004026129","00004-0261-29",,"J7517",,1/1/2002,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT (FRUIT) 200 MG/ML",175,"ML","BO","PO","ML",250,"MG",0.8,1/1/2002,,,,,,,
"00004026706","00004-0267-06",,"J3265",,1/1/2002,4/30/2008,"INJECTION, TORSEMIDE, 10 MG/ML","DEMADEX (AMP) 10 MG/ML",2,"ML","AM","IV","ML",10,"MG",1,1/1/2002,4/30/2008,,,,,,
"00004026806","00004-0268-06",,"J3265",,1/1/2002,5/30/2008,"INJECTION, TORSEMIDE, 10 MG/ML","DEMADEX (AMP) 10 MG/ML",5,"ML","AM","IV","ML",10,"MG",1,1/1/2002,5/30/2008,,,,,,
"00004035009","00004-0350-09",,"J3490",,10/16/2002,,"UNCLASSIFIED DRUGS","PEGASYS (S.D.V.) 180 MCG/ML",1,"ML","VL","MR","EA",1,"EA",1,10/16/2002,,,,,,,
"00004035039","00004-0350-39",,"J3490",,1/10/2003,8/31/2005,"UNCLASSIFIED DRUGS","PEGASYS 180 MCG/ML",1,"EA","BX","MR","EA",1,"EA",1,1/10/2003,,,,,,,
"00004035239","00004-0352-39",,"J3490",,1/19/2004,,"UNCLASSIFIED DRUGS","PEGASYS (MONTHLY CONVENIENCE PK) 180 MCG/0.5 ML",2,"ML","BX","MR","EA",1,"EA",1,1/19/2004,,,,,,,
"00004038039","00004-0380-39",,"J1324",,1/1/2007,,"INJECTION, ENFUVIRTIDE, 1 MG","FUZEON (PF) 90 MG",1,"EA","PG","SC","EA",1,"MG",90,1/1/2007,,,,,,,
"00004038039","00004-0380-39",,"J3490",,3/12/2003,12/31/2006,"UNCLASSIFIED DRUGS","FUZEON (PF) 90 MG",1,"EA","PG","SC","EA",1,"EA",1,3/12/2003,,,,,,,
"00004050109","00004-0501-09",,"J7513",,1/1/2002,,"DACLIZUMAB, PARENTERAL, 25 MG","ZENAPAX (S.D.V.) 5 MG/ML",5,"ML","VL","IV","ML",25,"MG",0.2,1/1/2002,,,,,,,
"00004080085","00004-0800-85",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU (BLISTER PACK) 75 MG",10,"EA","DP","PO","EA",75,"MG",1,12/1/2004,,,,,,,
"00004081095","00004-0810-95",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU (TUTTI FRUTTI) 12 MG/ML",25,"ML","BO","PO","ML",75,"MG",0.16,12/1/2004,,,,,,,
"00004110013","00004-1100-13",,,,1/1/1999,10/1/2000,"CAPECITABINE, 150 MG, ORAL","XELODA 150 MG",1000,"EA","BO","PO","EA",150,"MG",1,1/1/1999,,,,,,,
"00004110020","00004-1100-20",,,,10/1/2003,,"CAPECITABINE, 150 MG, ORAL","XELODA 150 MG",60,"EA","BO","PO","EA",150,"MG",1,10/1/2003,,,,,,,
"00004110020","00004-1100-20","QR","J8520","QR",1/28/2005,,"CAPECITABINE, ORAL, 150 MG","XELODA 150 MG",60,"EA","BO","PO","EA",150,"MG",1,1/28/2005,,,,,,,
"00004110022","00004-1100-22",,,,1/1/1999,10/1/2000,"CAPECITABINE, 150 MG, ORAL","XELODA 150 MG",60,"EA","BO","PO","EA",150,"MG",1,1/1/1999,,,,,,,
"00004110051","00004-1100-51",,,,1/1/1999,4/1/2007,"CAPECITABINE, 150 MG, ORAL","XELODA 150 MG",120,"EA","BO","PO","EA",150,"MG",1,1/1/1999,,,,,,,
"00004110051","00004-1100-51","QR","J8520","QR",1/28/2005,4/1/2007,"CAPECITABINE, ORAL, 150 MG","XELODA 150 MG",120,"EA","BO","PO","EA",150,"MG",1,1/28/2005,,,,,,,
"00004110113","00004-1101-13",,,,1/1/1999,10/1/2000,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",1000,"EA","BO","PO","EA",500,"MG",1,1/1/1999,,,,,,,
"00004110116","00004-1101-16",,,,1/1/1999,4/1/2007,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",240,"EA","BO","PO","EA",500,"MG",1,1/1/1999,,,,,,,
"00004110116","00004-1101-16","QR","J8521","QR",1/28/2005,4/1/2007,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",240,"EA","BO","PO","EA",500,"MG",1,1/28/2005,,,,,,,
"00004110150","00004-1101-50",,,,10/1/2003,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",120,"EA","BO","PO","EA",500,"MG",1,10/1/2003,,,,,,,
"00004110150","00004-1101-50","QR","J8521","QR",1/28/2005,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",120,"EA","BO","PO","EA",500,"MG",1,1/28/2005,,,,,,,
"00004110151","00004-1101-51",,,,1/1/1999,10/1/2000,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",120,"EA","BO","PO","EA",500,"MG",1,1/1/1999,,,,,,,
"00004191106","00004-1911-06",,"J1960",,1/1/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVO-DROMORAN (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00004194601","00004-1946-01",,"J2250",,1/1/2002,5/22/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (M.D.V.,TEL-E-JECT) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00004196201","00004-1962-01",,"J0696",,1/1/2002,11/12/2004,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,1/1/2002,,,,,,,
"00004196202","00004-1962-02",,"J0696",,1/1/2002,11/12/2004,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,1/1/2002,,,,,,,
"00004196301","00004-1963-01",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,1/1/2002,,,,,,,
"00004196302","00004-1963-02",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,1/1/2002,,,,,,,
"00004196401","00004-1964-01",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"00004196402","00004-1964-02",,"J0696",,1/1/2002,4/5/2005,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (P.B.) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"00004196404","00004-1964-04",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"00004196405","00004-1964-05",,"J0696",,1/1/2002,3/15/2002,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"00004196501","00004-1965-01",,"J0696",,1/1/2002,9/2/2008,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,1/1/2002,9/2/2008,,,,,,
"00004196502","00004-1965-02",,"J0696",,1/1/2002,4/5/2005,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (P.B.) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,1/1/2002,,,,,,,
"00004196505","00004-1965-05",,"J0696",,1/1/2002,3/30/2007,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,1/1/2002,3/30/2007,,,,,,
"00004197101","00004-1971-01",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (VIAL, BULK) 10 GM",1,"EA","VL","IJ","EA",250,"MG",40,1/1/2002,,,,,,,
"00004197301","00004-1973-01",,"J2250",,1/1/2002,5/22/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (S.D.V.,TEL-E-JECT) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00004197401","00004-1974-01",,"J2250",,1/1/2002,5/22/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (S.D.V.,TEL-E-JECT) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00004197501","00004-1975-01",,"J2250",,1/1/2002,5/22/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (M.D.V.,TEL-E-JECT) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00004199806","00004-1998-06",,"J2250",,1/1/2002,5/22/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (S.D.V.) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00004199901","00004-1999-01",,"J2250",,1/1/2002,5/22/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (M.D.V.) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00004200006","00004-2000-06",,"J2250",,1/1/2002,5/22/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00004200278","00004-2002-78",,"J0696",,1/1/2002,7/16/2005,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (GALAXY,PREMIX) 1 GM/50 ML",50,"ML","PC","IV","ML",250,"MG",0.08,1/1/2002,7/16/2005,,,,,,
"00004200378","00004-2003-78",,"J0696",,1/1/2002,7/16/2005,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (GALAXY,PREMIX) 2 GM/50 ML",50,"ML","PC","IV","ML",250,"MG",0.16,1/1/2002,7/16/2005,,,,,,
"00004201109","00004-2011-09",,"J9213",,1/1/2002,4/1/2003,"INJECTION, INTERFERON, ALFA-2A, RECOMBINANT, 3 MILLION UNITS","ROFERON-A (VIAL) 6 Million U/ML",3,"ML","VL","IJ","ML",3,"MU",2,1/1/2002,,,,,,,
"00004201209","00004-2012-09",,"J9213",,1/1/2002,4/1/2003,"INJECTION, INTERFERON, ALFA-2A, RECOMBINANT, 3 MILLION UNITS","ROFERON-A (VIAL) 36 Million U/ML",1,"ML","VL","IJ","ML",3,"MU",12,1/1/2002,,,,,,,
"00004201507","00004-2015-07",,"J9213",,1/1/2002,2/28/2008,"INJECTION, INTERFERON, ALFA-2A, RECOMBINANT, 3 MILLION UNITS","ROFERON-A (SRN,PREFILLED) 3 Million IU/0.5 ML",6,"SR","BX","MR","EA",3,"MU",6,1/1/2002,,,,,,,
"00004201509","00004-2015-09",,"J9213",,1/1/2002,2/28/2007,"INJECTION, INTERFERON, ALFA-2A, RECOMBINANT, 3 MILLION UNITS","ROFERON-A (SRN,PREFILLED) 3 Million IU/0.5 ML",1,"SR","BX","MR","EA",3,"MU",1,1/1/2002,,,,,,,
"00004201607","00004-2016-07",,"J9213",,1/1/2002,2/28/2008,"INJECTION, INTERFERON, ALFA-2A, RECOMBINANT, 3 MILLION UNITS","ROFERON-A (SRN,PREFILLED) 6 Million IU/0.5 ML",6,"SR","BX","MR","EA",3,"MU",12,1/1/2002,,,,,,,
"00004201609","00004-2016-09",,"J9213",,1/1/2002,2/28/2007,"INJECTION, INTERFERON, ALFA-2A, RECOMBINANT, 3 MILLION UNITS","ROFERON-A (SRN,PREFILLED) 6 Million IU/0.5 ML",1,"SR","BX","MR","EA",3,"MU",2,1/1/2002,,,,,,,
"00004201707","00004-2017-07",,"J9213",,1/1/2002,2/28/2008,"INJECTION, INTERFERON, ALFA-2A, RECOMBINANT, 3 MILLION UNITS","ROFERON-A (SRN,PREFILLED) 9 Million IU/0.5 ML",6,"SR","BX","MR","EA",3,"MU",18,1/1/2002,,,,,,,
"00004201709","00004-2017-09",,"J9213",,1/1/2002,2/28/2007,"INJECTION, INTERFERON, ALFA-2A, RECOMBINANT, 3 MILLION UNITS","ROFERON-A (SRN,PREFILLED) 9 Million IU/0.5 ML",1,"SR","BX","MR","EA",3,"MU",3,1/1/2002,,,,,,,
"00004692506","00004-6925-06",,"J1885",,1/1/2002,8/13/2002,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","TORADOL IV/IM (VIAL) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"00004692606","00004-6926-06",,"J1885",,1/1/2002,8/13/2002,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","TORADOL IV/IM (VIAL) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00004692709","00004-6927-09",,"J1885",,1/1/2002,8/13/2002,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","TORADOL IM (S.D.V.) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"00004694003","00004-6940-03",,"J1570",,1/1/2002,,"INJECTION, GANCICLOVIR SODIUM, 500 MG","CYTOVENE IV (VIAL) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00005010432","00005-0104-32",,"J3490",,1/1/2002,4/3/2007,"UNCLASSIFIED DRUGS","HIBTITER (S.D.V.,TAX INCL) 10 MCG",1,"EA","VL","IM","EA",1,"EA",1,1/1/2002,,,,,,,
"00005450704","00005-4507-04",,,,1/1/1994,6/30/2003,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X2) 2.5 MG",8,"EA","DP","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00005450705","00005-4507-05",,,,1/1/1994,6/30/2003,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X3) 2.5 MG",12,"EA","DP","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00005450707","00005-4507-07",,,,1/1/1994,6/30/2003,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X4) 2.5 MG",16,"EA","DP","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00005450709","00005-4507-09",,,,1/1/1994,6/30/2003,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X5) 2.5 MG",20,"EA","DP","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00005450723","00005-4507-23",,,,1/1/1994,9/1/2006,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,7/8/2002,,1/1/1994,7/7/2002,1,,,
"00005450791","00005-4507-91",,,,1/1/1994,6/30/2003,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X6) 2.5 MG",24,"EA","DP","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00006004168","00006-0041-68",,"Q0181",,1/1/2002,3/30/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DECADRON 0.5 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00006006312","00006-0063-12",,"Q0181",,1/1/2002,11/22/2004,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DECADRON (5-12 PAK) 0.75 MG",12,"EA","DP","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00006006368","00006-0063-68",,"J8540",,1/1/2006,11/5/2007,"DEXAMETHASONE, ORAL, 0.25 MG","DECADRON 0.75 MG",100,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"00006006368","00006-0063-68",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DECADRON 0.75 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00006009750","00006-0097-50",,"Q0181",,1/1/2002,1/17/2003,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DECADRON 4 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00006046102","00006-0461-02",,"J8501",,1/29/2008,,"APREPITANT, ORAL, 5 MG","EMEND (BI-PACK) 80 MG",2,"EA","DP","PO","EA",5,"MG",16,1/29/2008,,,,,,,
"00006046105","00006-0461-05",,"J8501",,1/1/2005,11/5/2007,"APREPITANT, ORAL, 5 MG","EMEND 80 MG",5,"EA","BX","PO","EA",5,"MG",16,1/1/2005,,,,,,,
"00006046105","00006-0461-05",,"K0415",,4/11/2003,12/31/2004,"PRESCRIPTION ANTIEMETIC DRUG, ORAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","EMEND 80 MG",5,"EA","BX","PO","EA",1,"MG",80,4/11/2003,,,,,,,
"00006046106","00006-0461-06",,"J8501",,7/1/2006,,"APREPITANT, ORAL, 5 MG","EMEND 80 MG",6,"EA","BX","PO","EA",5,"MG",16,7/1/2006,,,,,,,
"00006046130","00006-0461-30",,"J8501",,1/1/2005,8/1/2007,"APREPITANT, ORAL, 5 MG","EMEND 80 MG",30,"EA","BO","PO","EA",5,"MG",16,1/1/2005,,,,,,,
"00006046130","00006-0461-30",,"K0415",,4/11/2003,12/31/2004,"PRESCRIPTION ANTIEMETIC DRUG, ORAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","EMEND 80 MG",30,"EA","BO","PO","EA",1,"MG",80,4/11/2003,,,,,,,
"00006046205","00006-0462-05",,"J8501",,1/1/2005,8/1/2007,"APREPITANT, ORAL, 5 MG","EMEND 125 MG",5,"EA","BX","PO","EA",5,"MG",25,1/1/2005,,,,,,,
"00006046205","00006-0462-05",,"K0415",,4/11/2003,12/31/2004,"PRESCRIPTION ANTIEMETIC DRUG, ORAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","EMEND 125 MG",5,"EA","BX","PO","EA",1,"MG",125,4/11/2003,,,,,,,
"00006046206","00006-0462-06",,"J8501",,7/1/2006,,"APREPITANT, ORAL, 5 MG","EMEND 125 MG",6,"EA","BX","PO","EA",5,"MG",25,7/1/2006,,,,,,,
"00006046230","00006-0462-30",,"J8501",,1/1/2005,8/1/2007,"APREPITANT, ORAL, 5 MG","EMEND 125 MG",30,"EA","BO","PO","EA",5,"MG",25,1/1/2005,,,,,,,
"00006046230","00006-0462-30",,"K0415",,4/11/2003,12/31/2004,"PRESCRIPTION ANTIEMETIC DRUG, ORAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","EMEND 125 MG",30,"EA","BO","PO","EA",1,"MG",125,4/11/2003,,,,,,,
"00006046405","00006-0464-05",,"J8501",,7/24/2006,,"APREPITANT, ORAL, 5 MG","EMEND 40 MG",5,"EA","BX","PO","EA",5,"MG",8,7/24/2006,,,,,,,
"00006046410","00006-0464-10",,"J8501",,7/24/2006,,"APREPITANT, ORAL, 5 MG","EMEND 40 MG",1,"EA","BX","PO","EA",5,"MG",8,7/24/2006,,,,,,,
"00006322210","00006-3222-10",,"J0380",,1/1/2002,1/31/2003,"INJECTION, METARAMINOL BITARTRATE, PER 10 MG","ARAMINE 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00006327516","00006-3275-16",,"J0515",,1/1/2002,6/30/2004,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","COGENTIN (AMP) 1 MG/ML",2,"ML","AM","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00006327538","00006-3275-38",,"J0515",,3/5/2002,1/20/2006,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","COGENTIN (AMP) 1 MG/ML",2,"ML","AM","IJ","ML",1,"MG",1,3/5/2002,,,,,,,
"00006329822","00006-3298-22",,"J9120",,1/1/2002,1/20/2006,"INJECTION, DACTINOMYCIN, 0.5 MG","COSMEGEN 0.5 MG",1,"EA","VL","IV","EA",0.5,"MG",1,1/1/2002,,,,,,,
"00006335645","00006-3356-45",,"J0694",,1/1/2002,7/30/2003,"INJECTION, CEFOXITIN SODIUM, 1 GM","MEFOXIN (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"00006335753","00006-3357-53",,"J0694",,1/1/2002,7/30/2003,"INJECTION, CEFOXITIN SODIUM, 1 GM","MEFOXIN (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"00006338867","00006-3388-67",,"J0694",,1/1/2002,7/30/2003,"INJECTION, CEFOXITIN SODIUM, 1 GM","MEFOXIN (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",1,"GM",10,1/1/2002,,,,,,,
"00006351458","00006-3514-58",,"J0743",,1/1/2002,,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG","PRIMAXIN IV (VIAL) 250 MG-250 MG",1,"EA","VL","IV","EA",250,"MG",1,1/1/2002,,,,,,,
"00006351659","00006-3516-59",,"J0743",,1/1/2002,,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG","PRIMAXIN IV (VIAL) 500 MG-500 MG",1,"EA","VL","IV","EA",250,"MG",2,1/1/2002,,,,,,,
"00006351775","00006-3517-75",,"J0743",,1/1/2002,,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG","PRIMAXIN IV (P.B.) 500 MG-500 MG",1,"EA","GC","IV","EA",250,"MG",2,1/1/2002,,,,,,,
"00006353750","00006-3537-50",,"J3490",,1/1/2002,11/5/2007,"UNCLASSIFIED DRUGS","PEPCID (GALAXY PC,PF) 0.4 MG/ML",50,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00006353904","00006-3539-04",,"J3490",,1/1/2002,11/5/2007,"UNCLASSIFIED DRUGS","PEPCID (S.D.V.) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00006354114","00006-3541-14",,"J3490",,1/1/2002,5/31/2004,"UNCLASSIFIED DRUGS","PEPCID (M.D.V.) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00006354120","00006-3541-20",,"J3490",,1/1/2002,4/30/2003,"UNCLASSIFIED DRUGS","PEPCID (M.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00006354149","00006-3541-49",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","PEPCID (M.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00006354524","00006-3545-24",,"J0694",,1/1/2002,11/5/2007,"INJECTION, CEFOXITIN SODIUM, 1 GM","MEFOXIN (PREMIXED IN GALAXY) 1 GM/50 ML",50,"ML","FC","IV","ML",1,"GM",0.02,1/1/2002,,,,,,,
"00006354725","00006-3547-25",,"J0694",,1/1/2002,11/5/2007,"INJECTION, CEFOXITIN SODIUM, 1 GM","MEFOXIN (PREMIXED IN GALAXY) 2 GM/50 ML",50,"ML","FC","IV","ML",1,"GM",0.04,1/1/2002,,,,,,,
"00006354845","00006-3548-45",,"J0694",,1/1/2002,7/30/2003,"INJECTION, CEFOXITIN SODIUM, 1 GM","MEFOXIN (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"00006354953","00006-3549-53",,"J0694",,1/1/2002,7/30/2003,"INJECTION, CEFOXITIN SODIUM, 1 GM","MEFOXIN (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"00006355158","00006-3551-58",,"J0743",,1/1/2002,,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG","PRIMAXIN IV (ADD-VANTAGE) 250 MG-250 MG",1,"EA","VL","IV","EA",250,"MG",1,1/1/2002,,,,,,,
"00006355259","00006-3552-59",,"J0743",,1/1/2002,,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG","PRIMAXIN IV (ADD-VANTAGE) 500 MG-500 MG",1,"EA","VL","IV","EA",250,"MG",2,1/1/2002,,,,,,,
"00006358275","00006-3582-75",,"J0743",,1/1/2002,,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG","PRIMAXIN IM (VIAL) 500 MG-500 MG",1,"EA","VL","IM","EA",250,"MG",2,1/1/2002,,,,,,,
"00006361932","00006-3619-32",,"J1205",,1/1/2002,1/20/2006,"INJECTION, CHLOROTHIAZIDE SODIUM, PER 500 MG","DIURIL SODIUM (VIAL) 0.5 GM",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00006366659","00006-3666-59",,"J0743",,1/1/2002,,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG","PRIMAXIN IV (MONOVIAL) 500 MG-500 MG",1,"EA","VL","IV","EA",250,"MG",2,1/1/2002,,,,,,,
"00006371325","00006-3713-25",,"J3245",,1/1/2002,9/1/2002,"INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG","AGGRASTAT (VIAL,PF) 0.25 MG/ML",25,"ML","VL","IV","ML",12.5,"MG",0.02,1/1/2002,,,,,,,
"00006371350","00006-3713-50",,"J3245",,1/1/2002,4/30/2004,"INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG","AGGRASTAT (VIAL,PF) 0.25 MG/ML",50,"ML","VL","IV","ML",12.5,"MG",0.02,1/1/2002,,,,,,,
"00006373955","00006-3739-55",,"J3245",,8/16/2002,12/31/2004,"INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG","AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML",100,"ML","BG","IV","ML",12.5,"MG",0.004,5/1/2004,,8/16/2002,4/30/2004,0.004,,,
"00006373955","00006-3739-55",,"J3246",,1/1/2005,9/30/2005,"INJECTION, TIROFIBAN HCL, 0.25MG","AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML",100,"ML","BG","IV","ML",0.25,"MG",0.2,1/1/2005,,,,,,,
"00006373996","00006-3739-96",,"J3245",,1/1/2002,12/31/2004,"INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG","AGGRASTAT (S.D. INTRA VIA P.C.) 0.05 MG/ML",250,"ML","PC","IV","ML",12.5,"MG",0.004,5/1/2004,,1/1/2002,4/30/2004,0.004,,,
"00006373996","00006-3739-96",,"J3246",,1/1/2005,10/31/2005,"INJECTION, TIROFIBAN HCL, 0.25MG","AGGRASTAT (S.D. INTRA VIA P.C.) 0.05 MG/ML",250,"ML","PC","IV","ML",0.25,"MG",0.2,1/1/2005,,,,,,,
"00006382210","00006-3822-10",,"J0637",,1/1/2003,,"INJECTION, CASPOFUNGIN ACETATE, 5 MG","CANCIDAS (VIAL) 50 MG",1,"EA","VL","IV","EA",5,"MG",10,1/1/2003,,,,,,,
"00006382310","00006-3823-10",,"J0637",,1/1/2003,,"INJECTION, CASPOFUNGIN ACETATE, 5 MG","CANCIDAS (VIAL) 70 MG",1,"EA","VL","IV","EA",5,"MG",14,1/1/2003,,,,,,,
"00006384371","00006-3843-71",,"J1335",,1/1/2004,,"INJECTION, ERTAPENEM SODIUM, 500 MG","INVANZ (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2004,,,,,,,
"00006384371","00006-3843-71",,"J3490",,2/4/2002,12/31/2003,"UNCLASSIFIED DRUGS","INVANZ (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,2/4/2002,,,,,,,
"00006384571","00006-3845-71",,"J1335",,4/16/2007,,"INJECTION, ERTAPENEM SODIUM, 500 MG","INVANZ (SD,ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,4/16/2007,,,,,,,
"00006386203","00006-3862-03",,"J8501",,1/1/2005,,"APREPITANT, ORAL, 5 MG","EMEND (COMBO PACK) 1 125mg/ 2 80mg",3,"EA","PG","PO","EA",5,"MG",19,1/1/2005,,,,,,,
"00006386203","00006-3862-03",,"K0415",,4/11/2003,12/31/2004,"PRESCRIPTION ANTIEMETIC DRUG, ORAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","EMEND (COMBO PACK) 1 125mg/ 2 80mg",3,"EA","PG","PO","EA",1,"MG",95,4/11/2003,,,,,,,
"00006388432","00006-3884-32",,"J1453",,1/30/2008,,"INJECTION, FOSAPREPITANT, 1 MG","EMEND (115 MG, EA)",1,"EA","VL","IV","MG",1,"MG",115,1/30/2008,,,,,,,
"00006409406","00006-4094-06",,"J3490",,6/19/2007,8/29/2009,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (SD,6X1ML,TAX INCL,PF) 10 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,6/19/2007,8/29/2009,,,,,,
"00006409431","00006-4094-31",,"J3490",,6/19/2007,,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (TAX INCL,PF) 10 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,6/19/2007,,,,,,,
"00006461200","00006-4612-00",,"J9020",,1/1/2002,11/15/2006,"INJECTION, ASPARAGINASE, 10,000 UNITS","ELSPAR 10000 IU",1,"EA","VL","IJ","EA",10000,"U",1,1/1/2002,,,,,,,
"00006476900","00006-4769-00",,"J3490",,1/1/2002,9/1/2002,"UNCLASSIFIED DRUGS","RECOMBIVAX HB PEDIATRIC/ADOLESCENT (S.D.V.,TAX INCL) 5 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006477300","00006-4773-00",,"J3490",,1/1/2002,5/1/2003,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (3 DOSE VIAL,TAX INCL) 10 MCG/ML",3,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006477500","00006-4775-00",,"J3490",,1/1/2002,5/1/2003,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (S.D.V.,TAX INCL) 10 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006477600","00006-4776-00",,"J3490",,1/1/2002,5/1/2003,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (DIALYSIS,SDV,TAX INCL) 40 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006484800","00006-4848-00",,"J3490",,1/1/2002,9/1/2002,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (SRN,PREFILLED,TAX INCL) 10 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006484900","00006-4849-00",,"J3490",,1/1/2002,9/1/2002,"UNCLASSIFIED DRUGS","RECOMBIVAX HB PEDIATRIC/ADOLESCENT (SRN,1""X23G,TAX INCL) 5 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006487200","00006-4872-00",,"J3490",,1/1/2002,5/1/2003,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (S.D.V.,TAX INCL) 10 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006487300","00006-4873-00",,"J3490",,1/1/2002,5/1/2003,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (3 DOSE VIAL,TAX INCL) 10 MCG/ML",3,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006487600","00006-4876-00",,"J3490",,1/1/2002,5/1/2003,"UNCLASSIFIED DRUGS","RECOMBIVAX HB PEDIATRIC/ADOLESCENT (S.D.V.,TAX INCL) 5 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006496900","00006-4969-00",,"J3490",,1/1/2002,9/1/2002,"UNCLASSIFIED DRUGS","RECOMBIVAX HB PEDIATRIC/ADOLESCENT (SRN,5/8""X25G,TAX INCL) 5 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006498000","00006-4980-00",,"J3490",,1/1/2002,11/5/2007,"UNCLASSIFIED DRUGS","RECOMBIVAX HB PEDIATRIC/ADOLESCENT (S.D.V.,TAX INCL,PF) 5 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006498100","00006-4981-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RECOMBIVAX HB PEDIATRIC/ADOLESCENT (S.D.V.,TAX INCL,PF) 5 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00006499200","00006-4992-00",,"J3490",,7/9/2002,,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (S.D.V., TAX INCL.) 40 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,7/9/2002,,,,,,,
"00006499500","00006-4995-00",,"J3490",,7/9/2002,,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (S.D.V.,TAX INCL.) 10 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,7/9/2002,,,,,,,
"00006499541","00006-4995-41",,"J3490",,7/16/2002,,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (S.D.V.,TAX INCL.) 10 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,7/16/2002,,,,,,,
"00006762803","00006-7628-03",,"J1100",,1/1/2002,9/1/2002,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DECADRON (VIAL) 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00006762825","00006-7628-25",,"J1100",,1/1/2002,9/1/2002,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DECADRON (VIAL) 4 MG/ML",25,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00006763304","00006-7633-04",,"J1710",,1/1/2002,9/1/2002,"INJECTION, HYDROCORTISONE SODIUM  PHOSPHATE, UP TO 50 MG","HYDROCORTONE PHOSPHATE (VIAL) 50 MG/ML",2,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00006764603","00006-7646-03",,"J1100",,1/1/2002,9/1/2002,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DECADRON (VIAL) 24 MG/ML",5,"ML","VL","IJ","ML",1,"MG",24,1/1/2002,,,,,,,
"00006775331","00006-7753-31",,"J9230",,1/1/2002,1/20/2006,"INJECTION, MECHLORETHAMINE HYDROCHLORIDE, (NITROGEN MUSTARD), 10 MG","MUSTARGEN (VIAL) 10 MG",1,"EA","VL","IV","EA",10,"MG",1,1/1/2002,,,,,,,
"00007313016","00007-3130-16",,"J0690",,1/1/2002,1/7/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","ANCEF (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00007313076","00007-3130-76",,"J0690",,5/17/2002,1/7/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","ANCEF NOVATION (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,5/17/2002,,,,,,,
"00007313505","00007-3135-05",,"J0690",,1/1/2002,5/16/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","ANCEF (VIAL, BULK) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00007313576","00007-3135-76",,"J0690",,5/17/2002,5/16/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","ANCEF NOVATION (VIAL,BULK) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,5/17/2002,,,,,,,
"00007313705","00007-3137-05",,"J0690",,1/1/2002,5/16/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","ANCEF (P.B.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00007323002","00007-3230-02",,"J1652",,2/6/2006,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (PREFL,27GX1/2"",PF) 2.5 MG/0.5 ML",0.5,"ML","SR","SC","ML",0.5,"MG",10,2/6/2006,,,,,,,
"00007323011","00007-3230-11",,"J1652",,6/3/2005,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (SRN,PREFL,27GX1/2"",PF) 2.5 MG/0.5 ML",0.5,"ML","SR","SC","ML",0.5,"MG",10,6/3/2005,,,,,,,
"00007323202","00007-3232-02",,"J1652",,2/6/2006,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (PREFL,27GX1/2"",PF) 5 MG/0.4 ML",0.4,"ML","SR","SC","ML",0.5,"MG",25,2/6/2006,,,,,,,
"00007323211","00007-3232-11",,"J1652",,11/16/2004,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (PREFL,27GX1/2"",PF) 5 MG/0.4 ML",0.4,"ML","SR","SC","ML",0.5,"MG",25,11/16/2004,,,,,,,
"00007323402","00007-3234-02",,"J1652",,2/6/2006,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (PREFL,27GX1/2"",PF) 7.5 MG/0.6 ML",0.6,"ML","SR","SC","ML",0.5,"MG",25,2/6/2006,,,,,,,
"00007323411","00007-3234-11",,"J1652",,11/16/2004,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (PREFL,27GX1/2"",PF) 7.5 MG/0.6 ML",0.6,"ML","SR","SC","ML",0.5,"MG",25,11/16/2004,,,,,,,
"00007323602","00007-3236-02",,"J1652",,2/6/2006,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (PREFL,27GX1/2"",PF) 10 MG/0.8 ML",0.8,"ML","SR","SC","ML",0.5,"MG",25,2/6/2006,,,,,,,
"00007323611","00007-3236-11",,"J1652",,11/16/2004,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (PREFL,27GX1/2"",PF) 10 MG/0.8 ML",0.8,"ML","SR","SC","ML",0.5,"MG",25,11/16/2004,,,,,,,
"00007334301","00007-3343-01",,"J0780",,1/1/2002,5/2/2002,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","COMPAZINE (VIAL) 5 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00007334415","00007-3344-15",,"Q0165",,1/1/2002,5/1/2002,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE SPANSULE 10 MG",50,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"00007334615","00007-3346-15",,"Q0165",,1/1/2002,5/1/2002,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE SPANSULE 15 MG",50,"EA","BO","PO","EA",10,"MG",1.5,1/1/2002,,,,,,,
"00007335216","00007-3352-16",,"J0780",,1/1/2002,5/2/2002,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","COMPAZINE (VIAL) 5 MG/ML",2,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00007336003","00007-3360-03",,"K0416",,1/1/2002,2/26/2004,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 2.5 MG",12,"EA","BX","RC","EA",1,"MG",2.5,1/1/2002,,,,,,,
"00007336103","00007-3361-03",,"K0416",,1/1/2002,2/26/2004,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 5 MG",12,"EA","BX","RC","EA",1,"MG",5,1/1/2002,,,,,,,
"00007336203","00007-3362-03",,"K0416",,1/1/2002,2/26/2004,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"00007336620","00007-3366-20",,"Q0164",,1/1/2002,5/2/2002,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00007336621","00007-3366-21",,"Q0164",,1/1/2002,5/2/2002,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 5 MG",100,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00007336720","00007-3367-20",,"Q0165",,1/1/2002,2/26/2004,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"00007336721","00007-3367-21",,"Q0165",,1/1/2002,2/26/2004,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",100,"EA","BX","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"00007420101","00007-4201-01",,"J9350",,1/1/2002,,"INJECTION, TOPOTECAN, 4 MG","HYCAMTIN (S.D.V.) 4 MG",1,"EA","VL","IV","EA",4,"MG",1,1/1/2002,,,,,,,
"00007420105","00007-4201-05",,"J9350",,1/1/2002,,"INJECTION, TOPOTECAN, 4 MG","HYCAMTIN (S.D.V.) 4 MG",1,"EA","VL","IV","EA",4,"MG",1,1/1/2002,,,,,,,
"00007420511","00007-4205-11",,,,7/1/2009,,"TOPOTECAN, ORAL, 0.25 MG","HYCAMTIN  0.25 MG",10,"EA","BO","PO","EA",0.25,"MG",1,7/1/2009,,,,,,,
"00007420511","00007-4205-11",,"J8999",,9/16/2008,6/30/2009,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TOPOTECAN HYDROCHLORIDE",10,"EA","PG","PO","EA",1,"EA",1,9/16/2008,6/30/2009,,,,,,
"00007420711","00007-4207-11",,,,7/1/2009,,"TOPOTECAN, ORAL, 0.25 MG","HYCAMTIN  1 MG",10,"EA","BO","PO","EA",0.25,"MG",4,7/1/2009,,,,,,,
"00007420711","00007-4207-11",,"J8999",,9/16/2008,6/30/2009,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TOPOTECAN HYDROCHLORIDE",10,"EA","PG","PO","EA",1,"EA",1,9/16/2008,6/30/2009,,,,,,
"00007440101","00007-4401-01",,"J9261",,4/2/2008,,"INJECTION, NELARABINE, 50 MG","ARRANON (LATEX-FREE) 5 MG/ML",50,"ML","VL","IV","ML",50,"MG",0.1,4/2/2008,,,,,,,
"00007440106","00007-4401-06",,"J3490",,1/27/2006,12/31/2006,"UNCLASSIFIED DRUGS","ARRANON (6X50ML,LATEX-FREE) 5 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,1/27/2006,,,,,,,
"00007440106","00007-4401-06",,"J9261",,1/1/2007,,"INJECTION, NELARABINE, 50 MG","ARRANON (6X50ML,LATEX-FREE) 5 MG/ML",50,"ML","VL","IV","ML",50,"MG",0.1,1/1/2007,,,,,,,
"00007506011","00007-5060-11",,"J3230",,1/1/2002,6/10/2002,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","THORAZINE 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00007506111","00007-5061-11",,"J3230",,1/1/2002,5/14/2003,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","THORAZINE 25 MG/ML",2,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00007506201","00007-5062-01",,"J3230",,1/1/2002,11/1/2003,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","THORAZINE 25 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00007507003","00007-5070-03",,"K0416",,1/1/2002,6/10/2002,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","THORAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"00007507103","00007-5071-03",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","THORAZINE 100 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"00007507103","00007-5071-03",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","THORAZINE 100 MG",12,"EA","BX","RC","EA",1,"MG",100,1/1/2002,,,,,,,
"00007507244","00007-5072-44",,"Q0171",,1/1/2002,5/14/2003,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","THORAZINE (AF) 10 MG/5 ML",120,"ML","BO","PO","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00007508511","00007-5085-11",,"J0713",,1/1/2002,12/12/2002,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (P.B.) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00007508804","00007-5088-04",,"J0713",,1/1/2002,4/1/2001,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (PREMIX) 1 GM",1,"EA","PC","IJ","EA",500,"MG",2,1/1/2002,4/1/2001,,,,,,
"00007508904","00007-5089-04",,"J0713",,1/1/2002,4/1/2001,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (PREMIX) 2 GM",1,"EA","PC","IJ","EA",500,"MG",4,1/1/2002,4/1/2001,,,,,,
"00008001834","00008-0018-34",,"J2510",,1/1/2002,4/24/2002,"INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS","WYCILLIN (TUBEX, 21GX1 1/4) 600000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"00008001835","00008-0018-35",,"J2510",,1/1/2002,7/18/2002,"INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS","WYCILLIN (TUBEX, 21GX1 1/4) 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"00008001901","00008-0019-01",,"Q0169",,1/1/2002,7/7/2004,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PHENERGAN 12.5 MG",100,"EA","BO","PO","EA",12.5,"MG",1,1/1/2002,,,,,,,
"00008002112","00008-0021-12",,"J0560",,1/1/2002,3/11/2002,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (SRN) 600000 U/ML",4,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"00008002622","00008-0026-22",,"J0530",,1/1/2002,6/19/2002,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS","BICILLIN C-R (SRN) 300000 U/ML-300000 U/ML",4,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"00008002636","00008-0026-36",,"J0530",,1/1/2002,5/27/2002,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS","BICILLIN C-R PEDIATRIC (TUBEX,21GX1"") 300000 U/ML-300000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"00008002637","00008-0026-37",,"J0530",,1/1/2002,1/18/2002,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS","BICILLIN C-R (TUBEX,20GX1 1/4) 300000 U/ML-300000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"00008006301","00008-0063-01",,"J2550",,1/1/2002,6/1/2002,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN (AMP) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00008021201","00008-0212-01",,"K0416",,1/1/2002,12/1/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"00008025801","00008-0258-01",,"J2175",,1/1/2002,9/30/2002,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL 50 MG/ML",30,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00008025901","00008-0259-01",,"J2175",,1/1/2002,6/1/2002,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL 100 MG/ML",20,"ML","VL","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00008030401","00008-0304-01",,"J2560",,1/1/2002,6/1/2002,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM (TUBEX,22GX1 1/4"") 130 MG/ML",1,"ML","SR","IJ","ML",120,"MG",1.08333,1/1/2002,,,,,,,
"00008049801","00008-0498-01",,"K0416",,1/1/2002,12/1/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"00008057005","00008-0570-05",,"J2060",,1/1/2002,1/31/2002,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (TAMP-R-TEL,TUBEX) 4 MG/ML",1,"ML","SR","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"00008057013","00008-0570-13",,"J2060",,1/1/2002,6/1/2002,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (M.D.V.) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"00008057015","00008-0570-15",,"J2060",,1/1/2002,6/1/2002,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (S.D.V.) 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"00008058105","00008-0581-05",,"J2060",,1/1/2002,6/1/2002,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (TBX,22GX1 1/4"",TAMPRTEL) 2 MG/ML",0.5,"ML","SR","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00008058107","00008-0581-07",,"J2060",,1/1/2002,6/1/2002,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (TUBEX, 22GX1-1/4"") 2 MG/ML",0.5,"ML","SR","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00008058113","00008-0581-13",,"J2060",,1/1/2002,6/1/2002,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00008058115","00008-0581-15",,"J2060",,1/1/2002,6/1/2002,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00008061302","00008-0613-02",,"J2175",,1/1/2002,4/25/2002,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (TUBEX, 22GX1 1/4"") 100 MG/ML",1,"ML","SR","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00008074601","00008-0746-01",,"J2550",,1/1/2002,6/1/2002,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN (AMP) 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00008081401","00008-0814-01",,"J0282",,1/1/2002,4/26/2006,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","CORDARONE IV (AMP) 50 MG/ML",3,"ML","AM","IV","ML",30,"MG",1.66666,1/1/2002,,,,,,,
"00008092303","00008-0923-03",,"J3490",,1/1/2002,6/16/2004,"UNCLASSIFIED DRUGS","PROTONIX (VIAL,W/INLINE FILTERS) 40 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00008092351","00008-0923-51",,"J3490",,5/20/2004,5/21/2004,"UNCLASSIFIED DRUGS","PROTONIX 40 MG",1,"EA","VL","IV","EA",1,"EA",1,5/20/2004,,,,,,,
"00008092355","00008-0923-55",,"J3490",,5/18/2004,,"UNCLASSIFIED DRUGS","PROTONIX 40 MG",1,"EA","VL","IV","EA",1,"EA",1,5/18/2004,,,,,,,
"00008103006","00008-1030-06",,"J7520",,1/1/2002,,"SIROLIMUS, ORAL, 1 MG","RAPAMUNE (M.D. BOTTLE) 1 MG/ML",60,"ML","BO","PO","ML",1,"MG",1,1/1/2002,,,,,,,
"00008103105","00008-1031-05",,"J7520",,1/1/2002,1/31/2006,"SIROLIMUS, ORAL, 1 MG","RAPAMUNE 1 MG",100,"EA","BO","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"00008103110","00008-1031-10",,"J7520",,1/1/2002,5/25/2006,"SIROLIMUS, ORAL, 1 MG","RAPAMUNE (REDIPAK,10X10) 1 MG",100,"EA","DP","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"00008103205","00008-1032-05",,"J7520",,3/12/2003,1/31/2006,"SIROLIMUS, ORAL, 1 MG","RAPAMUNE 2 MG",100,"EA","BO","PO","EA",1,"MG",2,3/12/2003,,,,,,,
"00008104105","00008-1041-05",,"J7520",,2/1/2006,,"SIROLIMUS, ORAL, 1 MG","RAPAMUNE 1 MG",100,"EA","BO","PO","EA",1,"MG",1,2/1/2006,,,,,,,
"00008104110","00008-1041-10",,"J7520",,5/26/2006,,"SIROLIMUS, ORAL, 1 MG","RAPAMUNE (REDIPAK,10X10) 1 MG",100,"EA","BX","PO","EA",1,"MG",1,5/26/2006,,,,,,,
"00008104205","00008-1042-05",,"J7520",,2/1/2006,,"SIROLIMUS, ORAL, 1 MG","RAPAMUNE 2 MG",100,"EA","BO","PO","EA",1,"MG",2,2/1/2006,,,,,,,
"00008117901","00008-1179-01",,"J9330",,6/27/2007,,"INJECTION, TEMSIROLIMUS, 1 MG","TORISEL (WITH DILUENT) 25MG/ML",1,"ML","VL","IV","MG",1,"MG",25,6/27/2007,,,,,,,
"00008256401","00008-2564-01",,"J3590",,1/1/2003,5/12/2003,"UNCLASSIFIED BIOLOGICS","NORPLANT SYSTEM 36 MG",1,"EA","BX","ID","EA",1,"EA",1,1/1/2003,,,,,,,
"00008451001","00008-4510-01",,"J9300",,1/1/2002,,"INJECTION, GEMTUZUMAB OZOGAMICIN, 5 MG","MYLOTARG (VIAL,PF) 5 MG",1,"EA","VL","IV","EA",5,"MG",1,1/1/2002,,,,,,,
"00008499002","00008-4990-02",,"J3243",,7/27/2007,,"INJECTION, TIGECYCLINE, 1 MG","TYGACIL (SDV,PF) 50 MG",1,"EA","VL","IV","EA",1,"MG",50,7/27/2007,,,,,,,
"00008536002","00008-5360-02",,"J3243",,1/1/2007,7/26/2007,"INJECTION, TIGECYCLINE, 1 MG","TYGACIL (S.D.V.,PF) 50 MG",1,"EA","VL","IV","EA",1,"MG",50,1/1/2007,,,,,,,
"00008536002","00008-5360-02",,"J3490",,6/17/2005,12/31/2006,"UNCLASSIFIED DRUGS","TYGACIL (S.D.V.,PF) 50 MG",1,"EA","VL","IV","EA",1,"EA",1,6/17/2005,,,,,,,
"00008914901","00008-9149-01",,"J7320",,1/1/2002,1/6/2005,"HYLAN G-F 20, 16 MG, FOR INTRA ARTICULAR INJECTION","SYNVISC (SRN,PREFILLED) 8 MG/ML",2,"ML","SR","IJ","ML",16,"MG",0.5,1/1/2002,,,,,,,
"00008914902","00008-9149-02",,"J7320",,1/1/2002,1/6/2005,"HYLAN G-F 20, 16 MG, FOR INTRA ARTICULAR INJECTION","SYNVISC (3X2 ML SRN,PREFILLED) 8 MG/ML",2,"ML","SR","IJ","ML",16,"MG",0.5,1/1/2002,,,,,,,
"00009002201","00009-0022-01",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 8 MG",25,"EA","BO","PO","EA",4,"MG",2,1/1/2002,,,,,,,
"00009003201","00009-0032-01",,"J7506",,1/1/2002,10/11/2002,"PREDNISONE, ORAL, PER 5MG","DELTASONE 2.5 MG",100,"EA","BO","PO","EA",5,"MG",0.5,1/1/2002,,,,,,,
"00009004501","00009-0045-01",,"J7506",,1/1/2002,3/26/2002,"PREDNISONE, ORAL, PER 5MG","DELTASONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00009004502","00009-0045-02",,"J7506",,1/1/2002,9/20/2002,"PREDNISONE, ORAL, PER 5MG","DELTASONE 5 MG",500,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00009004516","00009-0045-16",,"J7506",,1/1/2002,6/21/2002,"PREDNISONE, ORAL, PER 5MG","DELTASONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00009004902","00009-0049-02",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 2 MG",100,"EA","BO","PO","EA",4,"MG",0.5,1/1/2002,,,,,,,
"00009005602","00009-0056-02",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00009005603","00009-0056-03",,"J7509",,1/1/2002,8/6/2007,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 4 MG",500,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00009005604","00009-0056-04",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL (UNIT OF USE) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00009005605","00009-0056-05",,"J7509",,1/1/2002,6/19/2007,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 4 MG",100,"EA","BX","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00009007301","00009-0073-01",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 16 MG",50,"EA","BO","PO","EA",4,"MG",4,1/1/2002,,,,,,,
"00009011319","00009-0113-19",,"J2920",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","SOLU-MEDROL (ACT-O-VIAL, 25 PACK) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,1/1/2002,,,,,,,
"00009015501","00009-0155-01",,"J7509",,1/1/2002,1/2/2004,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 24 MG",25,"EA","BO","PO","EA",4,"MG",6,1/1/2002,,,,,,,
"00009016501","00009-0165-01",,"J7506",,1/1/2002,6/7/2002,"PREDNISONE, ORAL, PER 5MG","DELTASONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00009016502","00009-0165-02",,"J7506",,1/1/2002,12/20/2002,"PREDNISONE, ORAL, PER 5MG","DELTASONE 20 MG",500,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00009017601","00009-0176-01",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 32 MG",25,"EA","BO","PO","EA",4,"MG",8,1/1/2002,,,,,,,
"00009019016","00009-0190-16",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (ACT-O-VIAL) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,1/1/2002,,,,,,,
"00009019301","00009-0193-01",,"J7506",,1/1/2002,1/2/2004,"PREDNISONE, ORAL, PER 5MG","DELTASONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00009019302","00009-0193-02",,"J7506",,1/1/2002,4/26/2004,"PREDNISONE, ORAL, PER 5MG","DELTASONE 10 MG",500,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00009023301","00009-0233-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BACITRACIN 50000 U",1,"EA","VL","IM","EA",1,"EA",1,1/1/2002,,,,,,,
"00009025302","00009-0253-02",,"J1060",,1/1/2002,2/25/2003,"INJECTION, TESTOSTERONE CYPIONATE AND ESTRADIOL CYPIONATE, UP TO 1 ML","DEPO-TESTADIOL (VIAL) 2 MG/ML-50 MG/ML",10,"ML","VL","IM","ML",1,"ML",1,1/1/2002,,,,,,,
"00009026801","00009-0268-01",,"J1644",,1/1/2002,11/20/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 1000 U/ML",10,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"00009026802","00009-0268-02",,"J1644",,1/1/2002,8/8/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 1000 U/ML",30,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"00009026812","00009-0268-12",,"J1644",,1/1/2002,9/21/2004,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 1000 U/ML",10,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"00009027101","00009-0271-01",,"J1000",,1/1/2002,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","DEPO-ESTRADIOL (VIAL) 5 MG/ML",5,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"00009028002","00009-0280-02",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (M.D.V.) 40 MG/ML",5,"ML","VL","IJ","ML",40,"MG",1,1/1/2002,,,,,,,
"00009028003","00009-0280-03",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (M.D.V.) 40 MG/ML",10,"ML","VL","IJ","ML",40,"MG",1,1/1/2002,,,,,,,
"00009028051","00009-0280-51",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (M.D.V.,5X25ML) 40 MG/ML",5,"ML","VL","IJ","ML",40,"MG",1,1/1/2002,,,,,,,
"00009028052","00009-0280-52",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (M.D.V.) 40 MG/ML",10,"ML","VL","IJ","ML",40,"MG",1,1/1/2002,,,,,,,
"00009029101","00009-0291-01",,"J1644",,1/1/2002,12/12/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 5000 U/ML",10,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"00009031702","00009-0317-02",,"J1644",,1/1/2002,12/13/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 10000 U/ML",4,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00009031710","00009-0317-10",,"J1644",,1/1/2002,10/14/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00009031711","00009-0317-11",,"J1644",,1/1/2002,1/2/2004,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 10000 U/ML",4,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00009034702","00009-0347-02",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","DEPO-TESTOSTERONE (VIAL) 100 MG/ML",10,"ML","VL","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"00009037301","00009-0373-01",,"J9100",,1/1/2002,6/4/2003,"INJECTION, CYTARABINE, 100 MG","CYTOSAR-U (M.D.V.) 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"00009038801","00009-0388-01",,"J7506",,1/1/2002,5/1/2003,"PREDNISONE, ORAL, PER 5MG","DELTASONE 50 MG",100,"EA","BO","PO","EA",5,"MG",10,1/1/2002,,,,,,,
"00009041701","00009-0417-01",,"J1080",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","DEPO-TESTOSTERONE (VIAL) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,1/1/2002,,,,,,,
"00009041702","00009-0417-02",,"J1080",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","DEPO-TESTOSTERONE (VIAL) 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,1/1/2002,,,,,,,
"00009047301","00009-0473-01",,"J9110",,1/1/2002,6/4/2003,"INJECTION, CYTARABINE, 500 MG","CYTOSAR-U (M.D.V.) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"00009055501","00009-0555-01",,"J2010",,1/1/2002,,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","LINCOCIN (VIAL) 300 MG/ML",2,"ML","VL","IJ","ML",300,"MG",1,1/1/2002,,,,,,,
"00009055502","00009-0555-02",,"J2010",,1/1/2002,,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","LINCOCIN (VIAL) 300 MG/ML",10,"ML","VL","IJ","ML",300,"MG",1,1/1/2002,,,,,,,
"00009056601","00009-0566-01",,"J3320",,1/1/2002,11/10/2005,"INJECTION, SPECTINOMYCIN DIHYDROCHLORIDE, UP TO 2 GM","TROBICIN (W/DILUENT) 2 GM",1,"EA","VL","IM","EA",2,"GM",1,1/1/2002,,,,,,,
"00009062601","00009-0626-01",,"J1050",,1/1/2002,12/31/2002,"INJECTION, MEDROXYPROGESTERONE ACETATE, 100 MG","DEPO-PROVERA (VIAL) 400 MG/ML",2.5,"ML","VL","IM","ML",100,"MG",4,1/1/2002,,,,,,,
"00009062601","00009-0626-01",,"J1051",,1/1/2003,,"INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG","DEPO-PROVERA (VIAL) 400 MG/ML",2.5,"ML","VL","IM","ML",50,"MG",8,1/1/2003,,,,,,,
"00009069801","00009-0698-01",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (VIAL) 1 GM",1,"EA","VL","IJ","EA",125,"MG",8,1/1/2002,,,,,,,
"00009072809","00009-0728-09",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE 150 MG/ML",60,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00009074630","00009-0746-30",,"J1055",,1/1/2002,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (VIAL) 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,1/1/2002,,,,,,,
"00009074635","00009-0746-35",,"J1055",,1/1/2002,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (VIAL,25X1ML) 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,1/1/2002,,,,,,,
"00009075801","00009-0758-01",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (VIAL) 500 MG",1,"EA","VL","IJ","EA",125,"MG",4,1/1/2002,,,,,,,
"00009076502","00009-0765-02",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (ACT-O-VIAL) 500 MG",1,"EA","VL","IJ","EA",125,"MG",4,1/1/2002,,,,,,,
"00009077526","00009-0775-26",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE 150 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00009079601","00009-0796-01",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (W/DILUENT) 2 GM",1,"EA","VL","IJ","EA",125,"MG",16,1/1/2002,,,,,,,
"00009082501","00009-0825-01",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"00009084401","00009-0844-01",,"J9320",,1/1/2002,4/13/2003,"INJECTION, STREPTOZOCIN, 1 GRAM","ZANOSAR (STERILE) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/1/2002,,,,,,,
"00009087026","00009-0870-26",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00009090013","00009-0900-13",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (ACT-O-VIAL) 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"00009090020","00009-0900-20",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (ACT-O-VIAL, 25 PACK) 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"00009090211","00009-0902-11",,"J3490",,1/1/2002,5/24/2002,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE 150 MG/ML",6,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00009090218","00009-0902-18",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE 150 MG/ML",6,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00009090908","00009-0909-08",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (ACT-O-VIAL) 250 MG",1,"EA","VL","IJ","EA",100,"MG",2.5,1/1/2002,,,,,,,
"00009090916","00009-0909-16",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (ACT-O-VIAL, 25 PACK) 250 MG",1,"EA","VL","IJ","EA",100,"MG",2.5,1/1/2002,,,,,,,
"00009091205","00009-0912-05",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (ACT-O-VIAL) 500 MG",1,"EA","VL","IJ","EA",100,"MG",5,1/1/2002,,,,,,,
"00009092003","00009-0920-03",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (ACT-O-VIAL) 1 GM",1,"EA","VL","IJ","EA",100,"MG",10,1/1/2002,,,,,,,
"00009307301","00009-3073-01",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (S.D.V.) 40 MG/ML",1,"ML","VL","IJ","ML",40,"MG",1,1/1/2002,,,,,,,
"00009307303","00009-3073-03",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (S.D.V.,25X1ML) 40 MG/ML",1,"ML","VL","IJ","ML",40,"MG",1,1/1/2002,,,,,,,
"00009312403","00009-3124-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE (ADD-VANTAGE,25X4ML) 150 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00009316906","00009-3169-06",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","PROSTIN VR PEDIATRIC (AMP,5X1ML) 0.5 MG/ML",1,"ML","AM","IV","ML",1.25,"MCG",400,1/1/2002,,,,,,,
"00009329501","00009-3295-01",,"J9110",,1/1/2002,6/4/2003,"INJECTION, CYTARABINE, 500 MG","CYTOSAR-U (30 ML VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00009329601","00009-3296-01",,"J9110",,1/1/2002,4/13/2003,"INJECTION, CYTARABINE, 500 MG","CYTOSAR-U 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00009337502","00009-3375-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE (PREMIX) 600 MG/50 ML",50,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00009338102","00009-3381-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE (PREMIX) 300 MG/50 ML",50,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00009338202","00009-3382-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE (PREMIX) 900 MG/50 ML",50,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00009338901","00009-3389-01",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (ACT-O-VIAL) 1 GM",1,"EA","VL","IJ","EA",125,"MG",8,1/1/2002,,,,,,,
"00009344703","00009-3447-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE (ADD-VANTAGE,25X6ML) 150 MG/ML",6,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00009348404","00009-3484-04",,"J1056",,1/1/2002,10/16/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE / ESTRADIOL CYPIONATE, 5MG / 25MG","LUNELLE MONTHLY CONTRACEPTIVE (S.D.V.) 5 MG/0.5 ML-25 MG/0.5 ML",0.5,"ML","VL","IM","ML",5,"MG",2,1/1/2002,,,,,,,
"00009348405","00009-3484-05",,"J1056",,1/1/2002,10/16/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE / ESTRADIOL CYPIONATE, 5MG / 25MG","LUNELLE MONTHLY CONTRACEPTIVE (S.D.V.) 5 MG/0.5 ML-25 MG/0.5 ML",0.5,"ML","VL","IM","ML",5,"MG",2,1/1/2002,,,,,,,
"00009348406","00009-3484-06",,"J1056",,1/7/2002,10/16/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE / ESTRADIOL CYPIONATE, 5MG / 25MG","LUNELLE MONTHLY CONTRACEPTIVE (PREFILLED SRN) 5 MG/0.5 ML-25 MG/0.5 ML",0.5,"ML","SR","IM","ML",5,"MG",2,1/7/2002,,,,,,,
"00009348410","00009-3484-10",,"J1056",,1/1/2002,4/26/2002,"INJECTION, MEDROXYPROGESTERONE ACETATE / ESTRADIOL CYPIONATE, 5MG / 25MG","LUNELLE MONTHLY CONTRACEPTIVE (S.D.V.) 5 MG/0.5 ML-25 MG/0.5 ML",0.5,"ML","VL","IM","ML",5,"MG",2,1/1/2002,,,,,,,
"00009370101","00009-3701-01",,"J0270",,1/1/2002,11/1/2002,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT (SYSTEM) 20 MCG",1,"EA","VL","IC","EA",1.25,"MCG",16,1/1/2002,,,,,,,
"00009370105","00009-3701-05",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT (VIAL) 20 MCG",1,"EA","VL","IC","EA",1.25,"MCG",16,1/1/2002,,,,,,,
"00009377805","00009-3778-05",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT (VIAL) 10 MCG",1,"EA","VL","IC","EA",1.25,"MCG",8,1/1/2002,,,,,,,
"00009377808","00009-3778-08",,"J0270",,1/1/2002,11/1/2002,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT (SYSTEM) 10 MCG",1,"EA","VL","IC","EA",1.25,"MCG",8,1/1/2002,,,,,,,
"00009379401","00009-3794-01",,"J1742",,1/1/2002,,"INJECTION, IBUTILIDE FUMARATE, 1 MG","CORVERT (FLIP-TOP VIAL) 0.1 MG/ML",10,"ML","VL","IV","ML",1,"MG",0.1,1/1/2002,,,,,,,
"00009470901","00009-4709-01",,"J1051",,4/6/2005,,"INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG","DEPO-SUBQ PROVERA 104 (PRE-FILLED W/NEEDLE) 104 MG/0.65 ML",0.65,"ML","SR","SC","ML",50,"MG",3.2,4/6/2005,,,,,,,
"00009509101","00009-5091-01",,"J9178",,1/1/2004,,"INJECTION, EPIRUBICIN HCL, 2 MG","ELLENCE (S.D.V.,PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,1/1/2004,,,,,,,
"00009509101","00009-5091-01",,"J9180",,1/1/2002,12/31/2003,"EPIRUBICIN HYDROCHLORIDE, 50 MG","ELLENCE (S.D.V.,PF) 2 MG/ML",25,"ML","VL","IV","ML",50,"MG",0.04,1/1/2002,,,,,,,
"00009509301","00009-5093-01",,"J9178",,1/1/2004,,"INJECTION, EPIRUBICIN HCL, 2 MG","ELLENCE (S.D.V.,PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,1/1/2004,,,,,,,
"00009509301","00009-5093-01",,"J9180",,1/1/2002,12/31/2003,"EPIRUBICIN HYDROCHLORIDE, 50 MG","ELLENCE (S.D.V.,PF) 2 MG/ML",100,"ML","VL","IV","ML",50,"MG",0.04,1/1/2002,,,,,,,
"00009513701","00009-5137-01",,"J2020",,1/1/2002,,"INJECTION, LINEZOLID, 200MG","ZYVOX (P.C.) 2 MG/ML",100,"ML","FC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00009514001","00009-5140-01",,"J2020",,1/1/2002,,"INJECTION, LINEZOLID, 200MG","ZYVOX (P.C.) 2 MG/ML",300,"ML","FC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00009518101","00009-5181-01",,"J0270",,6/25/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT IMPULSE (SYSTEM) 10 MCG",1,"EA","BX","IC","EA",1.25,"MCG",8,6/25/2002,,,,,,,
"00009518201","00009-5182-01",,"J0270",,6/25/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT IMPULSE (SYSTEM) 20 MCG",1,"EA","BX","IC","EA",1.25,"MCG",16,6/25/2002,,,,,,,
"00009521501","00009-5215-01",,"J3315",,1/1/2003,12/31/2004,"INJECTION, TRIPTORELIN PAMOATE, 3.75 MG","TRELSTAR LA (S.D.V.) 11.25 MG",1,"EA","VL","IM","EA",3.75,"MG",3,1/1/2003,,,,,,,
"00009521501","00009-5215-01",,"J9999",,1/10/2002,12/31/2002,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","TRELSTAR LA (S.D.V.) 11.25 MG",1,"EA","VL","IM","EA",1,"EA",1,1/10/2002,,,,,,,
"00009521601","00009-5216-01",,"J9999",,1/10/2002,3/7/2002,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","TRELSTAR LA (S.D.V.,W/DEBIO CLIP) 11.25 MG",1,"EA","VL","IM","EA",1,"EA",1,1/10/2002,,,,,,,
"00009521901","00009-5219-01",,"J9999",,1/10/2002,3/7/2002,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","TRELSTAR DEPOT (S.D.V.,W/DEBIO CLIP) 3.75 MG",1,"EA","VL","IM","EA",1,"EA",1,1/10/2002,,,,,,,
"00009721203","00009-7212-03",,"J0270",,1/1/2002,11/1/2002,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT (SYSTEM) 5 MCG",1,"EA","VL","IC","EA",1.25,"MCG",24,1/1/2002,,,,,,,
"00009722402","00009-7224-02",,"J7504",,1/1/2002,,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, EQUINE, PARENTERAL, 250 MG","ATGAM (AMP,5X5ML) 50 MG/ML",5,"ML","AM","IV","ML",250,"MG",0.2,1/1/2002,,,,,,,
"00009737601","00009-7376-01",,"J1055",,1/1/2002,4/20/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (SRN, PREFILLED) 150 MG/ML",1,"ML","SR","IM","ML",150,"MG",1,1/1/2002,,,,,,,
"00009737602","00009-7376-02",,"J1055",,1/1/2002,4/20/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (SRN, PREFILLED) 150 MG/ML",1,"ML","SR","IM","ML",150,"MG",1,1/1/2002,,,,,,,
"00009737603","00009-7376-03",,"J1055",,1/1/2002,4/20/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (SRN, PREFILLED) 150 MG/ML",1,"ML","SR","IM","ML",150,"MG",1,1/1/2002,,,,,,,
"00009737604","00009-7376-04",,"J1055",,4/21/2003,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (W/ SAFETY GLIDE NEEDLE) 150 MG/ML",1,"ML","SR","IM","ML",150,"MG",1,4/21/2003,,,,,,,
"00009752901","00009-7529-01",,"J9206",,1/1/2002,,"INJECTION, IRINOTECAN, 20 MG","CAMPTOSAR (S.D.V.) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,1/1/2002,,,,,,,
"00009752901","00009-7529-01","QR","J9206","QR",1/28/2005,,"INJECTION, IRINOTECAN, 20 MG","CAMPTOSAR (S.D.V.) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,1/28/2005,,,,,,,
"00009752902","00009-7529-02",,"J9206",,1/1/2002,,"INJECTION, IRINOTECAN, 20 MG","CAMPTOSAR (S.D.V.) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,1/1/2002,,,,,,,
"00009752902","00009-7529-02","QR","J9206","QR",1/28/2005,,"INJECTION, IRINOTECAN, 20 MG","CAMPTOSAR (S.D.V.) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,1/28/2005,,,,,,,
"00009765002","00009-7650-02",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT (SYSTEM) 0.02 MG/ML",2,"ML","AM","IC","ML",1.25,"MCG",16,5/3/2002,,1/1/2002,3/26/2002,16,,,
"00009766304","00009-7663-04",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","AROMASIN 25 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00009766401","00009-7664-01",,"J3315",,1/1/2003,12/31/2004,"INJECTION, TRIPTORELIN PAMOATE, 3.75 MG","TRELSTAR DEPOT (S.D.V.) 3.75 MG",1,"EA","VL","IM","EA",3.75,"MG",1,1/1/2003,,,,,,,
"00009766401","00009-7664-01",,"J9999",,1/10/2002,12/31/2002,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","TRELSTAR DEPOT (S.D.V.) 3.75 MG",1,"EA","VL","IM","EA",1,"EA",1,1/10/2002,,,,,,,
"00009768604","00009-7686-04",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT (VIAL) 40 MCG",1,"EA","VL","IC","EA",1.25,"MCG",32,1/1/2002,,,,,,,
"00013103691","00013-1036-91",,"J9190",,1/1/2002,4/13/2003,"INJECTION, FLUOROURACIL, 500 MG","ADRUCIL (VIAL) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,1/1/2002,,,,,,,
"00013104694","00013-1046-94",,"J9190",,1/1/2002,4/13/2003,"INJECTION, FLUOROURACIL, 500 MG","ADRUCIL (VIAL) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,1/1/2002,,,,,,,
"00013105694","00013-1056-94",,"J9190",,1/1/2002,4/13/2003,"INJECTION, FLUOROURACIL, 500 MG","ADRUCIL (VIAL) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,1/1/2002,,,,,,,
"00013108691","00013-1086-91",,"J9000",,1/1/2002,12/15/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN RDF 10 MG",1,"EA","VL","IV","EA",10,"MG",1,1/1/2002,,,,,,,
"00013109691","00013-1096-91",,"J9000",,1/1/2002,12/15/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN RDF 20 MG",1,"EA","VL","IV","EA",10,"MG",2,1/1/2002,,,,,,,
"00013110679","00013-1106-79",,"J9000",,1/1/2002,12/15/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN RDF 50 MG",1,"EA","VL","IV","EA",10,"MG",5,1/1/2002,,,,,,,
"00013111683","00013-1116-83",,"J9000",,1/1/2002,12/15/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN RDF (M.D.V.) 150 MG",1,"EA","VL","IV","EA",10,"MG",15,1/1/2002,,,,,,,
"00013113691","00013-1136-91",,"J9000",,1/1/2002,2/22/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (SDV,CYTOSAFE VIAL) 2 MG/ML",5,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00013114691","00013-1146-91",,"J9000",,1/1/2002,2/22/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (SDV,CYTOSAFE VIAL) 2 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00013115679","00013-1156-79",,"J9000",,1/1/2002,2/22/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (SDV,CYTOSAFE VIAL) 2 MG/ML",25,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00013116683","00013-1166-83",,"J9000",,1/1/2002,2/22/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (SDV,CYTOSAFE VIAL) 2 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00013117687","00013-1176-87",,"J9000",,3/27/2002,12/15/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (SDV,PF) 2 MG/ML",37.5,"ML","VL","IV","ML",10,"MG",0.2,3/27/2002,,,,,,,
"00013123691","00013-1236-91",,"J9000",,1/1/2002,12/15/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (SDV,CYTOSAFE VIAL) 2 MG/ML",5,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00013124691","00013-1246-91",,"J9000",,1/1/2002,12/15/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (SDV,CYTOSAFE VIAL) 2 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00013125679","00013-1256-79",,"J9000",,1/1/2002,12/15/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (SDV,CYTOSAFE VIAL) 2 MG/ML",25,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00013126683","00013-1266-83",,"J9000",,1/1/2002,12/15/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (SDV,CYTOSAFE VIAL) 2 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00013128683","00013-1286-83",,"J9000",,2/26/2002,5/6/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN PFS (MDV, CYTOSAFE VIAL,PF) 2 MG/ML",75,"ML","VL","IV","ML",10,"MG",0.2,2/26/2002,,,,,,,
"00013140544","00013-1405-44",,"J0285",,1/1/2002,4/6/2007,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOCIN 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"00013220001","00013-2200-01",,"J9211",,1/7/2003,9/28/2004,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDAMYCIN PFS (S.D. GLASS VIAL,PF) 1 MG/ML",5,"ML","VL","IV","ML",5,"MG",0.2,1/7/2003,,,,,,,
"00013220101","00013-2201-01",,"J9211",,1/7/2003,1/2/2004,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDAMYCIN PFS (S.D. GLASS VIALS,PF) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,1/7/2003,,,,,,,
"00013220201","00013-2202-01",,"J9211",,1/7/2003,1/2/2004,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDAMYCIN PFS (S.D. GLASS VIAL,PF) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,1/7/2003,,,,,,,
"00013240691","00013-2406-91",,"J1645",,1/1/2002,6/25/2007,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (SRN) 2500 IU/0.2 ML",0.2,"ML","SR","SC","ML",2500,"IU",5,1/1/2002,,,,,,,
"00013242601","00013-2426-01",,"J1645",,6/14/2002,2/5/2007,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (SRN, PREFILLED,27GX1/2"") 7500 IU/0.3 ML",0.3,"ML","SR","SC","ML",2500,"IU",10,6/14/2002,,,,,,,
"00013242691","00013-2426-91",,"J1645",,1/1/2002,10/9/2006,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (SRN) 5000 IU/0.2 ML",0.2,"ML","SR","SC","ML",2500,"IU",10,1/1/2002,,,,,,,
"00013243606","00013-2436-06",,"J1645",,1/1/2002,7/9/2006,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (M.D.V.) 10000 IU/ML",9.5,"ML","VL","SC","ML",2500,"IU",4,1/1/2002,,,,,,,
"00013257691","00013-2576-91",,"J9211",,1/1/2002,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDAMYCIN PFS (SDV,PF,CYTOSAFE VIAL,PF) 1 MG/ML",5,"ML","VL","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00013258691","00013-2586-91",,"J9211",,1/1/2002,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDAMYCIN PFS (SDV.PF,CYTOSAFE VIAL,PF) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00013259691","00013-2596-91",,"J9211",,1/1/2002,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDAMYCIN PFS (SDV,PF,CYTOSAFE VIAL,PF) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00013260694","00013-2606-94",,"J2941",,1/1/2002,6/1/2005,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN (INTRA-MIX,PF) 1.5 MG",1,"EA","CT","SC","EA",1,"MG",1.5,1/1/2002,,,,,,,
"00013261681","00013-2616-81",,"J2941",,1/1/2002,6/1/2005,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN (INTRA-MIX) 5.8 MG",1,"EA","CT","SC","EA",1,"MG",5.8,1/1/2002,,,,,,,
"00013261694","00013-2616-94",,"J2941",,1/1/2002,6/1/2005,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN (INTRA-MIX) 5.8 MG",1,"EA","CT","SC","EA",1,"MG",5.8,1/1/2002,,,,,,,
"00013262681","00013-2626-81",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN 5.8 MG",1,"EA","CT","SC","EA",1,"MG",5.8,1/1/2002,,,,,,,
"00013262694","00013-2626-94",,"J2941",,1/1/2002,6/9/2008,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN 5.8 MG",1,"EA","CT","SC","EA",1,"MG",5.8,1/1/2002,6/9/2008,,,,,,
"00013264681","00013-2646-81",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN 13.8 MG",1,"EA","CT","SC","EA",1,"MG",13.8,1/1/2002,,,,,,,
"00013264694","00013-2646-94",,"J2941",,1/1/2002,1/7/2008,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN 13.8 MG",1,"EA","CT","SC","EA",1,"MG",13.8,1/1/2002,,,,,,,
"00013264902","00013-2649-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PREFILLED,PF) 0.2 MG",1,"EA","CT","SC","EA",1,"MG",0.2,1/1/2002,,,,,,,
"00013265002","00013-2650-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PREFILLED,PF) 0.4 MG",1,"EA","CT","SC","EA",1,"MG",0.4,1/1/2002,,,,,,,
"00013265102","00013-2651-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PREFILLED,PF) 0.6 MG",1,"EA","CT","SC","EA",1,"MG",0.6,1/1/2002,,,,,,,
"00013265202","00013-2652-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PREFILLED,PF) 0.8 MG",1,"EA","CT","SC","EA",1,"MG",0.8,1/1/2002,,,,,,,
"00013265302","00013-2653-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PREFILLED,PF) 1 MG",1,"EA","CT","SC","EA",1,"MG",1,1/1/2002,,,,,,,
"00013265402","00013-2654-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PF) 1.2 MG",1,"EA","CT","SC","EA",1,"MG",1.2,1/1/2002,,,,,,,
"00013265502","00013-2655-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PF) 1.4 MG",1,"EA","CT","SC","EA",1,"MG",1.4,1/1/2002,,,,,,,
"00013265602","00013-2656-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PF) 1.6 MG",1,"EA","CT","SC","EA",1,"MG",1.6,1/1/2002,,,,,,,
"00013265702","00013-2657-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PF) 1.8 MG",1,"EA","CT","SC","EA",1,"MG",1.8,1/1/2002,,,,,,,
"00013265802","00013-2658-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK (SRN,PF) 2 MG",1,"EA","CT","SC","EA",1,"MG",2,1/1/2002,,,,,,,
"00013519001","00013-5190-01",,"J1645",,6/13/2002,11/19/2006,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (SRN, PREFILLED,27GX1/2"") 10000 IU/ML",1,"ML","SR","SC","ML",2500,"IU",4,6/13/2002,,,,,,,
"00013519101","00013-5191-01",,"J1645",,6/17/2002,11/19/2006,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (M.D.V.) 25000 IU/ML",3.8,"ML","VL","SC","ML",2500,"IU",10,6/17/2002,,,,,,,
"00013560693","00013-5606-93",,"J9093",,1/1/2002,4/13/2004,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 100 MG","NEOSAR (S.D.V.) 100 MG",1,"EA","VL","IV","EA",100,"MG",1,1/1/2002,,,,,,,
"00013561693","00013-5616-93",,"J9094",,1/1/2002,4/13/2003,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 200 MG","NEOSAR (S.D.V.) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,1/1/2002,,,,,,,
"00013562693","00013-5626-93",,"J9095",,1/1/2002,4/13/2003,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 500 MG","NEOSAR (S.D.V.) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00013563670","00013-5636-70",,"J9096",,1/1/2002,4/13/2003,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM","NEOSAR (S.D.V.) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/1/2002,,,,,,,
"00013564670","00013-5646-70",,"J9097",,1/1/2002,4/13/2003,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 2.0 GRAM","NEOSAR (S.D.V.) 2 GM",1,"EA","VL","IV","EA",2,"GM",1,1/1/2002,,,,,,,
"00013700112","00013-7001-12",,"J8515",,1/1/2006,4/5/2006,"CABERGOLINE, ORAL, 0.25 MG","DOSTINEX 0.5 MG",8,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"00013700112","00013-7001-12",,"Q2001",,1/1/2002,12/31/2005,"ORAL, CABERGOLINE, 0.5 MG","DOSTINEX 0.5 MG",8,"EA","BO","PO","EA",0.5,"MG",1,1/1/2002,,,,,,,
"00013733691","00013-7336-91",,"J9181",,1/1/2002,4/13/2003,"INJECTION, ETOPOSIDE, 10 MG","TOPOSAR (M.D.V.) 20 MG/ML",5,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00013734694","00013-7346-94",,"J9181",,1/1/2002,4/13/2003,"INJECTION, ETOPOSIDE, 10 MG","TOPOSAR (M.D.V.) 20 MG/ML",10,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00013735688","00013-7356-88",,"J9181",,1/1/2002,4/13/2003,"INJECTION, ETOPOSIDE, 10 MG","TOPOSAR (M.D.V.) 20 MG/ML",25,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00013745686","00013-7456-86",,"J9370",,1/1/2002,4/13/2003,"VINCRISTINE SULFATE, 1 MG","VINCASAR PFS (VIAL) 1 MG/ML",1,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"00013746686","00013-7466-86",,"J9370",,1/1/2002,4/13/2003,"VINCRISTINE SULFATE, 1 MG","VINCASAR PFS (VIAL) 1 MG/ML",2,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"00013871562","00013-8715-62",,"J1190",,1/1/2002,9/1/2009,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG","ZINECARD (S.D.V.) 250 MG",1,"EA","VL","IV","EA",250,"MG",1,1/1/2002,,,,,,,
"00013872589","00013-8725-89",,"J1190",,1/1/2002,9/1/2009,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG","ZINECARD (S.D.V.) 500 MG",1,"EA","VL","IV","EA",250,"MG",2,1/1/2002,,,,,,,
"00015050241","00015-0502-41",,"J9095",,5/15/2004,8/6/2008,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 500 MG","CYTOXAN (VIAL) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,5/15/2004,8/6/2008,,,,,,
"00015050301","00015-0503-01",,,,1/1/1994,10/31/2007,"CYCLOPHOSPHAMIDE, 50 MG, ORAL","CYTOXAN 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/1994,10/31/2007,,,,,,
"00015050302","00015-0503-02",,,,1/1/1994,9/1/2006,"CYCLOPHOSPHAMIDE, 50 MG, ORAL","CYTOXAN 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/1994,,,,,,,
"00015050303","00015-0503-03",,,,1/1/1994,7/5/1994,"CYCLOPHOSPHAMIDE, 50 MG, ORAL","CYTOXAN 50 MG",100,"EA","NA","PO","EA",50,"MG",1,1/1/1994,,,,,,,
"00015050401","00015-0504-01",,,,1/1/1994,10/31/2007,"CYCLOPHOSPHAMIDE, 25 MG, ORAL","CYTOXAN 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/1994,10/31/2007,,,,,,
"00015050541","00015-0505-41",,"J9096",,5/15/2004,8/14/2008,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM","CYTOXAN (VIAL) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,5/15/2004,8/14/2008,,,,,,
"00015050641","00015-0506-41",,"J9097",,5/15/2004,8/6/2008,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 2.0 GRAM","CYTOXAN (VIAL) 2 GM",1,"EA","VL","IV","EA",2,"GM",1,5/15/2004,8/6/2008,,,,,,
"00015050842","00015-0508-42",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGACE 40 MG/ML",240,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00015053941","00015-0539-41",,"J9093",,1/1/2002,6/6/2002,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 100 MG","CYTOXAN LYOPHILIZED (VIAL) 100 MG",1,"EA","VL","IV","EA",100,"MG",1,1/1/2002,,,,,,,
"00015054641","00015-0546-41",,"J9094",,1/1/2002,12/31/2004,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 200 MG","CYTOXAN LYOPHILIZED (VIAL) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,5/8/2003,12/31/2004,1/1/2002,10/15/2002,1,,,
"00015054712","00015-0547-12",,"J9095",,1/1/2002,11/14/2002,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 500 MG","CYTOXAN LYOPHILIZED NOVAPLUS (S.D.V.) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00015054741","00015-0547-41",,"J9095",,1/1/2002,5/27/2004,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 500 MG","CYTOXAN LYOPHILIZED (VIAL) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00015054812","00015-0548-12",,"J9096",,1/1/2002,11/14/2002,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM","CYTOXAN LYOPHILIZED NOVAPLUS (S.D.V.) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/1/2002,,,,,,,
"00015054841","00015-0548-41",,"J9096",,1/1/2002,9/2/2004,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM","CYTOXAN LYOPHILIZED (VIAL) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/1/2002,,,,,,,
"00015054912","00015-0549-12",,"J9097",,1/1/2002,11/14/2002,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 2.0 GRAM","CYTOXAN LYOPHILIZED NOVAPLUS (S.D.V.) 2 GM",1,"EA","VL","IV","EA",2,"GM",1,1/1/2002,,,,,,,
"00015054941","00015-0549-41",,"J9097",,1/1/2002,12/20/2004,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 2.0 GRAM","CYTOXAN LYOPHILIZED (VIAL) 2 GM",1,"EA","VL","IV","EA",2,"GM",1,1/1/2002,,,,,,,
"00015055605","00015-0556-05",,"J9208",,1/1/2002,3/3/2009,"INJECTION, IFOSFAMIDE, 1 GRAM","IFEX (S.D.V.) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/1/2002,3/3/2009,,,,,,
"00015055611","00015-0556-11",,"J9208",,1/9/2002,9/1/2002,"INJECTION, IFOSFAMIDE, 1 GRAM","IFEX NOVAPLUS (S.D.V.) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/9/2002,,,,,,,
"00015055711","00015-0557-11",,"J9208",,1/9/2002,9/1/2002,"INJECTION, IFOSFAMIDE, 1 GRAM","IFEX NOVAPLUS (S.D.V.) 3 GM",1,"EA","VL","IV","EA",1,"GM",3,1/9/2002,,,,,,,
"00015055741","00015-0557-41",,"J9208",,1/1/2002,3/3/2009,"INJECTION, IFOSFAMIDE, 1 GRAM","IFEX (S.D.V.) 3 GM",1,"EA","VL","IV","EA",1,"GM",3,1/1/2002,3/3/2009,,,,,,
"00015059501","00015-0595-01",,"J8999",,1/1/2002,9/30/2002,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGACE 20 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00015059641","00015-0596-41",,"J8999",,1/1/2002,9/30/2002,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGACE 40 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00015117980","00015-1179-80",,"J1590",,1/1/2002,6/2/2006,"INJECTION, GATIFLOXACIN, 10MG","TEQUIN (VIAL) 10 MG/ML",40,"ML","VL","IV","ML",10,"MG",1,1/1/2002,,,,,,,
"00015118078","00015-1180-78",,"J1590",,1/23/2006,6/2/2006,"INJECTION, GATIFLOXACIN, 10MG","TEQUIN (PREMIX BAG) 2 MG/ML",100,"ML","FC","IV","ML",10,"MG",0.2,1/23/2006,,,,,,,
"00015118079","00015-1180-79",,"J1590",,9/4/2003,1/22/2006,"INJECTION, GATIFLOXACIN, 10MG","TEQUIN (PREMIX BAG) 2 MG/ML",100,"ML","BG","IV","ML",10,"MG",0.2,9/4/2003,,,,,,,
"00015118080","00015-1180-80",,"J1590",,1/1/2002,9/3/2003,"INJECTION, GATIFLOXACIN, 10MG","TEQUIN (PREMIX BAG) 2 MG/ML",100,"ML","BG","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00015118178","00015-1181-78",,"J1590",,1/23/2006,6/2/2006,"INJECTION, GATIFLOXACIN, 10MG","TEQUIN (PREMIX BAG) 2 MG/ML",200,"ML","FC","IV","ML",10,"MG",0.2,1/23/2006,,,,,,,
"00015118179","00015-1181-79",,"J1590",,12/16/2003,1/22/2006,"INJECTION, GATIFLOXACIN, 10MG","TEQUIN (PREMIX BAG) 2 MG/ML",200,"ML","BG","IV","ML",10,"MG",0.2,12/16/2003,,,,,,,
"00015118180","00015-1181-80",,"J1590",,1/1/2002,12/31/2003,"INJECTION, GATIFLOXACIN, 10MG","TEQUIN (PREMIX BAG) 2 MG/ML",200,"ML","BG","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00015300120","00015-3001-20",,"J9280",,1/1/2002,5/3/2007,"MITOMYCIN, 5 MG","MUTAMYCIN (VIAL) 5 MG",1,"EA","VL","IV","EA",5,"MG",1,1/1/2002,,,,,,,
"00015300220","00015-3002-20",,"J9290",,1/1/2002,5/3/2007,"MITOMYCIN, 20 MG","MUTAMYCIN (VIAL) 20 MG",1,"EA","VL","IV","EA",20,"MG",1,1/1/2002,,,,,,,
"00015301020","00015-3010-20",,"J9040",,1/1/2002,10/31/2007,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLENOXANE (VIAL) 15 U",1,"EA","VL","IJ","EA",15,"U",1,1/1/2002,10/31/2007,,,,,,
"00015301026","00015-3010-26",,"J9040",,1/1/2002,11/14/2002,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLENOXANE NOVAPLUS (VIAL) 15 U",1,"EA","VL","IJ","EA",15,"U",1,1/1/2002,,,,,,,
"00015301238","00015-3012-38",,"J9050",,1/1/2002,4/7/2008,"INJECTION, CARMUSTINE, 100 MG","BICNU (VIAL, W/DILUENT) 100 MG",1,"EA","VL","IV","EA",100,"MG",1,1/1/2002,4/7/2008,,,,,,
"00015301260","00015-3012-60",,"J9050",,4/7/2008,,"INJECTION, CARMUSTINE, 100 MG","BICNU (W/DILUENT) 100 MG",1,"EA","VL","IV","EA",100,"MG",1,4/7/2008,,,,,,,
"00015301520","00015-3015-20",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKIN PEDIATRIC (VIAL) 50 MG/ML",2,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2006,,,,,,,
"00015301520","00015-3015-20",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKIN PEDIATRIC (VIAL) 50 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015301597","00015-3015-97",,"J3490",,1/1/2002,9/3/2004,"UNCLASSIFIED DRUGS","AMIKIN PEDIATRIC (VIAL) 50 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015302020","00015-3020-20",,"J3490",,1/1/2002,1/31/2005,"UNCLASSIFIED DRUGS","AMIKIN (VIAL) 250 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015302097","00015-3020-97",,"J3490",,1/1/2002,9/3/2004,"UNCLASSIFIED DRUGS","AMIKIN (VIAL) 250 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015302320","00015-3023-20",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKIN (VIAL) 250 MG/ML",4,"ML","VL","IJ","ML",100,"MG",2.5,1/1/2006,,,,,,,
"00015302320","00015-3023-20",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKIN (VIAL) 250 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015302397","00015-3023-97",,"J3490",,1/1/2002,9/3/2004,"UNCLASSIFIED DRUGS","AMIKIN (VIAL) 250 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015303020","00015-3030-20",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","CEENU 10 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00015303120","00015-3031-20",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","CEENU 40 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00015303220","00015-3032-20",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","CEENU 100 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00015303410","00015-3034-10",,"J8999",,1/1/2002,10/19/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","CEENU (DOSE PACK,2X10,40,100MG) 10 MG",6,"EA","DP","PO","EA",1,"EA",1,1/1/2002,10/19/2008,,,,,,
"00015305920","00015-3059-20",,"J9291",,1/1/2002,5/3/2007,"MITOMYCIN, 40 MG","MUTAMYCIN (VIAL) 40 MG",1,"EA","VL","IV","EA",40,"MG",1,1/1/2002,,,,,,,
"00015306120","00015-3061-20",,"J9181",,1/1/2002,2/2/2005,"INJECTION, ETOPOSIDE, 10 MG","VEPESID (M.D.V.) 20 MG/ML",25,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00015306220","00015-3062-20",,"J9181",,1/1/2002,2/16/2005,"INJECTION, ETOPOSIDE, 10 MG","VEPESID (M.D.V.) 20 MG/ML",50,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00015306301","00015-3063-01",,"J9040",,1/1/2002,5/3/2007,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLENOXANE (VIAL) 30 U",1,"EA","VL","IJ","EA",15,"U",2,1/1/2002,,,,,,,
"00015306326","00015-3063-26",,"J9040",,1/1/2002,11/14/2002,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLENOXANE NOVAPLUS (VIAL) 30 U",1,"EA","VL","IJ","EA",15,"U",2,1/1/2002,,,,,,,
"00015307519","00015-3075-19",,"Q2017",,1/1/2002,,"INJECTION, TENIPOSIDE, 50 MG","VUMON (AMP) 10 MG/ML",5,"ML","AM","IV","ML",50,"MG",0.2,1/1/2002,,,,,,,
"00015307597","00015-3075-97",,"Q2017",,1/1/2002,12/31/2006,"INJECTION, TENIPOSIDE, 50 MG","VUMON (AMP) 10 MG/ML",5,"ML","AM","IV","ML",50,"MG",0.2,1/1/2002,,,,,,,
"00015308420","00015-3084-20",,"J9181",,1/1/2002,2/17/2005,"INJECTION, ETOPOSIDE, 10 MG","VEPESID (M.D.V.) 20 MG/ML",7.5,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00015309145","00015-3091-45",,,,1/1/1994,11/15/2007,"ETOPOSIDE, 50 MG, ORAL","VEPESID (BLISTER PACK) 50 MG",20,"EA","BX","PO","EA",50,"MG",1,1/1/1994,,,,,,,
"00015309520","00015-3095-20",,"J9181",,1/1/2002,4/7/2005,"INJECTION, ETOPOSIDE, 10 MG","VEPESID (M.D.V.) 20 MG/ML",5,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00015321030","00015-3210-30",,"J9045",,8/21/2003,9/30/2007,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN (M.D.V.) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,8/21/2003,,,,,,,
"00015321076","00015-3210-76",,"J9045",,4/2/2004,9/1/2006,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN NOVAPLUS (SDV) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,4/2/2004,,,,,,,
"00015321130","00015-3211-30",,"J9045",,8/21/2003,9/30/2007,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN (M.D.V.) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,8/21/2003,,,,,,,
"00015321176","00015-3211-76",,"J9045",,4/2/2004,9/1/2006,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN (SDV) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,4/2/2004,,,,,,,
"00015321230","00015-3212-30",,"J9045",,8/21/2003,9/30/2007,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN (M.D.V.) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,8/21/2003,,,,,,,
"00015321276","00015-3212-76",,"J9045",,4/2/2004,9/1/2006,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN NOVAPLUS (SDV) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,4/2/2004,,,,,,,
"00015321330","00015-3213-30",,"J9045",,1/1/2002,3/31/2008,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN (VIAL) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"00015321430","00015-3214-30",,"J9045",,1/1/2002,5/19/2008,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN (VIAL) 150 MG",1,"EA","VL","IV","EA",50,"MG",3,1/1/2002,5/19/2008,,,,,,
"00015321530","00015-3215-30",,"J9045",,1/1/2002,4/30/2008,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN (VIAL) 450 MG",1,"EA","VL","IV","EA",50,"MG",9,1/1/2002,,,,,,,
"00015321630","00015-3216-30",,"J9045",,2/25/2004,12/31/2006,"INJECTION, CARBOPLATIN, 50 MG","PARAPLATIN (M.D.V.) 10 MG/ML",60,"ML","VL","IV","ML",50,"MG",0.2,2/25/2004,,,,,,,
"00015322022","00015-3220-22",,"J9060",,1/1/2002,11/30/2005,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","PLATINOL-AQ (M.D.V.,CYTOSHIELD,PF) 1 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,11/30/2005,,,,,,
"00015322122","00015-3221-22",,"J9060",,1/1/2002,11/30/2005,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","PLATINOL-AQ (M.D.V.,CYTOSHIELD,PF) 1 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,11/30/2005,,,,,,
"00015323011","00015-3230-11",,"J9045",,10/11/2004,4/30/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN OTN (MDV, 50MG/5ML,PF) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,10/11/2004,4/30/2006,,,,,,
"00015323111","00015-3231-11",,"J9045",,10/11/2004,9/30/2005,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN OTN (MDV,150MG/15ML,PF) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,10/11/2004,9/30/2005,,,,,,
"00015323211","00015-3232-11",,"J9045",,10/11/2004,4/30/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN OTN (MDV,450MG/45ML,PF) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,10/11/2004,4/30/2006,,,,,,
"00015323311","00015-3233-11",,"J9045",,10/11/2004,5/31/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN OTN (MDV,600MG/60ML,PF) 10 MG/ML",60,"ML","VL","IV","ML",50,"MG",0.2,10/11/2004,5/31/2006,,,,,,
"00015335222","00015-3352-22",,"J9000",,1/1/2002,11/6/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","RUBEX (VIAL) 50 MG",1,"EA","VL","IV","EA",10,"MG",5,1/1/2002,,,,,,,
"00015335322","00015-3353-22",,"J9000",,1/1/2002,6/17/2002,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","RUBEX (VIAL) 100 MG",1,"EA","VL","IV","EA",10,"MG",10,1/1/2002,,,,,,,
"00015340420","00015-3404-20",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOPHOS (S.D.V.) 100 MG",1,"EA","VL","IV","EA",10,"MG",10,1/1/2002,,,,,,,
"00015347530","00015-3475-30",,"J9265",,1/1/2002,7/9/2008,"INJECTION, PACLITAXEL, 30 MG","TAXOL (M.D.V.) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,7/9/2008,,,,,,
"00015347630","00015-3476-30",,"J9265",,1/1/2002,6/8/2009,"INJECTION, PACLITAXEL, 30 MG","TAXOL (M.D.V.) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,6/8/2009,,,,,,
"00015347911","00015-3479-11",,"J9265",,1/1/2002,2/3/2009,"INJECTION, PACLITAXEL, 30 MG","TAXOL (M.D.V.) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,2/3/2009,,,,,,
"00015350320","00015-3503-20",,"J1840",,1/1/2002,2/1/2005,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANTREX (VIAL) 1 GM/3 ML",3,"ML","VL","IJ","ML",500,"MG",0.666,1/1/2002,,,,,,,
"00015350399","00015-3503-99",,"J1840",,1/1/2002,2/1/2005,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANTREX (VIAL) 1 GM/3 ML",3,"ML","VL","IJ","ML",500,"MG",0.666,1/1/2002,,,,,,,
"00015355410","00015-3554-10",,"J9999",,1/1/2002,11/14/2002,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFEX/MESNEX NOVAPLUS (COMBO-PACK) 10 GM-10 GM",1,"EA","BX","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00015355427","00015-3554-27",,"J9999",,1/1/2002,10/31/2007,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFEX/MESNEX (COMBO-PACK) 10 GM-10 GM",1,"EA","BX","IV","EA",1,"EA",1,1/1/2002,10/31/2007,,,,,,
"00015355610","00015-3556-10",,"J9999",,1/1/2002,3/29/2002,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFEX/MESNEX NOVAPLUS (COMBO-PACK) 5 GM-3 GM",1,"EA","BX","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00015355626","00015-3556-26",,"J9999",,1/1/2002,10/31/2007,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFEX/MESNEX (COMBO-PACK) 5 GM-3 GM",1,"EA","BX","IV","EA",1,"EA",1,1/1/2002,10/31/2007,,,,,,
"00015356302","00015-3563-02",,"J9209",,1/1/2002,6/8/2009,"INJECTION, MESNA, 200 MG","MESNEX (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,1/1/2002,6/8/2009,,,,,,
"00015356303","00015-3563-03",,"J9209",,1/1/2002,5/13/2009,"INJECTION, MESNA, 200 MG","MESNEX (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,1/1/2002,5/13/2009,,,,,,
"00015356310","00015-3563-10",,"J9209",,1/1/2002,1/23/2002,"INJECTION, MESNA, 200 MG","MESNEX NOVAPLUS (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,1/1/2002,,,,,,,
"00015356410","00015-3564-10",,"J9999",,1/1/2002,3/29/2002,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFEX/MESNEX NOVAPLUS (COMBO-PACK) 6 GM-6 GM",1,"EA","BX","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00015356415","00015-3564-15",,"J9999",,1/1/2002,5/3/2007,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFEX/MESNEX (COMBO-PACK) 6 GM-6 GM",1,"EA","BX","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00015564415","00015-5644-15",,"J0595",,1/1/2004,9/1/2004,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (VIAL) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00015564415","00015-5644-15",,"J3490",,4/16/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (VIAL) 2 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,4/16/2002,,,,,,,
"00015564420","00015-5644-20",,"J0595",,1/1/2004,10/4/2004,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (VIAL) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00015564420","00015-5644-20",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (VIAL) 2 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015564433","00015-5644-33",,"J3490",,1/1/2002,11/24/2003,"UNCLASSIFIED DRUGS","STADOL (VIAL) 2 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015564515","00015-5645-15",,"J0595",,1/1/2004,9/1/2004,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (VIAL) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,1/1/2004,,,,,,,
"00015564515","00015-5645-15",,"J3490",,4/16/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (VIAL) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,4/16/2002,,,,,,,
"00015564520","00015-5645-20",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (VIAL) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,1/1/2004,,,,,,,
"00015564520","00015-5645-20",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (VIAL) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015564533","00015-5645-33",,"J3490",,1/1/2002,8/8/2002,"UNCLASSIFIED DRUGS","STADOL (VIAL) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015564615","00015-5646-15",,"J0595",,1/1/2004,7/1/2004,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (VIAL) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00015564615","00015-5646-15",,"J3490",,4/16/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (VIAL) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,4/16/2002,,,,,,,
"00015564620","00015-5646-20",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (VIAL) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00015564620","00015-5646-20",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (VIAL) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015564633","00015-5646-33",,"J3490",,1/1/2002,8/8/2002,"UNCLASSIFIED DRUGS","STADOL (VIAL) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015564820","00015-5648-20",,"J0595",,1/1/2004,12/1/2004,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00015564820","00015-5648-20",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015564897","00015-5648-97",,"J0595",,1/1/2004,12/1/2004,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00015564897","00015-5648-97",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00015710028","00015-7100-28",,"J0290",,1/1/2002,7/1/2005,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00015710098","00015-7100-98",,"J0290",,1/1/2002,5/11/2004,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00015710128","00015-7101-28",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (VIAL,PHARMACY BULK) 10 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015710198","00015-7101-98",,"J3490",,1/1/2002,6/28/2006,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (VIAL,PHARMACY BULK) 10 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015710328","00015-7103-28",,"J2700",,1/1/2002,10/1/2004,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (VIAL,PHARMACY BULK) 10 GM",1,"EA","VL","IJ","EA",250,"MG",40,1/1/2002,,,,,,,
"00015710398","00015-7103-98",,"J2700",,1/1/2002,8/30/2004,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (VIAL,PHARMACY BULK) 10 GM",1,"EA","VL","IJ","EA",250,"MG",40,1/1/2002,,,,,,,
"00015722518","00015-7225-18",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015722520","00015-7225-20",,"J3490",,1/1/2002,5/1/2004,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015722589","00015-7225-89",,"J3490",,1/1/2002,2/22/2005,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015722599","00015-7225-99",,"J3490",,1/1/2002,5/1/2004,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015722618","00015-7226-18",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015722620","00015-7226-20",,"J3490",,1/1/2002,6/1/2004,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015722689","00015-7226-89",,"J3490",,1/1/2002,2/22/2005,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015722699","00015-7226-99",,"J3490",,1/1/2002,6/1/2004,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00015733812","00015-7338-12",,"J0690",,1/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"00015733899","00015-7338-99",,"J0690",,1/1/2002,9/3/2004,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"00015733912","00015-7339-12",,"J0690",,1/1/2002,1/1/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00015733999","00015-7339-99",,"J0690",,1/1/2002,1/1/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00015734639","00015-7346-39",,"J0690",,1/1/2002,6/17/2004,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00015734697","00015-7346-97",,"J0690",,1/1/2002,6/17/2004,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00015740120","00015-7401-20",,"J0290",,1/1/2002,6/1/2004,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 125 MG",1,"EA","VL","IJ","EA",500,"MG",0.25,1/1/2002,,,,,,,
"00015740199","00015-7401-99",,"J0290",,1/1/2002,5/11/2004,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 125 MG",1,"EA","VL","IJ","EA",500,"MG",0.25,1/1/2002,,,,,,,
"00015740220","00015-7402-20",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 250 MG",1,"EA","VL","IJ","EA",500,"MG",0.5,1/1/2002,,,,,,,
"00015740299","00015-7402-99",,"J0290",,1/1/2002,7/20/2006,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 250 MG",1,"EA","VL","IJ","EA",500,"MG",0.5,1/1/2002,,,,,,,
"00015740320","00015-7403-20",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"00015740399","00015-7403-99",,"J0290",,1/1/2002,8/14/2006,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"00015740418","00015-7404-18",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00015740420","00015-7404-20",,"J0290",,1/1/2002,8/14/2006,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00015740489","00015-7404-89",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00015740499","00015-7404-99",,"J0290",,1/1/2002,7/20/2006,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00015740518","00015-7405-18",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00015740520","00015-7405-20",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL,PIGGYBACK) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00015740589","00015-7405-89",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (ADD-VANTAGE,ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00015740599","00015-7405-99",,"J0290",,1/1/2002,7/20/2006,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00015797018","00015-7970-18",,"J2700",,1/1/2002,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,1/1/2002,,,,,,,
"00015797020","00015-7970-20",,"J2700",,1/1/2002,7/1/2004,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (VIAL) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,1/1/2002,,,,,,,
"00015797089","00015-7970-89",,"J2700",,1/1/2002,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,1/1/2002,,,,,,,
"00015797099","00015-7970-99",,"J2700",,1/1/2002,7/1/2004,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (VIAL,PIGGYBACK) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,1/1/2002,,,,,,,
"00015798118","00015-7981-18",,"J2700",,1/1/2002,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"00015798120","00015-7981-20",,"J2700",,1/1/2002,12/2/2004,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"00015798189","00015-7981-89",,"J2700",,1/1/2002,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"00015798199","00015-7981-99",,"J2700",,1/1/2002,12/2/2004,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"00023114501","00023-1145-01",,"J0585",,1/1/2002,,"INJECTION, ONABOTULINUMTOXINA, 1 UNIT","BOTOX 100 U",1,"EA","VL","IM","EA",1,"U",100,1/1/2002,,,,,,,
"00023923201","00023-9232-01",,"J0585",,6/7/2002,,"INJECTION, ONABOTULINUMTOXINA, 1 UNIT","BOTOX COSMETIC 100 U",1,"EA","VL","IM","EA",1,"U",100,6/7/2002,,,,,,,
"00024022205","00024-0222-05",,"J9217",,11/1/2003,,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","ELIGARD (SRN,PREFILLED,W/NDL) 22.5 MG",1,"EA","SR","SC","EA",7.5,"MG",3,11/1/2003,,,,,,,
"00024059010","00024-0590-10",,"J9263",,6/8/2005,,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (S.D.V.,PF) 5 MG/ML",10,"ML","VL","IV","ML",0.5,"MG",10,6/8/2005,,,,,,,
"00024059010","00024-0590-10","QR","J9263","QR",6/8/2005,,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (S.D.V.,PF) 5 MG/ML",10,"ML","VL","IV","ML",0.5,"MG",10,6/8/2005,,,,,,,
"00024059120","00024-0591-20",,"J9263",,6/8/2005,,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (S.D.V.,PF) 5 MG/ML",20,"ML","VL","IV","ML",0.5,"MG",10,6/8/2005,,,,,,,
"00024059120","00024-0591-20","QR","J9263","QR",6/8/2005,,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (S.D.V.,PF) 5 MG/ML",20,"ML","VL","IV","ML",0.5,"MG",10,6/8/2005,,,,,,,
"00024059240","00024-0592-40",,"J9263",,8/20/2007,,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (SDV,PF) 5 MG/ML",40,"ML","VL","IV","ML",0.5,"MG",10,8/20/2007,,,,,,,
"00024059240","00024-0592-40","QR","J9263","QR",8/20/2007,,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (SDV,PF) 5 MG/ML",40,"ML","VL","IV","ML",0.5,"MG",10,8/20/2007,,,,,,,
"00024059602","00024-0596-02",,"J9263",,1/1/2004,6/30/2006,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (S.D.V.,PF) 50 MG",1,"EA","VL","IV","EA",0.5,"MG",100,1/1/2004,,,,,,,
"00024059602","00024-0596-02",,"J9999",,8/16/2002,12/31/2003,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","ELOXATIN (S.D.V.,PF) 50 MG",1,"EA","VL","IV","EA",1,"EA",1,8/16/2002,,,,,,,
"00024059602","00024-0596-02","QR","J9263","QR",1/28/2005,6/30/2006,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (S.D.V.,PF) 50 MG",1,"EA","VL","IV","EA",0.5,"MG",100,1/28/2005,,,,,,,
"00024059704","00024-0597-04",,"J9263",,1/1/2004,6/30/2006,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (S.D.V.,PF) 100 MG",1,"EA","VL","IV","EA",0.5,"MG",200,1/1/2004,,,,,,,
"00024059704","00024-0597-04",,"J9999",,8/16/2002,12/31/2003,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","ELOXATIN (S.D.V.,PF) 100 MG",1,"EA","VL","IV","EA",1,"EA",1,8/16/2002,,,,,,,
"00024059704","00024-0597-04","QR","J9263","QR",1/28/2005,6/30/2006,"INJECTION, OXALIPLATIN, 0.5 MG","ELOXATIN (S.D.V.,PF) 100 MG",1,"EA","VL","IV","EA",0.5,"MG",200,1/28/2005,,,,,,,
"00024059707","00024-0597-07",,"J9217",,5/20/2002,7/24/2003,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","ELIGARD (SRN,PREFILLED,W/NDL) 7.5 MG",1,"EA","SR","SC","EA",7.5,"MG",1,5/20/2002,,,,,,,
"00024059722","00024-0597-22",,"J9217",,9/13/2002,10/31/2003,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","ELIGARD (SRN,PREFILLED,W/NDL) 22.5 MG",1,"EA","SR","SC","EA",7.5,"MG",3,9/13/2002,,,,,,,
"00024060545","00024-0605-45",,"J9217",,2/18/2005,,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","ELIGARD (SINGLE-USE KIT) 45 MG",1,"EA","BX","SC","EA",7.5,"MG",6,2/18/2005,,,,,,,
"00024061030","00024-0610-30",,"J9217",,3/4/2003,,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","ELIGARD (SINGLE-USE) 30 MG",1,"EA","BX","SC","EA",7.5,"MG",4,3/4/2003,,,,,,,
"00024079375","00024-0793-75",,"J9217",,7/25/2003,,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","ELIGARD (SRN,PREFILLED,W/NDL) 7.5 MG",1,"EA","SR","SC","EA",7.5,"MG",1,7/25/2003,,,,,,,
"00024120005","00024-1200-05",,"J2260",,1/1/2002,12/23/2003,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (22GX1-1/4"",CARPUJECT) 1 MG/ML",5,"ML","SR","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00024120006","00024-1200-06",,"J2260",,1/1/2002,3/29/2004,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (INTERLINK SYS,CARPUJECT) 1 MG/ML",5,"ML","SR","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00024120010","00024-1200-10",,"J2260",,1/1/2002,5/12/2006,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (S.D.V.,CARPUJECT) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00024120020","00024-1200-20",,"J2260",,1/1/2002,5/12/2006,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (S.D.V.,CARPUJECT) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00024120025","00024-1200-25",,"J2260",,1/1/2002,5/1/2006,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (S.D.V.,VALUE PACK) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00024120050","00024-1200-50",,"J2260",,1/1/2002,5/18/2005,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (S.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00024120301","00024-1203-01",,"J2260",,1/1/2002,4/3/2008,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (S.D. FLEXIBLE CONTAINER) 5%-20 MG/100 ML",100,"ML","FC","IV","ML",5,"MG",0.04,1/1/2002,,,,,,,
"00024120302","00024-1203-02",,"J2260",,1/1/2002,9/16/2008,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (S.D. FLEXIBLE CONTAINER) 5%-20 MG/100 ML",200,"ML","FC","IV","ML",5,"MG",0.04,1/1/2002,9/16/2008,,,,,,
"00024120315","00024-1203-15",,"J2260",,1/1/2002,1/24/2007,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (BAG,PREFILLED,VALUEPACK) 5%-20 MG/100 ML",100,"ML","FC","IV","ML",5,"MG",0.04,1/1/2002,,,,,,,
"00024120325","00024-1203-25",,"J2260",,1/1/2002,9/30/2005,"INJECTION, MILRINONE LACTATE, 5 MG","PRIMACOR (BAG,PREFILLED,VALUEPACK) 5%-20 MG/100 ML",200,"ML","FC","IV","ML",5,"MG",0.04,1/1/2002,,,,,,,
"00024515010","00024-5150-10",,"J2783",,1/1/2004,,"INJECTION, RASBURICASE, 0.5 MG","ELITEK (3 S.D.V. W/DILUENT,PF) 1.5 MG",1,"EA","VL","IV","EA",0.5,"MG",3,1/1/2004,,,,,,,
"00024515010","00024-5150-10",,"J3490",,9/4/2002,12/31/2003,"UNCLASSIFIED DRUGS","ELITEK (3 S.D.V. W/DILUENT,PF) 1.5 MG",1,"EA","VL","IV","EA",1,"EA",1,9/4/2002,,,,,,,
"00024515175","00024-5151-75",,"J2783",,6/27/2006,,"INJECTION, RASBURICASE, 0.5 MG","ELITEK (SDV,W/DILUENT) 7.5 MG",1,"EA","VL","IV","EA",0.5,"MG",15,6/27/2006,,,,,,,
"00024582020","00024-5820-20",,"J8999",,11/12/2009,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","OFORTA (4X5 STRIP,FILM COATED) 10 MG",20,"EA","BO","PO","EA",1,"EA",1,11/12/2009,,,,,,,
"00026037220","00026-0372-20",,"J7192",,1/1/2002,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","KOGENATE FS (APPROX. 250 IU/VIAL) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,1/1/2002,6/30/2008,,,,,,
"00026037230","00026-0372-30",,"J7192",,1/1/2002,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","KOGENATE FS (APPROX. 500 IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2002,6/30/2008,,,,,,
"00026037250","00026-0372-50",,"J7192",,1/1/2002,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","KOGENATE FS (APPROX. 1000 IU/VIAL) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2002,6/30/2008,,,,,,
"00026037920","00026-0379-20",,"J7192",,1/1/2006,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","KOGENATE FS W/BIO-SET (250IU,VIAL W/DILUENT,PF) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,1/1/2006,6/30/2008,,,,,,
"00026037930","00026-0379-30",,"J7192",,1/1/2006,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","KOGENATE FS W/BIO-SET (500IU,VIAL W/DILUENT,PF) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2006,6/30/2008,,,,,,
"00026037950","00026-0379-50",,"J7192",,1/1/2006,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","KOGENATE FS W/BIO-SET (1000IU,VIAL W/DILUENT) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2006,6/30/2008,,,,,,
"00026060130","00026-0601-30",,"J0256",,1/1/2002,10/13/2006,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","PROLASTIN (APPRX 500 MG VIAL) 1 MG",500,"MG","VL","IV","EA",10,"MG",0.1,1/1/2002,,,,,,,
"00026060135","00026-0601-35",,"J0256",,1/1/2002,10/13/2006,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","PROLASTIN (APPRX 1000 MG VIAL) 1 MG",1000,"MG","VL","IV","EA",10,"MG",0.1,1/1/2002,,,,,,,
"00026060320","00026-0603-20",,"J7197",,1/1/2002,10/13/2006,"ANTITHROMBIN III (HUMAN), PER I.U.","THROMBATE III (W/DILUENT,~ 500 IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00026060330","00026-0603-30",,"J7197",,1/1/2002,10/13/2006,"ANTITHROMBIN III (HUMAN), PER I.U.","THROMBATE III (W/DILUENT,~1000 IU/VIAL) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00026063102","00026-0631-02",,"J2790",,1/1/2002,10/13/2006,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","BAYRHO-D FULL DOSE (SRN,PREFILLED ULTRASE)",1,"ML","SR","IM","ML",300,"MCG",1,1/1/2002,,,,,,,
"00026063105","00026-0631-05",,"J2790",,1/1/2002,3/20/2002,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","BAYRHO-D (SRN, PREFILLED, ~50 MCG)",0.17,"ML","SR","IM","ML",300,"MCG",1,1/1/2002,,,,,,,
"00026063106","00026-0631-06",,"J2788",,1/1/2003,10/13/2006,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MCG (250 I.U.)","BAYRHO-D (MINI-DOSE,SRN)",0.17,"ML","SR","IM","ML",50,"MCG",6,1/1/2003,,,,,,,
"00026063106","00026-0631-06",,"J2790",,3/21/2002,12/31/2002,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","BAYRHO-D (MINI-DOSE,SRN)",0.17,"ML","SR","IM","ML",300,"MCG",1,3/21/2002,,,,,,,
"00026063402","00026-0634-02",,"J1670",,1/1/2002,10/13/2006,"INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS","BAYTET (SRN,PREFILLED ULTRASE) 250 U",1,"ML","SR","IM","ML",250,"U",1,1/1/2002,,,,,,,
"00026063504","00026-0635-04",,"J1460",,1/1/2002,10/13/2006,"INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC","BAYGAM (S.D.V.,PF)",2,"ML","VL","IM","ML",1,"ML",1,1/1/2002,,,,,,,
"00026063512","00026-0635-12",,"J1460",,1/1/2002,10/13/2006,"INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC","BAYGAM (S.D.V.,PF)",10,"ML","VL","IM","ML",1,"ML",1,1/1/2002,,,,,,,
"00026063601","00026-0636-01",,"J3590",,6/18/2003,10/13/2006,"UNCLASSIFIED BIOLOGICS","BAYHEP B (S.D.V.,200 IU/ML)",1,"ML","VL","IM","ML",1,"EA",1,6/18/2003,,,,,,,
"00026063602","00026-0636-02",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BAYHEP B",1,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00026063602","00026-0636-02",,"J3590",,1/1/2003,10/13/2006,"UNCLASSIFIED BIOLOGICS","BAYHEP B",1,"ML","SR","IM","ML",1,"EA",1,1/1/2003,,,,,,,
"00026063603","00026-0636-03",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BAYHEP B (S.D.SRN)",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00026063603","00026-0636-03",,"J3590",,1/1/2003,10/13/2006,"UNCLASSIFIED BIOLOGICS","BAYHEP B (S.D.SRN)",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2003,,,,,,,
"00026063605","00026-0636-05",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BAYHEP B (S.D.V.,200 IU/ML)",5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00026063605","00026-0636-05",,"J3590",,1/1/2003,10/13/2006,"UNCLASSIFIED BIOLOGICS","BAYHEP B (S.D.V.,200 IU/ML)",5,"ML","VL","IM","ML",1,"EA",1,1/1/2003,,,,,,,
"00026064512","00026-0645-12",,"J1563",,10/9/2003,3/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMUNEX (PF) 100 MG/ML",10,"ML","VL","IV","ML",1,"GM",0.1,10/9/2003,,,,,,,
"00026064512","00026-0645-12",,"Q9943",,4/1/2005,7/14/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","GAMUNEX (PF) 100 MG/ML",10,"ML","VL","IV","ML",1,"GM",0.1,4/1/2005,,,,,,,
"00026064515","00026-0645-15",,"J1563",,10/9/2003,3/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMUNEX (PF) 100 MG/ML",25,"ML","VL","IV","ML",1,"GM",0.1,10/9/2003,,,,,,,
"00026064515","00026-0645-15",,"Q9943",,4/1/2005,7/14/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","GAMUNEX (PF) 100 MG/ML",25,"ML","VL","IV","ML",1,"GM",0.1,4/1/2005,,,,,,,
"00026064520","00026-0645-20",,"J1563",,10/9/2003,3/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMUNEX (PF) 100 MG/ML",50,"ML","VL","IV","ML",1,"GM",0.1,10/9/2003,,,,,,,
"00026064520","00026-0645-20",,"Q9943",,4/1/2005,7/14/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","GAMUNEX (PF) 100 MG/ML",50,"ML","VL","IV","ML",1,"GM",0.1,4/1/2005,,,,,,,
"00026064524","00026-0645-24",,"J1563",,10/9/2003,3/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMUNEX (PF) 100 MG/ML",200,"ML","VL","IV","ML",1,"GM",0.1,10/9/2003,,,,,,,
"00026064524","00026-0645-24",,"Q9943",,4/1/2005,7/14/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","GAMUNEX (PF) 100 MG/ML",200,"ML","VL","IV","ML",1,"GM",0.1,4/1/2005,,,,,,,
"00026064571","00026-0645-71",,"J1563",,10/9/2003,3/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMUNEX (PF) 100 MG/ML",100,"ML","VL","IV","ML",1,"GM",0.1,10/9/2003,,,,,,,
"00026064571","00026-0645-71",,"Q9943",,4/1/2005,7/14/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","GAMUNEX (PF) 100 MG/ML",100,"ML","VL","IV","ML",1,"GM",0.1,4/1/2005,,,,,,,
"00026064612","00026-0646-12",,"J1563",,1/1/2002,7/31/2002,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 5 % (0.5 GM/VIAL,S/D TREATED) 50 MG/ML",10,"ML","VL","IV","ML",1,"GM",0.05,1/1/2002,,,,,,,
"00026064620","00026-0646-20",,"J1563",,1/1/2002,7/31/2002,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 5 % (2.5 GM/VIAL,S/D TREATED) 50 MG/ML",50,"ML","VL","IV","ML",1,"GM",0.05,1/1/2002,,,,,,,
"00026064624","00026-0646-24",,"J1563",,1/1/2002,7/31/2002,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 5 % (10 GM/VIAL,S/D TREATED) 50 MG/ML",200,"ML","VL","IV","ML",1,"GM",0.05,1/1/2002,,,,,,,
"00026064625","00026-0646-25",,"J1563",,1/1/2002,7/31/2002,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 5 % (12.5 GM/VL,S/D TREATED) 50 MG/ML",250,"ML","VL","IV","ML",1,"GM",0.05,1/1/2002,,,,,,,
"00026064671","00026-0646-71",,"J1563",,1/1/2002,7/31/2002,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 5 % (5 GM/VIAL,S/D TREATED) 50 MG/ML",100,"ML","VL","IV","ML",1,"GM",0.05,1/1/2002,,,,,,,
"00026064812","00026-0648-12",,"J1563",,1/1/2002,12/31/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 10 % (1 GM/VIAL) 100 MG/ML",10,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00026064815","00026-0648-15",,"J1563",,1/1/2002,12/31/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 10 % (2.5 GM/VIAL) 100 MG/ML",25,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00026064820","00026-0648-20",,"J1563",,1/1/2002,12/31/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 10 % (5 GM/VIAL) 100 MG/ML",50,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00026064824","00026-0648-24",,"J1563",,1/1/2002,12/31/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 10 % (20 GM/VIAL) 100 MG/ML",200,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00026064871","00026-0648-71",,"J1563",,1/1/2002,12/31/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMIMUNE N 10 % (10 GM/VIAL) 100 MG/ML",100,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00026066520","00026-0665-20",,"J7190",,1/1/2002,11/1/2007,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","KOATE-DVI (APPROX 250 IU/VIAL) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00026066530","00026-0665-30",,"J7190",,1/1/2002,11/1/2007,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","KOATE-DVI (APPROX 500 IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00026066550","00026-0665-50",,"J7190",,1/1/2002,11/1/2007,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","KOATE-DVI (APPROX 1000 IU/VIAL) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00026378660","00026-3786-60",,"J7192",,7/2/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","KOGENATE FS (2000IU,PF) 1 IU",2000,"IU","VL","IV","EA",1,"IU",1,7/2/2007,,,,,,,
"00026379660","00026-3796-60",,"J7192",,7/2/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","KOGENATE FS (2000IU,PF) 1 IU",2000,"IU","VL","IV","EA",1,"IU",1,7/2/2007,,,,,,,
"00026815120","00026-8151-20",,"J9140",,1/1/2002,,"DACARBAZINE, 200 MG","DTIC-DOME (VIAL) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,1/1/2002,,,,,,,
"00026819636","00026-8196-36",,"J0365",,1/1/2006,,"INJECTION, APROTONIN, 10,000 KIU","TRASYLOL 10000 KIU/ML",100,"ML","VL","IV","ML",10000,"KIU",1,1/1/2006,,,,,,,
"00026819636","00026-8196-36",,"Q2003",,1/1/2002,12/31/2005,"INJECTION, APROTININ, 10,000 KIU","TRASYLOL 10000 KIU/ML",100,"ML","VL","IV","ML",10000,"KIU",1,1/1/2002,,,,,,,
"00026819763","00026-8197-63",,"J0365",,1/1/2006,,"INJECTION, APROTONIN, 10,000 KIU","TRASYLOL 10000 KIU/ML",200,"ML","VL","IV","ML",10000,"KIU",1,1/1/2006,,,,,,,
"00026819763","00026-8197-63",,"Q2003",,1/1/2002,12/31/2005,"INJECTION, APROTININ, 10,000 KIU","TRASYLOL 10000 KIU/ML",200,"ML","VL","IV","ML",10000,"KIU",1,1/1/2002,,,,,,,
"00026852736","00026-8527-36",,"J0744",,1/1/2002,8/16/2005,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (BAXTER DELIVERY SYSTEM) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00026852763","00026-8527-63",,"J0744",,1/1/2002,8/16/2005,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (BAXTER DELIVERY SYSTEM) 400 MG/200 ML",400,"ML","FC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00026855236","00026-8552-36",,"J0744",,1/1/2002,8/16/2005,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (PREMIX,LATEX-FREE) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00026855463","00026-8554-63",,"J0744",,1/1/2002,8/16/2005,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (PREMIX,LATEX-FREE) 400 MG/200 ML",200,"ML","FC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00026856220","00026-8562-20",,"J0744",,1/1/2002,8/16/2005,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (VIAL) 10 MG/ML",20,"ML","VL","IV","ML",200,"MG",0.05,1/1/2002,,,,,,,
"00026856464","00026-8564-64",,"J0744",,1/1/2002,8/16/2005,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (VIAL) 10 MG/ML",40,"ML","VL","IV","ML",200,"MG",0.05,1/1/2002,,,,,,,
"00026856665","00026-8566-65",,"J0744",,1/1/2002,8/17/2005,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (BULK VIAL) 10 MG/ML",120,"ML","VL","IV","ML",200,"MG",0.05,1/1/2002,,,,,,,
"00026858231","00026-8582-31",,"J2280",,1/1/2004,8/16/2005,"INJECTION, MOXIFLOXACIN, 100 MG","AVELOX I.V. (FLEXIBAG,PF) 400 MG/250 ML",250,"ML","FC","IV","ML",100,"MG",0.016,1/1/2004,,,,,,,
"00026858231","00026-8582-31",,"J3490",,1/10/2002,12/31/2003,"UNCLASSIFIED DRUGS","AVELOX I.V. (FLEXIBAG,PF) 400 MG/250 ML",250,"ML","FC","IV","ML",1,"EA",1,1/10/2002,,,,,,,
"00026971101","00026-9711-01",,"J9219",,1/1/2002,,"LEUPROLIDE ACETATE IMPLANT, 65 MG","VIADUR 65 MG",65,"mg","BX","ID","EA",65,"MG",1,1/1/2002,,,,,,,
"00028750701","00028-7507-01",,"J3105",,1/1/2002,7/15/2004,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG","BRETHINE (AMP) 1 MG/ML",1,"ML","AM","SC","ML",1,"MG",1,1/24/2002,,1/1/2002,,1,,,
"00028750723","00028-7507-23",,"J3105",,1/1/2002,5/22/2003,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG","BRETHINE (AMP) 1 MG/ML",1,"ML","AM","SC","ML",1,"MG",1,1/24/2002,,1/1/2002,1/23/2002,1,,,
"00029414901","00029-4149-01",,"J1626",,1/1/2002,1/2/2002,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","KYTRIL (S.D.V.) 1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",10,1/1/2002,,,,,,,
"00029415105","00029-4151-05",,"Q0166",,1/1/2002,2/8/2002,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",20,"EA","BX","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"00029415139","00029-4151-39",,"Q0166",,1/1/2002,2/8/2002,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL (UNIT OF USE) 1 MG",2,"EA","BX","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"00029657126","00029-6571-26",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","TIMENTIN (VIAL) 100 MG-3 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00029657131","00029-6571-31",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","TIMENTIN (PREMIX) 100 MG/100 ML-3 GM/100 ML",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00029657140","00029-6571-40",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","TIMENTIN (ADD-VANTAGE) 100 MG-3 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00029657156","00029-6571-56",,"J3490",,1/1/2002,7/11/2006,"UNCLASSIFIED DRUGS","TIMENTIN NOVAPLUS (VIAL) 100 MG-3 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00029657157","00029-6571-57",,"J3490",,1/1/2002,7/11/2006,"UNCLASSIFIED DRUGS","TIMENTIN NOVAPLUS (ADD-VANTAGE) 100 MG-3 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00029657921","00029-6579-21",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","TIMENTIN (BULK VIAL) 1 GM-30 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00029657976","00029-6579-76",,"J3490",,1/1/2002,7/11/2006,"UNCLASSIFIED DRUGS","TIMENTIN NOVAPLUS (BULK VIAL) 1 GM-30 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00031740987","00031-7409-87",,"J2800",,1/1/2002,5/21/2003,"INJECTION, METHOCARBAMOL, UP TO 10 ML","ROBAXIN (S.D.V.) 100 MG/ML",10,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00031789006","00031-7890-06",,"J7643",,1/1/2002,2/12/2004,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00031789006","00031-7890-06","KO","J7643","KO",1/1/2002,2/12/2004,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00031789011","00031-7890-11",,"J7643",,1/1/2002,2/12/2004,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00031789011","00031-7890-11","KO","J7643","KO",1/1/2002,2/12/2004,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00031789083","00031-7890-83",,"J7643",,1/1/2002,2/12/2004,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00031789083","00031-7890-83","KO","J7643","KO",1/1/2002,2/12/2004,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00031789095","00031-7890-95",,"J7643",,1/1/2002,2/12/2004,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00031789095","00031-7890-95","KO","J7643","KO",1/1/2002,2/12/2004,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00039001710","00039-0017-10",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (VIAL) 500 MG",1,"EA","VL","IJ","EA",1,"GM",0.5,1/1/2002,,,,,,,
"00039001810","00039-0018-10",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"00039001811","00039-0018-11",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (P.B.) 1 GM",1,"EA","GC","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"00039001825","00039-0018-25",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"00039001849","00039-0018-49",,"J0698",,4/1/2006,,"INJECTION, CEFOTAXIME SODIUM, PER GM","NOVAPLUS CLAFORAN 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,4/1/2006,,,,,,,
"00039001850","00039-0018-50",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"00039001910","00039-0019-10",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"00039001911","00039-0019-11",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (P.B.) 2 GM",1,"EA","GC","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"00039001925","00039-0019-25",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"00039001949","00039-0019-49",,"J0698",,6/1/2005,,"INJECTION, CEFOTAXIME SODIUM, PER GM","NOVAPLUS CLAFORAN 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,6/1/2005,,,,,,,
"00039001950","00039-0019-50",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"00039002001","00039-0020-01",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (BULK VIAL) 10 GM",1,"EA","GC","IJ","EA",1,"GM",10,1/1/2002,,,,,,,
"00039002049","00039-0020-49",,"J0698",,6/1/2005,,"INJECTION, CEFOTAXIME SODIUM, PER GM","NOVAPLUS CLAFORAN (PHARMACY BULK PACKAGE) 10 GM",1,"EA","GC","IJ","EA",1,"GM",10,6/1/2005,,,,,,,
"00039002325","00039-0023-25",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"00039002349","00039-0023-49",,"J0698",,6/1/2005,,"INJECTION, CEFOTAXIME SODIUM, PER GM","NOVAPLUS CLAFORAN (ADD-VANTAGE SYSTEM) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,6/1/2005,,,,,,,
"00039002350","00039-0023-50",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"00039002361","00039-0023-61",,"J0698",,4/3/2006,,"INJECTION, CEFOTAXIME SODIUM, PER GM","AMERINET CLAFORAN 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,4/3/2006,,,,,,,
"00039002425","00039-0024-25",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"00039002449","00039-0024-49",,"J0698",,6/1/2005,,"INJECTION, CEFOTAXIME SODIUM, PER GM","NOVAPLUS CLAFORAN (ADD-VANTAGE SYSTEM) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,6/1/2005,,,,,,,
"00039002450","00039-0024-50",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"00039003705","00039-0037-05",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (GALAXY) 1 GM/50 ML",50,"ML","FC","IV","ML",1,"GM",0.02,1/1/2002,,,,,,,
"00039003805","00039-0038-05",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (GALAXY) 2 GM/50 ML",50,"ML","FC","IV","ML",1,"GM",0.04,1/1/2002,,,,,,,
"00044101101","00044-1011-01",,"J1170",,1/1/2002,11/4/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",4,"MG",0.25,1/1/2002,,,,,,,
"00044101201","00044-1012-01",,"J1170",,1/1/2002,11/13/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (AMP) 2 MG/ML",1,"ML","AM","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00044101209","00044-1012-09",,"J1170",,1/1/2002,12/10/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (AMP) 2 MG/ML",1,"ML","AM","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00044101401","00044-1014-01",,"J1170",,1/1/2002,12/18/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (AMP) 4 MG/ML",1,"ML","AM","IJ","ML",4,"MG",1,1/1/2002,,,,,,,
"00044101706","00044-1017-06",,"J1170",,1/1/2002,11/25/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID-HP (S.D.V.) 10 MG/ML",50,"ML","VL","IJ","ML",4,"MG",2.5,1/1/2002,,,,,,,
"00044101710","00044-1017-10",,"J1170",,1/1/2002,12/18/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID-HP (AMP) 10 MG/ML",1,"ML","AM","IJ","ML",4,"MG",2.5,1/1/2002,,,,,,,
"00044101725","00044-1017-25",,"J1170",,1/1/2002,11/13/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID-HP (AMP) 10 MG/ML",5,"ML","AM","IJ","ML",4,"MG",2.5,1/1/2002,,,,,,,
"00044104001","00044-1040-01",,"J1170",,1/1/2002,2/9/2003,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"00044106205","00044-1062-05",,"J1170",,1/1/2002,12/18/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (M.D.V.) 2 MG/ML",20,"ML","VL","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00044191101","00044-1911-01",,"J1170",,1/1/2002,12/10/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID-HP (S.D.V.) 250 MG",1,"EA","VL","IJ","EA",4,"MG",62.5,1/1/2002,,,,,,,
"00045006555","00045-0065-55",,"J1956",,1/1/2002,9/13/2009,"INJECTION, LEVOFLOXACIN, 250 MG","LEVAQUIN (S.D.V.) 25 MG/ML",30,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,9/13/2009,,,,,,
"00045006601","00045-0066-01",,"J1956",,1/1/2002,,"INJECTION, LEVOFLOXACIN, 250 MG","LEVAQUIN (PREMIXED W/DEXTROSE) 5 MG/ML",150,"ML","PC","IV","ML",250,"MG",0.02,1/1/2002,,,,,,,
"00045006701","00045-0067-01",,"J1956",,1/1/2002,,"INJECTION, LEVOFLOXACIN, 250 MG","LEVAQUIN (PREMIXED W/DEXTROSE) 5 MG/ML",50,"ML","FC","IV","ML",250,"MG",0.02,1/1/2002,,,,,,,
"00045006801","00045-0068-01",,"J1956",,1/1/2002,,"INJECTION, LEVOFLOXACIN, 250 MG","LEVAQUIN (PREMIXED W/DEXTROSE) 5 MG/ML",100,"ML","FC","IV","ML",250,"MG",0.02,1/1/2002,,,,,,,
"00045006951","00045-0069-51",,"J1956",,1/1/2002,8/23/2009,"INJECTION, LEVOFLOXACIN, 250 MG","LEVAQUIN (S.D.V.) 25 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,8/23/2009,,,,,,
"00045025301","00045-0253-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALDOL DECANOATE (AMP) 50 MG/ML",1,"ML","AM","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00045025303","00045-0253-03",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALDOL DECANOATE (AMP) 50 MG/ML",1,"ML","AM","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00045025346","00045-0253-46",,"J1631",,1/1/2002,6/21/2006,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALDOL DECANOATE (M.D.V.) 50 MG/ML",5,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00045025414","00045-0254-14",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALDOL DECANOATE (AMP) 100 MG/ML",1,"ML","AM","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"00045025446","00045-0254-46",,"J1631",,1/1/2002,6/21/2006,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALDOL DECANOATE (M.D.V.) 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"00045025501","00045-0255-01",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALDOL (AMP) 5 MG/ML",1,"ML","AM","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"00045025549","00045-0255-49",,"J1630",,1/1/2002,5/16/2005,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALDOL (M.D.V.) 5 MG/ML",10,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"00045151501","00045-1515-01",,"J1956",,11/5/2004,8/23/2009,"INJECTION, LEVOFLOXACIN, 250 MG","LEVAQUIN 25 MG/ML",480,"ML","BO","PO","ML",250,"MG",0.1,11/5/2004,8/23/2009,,,,,,
"00046037406","00046-0374-06",,"J2730",,1/1/2002,3/13/2003,"INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM","PROTOPAM CHLORIDE (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"00046050705","00046-0507-05",,"J1620",,1/1/2002,6/1/2002,"INJECTION, GONADORELIN HYDROCHLORIDE, PER 100 MCG","FACTREL 0.1 MG",1,"EA","VL","IJ","EA",100,"MCG",1,1/1/2002,,,,,,,
"00046074905","00046-0749-05",,"J1410",,1/1/2002,,"INJECTION, ESTROGEN  CONJUGATED, PER 25 MG","PREMARIN INTRAVENOUS (W/SECULE VIAL) 25 MG",1,"EA","VL","IV","EA",25,"MG",1,1/1/2002,,,,,,,
"00046326510","00046-3265-10",,"J1800",,1/1/2002,6/1/2002,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","INDERAL (AMP) 1 MG/ML",1,"ML","AM","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"00049001383","00049-0013-83",,"J0295",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","UNASYN (VIAL) 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,1/1/2002,,,,,,,
"00049001483","00049-0014-83",,"J0295",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","UNASYN (VIAL) 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,1/1/2002,,,,,,,
"00049002283","00049-0022-83",,"J0295",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","UNASYN (P.B.,ADD-VANTAGE) 1 GM-0.5 GM",1,"EA","VL","IV","EA",1.5,"GM",1,1/1/2002,,,,,,,
"00049002383","00049-0023-83",,"J0295",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","UNASYN (P.B.,ADD-VANTAGE) 2 GM-1 GM",1,"EA","VL","IV","EA",1.5,"GM",2,1/1/2002,,,,,,,
"00049002428","00049-0024-28",,"J0295",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","UNASYN (BULK PACKAGE) 10 GM-5 GM",1,"EA","VL","IV","EA",1.5,"GM",10,1/1/2002,,,,,,,
"00049003183","00049-0031-83",,"J0295",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","UNASYN (ADD-VANTAGE,ADD-VANTAGE) 1 GM-0.5 GM",1,"EA","VL","IV","EA",1.5,"GM",1,1/1/2002,,,,,,,
"00049003283","00049-0032-83",,"J0295",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","UNASYN (ADD-VANTAGE,ADD-VANTAGE) 2 GM-1 GM",1,"EA","VL","IV","EA",1.5,"GM",2,1/1/2002,,,,,,,
"00049021035","00049-0210-35",,"J0560",,1/1/2002,1/2/2003,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","PERMAPEN ISOJECT 600000 U/ML",2,"ML","NA","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"00049052083","00049-0520-83",,"J2540",,1/1/2002,,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PFIZERPEN (VIAL, PHARMACY BOTTLE) 5 Million U",1,"EA","VL","IV","EA",600000,"U",8.33333,1/1/2002,,,,,,,
"00049053028","00049-0530-28",,"J2540",,1/1/2002,,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PFIZERPEN (VIAL, PHARMACY BOTTLE) 20 Million U",1,"EA","VL","IV","EA",600000,"U",33.33333,1/1/2002,,,,,,,
"00049101028","00049-1010-28",,"J0348",,1/1/2007,,"INJECTION, ANADULAFUNGIN, 1 MG","ERAXIS (W/ DILUENT,PF) 50 MG",1,"EA","VL","IV","EA",1,"MG",50,1/1/2007,,,,,,,
"00049101028","00049-1010-28",,"J3490",,4/25/2006,12/31/2006,"UNCLASSIFIED DRUGS","ERAXIS (W/ DILUENT,PF) 50 MG",1,"EA","VL","IV","EA",1,"EA",1,4/25/2006,,,,,,,
"00049120183","00049-1201-83",,"J3490",,1/1/2002,7/1/2002,"UNCLASSIFIED DRUGS","CEFOBID (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00049120283","00049-1202-83",,"J3490",,1/1/2002,7/1/2002,"UNCLASSIFIED DRUGS","CEFOBID (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00049121928","00049-1219-28",,"J3490",,1/1/2002,1/2/2003,"UNCLASSIFIED DRUGS","CEFOBID (BULK VIAL) 10 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00049319028","00049-3190-28",,"J3465",,1/1/2004,,"INJECTION, VORICONAZOLE, 10 MG","VFEND I.V. (S.D.V.) 200 MG",1,"EA","VL","IV","EA",10,"MG",20,1/1/2004,,,,,,,
"00049337126","00049-3371-26",,"J1450",,1/1/2002,,"INJECTION FLUCONAZOLE, 200 MG","DIFLUCAN IV (SODIUM CHLORIDE DILUENT) 200 MG/100 ML",100,"ML","GC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00049337226","00049-3372-26",,"J1450",,1/1/2002,,"INJECTION FLUCONAZOLE, 200 MG","DIFLUCAN IV (SODIUM CHLORIDE DILUENT) 400 MG/200 ML",200,"ML","GC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00049338225","00049-3382-25",,"J3490",,10/19/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (FTV,LATEX-FREE) 50 MCG/ML",5,"ML","VL","IJ","ML",1,"EA",1,10/19/2005,,,,,,,
"00049343526","00049-3435-26",,"J1450",,1/1/2002,,"INJECTION FLUCONAZOLE, 200 MG","DIFLUCAN IV (VIAFLEX,SODIUM CHLORIDE) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00049343626","00049-3436-26",,"J1450",,1/1/2002,,"INJECTION FLUCONAZOLE, 200 MG","DIFLUCAN IV (VIAFLEX,SODIUM CHLORIDE) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00049343726","00049-3437-26",,"J1450",,1/1/2002,,"INJECTION FLUCONAZOLE, 200 MG","DIFLUCAN IV (VIAFLEX, DEXTROSE,AF) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00049343826","00049-3438-26",,"J1450",,1/1/2002,,"INJECTION FLUCONAZOLE, 200 MG","DIFLUCAN IV (VIAFLEX, DEXTROSE,AF) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,1/1/2002,,,,,,,
"00049389028","00049-3890-28",,"J0200",,1/1/2002,7/10/2003,"INJECTION, ALATROFLOXACIN MESYLATE, 100 MG","TROVAN IV 5 MG/ML",40,"ML","VL","IV","ML",100,"MG",0.05,1/1/2002,,,,,,,
"00049390028","00049-3900-28",,"J0200",,1/1/2002,7/10/2003,"INJECTION, ALATROFLOXACIN MESYLATE, 100 MG","TROVAN IV 5 MG/ML",60,"ML","VL","IV","ML",100,"MG",0.05,1/1/2002,,,,,,,
"00049392083","00049-3920-83",,"J3486",,1/1/2004,,"INJECTION, ZIPRASIDONE MESYLATE, 10 MG","GEODON 20 MG",1,"EA","VL","IM","EA",10,"MG",2,1/1/2004,,,,,,,
"00049392083","00049-3920-83",,"J3490",,8/26/2002,12/31/2003,"UNCLASSIFIED DRUGS","GEODON 20 MG",1,"EA","VL","IM","EA",1,"EA",1,8/26/2002,,,,,,,
"00049546074","00049-5460-74",,"J3410",,1/1/2002,7/10/2003,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","VISTARIL IM (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00051002121","00051-0021-21",,"Q0167",,1/1/2002,,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL 2.5 MG",60,"EA","BO","PO","EA",2.5,"MG",1,1/1/2002,,,,,,,
"00051002211","00051-0022-11",,"Q0168",,1/1/2002,8/14/2006,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 5 MG",25,"EA","BO","PO","EA",5,"MG",1,1/1/2002,8/14/2006,,,,,,
"00051002221","00051-0022-21",,"Q0168",,8/14/2006,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFT GELATIN) 5 MG",60,"EA","BO","PO","EA",5,"MG",1,8/14/2006,,,,,,,
"00051002321","00051-0023-21",,"Q0168",,1/1/2002,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 10 MG",60,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00052027201","00052-0272-01",,"J3490",,8/10/2006,12/31/2007,"UNCLASSIFIED DRUGS","IMPLANON (HOSPITAL USE ONLY) 68 MG",1,"EA","PG","ID","EA",1,"EA",1,8/10/2006,,,,,,,
"00052027201","00052-0272-01",,"J7307",,1/1/2008,,"ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES","IMPLANON (HOSPITAL USE ONLY) 68 MG",1,"EA","PG","ID","EA",1,"IMPLANT",1,1/1/2008,,,,,,,
"00052030151","00052-0301-51",,"J3490",,5/1/2003,,"UNCLASSIFIED DRUGS","GANIRELIX ACETATE 250 MCG/0.5 ML",0.5,"ML","SR","SC","ML",1,"EA",1,5/1/2003,,,,,,,
"00052030161","00052-0301-61",,"J3490",,6/1/2003,6/2/2003,"UNCLASSIFIED DRUGS","ANTAGON 250 MCG/0.5 ML",0.5,"ML","SR","SC","ML",1,"EA",1,6/1/2003,,,,,,,
"00052031510","00052-0315-10",,"J0725",,1/1/2002,,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","PREGNYL (W/DILUENT) 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,1/1/2002,,,,,,,
"00052044510","00052-0445-10",,"J0330",,1/1/2002,8/23/2004,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","SUCCINYLCHOLINE CHLORIDE (VIAL) 20 MG/ML",10,"ML","VL","IV","ML",20,"MG",1,1/1/2002,,,,,,,
"00052060202","00052-0602-02",,"J9031",,1/1/2002,,"BCG (INTRAVESICAL) PER INSTILLATION","TICE BCG (VIAL) 800 Million CFU",1,"EA","VL","IL","EA",1,"INSTILLATION",1,1/1/2002,,,,,,,
"00052060302","00052-0603-02",,"J9031",,1/1/2002,,"BCG (INTRAVESICAL) PER INSTILLATION","BCG VACCINE (VIAL)",1,"EA","VL","ID","EA",1,"INSTILLATION",1,1/1/2002,,,,,,,
"00052069702","00052-0697-02",,"J2321",,1/1/2002,5/21/2002,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","DECA-DURABOLIN (VIAL) 100 MG/ML",2,"ML","VL","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"00052069801","00052-0698-01",,"J2322",,1/1/2002,5/21/2002,"INJECTION, NANDROLONE DECANOATE, UP TO 200 MG","DECA-DURABOLIN (VIAL) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,1/1/2002,,,,,,,
"00052073110","00052-0731-10",,"J0835",,1/1/2002,1/13/2003,"INJECTION, COSYNTROPIN, PER 0.25 MG","CORTROSYN (W/DILUENT) 0.25 MG",1,"EA","VL","IJ","EA",0.25,"MG",1,1/1/2002,,,,,,,
"00052073112","00052-0731-12",,"J0835",,1/13/2003,6/26/2003,"INJECTION, COSYNTROPIN, PER 0.25 MG","CORTROSYN (WITHOUT DILUENT) 0.25 MG",1,"EA","VL","IJ","EA",0.25,"MG",1,1/13/2003,,,,,,,
"00053177001","00053-1770-01",,"J2995",,9/17/2002,4/3/2007,"INJECTION, STREPTOKINASE, PER 250,000 IU","STREPTASE (6ML VIAL) 250000 IU",1,"EA","VL","IV","EA",250000,"IU",1,9/17/2002,4/3/2007,,,,,,
"00053177101","00053-1771-01",,"J2995",,9/17/2002,11/28/2006,"INJECTION, STREPTOKINASE, PER 250,000 IU","STREPTASE (6ML VIAL) 750000 IU",1,"EA","VL","IV","EA",250000,"IU",3,9/17/2002,11/28/2006,,,,,,
"00053177301","00053-1773-01",,"J2995",,9/17/2002,6/28/2006,"INJECTION, STREPTOKINASE, PER 250,000 IU","STREPTASE (6ML VIAL) 1.5 Million IU",1,"EA","VL","IV","EA",250000,"IU",6,9/17/2002,6/28/2006,,,,,,
"00053720102","00053-7201-02",,"J0256",,8/18/2003,,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","ZEMAIRA (APPRX 1000 MG VIAL,PF) 1 MG",1000,"MG","VL","IV","EA",10,"MG",0.1,8/18/2003,,,,,,,
"00053748601","00053-7486-01",,"J1563",,1/1/2002,1/19/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMMAR-P I.V. (W/DILUENT) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/1/2002,,,,,,,
"00053748602","00053-7486-02",,"J1563",,1/1/2002,1/19/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMMAR-P I.V. (W/DILUENT) 2.5 GM",1,"EA","VL","IV","EA",1,"GM",2.5,1/1/2002,,,,,,,
"00053748605","00053-7486-05",,"J1566",,1/1/2006,11/15/2007,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","GAMMAR-P I.V. (W/DILUENT) 5 GM",1,"EA","VL","IV","EA",500,"MG",10,1/1/2006,11/15/2007,,,,,,
"00053748605","00053-7486-05",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","GAMMAR-P I.V. (W/DILUENT) 5 GM",1,"EA","VL","IV","EA",1,"GM",5,4/1/2005,,,,,,,
"00053748606","00053-7486-06",,"J1563",,1/1/2002,1/19/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","GAMMAR-P I.V. (BULK PACKAGE) 5 GM",1,"EA","VL","IV","EA",1,"GM",5,1/1/2002,,,,,,,
"00053748610","00053-7486-10",,"J1566",,1/1/2006,3/1/2007,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","GAMMAR-P I.V. (W/DILUENT) 10 GM",1,"EA","VL","IV","EA",500,"MG",20,1/1/2006,3/1/2007,,,,,,
"00053748610","00053-7486-10",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","GAMMAR-P I.V. (W/DILUENT) 10 GM",1,"EA","VL","IV","EA",1,"GM",10,4/1/2005,,,,,,,
"00053759603","00053-7596-03",,"J1562",,1/1/2007,,"INJECTION, IMMUNE GLOBULIN (VIVAGLOBIN), 100 MG","VIVAGLOBIN (PF) 160 MG/ML",3,"ML","VL","SC","ML",100,"MG",1.6,1/1/2007,,,,,,,
"00053759603","00053-7596-03",,"J7799",,3/1/2006,12/31/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","VIVAGLOBIN (PF) 160 MG/ML",3,"ML","VL","SC","ML",1,"EA",1,3/1/2006,,,,,,,
"00053759610","00053-7596-10",,"J1562",,1/1/2007,,"INJECTION, IMMUNE GLOBULIN (VIVAGLOBIN), 100 MG","VIVAGLOBIN (PF) 160 MG/ML",10,"ML","VL","SC","ML",100,"MG",1.6,1/1/2007,,,,,,,
"00053759610","00053-7596-10",,"J7799",,3/1/2006,12/31/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","VIVAGLOBIN (PF) 160 MG/ML",10,"ML","VL","SC","ML",1,"EA",1,3/1/2006,,,,,,,
"00053759615","00053-7596-15",,"J1562",,1/1/2007,,"INJECTION, IMMUNE GLOBULIN (VIVAGLOBIN), 100 MG","VIVAGLOBIN (PF) 160 MG/ML",10,"ML","VL","SC","ML",100,"MG",1.6,1/1/2007,,,,,,,
"00053759615","00053-7596-15",,"J7799",,3/1/2006,12/31/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","VIVAGLOBIN (PF) 160 MG/ML",10,"ML","VL","SC","ML",1,"EA",1,3/1/2006,,,,,,,
"00053759620","00053-7596-20",,"J1562",,1/1/2007,,"INJECTION, IMMUNE GLOBULIN (VIVAGLOBIN), 100 MG","VIVAGLOBIN (PF) 160 MG/ML",20,"ML","VL","SC","ML",100,"MG",1.6,1/1/2007,,,,,,,
"00053759620","00053-7596-20",,"J7799",,3/1/2006,12/31/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","VIVAGLOBIN (PF) 160 MG/ML",20,"ML","VL","SC","ML",1,"EA",1,3/1/2006,,,,,,,
"00053759625","00053-7596-25",,"J1562",,1/1/2007,,"INJECTION, IMMUNE GLOBULIN (VIVAGLOBIN), 100 MG","VIVAGLOBIN (PF) 160 MG/ML",20,"ML","VL","SC","ML",100,"MG",1.6,1/1/2007,,,,,,,
"00053759625","00053-7596-25",,"J7799",,3/1/2006,12/31/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","VIVAGLOBIN (PF) 160 MG/ML",20,"ML","VL","SC","ML",1,"EA",1,3/1/2006,,,,,,,
"00053761505","00053-7615-05",,"J7187",,1/1/2007,,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR, PER IU VWF:RCO","HUMATE-P (600IU) 1 IU-1 IU",600,"IU","VL","IV","EA",1,"IU",1,1/1/2007,,,,,,,
"00053761505","00053-7615-05",,"J7188",,2/15/2006,12/31/2006,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, IU","HUMATE-P (600IU) 1 IU-1 IU",600,"IU","VL","IV","EA",1,"IU",1,2/15/2006,,,,,,,
"00053761510","00053-7615-10",,"J7187",,1/1/2007,,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR, PER IU VWF:RCO","HUMATE-P (1200IU) 1 IU-1 IU",1200,"IU","VL","IV","EA",1,"IU",1,1/1/2007,,,,,,,
"00053761510","00053-7615-10",,"J7188",,2/15/2006,12/31/2006,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, IU","HUMATE-P (1200IU) 1 IU-1 IU",1200,"IU","VL","IV","EA",1,"IU",1,2/15/2006,,,,,,,
"00053761520","00053-7615-20",,"J7187",,1/1/2007,,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR, PER IU VWF:RCO","HUMATE-P (2400IU) 1 IU-1 IU",2400,"IU","VL","IV","EA",1,"IU",1,1/1/2007,,,,,,,
"00053761520","00053-7615-20",,"J7188",,2/15/2006,12/31/2006,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, IU","HUMATE-P (2400IU) 1 IU-1 IU",2400,"IU","VL","IV","EA",1,"IU",1,2/15/2006,,,,,,,
"00053762005","00053-7620-05",,"J7187",,1/1/2007,11/9/2009,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR, PER IU VWF:RCO","HUMATE-P (10 ML SDV, PASTEURIZED) 1 IU-1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2007,11/9/2009,,,,,,
"00053762005","00053-7620-05",,"J7188",,1/1/2006,12/31/2006,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, IU","HUMATE-P (10 ML SDV, PASTEURIZED) 1 IU-1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2006,,,,,,,
"00053762010","00053-7620-10",,"J7187",,1/1/2007,11/9/2009,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR, PER IU VWF:RCO","HUMATE-P (20 ML SDV, PASTEURIZED) 1 IU-1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2007,11/9/2009,,,,,,
"00053762010","00053-7620-10",,"J7188",,1/1/2006,12/31/2006,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, IU","HUMATE-P (20 ML SDV, PASTEURIZED) 1 IU-1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2006,,,,,,,
"00053762020","00053-7620-20",,"J7187",,1/1/2007,11/9/2009,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR, PER IU VWF:RCO","HUMATE-P (30 ML SDV, PASTEURIZED) 1 IU-1 IU",2000,"IU","VL","IV","EA",1,"IU",1,1/1/2007,11/9/2009,,,,,,
"00053762020","00053-7620-20",,"J7188",,1/1/2006,12/31/2006,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, IU","HUMATE-P (30 ML SDV, PASTEURIZED) 1 IU-1 IU",2000,"IU","VL","IV","EA",1,"IU",1,1/1/2006,,,,,,,
"00053765601","00053-7656-01",,"J7190",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONOCLATE-P (250 IU) 1 IU",250,"IU","BX","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00053765602","00053-7656-02",,"J7190",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONOCLATE-P (500 IU) 1 IU",500,"IU","BX","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00053765604","00053-7656-04",,"J7190",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONOCLATE-P (1000 IU) 1 IU",1000,"IU","BX","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00053765605","00053-7656-05",,"J7190",,5/26/2004,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONOCLATE-P (1500 IU) 1 IU",1500,"IU","BX","IV","EA",1,"IU",1,5/26/2004,,,,,,,
"00053766801","00053-7668-01",,"J7193",,1/1/2002,9/2/1999,"FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.","MONONINE (250 IU) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,1/1/2002,9/2/1999,,,,,,
"00053766802","00053-7668-02",,"J7193",,1/1/2002,,"FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.","MONONINE (500 IU) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00053766804","00053-7668-04",,"J7193",,1/1/2002,,"FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.","MONONINE (1000 IU) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00053813001","00053-8130-01",,"J7192",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","HELIXATE FS (APPROX. 25O IU/VIAL) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00053813002","00053-8130-02",,"J7192",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","HELIXATE FS (APPROX. 500 IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00053813004","00053-8130-04",,"J7192",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","HELIXATE FS (APPROX. 1000 IU/VIAL) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00054001720","00054-0017-20",,"J7506",,12/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 10 MG",100,"EA","BX","PO","EA",5,"MG",2,12/1/2004,,,,,,,
"00054001725","00054-0017-25",,"J7506",,1/1/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2005,,,,,,,
"00054001729","00054-0017-29",,"J7506",,12/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",500,"EA","BO","PO","EA",5,"MG",2,12/1/2004,,,,,,,
"00054001820","00054-0018-20",,"J7506",,9/7/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 20 MG",100,"EA","BX","PO","EA",5,"MG",4,9/7/2004,,,,,,,
"00054001825","00054-0018-25",,"J7506",,10/14/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,10/14/2004,,,,,,,
"00054001829","00054-0018-29",,"J7506",,10/8/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",500,"EA","BO","PO","EA",5,"MG",4,10/8/2004,,,,,,,
"00054001920","00054-0019-20",,"J7506",,9/24/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 50 MG",100,"EA","BX","PO","EA",5,"MG",10,9/24/2004,,,,,,,
"00054001925","00054-0019-25",,"J7506",,8/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",100,"EA","BO","PO","EA",5,"MG",10,8/10/2004,,,,,,,
"00054121842","00054-1218-42",,"J1230",,1/1/2002,6/1/2003,"INJECTION, METHADONE HCL, UP TO 10 MG","DOLOPHINE HCL (VIAL) 10 MG/ML",20,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00054170107","00054-1701-07",,"J3280",,1/1/2002,5/14/2002,"INJECTION, THIETHYLPERAZINE MALEATE, UP TO 10 MG","TORECAN (AMP) 5 MG/ML",2,"ML","AM","IM","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00054170125","00054-1701-25",,"J3280",,1/1/2002,8/8/2002,"INJECTION, THIETHYLPERAZINE MALEATE, UP TO 10 MG","TORECAN (AMP) 5 MG/ML",2,"ML","AM","IM","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00054224725","00054-2247-25",,"J8999",,1/1/2002,5/5/2004,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054302502","00054-3025-02",,"J7608",,1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00054302502","00054-3025-02","KO","J7608","KO",1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00054302602","00054-3026-02",,"J7608",,1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00054302602","00054-3026-02","KO","J7608","KO",1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00054302702","00054-3027-02",,"J7608",,1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00054302702","00054-3027-02","KO","J7608","KO",1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00054302802","00054-3028-02",,"J7608",,1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00054302802","00054-3028-02","KO","J7608","KO",1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00054314450","00054-3144-50",,"Q0172",,1/1/2002,10/10/2002,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL INTENSOL 30 MG/ML",120,"ML","BO","PO","ML",25,"MG",1.2,1/1/2002,,,,,,,
"00054314658","00054-3146-58",,"Q0172",,1/1/2002,1/21/2003,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL INTENSOL 100 MG/ML",240,"ML","BO","PO","ML",25,"MG",4,1/1/2002,,,,,,,
"00054317644","00054-3176-44",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE INTENSOL 1 MG/ML",30,"ML","BO","PO","ML",0.25,"MG",4,1/1/2006,,,,,,,
"00054317644","00054-3176-44",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE INTENSOL 1 MG/ML",30,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00054317757","00054-3177-57",,"J8540",,7/31/2008,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (1X240ML)",240,"ML","BO","PO","ML",0.25,"MG",2,7/31/2008,,,,,,,
"00054340840","00054-3408-40",,"J7649",,1/1/2002,5/16/2002,"ISOETHARINE HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOETHARINE HCL 1%",10,"ML","BO","IH","ML",1,"MG",10,1/1/2002,,,,,,,
"00054340840","00054-3408-40","KO","J7649","KO",1/1/2002,5/16/2002,"ISOETHARINE HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOETHARINE HCL 1%",10,"ML","BO","IH","ML",1,"MG",10,1/1/2002,,,,,,,
"00054354258","00054-3542-58",,"J8999",,4/11/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (LEMON,LIME) 40 MG/ML",240,"ML","BO","PO","ML",1,"EA",1,4/11/2002,,,,,,,
"00054372144","00054-3721-44",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE INTENSOL 5 MG/ML",30,"ML","BO","PO","ML",5,"MG",1,1/1/2002,,,,,,,
"00054372250","00054-3722-50",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (PEPPERMINT-VANILLA) 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00054372263","00054-3722-63",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (PEPPERMINT-VANILLA) 5 MG/5 ML",500,"ML","BO","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00054408425","00054-4084-25",,"J7500",,1/1/2002,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00054412925","00054-4129-25",,,,3/28/2000,,"CYCLOPHOSPHAMIDE, 25 MG, ORAL","CYCLOPHOSPHAMIDE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,3/28/2000,,,,,,,
"00054413025","00054-4130-25",,,,3/28/2000,,"CYCLOPHOSPHAMIDE, 50 MG, ORAL","CYCLOPHOSPHAMIDE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,3/28/2000,,,,,,,
"00054417925","00054-4179-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",100,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"00054417925","00054-4179-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054418025","00054-4180-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",100,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"00054418025","00054-4180-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054418125","00054-4181-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 1 MG",100,"EA","BO","PO","EA",0.25,"MG",4,1/1/2006,,,,,,,
"00054418125","00054-4181-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 1 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054418225","00054-4182-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 1.5 MG",100,"EA","BO","PO","EA",0.25,"MG",6,1/1/2006,,,,,,,
"00054418225","00054-4182-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 1.5 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054418325","00054-4183-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 2 MG",100,"EA","BO","PO","EA",0.25,"MG",8,1/1/2006,,,,,,,
"00054418325","00054-4183-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 2 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054418425","00054-4184-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",100,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"00054418425","00054-4184-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054455015","00054-4550-15",,,,9/27/1994,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",36,"EA","BO","PO","EA",2.5,"MG",1,9/27/1994,,,,,,,
"00054455025","00054-4550-25",,,,9/27/1994,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,9/27/1994,,,,,,,
"00054458111","00054-4581-11",,"J8999",,2/19/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MERCAPTOPURINE (USP) 50 MG",25,"EA","BO","PO","EA",1,"EA",1,2/19/2004,,,,,,,
"00054458127","00054-4581-27",,"J8999",,2/19/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MERCAPTOPURINE (USP) 50 MG",250,"EA","BO","PO","EA",1,"EA",1,2/19/2004,,,,,,,
"00054460325","00054-4603-25",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 20 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054460425","00054-4604-25",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054472825","00054-4728-25",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00054472831","00054-4728-31",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00054472925","00054-4729-25",,"J7506",,1/1/2002,10/13/2004,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00054472929","00054-4729-29",,"J7506",,1/1/2002,10/7/2004,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",500,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00054473025","00054-4730-25",,"J7506",,1/1/2002,12/31/2004,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00054473029","00054-4730-29",,"J7506",,1/1/2002,11/30/2004,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",500,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00054473325","00054-4733-25",,"J7506",,1/1/2002,8/9/2004,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",100,"EA","BO","PO","EA",5,"MG",10,1/1/2002,,,,,,,
"00054474125","00054-4741-25",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",100,"EA","BO","PO","EA",5,"MG",0.2,1/1/2002,,,,,,,
"00054474131","00054-4741-31",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",1000,"EA","BO","PO","EA",5,"MG",0.2,1/1/2002,,,,,,,
"00054474225","00054-4742-25",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 2.5 MG",100,"EA","BO","PO","EA",5,"MG",0.5,1/1/2002,,,,,,,
"00054474825","00054-4748-25",,"Q0174",,1/1/2002,12/18/2003,"THIETHYLPERAZINE MALEATE, 10 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TORECAN 10 MG",100,"EA","BO","PO","EA",10,"MG",1,8/9/2002,,1/1/2002,8/8/2002,1,,,
"00054483121","00054-4831-21",,"J8999",,2/21/2003,4/17/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",60,"EA","BO","PO","EA",1,"EA",1,2/21/2003,4/17/2007,,,,,,
"00054483126","00054-4831-26",,"J8999",,2/21/2003,4/17/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",180,"EA","BO","PO","EA",1,"EA",1,2/21/2003,4/17/2007,,,,,,
"00054483413","00054-4834-13",,"J8999",,2/21/2003,6/20/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",30,"EA","BO","PO","EA",1,"EA",1,2/21/2003,6/20/2007,,,,,,
"00054483422","00054-4834-22",,"J8999",,2/21/2003,4/17/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",90,"EA","BO","PO","EA",1,"EA",1,2/21/2003,4/17/2007,,,,,,
"00054806311","00054-8063-11",,"J7619",,1/1/2002,9/25/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PROTECTPAK) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00054806311","00054-8063-11","KO","J7619","KO",1/1/2002,9/25/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PROTECTPAK) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00054806313","00054-8063-13",,"J7619",,1/1/2002,3/28/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PROTECTPAK) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00054806313","00054-8063-13","KO","J7619","KO",1/1/2002,3/28/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PROTECTPAK) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00054806321","00054-8063-21",,"J7619",,1/1/2002,9/25/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PROTECTPAK) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00054806321","00054-8063-21","KO","J7619","KO",1/1/2002,9/25/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PROTECTPAK) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00054808425","00054-8084-25",,"J7500",,1/1/2002,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE (10X10) 50 MG",100,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00054808925","00054-8089-25",,,,3/28/2000,6/1/2005,"CYCLOPHOSPHAMIDE, 25 MG, ORAL","CYCLOPHOSPHAMIDE (10X10) 25 MG",100,"EA","BX","PO","EA",25,"MG",1,3/28/2000,6/1/2005,,,,,,
"00054813025","00054-8130-25",,,,3/28/2000,3/23/2005,"CYCLOPHOSPHAMIDE, 50 MG, ORAL","CYCLOPHOSPHAMIDE (10X10) 50 MG",100,"EA","BX","PO","EA",50,"MG",1,3/28/2000,3/23/2005,,,,,,
"00054816721","00054-8167-21",,"J7631",,1/1/2002,2/1/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","VL","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00054816721","00054-8167-21","KO","J7631","KO",1/1/2002,2/1/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","VL","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00054816723","00054-8167-23",,"J7631",,1/1/2002,10/19/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","VL","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00054816723","00054-8167-23","KO","J7631","KO",1/1/2002,10/19/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","VL","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00054817425","00054-8174-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (10X10) 1 MG",100,"EA","BX","PO","EA",0.25,"MG",4,1/1/2006,,,,,,,
"00054817425","00054-8174-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (10X10) 1 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054817525","00054-8175-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (10X10) 4 MG",100,"EA","BX","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"00054817525","00054-8175-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (10X10) 4 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054817625","00054-8176-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (10X10) 2 MG",100,"EA","BX","PO","EA",0.25,"MG",8,1/1/2006,,,,,,,
"00054817625","00054-8176-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (10X10) 2 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054817925","00054-8179-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (10X10) 0.5 MG",100,"EA","BX","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"00054817925","00054-8179-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (10X10) 0.5 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054818025","00054-8180-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (10X10) 0.75 MG",100,"EA","BX","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"00054818025","00054-8180-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (10X10) 0.75 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054818125","00054-8181-25",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (10X10) 1.5 MG",100,"EA","BX","PO","EA",0.25,"MG",6,1/1/2006,,,,,,,
"00054818125","00054-8181-25",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (10X10) 1.5 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054823301","00054-8233-01",,"J0735",,1/1/2002,7/25/2005,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","DURACLON (S.D.V.) 0.1 MG/ML",10,"ML","VL","EP","ML",1,"MG",0.1,1/1/2002,,,,,,,
"00054823401","00054-8234-01",,"J0735",,1/1/2002,9/22/2005,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","DURACLON (S.D.V.,PF) 0.5 MG/ML",10,"ML","VL","EP","ML",1,"MG",0.5,1/1/2002,,,,,,,
"00054824725","00054-8247-25",,"J8999",,1/1/2002,1/13/2004,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA (10X10) 500 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054840211","00054-8402-11",,"J7644",,1/1/2002,12/11/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (S.D.V.,5X5,PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840211","00054-8402-11","KO","J7644","KO",1/1/2002,12/11/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (S.D.V.,5X5,PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840213","00054-8402-13",,"J7644",,1/1/2002,4/7/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (S.D.V.,6X5,PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840213","00054-8402-13","KO","J7644","KO",1/1/2002,4/7/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (S.D.V.,6X5,PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840221","00054-8402-21",,"J7644",,1/1/2002,11/5/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (S.D.V.,12X5,PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840221","00054-8402-21","KO","J7644","KO",1/1/2002,11/5/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (S.D.V.,12X5,PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840411","00054-8404-11",,"J7644",,1/1/2002,4/8/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE NOVAPLUS (S.D.V.,5X5, PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840411","00054-8404-11","KO","J7644","KO",1/1/2002,4/8/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE NOVAPLUS (S.D.V.,5X5, PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840413","00054-8404-13",,"J7644",,1/1/2002,5/3/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE NOVAPLUS (S.D.V.,6X5 PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840413","00054-8404-13","KO","J7644","KO",1/1/2002,5/3/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE NOVAPLUS (S.D.V.,6X5 PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840421","00054-8404-21",,"J7644",,1/1/2002,3/22/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE NOVAPLUS (S.D.V.,12X5,PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054840421","00054-8404-21","KO","J7644","KO",1/1/2002,3/22/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE NOVAPLUS (S.D.V.,12X5,PROTECTAPAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00054855003","00054-8550-03",,,,9/27/1994,4/29/2002,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (4X2 DOSE PACK) 2.5 MG",8,"EA","DP","PO","EA",2.5,"MG",1,9/27/1994,,,,,,,
"00054855005","00054-8550-05",,,,9/27/1994,1/2/2002,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (4X3 DOSE PACK) 2.5 MG",12,"EA","DP","PO","EA",2.5,"MG",1,9/27/1994,,,,,,,
"00054855006","00054-8550-06",,,,9/27/1994,2/28/2002,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (4X4 DOSE PACK) 2.5 MG",16,"EA","DP","PO","EA",2.5,"MG",1,9/27/1994,,,,,,,
"00054855007","00054-8550-07",,,,9/27/1994,2/28/2002,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (4X5 DOSE PACK) 2.5 MG",20,"EA","DP","PO","EA",2.5,"MG",1,9/27/1994,,,,,,,
"00054855010","00054-8550-10",,,,9/27/1994,2/28/2002,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (4X6 DOSE PACK) 2.5 MG",24,"EA","DP","PO","EA",2.5,"MG",1,9/27/1994,,,,,,,
"00054855025","00054-8550-25",,,,9/27/1994,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (10X10) 2.5 MG",100,"EA","BX","PO","EA",2.5,"MG",1,9/27/1994,,,,,,,
"00054860325","00054-8603-25",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (10X10) 20 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054860425","00054-8604-25",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (10X10) 40 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00054872216","00054-8722-16",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (PEPPERMINT-VANILLA) 5 MG/5 ML",5,"ML","CP","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00054872425","00054-8724-25",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 5 MG",100,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00054872525","00054-8725-25",,"J7506",,1/1/2002,11/30/2004,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 10 MG",100,"EA","BX","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00054872625","00054-8726-25",,"J7506",,1/1/2002,9/6/2004,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 20 MG",100,"EA","BX","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00054872925","00054-8729-25",,"J7506",,1/1/2002,9/23/2004,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 50 MG",100,"EA","BX","PO","EA",5,"MG",10,1/1/2002,,,,,,,
"00054873925","00054-8739-25",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 1 MG",100,"EA","BX","PO","EA",5,"MG",0.2,1/1/2002,,,,,,,
"00054874025","00054-8740-25",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 2.5 MG",100,"EA","BX","PO","EA",5,"MG",0.5,1/1/2002,,,,,,,
"00054880925","00054-8809-25",,"J7051",,1/1/2002,9/16/2002,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (5X20) 0.9%",3,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"00054881025","00054-8810-25",,"J7051",,1/1/2002,9/13/2002,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (5X20) 0.9%",5,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"00054883125","00054-8831-25",,"J8999",,2/21/2003,4/17/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (BLISTER PACK 10X10) 10 MG",100,"EA","BX","PO","EA",1,"EA",1,2/21/2003,4/17/2007,,,,,,
"00054883425","00054-8834-25",,"J8999",,2/21/2003,2/5/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (BLISTER PACK 10X10) 20 MG",100,"EA","BX","PO","EA",1,"EA",1,2/21/2003,2/5/2007,,,,,,
"00056034208","00056-0342-08",,"J1655",,1/1/2002,7/16/2002,"INJECTION, TINZAPARIN SODIUM, 1000 IU","INNOHEP (M.D.V.) 20000 IU/ML",2,"ML","VL","SC","ML",1000,"IU",20,1/1/2002,,,,,,,
"00056034253","00056-0342-53",,"J1655",,1/1/2002,7/16/2002,"INJECTION, TINZAPARIN SODIUM, 1000 IU","INNOHEP (M.D.V.) 20000 IU/ML",2,"ML","VL","SC","ML",1000,"IU",20,1/1/2002,,,,,,,
"00065054301","00065-0543-01",,"J3301",,11/29/2007,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","TRIESENCE 40 MG/ML",1,"ML","VL","IJ","ML",10,"MG",4,11/29/2007,,,,,,,
"00068059701","00068-0597-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFADIN IV (VIAL) 600 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00068080923","00068-0809-23",,"J0500",,1/1/2002,3/22/2007,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","BENTYL (AMP) 10 MG/ML",2,"ML","AM","IM","ML",20,"MG",0.5,11/15/2004,,1/1/2002,6/21/2004,0.5,,,
"00069305107","00069-3051-07",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX (SINGLE DOSE PACKETS) 1 GM/Packet",10,"EA","BX","PO","EA",1,"GM",1,1/1/2002,,,,,,,
"00069305175","00069-3051-75",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX (SINGLE DOSE PACKETS) 1 GM/Packet",3,"PK","BX","PO","EA",1,"GM",1,1/1/2002,,,,,,,
"00069306030","00069-3060-30",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"00069306075","00069-3060-75",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX Z-PAK (3X6) 250 MG",18,"EA","DP","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"00069306086","00069-3060-86",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",50,"EA","BX","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"00069307030","00069-3070-30",,"Q0144",,8/6/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 500 MG",30,"EA","BO","PO","EA",1,"GM",0.5,8/6/2002,,,,,,,
"00069307075","00069-3070-75",,"Q0144",,8/6/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX TRI-PAK (3X3) 500 MG",9,"EA","DP","PO","EA",1,"GM",0.5,8/6/2002,,,,,,,
"00069307086","00069-3070-86",,"Q0144",,10/21/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX (5 X 10) 500 MG",50,"EA","BX","PO","EA",1,"GM",0.5,10/21/2002,,,,,,,
"00069308030","00069-3080-30",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 600 MG",30,"EA","BO","PO","EA",1,"GM",0.6,1/1/2002,,,,,,,
"00069311019","00069-3110-19",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,1/1/2002,,,,,,,
"00069312019","00069-3120-19",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"00069313019","00069-3130-19",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"00069314019","00069-3140-19",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"00069315014","00069-3150-14",,"J0456",,2/25/2002,,"INJECTION, AZITHROMYCIN, 500 MG","ZITHROMAX (W/VIAL MATE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,2/25/2002,,,,,,,
"00069315083","00069-3150-83",,"J0456",,1/1/2002,,"INJECTION, AZITHROMYCIN, 500 MG","ZITHROMAX (VIAL) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00069417021","00069-4170-21",,"Q0144",,7/11/2005,10/12/2009,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZMAX (CHERRY-BANANA) 2 GM/60 ML",1,"EA","BO","PO","EA",1,"GM",2,7/11/2005,10/12/2009,,,,,,
"00069541066","00069-5410-66",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VISTARIL 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00069542066","00069-5420-66",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VISTARIL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00069543066","00069-5430-66",,"Q0178",,1/1/2002,1/2/2004,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VISTARIL 100 MG",100,"EA","BO","PO","EA",50,"MG",2,1/1/2002,,,,,,,
"00069544093","00069-5440-93",,"Q0177",,1/1/2002,3/7/2007,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VISTARIL 25 MG/5 ML",480,"ML","BO","PO","ML",25,"MG",0.2,1/1/2002,,,,,,,
"00069544097","00069-5440-97",,"Q0177",,1/1/2002,12/11/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VISTARIL 25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.2,1/1/2002,,,,,,,
"00071084013","00071-0840-13",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00071084018","00071-0840-18",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL 25 MG",48,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00071219517","00071-2195-17",,"Q0163",,11/18/2003,12/20/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENYLIN DECONGESTANT COUGH 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,11/18/2003,12/20/2006,,,,,,
"00071233317","00071-2333-17",,"Q0163",,11/17/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL ALLERGY (AF,CHERRY) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,11/17/2003,,,,,,,
"00071400705","00071-4007-05",,"Q2009",,1/1/2002,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","CEREBYX (VIAL) 50 MG/ML",2,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00071400810","00071-4008-10",,"Q2009",,1/1/2002,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","CEREBYX (VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00071425903","00071-4259-03",,"J1200",,1/1/2002,2/3/2005,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL (AMP) 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00071425913","00071-4259-13",,"J1200",,1/1/2002,10/6/2006,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL (STERI-VIAL) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00071425945","00071-4259-45",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL (SRN, STERI-DOSE) 50 MG/ML",1,"ML","SR","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00071440210","00071-4402-10",,"J1200",,1/1/2002,11/16/2006,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL (STERI-VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00074103630","00074-1036-30",,"J0670",,1/1/2002,3/20/2006,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE HCL (S.D.V.) 1%",30,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,3/20/2006,,,,,,
"00074103850","00074-1038-50",,"J0670",,1/1/2002,10/7/2007,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE HCL (M.D.V.) 1%",50,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074104130","00074-1041-30",,"J0670",,1/1/2002,4/25/2006,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE HCL (S.D.V.) 1.5%",30,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,4/25/2006,,,,,,
"00074106720","00074-1067-20",,"J0670",,1/1/2002,1/14/2007,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE HCL (S.D.V.) 2%",20,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074106720","00074-1067-20",,"J0670",,10/1/2009,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE HCL (S.D.V.) 2%",20,"ML","VL","IJ","ML",10,"ML",0.1,10/1/2009,,,,,,,
"00074108101","00074-1081-01",,"A4216",,4/25/2005,12/26/2006,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (THERMOJECT KIT,PF) 0.9%",10,"ML","VL","IV","EA",10,"ML",4,4/25/2005,,,,,,,
"00074109702","00074-1097-02",,"J0745",,1/1/2002,6/6/2003,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (22GX1-1/4"") 15 MG/ML",2,"ML","SR","IJ","ML",30,"MG",0.5,1/1/2002,,,,,,,
"00074109732","00074-1097-32",,"J0745",,1/1/2002,11/14/2005,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (LUER LOCK,CARPUJECT) 15 MG/ML",2,"ML","SR","IJ","ML",30,"MG",0.5,1/1/2002,,,,,,,
"00074110202","00074-1102-02",,"J0745",,1/1/2002,6/6/2003,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (22GX1-1/4"") 30 MG/ML",2,"ML","SR","IJ","ML",30,"MG",1,1/1/2002,,,,,,,
"00074110232","00074-1102-32",,"J0745",,1/1/2002,10/4/2005,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (LUER LOCK,CARPUJECT) 30 MG/ML",2,"ML","SR","IJ","ML",30,"MG",1,1/1/2002,,,,,,,
"00074113002","00074-1130-02",,"J7799",,1/1/2002,5/12/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE 23.4%",250,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074113303","00074-1133-03",,"J2270",,1/1/2002,9/5/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP) 25 MG/ML",20,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074113304","00074-1133-04",,"J2270",,1/1/2002,9/5/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, 50 ML FLIPTOP) 25 MG/ML",40,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074113321","00074-1133-21",,"J2270",,1/1/2002,10/24/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, 5 ML FLIPTOP) 25 MG/ML",4,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074113322","00074-1133-22",,"J2270",,1/1/2002,9/5/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP) 25 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074113403","00074-1134-03",,"J2271",,1/1/2002,9/14/2005,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (VIAL, FLIPTOP) 50 MG/ML",20,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074113405","00074-1134-05",,"J2271",,1/1/2002,8/7/2005,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (VIAL, FLIPTOP) 50 MG/ML",50,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074113422","00074-1134-22",,"J2271",,1/1/2002,9/5/2003,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (VIAL, FLIPTOP) 50 MG/ML",10,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074113501","00074-1135-01",,"J2275",,1/1/2002,10/24/2003,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (VIAL, 5 ML FLIPTOP,PF) 25 MG/ML",4,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074113502","00074-1135-02",,"J2275",,1/1/2002,7/20/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP,PF) 25 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074113503","00074-1135-03",,"J2275",,1/1/2002,10/24/2003,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP,PF) 25 MG/ML",20,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074113504","00074-1135-04",,"J2275",,1/1/2002,10/24/2003,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP,PF) 25 MG/ML",50,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074114101","00074-1141-01",,"J7799",,1/1/2002,10/24/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (VIAL, FLIPTOP, BULK PKG) 23.4%",50,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074114102","00074-1141-02",,"J7799",,1/1/2002,4/12/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (VIAL, FLIPTOP, BULK PKG) 23.4%",100,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074115112","00074-1151-12",,"J1642",,1/1/2002,7/13/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL,FLIPTOP,LIFESHIELD) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074115114","00074-1151-14",,"J1642",,1/1/2002,2/19/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL,FLIPTOP,LIFESHIELD) 10 U/ML",30,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074115170","00074-1151-70",,"J1642",,1/1/2002,7/19/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL, FLIPTOP) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074115178","00074-1151-78",,"J1642",,1/1/2002,9/18/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL, FLIPTOP) 10 U/ML",30,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074115212","00074-1152-12",,"J1642",,1/1/2002,3/14/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL,FLIPTOP,LIFESHIELD) 100 U/ML",10,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074115214","00074-1152-14",,"J1642",,1/1/2002,5/16/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL,FLIPTOP,LIFESHIELD) 100 U/ML",30,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074115270","00074-1152-70",,"J1642",,1/1/2002,9/6/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL,FLIPTOP,LATEX-FREE) 100 U/ML",10,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074115278","00074-1152-78",,"J1642",,1/1/2002,2/24/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL, FLIPTOP) 100 U/ML",30,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074115801","00074-1158-01",,"J3490",,1/1/2002,7/26/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP,5X30ML,LATEX-FREE) 0.25%",30,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074115802","00074-1158-02",,"J3490",,1/1/2002,10/27/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP,LATEX-FREE) 0.25%",50,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074115901","00074-1159-01",,"J3490",,1/1/2002,6/28/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,LATEX-FREE) 0.25%",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074115902","00074-1159-02",,"J3490",,1/1/2002,8/9/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,LATEX-FREE) 0.25%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074116001","00074-1160-01",,"J3490",,1/1/2002,4/11/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL, FLIPTOP) 0.25%",50,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074116101","00074-1161-01",,"J3490",,1/1/2002,10/17/2004,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP,LATEX-FREE) 0.5%",30,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074116201","00074-1162-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,LATEX-FREE) 0.5%",10,"ML","VL","IJ","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074116202","00074-1162-02",,"J3490",,1/1/2002,11/21/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,LATEX-FREE) 0.5%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074116301","00074-1163-01",,"J3490",,1/1/2002,3/29/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL, FLIPTOP) 0.5%",50,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074116401","00074-1164-01",,"J3490",,1/1/2002,3/23/2006,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP,LATEX-FREE) 0.75%",30,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,3/23/2006,,,,,,
"00074116501","00074-1165-01",,"J3490",,1/1/2002,12/7/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,LATEX-FREE) 0.75%",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074116502","00074-1165-02",,"J3490",,1/1/2002,5/23/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,LATEX-FREE) 0.75%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074117601","00074-1176-01",,"J2175",,1/1/2002,6/6/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (22GX1-1/4"") 25 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.25,1/1/2002,,,,,,,
"00074117602","00074-1176-02",,"J2175",,1/1/2002,10/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (SLIM PK,LATEX-FREE) 25 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.25,1/1/2002,,,,,,,
"00074117611","00074-1176-11",,"J2175",,1/1/2002,10/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (BLUNT CANNULA) 25 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.25,1/1/2002,,,,,,,
"00074117621","00074-1176-21",,"J2175",,1/1/2002,10/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (INTERLINK,LATEX-FREE) 25 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.25,1/1/2002,,,,,,,
"00074117630","00074-1176-30",,"J2175",,1/1/2002,8/24/2005,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LLK,SLIM PK,LATEX-FREE) 25 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.25,1/1/2002,,,,,,,
"00074117631","00074-1176-31",,"J2175",,1/1/2002,6/6/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LUER LOCK,LATEX-FREE) 25 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.25,1/1/2002,,,,,,,
"00074117801","00074-1178-01",,"J2175",,1/1/2002,10/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (22GX1-1/4"",LATEX-FREE) 50 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074117802","00074-1178-02",,"J2175",,1/1/2002,3/18/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (SLIM PK,LATEX-FREE) 50 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074117811","00074-1178-11",,"J2175",,1/1/2002,8/16/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (BLUNT CANNULA) 50 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074117821","00074-1178-21",,"J2175",,1/1/2002,10/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (INTERLINK,LATEX-FREE) 50 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074117830","00074-1178-30",,"J2175",,1/1/2002,9/13/2005,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LLK,SLIM PK,LATEX-FREE) 50 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074117831","00074-1178-31",,"J2175",,1/1/2002,3/18/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LUER LOCK,LATEX-FREE) 50 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074117901","00074-1179-01",,"J2175",,1/1/2002,12/10/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (22GX1-1/4"") 75 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.75,1/1/2002,,,,,,,
"00074117902","00074-1179-02",,"J2175",,1/1/2002,12/10/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (SLIM PK,LATEX-FREE) 75 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.75,1/1/2002,,,,,,,
"00074117911","00074-1179-11",,"J2175",,1/1/2002,3/18/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (BLUNT CANNULA) 75 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.75,1/1/2002,,,,,,,
"00074117921","00074-1179-21",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (INTERLINK,LATEX-FREE) 75 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.75,1/1/2002,,,,,,,
"00074117930","00074-1179-30",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LLK,SLIM PK,LATEX-FREE) 75 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.75,3/1/2009,,1/1/2002,,0.75,,,
"00074117931","00074-1179-31",,"J2175",,1/1/2002,3/18/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LUER LOCK,LATEX-FREE) 75 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.75,1/1/2002,,,,,,,
"00074118001","00074-1180-01",,"J2175",,1/1/2002,10/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (22GX1-1/4"",LATEX-FREE) 100 MG/ML",1,"ML","SR","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00074118002","00074-1180-02",,"J2175",,1/1/2002,5/6/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (SLIM PK,CARPUJECT) 100 MG/ML",1,"ML","SR","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00074118011","00074-1180-11",,"J2175",,1/1/2002,10/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (BLUNT CANNULA,CARPUJECT) 100 MG/ML",1,"ML","SR","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00074118021","00074-1180-21",,"J2175",,1/1/2002,3/18/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (INTERLINK,CARPUJECT) 100 MG/ML",1,"ML","SR","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00074118031","00074-1180-31",,"J2175",,1/1/2002,3/18/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LUER LOCK,CARPUJECT) 100 MG/ML",1,"ML","SR","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00074118069","00074-1180-69",,"J2175",,3/8/2002,9/13/2005,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE 100 MG/ML",1,"ML","SR","IJ","ML",100,"MG",1,3/8/2002,,,,,,,
"00074118130","00074-1181-30",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (M.D.V.,LATEX-FREE) 50 MG/ML",30,"ML","VL","IJ","ML",100,"MG",0.5,3/1/2009,,1/1/2002,,0.5,,,
"00074118401","00074-1184-01",,"J0610",,1/1/2002,7/28/2006,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (AMP,LATEX-FREE) 100 MG/ML",1,"ML","AM","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074118701","00074-1187-01",,"J1790",,1/1/2002,8/22/2005,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (S.D.AMP,LATEX-FREE) 2.5 MG/ML",2,"ML","AM","IJ","ML",5,"MG",0.5,1/1/2002,,,,,,,
"00074120120","00074-1201-20",,"J2175",,1/1/2002,3/8/2006,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (M.D.V.,LATEX-FREE) 100 MG/ML",20,"ML","VL","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00074120203","00074-1202-03",,"J7799",,1/1/2002,5/7/2002,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (AMP,LATEX-FREE) 10%",3,"ML","AM","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074120301","00074-1203-01",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (UNI-AMP,5X5,LATEX-FREE) 50 MG/ML",0.5,"ML","AM","IJ","ML",100,"MG",0.5,10/1/2008,,1/1/2002,,0.5,,,
"00074120703","00074-1207-03",,"J1580",,1/1/2002,8/29/2005,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL, FLIPTOP) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00074121101","00074-1211-01",,"J2310",,1/1/2002,5/6/2004,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (AMP) 0.02 MG/ML",2,"ML","AM","IJ","ML",1,"MG",0.02,1/1/2002,,,,,,,
"00074121201","00074-1212-01",,"J2310",,1/1/2002,6/15/2005,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (AMP,LATEX-FREE) 0.4 MG/ML",1,"ML","AM","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"00074121301","00074-1213-01",,"J2310",,1/1/2002,5/7/2002,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (HYPAK) 0.4 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"00074121501","00074-1215-01",,"J2310",,1/1/2002,7/7/2005,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (VIAL, FLIPTOP) 0.4 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"00074121601","00074-1216-01",,"J2310",,1/1/2002,5/7/2002,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (VIAL, FLIPTOP) 0.02 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.02,1/1/2002,,,,,,,
"00074121901","00074-1219-01",,"J2310",,9/7/2005,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (VIAL, FLIPTOP) 0.4 MG/ML",10,"ML","VL","IJ","ML",1,"MG",0.4,9/7/2005,,,,,,,
"00074125301","00074-1253-01",,"J2175",,1/1/2002,1/3/2006,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (UNI-AMP,5X5,LATEX-FREE) 50 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00074125401","00074-1254-01",,"J2175",,1/1/2002,3/19/2006,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (UNI-AMP,5X5,LATEX-FREE) 50 MG/ML",1.5,"ML","AM","IJ","ML",100,"MG",0.5,1/1/2002,3/19/2006,,,,,,
"00074125502","00074-1255-02",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (UNI-AMP,5X5,LATEX-FREE) 50 MG/ML",2,"ML","AM","IJ","ML",100,"MG",0.5,3/1/2009,,1/1/2002,,0.5,,,
"00074125601","00074-1256-01",,"J2175",,1/1/2002,1/25/2006,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (UNI-AMP,5X5,LATEX-FREE) 100 MG/ML",1,"ML","AM","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00074125801","00074-1258-01",,"J2270",,1/1/2002,12/10/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (25GX5/8"") 4 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.4,1/1/2002,,,,,,,
"00074125802","00074-1258-02",,"J2270",,1/1/2002,3/18/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (25G,SLIM PK,LATEX-FREE) 4 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.4,1/1/2002,,,,,,,
"00074125811","00074-1258-11",,"J2270",,1/1/2002,10/24/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (BLUNT CANNULA) 4 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.4,1/1/2002,,,,,,,
"00074125821","00074-1258-21",,"J2270",,1/1/2002,10/24/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (INTERLINK,LATEX-FREE) 4 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.4,1/1/2002,,,,,,,
"00074125830","00074-1258-30",,"J2270",,1/1/2002,5/9/2005,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LLK,SLIM PK,LATEX-FREE) 4 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.4,1/1/2002,,,,,,,
"00074125831","00074-1258-31",,"J2270",,1/1/2002,6/6/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LUER LOCK,LATEX-FREE) 4 MG/ML",1,"ML","CR","IJ","ML",10,"MG",0.4,1/1/2002,,,,,,,
"00074125901","00074-1259-01",,"J2270",,1/1/2002,6/6/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (22GX5/8"",LATEX-FREE) 8 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.8,1/1/2002,,,,,,,
"00074125960","00074-1259-60",,"J2270",,3/8/2002,12/10/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (22GX5/8"",LATEX-FREE) 8 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.8,3/8/2002,,,,,,,
"00074126001","00074-1260-01",,"J2270",,1/1/2002,3/18/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (25GX5/8"",LATEX-FREE) 8 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.8,1/1/2002,,,,,,,
"00074126011","00074-1260-11",,"J2270",,1/1/2002,5/7/2002,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (BLUNT CANNULA,CARPUJECT) 8 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.8,1/1/2002,,,,,,,
"00074126021","00074-1260-21",,"J2270",,1/1/2002,5/7/2002,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (INTERLINK,CARPUJECT) 8 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.8,1/1/2002,,,,,,,
"00074126031","00074-1260-31",,"J2270",,1/1/2002,6/6/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LUER LOCK,CARPUJECT) 8 MG/ML",1,"ML","CR","IJ","ML",10,"MG",0.8,1/1/2002,,,,,,,
"00074126069","00074-1260-69",,"J2270",,3/8/2002,3/21/2006,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (CARPUJECT LUER LOCK) 8 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.8,3/8/2002,3/21/2006,,,,,,
"00074126101","00074-1261-01",,"J2270",,1/1/2002,12/10/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (22GX5/8"") 10 MG/ML",1,"ML","SR","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074126102","00074-1261-02",,"J2270",,1/1/2002,3/18/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (22G,SLIM PK,LATEX-FREE) 10 MG/ML",1,"ML","SR","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074126130","00074-1261-30",,"J2270",,1/1/2002,7/20/2005,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LLK,SLIM PK,LATEX-FREE) 10 MG/ML",1,"ML","SR","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074126131","00074-1261-31",,"J2270",,1/1/2002,12/10/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LUER LOCK,LATEX-FREE) 10 MG/ML",1,"ML","CR","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074126201","00074-1262-01",,"J2271",,1/1/2002,3/18/2004,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (22GX5/8"") 15 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"00074126301","00074-1263-01",,"J2270",,1/1/2002,3/18/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (25GX5/8"") 10 MG/ML",1,"ML","SR","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074126311","00074-1263-11",,"J2270",,1/1/2002,6/6/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (BLUNT CANNULA) 10 MG/ML",1,"ML","SR","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074126321","00074-1263-21",,"J2270",,1/1/2002,5/6/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (INTERLINK,LATEX-FREE) 10 MG/ML",1,"ML","SR","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074126401","00074-1264-01",,"J2271",,1/1/2002,9/20/2002,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (25GX5/8"") 15 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"00074126411","00074-1264-11",,"J2271",,1/1/2002,9/20/2002,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (BLUNT CANNULA) 15 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"00074126421","00074-1264-21",,"J2271",,1/1/2002,5/7/2002,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (INTERLINK,LATEX-FREE) 15 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"00074126431","00074-1264-31",,"J2271",,1/1/2002,12/15/2005,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (LUER LOCK,LATEX-FREE) 15 MG/ML",1,"ML","CR","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"00074127302","00074-1273-02",,"J3360",,1/1/2002,6/6/2003,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (22GX1-1/4"") 5 MG/ML",2,"ML","SR","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"00074127312","00074-1273-12",,"J3360",,1/1/2002,5/7/2002,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (U-BLUNT CANN,LATEX-FREE) 5 MG/ML",2,"ML","SR","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"00074127322","00074-1273-22",,"J3360",,1/1/2002,5/7/2002,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (INTERLINK,LATEX-FREE) 5 MG/ML",2,"ML","SR","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"00074127332","00074-1273-32",,"J3360",,1/1/2002,8/22/2005,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (LUER LOCK,LATEX-FREE) 5 MG/ML",2,"ML","CR","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"00074127502","00074-1275-02",,"J1940",,1/1/2002,3/18/2004,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (22GX1-1/4"",LATEX-FREE) 10 MG/ML",2,"ML","SR","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074127522","00074-1275-22",,"J1940",,1/1/2002,3/18/2004,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (INTERLINK,CARPUJECT) 10 MG/ML",2,"ML","SR","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074127532","00074-1275-32",,"J1940",,4/14/2004,8/30/2005,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE 10 MG/ML",2,"ML","SR","IJ","ML",20,"MG",0.5,4/14/2004,,,,,,,
"00074127602","00074-1276-02",,"J3010",,1/1/2002,5/7/2002,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (22GX1-1/4"",PF,CARPUJECT) 0.05 MG/ML",2,"ML","SR","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00074127605","00074-1276-05",,"J3010",,1/1/2002,5/7/2002,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (22GX1-1/4"",PF,CARPUJECT) 0.05 MG/ML",5,"ML","SR","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00074127632","00074-1276-32",,"J3010",,1/1/2002,7/26/2005,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (LUER LOCK,PF,CARPUJECT) 0.05 MG/ML",2,"ML","CR","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00074127635","00074-1276-35",,"J3010",,1/1/2002,12/10/2003,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (LUER LOCK,PF,CARPUJECT) 0.05 MG/ML",5,"ML","CR","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00074127701","00074-1277-01",,"J3410",,1/1/2002,2/15/2002,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (CARPUJECT) 25 MG/ML",1,"ML","SR","IM","ML",25,"MG",1,1/1/2002,,,,,,,
"00074128001","00074-1280-01",,"J1642",,1/1/2002,9/5/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25GX5/8"",LATEX-FREE) 10 U/ML",1,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128002","00074-1280-02",,"J1642",,1/1/2002,6/21/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25GX5/8"",LATEX-FREE) 10 U/ML",2,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128003","00074-1280-03",,"J1642",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25GX5/8"",LATEX-FREE) 10 U/ML",3,"ML","CR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128005","00074-1280-05",,"J1642",,1/1/2002,5/7/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25GX5/8"",LATEX-FREE) 10 U/ML",5,"ML","CR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128011","00074-1280-11",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (BLUNT CANNULA) 10 U/ML",1,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128012","00074-1280-12",,"J1642",,1/1/2002,12/10/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (BLUNT CANNULA) 10 U/ML",2,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128013","00074-1280-13",,"J1642",,1/1/2002,10/24/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (BLUNT CANNULA) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128015","00074-1280-15",,"J1642",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (BLUNT CANNULA) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128021","00074-1280-21",,"J1642",,1/1/2002,12/10/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (INTERLINK,LATEX-FREE) 10 U/ML",1,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128022","00074-1280-22",,"J1642",,1/1/2002,12/10/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (INTERLINK,LATEX-FREE) 10 U/ML",2,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128023","00074-1280-23",,"J1642",,1/1/2002,9/20/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (INTERLINK,LATEX-FREE) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128025","00074-1280-25",,"J1642",,1/1/2002,12/12/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (INTERLINK,LATEX-FREE) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128031","00074-1280-31",,"J1642",,1/1/2002,3/27/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",1,"ML","CR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128032","00074-1280-32",,"J1642",,1/1/2002,4/7/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",2,"ML","CR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128033","00074-1280-33",,"J1642",,1/1/2002,4/4/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",3,"ML","CR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128035","00074-1280-35",,"J1642",,1/1/2002,3/31/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",5,"ML","CR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00074128101","00074-1281-01",,"J1642",,1/1/2002,12/12/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25GX5/8"",LATEX-FREE) 100 U/ML",1,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128102","00074-1281-02",,"J1642",,1/1/2002,2/19/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25GX5/8"",LATEX-FREE) 100 U/ML",2,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128103","00074-1281-03",,"J1642",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25GX5/8"",CARPUJECT) 100 U/ML",3,"ML","CR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128105","00074-1281-05",,"J1642",,1/1/2002,12/12/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25GX5/8"",CARPUJECT) 100 U/ML",5,"ML","CR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128111","00074-1281-11",,"J1642",,1/1/2002,10/24/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (BLUNT CANNULA,CARPUJECT) 100 U/ML",1,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128112","00074-1281-12",,"J1642",,1/1/2002,2/15/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (BLUNT CANNULA,CARPUJECT) 100 U/ML",2,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128113","00074-1281-13",,"J1642",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (BLUNT CANNULA,CARPUJECT) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128115","00074-1281-15",,"J1642",,1/1/2002,7/12/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (BLUNT CANNULA,CARPUJECT) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128121","00074-1281-21",,"J1642",,1/1/2002,12/10/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (INTERLINK,LATEX-FREE) 100 U/ML",1,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128122","00074-1281-22",,"J1642",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (INTERLINK,LATEX-FREE) 100 U/ML",2,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128123","00074-1281-23",,"J1642",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (INTERLINK,CARPUJECT) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128125","00074-1281-25",,"J1642",,1/1/2002,12/10/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (INTERLINK,CARPUJECT) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128131","00074-1281-31",,"J1642",,1/1/2002,7/21/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,CARPUJECT) 100 U/ML",1,"ML","CR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128132","00074-1281-32",,"J1642",,1/1/2002,4/24/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,CARPUJECT) 100 U/ML",2,"ML","CR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128133","00074-1281-33",,"J1642",,1/1/2002,7/14/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,CARPUJECT) 100 U/ML",3,"ML","CR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128135","00074-1281-35",,"J1642",,1/1/2002,4/24/2005,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,CARPUJECT) 100 U/ML",5,"ML","CR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074128202","00074-1282-02",,"J1642",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-PAK CONVENIENCE PACKAGE (CARPUJECT) 10 U/ML",50,"EA","BX","IV","EA",10,"U",50,1/1/2002,,,,,,,
"00074128301","00074-1283-01",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (22GX1-1/4"") 1 MG/ML",1,"ML","SR","IJ","ML",4,"MG",0.25,1/1/2002,,,,,,,
"00074128331","00074-1283-31",,"J1170",,1/1/2002,6/13/2005,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (LUER LOCK,LATEX-FREE) 1 MG/ML",1,"ML","CR","IJ","ML",4,"MG",0.25,1/1/2002,,,,,,,
"00074130401","00074-1304-01",,"J1170",,1/1/2002,12/10/2003,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (22GX1-1/4"") 4 MG/ML",1,"ML","SR","IJ","ML",4,"MG",1,1/1/2002,,,,,,,
"00074130412","00074-1304-12",,"J1170",,1/1/2002,2/15/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U-BLUNT CANN,LATEX-FREE) 4 MG/ML",1,"ML","SR","IJ","ML",4,"MG",1,1/1/2002,,,,,,,
"00074130431","00074-1304-31",,"J1170",,1/1/2002,7/12/2005,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (LUER LOCK,LATEX-FREE) 4 MG/ML",1,"ML","CR","IJ","ML",4,"MG",1,1/1/2002,,,,,,,
"00074131201","00074-1312-01",,"J1170",,1/1/2002,12/10/2003,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (22GX1-1/4"") 2 MG/ML",1,"ML","SR","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00074131202","00074-1312-02",,"J1170",,1/1/2002,10/24/2003,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (SLIM PK,LATEX-FREE) 2 MG/ML",1,"ML","SR","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00074131212","00074-1312-12",,"J1170",,1/1/2002,11/1/2004,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U-BLUNT CANN,LATEX-FREE) 2 MG/ML",1,"ML","SR","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00074131230","00074-1312-30",,"J1170",,1/1/2002,7/6/2005,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (10X1ML, LLK,SLIM PK) 2 MG/ML",1,"ML","SR","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00074131231","00074-1312-31",,"J1170",,1/1/2002,6/6/2003,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (LUER LOCK,LATEX-FREE) 2 MG/ML",1,"ML","CR","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00074131601","00074-1316-01",,"J1644",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (25GX5/8"") 10000 U/ML",1,"ML","SR","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00074131602","00074-1316-02",,"J1644",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (25GX5/8"") 2500 U/ML",0.25,"ML","SR","IJ","ML",1000,"U",2.5,1/1/2002,,,,,,,
"00074131611","00074-1316-11",,"J1644",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (25GX5/8"") 10000 U/ML",1,"ML","SR","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00074131612","00074-1316-12",,"J1644",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (25GX5/8"") 7500 U/ML",0.75,"ML","SR","IJ","ML",1000,"U",7.5,1/1/2002,,,,,,,
"00074131613","00074-1316-13",,"J1644",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (25GX5/8"") 10000 U/ML",0.5,"ML","SR","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00074131614","00074-1316-14",,"J1644",,1/1/2002,12/10/2003,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (25GX5/8"") 10000 U/ML",0.5,"ML","SR","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00074131631","00074-1316-31",,"J1644",,1/1/2002,2/15/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (LUER LOCK,PF,CARPUJECT) 10000 U/ML",1,"ML","SR","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00074131632","00074-1316-32",,"J1644",,10/30/2003,3/22/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM 10000 U/ML",0.5,"ML","SR","IJ","ML",1000,"U",10,10/30/2003,,,,,,,
"00074131666","00074-1316-66",,"J1644",,6/23/2003,2/10/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (PF,CARPUJECT) 10000 U/ML",0.5,"ML","SR","IJ","ML",1000,"U",10,6/23/2003,,,,,,,
"00074131701","00074-1317-01",,"J1165",,1/1/2002,2/7/2005,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (AMP,LATEX-FREE) 50 MG/ML",2,"ML","AM","IV","ML",50,"MG",1,1/1/2002,,,,,,,
"00074131702","00074-1317-02",,"J1165",,1/1/2002,3/29/2005,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (AMP,LATEX-FREE) 50 MG/ML",5,"ML","AM","IV","ML",50,"MG",1,1/1/2002,,,,,,,
"00074132305","00074-1323-05",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (10X5ML, ANSYR) 2%",5,"ML","SR","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074132305","00074-1323-05",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (10X5ML, ANSYR) 2%",5,"ML","SR","IJ","ML",10,"MG",2,3/1/2009,,1/1/2004,,2,,,
"00074138901","00074-1389-01",,"J1644",,1/1/2002,2/15/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEP-PAK CONVENIENCE PACKAGE (CARPUJECT) 100 U/ML",50,"EA","BX","IV","EA",1000,"U",5,1/1/2002,,,,,,,
"00074138902","00074-1389-02",,"J1644",,1/1/2002,6/21/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEP-PAK CVC CONVENIENCE PACKAGE 100 U/ML",30,"EA","BX","IV","EA",1000,"U",3,1/1/2002,,,,,,,
"00074138932","00074-1389-32",,"J1644",,1/1/2002,6/21/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEP-PAK CVC CONVENIENCE PACKAGE (W/LUER LOCK,CARPUJECT) 100 U/ML",30,"EA","BX","IV","EA",1000,"U",3,1/1/2002,,,,,,,
"00074140201","00074-1402-01",,"J1644",,1/1/2002,12/10/2003,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (25GX5/8"",CARPUJECT) 5000 U/ML",1,"ML","SR","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"00074140211","00074-1402-11",,"J1644",,1/1/2002,6/6/2003,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (25GX5/8"",CARPUJECT) 5000 U/ML",1,"ML","SR","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"00074140231","00074-1402-31",,"J1644",,1/1/2002,3/20/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (LUER LOCK,CARPUJECT) 5000 U/ML",1,"ML","AM","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"00074141001","00074-1410-01",,"J7659",,2/22/2002,,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (25X1ML, AMP,LATEX-FREE) 0.2 MG/ML",1,"ML","AM","IV","ML",1,"MG",0.2,10/1/2008,,2/22/2002,,0.2,,,
"00074141001","00074-1410-01","KO","J7659","KO",2/22/2002,,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (25X1ML, AMP,LATEX-FREE) 0.2 MG/ML",1,"ML","AM","IV","ML",1,"MG",0.2,10/1/2008,,2/22/2002,,0.2,,,
"00074141005","00074-1410-05",,"J7659",,2/22/2002,10/25/2005,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (10X5ML, AMP,LATEX-FREE) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,2/22/2002,,,,,,,
"00074141005","00074-1410-05","KO","J7659","KO",2/22/2002,10/25/2005,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (10X5ML, AMP,LATEX-FREE) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,2/22/2002,,,,,,,
"00074141204","00074-1412-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUMETANIDE (10X4ML) 0.25 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074141210","00074-1412-10",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUMETANIDE (10X10ML, M.D.V.) 0.25 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074141214","00074-1412-14",,"J3490",,1/1/2002,2/15/2002,"UNCLASSIFIED DRUGS","BUMETANIDE (CARPUJECT) 0.25 MG/ML",4,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074146301","00074-1463-01",,"J2300",,1/1/2002,3/8/2005,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (AMP,LATEX-FREE) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074146401","00074-1464-01",,"J2300",,1/1/2002,7/12/2005,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (25X10ML) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074146501","00074-1465-01",,"J2300",,1/1/2002,11/17/2004,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (AMP,LATEX-FREE) 20 MG/ML",1,"ML","AM","IJ","ML",10,"MG",2,1/1/2002,,,,,,,
"00074146701","00074-1467-01",,"J2300",,1/1/2002,5/11/2005,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (VIAL, FLIPTOP) 20 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2,1/1/2002,,,,,,,
"00074148901","00074-1489-01",,"J7799",,1/1/2002,2/19/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAL,100 ML PRESS. PNTP) 70%",70,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074149301","00074-1493-01",,"J2912",,1/1/2002,9/20/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (100 ML PRESS.PNTOP VIAL) 0.9%",50,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074149401","00074-1494-01",,"J7060",,1/1/2002,9/20/2002,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (VIAL,150 ML PRESS. PNTP) 5%",100,"ML","VL","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074149501","00074-1495-01",,"J7060",,1/1/2002,5/7/2002,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (VIAL,100 ML PRESS. PNTP) 5%",50,"ML","VL","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074149701","00074-1497-01",,"J3480",,1/1/2002,6/6/2003,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, PINTOP,LATEX-FREE) 2 MEQ/ML",10,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074149801","00074-1498-01",,"J3480",,1/1/2002,9/20/2002,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, PINTOP,LATEX-FREE) 2 MEQ/ML",15,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074149901","00074-1499-01",,"J3480",,1/1/2002,6/21/2002,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, PINTOP,LATEX-FREE) 2 MEQ/ML",20,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074150503","00074-1505-03",,"J7110",,1/1/2002,12/28/2005,"INFUSION, DEXTRAN 75, 500 ML","DEXTRAN-70 W/SODIUM CHLORIDE 6%-0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074150703","00074-1507-03",,"J7110",,1/1/2002,,"INFUSION, DEXTRAN 75, 500 ML","DEXTRAN-70/DEXTROSE (12X500ML) 6%-5%",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074150805","00074-1508-05",,"J7799",,1/1/2002,8/30/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (6X1000ML) 2.5%",1000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074151302","00074-1513-02",,"J3480",,1/1/2002,6/15/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, BULK,LATEX-FREE) 2 MEQ/ML",250,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074151805","00074-1518-05",,"J7799",,1/1/2002,3/18/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LATEX-FREE) 50%",1000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074151905","00074-1519-05",,"J7799",,1/1/2002,3/18/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LATEX-FREE) 70%",1000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074152105","00074-1521-05",,"J7120",,1/1/2002,4/30/2003,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 2.5% IN RINGERS (1/2 STRENGTH LACT RING)",1000,"ML","NA","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00074152201","00074-1522-01",,"J7060",,1/1/2002,4/10/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",150,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074152202","00074-1522-02",,"J7060",,1/1/2002,3/8/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",250,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074152203","00074-1522-03",,"J7060",,1/1/2002,6/15/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (12X500ML) 5%",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074152301","00074-1523-01",,"J7060",,1/1/2002,9/15/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (50/150 ML PART FILL) 5%",50,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074152311","00074-1523-11",,"J7060",,1/1/2002,7/26/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (100/150 ML PART FILL) 5%",100,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074153405","00074-1534-05",,"J7799",,1/1/2002,2/23/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (6X1000ML) 10%-0.9%",1000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074153503","00074-1535-03",,"J7799",,1/1/2002,9/7/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (12X500ML) 20%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074153603","00074-1536-03",,"J7799",,1/1/2002,3/18/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LATEX-FREE) 50%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074153911","00074-1539-11",,"J2060",,1/1/2002,4/30/2003,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (22GX1-1/4"",LATEX-FREE) 4 MG/ML",1,"ML","SR","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"00074153912","00074-1539-12",,"J2060",,1/1/2002,9/20/2002,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U-BLUNT CANN,LATEX-FREE) 4 MG/ML",1,"ML","SR","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"00074153921","00074-1539-21",,"J2060",,1/1/2002,6/21/2002,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (INTERLINK,LATEX-FREE) 4 MG/ML",1,"ML","SR","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"00074153931","00074-1539-31",,"J2060",,1/1/2002,12/22/2005,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (10X1ML, LUER LOCK) 4 MG/ML",1,"ML","CR","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"00074154001","00074-1540-01",,"J2560",,1/1/2002,3/18/2004,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","LUMINAL SODIUM (AMP) 130 MG/ML",1,"ML","AM","IJ","ML",120,"MG",1.08333,1/1/2002,,,,,,,
"00074155910","00074-1559-10",,"J3490",,1/1/2002,8/21/2005,"UNCLASSIFIED DRUGS","MARCAINE HCL (S.D.V.,LATEX-FREE) 0.25%",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074155930","00074-1559-30",,"J3490",,1/1/2002,9/6/2005,"UNCLASSIFIED DRUGS","MARCAINE HCL (S.D.V.,LATEX-FREE) 0.25%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074155950","00074-1559-50",,"J3490",,1/1/2002,8/16/2004,"UNCLASSIFIED DRUGS","MARCAINE HCL (AMP,LATEX-FREE) 0.25%",50,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074156010","00074-1560-10",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","MARCAINE HCL (S.D.V.) 0.5%",10,"ML","VL","IJ","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074156029","00074-1560-29",,"J3490",,1/1/2002,8/4/2005,"UNCLASSIFIED DRUGS","MARCAINE HCL (S.D.V.) 0.5%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074156030","00074-1560-30",,"J3490",,1/1/2002,3/18/2004,"UNCLASSIFIED DRUGS","MARCAINE HCL (AMP) 0.5%",30,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074158210","00074-1582-10",,"J3490",,1/1/2002,7/21/2005,"UNCLASSIFIED DRUGS","MARCAINE HCL (10X10ML, S.D.V.) 0.75%",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074158229","00074-1582-29",,"J3490",,1/1/2002,8/3/2005,"UNCLASSIFIED DRUGS","MARCAINE HCL (10X30ML,LATEX-FREE) 0.75%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074158230","00074-1582-30",,"J3490",,1/1/2002,5/16/2005,"UNCLASSIFIED DRUGS","MARCAINE HCL (AMP,LATEX-FREE) 0.75%",30,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074158301","00074-1583-01",,"J7050",,1/1/2002,7/19/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (12X150ML,PF) 0.9%",150,"ML","GC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074158302","00074-1583-02",,"J7050",,1/1/2002,9/13/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (12X250ML,PF) 0.9%",250,"ML","GC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074158401","00074-1584-01",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (150 ML CONTAINER,PF) 0.9%",50,"ML","GC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074158401","00074-1584-01",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (150 ML CONTAINER,PF) 0.9%",50,"ML","GC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074158411","00074-1584-11",,"J7050",,1/1/2002,9/15/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (12X100ML,PF) 0.9%",100,"ML","GC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074158603","00074-1586-03",,"J7799",,1/1/2002,3/23/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (12X500ML) 5%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,3/23/2006,,,,,,
"00074158750","00074-1587-50",,"J3490",,1/1/2002,1/9/2006,"UNCLASSIFIED DRUGS","MARCAINE HCL (M.D.V.,LATEX-FREE) 0.25%",50,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074159002","00074-1590-02",,"A4217",,1/1/2004,8/4/2005,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (12X250ML,PF,LATEX-FREE)",250,"ML","GC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074159002","00074-1590-02",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (12X250ML,PF,LATEX-FREE)",250,"ML","GC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074159005","00074-1590-05",,"A4217",,1/1/2004,6/27/2005,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (PF,LATEX-FREE)",1000,"ML","GC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074159005","00074-1590-05",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (PF,LATEX-FREE)",1000,"ML","GC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074159202","00074-1592-02",,"J3350",,1/1/2002,5/7/2002,"INJECTION, UREA, UP TO 40 GM","UREAPHIL 40 GM",1,"EA","GC","IV","EA",40,"GM",1,1/1/2002,,,,,,,
"00074161050","00074-1610-50",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","MARCAINE HCL (M.D.V.) 0.5%",50,"ML","VL","IJ","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074162301","00074-1623-01",,"J0595",,1/1/2004,9/19/2005,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (10X1ML) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,1/1/2004,,,,,,,
"00074162301","00074-1623-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (10X1ML) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074162349","00074-1623-49",,"J0595",,1/1/2004,10/18/2005,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE NOVATION (10X1ML) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,1/1/2004,,,,,,,
"00074162349","00074-1623-49",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE NOVATION (10X1ML) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074162449","00074-1624-49",,"J3490",,1/1/2002,5/7/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE NOVATION (HYPAK) 1 MG/ML",1,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074162601","00074-1626-01",,"J0595",,1/1/2004,3/20/2006,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (10X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,3/20/2006,,,,,,
"00074162601","00074-1626-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (10X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074162602","00074-1626-02",,"J0595",,1/1/2004,12/20/2005,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00074162602","00074-1626-02",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074162649","00074-1626-49",,"J0595",,1/1/2004,5/23/2006,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE NOVATION (10X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00074162649","00074-1626-49",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE NOVATION (10X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074162651","00074-1626-51",,"J0595",,1/1/2004,12/7/2005,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE NOVATION (10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00074162651","00074-1626-51",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE NOVATION (10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074162749","00074-1627-49",,"J3490",,1/1/2002,5/7/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE NOVATION (HYPAK) 2 MG/ML",1,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074163010","00074-1630-10",,"J0460",,7/17/2003,1/10/2006,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (ANSYR, 10X10ML) 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,7/17/2003,,,,,,,
"00074163910","00074-1639-10",,"J1940",,1/1/2002,1/22/2006,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (10X10ML, ANSYR) 10 MG/ML",10,"ML","SR","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074165801","00074-1658-01",,"J2500",,1/1/2002,12/31/2002,"INJECTION, PARICALCITOL, 5 MCG","ZEMPLAR (S.D.V.,FLIPTOP) 0.005 MG/ML",1,"ML","VL","IV","ML",5,"MCG",1,1/1/2002,,,,,,,
"00074165801","00074-1658-01",,"J2501",,1/1/2003,,"INJECTION, PARICALCITOL, 1 MCG","ZEMPLAR (S.D.V.,FLIPTOP) 0.005 MG/ML",1,"ML","VL","IV","ML",1,"MCG",5,1/1/2003,,,,,,,
"00074165802","00074-1658-02",,"J2500",,1/1/2002,12/31/2002,"INJECTION, PARICALCITOL, 5 MCG","ZEMPLAR (S.D.V.,FLIPTOP) 0.005 MG/ML",2,"ML","VL","IV","ML",5,"MCG",1,1/1/2002,,,,,,,
"00074165802","00074-1658-02",,"J2501",,1/1/2003,,"INJECTION, PARICALCITOL, 1 MCG","ZEMPLAR (S.D.V.,FLIPTOP) 0.005 MG/ML",2,"ML","VL","IV","ML",1,"MCG",5,1/1/2003,,,,,,,
"00074169810","00074-1698-10",,"J3490",,1/1/2002,3/18/2004,"UNCLASSIFIED DRUGS","BRETYLIUM TOSYLATE (ANSYR) 50 MG/ML",10,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074175410","00074-1754-10",,"J3475",,1/1/2002,11/26/2006,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (ANSYR,LATEX-FREE) 500 MG/ML",10,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00074176102","00074-1761-02",,"J3490",,1/1/2002,6/5/2005,"UNCLASSIFIED DRUGS","MARCAINE SPINAL (AMP,W/DEXTROSE,PF) 0.75%",2,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074176201","00074-1762-01",,"J2270",,1/1/2002,3/18/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (25GX5/8"") 2 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00074176202","00074-1762-02",,"J2270",,1/1/2002,12/10/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (25G,SLIM PK,CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00074176211","00074-1762-11",,"J2270",,1/1/2002,10/24/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (BLUNT CANNULA,CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00074176221","00074-1762-21",,"J2270",,1/1/2002,9/5/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (INTERLINK,CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00074176230","00074-1762-30",,"J2270",,1/1/2002,5/26/2005,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LLK,SLIM PK,CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00074176231","00074-1762-31",,"J2270",,1/1/2002,6/6/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LUER LOCK,CARPUJECT) 2 MG/ML",1,"ML","CR","IJ","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00074177510","00074-1775-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (10X10ML,ANSYR) 25%",10,"ML","SR","IV","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074178201","00074-1782-01",,"J2310",,1/1/2002,3/18/2004,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (22GX1-1/4"",LATEX-FREE) 0.4 MG/ML",1,"ML","SR","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"00074178221","00074-1782-21",,"J2310",,1/1/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (INTERLINK,CARPUJECT) 0.4 MG/ML",1,"ML","SR","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"00074178269","00074-1782-69",,"J2310",,3/10/2004,9/28/2005,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (10X1ML, CARPUJECT) 0.4 MG/ML",1,"ML","SR","IJ","ML",1,"MG",0.4,3/10/2004,,,,,,,
"00074180001","00074-1800-01",,"J2370",,1/1/2002,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","NEO-SYNEPHRINE HCL (AMP,LATEX-FREE) 10 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,3/1/2009,,1/1/2002,,1,,,
"00074181102","00074-1811-02",,"J2912",,1/1/2002,6/6/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (22GX1-1/4"",PF) 0.9%",2,"ML","NA","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074181105","00074-1811-05",,"J2912",,1/1/2002,6/6/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (22GX1-1/4"",PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074181202","00074-1812-02",,"J2912",,1/1/2002,9/5/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (BLUNT-CANNULA,PF) 0.9%",2,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074181203","00074-1812-03",,"J2912",,1/1/2002,10/24/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (BLUNT-CANNULA,PF) 0.9%",3,"ML","NA","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074181205","00074-1812-05",,"J2912",,1/1/2002,3/18/2004,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (BLUNT-CANNULA,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074181222","00074-1812-22",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (INTERLINK,50X2ML,PF) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00074181222","00074-1812-22",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (INTERLINK,50X2ML,PF) 0.9%",2,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074181223","00074-1812-23",,"J2912",,1/1/2002,6/6/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (INTERLINK,PF,LATEX-FREE) 0.9%",3,"ML","NA","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074181225","00074-1812-25",,"J2912",,1/1/2002,6/6/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (INTERLINK,PF,LATEX-FREE) 0.9%",5,"ML","NA","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074182602","00074-1826-02",,"J2690",,1/1/2002,2/15/2002,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (22G X 1 1/4"",CARPUJECT) 500 MG/ML",2,"ML","SR","IV","ML",1,"GM",0.5,1/1/2002,,,,,,,
"00074184402","00074-1844-02",,"J1165",,1/1/2002,1/7/2005,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (22GX1-1/4"",LATEX-FREE) 50 MG/ML",2,"ML","SR","IV","ML",50,"MG",1,1/1/2002,,,,,,,
"00074184415","00074-1844-15",,"J1165",,1/1/2002,10/24/2003,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (22GX1-1/4"",LATEX-FREE) 50 MG/ML",5,"ML","SR","IV","ML",50,"MG",1,1/1/2002,,,,,,,
"00074188002","00074-1880-02",,"J0780",,1/1/2002,12/12/2002,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (22GX1-1/4"") 5 MG/ML",2,"ML","SR","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074188022","00074-1880-22",,"J0780",,1/1/2002,12/12/2002,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (INTERLINK,CARPUJECT) 5 MG/ML",2,"ML","SR","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074188032","00074-1880-32",,"J0780",,1/1/2002,3/18/2004,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (LUER LOCK,CARPUJECT) 5 MG/ML",2,"ML","SR","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074188502","00074-1885-02",,"J2912",,1/1/2002,9/5/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (25GX5/8"",PF,LATEX-FREE) 0.9%",2,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074188503","00074-1885-03",,"J2912",,1/1/2002,12/12/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (25GX5/8"",PF,LATEX-FREE) 0.9%",3,"ML","NA","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074188505","00074-1885-05",,"J2912",,1/1/2002,12/12/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (25GX5/8"",PF,LATEX-FREE) 0.9%",5,"ML","NA","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074190201","00074-1902-01",,"J2690",,1/1/2002,3/9/2006,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (VIAL, FLIPTOP) 100 MG/ML",10,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00074190301","00074-1903-01",,"J2690",,1/1/2002,8/23/2005,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (VIAL, FLIPTOP) 500 MG/ML",2,"ML","VL","IV","ML",1,"GM",0.5,1/1/2002,,,,,,,
"00074191832","00074-1918-32",,"J2912",,1/1/2002,11/22/2005,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (50X2ML, LUER LOCK,PF) 0.9%",2,"ML","CR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074191833","00074-1918-33",,"J2912",,1/1/2002,2/16/2005,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (LUER LOCK,PF,LATEX-FREE) 0.9%",5,"ML","CR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074191835","00074-1918-35",,"J2912",,1/1/2002,4/7/2005,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (LUER LOCK,PF,LATEX-FREE) 0.9%",5,"ML","CR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074192010","00074-1920-10",,"J3070",,1/1/2002,9/28/2005,"INJECTION, PENTAZOCINE, 30 MG","TALWIN LACTATE (VIAL,LATEX-FREE) 30 MG/ML",10,"ML","VL","IJ","ML",30,"MG",1,1/1/2002,,,,,,,
"00074193701","00074-1937-01",,"J3070",,1/1/2002,4/30/2003,"INJECTION, PENTAZOCINE, 30 MG","TALWIN LACTATE (LATEX-FREE) 30 MG/ML",1,"ML","SR","IJ","ML",30,"MG",1,1/1/2002,,,,,,,
"00074193731","00074-1937-31",,"J3070",,1/1/2002,2/19/2003,"INJECTION, PENTAZOCINE, 30 MG","TALWIN LACTATE (LUER LOCK,CARPUJECT) 30 MG/ML",1,"ML","SR","IJ","ML",30,"MG",1,1/1/2002,,,,,,,
"00074193802","00074-1938-02",,"J3070",,1/1/2002,9/5/2003,"INJECTION, PENTAZOCINE, 30 MG","TALWIN LACTATE (22GX1-1/4"",LATEX-FREE) 30 MG/ML",2,"ML","SR","IJ","ML",30,"MG",1,1/1/2002,,,,,,,
"00074194101","00074-1941-01",,"J3070",,1/1/2002,11/17/2005,"INJECTION, PENTAZOCINE, 30 MG","TALWIN LACTATE (UNI-AMP,LATEX-FREE) 30 MG/ML",1,"ML","AM","IJ","ML",30,"MG",1,1/1/2002,,,,,,,
"00074195202","00074-1952-02",,"J3250",,1/1/2002,10/1/2004,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (CARPUJECT) 100 MG/ML",2,"ML","SR","IM","ML",200,"MG",0.5,1/1/2002,,,,,,,
"00074195232","00074-1952-32",,"J3250",,6/8/2004,1/8/2006,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (LUER LOCK,CARPUJECT) 100 MG/ML",2,"ML","SR","IM","ML",200,"MG",0.5,6/8/2004,,,,,,,
"00074195501","00074-1955-01",,"J3490",,1/1/2002,3/10/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (VIAL, FLIPTOP) 50 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074195601","00074-1956-01",,"J3490",,1/1/2002,9/5/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (10X2ML) 250 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074195701","00074-1957-01",,"J3490",,1/1/2002,9/25/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (10X40ML) 250 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074196604","00074-1966-04",,"A4216",,1/1/2004,8/29/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (25X10ML,LATEX-FREE) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074196604","00074-1966-04",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (25X10ML,LATEX-FREE) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074196605","00074-1966-05",,"A4216",,1/1/2004,5/1/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (VIAL, FLIPTOP) 0.9%",20,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074196605","00074-1966-05",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (VIAL, FLIPTOP) 0.9%",20,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074196607","00074-1966-07",,"A4216",,1/1/2004,4/4/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (VIAL, FLIPTOP PLASTIC) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074196607","00074-1966-07",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (VIAL, FLIPTOP PLASTIC) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074196612","00074-1966-12",,"A4216",,1/1/2004,10/5/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (25X10ML,LS-PLASTIC) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074196612","00074-1966-12",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (25X10ML,LS-PLASTIC) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074196614","00074-1966-14",,"A4216",,1/1/2004,5/31/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (FLIPTOP,LS-PLASTIC) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074196614","00074-1966-14",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (FLIPTOP,LS-PLASTIC) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074198501","00074-1985-01",,"J2060",,1/1/2002,4/24/2005,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074198510","00074-1985-10",,"J2060",,1/1/2002,11/15/2005,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074198511","00074-1985-11",,"J2060",,1/1/2002,6/6/2003,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (22GX1-1/4"",CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074198512","00074-1985-12",,"J2060",,1/1/2002,6/6/2003,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U-BLUNT CANN,CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074198521","00074-1985-21",,"J2060",,1/1/2002,2/15/2002,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (INTERLINK,CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074198530","00074-1985-30",,"J2060",,1/1/2002,5/31/2005,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (LLK,SLIM PK,CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074198531","00074-1985-31",,"J2060",,1/1/2002,10/24/2003,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (LUER LOCK,CARPUJECT) 2 MG/ML",1,"ML","CR","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074200043","00074-2000-43",,"Q2011",,1/1/2002,3/17/2005,"INJECTION, HEMIN, PER 1 MG","PANHEMATIN 313 MG",1,"EA","VL","IV","EA",1,"MG",313,1/1/2002,,,,,,,
"00074201201","00074-2012-01",,"J0592",,1/1/2003,3/1/2005,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (CARPUJECT) 0.3 MG/ML",1,"ML","SR","IJ","ML",0.1,"MG",3.24,1/1/2003,,,,,,,
"00074201201","00074-2012-01",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENORPHINE HYDROCHLORIDE (CARPUJECT) 0.3 MG/ML",1,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074202520","00074-2025-20",,"J1250",,1/1/2002,2/19/2006,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (10X20ML) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,1/1/2002,,,,,,,
"00074202554","00074-2025-54",,"J1250",,1/1/2002,11/9/2005,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (10X40ML) 12.5 MG/ML",40,"ML","VL","IV","ML",250,"MG",0.05,1/1/2002,,,,,,,
"00074202802","00074-2028-02",,"J2275",,1/1/2002,8/16/2004,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (PF,LATEX-FREE) 0.5 MG/ML",30,"ML","VL","IJ","ML",10,"MG",0.05,1/1/2002,,,,,,,
"00074202902","00074-2029-02",,"J2270",,1/1/2002,11/23/2006,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (10X30ML,LATEX-FREE) 1 MG/ML",30,"ML","VL","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00074203649","00074-2036-49",,"J1885",,1/1/2002,5/7/2002,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (ABBOJECT-PA) 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074203949","00074-2039-49",,"J1885",,1/1/2002,5/7/2002,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (ABBOJECT-PA) 30 MG/ML",2,"ML","SR","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"00074204302","00074-2043-02",,"J1245",,1/1/2002,3/30/2005,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (AMP,UNI-NEST,LATEX-FREE) 5 MG/ML",2,"ML","AM","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074204310","00074-2043-10",,"J1245",,1/1/2002,5/16/2005,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (AMP,UNI-NEST,LATEX-FREE) 5 MG/ML",10,"ML","AM","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074204601","00074-2046-01",,"J2175",,1/1/2002,9/5/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (AMP,UNI-NEST,LATEX-FREE) 100 MG/ML",1,"ML","AM","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00074204750","00074-2047-50",,"J0670",,1/1/2002,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE HCL (M.D.V.) 2%",50,"ML","VL","IJ","ML",10,"ML",0.1,3/1/2009,,1/1/2002,,0.1,,,
"00074206605","00074-2066-05",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL,LATEX-FREE) 2%",5,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074206605","00074-2066-05",,"J2001",,1/1/2004,9/5/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL,LATEX-FREE) 2%",5,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00074210202","00074-2102-02",,"J2912",,1/1/2002,8/15/2005,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL,PF) 0.9%",2,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074210205","00074-2102-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL,PF) 0.9%",5,"ML","VL","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00074210205","00074-2102-05",,"J2912",,9/13/2005,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL,PF) 0.9%",5,"ML","VL","IV","ML",0.9,"%",0.5,9/13/2005,,,,,,,
"00074210232","00074-2102-32",,"J2912",,1/1/2002,10/24/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL,ALUER,PF) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074216701","00074-2167-01",,"J1160",,1/1/2002,2/19/2003,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN PEDIATRIC (AMP,UNI-NEST) 0.1 MG/ML",1,"ML","AM","IV","ML",0.5,"MG",0.2,1/1/2002,,,,,,,
"00074216801","00074-2168-01",,"J3475",,1/1/2002,3/18/2004,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (VIAL, FLIPTOP) 500 MG/ML",10,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00074216802","00074-2168-02",,"J3475",,1/1/2002,1/30/2005,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (VIAL, FLIPTOP) 500 MG/ML",20,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00074216803","00074-2168-03",,"J3475",,1/1/2002,10/21/2004,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (VIAL, FLIPTOP) 500 MG/ML",50,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00074216901","00074-2169-01",,"J1160",,1/1/2002,6/6/2003,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (LATEX-FREE,CARPUJECT) 0.25 MG/ML",1,"ML","SR","IV","ML",0.5,"MG",0.5,1/1/2002,,,,,,,
"00074216902","00074-2169-02",,"J1160",,1/1/2002,6/6/2003,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (LATEX-FREE,CARPUJECT) 0.25 MG/ML",2,"ML","SR","IV","ML",0.5,"MG",0.5,1/1/2002,,,,,,,
"00074216931","00074-2169-31",,"J1160",,1/1/2002,6/15/2005,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (LUER LOCK,LATEX-FREE) 0.25 MG/ML",1,"ML","SR","IV","ML",0.5,"MG",0.5,1/1/2002,,,,,,,
"00074216932","00074-2169-32",,"J1160",,1/1/2002,10/8/2004,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (LUER LOCK,LATEX-FREE) 0.25 MG/ML",2,"ML","SR","IV","ML",0.5,"MG",0.5,1/1/2002,,,,,,,
"00074217201","00074-2172-01",,"J1170",,1/1/2002,2/15/2002,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (AMP,UNI-NEST) 10 MG/ML",1,"ML","AM","IJ","ML",4,"MG",2.5,1/1/2002,,,,,,,
"00074217302","00074-2173-02",,"J2765",,1/1/2002,6/6/2003,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (CARPUJECT) 5 MG/ML",2,"ML","SR","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074217332","00074-2173-32",,"J2765",,1/1/2002,12/10/2003,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (LUER LOCK,CARPUJECT) 5 MG/ML",2,"ML","SR","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074217401","00074-2174-01",,"J3490",,1/1/2002,2/15/2002,"UNCLASSIFIED DRUGS","THIAMINE HCL (22GX1-1/4"",CARPUJECT) 100 MG/ML",1,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074226501","00074-2265-01",,"J2597",,1/1/2002,2/3/2005,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DESMOPRESSIN ACETATE (UNI-AMP) 4 MCG/ML",1,"ML","AM","IJ","ML",1,"MCG",4,1/1/2002,,,,,,,
"00074226911","00074-2269-11",,"J1790",,1/1/2002,2/15/2002,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (BLUNT CANNULA,CARPUJECT) 2.5 MG/ML",2,"ML","SR","IJ","ML",5,"MG",0.5,1/1/2002,,,,,,,
"00074226932","00074-2269-32",,"J1790",,1/1/2002,12/10/2003,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (LUER LOCK,CARPUJECT) 2.5 MG/ML",2,"ML","SR","IJ","ML",5,"MG",0.5,1/1/2002,,,,,,,
"00074228701","00074-2287-01",,"J1885",,1/1/2002,12/10/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (CARPUJECT) 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228702","00074-2287-02",,"J1885",,1/1/2002,12/10/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (LATEX-FREE,CARPUJECT) 30 MG/ML",2,"ML","SR","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228711","00074-2287-11",,"J1885",,1/1/2002,12/10/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (BLUNT CANNULA,CARPUJECT) 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228731","00074-2287-31",,"J1885",,1/1/2002,4/24/2005,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (LUER LOCK,CARPUJECT) 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228749","00074-2287-49",,"J1885",,1/1/2002,12/10/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (LATEX-FREE,CARPUJECT) 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228751","00074-2287-51",,"J1885",,1/1/2002,12/10/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (LATEX-FREE,CARPUJECT) 30 MG/ML",2,"ML","SR","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228753","00074-2287-53",,"J1885",,1/1/2002,5/7/2002,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (BLCN,LATEX-FREE) 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228754","00074-2287-54",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (LL,LATEX-FREE,CARPUJECT) 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228755","00074-2287-55",,"J1885",,1/1/2002,12/10/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (LL,LATEX-FREE,CARPUJECT) 30 MG/ML",2,"ML","CT","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228761","00074-2287-61",,"J1885",,1/1/2002,6/19/2005,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (LUER LOCK,LATEX-FREE) 30 MG/ML",2,"ML","SR","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"00074228801","00074-2288-01",,"J1885",,1/1/2002,12/10/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (LATEX-FREE,CARPUJECT) 15 MG/ML",1,"ML","SR","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"00074228811","00074-2288-11",,"J1885",,1/1/2002,12/10/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (BLUNT CANNULA) 15 MG/ML",1,"ML","SR","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"00074228831","00074-2288-31",,"J1885",,1/1/2002,8/28/2005,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (LUER LOCK,LATEX-FREE) 15 MG/ML",1,"ML","SR","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"00074228849","00074-2288-49",,"J1885",,1/1/2002,12/12/2002,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (LATEX-FREE,CARPUJECT) 15 MG/ML",1,"ML","SR","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"00074228853","00074-2288-53",,"J1885",,1/1/2002,5/7/2002,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (BLCN,LATEX-FREE) 15 MG/ML",1,"ML","SR","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"00074228854","00074-2288-54",,"J1885",,1/1/2002,12/12/2002,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (LL,LATEX-FREE,CARPUJECT) 15 MG/ML",1,"ML","SR","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"00074229001","00074-2290-01",,"J1200",,1/1/2002,2/15/2002,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (CARPUJECT) 50 MG/ML",1,"ML","SR","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00074229031","00074-2290-31",,"J1200",,1/1/2002,4/24/2005,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (LUER LOCK,CARPUJECT) 50 MG/ML",1,"ML","SR","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00074229502","00074-2295-02",,"J2250",,1/1/2002,2/19/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (CARPUJECT) 1 MG/ML",2,"ML","SR","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074229505","00074-2295-05",,"J2250",,1/1/2002,2/19/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (CARPUJECT) 1 MG/ML",5,"ML","SR","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074229532","00074-2295-32",,"J2250",,1/1/2002,5/6/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (LUER LOCK,CARPUJECT) 1 MG/ML",2,"ML","SR","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074229535","00074-2295-35",,"J2250",,1/1/2002,12/10/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (LUER LOCK,CARPUJECT) 1 MG/ML",5,"ML","SR","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074229536","00074-2295-36",,"J2250",,1/1/2002,12/10/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (LUER LOCK,CARPUJECT) 1 MG/ML",2,"ML","SR","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074229539","00074-2295-39",,"J2250",,1/1/2002,2/19/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (LUER LOCK,CARPUJECT) 1 MG/ML",5,"ML","CT","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074229551","00074-2295-51",,"J2250",,1/1/2002,12/12/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (CARPUJECT) 1 MG/ML",2,"ML","SR","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074229552","00074-2295-52",,"J2250",,1/1/2002,12/12/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (CARPUJECT) 1 MG/ML",5,"ML","SR","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074229601","00074-2296-01",,"J2250",,1/1/2002,2/19/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (CARPUJECT) 5 MG/ML",1,"ML","SR","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074229602","00074-2296-02",,"J2250",,1/1/2002,2/19/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (CARPUJECT) 5 MG/ML",2,"ML","SR","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074229630","00074-2296-30",,"J2250",,1/1/2002,12/12/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (LUER LOCK,CARPUJECT) 5 MG/ML",1,"ML","SR","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074229631","00074-2296-31",,"J2250",,1/1/2002,12/10/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (LUER LOCK,CARPUJECT) 5 MG/ML",1,"ML","SR","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074229632","00074-2296-32",,"J2250",,1/1/2002,5/6/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (LUER LOCK,CARPUJECT) 5 MG/ML",2,"ML","SR","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074229636","00074-2296-36",,"J2250",,1/1/2002,2/19/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (LL,CARPUJECT) 5 MG/ML",2,"ML","CT","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074229649","00074-2296-49",,"J2250",,1/1/2002,12/12/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (CARPUJECT) 5 MG/ML",1,"ML","SR","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074229651","00074-2296-51",,"J2250",,1/1/2002,12/12/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (CARPUJECT) 5 MG/ML",2,"ML","SR","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074230101","00074-2301-01",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (CARPUJECT) 1 MG/ML",1,"ML","SR","IJ","ML",1,"MG",1,1/1/2004,,,,,,,
"00074230101","00074-2301-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (CARPUJECT) 1 MG/ML",1,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074230131","00074-2301-31",,"J3490",,1/1/2002,9/20/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (LUER LOCK,CARPUJECT) 1 MG/ML",1,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074230201","00074-2302-01",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"00074230201","00074-2302-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074230231","00074-2302-31",,"J3490",,1/1/2002,9/20/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (LUER LOCK,CARPUJECT) 2 MG/ML",1,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074230502","00074-2305-02",,"J2250",,5/1/2003,8/14/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL, FLIPTOP,PF) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,5/1/2003,,,,,,,
"00074230505","00074-2305-05",,"J2250",,5/1/2003,12/20/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,PF) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,5/1/2003,,,,,,,
"00074230549","00074-2305-49",,"J2250",,5/1/2003,8/1/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,PF) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,5/1/2003,,,,,,,
"00074230550","00074-2305-50",,"J2250",,5/1/2003,9/12/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,PF) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,5/1/2003,,,,,,,
"00074230662","00074-2306-62",,"J2250",,5/1/2003,3/9/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (LUER LOCK,STERILE,PF) 1 MG/ML",2,"ML","SR","IJ","ML",1,"MG",1,5/1/2003,,,,,,,
"00074230760","00074-2307-60",,"J2250",,5/1/2003,4/24/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (PF,CARPUJECT) 5 MG/ML",1,"ML","SR","IJ","ML",1,"MG",5,5/1/2003,,,,,,,
"00074230762","00074-2307-62",,"J2250",,5/1/2003,1/7/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (PF,CARPUJECT) 5 MG/ML",2,"ML","SR","IJ","ML",1,"MG",5,5/1/2003,,,,,,,
"00074230801","00074-2308-01",,"J2250",,5/1/2003,6/6/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (FLIPTOP VIAL,PF) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,5/1/2003,,,,,,,
"00074230802","00074-2308-02",,"J2250",,5/1/2003,10/9/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (FLIPTOP VIAL,PF) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,5/1/2003,,,,,,,
"00074230849","00074-2308-49",,"J2250",,5/1/2003,12/29/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (FLIPTOP VIAL,PF) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,5/1/2003,,,,,,,
"00074230850","00074-2308-50",,"J2250",,5/1/2003,11/17/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (FLIPTOP VIAL,PF) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,5/1/2003,,,,,,,
"00074231201","00074-2312-01",,"J2550",,1/1/2002,6/6/2003,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (CARPUJECT) 25 MG/ML",1,"ML","SR","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00074231211","00074-2312-11",,"J2550",,1/1/2002,6/6/2003,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (BLUNT CANNULA,CARPUJECT) 25 MG/ML",1,"ML","SR","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00074231231","00074-2312-31",,"J2550",,1/1/2002,4/4/2005,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (LUER LOCK,CARPUJECT) 25 MG/ML",1,"ML","SR","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00074233211","00074-2332-11",,"J1170",,11/5/2002,9/14/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",4,"MG",0.25,11/5/2002,9/14/2008,,,,,,
"00074233311","00074-2333-11",,"J1170",,11/14/2002,9/14/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (AMP) 2 MG/ML",1,"ML","AM","IJ","ML",4,"MG",0.5,11/14/2002,,,,,,,
"00074233326","00074-2333-26",,"J1170",,12/11/2002,9/14/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (AMP) 2 MG/ML",1,"ML","AM","IJ","ML",4,"MG",0.5,12/11/2002,9/14/2008,,,,,,
"00074233411","00074-2334-11",,"J1170",,12/19/2002,11/2/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (AMP) 4 MG/ML",1,"ML","AM","IJ","ML",4,"MG",1,12/19/2002,11/2/2008,,,,,,
"00074233501","00074-2335-01",,"J2550",,1/1/2002,6/6/2003,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (CARPUJECT) 50 MG/ML",1,"ML","SR","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00074233531","00074-2335-31",,"J2550",,1/1/2002,6/6/2003,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (LUER LOCK,CARPUJECT) 50 MG/ML",1,"ML","SR","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00074233610","00074-2336-10",,"J0895",,2/26/2004,4/24/2005,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE (LATEX-FREE) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,2/26/2004,,,,,,,
"00074233725","00074-2337-25",,"J0895",,2/26/2004,3/20/2005,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE (VIAL,LATEX-FREE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,2/26/2004,,,,,,,
"00074234301","00074-2343-01",,"J2560",,1/1/2002,6/6/2003,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","LUMINAL SODIUM (CARPUJECT) 60 MG/ML",1,"ML","SR","IJ","ML",120,"MG",0.5,1/1/2002,,,,,,,
"00074234331","00074-2343-31",,"J2560",,1/1/2002,9/18/2005,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","LUMINAL SODIUM (LUER LOCK,CARPUJECT) 60 MG/ML",1,"ML","SR","IJ","ML",120,"MG",0.5,1/1/2002,,,,,,,
"00074234401","00074-2344-01",,"J1250",,1/1/2002,7/26/2005,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (VIAL, FLIPTOP) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,1/1/2002,,,,,,,
"00074234402","00074-2344-02",,"J1250",,1/1/2002,6/28/2005,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (VIAL, FLIPTOP) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,1/1/2002,,,,,,,
"00074234632","00074-2346-32",,"J1250",,1/1/2002,8/10/2005,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE (LATEX-FREE) 5%-100 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.004,1/1/2002,,,,,,,
"00074234634","00074-2346-34",,"J1250",,1/1/2002,2/6/2006,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE (LATEX-FREE) 5%-100 MG/100 ML",500,"ML","FC","IV","ML",250,"MG",0.004,1/1/2002,,,,,,,
"00074234732","00074-2347-32",,"J1250",,1/1/2002,1/10/2006,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE (LATEX-FREE) 5%-200 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.008,1/1/2002,,,,,,,
"00074234901","00074-2349-01",,"J2560",,1/1/2002,6/6/2003,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","LUMINAL SODIUM (CARPUJECT) 130 MG/ML",1,"ML","SR","IJ","ML",120,"MG",1.08333,1/1/2002,,,,,,,
"00074234931","00074-2349-31",,"J2560",,1/1/2002,9/6/2005,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","LUMINAL SODIUM (LUER LOCK,CARPUJECT) 130 MG/ML",1,"ML","SR","IJ","ML",120,"MG",1.08333,1/1/2002,,,,,,,
"00074241421","00074-2414-21",,"J1170",,12/19/2002,6/30/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (M.D.V.) 2 MG/ML",20,"ML","VL","IJ","ML",4,"MG",0.5,12/19/2002,6/30/2008,,,,,,
"00074242816","00074-2428-16",,"J1170",,2/10/2003,6/30/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID",1,"EA","BO","NA","GM",4,"MG",250,2/10/2003,6/30/2008,,,,,,
"00074243403","00074-2434-03",,"J3490",,1/1/2002,2/15/2002,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (ADD-VANTAGE,LATEX-FREE) 62.5 MG/ML",8,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074245311","00074-2453-11",,"J1170",,12/19/2002,11/2/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID-HP (AMP) 10 MG/ML",1,"ML","AM","IJ","ML",4,"MG",2.5,12/19/2002,11/2/2008,,,,,,
"00074245327","00074-2453-27",,"J1170",,11/14/2002,11/2/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID-HP (AMP) 10 MG/ML",5,"ML","AM","IJ","ML",4,"MG",2.5,11/14/2002,11/2/2008,,,,,,
"00074245351","00074-2453-51",,"J1170",,11/26/2002,11/2/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID-HP (S.D.V.) 10 MG/ML",50,"ML","VL","IJ","ML",4,"MG",2.5,11/26/2002,11/2/2008,,,,,,
"00074245531","00074-2455-31",,"J1170",,12/11/2002,11/2/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID-HP (S.D.V.) 250 MG",1,"EA","VL","IJ","EA",4,"MG",62.5,12/11/2002,11/2/2008,,,,,,
"00074258102","00074-2581-02",,"J1644",,1/1/2002,3/23/2006,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, ADD-VANTAGE,PF) 2000 U/ML",5,"ML","VL","IV","ML",1000,"U",2,1/1/2002,3/23/2006,,,,,,
"00074258402","00074-2584-02",,"J1644",,1/1/2002,6/30/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, ADD-VANTAGE,PF) 2500 U/ML",10,"ML","VL","IJ","ML",1000,"U",2.5,1/1/2002,,,,,,,
"00074258702","00074-2587-02",,"J2250",,1/1/2002,3/18/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,LATEX-FREE) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074258703","00074-2587-03",,"J2250",,1/1/2002,3/18/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,LATEX-FREE) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074258705","00074-2587-05",,"J2250",,1/1/2002,1/26/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,LATEX-FREE) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074258751","00074-2587-51",,"J2250",,1/1/2002,3/18/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074258752","00074-2587-52",,"J2250",,1/1/2002,3/18/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074258753","00074-2587-53",,"J2250",,1/1/2002,3/6/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00074259601","00074-2596-01",,"J2250",,1/1/2002,3/18/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,LATEX-FREE) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074259602","00074-2596-02",,"J2250",,1/1/2002,3/18/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,LATEX-FREE) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074259603","00074-2596-03",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,LATEX-FREE) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,3/1/2009,,1/1/2002,,5,,,
"00074259605","00074-2596-05",,"J2250",,1/1/2002,1/10/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,LATEX-FREE) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074259649","00074-2596-49",,"J2250",,1/1/2002,3/18/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074259651","00074-2596-51",,"J2250",,1/1/2002,3/18/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074259652","00074-2596-52",,"J2250",,1/1/2002,1/22/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074259653","00074-2596-53",,"J2250",,1/1/2002,9/26/2005,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00074277501","00074-2775-01",,"J2260",,6/5/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (VIAL,FLIPTOP,LATEX-FREE) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,6/5/2002,,,,,,,
"00074277502","00074-2775-02",,"J2260",,6/5/2002,12/30/2004,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (VIAL,FLIPTOP,LATEX-FREE) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,6/5/2002,,,,,,,
"00074277602","00074-2776-02",,"J2260",,5/1/2003,3/7/2006,"INJECTION, MILRINONE LACTATE, 5 MG","DEXTROSE/MILRINONE LACTATE 5%-20 MG/100 ML",200,"ML","FC","IV","ML",5,"MG",0.04,5/1/2003,,,,,,,
"00074277623","00074-2776-23",,"J2260",,5/1/2003,6/14/2005,"INJECTION, MILRINONE LACTATE, 5 MG","DEXTROSE/MILRINONE LACTATE 5%-20 MG/100 ML",100,"ML","FC","IV","ML",5,"MG",0.04,5/1/2003,,,,,,,
"00074321032","00074-3210-32",,"J3360",,1/1/2002,10/24/2003,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (AMP) 5 MG/ML",2,"ML","AM","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"00074321302","00074-3213-02",,"J3360",,1/1/2002,5/8/2005,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (M.D.V.,FLIPTOP) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"00074325403","00074-3254-03",,"J3260",,1/1/2002,5/7/2002,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (VIAL, ADD-VANTAGE) 10 MG/ML",6,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00074325503","00074-3255-03",,"J3260",,1/1/2002,3/30/2005,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (VIAL, ADD-VANTAGE) 10 MG/ML",8,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00074330703","00074-3307-03",,"J7608",,1/1/2002,4/10/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00074330703","00074-3307-03","KO","J7608","KO",1/1/2002,4/10/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00074330803","00074-3308-03",,"J7608",,1/1/2002,5/24/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00074330803","00074-3308-03","KO","J7608","KO",1/1/2002,5/24/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00074338031","00074-3380-31",,"J3490",,1/1/2002,8/31/2005,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (AMP,LATEX-FREE) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074338032","00074-3380-32",,"J3490",,1/1/2002,11/2/2005,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (AMP,LATEX-FREE) 50 MCG/ML",2,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074338035","00074-3380-35",,"J3490",,1/1/2002,12/27/2005,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (AMP,LATEX-FREE) 50 MCG/ML",5,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074338049","00074-3380-49",,"J3490",,8/27/2003,11/28/2005,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE NOVAPLUS (AMP,PF,LATEX-FREE) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,8/27/2003,,,,,,,
"00074338050","00074-3380-50",,"J3490",,8/27/2003,11/6/2005,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE NOVAPLUS (AMP,PF,LATEX-FREE) 50 MCG/ML",2,"ML","AM","IJ","ML",1,"EA",1,8/27/2003,,,,,,,
"00074338051","00074-3380-51",,"J3490",,8/27/2003,10/11/2005,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE NOVAPLUS (AMP,PF,LATEX-FREE) 50 MCG/ML",5,"ML","AM","IJ","ML",1,"EA",1,8/27/2003,,,,,,,
"00074338221","00074-3382-21",,"J3490",,1/1/2002,7/14/2005,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (VIAL, FLIPTOP) 50 MCG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074338222","00074-3382-22",,"J3490",,1/1/2002,7/17/2005,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (VIAL, FLIPTOP) 50 MCG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074338225","00074-3382-25",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (VIAL, FLIPTOP) 50 MCG/ML",5,"ML","VL","IJ","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074340001","00074-3400-01",,"J1580",,1/1/2002,3/23/2006,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL, ADD-VANTAGE) 10 MG/ML",6,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,3/23/2006,,,,,,
"00074340101","00074-3401-01",,"J1580",,1/1/2002,1/8/2006,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL, ADD-VANTAGE) 10 MG/ML",8,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00074340201","00074-3402-01",,"J1580",,1/1/2002,6/4/2006,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL, ADD-VANTAGE) 10 MG/ML",10,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00074341301","00074-3413-01",,"J2765",,1/1/2002,4/20/2005,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (AMP) 5 MG/ML",2,"ML","AM","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074341401","00074-3414-01",,"J2765",,1/1/2002,1/31/2006,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (VIAL, FLIPTOP) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074345405","00074-3454-05",,"J1642",,1/1/2002,12/12/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (ANSYR,LATEX-FREE) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00074345425","00074-3454-25",,"J1642",,2/20/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (ANSYR,LATEX-FREE) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,2/20/2002,,,,,,,
"00074346913","00074-3469-13",,"J3260",,1/1/2002,5/29/2005,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","SODIUM CHLORIDE/TOBRAMYCIN SULFATE (PREMIX,LATEX-FREE) 0.9%-60 MG/50 ML",50,"ML","FC","IV","ML",80,"MG",0.02,1/1/2002,,,,,,,
"00074347023","00074-3470-23",,"J3260",,1/1/2002,9/25/2005,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","SODIUM CHLORIDE/TOBRAMYCIN SULFATE (PREMIX,LATEX-FREE) 0.9%-80 MG/100 ML",100,"ML","FC","IV","ML",80,"MG",0.01,1/1/2002,,,,,,,
"00074357701","00074-3577-01",,"J3260",,1/1/2002,3/30/2005,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (VIAL, FLIPTOP) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00074357801","00074-3578-01",,"J3260",,1/1/2002,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (VIAL, FLIPTOP) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,3/1/2009,,1/1/2002,,0.5,,,
"00074359002","00074-3590-02",,"J3260",,1/1/2002,2/14/2006,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (BULK VIAL) 40 MG/ML",50,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00074361301","00074-3613-01",,"J3490",,1/1/2002,1/6/2005,"UNCLASSIFIED DRUGS","BUPIVACAINE SPINAL AMPUL (AMP,LATEX-FREE) 0.25%",2,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074372201","00074-3722-01",,"J2710",,1/1/2002,3/18/2004,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (VIAL, FLIPTOP) 0.5 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",1,1/1/2002,,,,,,,
"00074372301","00074-3723-01",,"J2710",,1/1/2002,3/18/2004,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (VIAL, FLIPTOP) 1 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",2,1/1/2002,,,,,,,
"00074372432","00074-3724-32",,"J1250",,1/1/2002,10/6/2005,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE (LATEX-FREE) 5%-400 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.016,1/1/2002,,,,,,,
"00074377804","00074-3778-04",,"J2515",,1/1/2002,6/10/2003,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","NEMBUTAL SODIUM (DO NOT REFRIGERATE) 50 MG/ML",20,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00074377805","00074-3778-05",,"J2515",,1/1/2002,6/10/2003,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","NEMBUTAL SODIUM (VIAL) 50 MG/ML",50,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00074379301","00074-3793-01",,"J1885",,1/1/2002,5/30/2005,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (VIAL,FLIPTOP) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"00074379349","00074-3793-49",,"J1885",,1/1/2002,4/18/2005,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (VIAL,FLIPTOP,LATEX-FREE) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"00074379501","00074-3795-01",,"J1885",,1/1/2002,1/5/2006,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (VIAL,FLIPTOP,LATEX-FREE) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074379549","00074-3795-49",,"J1885",,1/1/2002,9/20/2005,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (VIAL,FLIPTOP,LATEX-FREE) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074379561","00074-3795-61",,"J1885",,1/1/2002,10/30/2005,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE AMERINET (VIAL,FLIPTOP,LATEX-FREE) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"00074379601","00074-3796-01",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (VIAL,FLIPTOP,LATEX-FREE) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,10/1/2008,,1/1/2002,,2,,,
"00074379649","00074-3796-49",,"J1885",,1/1/2002,11/6/2005,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (VIAL,FLIPTOP,LATEX-FREE) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"00074379661","00074-3796-61",,"J1885",,1/1/2002,8/4/2005,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE AMERINET (VIAL,FLIPTOP,LATEX-FREE) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"00074379901","00074-3799-01",,"J3590",,9/12/2003,9/13/2003,"UNCLASSIFIED BIOLOGICS","HUMIRA (PF,PREFILLED SYRINGE) 40 MG/0.8 ML",0.8,"ML","CR","MR","EA",1,"EA",1,9/12/2003,,,,,,,
"00074379902","00074-3799-02",,"J0135",,1/1/2005,,"INJECTION, ADALIMUMAB, 20 MG","HUMIRA (PF,PREFILLED SYRINGE) 40 MG/0.8 ML",0.8,"ML","BX","MR","EA",20,"MG",4,1/1/2005,,,,,,,
"00074379902","00074-3799-02",,"J3590",,1/2/2003,12/31/2004,"UNCLASSIFIED BIOLOGICS","HUMIRA (PF,PREFILLED SYRINGE) 40 MG/0.8 ML",0.8,"ML","BX","MR","EA",1,"EA",1,1/2/2003,,,,,,,
"00074381412","00074-3814-12",,"J2275",,1/1/2002,7/18/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP,PF) 0.5 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.05,1/1/2002,,,,,,,
"00074381512","00074-3815-12",,"J2270",,1/1/2002,6/27/2005,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP) 1 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00074381712","00074-3817-12",,"J2270",,1/1/2002,3/18/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00074381912","00074-3819-12",,"J2271",,1/1/2002,6/6/2003,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (VIAL, FLIPTOP) 15 MG/ML",20,"ML","VL","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"00074390703","00074-3907-03",,"J3480",,1/1/2002,11/23/2004,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (AMP,LATEX-FREE) 2 MEQ/ML",10,"ML","AM","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074393402","00074-3934-02",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (AMP,LATEX-FREE) 2 MEQ/ML",20,"ML","AM","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074397703","00074-3977-03",,"A4216",,1/1/2004,4/6/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION BACTERIOSTATIC (VIAL,FLIPTOP,LATEX-FREE)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074397703","00074-3977-03",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION BACTERIOSTATIC (VIAL,FLIPTOP,LATEX-FREE)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074402702","00074-4027-02",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (AMP,PF,LATEX-FREE)",5,"ML","AM","IV","ML",10,"ML",0.1,3/1/2009,,1/1/2004,,0.1,,,
"00074402702","00074-4027-02",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (AMP,PF,LATEX-FREE)",5,"ML","AM","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074402903","00074-4029-03",,"A4216",,1/1/2004,2/28/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (AMP,PF,LATEX-FREE)",20,"ML","AM","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074402903","00074-4029-03",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (AMP,PF,LATEX-FREE)",20,"ML","AM","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074403101","00074-4031-01",,"J2150",,1/1/2002,10/18/2004,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (VIAL, FLIPTOP) 25%",50,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074404402","00074-4044-02",,"A4216",,1/1/2004,2/8/2006,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (AMP,PF,LATEX-FREE)",10,"ML","AM","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074404402","00074-4044-02",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (AMP,PF,LATEX-FREE)",10,"ML","AM","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074405001","00074-4050-01",,"J3490",,1/1/2002,5/12/2005,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL, FLIPTOP) 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074405101","00074-4051-01",,"J3490",,1/1/2002,5/30/2005,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL, FLIPTOP) 150 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074405201","00074-4052-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL, FLIPTOP) 150 MG/ML",6,"ML","VL","IJ","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074405303","00074-4053-03",,"J3490",,1/1/2002,5/10/2005,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL, ADD-VANTAGE) 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074405403","00074-4054-03",,"J3490",,1/1/2002,2/17/2005,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL, ADD-VANTAGE) 150 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074405503","00074-4055-03",,"J3490",,1/1/2002,2/23/2005,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL, ADD-VANTAGE) 150 MG/ML",6,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074405601","00074-4056-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (AMP,LATEX-FREE) 1.5%",20,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074405601","00074-4056-01",,"J2001",,1/1/2004,10/30/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,LATEX-FREE) 1.5%",20,"ML","AM","IJ","ML",10,"MG",1.5,1/1/2004,,,,,,,
"00074405712","00074-4057-12",,"J2275",,1/1/2002,12/12/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (AMP,PF,LATEX-FREE) 0.5 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.05,1/1/2002,,,,,,,
"00074405812","00074-4058-12",,"J2270",,1/1/2002,10/6/2005,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (AMP,LATEX-FREE) 1 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00074407532","00074-4075-32",,"J3475",,1/1/2002,3/18/2004,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (AMP,LATEX-FREE) 500 MG/ML",2,"ML","AM","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00074408902","00074-4089-02",,"J7799",,1/1/2002,5/17/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (AMP,LATEX-FREE) 10%",5,"ML","AM","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074414103","00074-4141-03",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-80 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.02,1/1/2006,,,,,,,
"00074414103","00074-4141-03",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-80 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.02,10/1/2003,,,,,,,
"00074414202","00074-4142-02",,"Q4076",,10/1/2003,1/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-160 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.04,10/1/2003,,,,,,,
"00074414203","00074-4142-03",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-160 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.04,1/1/2006,,,,,,,
"00074414203","00074-4142-03",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-160 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.04,10/1/2003,,,,,,,
"00074415502","00074-4155-02",,"Q4076",,10/1/2003,11/1/2004,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LATEX-FREE) 5%-320 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.08,10/1/2003,,,,,,,
"00074416901","00074-4169-01",,"J2400",,1/1/2002,6/19/2005,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","CHLOROPROCAINE HCL (VIAL) 2%",30,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,,,,,,,
"00074417001","00074-4170-01",,"J2400",,1/1/2002,4/19/2005,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","CHLOROPROCAINE HCL (VIAL) 3%",30,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,,,,,,,
"00074419701","00074-4197-01",,"J3490",,1/1/2002,3/30/2005,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL, BULK,LATEX-FREE) 150 MG/ML",60,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074421902","00074-4219-02",,"J7799",,1/1/2002,3/29/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (BULK ADDITIVE SOLUTION) 2.5%",250,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074426501","00074-4265-01",,"J3490",,1/1/2002,9/30/2003,"UNCLASSIFIED DRUGS","DOPAMINE HCL (VIAL,FLIPTOP,10ML/20ML) 80 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074426501","00074-4265-01",,"Q4076",,10/1/2003,7/10/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (VIAL,FLIPTOP,10ML/20ML) 80 MG/ML",10,"ML","VL","IV","ML",40,"MG",2,10/1/2003,,,,,,,
"00074427001","00074-4270-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (STERILE PACK) 1%",30,"ML","AM","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074427001","00074-4270-01",,"J2001",,1/1/2004,2/26/2006,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (STERILE PACK) 1%",30,"ML","AM","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00074427201","00074-4272-01",,"J3490",,1/1/2002,4/5/2006,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP, STERILE,LATEX-FREE) 0.25%",20,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,4/5/2006,,,,,,
"00074427301","00074-4273-01",,"J3490",,1/1/2002,6/27/2006,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP, STERILE PACK) 0.5%",20,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074427401","00074-4274-01",,"J3490",,1/1/2002,3/30/2006,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP, STERILE,LATEX-FREE) 0.75%",20,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,3/30/2006,,,,,,
"00074427501","00074-4275-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL, FLIPTOP) 0.5%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074427501","00074-4275-01",,"J2001",,1/1/2004,12/29/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL, FLIPTOP) 0.5%",50,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2004,,,,,,,
"00074427601","00074-4276-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL, FLIPTOP) 1%",20,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074427601","00074-4276-01",,"J2001",,1/1/2004,8/11/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL, FLIPTOP) 1%",20,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00074427602","00074-4276-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL, FLIPTOP) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074427602","00074-4276-02",,"J2001",,1/1/2004,7/6/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL, FLIPTOP) 1%",50,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00074427701","00074-4277-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL, FLIPTOP) 2%",20,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074427701","00074-4277-01",,"J2001",,1/1/2004,6/12/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL, FLIPTOP) 2%",20,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00074427702","00074-4277-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL, FLIPTOP) 2%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074427702","00074-4277-02",,"J2001",,1/1/2004,8/11/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL, FLIPTOP) 2%",50,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00074427801","00074-4278-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (TEARDROP BOTTLE) 0.5%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074427801","00074-4278-01",,"J2001",,1/1/2004,6/28/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (TEARDROP BOTTLE) 0.5%",50,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2004,,,,,,,
"00074427902","00074-4279-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (TEARDROP BOTTLE) 1%",30,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074427902","00074-4279-02",,"J2001",,1/1/2004,8/30/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (TEARDROP BOTTLE) 1%",30,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00074428201","00074-4282-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (AMP,LATEX-FREE) 2%",2,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074428201","00074-4282-01",,"J2001",,1/1/2004,9/8/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,LATEX-FREE) 2%",2,"ML","AM","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00074428202","00074-4282-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (AMP,LATEX-FREE) 2%",10,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074428202","00074-4282-02",,"J2001",,1/1/2004,2/7/2006,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,LATEX-FREE) 2%",10,"ML","AM","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00074428301","00074-4283-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (AMP,LATEX-FREE) 4%",5,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074428301","00074-4283-01",,"J2001",,1/1/2004,5/15/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,LATEX-FREE) 4%",5,"ML","AM","IJ","ML",10,"MG",4,1/1/2004,,,,,,,
"00074433201","00074-4332-01",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (VIAL, FLIPTOP) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,3/1/2009,,1/1/2002,,1,,,
"00074433249","00074-4332-49",,"J3370",,1/1/2002,8/3/2005,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00074433501","00074-4335-01",,"J9265",,5/9/2002,4/20/2004,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,5/9/2002,,,,,,,
"00074433502","00074-4335-02",,"J9265",,5/10/2002,4/20/2004,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,5/10/2002,,,,,,,
"00074433504","00074-4335-04",,"J9265",,5/10/2002,4/20/2004,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,5/10/2002,,,,,,,
"00074433902","00074-4339-02",,"J0135",,7/17/2006,,"INJECTION, ADALIMUMAB, 20 MG","HUMIRA 40 MG/0.8 ML",0.8,"ML","BX","MR","EA",20,"MG",4,7/17/2006,,,,,,,
"00074433906","00074-4339-06",,"J0135",,2/27/2007,,"INJECTION, ADALIMUMAB, 20 MG","HUMIRA (SINGLE-USE,6X1ML,,PF) 40 MG/0.8 ML",1,"ML","BX","MR","EA",20,"MG",15,2/27/2007,,,,,,,
"00074434673","00074-4346-73",,"J3490",,1/1/2002,4/12/2005,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (VIAL, FLIPTOP) 250 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074434835","00074-4348-35",,"J0282",,5/1/2004,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",3,"ML","AM","IV","ML",30,"MG",1.66666,3/1/2009,,5/1/2004,,1.66666,,,
"00074442701","00074-4427-01",,"J3490",,1/1/2002,9/5/2003,"UNCLASSIFIED DRUGS","ACYCLOVIR SODIUM (VIAL,FLIPTOP) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00074442749","00074-4427-49",,"J3490",,1/1/2002,9/5/2003,"UNCLASSIFIED DRUGS","ACYCLOVIR SODIUM VHA (VIAL,FLIPTOP) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00074445201","00074-4452-01",,"J3490",,1/1/2002,9/5/2003,"UNCLASSIFIED DRUGS","ACYCLOVIR SODIUM (VIAL, FLIPTOP) 1000 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00074445249","00074-4452-49",,"J3490",,1/1/2002,9/30/2003,"UNCLASSIFIED DRUGS","ACYCLOVIR SODIUM NOVATION (VIAL,FLIPTOP) 1000 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00074445249","00074-4452-49",,"Q4075",,10/1/2003,10/24/2003,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM NOVATION (VIAL,FLIPTOP) 1000 MG",1,"EA","VL","IV","EA",5,"MG",200,10/1/2003,,,,,,,
"00074454102","00074-4541-02",,"J0640",,1/1/2002,5/7/2002,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (VIAL, FLIPTOP) 10 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.2,1/1/2002,,,,,,,
"00074454104","00074-4541-04",,"J0640",,1/1/2002,5/7/2002,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (VIAL, FLIPTOP 30 ML) 10 MG/ML",25,"ML","VL","IJ","ML",50,"MG",0.2,1/1/2002,,,,,,,
"00074454801","00074-4548-01",,"J7676",,1/1/2008,,"PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG","PENTAMIDINE ISETHIONATE 300 MG",1,"EA","VL","IJ","EA",300,"MG",1,1/1/2008,,,,,,,
"00074454801","00074-4548-01",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","PENTAMIDINE ISETHIONATE 300 MG",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2007,,,,,,,
"00074454801","00074-4548-01","KO","J7676","KO",1/1/2008,,"PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG","PENTAMIDINE ISETHIONATE 300 MG",1,"EA","VL","IJ","EA",300,"MG",1,1/1/2008,,,,,,,
"00074454849","00074-4548-49",,"J2545",,1/1/2002,3/18/2004,"PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG","PENTAMIDINE ISETHIONATE NOVATION 300 MG",1,"EA","VL","IJ","EA",300,"MG",1,1/1/2002,,,,,,,
"00074463701","00074-4637-01",,"J2500",,1/1/2002,12/31/2002,"INJECTION, PARICALCITOL, 5 MCG","ZEMPLAR (VIAL,FLIPTOP) 0.002 MG/ML",1,"ML","VL","IV","ML",5,"MCG",0.4,1/1/2002,,,,,,,
"00074463701","00074-4637-01",,"J2501",,1/1/2003,,"INJECTION, PARICALCITOL, 1 MCG","ZEMPLAR (VIAL,FLIPTOP) 0.002 MG/ML",1,"ML","VL","IV","ML",1,"MCG",2,1/1/2003,,,,,,,
"00074468402","00074-4684-02",,"J1450",,4/1/2006,3/5/2007,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (6X200ML) 200 MG/100 ML",200,"ML","PC","IV","ML",200,"MG",0.01,4/1/2006,,,,,,,
"00074468802","00074-4688-02",,"J1450",,6/1/2005,7/26/2006,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (6X200ML) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,6/1/2005,,,,,,,
"00074468823","00074-4688-23",,"J1450",,6/1/2005,6/15/2006,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE 200 MG/100 ML",600,"ML","PC","IV","ML",200,"MG",0.01,6/1/2005,,,,,,,
"00074468828","00074-4688-28",,"J1450",,5/30/2005,5/31/2005,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE NOVAPLUS 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,5/30/2005,,,,,,,
"00074468833","00074-4688-33",,"J1450",,4/1/2006,,"INJECTION FLUCONAZOLE, 200 MG","AMERINET CHOICE FLUCONAZOLE (6X200ML,LATEX-FREE) 200 MG/100 ML",200,"ML","PC","IV","ML",200,"MG",0.01,4/1/2006,,,,,,,
"00074468834","00074-4688-34",,"J1450",,6/1/2005,3/1/2006,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE NOVAPLUS (6X200ML) 200 MG/100 ML",200,"ML","PC","IV","ML",200,"MG",0.01,6/1/2005,,,,,,,
"00074471302","00074-4713-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (AMP,LATEX-FREE) 1%",5,"ML","AM","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074471302","00074-4713-02",,"J2001",,1/1/2004,11/20/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,LATEX-FREE) 1%",5,"ML","AM","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00074471332","00074-4713-32",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (AMP,LATEX-FREE) 1%",2,"ML","AM","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074471332","00074-4713-32",,"J2001",,1/1/2004,9/5/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,LATEX-FREE) 1%",2,"ML","AM","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00074472901","00074-4729-01",,"J1250",,1/1/2002,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (VIAL) 12.5 MG/ML",100,"ML","VL","IV","ML",250,"MG",0.05,1/1/2002,,,,,,,
"00074473203","00074-4732-03",,"J0690",,1/1/2002,8/23/2007,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (ADD-VANTAGE,LATEX-FREE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00074473203","00074-4732-03",,"J0690",,10/1/2009,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (ADD-VANTAGE,LATEX-FREE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,10/1/2009,,,,,,,
"00074477601","00074-4776-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (AMP,LATEX-FREE) 1.5%",20,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074477601","00074-4776-01",,"J2001",,1/1/2004,2/5/2006,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,LATEX-FREE) 1.5%",20,"ML","AM","IJ","ML",10,"MG",1.5,1/1/2004,,,,,,,
"00074486202","00074-4862-02",,"J7799",,1/1/2002,3/8/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 10%-0.225%",250,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074486203","00074-4862-03",,"J7799",,1/1/2002,4/3/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 10%-0.225%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074488710","00074-4887-10",,"A4216",,1/1/2004,8/17/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (VIAL, FLIPTOP,PF)",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074488710","00074-4887-10",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (VIAL, FLIPTOP,PF)",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074488712","00074-4887-12",,"A4712",,1/1/2002,9/20/2002,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (VIAL,FLIPTOP LIFESHIELD)",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074488720","00074-4887-20",,"A4216",,1/1/2004,6/15/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (VIAL, FLIPTOP,PF)",20,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074488720","00074-4887-20",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (VIAL, FLIPTOP,PF)",20,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074488750","00074-4887-50",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (VIAL, FLIPTOP,PF)",50,"ML","VL","IV","ML",10,"ML",0.1,3/1/2009,,1/1/2004,,0.1,,,
"00074488750","00074-4887-50",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (VIAL, FLIPTOP,PF)",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074488799","00074-4887-99",,"A4216",,1/1/2004,8/2/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (VIAL, FLIPTOP,PF)",100,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074488799","00074-4887-99",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (VIAL, FLIPTOP,PF)",100,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074488810","00074-4888-10",,"A4216",,1/1/2004,4/21/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074488810","00074-4888-10",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074488812","00074-4888-12",,"A4216",,1/1/2004,7/14/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL,FLIPTOP,LIFESHIELD) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074488812","00074-4888-12",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL,FLIPTOP,LIFESHIELD) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074488820","00074-4888-20",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 0.9%",20,"ML","VL","IV","ML",10,"ML",0.1,3/1/2009,,1/1/2004,,0.1,,,
"00074488820","00074-4888-20",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 0.9%",20,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074488850","00074-4888-50",,"A4216",,1/1/2004,2/13/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 0.9%",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074488850","00074-4888-50",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 0.9%",50,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074488870","00074-4888-70",,"J2912",,1/1/2002,12/10/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL,PLASTIC ALUER,PF) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074488899","00074-4888-99",,"J7050",,1/1/2002,3/18/2004,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 0.9%",100,"ML","VL","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074490118","00074-4901-18",,"J0170",,1/1/2002,9/22/2005,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (18GX3-1/2,LATEX-FREE) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00074490234","00074-4902-34",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LIFESHIELD, 18GX1-1/2) 50%",50,"ML","SR","IV","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074490334","00074-4903-34",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (21GX1-1/2"",LATEX-FREE) 2%",5,"ML","SR","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074490334","00074-4903-34",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (21GX1-1/2"",LATEX-FREE) 2%",5,"ML","SR","IJ","ML",10,"MG",2,3/1/2009,,1/1/2004,,2,,,
"00074490434","00074-4904-34",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (LIFESHIELD,LATEX-FREE) 1%",5,"ML","SR","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074490434","00074-4904-34",,"J2001",,1/1/2004,8/22/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (LIFESHIELD,LATEX-FREE) 1%",5,"ML","SR","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00074490518","00074-4905-18",,"J7659",,1/1/2002,12/12/2002,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (21GX1-1/2,ABBOJECT) 0.02 MG/ML",10,"ML","SR","IV","ML",1,"MG",0.02,1/1/2002,,,,,,,
"00074490518","00074-4905-18","KO","J7659","KO",1/1/2002,12/12/2002,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (21GX1-1/2,ABBOJECT) 0.02 MG/ML",10,"ML","SR","IV","ML",1,"MG",0.02,1/1/2002,,,,,,,
"00074490619","00074-4906-19",,"J0280",,1/1/2002,1/7/2005,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (ABBOJECT) 25 MG/ML",20,"ML","SR","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00074490918","00074-4909-18",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (10X10ML,ABBOJECT) 25 MG/ML",10,"ML","SR","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00074491015","00074-4910-15",,"J0460",,1/1/2002,1/7/2005,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (21GX1-1/2,LATEX-FREE) 0.1 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,,,,,,,
"00074491034","00074-4910-34",,"J0460",,1/1/2002,8/17/2005,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (LIFESHIELD,LATEX-FREE) 0.1 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,,,,,,,
"00074491118","00074-4911-18",,"J0460",,1/1/2002,10/8/2004,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (21GX1-1/2,LATEX-FREE) 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,,,,,,,
"00074491134","00074-4911-34",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (LIFESHIELD, 21GX1-1/2) 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,3/1/2009,12/31/2009,1/1/2002,,0.33333,,,
"00074491315","00074-4913-15",,"J3475",,1/1/2002,5/7/2002,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (20GX2-1/2,LATEX-FREE) 500 MG/ML",5,"ML","SR","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00074491418","00074-4914-18",,"J3475",,1/1/2002,5/7/2002,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (20GX2-1/2,LATEX-FREE) 500 MG/ML",10,"ML","SR","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00074492118","00074-4921-18",,"J0170",,1/1/2002,1/7/2005,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (21GX1-1/2,LATEX-FREE) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00074492134","00074-4921-34",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (LIFE,21GX1-1/2) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,3/1/2009,,1/1/2002,,1,,,
"00074493101","00074-4931-01",,"J3480",,1/1/2002,5/7/2002,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, PINTOP,LATEX-FREE) 2 MEQ/ML",5,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074493201","00074-4932-01",,"J3480",,1/1/2002,5/7/2002,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, PINTOP,LATEX-FREE) 2 MEQ/ML",10,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074493901","00074-4939-01",,"J3480",,1/1/2002,2/19/2003,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, PINTOP,LATEX-FREE) 2 MEQ/ML",20,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074494301","00074-4943-01",,"J3475",,1/1/2002,4/30/2003,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (VIAL, PINTOP) 125 MG/ML",8,"ML","VL","IJ","ML",500,"MG",0.25,1/1/2002,,,,,,,
"00074499115","00074-4991-15",,"J3480",,1/1/2002,2/19/2003,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (SRN,LATEX-FREE) 2 MEQ/ML",5,"ML","SR","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074499319","00074-4993-19",,"J3480",,1/1/2002,2/15/2002,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (SRN, UNIV ADDITIVE) 1.5 MEQ/ML",20,"ML","SR","IV","ML",2,"MEQ",0.75,1/1/2002,,,,,,,
"00074508216","00074-5082-16",,"J0713",,1/1/2002,,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (VIAL,LATEX-FREE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,10/1/2008,,1/1/2002,12/12/2002,2,12/13/2002,10/23/2005,2
"00074508311","00074-5083-11",,"J0713",,1/1/2002,5/16/2005,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (P.B.,LATEX-FREE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00074508411","00074-5084-11",,"J0713",,1/1/2002,,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,10/1/2008,,1/1/2002,12/12/2002,4,12/13/2002,12/4/2005,4
"00074508611","00074-5086-11",,"J0713",,1/1/2002,,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (VIAL, BULK) 6 GM",1,"EA","VL","IJ","EA",500,"MG",12,1/1/2002,,,,,,,
"00074509216","00074-5092-16",,"J0713",,1/1/2002,,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (ADD-VANTAGE,LATEX-FREE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,3/1/2009,,1/1/2002,5/1/2006,2,,,
"00074509311","00074-5093-11",,"J0713",,1/1/2002,4/2/2006,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (ADD-VANTAGE,LATEX-FREE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,4/2/2006,,,,,,
"00074536505","00074-5365-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (ANSYR,FOR IV ,50X5ML,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00074536505","00074-5365-05",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (ANSYR,FOR IV ,50X5ML,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074536510","00074-5365-10",,"J2912",,1/1/2002,3/18/2004,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (SRN,FOR IV FLUSH,PF) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074563004","00074-5630-04",,"J2930",,1/1/2002,3/18/2004,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","A-METHAPRED (UNIVIAL) 500 MG",1,"EA","VL","IJ","EA",125,"MG",4,1/1/2002,,,,,,,
"00074563108","00074-5631-08",,"J2930",,1/1/2002,3/18/2004,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","A-METHAPRED (UNIVIAL,LATEX-FREE) 1 GM",1,"EA","VL","IJ","EA",125,"MG",8,1/1/2002,,,,,,,
"00074564125","00074-5641-25",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 10%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074564225","00074-5642-25",,"J7799",,1/1/2002,5/6/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 20%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074564425","00074-5644-25",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 40%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074564525","00074-5645-25",,"J7799",,1/1/2002,3/18/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 50%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074564625","00074-5646-25",,"J7799",,1/1/2002,2/19/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 60%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074564725","00074-5647-25",,"J7799",,1/1/2002,3/18/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 70%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074567102","00074-5671-02",,"J1720",,1/1/2002,3/18/2004,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","A-HYDROCORT (UNIVIAL,LATEX-FREE) 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"00074567202","00074-5672-02",,"J1720",,1/1/2002,3/18/2004,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","A-HYDROCORT (UNIVIAL) 250 MG",1,"EA","VL","IJ","EA",100,"MG",2.5,1/1/2002,,,,,,,
"00074567304","00074-5673-04",,"J1720",,1/1/2002,12/1/2004,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","A-HYDROCORT (UNIVIAL) 500 MG",1,"EA","VL","IJ","EA",100,"MG",5,1/1/2002,,,,,,,
"00074567408","00074-5674-08",,"J1720",,1/1/2002,9/20/2002,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","A-HYDROCORT (UNIVIAL) 1 GM",1,"EA","VL","IJ","EA",100,"MG",10,1/1/2002,,,,,,,
"00074568401","00074-5684-01",,"J2920",,1/1/2002,3/18/2004,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","A-METHAPRED (UNIVIAL,LATEX-FREE) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,1/1/2002,,,,,,,
"00074568502","00074-5685-02",,"J2930",,1/1/2002,3/18/2004,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","A-METHAPRED (UNIVIAL,LATEX-FREE) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,1/1/2002,,,,,,,
"00074574821","00074-5748-21",,"J3490",,1/1/2002,2/19/2003,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (W/MALE ADAPTER,ABBOJECT) 0.5%",30,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074574922","00074-5749-22",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (W/MALE ADAPTER) 0.25%",50,"ML","SR","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074582001","00074-5820-01",,"J3490",,9/8/2003,9/30/2003,"UNCLASSIFIED DRUGS","DOPAMINE HCL (FLIPTOP) 40 MG/ML",5,"ML","VL","IV","ML",1,"EA",1,9/8/2003,,,,,,,
"00074582001","00074-5820-01",,"Q4076",,10/1/2003,8/22/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (FLIPTOP) 40 MG/ML",5,"ML","VL","IV","ML",40,"MG",1,10/1/2003,,,,,,,
"00074582010","00074-5820-10",,"J3490",,1/1/2002,9/30/2003,"UNCLASSIFIED DRUGS","DOPAMINE HCL (VIAL, FLIPTOP) 40 MG/ML",5,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074582010","00074-5820-10",,"Q4076",,10/1/2003,5/6/2004,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (VIAL, FLIPTOP) 40 MG/ML",5,"ML","VL","IV","ML",40,"MG",1,10/1/2003,,,,,,,
"00074582325","00074-5823-25",,"J7799",,1/1/2002,3/18/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAL, 1000 ML CONTAINER) 30%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074592101","00074-5921-01",,"J0280",,1/1/2002,4/24/2005,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (VIAL, FLIPTOP,ABBOJECT) 25 MG/ML",10,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00074592201","00074-5922-01",,"J0280",,1/1/2002,12/23/2004,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (VIAL, FLIPTOP,ABBOJECT) 25 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00074602202","00074-6022-02",,"J2270",,1/1/2002,10/8/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (S.D.V.,PCA) 2 MG/ML",30,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00074602304","00074-6023-04",,"J2270",,1/1/2002,5/16/2005,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP) 1 MG/ML",30,"ML","VL","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00074602804","00074-6028-04",,"J2270",,1/1/2002,3/22/2007,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, FLIPTOP) 5 MG/ML",30,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00074603004","00074-6030-04",,"J2175",,1/1/2002,1/1/2007,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (VIAL, PCA,LATEX-FREE) 10 MG/ML",30,"ML","VL","IJ","ML",100,"MG",0.1,1/1/2002,,,,,,,
"00074605402","00074-6054-02",,"J1940",,1/1/2002,5/7/2002,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (ABBOJECT) 10 MG/ML",2,"ML","SR","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074605617","00074-6056-17",,"J1940",,1/1/2002,5/6/2004,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (ABBOJECT) 10 MG/ML",8,"ML","SR","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074606202","00074-6062-02",,"J2270",,1/1/2002,1/9/2006,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (PREMIX) 5%-100 MG/100 ML",250,"ML","GC","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00074606203","00074-6062-03",,"J2270",,1/1/2002,3/18/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (PREMIX) 5%-100 MG/100 ML",500,"ML","GC","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00074606211","00074-6062-11",,"J2270",,1/1/2002,7/21/2005,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (PREMIX) 5%-100 MG/100 ML",100,"ML","GC","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00074606302","00074-6063-02",,"J2270",,1/1/2002,9/5/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (PREMIX) 5%-20 MG/100 ML",250,"ML","GC","IV","ML",10,"MG",0.02,1/1/2002,,,,,,,
"00074606303","00074-6063-03",,"J2270",,1/1/2002,12/10/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (PREMIX) 5%-20 MG/100 ML",500,"ML","GC","IV","ML",10,"MG",0.02,1/1/2002,,,,,,,
"00074610102","00074-6101-02",,"J1940",,1/1/2002,3/18/2004,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (AMP,LATEX-FREE) 10 MG/ML",2,"ML","AM","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074610104","00074-6101-04",,"J1940",,1/1/2002,3/18/2004,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (AMP,LATEX-FREE) 10 MG/ML",4,"ML","AM","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074610110","00074-6101-10",,"J1940",,1/1/2002,3/18/2004,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (AMP,LATEX-FREE) 10 MG/ML",10,"ML","AM","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074610202","00074-6102-02",,"J1940",,1/1/2002,2/17/2005,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL,FLIPTOP,ABBOJECT) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074610204","00074-6102-04",,"J1940",,1/1/2002,2/20/2005,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL, FLIPTOP,ABBOJECT) 10 MG/ML",4,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074610210","00074-6102-10",,"J1940",,1/1/2002,3/23/2005,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL, FLIPTOP) 10 MG/ML",10,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00074610905","00074-6109-05",,"J3365",,1/1/2002,2/14/2005,"INJECTION, IV, UROKINASE, 250,000 I.U. VIAL","ABBOKINASE 250000 IU",1,"EA","VL","IV","EA",250000,"IU",1,1/1/2002,,,,,,,
"00074611101","00074-6111-01",,"J3364",,1/1/2002,7/9/2002,"INJECTION, UROKINASE, 5000 IU VIAL","ABBOKINASE OPEN-CATH 5000 IU",1,"EA","VL","IV","EA",5000,"IU",1,1/1/2002,,,,,,,
"00074613803","00074-6138-03",,"A4217",,1/1/2004,5/31/2005,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (AQUALITE,PF,LATEX-FREE) 0.9%",500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074613803","00074-6138-03",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (AQUALITE,PF,LATEX-FREE) 0.9%",500,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074613822","00074-6138-22",,"A4217",,1/1/2004,8/31/2005,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (AQUALITE,24X250ML,PF) 0.9%",250,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074613822","00074-6138-22",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (AQUALITE,24X250ML,PF) 0.9%",250,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074613903","00074-6139-03",,"A4217",,1/1/2004,5/8/2005,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (AQUALITE,PF,LATEX-FREE)",500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074613903","00074-6139-03",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (AQUALITE,PF,LATEX-FREE)",500,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074613922","00074-6139-22",,"A4217",,1/1/2004,5/3/2005,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (AQUALITE,PF,LATEX-FREE)",250,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074613922","00074-6139-22",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (AQUALITE,PF,LATEX-FREE)",250,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074614502","00074-6145-02",,"J3364",,1/1/2002,7/9/2002,"INJECTION, UROKINASE, 5000 IU VIAL","ABBOKINASE OPEN-CATH 9000 IU",1,"EA","VL","IV","EA",5000,"IU",1.8,1/1/2002,,,,,,,
"00074614736","00074-6147-36",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (AQUALITE,PF,LATEX-FREE) 0.45%",1500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074614736","00074-6147-36",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (AQUALITE,PF,LATEX-FREE) 0.45%",1500,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074617714","00074-6177-14",,"J2270",,1/1/2002,7/13/2005,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (ADD-VANTAGE,LATEX-FREE) 25 MG/ML",4,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074617914","00074-6179-14",,"J2270",,1/1/2002,8/31/2005,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (ADD-VANTAGE,LATEX-FREE) 25 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00074621702","00074-6217-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL, PINTOP) 20%",10,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074621702","00074-6217-02",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL, PINTOP) 20%",10,"ML","VL","IV","ML",10,"MG",20,1/1/2004,,,,,,,
"00074624801","00074-6248-01",,"J2000",,1/1/2002,5/7/2002,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL, PINTOP) 20%",10,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074625401","00074-6254-01",,"J2000",,1/1/2002,5/7/2002,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL, PINTOP) 10%",10,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074634205","00074-6342-05",,"J1364",,1/1/2002,7/18/2003,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG","ERYTHROCIN LACTOBIONATE (LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00074636502","00074-6365-02",,"J1364",,1/1/2002,7/18/2003,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG","ERYTHROCIN LACTOBIONATE (LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00074646332","00074-6463-32",,"J7515",,1/1/2002,,"CYCLOSPORINE, ORAL, 25 MG","GENGRAF (BLISTER PACK) 25 MG",30,"EA","BX","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00074647644","00074-6476-44",,"J1364",,1/1/2002,,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG","ERYTHROCIN LACTOBIONATE (ADD-VANTAGE,LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,3/1/2009,,1/1/2002,,1,,,
"00074647844","00074-6478-44",,"J1364",,1/1/2002,,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG","ERYTHROCIN LACTOBIONATE (ADD-VANTAGE,LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,3/1/2009,,1/1/2002,,2,,,
"00074647932","00074-6479-32",,"J7502",,1/1/2002,,"CYCLOSPORINE, ORAL, 100 MG","GENGRAF (BLISTER PACK) 100 MG",30,"EA","BX","PO","EA",100,"MG",1,1/1/2002,,,,,,,
"00074648101","00074-6481-01",,"J1364",,1/1/2002,7/18/2003,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG","ERYTHROCIN LACTOBIONATE (LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00074648201","00074-6482-01",,"J1364",,1/1/2002,5/22/2005,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG","ERYTHROCIN LACTOBIONATE (LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00074650901","00074-6509-01",,"J3370",,1/1/2002,6/5/2005,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (BULK VIAL,LATEX-FREE) 5 GM",1,"EA","VL","IV","GM",500,"MG",2,1/1/2002,,,,,,,
"00074650949","00074-6509-49",,"J3370",,1/1/2002,6/2/2005,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL NOVATION (VIAL,BULK PKG) 5 GM",1,"EA","VL","IV","GM",500,"MG",2,1/1/2002,,,,,,,
"00074653301","00074-6533-01",,"J3370",,1/1/2002,3/14/2005,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (VIAL, FLIPTOP) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00074653349","00074-6533-49",,"J3370",,1/1/2002,4/5/2005,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00074653401","00074-6534-01",,"J3370",,1/1/2002,6/7/2005,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (ADD-VANTAGE,LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00074653449","00074-6534-49",,"J3370",,1/1/2002,6/9/2005,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL NOVATION (ADD-VANTAGE,LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"00074653501","00074-6535-01",,"J3370",,1/1/2002,3/28/2005,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (ADD-VANTAGE,LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00074653549","00074-6535-49",,"J3370",,1/1/2002,4/5/2005,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL NOVATION (ADD-VANTAGE,LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"00074662902","00074-6629-02",,"J0330",,1/1/2002,,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","QUELICIN (VIAL, FLIPTOP) 20 MG/ML",10,"ML","VL","IV","ML",20,"MG",1,3/1/2009,,1/1/2002,,1,,,
"00074663501","00074-6635-01",,"J3480",,1/1/2002,9/20/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, FLIPTOP, 10 ML) 2 MEQ/ML",5,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074663601","00074-6636-01",,"J3480",,1/1/2002,8/8/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, FLIPTOP, 30 ML) 2 MEQ/ML",15,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074664202","00074-6642-02",,"J0330",,1/1/2002,9/20/2002,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","QUELICIN (AMP,LATEX-FREE) 50 MG/ML",10,"ML","AM","IV","ML",20,"MG",2.5,1/1/2002,,,,,,,
"00074664802","00074-6648-02",,"J7799",,1/1/2002,3/28/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAL, FLIPTOP, ADDITIVE) 50%",50,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074665106","00074-6651-06",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, FLIPTOP, 20 ML) 2 MEQ/ML",10,"ML","VL","IV","ML",2,"MEQ",1,3/1/2009,,1/1/2002,,1,,,
"00074665305","00074-6653-05",,"J3480",,1/1/2002,8/8/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL, FLIPTOP, 30 ML) 2 MEQ/ML",20,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00074665773","00074-6657-73",,"J7799",,1/1/2002,10/13/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (VIAL, FLIPTOP, 50MEQ) 14.6%",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074666075","00074-6660-75",,"J7799",,1/1/2002,7/25/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 14.6%",40,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074672723","00074-6727-23",,"J3475",,1/1/2002,9/19/2005,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","DEXTROSE/MAGNESIUM SULFATE (PLASTIC CONTAINER) 5%-1 GM/100 ML",100,"ML","FC","IV","ML",500,"MG",0.02,1/1/2002,,,,,,,
"00074672803","00074-6728-03",,"J3475",,1/1/2002,5/7/2002,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","DEXTROSE/MAGNESIUM SULFATE (PLASTIC CONTAINER) 5%-2 GM/100 ML",500,"ML","FC","IV","ML",500,"MG",0.04,1/1/2002,,,,,,,
"00074672809","00074-6728-09",,"J3475",,1/1/2002,3/18/2004,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","DEXTROSE/MAGNESIUM SULFATE (PLASTIC CONTAINER) 5%-2 GM/100 ML",1000,"ML","FC","IV","ML",500,"MG",0.04,1/1/2002,,,,,,,
"00074672903","00074-6729-03",,"J3475",,1/1/2002,8/15/2005,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (PLASTIC CONTAINER) 40 MG/ML",500,"ML","PC","IV","ML",500,"MG",0.08,1/1/2002,,,,,,,
"00074672909","00074-6729-09",,"J3475",,1/1/2002,9/21/2005,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (PLASTIC CONTAINER) 40 MG/ML",1000,"ML","PC","IV","ML",500,"MG",0.08,1/1/2002,,,,,,,
"00074672923","00074-6729-23",,"J3475",,10/6/2005,10/6/2005,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (LATEX-FREE) 40 MG/ML",100,"ML","PC","IV","ML",500,"MG",0.08,10/6/2005,,,,,,,
"00074673013","00074-6730-13",,"J3475",,1/1/2002,4/2/2006,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (PLASTIC CONTAINER) 80 MG/ML",50,"ML","PC","IV","ML",500,"MG",0.16,1/1/2002,4/2/2006,,,,,,
"00074677601","00074-6776-01",,"J2060",,1/1/2002,5/7/2002,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (HYPAK SYRINGE) 2 MG/ML",1,"ML","SR","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074677801","00074-6778-01",,"J2060",,1/1/2002,10/24/2003,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL, FLIPTOP) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074677802","00074-6778-02",,"J2060",,2/20/2002,1/26/2006,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL,FLIPTOP) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,2/20/2002,,,,,,,
"00074677861","00074-6778-61",,"J2060",,1/1/2002,2/20/2002,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM AMERINET (VIAL,FLIPTOP) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074677862","00074-6778-62",,"J2060",,1/1/2002,10/24/2003,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM AMERINET (VIAL,FLIPTOP,LATEX-FREE) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074677901","00074-6779-01",,"J2060",,1/1/2002,10/24/2003,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL, FLIPTOP) 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"00074677902","00074-6779-02",,"J2060",,2/20/2002,1/4/2006,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL,FLIPTOP,LATEX-FREE) 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,2/20/2002,,,,,,,
"00074678001","00074-6780-01",,"J2060",,1/1/2002,10/24/2003,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL, FLIPTOP) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00074678002","00074-6780-02",,"J2060",,2/20/2002,12/28/2005,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL,FLIPTOP) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,2/20/2002,,,,,,,
"00074678101","00074-6781-01",,"J2060",,1/1/2002,10/24/2003,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL, FLIPTOP) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"00074678102","00074-6781-02",,"J2060",,2/20/2002,1/22/2006,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL,FLIPTOP,LATEX-FREE) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,2/20/2002,,,,,,,
"00074694003","00074-6940-03",,"J3520",,1/1/2002,10/16/2007,"EDETATE DISODIUM, PER 150 MG","ENDRATE (AMP,LATEX-FREE) 150 MG/ML",20,"ML","AM","IV","ML",150,"MG",1,1/1/2002,,,,,,,
"00074697010","00074-6970-10",,"J0330",,1/1/2002,,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","QUELICIN (VIAL, FLIPTOP, 20 ML) 100 MG/ML",10,"ML","VL","IV","ML",20,"MG",5,3/1/2009,,1/1/2002,,5,,,
"00074706730","00074-7067-30",,"J2912",,1/1/2002,2/15/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (FLIPTOP,LS-GLASS) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074707426","00074-7074-26",,"J3480",,1/1/2002,4/24/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (P.C.,LATEX-FREE) 10 MEQ/100 ML",100,"ML","PC","IV","ML",2,"MEQ",0.05,1/1/2002,,,,,,,
"00074707514","00074-7075-14",,"J3480",,1/1/2002,6/7/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (P.C.,LATEX-FREE) 10 MEQ/50 ML",50,"ML","PC","IV","ML",2,"MEQ",0.1,1/1/2002,,,,,,,
"00074707526","00074-7075-26",,"J3480",,1/1/2002,4/10/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (P.C.,LATEX-FREE) 20 MEQ/100 ML",100,"ML","PC","IV","ML",2,"MEQ",0.1,1/1/2002,,,,,,,
"00074707626","00074-7076-26",,"J3480",,1/1/2002,2/7/2006,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (P.C.,LATEX-FREE) 30 MEQ/100 ML",100,"ML","FC","IV","ML",2,"MEQ",0.15,1/1/2002,,,,,,,
"00074707714","00074-7077-14",,"J3480",,1/1/2002,6/27/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (P.C.,LATEX-FREE) 20 MEQ/50 ML",50,"ML","FC","IV","ML",2,"MEQ",0.2,1/1/2002,,,,,,,
"00074707726","00074-7077-26",,"J3480",,1/1/2002,5/3/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (P.C.,LATEX-FREE) 40 MEQ/100 ML",100,"ML","FC","IV","ML",2,"MEQ",0.2,1/1/2002,,,,,,,
"00074710002","00074-7100-02",,"J7060",,1/1/2002,7/21/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (ADD-VANTAGE,24X250ML) 5%",250,"ML","VL","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074710066","00074-7100-66",,"J7060",,1/1/2002,8/16/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (ADD-VANTAGE,LATEX-FREE) 5%",50,"ML","PC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074710067","00074-7100-67",,"J7060",,1/1/2002,9/13/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (ADD-VANTAGE,LATEX-FREE) 5%",100,"ML","PC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074710102","00074-7101-02",,"J7050",,1/1/2002,7/7/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (ADD-VANTAGE, LIFECARE) 0.9%",250,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074710166","00074-7101-66",,"A4216",,1/1/2004,7/27/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (ADD-VANT,LIFECARE,PF) 0.9%",50,"ML","PC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074710166","00074-7101-66",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (ADD-VANT,LIFECARE,PF) 0.9%",50,"ML","PC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074710167","00074-7101-67",,"J7050",,1/1/2002,8/23/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (ADD-VANT,LIFECARE,PF) 0.9%",100,"ML","PC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074711109","00074-7111-09",,"J7120",,1/1/2002,8/4/2005,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEX/LACT. RINGERS/POTASSIUM CHL (5% DEXTROSE,LATEX-FREE)",1000,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00074711309","00074-7113-09",,"J7120",,1/1/2002,2/20/2005,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEX/LACT. RINGERS/POTASSIUM CHL (5% DEXTROSE,LATEX-FREE)",1000,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00074711509","00074-7115-09",,"J3480",,1/1/2002,4/5/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE/SODIUM CHLORIDE (LATEX-FREE) 2 MEQ/100 ML-0.9%",1000,"ML","FC","IV","ML",2,"MEQ",0.01,1/1/2002,,,,,,,
"00074711609","00074-7116-09",,"J3480",,1/1/2002,6/21/2005,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE/SODIUM CHLORIDE (LATEX-FREE) 4 MEQ/100 ML-0.9%",1000,"ML","FC","IV","ML",2,"MEQ",0.02,1/1/2002,,,,,,,
"00074711807","00074-7118-07",,"A4217",,1/1/2004,8/15/2005,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (BULK PACKAGE,PF)",2000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074711807","00074-7118-07",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (BULK PACKAGE,PF)",2000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074711907","00074-7119-07",,"J7799",,1/1/2002,5/26/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (BULK PACKAGE,LATEX-FREE) 50%",2000,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074712007","00074-7120-07",,"J7799",,1/1/2002,7/5/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (BULK PACKAGE,LATEX-FREE) 70%",2000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074713202","00074-7132-02",,"J7799",,1/1/2002,5/25/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074713266","00074-7132-66",,"J7799",,1/1/2002,9/11/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%",50,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074713267","00074-7132-67",,"J7799",,1/1/2002,11/13/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%",100,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074713809","00074-7138-09",,"A4217",,1/1/2004,5/10/2005,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (AQUALITE,12X1000ML,PF) 0.9%",1000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074713809","00074-7138-09",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (AQUALITE,12X1000ML,PF) 0.9%",1000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074713836","00074-7138-36",,"A4217",,1/1/2004,6/8/2005,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (AQUALITE,9X1500ML,PF) 0.9%",1500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074713836","00074-7138-36",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (AQUALITE,9X1500ML,PF) 0.9%",1500,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074713909","00074-7139-09",,"A4319",,1/1/2002,5/7/2002,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (AQUALITE W/HANGER,PF)",1000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074713936","00074-7139-36",,"A4217",,1/1/2004,5/3/2005,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (AQUALITE W/HANGER,PF)",1500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074713936","00074-7139-36",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (AQUALITE W/HANGER,PF)",1500,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074724101","00074-7241-01",,"J0170",,4/9/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,3/1/2009,,4/9/2002,,1,,,
"00074726950","00074-7269-50",,"J7502",,1/18/2002,,"CYCLOSPORINE, ORAL, 100 MG","GENGRAF 100 MG/ML",50,"ML","BO","PO","ML",100,"MG",1,1/18/2002,,,,,,,
"00074738501","00074-7385-01",,"J0280",,1/1/2002,12/28/2005,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (AMP,LATEX-FREE) 25 MG/ML",10,"ML","AM","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00074738601","00074-7386-01",,"J0280",,1/1/2002,11/28/2005,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (AMP,LATEX-FREE) 25 MG/ML",20,"ML","AM","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00074741803","00074-7418-03",,"J7100",,1/1/2002,2/13/2006,"INFUSION, DEXTRAN 40, 500 ML","LMD W/5% DEXTROSE (LATEX-FREE) 10%-5%",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074741903","00074-7419-03",,"J7100",,1/1/2002,8/8/2005,"INFUSION, DEXTRAN 40, 500 ML","LMD W/0.9% SODIUM CHLORIDE (LATEX-FREE) 10%-0.9%",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074744401","00074-7444-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (VIAL, FLIPTOP) 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074744501","00074-7445-01",,"J3490",,1/1/2002,11/9/2005,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (VIAL, FLIPTOP) 150 MG/ML",8,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00074744602","00074-7446-02",,"J3490",,1/1/2002,5/7/2002,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (ADD-VANTAGE,LATEX-FREE) 150 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074744716","00074-7447-16",,"J3490",,1/1/2002,1/8/2006,"UNCLASSIFIED DRUGS","CIMETIDINE HCL 300 MG/50 ML",50,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074751715","00074-7517-15",,"J7799",,1/1/2002,3/18/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (ANSYR,LATEX-FREE) 50%",50,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074751716","00074-7517-16",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (ANSYR II,LATEX-FREE) 50%",50,"ML","SR","IV","ML",1,"EA",1,3/1/2009,,1/1/2002,,1,,,
"00074762003","00074-7620-03",,"J1644",,1/1/2002,4/4/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (LATEX-FREE) 200 U/100 ML-0.9%",500,"ML","FC","IV","ML",1000,"U",0.002,1/1/2002,,,,,,,
"00074762059","00074-7620-59",,"J1644",,1/1/2002,4/12/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (LATEX-FREE) 200 U/100 ML-0.9%",1000,"ML","FC","IV","ML",1000,"U",0.002,1/1/2002,,,,,,,
"00074763862","00074-7638-62",,"J3490",,1/1/2002,3/18/2004,"UNCLASSIFIED DRUGS","BRETYLIUM TOSYLATE/DEXTROSE 200 MG/100 ML-5%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074763962","00074-7639-62",,"J3490",,1/1/2002,3/18/2004,"UNCLASSIFIED DRUGS","BRETYLIUM TOSYLATE/DEXTROSE 400 MG/100 ML-5%",250,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074765062","00074-7650-62",,"J1644",,1/1/2002,7/5/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (LATEX-FREE) 10000 U/100 ML-0.45%",250,"ML","FC","IV","ML",1000,"U",0.1,1/1/2002,,,,,,,
"00074765103","00074-7651-03",,"J1644",,1/1/2002,6/27/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (LATEX-FREE) 5000 U/100 ML-0.45%",500,"ML","FC","IV","ML",1000,"U",0.05,1/1/2002,,,,,,,
"00074765162","00074-7651-62",,"J1644",,1/1/2002,7/27/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (LATEX-FREE) 5000 U/100 ML-0.45%",250,"ML","FC","IV","ML",1000,"U",0.05,1/1/2002,,,,,,,
"00074766503","00074-7665-03",,"J2810",,1/1/2002,12/28/2005,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-80 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.02,1/1/2002,,,,,,,
"00074766509","00074-7665-09",,"J2810",,1/1/2002,4/24/2005,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-80 MG/100 ML",1000,"ML","GC","IV","ML",40,"MG",0.02,1/1/2002,,,,,,,
"00074766603","00074-7666-03",,"J2810",,1/1/2002,5/26/2006,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-160 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.04,1/1/2002,,,,,,,
"00074766662","00074-7666-62",,"J2810",,1/1/2002,1/26/2006,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-160 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.04,1/1/2002,,,,,,,
"00074766823","00074-7668-23",,"J2810",,1/1/2002,2/5/2007,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-200 MG/100 ML",100,"ML","GC","IV","ML",40,"MG",0.05,1/1/2002,,,,,,,
"00074767713","00074-7677-13",,"J2810",,1/1/2002,8/9/2006,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-200 MG/50 ML",50,"ML","FC","IV","ML",40,"MG",0.1,1/1/2002,,,,,,,
"00074767723","00074-7677-23",,"J2810",,1/1/2002,5/16/2005,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-400 MG/100 ML",100,"ML","FC","IV","ML",40,"MG",0.1,1/1/2002,,,,,,,
"00074770562","00074-7705-62",,"J2810",,1/1/2002,5/26/2006,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-320 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.08,1/1/2002,,,,,,,
"00074771209","00074-7712-09",,"J7799",,1/1/2002,8/18/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (LATEX-FREE) 5%",1000,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074771309","00074-7713-09",,"J7799",,1/1/2002,4/6/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (LATEX-FREE) 10%",1000,"ML","VL","IV","ML",1,"EA",1,1/1/2002,4/6/2006,,,,,,
"00074771403","00074-7714-03",,"J7799",,1/1/2002,8/29/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (LATEX-FREE) 15%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074771502","00074-7715-02",,"J7799",,1/1/2002,11/13/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (LATEX-FREE) 20%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074771503","00074-7715-03",,"J7799",,1/1/2002,9/15/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (LATEX-FREE) 20%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074773020","00074-7730-20",,"J7799",,1/1/2002,7/26/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (QUAD-PK,48X25ML) 0.45%",25,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074773036","00074-7730-36",,"J7799",,1/1/2002,7/10/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (80X50ML,LATEX-FREE) 0.45%",50,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074773037","00074-7730-37",,"J7799",,1/1/2002,9/15/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (80X100ML,LATEX-FREE) 0.45%",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074774501","00074-7745-01",,"J3490",,1/1/2002,3/18/2004,"UNCLASSIFIED DRUGS","INAMRINONE LACTATE (AMP) 5 MG/ML",20,"ML","AM","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074776003","00074-7760-03",,"J1644",,1/1/2002,8/29/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (LATEX-FREE) 5%-4000 U/100 ML",500,"ML","FC","IV","ML",1000,"U",0.04,1/1/2002,,,,,,,
"00074776103","00074-7761-03",,"J1644",,1/1/2002,7/21/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (LATEX-FREE) 5%-5000 U/100 ML",500,"ML","FC","IV","ML",1000,"U",0.05,1/1/2002,,,,,,,
"00074779323","00074-7793-23",,"J1644",,1/1/2002,1/24/2006,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (LATEX-FREE) 5%-10000 U/100 ML",100,"ML","FC","IV","ML",1000,"U",0.1,1/1/2002,,,,,,,
"00074779362","00074-7793-62",,"J1644",,1/1/2002,10/13/2005,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (LATEX-FREE) 5%-10000 U/100 ML",250,"ML","FC","IV","ML",1000,"U",0.1,1/1/2002,,,,,,,
"00074779462","00074-7794-62",,"J1644",,1/1/2002,6/11/2006,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (LATEX-FREE) 5%-5000 U/100 ML",250,"ML","FC","IV","ML",1000,"U",0.05,1/1/2002,,,,,,,
"00074780822","00074-7808-22",,"Q4076",,10/1/2003,6/16/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-80 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.02,10/1/2003,,,,,,,
"00074780824","00074-7808-24",,"Q4076",,10/1/2003,8/29/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-80 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.02,10/1/2003,,,,,,,
"00074780922","00074-7809-22",,"Q4076",,10/1/2003,4/24/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-160 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.04,10/1/2003,,,,,,,
"00074780924","00074-7809-24",,"Q4076",,10/1/2003,10/9/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-100 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.025,10/1/2003,,,,,,,
"00074781022","00074-7810-22",,"Q4076",,10/1/2003,8/3/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-320 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.08,10/1/2003,,,,,,,
"00074781124","00074-7811-24",,"J3490",,1/1/2002,8/30/2005,"UNCLASSIFIED DRUGS","METRONIDAZOLE (S.D.V.,LATEX-FREE) 500 MG/100 ML",100,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074781137","00074-7811-37",,"J3490",,1/1/2002,9/21/2005,"UNCLASSIFIED DRUGS","METRONIDAZOLE (LIFECARE,LATEX-FREE) 500 MG/100 ML",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074787913","00074-7879-13",,"J1580",,1/1/2002,3/30/2006,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 1.2 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.015,1/1/2002,3/30/2006,,,,,,
"00074788113","00074-7881-13",,"J1580",,1/1/2002,1/22/2006,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 1.4 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.0175,1/1/2002,,,,,,,
"00074788313","00074-7883-13",,"J1580",,1/1/2002,1/8/2006,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 1.6 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.02,1/1/2002,,,,,,,
"00074788423","00074-7884-23",,"J1580",,1/1/2002,7/5/2005,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 80 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.01,1/1/2002,,,,,,,
"00074788623","00074-7886-23",,"J1580",,1/1/2002,1/26/2006,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 90 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.01125,1/1/2002,,,,,,,
"00074788923","00074-7889-23",,"J1580",,1/1/2002,9/19/2005,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 100 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.0125,1/1/2002,,,,,,,
"00074789715","00074-7897-15",,"J0460",,1/1/2002,10/8/2004,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (21GX1 1/2"",ABBOJECT) 0.05 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.16666,1/1/2002,,,,,,,
"00074790707","00074-7907-07",,"A7020",,1/1/2002,9/20/2002,"STERILE WATER OR STERILE SALINE, 1000 ML, USED WITH LARGE VOLUME NEBULIZER","WATER FOR INHALATION (FLEXIBLE PLASTIC)",2000,"ML","FC","IH","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074791819","00074-7918-19",,"J7799",,1/1/2002,7/7/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 70%",500,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074792202","00074-7922-02",,"J7060",,1/1/2002,4/4/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE/PLASTIC) 5%",250,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074792203","00074-7922-03",,"J7060",,1/1/2002,2/24/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE/PLASTIC) 5%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074792209","00074-7922-09",,"J7060",,1/1/2002,2/20/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE/PLASTIC) 5%",1000,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074792253","00074-7922-53",,"J7060",,1/1/2002,8/31/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,24X250ML) 5%",250,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074792255","00074-7922-55",,"J7060",,1/1/2002,10/30/2006,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,LATEX-FREE) 5%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074792261","00074-7922-61",,"J7060",,1/1/2002,8/4/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,32X150ML) 5%",150,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074792313","00074-7923-13",,"J7060",,12/18/2002,6/8/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",50,"ML","FC","IV","ML",500,"ML",0.002,12/18/2002,,,,,,,
"00074792320","00074-7923-20",,"J7060",,1/1/2002,6/16/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,QUAD PACK,LF) 5%",25,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074792323","00074-7923-23",,"J7060",,12/18/2002,7/14/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (PARTIAL-FILL, FLEX C) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,12/18/2002,,,,,,,
"00074792336","00074-7923-36",,"J7060",,1/1/2002,4/4/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,QUAD PACK,LF) 5%",50,"ML","FC","IV","ML",500,"ML",0.002,3/19/2004,,1/1/2002,3/18/2004,0.002,,,
"00074792337","00074-7923-37",,"J7060",,1/1/2002,3/15/2005,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,QUAD PACK,LF) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074792402","00074-7924-02",,"J7799",,1/1/2002,7/27/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.225%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074792403","00074-7924-03",,"J7799",,1/1/2002,7/27/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.225%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074792409","00074-7924-09",,"J7799",,1/1/2002,12/20/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.225%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074792502","00074-7925-02",,"J7799",,1/1/2002,6/28/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.3%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074792503","00074-7925-03",,"J7799",,1/1/2002,9/15/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.3%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074792509","00074-7925-09",,"J7799",,1/1/2002,3/16/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.3%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,3/16/2006,,,,,,
"00074792602","00074-7926-02",,"J7799",,1/1/2002,8/29/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.45%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074792603","00074-7926-03",,"J7799",,1/1/2002,6/6/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.45%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074792609","00074-7926-09",,"J7799",,1/1/2002,8/24/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074792903","00074-7929-03",,"J7120",,1/1/2002,6/8/2005,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 5% IN RINGERS (LATEX-FREE)",500,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00074792909","00074-7929-09",,"J7120",,1/1/2002,2/6/2005,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 5% IN RINGERS (LIFECARE,LATEX-FREE)",1000,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00074793002","00074-7930-02",,"J7799",,1/1/2002,7/4/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LIFECARE,LATEX-FREE) 10%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074793003","00074-7930-03",,"J7799",,1/1/2002,1/11/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LIFECARE,LATEX-FREE) 10%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074793009","00074-7930-09",,"J7799",,1/1/2002,3/15/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LIFECARE,LATEX-FREE) 10%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074793124","00074-7931-24",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL (LIFECARE,LATEX-FREE) 5%-0.4%",500,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074793124","00074-7931-24",,"J2001",,1/1/2004,5/17/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (LIFECARE,LATEX-FREE) 5%-0.4%",500,"ML","FC","IV","ML",10,"MG",0.4,1/1/2004,,,,,,,
"00074793132","00074-7931-32",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL (LIFECARE,LATEX-FREE) 5%-0.4%",250,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074793132","00074-7931-32",,"J2001",,1/1/2004,9/15/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (LIFECARE,LATEX-FREE) 5%-0.4%",250,"ML","FC","IV","ML",10,"MG",0.4,1/1/2004,,,,,,,
"00074793519","00074-7935-19",,"J7799",,1/1/2002,9/11/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 20%",500,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074793617","00074-7936-17",,"J7799",,1/1/2002,5/6/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (2000 ML CONTAINER) 50%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074793619","00074-7936-19",,"J7799",,1/1/2002,6/23/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 50%",500,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074793629","00074-7936-29",,"J7799",,8/21/2003,10/27/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (BARCODED,LATEX-FREE) 50%",1000,"ML","FC","IV","ML",1,"EA",1,8/21/2003,,,,,,,
"00074793719","00074-7937-19",,"J7799",,1/1/2002,8/23/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 40%",500,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074793819","00074-7938-19",,"J7799",,1/1/2002,9/28/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 10%",500,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074793932","00074-7939-32",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL (LIFECARE,LATEX-FREE) 5%-0.8%",250,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074793932","00074-7939-32",,"J2001",,1/1/2004,1/10/2006,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (LIFECARE,LATEX-FREE) 5%-0.8%",250,"ML","FC","IV","ML",10,"MG",0.8,1/1/2004,,,,,,,
"00074794003","00074-7940-03",,"J7799",,1/1/2002,6/1/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 2.5%-0.45%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074794009","00074-7940-09",,"J7799",,1/1/2002,10/8/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 2.5%-0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074794102","00074-7941-02",,"J7042",,1/1/2002,5/26/2006,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.9%",250,"ML","FC","IV","ML",5,"%",0.002,1/1/2002,,,,,,,
"00074794103","00074-7941-03",,"J7042",,1/1/2002,9/19/2005,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.9%",500,"ML","FC","IV","ML",5,"%",0.002,1/1/2002,,,,,,,
"00074794109","00074-7941-09",,"J7042",,1/1/2002,8/7/2005,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.9%",1000,"ML","FC","IV","ML",5,"%",0.002,1/1/2002,,,,,,,
"00074795302","00074-7953-02",,"J7120",,1/1/2002,3/8/2005,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (LIFECARE,LATEX-FREE)",250,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074795303","00074-7953-03",,"J7120",,1/1/2002,5/19/2005,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (LIFECARE,LATEX-FREE)",500,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074795309","00074-7953-09",,"J7120",,1/1/2002,5/17/2005,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (LIFECARE,LATEX-FREE)",1000,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074797205","00074-7972-05",,"A4323",,1/1/2002,5/7/2002,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (FLEXIBLE CONTAINER,PF) 0.9%",1000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074797207","00074-7972-07",,"A4217",,1/1/2004,4/4/2005,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (FLEXIBLE CONTAINER,PF) 0.9%",2000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074797207","00074-7972-07",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (FLEXIBLE CONTAINER,PF) 0.9%",2000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074797208","00074-7972-08",,"A4217",,1/1/2004,5/17/2005,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (FLEX CONTAINER,4X3000ML) 0.9%",3000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074797208","00074-7972-08",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (FLEX CONTAINER,4X3000ML) 0.9%",3000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074797305","00074-7973-05",,"A4319",,1/1/2002,5/7/2002,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)",1000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074797307","00074-7973-07",,"A4217",,1/1/2004,8/8/2005,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)",2000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074797307","00074-7973-07",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)",2000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074797308","00074-7973-08",,"A4217",,1/1/2004,7/13/2005,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)",3000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074797308","00074-7973-08",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)",3000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074797507","00074-7975-07",,"A4217",,1/1/2004,4/25/2006,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (PF,LATEX-FREE) 0.45%",2000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,4/25/2006,,,,,,
"00074797507","00074-7975-07",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (PF,LATEX-FREE) 0.45%",2000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074798302","00074-7983-02",,"J7050",,1/1/2002,6/30/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LIFECARE,P.C.,24X250ML) 0.9%",250,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074798303","00074-7983-03",,"J7040",,1/1/2002,1/4/2005,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE (LIFECARE,P.C.,PF) 0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074798309","00074-7983-09",,"J7030",,1/1/2002,2/6/2005,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC","SODIUM CHLORIDE (LIFECARE,P.C.,PF) 0.9%",1000,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00074798353","00074-7983-53",,"J7050",,1/1/2002,9/29/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LIFECARE,2 PORTS,PC,LF) 0.9%",250,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074798355","00074-7983-55",,"J7040",,1/1/2002,4/10/2005,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE (LIFECARE,2 PORTS,PC,LF) 0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00074798361","00074-7983-61",,"J7050",,1/1/2002,6/16/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LIFECARE,P.C.,32X150ML) 0.9%",150,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074798413","00074-7984-13",,"A4216",,1/1/2004,6/19/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (LIFECARE SINGLE-P/F) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074798413","00074-7984-13",,"J2912",,2/23/2003,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (LIFECARE SINGLE-P/F) 0.9%",50,"ML","FC","IV","ML",0.9,"%",0.5,2/23/2003,,,,,,,
"00074798420","00074-7984-20",,"A4216",,1/1/2004,6/16/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (LIFECARE,QUAD PACK,LF) 0.9%",25,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074798420","00074-7984-20",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (LIFECARE,QUAD PACK,LF) 0.9%",25,"ML","FC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074798423","00074-7984-23",,"J7050",,2/23/2003,5/17/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LIFECARE SINGLE-P/F) 0.9%",100,"ML","FC","IV","ML",250,"ML",0.004,2/23/2003,,,,,,,
"00074798436","00074-7984-36",,"A4216",,1/1/2004,7/13/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (LIFECARE,QUAD PACK,LF) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00074798436","00074-7984-36",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (LIFECARE,QUAD PACK,LF) 0.9%",50,"ML","FC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00074798437","00074-7984-37",,"J7050",,1/1/2002,7/14/2005,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LIFECARE,QUAD PACK,LF) 0.9%",100,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00074798502","00074-7985-02",,"J7799",,1/1/2002,4/5/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (LATEX-FREE) 0.45%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074798503","00074-7985-03",,"J7799",,1/1/2002,4/5/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 0.45%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074798509","00074-7985-09",,"J7799",,1/1/2002,11/23/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074799009","00074-7990-09",,"A4217",,1/1/2004,9/1/2005,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (LIFECARE,PF,LATEX-FREE)",1000,"ML","FC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00074799009","00074-7990-09",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (LIFECARE,PF,LATEX-FREE)",1000,"ML","FC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00074800415","00074-8004-15",,"J7799",,1/1/2002,7/31/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 30%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074800515","00074-8005-15",,"J7799",,1/1/2002,5/16/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000 ML CONTAINER) 60%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074802601","00074-8026-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL 1%",5,"ML","SR","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074802601","00074-8026-01",,"J2001",,1/1/2004,5/6/2004,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL 1%",5,"ML","SR","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00074802701","00074-8027-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (LATEX-FREE) 2%",5,"ML","SR","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074802701","00074-8027-01",,"J2001",,1/1/2004,10/8/2004,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (LATEX-FREE) 2%",5,"ML","SR","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00074806515","00074-8065-15",,"J0330",,1/1/2002,,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","QUELICIN 20 MG/ML",5,"ML","SR","IV","ML",20,"MG",1,1/1/2002,,,,,,,
"00074811031","00074-8110-31",,"J0635",,1/1/2002,12/31/2002,"INJECTION, CALCITRIOL, 1 MCG AMP.","CALCIJEX (AMP,LOW-ALUMINUM) 1 MCG/ML",1,"ML","AM","IV","ML",1,"MCG",1,1/1/2002,,,,,,,
"00074811031","00074-8110-31",,"J0636",,1/1/2003,,"INJECTION, CALCITRIOL, 0.1 MCG","CALCIJEX (AMP,LOW-ALUMINUM) 1 MCG/ML",1,"ML","AM","IV","ML",0.1,"MCG",10,1/1/2003,,,,,,,
"00074909332","00074-9093-32",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,LATEX-FREE) 0.05 MG/ML",2,"ML","AM","IJ","ML",0.1,"MG",0.5,3/1/2009,,1/1/2002,,0.5,,,
"00074909335","00074-9093-35",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,LATEX-FREE) 0.05 MG/ML",5,"ML","AM","IJ","ML",0.1,"MG",0.5,3/1/2009,,1/1/2002,,0.5,,,
"00074909336","00074-9093-36",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,LATEX-FREE) 0.05 MG/ML",10,"ML","AM","IJ","ML",0.1,"MG",0.5,3/1/2009,,1/1/2002,,0.5,,,
"00074909338","00074-9093-38",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,LATEX-FREE) 0.05 MG/ML",20,"ML","AM","IJ","ML",0.1,"MG",0.5,3/1/2009,,1/1/2002,,0.5,,,
"00074909422","00074-9094-22",,"J3010",,1/1/2002,10/11/2005,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (VIAL,FLIPTOP,LATEX-FREE) 0.05 MG/ML",2,"ML","VL","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00074909425","00074-9094-25",,"J3010",,1/1/2002,11/6/2005,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (VIAL,FLIPTOP,LATEX-FREE) 0.05 MG/ML",5,"ML","VL","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00074909428","00074-9094-28",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (VIAL,FLIPTOP,LATEX-FREE) 0.05 MG/ML",10,"ML","VL","IJ","ML",0.1,"MG",0.5,3/1/2009,,1/1/2002,,0.5,,,
"00074909431","00074-9094-31",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (VIAL,FLIPTOP,LATEX-FREE) 0.05 MG/ML",20,"ML","VL","IJ","ML",0.1,"MG",0.5,3/1/2009,,1/1/2002,,0.5,,,
"00074909461","00074-9094-61",,"J3010",,1/1/2002,12/29/2005,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (VIAL,FLIPTOP,LATEX-FREE) 0.05 MG/ML",50,"ML","VL","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00074910420","00074-9104-20",,"J3490",,1/1/2002,9/30/2003,"UNCLASSIFIED DRUGS","DOPAMINE HCL (VIAL,FLIPTOP,10ML/20ML) 40 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074910420","00074-9104-20",,"Q4076",,10/1/2003,6/30/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (VIAL,FLIPTOP,10ML/20ML) 40 MG/ML",10,"ML","VL","IV","ML",40,"MG",1,10/1/2003,,,,,,,
"00074913705","00074-9137-05",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (ANSYR,LATEX-FREE) 1%",5,"ML","SR","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00074913705","00074-9137-05",,"J2001",,1/1/2004,6/29/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (ANSYR,LATEX-FREE) 1%",5,"ML","SR","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00074926718","00074-9267-18",,"J3490",,1/1/2002,5/7/2002,"UNCLASSIFIED DRUGS","BRETYLIUM TOSYLATE (ABBOJECT) 50 MG/ML",10,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00074937402","00074-9374-02",,"J0135",,2/22/2008,,"INJECTION, ADALIMUMAB, 20 MG","HUMIRA (SINGLE-DOSE,PF) 40 MG/0.8 ML",2,"EA","BX","SC","EA",20,"MG",1,2/22/2008,,,,,,,
"00074962805","00074-9628-05",,"J3475",,1/1/2002,4/1/2006,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (ANSYR,PLASTIC SRN) 500 MG/ML",5,"ML","SR","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00074962905","00074-9629-05",,"J0460",,7/17/2003,4/25/2006,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (ANSYR PLASTIC SYRINGE) 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,7/17/2003,4/25/2006,,,,,,
"00074963005","00074-9630-05",,"J0460",,7/17/2003,10/18/2004,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (ANSYR PLASTIC SYRINGE) 0.05 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.16666,7/17/2003,,,,,,,
"00074963104","00074-9631-04",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (ANSYR,LATEX-FREE) 10 MG/ML",4,"ML","SR","IJ","ML",20,"MG",0.5,3/1/2009,,1/1/2002,4/20/2006,0.5,,,
"00075062040","00075-0620-40",,"J1650",,1/1/2002,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 40 MG/0.4 ML",0.4,"ML","SR","IJ","ML",10,"MG",10,1/1/2002,,,,,,,
"00075062041","00075-0620-41",,"J1650",,3/17/2008,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","NOVAPLUS LOVENOX (10X0.4ML,SINGLE-DOSE,PF) 40 MG/0.4 ML",0.4,"ML","SR","SC","ML",10,"MG",10,3/17/2008,,,,,,,
"00075062160","00075-0621-60",,"J1650",,1/1/2002,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (SRN,PREFILLED) 60 MG/0.6 ML",0.6,"ML","SR","IJ","ML",10,"MG",10,1/1/2002,,,,,,,
"00075062161","00075-0621-61",,"J1650",,3/11/2008,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","NOVAPLUS LOVENOX (10X0.6ML,SINGLE-DOSE,PF) 60 MG/0.6 ML",0.6,"ML","SR","SC","ML",10,"MG",10,3/11/2008,,,,,,,
"00075062280","00075-0622-80",,"J1650",,1/1/2002,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (SRN,PREFILLED) 80 MG/0.8 ML",0.8,"ML","SR","IJ","ML",10,"MG",10,1/1/2002,,,,,,,
"00075062281","00075-0622-81",,"J1650",,3/11/2008,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","NOVAPLUS LOVENOX (10X0.8ML,SINGLE-DOSE,PF) 80 MG/0.8 ML",0.8,"ML","SR","SC","ML",10,"MG",10,3/11/2008,,,,,,,
"00075062300","00075-0623-00",,"J1650",,1/1/2002,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (SRN,PREFILLED) 100 MG/ML",1,"ML","SR","IJ","ML",10,"MG",10,1/1/2002,,,,,,,
"00075062301","00075-0623-01",,"J1650",,3/11/2008,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","NOVAPLUS LOVENOX (10X1ML,SINGLE-DOSE,PF) 100 MG/ML",1,"ML","SR","SC","ML",10,"MG",10,3/11/2008,,,,,,,
"00075062403","00075-0624-03",,"J1650",,1/1/2002,4/30/2003,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (AMP) 30 MG/0.3 ML",0.3,"ML","AM","SC","ML",10,"MG",10,1/1/2002,,,,,,,
"00075062430","00075-0624-30",,"J1650",,1/1/2002,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (SRN) 30 MG/0.3 ML",0.3,"ML","SR","IJ","ML",10,"MG",10,1/1/2002,,,,,,,
"00075062431","00075-0624-31",,"J1650",,3/17/2008,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","NOVAPLUS LOVENOX (10X0.3ML,SINGLE-DOSE,PF) 30 MG/0.3 ML",0.3,"ML","SR","SC","ML",10,"MG",10,3/17/2008,,,,,,,
"00075062603","00075-0626-03",,"J1650",,3/7/2003,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (VIAL,MULTIPLE DOSE VIAL) 100 MG/ML",3,"ML","VL","SC","ML",10,"MG",10,3/7/2003,,,,,,,
"00075062604","00075-0626-04",,"J1650",,3/11/2008,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","NOVAPLUS LOVENOX (1X3ML,MULTIPLE-DOSE) 100 MG/ML",3,"ML","VL","IJ","ML",10,"MG",10,3/11/2008,,,,,,,
"00075245101","00075-2451-01",,"J2597",,1/1/2002,,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DDAVP (AMP) 4 MCG/ML",1,"ML","AM","IJ","ML",1,"MCG",4,1/1/2002,,,,,,,
"00075245153","00075-2451-53",,"J2597",,1/1/2002,,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DDAVP (VIAL) 4 MCG/ML",10,"ML","VL","IJ","ML",1,"MCG",4,1/1/2002,,,,,,,
"00075291201","00075-2912-01",,"J1650",,1/1/2002,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 120 MG/0.8 ML",0.8,"ML","SR","IJ","ML",10,"MG",15,1/1/2002,,,,,,,
"00075291501","00075-2915-01",,"J1650",,1/1/2002,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (W/AUTO SAFETY DEVICE) 150 MG/ML",1,"ML","SR","IJ","ML",10,"MG",15,1/1/2002,,,,,,,
"00075800120","00075-8001-20",,"J9170",,1/1/2002,12/31/2009,"INJECTION, DOCETAXEL, 20 MG","TAXOTERE (S.D.V. W/DILUENT) 20 MG/0.5 ML",0.5,"ML","VL","IV","ML",20,"MG",2,1/1/2002,12/31/2009,,,,,,
"00075800180","00075-8001-80",,"J9170",,1/1/2002,12/31/2009,"INJECTION, DOCETAXEL, 20 MG","TAXOTERE (S.D.V. W/DILUENT) 20 MG/0.5 ML",2,"ML","VL","IV","ML",20,"MG",2,1/1/2002,12/31/2009,,,,,,
"00075905110","00075-9051-10",,"J2770",,1/1/2002,6/26/2003,"INJECTION, QUINUPRISTIN/DALFOPRISTIN, 500 MG (150/350)","SYNERCID (PF) 350 MG-150 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2003,,1/1/2002,12/31/2002,1,,,
"00078004101","00078-0041-01",,"J1110",,1/1/2002,12/30/2002,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","D.H.E. 45 (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00078005303","00078-0053-03",,"J2210",,1/1/2002,,"INJECTION, METHYLERGONOVINE MALEATE, UP TO 0.2 MG","METHERGINE (AMP) 0.2 MG/ML",1,"ML","AM","IJ","ML",0.2,"MG",1,1/1/2002,,,,,,,
"00078010901","00078-0109-01",,"J7516",,1/1/2002,,"CYCLOSPORIN, PARENTERAL, 250 MG","SANDIMMUNE (AMP) 50 MG/ML",5,"ML","AM","IV","ML",250,"MG",0.2,1/1/2002,,,,,,,
"00078011022","00078-0110-22",,"J7502",,1/1/2002,,"CYCLOSPORINE, ORAL, 100 MG","SANDIMMUNE 100 MG/ML",50,"ML","BO","PO","ML",100,"MG",1,1/1/2002,,,,,,,
"00078012094","00078-0120-94",,"J1563",,1/1/2002,5/25/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","SANDOGLOBULIN (S.D.V.) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/1/2002,,,,,,,
"00078012295","00078-0122-95",,"J1563",,1/1/2002,5/25/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","SANDOGLOBULIN 3 GM",1,"EA","GC","IV","EA",1,"GM",3,1/1/2002,,,,,,,
"00078012496","00078-0124-96",,"J1563",,1/1/2002,5/25/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","SANDOGLOBULIN 6 GM",1,"EA","GC","IV","EA",1,"GM",6,1/1/2002,,,,,,,
"00078014923","00078-0149-23",,"J0630",,1/1/2002,,"INJECTION, CALCITONIN SALMON, UP TO 400 UNITS","MIACALCIN (VIAL) 200 IU/ML",2,"ML","VL","IJ","ML",400,"U",0.5,1/1/2002,,,,,,,
"00078018001","00078-0180-01",,"J2352",,3/28/2003,12/31/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN (AMP) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"MG",0.05,3/28/2003,,,,,,,
"00078018001","00078-0180-01",,"J2354",,1/1/2004,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","SANDOSTATIN (AMP) 50 MCG/ML",1,"ML","AM","IJ","ML",25,"MCG",2,1/1/2004,,,,,,,
"00078018003","00078-0180-03",,"J2352",,1/1/2002,3/28/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN (AMP) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"MG",0.05,1/1/2002,,,,,,,
"00078018101","00078-0181-01",,"J2352",,3/28/2003,12/31/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN (AMP) 100 MCG/ML",1,"ML","AM","IJ","ML",1,"MG",0.1,3/28/2003,,,,,,,
"00078018101","00078-0181-01",,"J2354",,1/1/2004,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","SANDOSTATIN (AMP) 100 MCG/ML",1,"ML","AM","IJ","ML",25,"MCG",4,1/1/2004,,,,,,,
"00078018103","00078-0181-03",,"J2352",,1/1/2002,3/28/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN (AMP) 100 MCG/ML",1,"ML","AM","IJ","ML",1,"MG",0.1,1/1/2002,,,,,,,
"00078018201","00078-0182-01",,"J2352",,3/28/2003,12/31/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN (AMP) 500 MCG/ML",1,"ML","AM","IJ","ML",1,"MG",0.5,3/28/2003,,,,,,,
"00078018201","00078-0182-01",,"J2354",,1/1/2004,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","SANDOSTATIN (AMP) 500 MCG/ML",1,"ML","AM","IJ","ML",25,"MCG",20,1/1/2004,,,,,,,
"00078018203","00078-0182-03",,"J2352",,1/1/2002,3/28/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN (AMP) 500 MCG/ML",1,"ML","AM","IJ","ML",1,"MG",0.5,1/1/2002,,,,,,,
"00078018325","00078-0183-25",,"J2352",,1/1/2002,12/31/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN (M.D.V.) 200 MCG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00078018325","00078-0183-25",,"J2354",,1/1/2004,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","SANDOSTATIN (M.D.V.) 200 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",8,1/1/2004,,,,,,,
"00078018425","00078-0184-25",,"J2352",,1/1/2002,12/31/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN (M.D.V.) 1000 MCG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00078018425","00078-0184-25",,"J2354",,1/1/2004,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","SANDOSTATIN (M.D.V.) 1000 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",40,1/1/2004,,,,,,,
"00078024015","00078-0240-15",,"J7515",,1/1/2002,,"CYCLOSPORINE, ORAL, 25 MG","SANDIMMUNE (SANDOPAK,SOFTGEL) 25 MG",30,"EA","BX","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00078024115","00078-0241-15",,"J7502",,1/1/2002,,"CYCLOSPORINE, ORAL, 100 MG","SANDIMMUNE (SOFTGEL) 100 MG",30,"EA","BX","PO","EA",100,"MG",1,1/1/2002,,,,,,,
"00078024493","00078-0244-93",,"J1563",,1/1/2002,5/25/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","SANDOGLOBULIN 12 GM",1,"EA","BO","IV","EA",1,"GM",12,1/1/2002,,,,,,,
"00078024615","00078-0246-15",,"J7515",,1/1/2002,,"CYCLOSPORINE, ORAL, 25 MG","NEORAL (SOFTGEL) 25 MG",30,"EA","BX","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00078024815","00078-0248-15",,"J7502",,1/1/2002,,"CYCLOSPORINE, ORAL, 100 MG","NEORAL (SOFTGEL) 100 MG",30,"EA","BX","PO","EA",100,"MG",1,1/1/2002,,,,,,,
"00078027422","00078-0274-22",,"J7502",,1/1/2002,,"CYCLOSPORINE, ORAL, 100 MG","NEORAL 100 MG/ML",50,"ML","BO","PO","ML",100,"MG",1,1/1/2002,,,,,,,
"00078033184","00078-0331-84",,"J0480",,1/1/2006,,"INJECTION, BASILIXIMAB, 20 MG","SIMULECT (S.D.V.,PF) 20 MG",1,"EA","VL","IV","EA",20,"MG",1,1/1/2006,,,,,,,
"00078033184","00078-0331-84",,"Q2019",,1/1/2002,12/31/2005,"INJECTION, BASILIXIMAB, 20 MG","SIMULECT (S.D.V.,PF) 20 MG",1,"EA","VL","IV","EA",20,"MG",1,1/1/2002,,,,,,,
"00078034061","00078-0340-61",,"J2353",,7/26/2004,,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG","SANDOSTATIN LAR DEPOT (1&1/2""X19G,PFS) 10 MG",1,"EA","BX","IM","EA",1,"MG",10,7/26/2004,,,,,,,
"00078034084","00078-0340-84",,"J2352",,1/1/2002,12/31/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN LAR DEPOT (VIAL W/DILUENT) 10 MG",1,"EA","BX","IJ","EA",1,"MG",10,1/1/2002,,,,,,,
"00078034084","00078-0340-84",,"J2353",,1/1/2004,10/1/2004,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG","SANDOSTATIN LAR DEPOT (VIAL W/DILUENT) 10 MG",1,"EA","BX","IJ","EA",1,"MG",10,1/1/2004,,,,,,,
"00078034161","00078-0341-61",,"J2353",,8/18/2004,,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG","SANDOSTATIN LAR DEPOT (1&1/2""X19G,PFS) 20 MG",1,"EA","BX","IM","EA",1,"MG",20,8/18/2004,,,,,,,
"00078034184","00078-0341-84",,"J2352",,1/1/2002,12/31/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN LAR DEPOT (VIAL W/DILUENT) 20 MG",1,"EA","BX","IJ","EA",1,"MG",20,1/1/2002,,,,,,,
"00078034184","00078-0341-84",,"J2353",,1/1/2004,10/1/2004,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG","SANDOSTATIN LAR DEPOT (VIAL W/DILUENT) 20 MG",1,"EA","BX","IJ","EA",1,"MG",20,1/1/2004,,,,,,,
"00078034261","00078-0342-61",,"J2353",,7/14/2004,,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG","SANDOSTATIN LAR DEPOT (1&1/2""X19G,PFS) 30 MG",1,"EA","BX","IM","EA",1,"MG",30,7/14/2004,,,,,,,
"00078034284","00078-0342-84",,"J2352",,1/1/2002,12/31/2003,"INJECTION, OCTREOTIDE ACETATE, 1 MG","SANDOSTATIN LAR DEPOT (VIAL W/DILUENT) 30 MG",1,"EA","BX","IJ","EA",1,"MG",30,1/1/2002,,,,,,,
"00078034284","00078-0342-84",,"J2353",,1/1/2004,10/1/2004,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG","SANDOSTATIN LAR DEPOT (VIAL W/DILUENT) 30 MG",1,"EA","BX","IJ","EA",1,"MG",30,1/1/2004,,,,,,,
"00078034751","00078-0347-51",,"J0895",,1/1/2002,,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DESFERAL (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00078035084","00078-0350-84",,"J3487",,1/1/2003,5/23/2003,"INJECTION, ZOLEDRONIC ACID (ZOMETA), 1 MG","ZOMETA (STERILE) 4 MG",1,"EA","VL","IV","EA",1,"MG",4,1/1/2003,,,,,,,
"00078037366","00078-0373-66",,"J8999",,1/1/2002,9/2/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","GLEEVEC 100 MG",120,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00078038566","00078-0385-66",,"J7518",,1/1/2005,,"MYCOPHENOLIC ACID, ORAL, 180 MG","MYFORTIC (K-30,FILM-COATED) 180 MG",120,"EA","BO","PO","EA",180,"MG",1,1/1/2005,,,,,,,
"00078038566","00078-0385-66",,"J7599",,3/1/2004,12/31/2004,"IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE CLASSIFIED","MYFORTIC (K-30,FILM-COATED) 180 MG",120,"EA","BO","PO","EA",1,"EA",1,3/1/2004,,,,,,,
"00078038666","00078-0386-66",,"J7518",,1/1/2005,,"MYCOPHENOLIC ACID, ORAL, 180 MG","MYFORTIC (K-30,FILM-COATED) 360 MG",120,"EA","BO","PO","EA",180,"MG",2,1/1/2005,,,,,,,
"00078038666","00078-0386-66",,"J7599",,3/1/2004,12/31/2004,"IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE CLASSIFIED","MYFORTIC (K-30,FILM-COATED) 360 MG",120,"EA","BO","PO","EA",1,"EA",1,3/1/2004,,,,,,,
"00078038725","00078-0387-25",,"J3487",,5/1/2003,,"INJECTION, ZOLEDRONIC ACID (ZOMETA), 1 MG","ZOMETA (CONCENTRATE) 4 MG/5 ML",5,"ML","VL","IV","ML",1,"MG",0.8,5/1/2003,,,,,,,
"00078039361","00078-0393-61",,"J0480",,1/1/2006,,"INJECTION, BASILIXIMAB, 20 MG","SIMULECT (S.D.V.,PF) 10 MG",1,"EA","VL","IV","EA",20,"MG",0.5,1/1/2006,,,,,,,
"00078039361","00078-0393-61",,"Q2019",,1/2/2003,12/31/2005,"INJECTION, BASILIXIMAB, 20 MG","SIMULECT (S.D.V.,PF) 10 MG",1,"EA","VL","IV","EA",20,"MG",0.5,1/2/2003,,,,,,,
"00078043561","00078-0435-61",,"J3488",,1/1/2008,,"INJECTION, ZOLEDRONIC ACID (RECLAST), 1 MG","RECLAST",100,"ML","PC","IV","ML",1,"MG",0.05,1/1/2008,,,,,,,
"00078043561","00078-0435-61",,"Q4095",,7/1/2007,12/31/2007,"INJECTION, ZOLEDRONIC ACID (RECLAST), 1 MG","RECLAST",100,"ML","PC","IV","ML",1,"MG",0.05,7/1/2007,,,,,,,
"00078043761","00078-0437-61",,"J3396",,10/18/2005,,"INJECTION, VERTEPORFIN, 0.1 MG","VISUDYNE 15 MG",1,"EA","VL","IV","EA",0.1,"MG",150,10/18/2005,,,,,,,
"00078046391","00078-0463-91",,"J2430",,7/13/2006,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","AREDIA 30 MG",1,"EA","VL","IV","EA",30,"MG",1,7/13/2006,,,,,,,
"00078046461","00078-0464-61",,"J2430",,7/13/2006,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","AREDIA 90 MG",1,"EA","VL","IV","EA",30,"MG",3,7/13/2006,,,,,,,
"00078046791","00078-0467-91",,"J0895",,5/1/2007,,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DESFERAL (USP) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,5/1/2007,,,,,,,
"00078049471","00078-0494-71",,"J7682",,4/1/2008,,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBI (56X5ML,SDA,PF)",5,"ML","PC","IH","ML",300,"MG",0.2,4/1/2008,,,,,,,
"00078049471","00078-0494-71","KO","J7682","KO",4/1/2008,,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBI (56X5ML,SDA,PF)",5,"ML","PC","IH","ML",300,"MG",0.2,4/1/2008,,,,,,,
"00078049561","00078-0495-61",,"J9015",,12/12/2007,,"INJECTION, ALDESLEUKIN, PER SINGLE USE VIAL","PROLEUKIN (PF,LYOPHILOZED) 22 Million IU",1,"EA","VL","IV","EA",1,"VIAL",1,12/12/2007,,,,,,,
"00081004535","00081-0045-35",,,,1/1/1994,7/26/1996,"MELPHALAN, 2 MG, ORAL","ALKERAN 2 MG",50,"EA","BO","PO","EA",2,"MG",1,1/1/1994,,,,,,,
"00083016702","00083-0167-02",,"J7699",,1/1/2002,7/20/2003,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORADIL AEROLIZER (2X6) 0.012 MG",12,"EA","BX","IH","EA",1,"EA",1,1/1/2002,,,,,,,
"00083016774","00083-0167-74",,"J7699",,1/1/2002,5/7/2003,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORADIL AEROLIZER (BLISTER PACK,10X6) 0.012 MG",60,"EA","BX","IH","EA",1,"EA",1,1/1/2002,,,,,,,
"00083260104","00083-2601-04",,"J2430",,1/1/2002,7/12/2006,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","AREDIA (VIAL) 30 MG",1,"EA","VL","IV","EA",30,"MG",1,1/1/2002,,,,,,,
"00083260901","00083-2609-01",,"J2430",,1/1/2002,7/12/2006,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","AREDIA (VIAL) 90 MG",1,"EA","VL","IV","EA",30,"MG",3,1/1/2002,,,,,,,
"00083380104","00083-3801-04",,"J0895",,1/1/2002,4/30/2007,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DESFERAL 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"00083673304","00083-6733-04",,"J2670",,1/1/2002,11/6/2002,"INJECTION, TOLAZOLINE HCL, UP TO 25 MG","PRISCOLINE HYDROCHLORIDE (AMP) 25 MG/ML",4,"ML","AM","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"00085001204","00085-0012-04",,"J3310",,1/1/2002,5/17/2002,"INJECTION, PERPHENAZINE, UP TO 5 MG","TRILAFON (AMP) 5 MG/ML",1,"ML","AM","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"00085006904","00085-0069-04",,"J1580",,1/1/2002,11/1/2003,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GARAMYCIN (VIAL) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00085007705","00085-0077-05",,"Q0176",,1/1/2002,5/17/2002,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRILAFON 16 MG",100,"EA","BO","PO","EA",8,"MG",2,1/1/2002,,,,,,,
"00085012002","00085-0120-02",,"J9214",,1/1/2002,8/5/2002,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (W/DILUENT IN VIAL) 5 Million IU",1,"EA","VL","IJ","EA",1,"MU",5,1/1/2002,,,,,,,
"00085020105","00085-0201-05",,"J1730",,1/1/2002,,"INJECTION, DIAZOXIDE, UP TO 300 MG","HYPERSTAT (AMP) 15 MG/ML",20,"ML","AM","IV","ML",300,"MG",0.05,1/1/2002,,,,,,,
"00085020802","00085-0208-02",,"J7618",,1/1/2002,5/24/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","PROVENTIL 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2002,,,,,,,
"00085020901","00085-0209-01",,"J7619",,1/1/2002,5/27/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","PROVENTIL 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00085020901","00085-0209-01","KO","J7619","KO",1/1/2002,5/27/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","PROVENTIL 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00085028502","00085-0285-02",,"J9214",,1/1/2002,8/5/2002,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (W/DILUENT IN VIAL) 25 Million IU",1,"EA","VL","IJ","EA",1,"MU",25,1/1/2002,,,,,,,
"00085031305","00085-0313-05",,"Q0176",,1/1/2002,5/17/2002,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRILAFON 8 MG",100,"EA","BO","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00085046003","00085-0460-03",,"J2910",,1/1/2002,5/17/2002,"INJECTION, AUROTHIOGLUCOSE, UP TO 50 MG","SOLGANAL (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00085052503","00085-0525-03",,"J8999",,1/1/2002,9/30/2004,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","EULEXIN 125 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00085052505","00085-0525-05",,"J8999",,1/1/2002,9/30/2005,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","EULEXIN 125 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00085052506","00085-0525-06",,"J8999",,1/1/2002,9/30/2005,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","EULEXIN 125 MG",180,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00085053901","00085-0539-01",,"J9214",,1/1/2002,,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (W/DILUENT IN VIAL) 50 Million IU",1,"EA","VL","IJ","EA",1,"MU",50,1/1/2002,,,,,,,
"00085056605","00085-0566-05",,"J0702",,1/1/2002,,"INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG","CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML",5,"ML","VL","IJ","ML",3,"MG",1,1/1/2002,,,,,,,
"00085057102","00085-0571-02",,"J9214",,1/1/2002,,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (W/DILUENT IN VIAL) 10 Million IU",1,"EA","VL","IJ","EA",1,"MU",10,1/1/2002,,,,,,,
"00085064705","00085-0647-05",,"J9214",,1/1/2002,8/5/2002,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (PAK-3, W/DILUENT IN SRN) 3 Million IU",1,"EA","SR","IJ","EA",1,"MU",3,1/1/2002,,,,,,,
"00085070504","00085-0705-04",,"Q0175",,1/1/2002,5/17/2002,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRILAFON 2 MG",100,"EA","BO","PO","EA",4,"MG",0.5,1/1/2002,,,,,,,
"00085084303","00085-0843-03",,"J7506",,1/1/2002,5/17/2002,"PREDNISONE, ORAL, PER 5MG","METICORTEN 1 MG",100,"EA","BO","PO","EA",5,"MG",0.2,1/1/2002,,,,,,,
"00085087905","00085-0879-05",,"J7624",,1/1/2002,5/16/2002,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","CELESTONE PHOSPHATE (M.D.V.) 3 MG/ML",5,"ML","VL","IJ","ML",1,"MG",3,1/1/2002,,,,,,,
"00085087905","00085-0879-05","KO","J7624","KO",1/1/2002,5/16/2002,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","CELESTONE PHOSPHATE (M.D.V.) 3 MG/ML",5,"ML","VL","IJ","ML",1,"MG",3,1/1/2002,,,,,,,
"00085094005","00085-0940-05",,"Q0175",,1/1/2002,5/17/2002,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRILAFON 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00085111001","00085-1110-01",,"J9214",,1/1/2002,,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (W/DILUENT IN VIAL) 18 Million IU",1,"EA","VL","IJ","EA",1,"MU",18,1/1/2002,,,,,,,
"00085113301","00085-1133-01",,"J9214",,1/1/2002,,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (M.D.V.,AF) 10 Million IU/ML",2.5,"ML","VL","IJ","ML",1,"MU",10,1/1/2002,,,,,,,
"00085113601","00085-1136-01",,"J1327",,1/1/2002,,"INJECTION, EPTIFIBATIDE, 5 MG","INTEGRILIN (VIAL) 0.75 MG/ML",100,"ML","VL","IV","ML",5,"MG",0.15,1/1/2002,,,,,,,
"00085116801","00085-1168-01",,"J9214",,1/1/2002,,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (M.D.V.,AF) 6 Million IU/ML",3,"ML","VL","IJ","ML",1,"MU",6,1/1/2002,,,,,,,
"00085117701","00085-1177-01",,"J1327",,1/1/2002,,"INJECTION, EPTIFIBATIDE, 5 MG","INTEGRILIN (VIAL) 2 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.4,1/1/2002,,,,,,,
"00085117702","00085-1177-02",,"J1327",,1/1/2002,,"INJECTION, EPTIFIBATIDE, 5 MG","INTEGRILIN (VIAL) 2 MG/ML",100,"ML","VL","IV","ML",5,"MG",0.4,1/1/2002,,,,,,,
"00085117902","00085-1179-02",,"J9214",,1/1/2002,10/3/2006,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (VIAL/SRN,PAK10,AF) 10 Million IU/ML",6,"EA","BX","IJ","EA",1,"MU",60,1/1/2002,,,,,,,
"00085118402","00085-1184-02",,"J9214",,1/1/2002,8/5/2002,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (VIAL/SRN,PAK-3,AF) 3 Million IU/0.5 ML",6,"EA","BX","IJ","EA",1,"MU",18,1/1/2002,,,,,,,
"00085119102","00085-1191-02",,"J9214",,1/1/2002,8/5/2002,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (VIAL/SRN,PAK-5,AF) 5 Million IU/0.5 ML",6,"EA","BX","IJ","EA",1,"MU",30,1/1/2002,,,,,,,
"00085123501","00085-1235-01",,"J9214",,1/1/2002,,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (M.D. PEN,6 DOSE UNIT) 5 Million IU/0.2 ML",1.5,"ML","BX","IJ","ML",1,"MU",25,1/1/2002,,,,,,,
"00085123601","00085-1236-01",,"J3490",,1/1/2002,11/30/2004,"UNCLASSIFIED DRUGS","REBETRON 1200 (M.D.V.)",1,"EA","VL","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085123602","00085-1236-02",,"J3490",,1/1/2002,11/30/2004,"UNCLASSIFIED DRUGS","REBETRON 1000 (M.D.V.)",1,"EA","VL","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085123603","00085-1236-03",,"J3490",,1/1/2002,11/30/2004,"UNCLASSIFIED DRUGS","REBETRON 600 (M.D.V.)",1,"EA","VL","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085124101","00085-1241-01",,"J3490",,1/1/2002,9/7/2003,"UNCLASSIFIED DRUGS","REBETRON 1200 (PAK-3)",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085124102","00085-1241-02",,"J3490",,1/1/2002,12/11/2005,"UNCLASSIFIED DRUGS","REBETRON 1000 (PAK-3)",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085124103","00085-1241-03",,"J3490",,1/1/2002,12/7/2003,"UNCLASSIFIED DRUGS","REBETRON 600 (PAK-3)",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085124201","00085-1242-01",,"J9214",,1/1/2002,,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (M.D. PEN,6 DOSE UNIT) 3 Million IU/0.2 ML",1.5,"ML","BX","IJ","ML",1,"MU",15,1/1/2002,,,,,,,
"00085124401","00085-1244-01",,,,1/1/2000,1/5/2009,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",5,"EA","BO","PO","EA",20,"MG",1,1/1/2000,1/5/2009,,,,,,
"00085124402","00085-1244-02",,,,1/1/2000,1/5/2009,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",20,"EA","BO","PO","EA",20,"MG",1,1/1/2000,1/5/2009,,,,,,
"00085124801","00085-1248-01",,,,1/1/2000,1/5/2009,"TEMODAR, 5 MG, ORAL","TEMODAR 5 MG",5,"EA","BO","PO","EA",5,"MG",1,1/1/2000,1/5/2009,,,,,,
"00085124802","00085-1248-02",,,,1/1/2000,1/5/2009,"TEMODAR, 5 MG, ORAL","TEMODAR 5 MG",20,"EA","BO","PO","EA",5,"MG",1,1/1/2000,1/5/2009,,,,,,
"00085124803","00085-1248-03",,,,4/9/2007,,"TEMODAR, 5 MG, ORAL","TEMODAR 5 MG",14,"EA","BO","PO","EA",5,"MG",1,4/9/2007,,,,,,,
"00085125201","00085-1252-01",,,,1/1/2000,1/5/2009,"TEMODAR, 250 MG, ORAL","TEMODAR 250 MG",5,"EA","BO","PO","EA",250,"MG",1,1/1/2000,1/5/2009,,,,,,
"00085125202","00085-1252-02",,,,1/1/2000,1/5/2009,"TEMODAR, 250 MG, ORAL","TEMODAR 250 MG",20,"EA","BO","PO","EA",250,"MG",1,1/1/2000,1/5/2009,,,,,,
"00085125401","00085-1254-01",,"J9214",,1/1/2002,,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A (M.D. PEN,6 DOSE UNIT) 10 Million IU/0.2 ML",1.5,"ML","BX","IJ","ML",1,"MU",50,1/1/2002,,,,,,,
"00085125801","00085-1258-01",,"J3490",,1/1/2002,11/30/2004,"UNCLASSIFIED DRUGS","REBETRON 1200 (M.D. PEN)",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085125802","00085-1258-02",,"J3490",,1/1/2002,11/30/2004,"UNCLASSIFIED DRUGS","REBETRON 1000 (M.D. PEN)",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085125803","00085-1258-03",,"J3490",,1/1/2002,11/30/2004,"UNCLASSIFIED DRUGS","REBETRON 600 (M.D. PEN)",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085125901","00085-1259-01",,,,1/1/2000,1/5/2009,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",5,"EA","BO","PO","EA",100,"MG",1,1/1/2000,1/5/2009,,,,,,
"00085125902","00085-1259-02",,,,1/1/2000,1/5/2009,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",20,"EA","BO","PO","EA",100,"MG",1,1/1/2000,1/5/2009,,,,,,
"00085127901","00085-1279-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","PEG-INTRON (VIAL/SRN/DILUENT,PF) 150 MCG",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085129101","00085-1291-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","PEG-INTRON (VIAL/SRN/DILUENT,PF) 80 MCG",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085129701","00085-1297-01",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","PEG-INTRON (PF,REDIPEN) 120 MCG",1,"EA","BX","MR","EA",1,"EA",1,2/2/2004,,,,,,,
"00085129702","00085-1297-02",,"J3490",,3/7/2005,,"UNCLASSIFIED DRUGS","PEG-INTRON (PF,REDIPEN) 120 MCG",1,"EA","BX","MR","EA",1,"EA",1,3/7/2005,,,,,,,
"00085130401","00085-1304-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","PEG-INTRON (VIAL/SRN/DILUENT,PF) 120 MCG",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085131601","00085-1316-01",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","PEG-INTRON (PF,REDIPEN) 80 MCG",1,"EA","BX","MR","EA",1,"EA",1,2/2/2004,,,,,,,
"00085131602","00085-1316-02",,"J3490",,3/7/2005,,"UNCLASSIFIED DRUGS","PEG-INTRON (PF,REDIPEN) 80 MCG",1,"EA","BX","MR","EA",1,"EA",1,3/7/2005,,,,,,,
"00085132301","00085-1323-01",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","PEG-INTRON (PF,REDIPEN) 50 MCG",1,"EA","BX","MR","EA",1,"EA",1,2/2/2004,,,,,,,
"00085132302","00085-1323-02",,"J3490",,3/7/2005,,"UNCLASSIFIED DRUGS","PEG-INTRON (PF,REDIPEN) 50 MCG",1,"EA","BX","MR","EA",1,"EA",1,3/7/2005,,,,,,,
"00085133601","00085-1336-01",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","PROVENTIL 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"00085133601","00085-1336-01",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","PROVENTIL 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"00085136601","00085-1366-01",,,,4/9/2007,,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",14,"EA","BO","PO","EA",100,"MG",1,4/9/2007,,,,,,,
"00085136602","00085-1366-02",,,,4/9/2007,,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",5,"EA","BO","PO","EA",100,"MG",1,4/9/2007,,,,,,,
"00085136801","00085-1368-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","PEG-INTRON (VIAL/SRN/DILUENT,PF) 50 MCG",1,"EA","BX","MR","EA",1,"EA",1,1/1/2002,,,,,,,
"00085137001","00085-1370-01",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","PEG-INTRON (PF,REDIPEN) 150 MCG",1,"EA","BX","MR","EA",1,"EA",1,2/2/2004,,,,,,,
"00085137002","00085-1370-02",,"J3490",,3/7/2005,,"UNCLASSIFIED DRUGS","PEG-INTRON (PF,REDIPEN) 150 MCG",1,"EA","BX","MR","EA",1,"EA",1,3/7/2005,,,,,,,
"00085140101","00085-1401-01",,"J7699",,8/20/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORADIL AEROLIZER (10X6) 0.012 MG",60,"EA","BX","IH","EA",1,"EA",1,8/20/2003,,,,,,,
"00085140201","00085-1402-01",,"J7699",,7/21/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORADIL AEROLIZER (2X6) 0.012 MG",12,"EA","BX","IH","EA",1,"EA",1,7/21/2003,,,,,,,
"00085141701","00085-1417-01",,,,4/9/2007,,"TEMODAR, 250 MG, ORAL","TEMODAR 250 MG",5,"EA","BO","PO","EA",250,"MG",1,4/9/2007,,,,,,,
"00085142501","00085-1425-01",,,,4/9/2007,,"TEMODAR, 20 MG, ORAL","TEMODAR 140 MG",5,"EA","BO","PO","EA",20,"MG",7,4/9/2007,,,,,,,
"00085142502","00085-1425-02",,,,4/9/2007,,"TEMODAR, 20 MG, ORAL","TEMODAR 140 MG",14,"EA","BO","PO","EA",20,"MG",7,4/9/2007,,,,,,,
"00085143001","00085-1430-01",,,,4/9/2007,,"TEMODAR, 20 MG, ORAL","TEMODAR 180 MG",5,"EA","BO","PO","EA",20,"MG",9,4/9/2007,,,,,,,
"00085143002","00085-1430-02",,,,4/9/2007,,"TEMODAR, 20 MG, ORAL","TEMODAR 180 MG",14,"EA","BO","PO","EA",20,"MG",9,4/9/2007,,,,,,,
"00085151901","00085-1519-01",,,,4/9/2007,,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",14,"EA","BO","PO","EA",20,"MG",1,4/9/2007,,,,,,,
"00085151902","00085-1519-02",,,,4/9/2007,,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",5,"EA","BO","PO","EA",20,"MG",1,4/9/2007,,,,,,,
"00085173101","00085-1731-01",,"J0744",,8/17/2005,4/1/2009,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (VIAL) 10 MG/ML",40,"ML","VL","IV","ML",200,"MG",0.05,8/17/2005,4/1/2009,,,,,,
"00085173701","00085-1737-01",,"J2280",,8/17/2005,,"INJECTION, MOXIFLOXACIN, 100 MG","AVELOX I.V. (FLEXIBAG,PF) 400 MG/250 ML",250,"ML","FC","IV","ML",100,"MG",0.016,8/17/2005,,,,,,,
"00085174102","00085-1741-02",,"J0744",,8/17/2005,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (PRE-MIXED W/DEX) 400 MG/200 ML",200,"ML","FC","IV","ML",200,"MG",0.01,8/17/2005,,,,,,,
"00085175502","00085-1755-02",,"J0744",,8/17/2005,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (PRE-MIXED W/DEX) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,8/17/2005,,,,,,,
"00085176201","00085-1762-01",,"J0744",,8/17/2005,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (PRE-MIXED W/DEX,BAXTER) 400 MG/200 ML",400,"ML","FC","IV","ML",200,"MG",0.01,8/17/2005,,,,,,,
"00085176303","00085-1763-03",,"J0744",,8/17/2005,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (VIAL) 10 MG/ML",20,"ML","VL","IV","ML",200,"MG",0.05,8/17/2005,,,,,,,
"00085178101","00085-1781-01",,"J0744",,8/17/2005,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (PRE-MIXED W/DEX,BAXTER) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,8/17/2005,,,,,,,
"00085180601","00085-1806-01",,"J7603",,1/1/2008,3/3/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","PROVENTIL 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00085180601","00085-1806-01",,"Q4094",,7/1/2007,12/31/2007,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","PROVENTIL 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,7/1/2007,,,,,,,
"00085180601","00085-1806-01","KO","J7603","KO",1/1/2008,3/3/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","PROVENTIL 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00085180601","00085-1806-01","KO","Q4094","KO",7/1/2007,12/31/2007,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","PROVENTIL 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,7/1/2007,,,,,,,
"00085300401","00085-3004-01",,,,1/30/2008,,"TEMODAR, 5 MG, ORAL","TEMODAR 5 MG",14,"EA","BO","PO","EA",5,"MG",1,1/30/2008,,,,,,,
"00085300402","00085-3004-02",,,,1/30/2008,,"TEMODAR, 5 MG, ORAL","TEMODAR 5 MG",5,"EA","BO","PO","EA",5,"MG",1,1/30/2008,,,,,,,
"00087057003","00087-0570-03",,"J7608",,1/1/2002,4/1/2004,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00087057003","00087-0570-03","KO","J7608","KO",1/1/2002,4/1/2004,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00087057007","00087-0570-07",,"J7608",,1/1/2002,8/1/2004,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00087057007","00087-0570-07","KO","J7608","KO",1/1/2002,8/1/2004,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00087057009","00087-0570-09",,"J7608",,1/1/2002,8/1/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00087057009","00087-0570-09","KO","J7608","KO",1/1/2002,8/1/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00087057201","00087-0572-01",,"J7608",,1/1/2002,2/1/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00087057201","00087-0572-01","KO","J7608","KO",1/1/2002,2/1/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00087057202","00087-0572-02",,"J7608",,1/1/2002,4/26/2006,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00087057202","00087-0572-02","KO","J7608","KO",1/1/2002,4/26/2006,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00087057203","00087-0572-03",,"J7608",,1/1/2002,8/1/2004,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00087057203","00087-0572-03","KO","J7608","KO",1/1/2002,8/1/2004,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","MUCOMYST 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00087601142","00087-6011-42",,"J0706",,1/1/2004,11/4/2008,"INJECTION, CAFFEINE CITRATE, 5MG","CAFCIT (S.D.V.) 20 MG/ML",3,"ML","VL","IJ","ML",5,"MG",4,1/1/2004,11/4/2008,,,,,,
"00088115003","00088-1150-03",,"Q2010",,1/1/2002,5/2/2002,"INJECTION, GLATIRAMER ACETATE, PER DOSE","COPAXONE (SDV,DILUENT,SRN,NDL,PF) 20 MG",32,"VL","BX","SC","EA",1,"DOSE",1,1/1/2002,,,,,,,
"00088115330","00088-1153-30",,"J1595",,1/1/2004,4/27/2008,"INJECTION, GLATIRAMER ACETATE, 20 MG","COPAXONE (30 SRN,PREFILLED,PF) 20 MG/ML",1,"ML","DP","MR","EA",20,"MG",30,1/1/2004,,,,,,,
"00088115330","00088-1153-30",,"Q2010",,4/18/2002,12/31/2003,"INJECTION, GLATIRAMER ACETATE, PER DOSE","COPAXONE (30 SRN,PREFILLED,PF) 20 MG/ML",1,"ML","DP","MR","EA",1,"DOSE",30,4/18/2002,,,,,,,
"00088120205","00088-1202-05",,"Q0180",,1/1/2002,,"DOLASETRON MESYLATE, 100  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","ANZEMET 50 MG",5,"EA","BO","PO","EA",100,"MG",0.5,1/1/2002,,,,,,,
"00088120229","00088-1202-29",,"Q0180",,1/1/2002,8/4/2004,"DOLASETRON MESYLATE, 100  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","ANZEMET (BLISTER PACK,1X5) 50 MG",5,"EA","BX","PO","EA",100,"MG",0.5,1/1/2002,,,,,,,
"00088120243","00088-1202-43",,"Q0180",,1/1/2002,,"DOLASETRON MESYLATE, 100  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","ANZEMET 50 MG",10,"EA","BX","PO","EA",100,"MG",0.5,1/1/2002,,,,,,,
"00088120305","00088-1203-05",,"Q0180",,1/1/2002,,"DOLASETRON MESYLATE, 100  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","ANZEMET 100 MG",5,"EA","BO","PO","EA",100,"MG",1,1/1/2002,,,,,,,
"00088120329","00088-1203-29",,"Q0180",,1/1/2002,10/15/2004,"DOLASETRON MESYLATE, 100  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","ANZEMET (BLISTER PACK,1X5) 100 MG",5,"EA","BX","PO","EA",100,"MG",1,1/1/2002,,,,,,,
"00088120343","00088-1203-43",,"Q0180",,1/1/2002,,"DOLASETRON MESYLATE, 100  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","ANZEMET 100 MG",10,"EA","BX","PO","EA",100,"MG",1,1/1/2002,,,,,,,
"00088120632","00088-1206-32",,"J1260",,1/1/2002,,"INJECTION, DOLASETRON MESYLATE, 10 MG","ANZEMET (S.D.V.) 20 MG/ML",5,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00088120806","00088-1208-06",,"J1260",,12/15/2003,,"INJECTION, DOLASETRON MESYLATE, 10 MG","ANZEMET (S.D.V.) 20 MG/ML",0.625,"ML","VL","IV","ML",10,"MG",2,12/15/2003,,,,,,,
"00088120865","00088-1208-65",,"J1260",,1/1/2002,2/9/2004,"INJECTION, DOLASETRON MESYLATE, 10 MG","ANZEMET (AMP) 20 MG/ML",0.625,"ML","AM","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00088120869","00088-1208-69",,"J1260",,1/1/2002,4/4/2002,"INJECTION, DOLASETRON MESYLATE, 10 MG","ANZEMET (CARPUJECT) 20 MG/ML",0.625,"ML","CT","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00088120876","00088-1208-76",,"J1260",,2/20/2002,,"INJECTION, DOLASETRON MESYLATE, 10 MG","ANZEMET 20 MG/ML",0.625,"ML","CT","IV","ML",10,"MG",2,2/20/2002,,,,,,,
"00088120926","00088-1209-26",,"J1260",,7/21/2003,,"INJECTION, DOLASETRON MESYLATE, 10 MG","ANZEMET (M.D.V.) 20 MG/ML",25,"ML","VL","IV","ML",10,"MG",2,7/21/2003,,,,,,,
"00088215057","00088-2150-57",,"Q2021",,1/1/2002,2/26/2002,"INJECTION, LEPIRUDIN, 50 MG","REFLUDAN (VIAL) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"00088222033","00088-2220-33",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","LANTUS 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00088222033","00088-2220-33",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","LANTUS 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00088222052","00088-2220-52",,"J1815",,1/10/2005,,"INJECTION, INSULIN, PER 5 UNITS","LANTUS (U-100,5X3ML) 100 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/10/2005,,,,,,,
"00088222060","00088-2220-60",,"J1815",,7/9/2007,,"INJECTION, INSULIN, PER 5 UNITS","LANTUS SOLOSTAR 100 U/ML",3,"ML","SR","SC","ML",5,"U",20,7/9/2007,,,,,,,
"00088250033","00088-2500-33",,"J1817",,1/24/2006,,"INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS","APIDRA 100 U/ML",10,"ML","VL","SC","ML",50,"U",2,1/24/2006,,,,,,,
"00088250052","00088-2500-52",,"J1815",,1/24/2006,,"INJECTION, INSULIN, PER 5 UNITS","APIDRA (5X3ML,OPTICLIK PEN) 100 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/24/2006,,,,,,,
"00088250205","00088-2502-05",,"J1817",,3/4/2009,,"INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS","APIDRA SOLOSTAR (5X3ML) 100U/ML",3,"ML","EA","IJ","ML",50,"U",2,3/4/2009,,,,,,,
"00089051006","00089-0510-06",,"J0600",,1/1/2002,12/8/2009,"INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG","CALCIUM DISODIUM VERSENATE (AMP) 200 MG/ML",5,"ML","AM","IJ","ML",1000,"MG",0.2,1/1/2002,12/8/2009,,,,,,
"00089054006","00089-0540-06",,"J2360",,1/1/2002,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","NORFLEX (AMP) 30 MG/ML",2,"ML","AM","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"00091101006","00091-1010-06",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (6 S.D.V. PER CARTON) 10 MCG",1,"EA","VL","IC","EA",1.25,"MCG",8,1/1/2002,,,,,,,
"00091102006","00091-1020-06",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (6 S.D.V. PER CARTON) 20 MCG",1,"EA","VL","IC","EA",1.25,"MCG",16,1/1/2002,,,,,,,
"00091102722","00091-1027-22",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX CARTRIDGE REFILL PACK (2 S.D. CARTRIDGES/NDLS) 10 MCG",2,"EA","BX","IC","EA",1.25,"MCG",16,1/1/2002,,,,,,,
"00091102922","00091-1029-22",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX CARTRIDGE REFILL PACK (2 S.D. CARTRIDGES/NDLS) 20 MCG",2,"EA","BX","IC","EA",1.25,"MCG",32,1/1/2002,,,,,,,
"00091103222","00091-1032-22",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX CARTRIDGE REFILL PACK (2 S.D. CARTRIDGES/NDLS) 40 MCG",2,"EA","BX","IC","EA",1.25,"MCG",64,1/1/2002,,,,,,,
"00091104006","00091-1040-06",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (6 S.D.V. PER CARTON) 40 MCG",1,"EA","VL","IC","EA",1.25,"MCG",32,1/1/2002,,,,,,,
"00091111011","00091-1110-11",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX CARTRIDGE STARTER PACK 10 MCG",2,"EA","BX","IC","EA",1.25,"MCG",16,1/1/2002,,,,,,,
"00091111016","00091-1110-16",,"J0270",,9/2/2004,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (29GX1/2"",KIT) 10 MCG",1,"EA","BX","MR","EA",1.25,"MCG",8,9/2/2004,,,,,,,
"00091111020","00091-1110-20",,"J0270",,9/2/2004,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (29GX1/2"",KIT) 10 MCG",1,"EA","BX","MR","EA",1.25,"MCG",8,9/2/2004,,,,,,,
"00091112011","00091-1120-11",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX CARTRIDGE STARTER PACK 20 MCG",2,"EA","BX","IC","EA",1.25,"MCG",32,1/1/2002,,,,,,,
"00091112016","00091-1120-16",,"J0270",,9/2/2004,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (29GX1/2"",KIT) 20 MCG",1,"EA","BX","MR","EA",1.25,"MCG",16,9/2/2004,,,,,,,
"00091112020","00091-1120-20",,"J0270",,9/2/2004,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (29GX1/2"",KIT) 20 MCG",1,"EA","BX","MR","EA",1.25,"MCG",16,9/2/2004,,,,,,,
"00091114011","00091-1140-11",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX CARTRIDGE STARTER PACK 40 MCG",2,"EA","BX","IC","EA",1.25,"MCG",64,1/1/2002,,,,,,,
"00091114016","00091-1140-16",,"J0270",,9/2/2004,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (29GX1/2"",KIT) 40 MCG",1,"EA","BX","MR","EA",1.25,"MCG",32,9/2/2004,,,,,,,
"00091114020","00091-1140-20",,"J0270",,9/2/2004,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (29GX1/2"",KIT) 40 MCG",1,"EA","BX","MR","EA",1.25,"MCG",32,9/2/2004,,,,,,,
"00091141044","00091-1410-44",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (VIAL,SRN,NDLS,SWABS) 10 MCG",4,"EA","BX","IC","EA",1.25,"MCG",32,1/1/2002,,,,,,,
"00091142044","00091-1420-44",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (VIAL,SRN,NDLS,SWABS) 20 MCG",4,"EA","BX","IC","EA",1.25,"MCG",64,1/1/2002,,,,,,,
"00091144044","00091-1440-44",,"J0270",,1/1/2002,9/1/2004,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","EDEX (VIAL,SRN,NDLS,SWABS) 40 MCG",4,"EA","BX","IC","EA",1.25,"MCG",128,1/1/2002,,,,,,,
"00091151021","00091-1510-21",,"J1910",,1/1/2002,12/3/2003,"INJECTION, KUTAPRESSIN, UP TO 2 ML","KUTAPRESSIN (VIAL) 25.5 MG/ML",20,"ML","VL","IJ","ML",2,"ML",0.5,1/1/2002,,,,,,,
"00091153605","00091-1536-05",,"J1980",,1/1/2002,4/15/2009,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","LEVSIN (AMP) 0.5 MG/ML",1,"ML","AM","IJ","ML",0.25,"MG",2,1/1/2002,4/15/2009,,,,,,
"00093078201","00093-0782-01",,"J8999",,2/20/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 20 MG",100,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00093078205","00093-0782-05",,"J8999",,1/9/2008,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 20 MG",500,"EA","BO","PO","EA",1,"EA",1,1/9/2008,,,,,,,
"00093078210","00093-0782-10",,"J8999",,1/9/2008,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 20 MG",1000,"EA","BO","PO","EA",1,"EA",1,1/9/2008,,,,,,,
"00093078256","00093-0782-56",,"J8999",,2/20/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 20 MG",30,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00093078405","00093-0784-05",,"J8999",,1/9/2008,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 10 MG",500,"EA","BO","PO","EA",1,"EA",1,1/9/2008,,,,,,,
"00093078406","00093-0784-06",,"J8999",,2/20/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 10 MG",60,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00093078410","00093-0784-10",,"J8999",,1/9/2008,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 10 MG",1000,"EA","BO","PO","EA",1,"EA",1,1/9/2008,,,,,,,
"00093078486","00093-0784-86",,"J8999",,2/20/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 10 MG",180,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00093542088","00093-5420-88",,"J8515",,3/7/2007,,"CABERGOLINE, ORAL, 0.25 MG","CABERGOLINE 0.5 MG",8,"EA","BO","PO","EA",0.25,"MG",2,3/7/2007,,,,,,,
"00093551006","00093-5510-06",,"J8999",,4/27/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MERCAPTOPURINE (USP) 50 MG",60,"EA","BO","PO","EA",1,"EA",1,4/27/2005,,,,,,,
"00093611816","00093-6118-16",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"00093611887","00093-6118-87",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"00093672373","00093-6723-73",,"J7620",,1/3/2008,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","VL","IH","ML",2.5,"MG",0.33333,1/3/2008,,,,,,,
"00093672374","00093-6723-74",,"J7620",,1/3/2008,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (60X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","VL","IH","ML",2.5,"MG",0.33333,1/3/2008,,,,,,,
"00093712005","00093-7120-05",,"J8999",,1/1/2002,1/26/2006,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00093712086","00093-7120-86",,"J8999",,1/1/2002,1/26/2006,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",180,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00093714609","00093-7146-09",,"Q0144",,12/6/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (3X6,FILM-COATED) 250 MG",18,"EA","DP","PO","EA",1,"GM",0.25,12/6/2005,,,,,,,
"00093714618","00093-7146-18",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,11/14/2005,,,,,,,
"00093714656","00093-7146-56",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,11/14/2005,,,,,,,
"00093714756","00093-7147-56",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 600 MG",30,"EA","BO","PO","EA",1,"GM",0.6,11/14/2005,,,,,,,
"00093716933","00093-7169-33",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 500 MG",3,"EA","DP","PO","EA",1,"GM",0.5,11/14/2005,,,,,,,
"00093716956","00093-7169-56",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 500 MG",30,"EA","BO","PO","EA",1,"GM",0.5,11/14/2005,,,,,,,
"00093723656","00093-7236-56",,"Q0179",,8/1/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HCL",30,"EA","BO","PO","EA",8,"MG",1,8/1/2007,,,,,,,
"00093730165","00093-7301-65",,"Q0179",,7/3/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP,STRAWBERRY) 4 MG",30,"EA","BX","PO","EA",8,"MG",0.5,7/3/2007,,,,,,,
"00093730203","00093-7302-03",,"Q0179",,7/3/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP,STRAWBERRY) 8 MG",10,"EA","BX","PO","EA",8,"MG",1,7/3/2007,,,,,,,
"00093730265","00093-7302-65",,"Q0179",,7/3/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP,STRAWBERRY) 8 MG",30,"EA","BX","PO","EA",8,"MG",1,7/3/2007,,,,,,,
"00093747705","00093-7477-05",,"J7517",,5/5/2009,,"MYCOPHENOLATE MOFETIL , ORAL, 250 MG","MYCOPHENOLATE MOFETIL (FILM-COATED) 500 MG",500,"EA","BO","PO","EA",250,"MG",2,5/5/2009,,,,,,,
"00093748512","00093-7485-12",,"Q0166",,1/2/2008,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISTERON HYDROCHLORIDE (2X1,FILM COATED) 1 MG",2,"EA","BX","PO","EA",1,"MG",1,1/2/2008,,,,,,,
"00093748520","00093-7485-20",,"Q0166",,1/2/2008,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISTERON HYDROCHLORIDE (5X4,FILM COATED) 1 MG",20,"EA","BX","PO","EA",1,"MG",1,1/2/2008,,,,,,,
"00093894001","00093-8940-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00093894005","00093-8940-05",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00093894093","00093-8940-93",,"J8499",,11/30/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP,HARD GELATIN) 200 MG",100,"EA","BX","PO","EA",1,"EA",1,11/30/2007,,,,,,,
"00093894301","00093-8943-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00093894305","00093-8943-05",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00093894701","00093-8947-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00093894705","00093-8947-05",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00093963487","00093-9634-87",,"J8999",,8/13/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (APRICOT) 40 MG/ML",240,"ML","BO","PO","ML",1,"EA",1,8/13/2003,,,,,,,
"00093964301","00093-9643-01",,"Q0164",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00093965201","00093-9652-01",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"00095008635","00095-0086-35",,"J8540",,9/1/2006,9/30/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXPAK JR TAPERPAK 1.5 MG",35,"EA","DP","PO","EA",0.25,"MG",6,9/1/2006,9/30/2009,,,,,,
"00095008651","00095-0086-51",,"J8540",,1/1/2006,8/31/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXPAK (TAPERPAK) 1.5 MG",51,"EA","DP","PO","EA",0.25,"MG",6,1/1/2006,8/31/2009,,,,,,
"00095008651","00095-0086-51",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXPAK (TAPERPAK) 1.5 MG",51,"EA","DP","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00113002405","00113-0024-05",,"Q0163",,1/14/2004,9/1/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GOOD SENSE SLEEP AID SOFTGELS (MAXIMUM STRENGTH) 50 MG",32,"EA","BO","PO","EA",50,"MG",1,1/14/2004,,,,,,,
"00113002473","00113-0024-73",,"Q0163",,1/14/2004,9/1/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GOOD SENSE SLEEP AID SOFTGELS (MAXIMUM STRENGTH) 50 MG",16,"EA","BO","PO","EA",50,"MG",1,1/14/2004,,,,,,,
"00113037926","00113-0379-26",,"Q0163",,1/14/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (ALCOHOL FREE,CHERRY) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/14/2004,,,,,,,
"00113040673","00113-0406-73",,"Q0163",,1/14/2004,1/1/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GOOD SENSE SLEEP (ORIGINAL FORMULA) 25 MG",16,"EA","BX","PO","EA",50,"MG",0.5,1/14/2004,,,,,,,
"00113043162","00113-0431-62",,"Q0163",,1/14/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GOOD SENSE NIGHTTIME SLEEP AID (MINI-CAPLETS) 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,1/14/2004,,,,,,,
"00113046262","00113-0462-62",,"Q0163",,1/14/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (EASY TO SWALLOW) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/14/2004,,,,,,,
"00113047962","00113-0479-62",,"Q0163",,1/14/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (EASY TO SWALLOW) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/14/2004,,,,,,,
"00113047978","00113-0479-78",,"Q0163",,1/14/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (EASY TO SWALLOW) 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/14/2004,,,,,,,
"00115104001","00115-1040-01",,"Q0169",,2/12/2008,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 12.5 MG",100,"EA","BO","PO","EA",12.5,"MG",1,2/12/2008,,,,,,,
"00115104101","00115-1041-01",,"Q0170",,2/12/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",100,"EA","BO","PO","EA",25,"MG",1,2/12/2008,,,,,,,
"00115104103","00115-1041-03",,"Q0170",,4/1/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",1000,"EA","BO","PO","EA",25,"MG",1,4/1/2008,,,,,,,
"00115104201","00115-1042-01",,"Q0170",,5/20/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 50 MG",100,"EA","BO","PO","EA",25,"MG",2,5/20/2008,,,,,,,
"00115191101","00115-1911-01",,"G9020",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","RIMANTADINE HCL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"00121048905","00121-0489-05",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",5,"ML","CP","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00121048910","00121-0489-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",10,"ML","CP","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00121048920","00121-0489-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",20,"ML","CP","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00121064610","00121-0646-10",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (AF,SF,DYE-FREE) 50 MG/5 ML",10,"ML","CP","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"00121064616","00121-0646-16",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (AF,SF,DYE-FREE) 50 MG/5 ML",473,"ML","BO","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"00121068705","00121-0687-05",,"J7510",,4/1/2003,7/22/2008,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (BERRY) 15 MG/5 ML",5,"ML","CP","PO","ML",5,"MG",0.6,4/1/2003,7/22/2008,,,,,,
"00121068708","00121-0687-08",,"J7510",,4/17/2003,7/22/2008,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (BERRY) 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,4/17/2003,7/22/2008,,,,,,
"00121068716","00121-0687-16",,"J7510",,4/17/2003,7/22/2008,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (BERRY) 15 MG/5 ML",473,"ML","BO","PO","ML",5,"MG",0.6,4/17/2003,7/22/2008,,,,,,
"00121071104","00121-0711-04",,"J7510",,2/25/2003,9/15/2005,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (AF,SF,DYE-FREE) 6.7 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.268,2/25/2003,,,,,,,
"00121071105","00121-0711-05",,"J7510",,2/25/2003,10/7/2005,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (AF,SF,DYE-FREE) 6.7 MG/5 ML",5,"ML","CP","PO","ML",5,"MG",0.268,2/25/2003,,,,,,,
"00121071110","00121-0711-10",,"J7510",,2/25/2003,5/11/2004,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (AF,SF,DYE-FREE) 6.7 MG/5 ML",10,"ML","CP","PO","ML",5,"MG",0.268,2/25/2003,,,,,,,
"00121071120","00121-0711-20",,"J7510",,2/25/2003,6/22/2004,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (AF,SF,DYE-FREE) 6.7 MG/5 ML",20,"ML","CP","PO","ML",5,"MG",0.268,2/25/2003,,,,,,,
"00121075908","00121-0759-08",,"J7510",,5/2/2005,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (AF,DYE-FREE,GRAPE) 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,5/2/2005,,,,,,,
"00121477610","00121-4776-10",,"J8999",,7/7/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (40X10ML CUPS,APRICOT) 40 MG/ML",10,"ML","CP","PO","ML",1,"EA",1,7/7/2006,,,,,,,
"00143142501","00143-1425-01",,"J7506",,12/9/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 2.5 MG",100,"EA","BO","PO","EA",5,"MG",0.5,12/9/2004,,,,,,,
"00143147301","00143-1473-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00143147310","00143-1473-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00143147501","00143-1475-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00143147510","00143-1475-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00143147701","00143-1477-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00143147705","00143-1477-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",500,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00143147710","00143-1477-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",1000,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00143977106","00143-9771-06",,"J2405",,2/5/2009,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (48X50ML) 32 MG/50ML",50,"ML","EA","IV","ML",1,"MG",0.64,2/5/2009,,,,,,,
"00143985625","00143-9856-25",,"J0696",,4/21/2008,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,4/21/2008,,,,,,,
"00143985725","00143-9857-25",,"J0696",,4/21/2008,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,4/21/2008,,,,,,,
"00143985825","00143-9858-25",,"J0696",,4/21/2008,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,4/21/2008,,,,,,,
"00143985925","00143-9859-25",,"J0696",,4/21/2008,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,4/21/2008,,,,,,,
"00143986822","00143-9868-22",,"J2550",,8/4/2008,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (25X1ML,USP) 50 MG/ML",1,"ML","VL","IJ","EA",50,"MG",1,8/4/2008,,,,,,,
"00143986922","00143-9869-22",,"J2550",,8/4/2008,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (25X1ML,USP) 25 MG/ML",1,"ML","VL","IJ","EA",50,"MG",0.5,8/4/2008,,,,,,,
"00143987201","00143-9872-01",,"J1800",,4/21/2008,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HYDROCHLORIDE (10X1ML) 1 MG/ML",1,"ML","VL","IV","ML",1,"MG",1,4/21/2008,,,,,,,
"00143987510","00143-9875-10",,"J0282",,5/26/2008,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HYDROCHLORIDE (10X3ML) 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,5/26/2008,,,,,,,
"00143988125","00143-9881-25",,"J1165",,4/3/2007,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (USP,25X5ML) 50 MG/ML",5,"ML","VL","IV","ML",50,"MG",1,4/3/2007,,,,,,,
"00143988225","00143-9882-25",,"J1165",,4/3/2007,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (USP,25X2ML) 50 MG/ML",2,"ML","VL","IV","ML",50,"MG",1,4/3/2007,,,,,,,
"00143989001","00143-9890-01",,"J2405",,4/3/2007,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (USP,MULTIDOSE) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,4/3/2007,,,,,,,
"00143989105","00143-9891-05",,"J2405",,4/3/2007,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (USP,SINGLE DOSE) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,4/3/2007,,,,,,,
"00143989906","00143-9899-06",,"J1450",,4/3/2007,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (6X100ML) 200 MG/100 ML",100,"ML","GC","IV","ML",200,"MG",0.01,4/3/2007,,,,,,,
"00143992390","00143-9923-90",,"J0690",,1/13/2003,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (U.S.P.) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/13/2003,,,,,,,
"00143992490","00143-9924-90",,"J0690",,1/13/2003,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (U.S.P.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/13/2003,,,,,,,
"00143993003","00143-9930-03",,"J0698",,4/3/2007,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP) 500 MG",1,"EA","VL","IJ","EA",1,"GM",0.5,4/3/2007,,,,,,,
"00143993122","00143-9931-22",,"J0698",,4/3/2007,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,4/3/2007,,,,,,,
"00143993322","00143-9933-22",,"J0698",,4/3/2007,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,4/3/2007,,,,,,,
"00143993591","00143-9935-91",,"J0698",,4/3/2007,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP,PHARMACY BULK) 10 GM",1,"EA","VL","IJ","EA",1,"GM",10,4/3/2007,,,,,,,
"00143997603","00143-9976-03",,"J0697",,4/3/2007,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (USP,BULK PACKAGE) 7.5 GM",1,"EA","VL","IV","EA",750,"MG",10,4/3/2007,,,,,,,
"00143997691","00143-9976-91",,"J0697",,3/10/2005,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (BULK PACKAGE) 7.5 GM",1,"EA","VL","IV","EA",750,"MG",10,3/10/2005,,,,,,,
"00143997722","00143-9977-22",,"J0697",,4/3/2007,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (USP) 1.5 GM",1,"EA","VL","IV","EA",750,"MG",2,4/3/2007,,,,,,,
"00143997790","00143-9977-90",,"J0697",,3/11/2005,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 1.5 GM",1,"EA","VL","IV","EA",750,"MG",2,3/11/2005,,,,,,,
"00143997922","00143-9979-22",,"J0697",,4/3/2007,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (USP) 750 MG",25,"EA","VL","IJ","EA",750,"MG",1,4/3/2007,,,,,,,
"00143997990","00143-9979-90",,"J0697",,3/10/2005,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,3/10/2005,,,,,,,
"00143998303","00143-9983-03",,"J0690",,4/3/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,4/3/2007,,,,,,,
"00143998391","00143-9983-91",,"J0690",,1/13/2003,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/13/2003,,,,,,,
"00143998490","00143-9984-90",,"J0170",,7/20/2005,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (10X30ML,M.D.V.) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,7/20/2005,,,,,,,
"00144044451","00144-0444-51",,"J1631",,1/1/2002,6/22/2005,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (VIAL) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00144044456","00144-0444-56",,"J1631",,1/1/2002,6/22/2005,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (VIAL) 50 MG/ML",5,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00144054451","00144-0544-51",,"J1631",,1/1/2002,6/22/2005,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (VIAL) 100 MG/ML",1,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"00144054456","00144-0544-56",,"J1631",,1/1/2002,6/22/2005,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (VIAL) 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"00144064456","00144-0644-56",,"J2680",,1/1/2002,6/22/2005,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE (VIAL) 25 MG/ML",5,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"00169001771","00169-0017-71",,"J1815",,1/1/2003,9/30/2003,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 (SRN,PREFILLED) 70 U/ML-30 U/ML",1.5,"ML","SR","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169001771","00169-0017-71",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN 70/30 (SRN,PREFILLED) 70 U/ML-30 U/ML",1.5,"ML","SR","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169004471","00169-0044-71",,"J1815",,1/1/2003,9/30/2003,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R (SRN,PREFILLED) 100 U/ML",1.5,"ML","SR","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"00169004471","00169-0044-71",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN R (SRN,PREFILLED) 100 U/ML",1.5,"ML","SR","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"00169004571","00169-0045-71",,"J1815",,1/1/2003,2/26/2004,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N (SRN,PREFILLED) 100 U/ML",1.5,"ML","SR","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169004571","00169-0045-71",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN N (SRN,PREFILLED) 100 U/ML",1.5,"ML","SR","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169007011","00169-0070-11",,"J1815",,1/1/2003,2/28/2006,"INJECTION, INSULIN, PER 5 UNITS","VELOSULIN BR (VIAL, RECOMBINANT DNA) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,1/1/2003,2/28/2006,,,,,,
"00169007011","00169-0070-11",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","VELOSULIN BR (VIAL, RECOMBINANT DNA) 100 U/ML",10,"ML","VL","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"00169183311","00169-1833-11",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"00169183311","00169-1833-11",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"00169183317","00169-1833-17",,"J1815",,1/1/2003,4/30/2003,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R PENFILL (SRN) 100 U/ML",1.5,"ML","CT","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"00169183317","00169-1833-17",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN R PENFILL (SRN) 100 U/ML",1.5,"ML","CT","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"00169183318","00169-1833-18",,"J1815",,1/1/2003,7/12/2005,"INJECTION, INSULIN, PER 5 UNITS","RELION/NOVOLIN R (VIAL) 100 U/ML",10,"ML","EA","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"00169183318","00169-1833-18",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","RELION/NOVOLIN R (VIAL) 100 U/ML",10,"ML","EA","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"00169183411","00169-1834-11",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169183411","00169-1834-11",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169183417","00169-1834-17",,"J1815",,1/1/2003,3/31/2004,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N PENFILL (SRN) 100 U/ML",1.5,"ML","CT","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169183417","00169-1834-17",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN N PENFILL (SRN) 100 U/ML",1.5,"ML","CT","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169183418","00169-1834-18",,"J1815",,1/1/2003,7/12/2005,"INJECTION, INSULIN, PER 5 UNITS","RELION/NOVOLIN N (VIAL) 100 U/ML",10,"ML","EA","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169183418","00169-1834-18",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","RELION/NOVOLIN N (VIAL) 100 U/ML",10,"ML","EA","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169183511","00169-1835-11",,"J1815",,1/1/2003,6/30/2004,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN L (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169183511","00169-1835-11",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN L (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169183711","00169-1837-11",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169183711","00169-1837-11",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169183717","00169-1837-17",,"J1815",,1/1/2003,6/6/2004,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 PENFILL (SRN) 70 U/ML-30 U/ML",1.5,"ML","CT","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169183717","00169-1837-17",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN 70/30 PENFILL (SRN) 70 U/ML-30 U/ML",1.5,"ML","CT","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169183718","00169-1837-18",,"J1815",,1/1/2003,7/12/2005,"INJECTION, INSULIN, PER 5 UNITS","RELION/NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","EA","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169183718","00169-1837-18",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","RELION/NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","EA","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169231321","00169-2313-21",,"J1815",,1/1/2003,1/1/2010,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R INNOLET (SRN,PREFILLED) 100 U/ML",3,"ML","CT","IJ","ML",5,"U",20,1/1/2003,1/1/2010,,,,,,
"00169231321","00169-2313-21",,"J1820",,8/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN R INNOLET (SRN,PREFILLED) 100 U/ML",3,"ML","CT","IJ","ML",100,"U",1,8/1/2002,,,,,,,
"00169231421","00169-2314-21",,"J1815",,1/1/2003,1/1/2010,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N INNOLET (SRN, PREFILLED) 100 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/1/2003,1/1/2010,,,,,,
"00169231421","00169-2314-21",,"J1820",,5/3/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN N INNOLET (SRN, PREFILLED) 100 U/ML",3,"ML","CT","SC","ML",100,"U",1,5/3/2002,,,,,,,
"00169231721","00169-2317-21",,"J1815",,1/1/2003,1/1/2010,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 INNOLET (SRN, PREFILLED) 70 U/ML-30 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/1/2003,1/1/2010,,,,,,
"00169231721","00169-2317-21",,"J1820",,5/3/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN 70/30 INNOLET (SRN, PREFILLED) 70 U/ML-30 U/ML",3,"ML","CT","SC","ML",100,"U",1,5/3/2002,,,,,,,
"00169330312","00169-3303-12",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLOG (PENFILL CARTRIDGE) 100 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169330312","00169-3303-12",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLOG (PENFILL CARTRIDGE) 100 U/ML",3,"ML","CT","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169347318","00169-3473-18",,"J1815",,1/1/2003,1/1/2010,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R PENFILL (SRN) 100 U/ML",3,"ML","CT","IJ","ML",5,"U",20,1/1/2003,1/1/2010,,,,,,
"00169347318","00169-3473-18",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN R PENFILL (SRN) 100 U/ML",3,"ML","CT","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"00169347418","00169-3474-18",,"J1815",,1/1/2003,1/1/2010,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N PENFILL (SRN) 100 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/1/2003,1/1/2010,,,,,,
"00169347418","00169-3474-18",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN N PENFILL (SRN) 100 U/ML",3,"ML","CT","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169347718","00169-3477-18",,"J1815",,1/1/2003,1/1/2010,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 PENFILL (SRN) 70 U/ML-30 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/1/2003,1/1/2010,,,,,,
"00169347718","00169-3477-18",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN 70/30 PENFILL (SRN) 70 U/ML-30 U/ML",3,"ML","CT","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169368213","00169-3682-13",,"J1815",,1/1/2003,5/16/2008,"INJECTION, INSULIN, PER 5 UNITS","NOVOLOG MIX 70/30 (PENFILL CARTRIDGE) 70 U/ML-30 U/ML",3,"ML","CT","SC","ML",5,"U",20,1/1/2003,5/16/2008,,,,,,
"00169368213","00169-3682-13",,"J1820",,9/11/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLOG MIX 70/30 (PENFILL CARTRIDGE) 70 U/ML-30 U/ML",3,"ML","CT","SC","ML",100,"U",1,9/11/2002,,,,,,,
"00169368512","00169-3685-12",,"J1815",,2/10/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLOG MIX 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,2/10/2003,,,,,,,
"00169369619","00169-3696-19",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLOG MIX 70/30 (FLEXPEN,SRN PREFILLED) 70 U/ML-30 U/ML",3,"ML","SR","SC","ML",5,"U",20,1/1/2003,,,,,,,
"00169369619","00169-3696-19",,"J1820",,9/11/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLOG MIX 70/30 (FLEXPEN,SRN PREFILLED) 70 U/ML-30 U/ML",3,"ML","SR","SC","ML",100,"U",1,9/11/2002,,,,,,,
"00169633910","00169-6339-10",,"J1815",,2/10/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLOG FLEXPEN (PREFILLED SYRINGE) 100 U/ML",3,"ML","SR","SC","ML",5,"U",20,2/10/2003,,,,,,,
"00169706001","00169-7060-01",,"J7189",,1/1/2006,,"FACTOR VIIA (ANTIHEMOPHILIC FACTOR, RECOMBINANT), PER 1 MICROGRAM","NOVOSEVEN (1200MCG/VIAL) 1.2 MG",1,"EA","VL","IV","EA",1,"MCG",1200,1/1/2006,,,,,,,
"00169706001","00169-7060-01",,"Q0187",,1/1/2002,12/31/2005,"FACTOR VIIA (COAGULATION FACTOR, RECOMBINANT) PER 1.2 MG","NOVOSEVEN (1200MCG/VIAL) 1.2 MG",1,"EA","VL","IV","EA",1.2,"MG",1,1/1/2002,,,,,,,
"00169706101","00169-7061-01",,"J7189",,1/1/2006,,"FACTOR VIIA (ANTIHEMOPHILIC FACTOR, RECOMBINANT), PER 1 MICROGRAM","NOVOSEVEN (2400MCG/VIAL) 2.4 MG",1,"EA","VL","IV","EA",1,"MCG",2400,1/1/2006,,,,,,,
"00169706101","00169-7061-01",,"Q0187",,6/5/2002,12/31/2005,"FACTOR VIIA (COAGULATION FACTOR, RECOMBINANT) PER 1.2 MG","NOVOSEVEN (2400MCG/VIAL) 2.4 MG",1,"EA","VL","IV","EA",1.2,"MG",2,6/5/2002,,,,,,,
"00169706201","00169-7062-01",,"J7189",,1/1/2006,,"FACTOR VIIA (ANTIHEMOPHILIC FACTOR, RECOMBINANT), PER 1 MICROGRAM","NOVOSEVEN (4800MCG/VIAL) 4.8 MG",1,"EA","VL","IV","EA",1,"MCG",4800,1/1/2006,,,,,,,
"00169706201","00169-7062-01",,"Q0187",,1/1/2002,12/31/2005,"FACTOR VIIA (COAGULATION FACTOR, RECOMBINANT) PER 1.2 MG","NOVOSEVEN (4800MCG/VIAL) 4.8 MG",1,"EA","VL","IV","EA",1.2,"MG",4,1/1/2002,,,,,,,
"00169706515","00169-7065-15",,"J1610",,6/1/2005,,"INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG","GLUCAGEN HYPOKIT 1 MG",1,"EA","BX","IJ","EA",1,"MG",1,6/1/2005,,,,,,,
"00169750111","00169-7501-11",,"J1817",,1/1/2003,,"INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS","NOVOLOG (VIAL) 100 U/ML",10,"ML","VL","SC","ML",50,"U",2,1/1/2003,,,,,,,
"00169750111","00169-7501-11",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLOG (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"00169770411","00169-7704-11",,"J2941",,1/24/2005,,"INJECTION, SOMATROPIN, 1 MG","NORDITROPIN NORDIFLEX (PEN, ORANGE) 5 MG/1.5 ML",1.5,"ML","SR","SC","ML",1,"MG",3.33333,1/24/2005,,,,,,,
"00169770511","00169-7705-11",,"J2941",,1/2/2006,,"INJECTION, SOMATROPIN, 1 MG","NORDITROPIN NORDIFLEX (PEN,BLUE) 10 MG/1.5 ML",1.5,"ML","SR","SC","ML",1,"MG",6.66666,1/2/2006,,,,,,,
"00169770811","00169-7708-11",,"J2941",,1/24/2005,,"INJECTION, SOMATROPIN, 1 MG","NORDITROPIN NORDIFLEX (PEN,GREEN) 15 MG/1.5 ML",1.5,"ML","SR","SC","ML",1,"MG",10,1/24/2005,,,,,,,
"00169776811","00169-7768-11",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","NORDITROPIN (CARTRIDGE) 5 MG/1.5 ML",1.5,"ML","CT","SC","ML",1,"MG",3.33333,1/1/2002,,,,,,,
"00169777011","00169-7770-11",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","NORDITROPIN (CARTRIDGE,GREEN) 15 MG/1.5 ML",1.5,"ML","CT","SC","ML",1,"MG",10,1/1/2002,,,,,,,
"00169777411","00169-7774-11",,"J2941",,1/1/2002,6/30/2003,"INJECTION, SOMATROPIN, 1 MG","NORDITROPIN (VIAL) 4 MG",1,"EA","VL","SC","EA",1,"MG",4,1/1/2002,,,,,,,
"00169777812","00169-7778-12",,"J2941",,1/1/2002,6/30/2003,"INJECTION, SOMATROPIN, 1 MG","NORDITROPIN (VIAL) 8 MG",1,"EA","VL","SC","EA",1,"MG",8,1/1/2002,,,,,,,
"00172290960","00172-2909-60",,"Q0178",,1/1/2002,4/10/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,4/10/2006,,,,,,
"00172291160","00172-2911-60",,"Q0177",,1/1/2002,4/10/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,4/10/2006,,,,,,
"00172291170","00172-2911-70",,"Q0177",,1/1/2002,4/10/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","BO","PO","EA",25,"MG",1,1/1/2002,4/10/2006,,,,,,
"00172366760","00172-3667-60",,"Q0175",,1/1/2002,5/3/2007,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",100,"EA","BO","PO","EA",4,"MG",0.5,5/13/2003,,1/1/2002,3/12/2002,0.5,,,
"00172366860","00172-3668-60",,"Q0175",,1/1/2002,3/14/2007,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,5/13/2003,,1/1/2002,3/12/2002,1,,,
"00172366960","00172-3669-60",,"Q0176",,1/1/2002,9/14/2007,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",100,"EA","BO","PO","EA",8,"MG",1,5/13/2003,,1/1/2002,3/12/2002,1,,,
"00172367060","00172-3670-60",,"Q0176",,1/1/2002,2/1/2007,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 16 MG",100,"EA","BO","PO","EA",8,"MG",2,5/13/2003,,1/1/2002,3/12/2002,2,,,
"00172369060","00172-3690-60",,"Q0164",,1/1/2002,1/16/2006,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (FILM-COATED) 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00172369160","00172-3691-60",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (FILM-COATED) 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"00172375377","00172-3753-77",,"J9265",,1/1/2002,9/15/2009,"INJECTION, PACLITAXEL, 30 MG","ONXOL (M.D.V.) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,9/15/2009,,,,,,
"00172375396","00172-3753-96",,"J9265",,1/24/2002,,"INJECTION, PACLITAXEL, 30 MG","NOV-ONXOL (M.D.V.) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,1/24/2002,,,,,,,
"00172375473","00172-3754-73",,"J9265",,1/1/2002,11/2/2009,"INJECTION, PACLITAXEL, 30 MG","ONXOL (M.D.V.) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,11/2/2009,,,,,,
"00172375494","00172-3754-94",,"J9265",,1/24/2002,,"INJECTION, PACLITAXEL, 30 MG","NOV-ONXOL (M.D.V.) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,1/24/2002,,,,,,,
"00172375531","00172-3755-31",,"J9265",,10/16/2003,10/9/2006,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL NOVAPLUS 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,10/16/2003,,,,,,,
"00172375675","00172-3756-75",,"J9265",,1/1/2002,10/22/2008,"INJECTION, PACLITAXEL, 30 MG","ONXOL (M.D.V.) 6 MG/ML",25,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,10/22/2008,,,,,,
"00172375695","00172-3756-95",,"J9265",,1/24/2002,,"INJECTION, PACLITAXEL, 30 MG","NOV-ONXOL (M.D.V.) 6 MG/ML",25,"ML","VL","IV","ML",30,"MG",0.2,1/24/2002,,,,,,,
"00172426660","00172-4266-60",,"J8499",,1/1/2002,5/31/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00172426670","00172-4266-70",,"J8499",,1/1/2002,5/31/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00172426760","00172-4267-60",,"J8499",,1/1/2002,8/28/2007,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00172426770","00172-4267-70",,"J8499",,1/1/2002,7/23/2007,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00172426860","00172-4268-60",,"J8499",,1/1/2002,7/10/2007,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00172426870","00172-4268-70",,"J8499",,1/1/2002,10/15/2007,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",500,"EA","BO","PO","EA",1,"EA",1,7/18/2003,,1/1/2002,3/12/2002,1,,,
"00172496058","00172-4960-58",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",180,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00172496070","00172-4960-70",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00172565649","00172-5656-49",,"J8999",,2/20/2003,1/8/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",60,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00172565658","00172-5656-58",,"J8999",,2/20/2003,1/8/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",180,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00172565670","00172-5656-70",,"J8999",,2/20/2003,1/8/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",500,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00172565680","00172-5656-80",,"J8999",,2/20/2003,1/8/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",1000,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00172565746","00172-5657-46",,"J8999",,2/11/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (USP) 20 MG",30,"EA","BO","PO","EA",1,"EA",1,2/11/2004,,,,,,,
"00172565760","00172-5657-60",,"J8999",,2/20/2003,10/10/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",100,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00172565770","00172-5657-70",,"J8999",,2/20/2003,1/8/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",500,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00172565780","00172-5657-80",,"J8999",,4/28/2003,1/8/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",1000,"EA","BO","PO","EA",1,"EA",1,4/28/2003,,,,,,,
"00172640544","00172-6405-44",,"J7603",,1/1/2008,3/25/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00172640544","00172-6405-44",,"Q4094",,7/1/2007,12/31/2007,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,7/1/2007,,,,,,,
"00172640544","00172-6405-44","KO","J7603","KO",1/1/2008,3/25/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00172640544","00172-6405-44","KO","Q4094","KO",7/1/2007,12/31/2007,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,7/1/2007,,,,,,,
"00172640549","00172-6405-49",,"J7603",,1/1/2008,3/25/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00172640549","00172-6405-49",,"Q4094",,7/1/2007,12/31/2007,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,7/1/2007,,,,,,,
"00172640549","00172-6405-49","KO","J7603","KO",1/1/2008,3/25/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00172640549","00172-6405-49","KO","Q4094","KO",7/1/2007,12/31/2007,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,7/1/2007,,,,,,,
"00172640649","00172-6406-49",,"J7631",,1/1/2002,,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00172640649","00172-6406-49","KO","J7631","KO",1/1/2002,,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00172640659","00172-6406-59",,"J7631",,1/1/2002,,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00172640659","00172-6406-59","KO","J7631","KO",1/1/2002,,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00172640744","00172-6407-44",,"J7644",,1/1/2002,1/23/2008,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL,PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00172640744","00172-6407-44","KO","J7644","KO",1/1/2002,1/23/2008,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL,PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00172640749","00172-6407-49",,"J7644",,1/1/2002,1/23/2008,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL,PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00172640749","00172-6407-49","KO","J7644","KO",1/1/2002,1/23/2008,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL,PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00172731046","00172-7310-46",,"J7515",,4/14/2005,,"CYCLOSPORINE, ORAL, 25 MG","CYCLOSPORINE (USP,MODIFIED,SOFTGEL) 25 MG",30,"EA","BX","PO","EA",25,"MG",1,4/14/2005,,,,,,,
"00172731146","00172-7311-46",,"J7515",,4/14/2005,,"CYCLOSPORINE, ORAL, 25 MG","CYCLOSPORINE (USP,MODIFIED,SOFTGEL) 50 MG",30,"EA","BX","PO","EA",25,"MG",2,4/14/2005,,,,,,,
"00172731246","00172-7312-46",,"J7502",,4/14/2005,,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE (USP,MODIFIED,SOFTGEL) 100 MG",30,"EA","BX","PO","EA",100,"MG",1,4/14/2005,,,,,,,
"00172731320","00172-7313-20",,"J7502",,4/14/2005,,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE (USP,MODIFIED) 100 MG/ML",50,"ML","BO","PO","ML",100,"MG",1,4/14/2005,,,,,,,
"00173004535","00173-0045-35",,,,1/1/1994,,"MELPHALAN, 2 MG, ORAL","ALKERAN (FILM-COATED) 2 MG",50,"EA","BO","PO","EA",2,"MG",1,1/1/1994,,,,,,,
"00173004535","00173-0045-35",,,,4/1/2009,,"MELPHALAN, 2 MG, ORAL","ALKERAN (FILM-COATED) 2 MG",50,"EA","BO","PO","EA",2,"MG",1,4/1/2009,,,,,,,
"00173007195","00173-0071-95",,"J0330",,1/1/2002,1/13/2003,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","ANECTINE (M.D.V.) 20 MG/ML",10,"ML","VL","IV","ML",20,"MG",1,1/1/2002,,,,,,,
"00173010793","00173-0107-93",,"J3485",,1/1/2002,,"INJECTION, ZIDOVUDINE, 10 MG","RETROVIR (S.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",10,"MG",1,1/1/2002,,,,,,,
"00173013093","00173-0130-93",,"J9245",,1/1/2002,,"INJECTION, MELPHALAN HYDROCHLORIDE, 50 MG","ALKERAN IV 50 MG",1,"EA","VL","IV","EA",50,"MG",1,4/1/2009,,1/1/2002,3/31/2003,1,6/1/2003,3/14/2004,1
"00173023044","00173-0230-44",,"J1162",,1/1/2006,,"INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL","DIGIBIND (VIAL) 38 MG",1,"EA","VL","IV","EA",1,"VIAL",1,1/1/2006,,,,,,,
"00173023044","00173-0230-44",,"Q2006",,1/1/2002,12/31/2005,"INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL","DIGIBIND (VIAL) 38 MG",1,"EA","VL","IV","EA",1,"VIAL",1,1/1/2002,,,,,,,
"00173026010","00173-0260-10",,"J1160",,1/1/2002,,"INJECTION, DIGOXIN, UP TO 0.5 MG","LANOXIN (AMP) 0.25 MG/ML",2,"ML","AM","IV","ML",0.5,"MG",0.5,1/1/2002,,,,,,,
"00173026035","00173-0260-35",,"J1160",,1/1/2002,,"INJECTION, DIGOXIN, UP TO 0.5 MG","LANOXIN (AMP) 0.25 MG/ML",2,"ML","AM","IV","ML",0.5,"MG",0.5,1/1/2002,,,,,,,
"00173026210","00173-0262-10",,"J1160",,1/1/2002,,"INJECTION, DIGOXIN, UP TO 0.5 MG","LANOXIN PEDIATRIC (AMP) 0.1 MG/ML",1,"ML","AM","IV","ML",0.5,"MG",0.2,1/1/2002,,,,,,,
"00173035210","00173-0352-10",,"J0697",,2/1/2005,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,2/1/2005,,,,,,,
"00173035231","00173-0352-31",,"J0697",,1/1/2002,2/1/2005,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00173035332","00173-0353-32",,"J0697",,1/1/2002,5/9/2007,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF (P.B.) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00173035410","00173-0354-10",,"J0697",,2/1/2005,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,2/1/2005,,,,,,,
"00173035435","00173-0354-35",,"J0697",,1/1/2002,2/1/2005,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00173035632","00173-0356-32",,"J0697",,1/1/2002,3/30/2007,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF (P.B.) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00173036238","00173-0362-38",,"J2780",,1/1/2002,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","ZANTAC (VIAL) 25 MG/ML",2,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"00173036300","00173-0363-00",,"J2780",,1/1/2002,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","ZANTAC (VIAL) 25 MG/ML",40,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"00173036301","00173-0363-01",,"J2780",,1/1/2002,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","ZANTAC (M.D.V.) 25 MG/ML",6,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"00173037710","00173-0377-10",,"J0713",,2/1/2005,,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,2/1/2005,,,,,,,
"00173037731","00173-0377-31",,"J0713",,1/1/2002,2/1/2005,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"00173037810","00173-0378-10",,"J0713",,2/1/2005,,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,2/1/2005,,,,,,,
"00173037835","00173-0378-35",,"J0713",,1/1/2002,2/1/2005,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00173037934","00173-0379-34",,"J0713",,1/1/2002,,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00173038032","00173-0380-32",,"J0713",,1/1/2002,4/27/2007,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ (P.B.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00173038132","00173-0381-32",,"J0713",,1/1/2002,11/6/2006,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ (P.B.) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00173038237","00173-0382-37",,"J0713",,1/1/2002,,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ (BULK VIAL) 6 GM",1,"EA","VL","IJ","EA",500,"MG",12,1/1/2002,,,,,,,
"00173040000","00173-0400-00",,"J0697",,1/1/2002,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,1/1/2002,,,,,,,
"00173041400","00173-0414-00",,"J0713",,1/1/2002,1/9/2002,"INJECTION, CEFTAZIDIME, PER 500 MG","CEPTAZ (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00173041500","00173-0415-00",,"J0713",,1/1/2002,1/9/2002,"INJECTION, CEFTAZIDIME, PER 500 MG","CEPTAZ (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00173041600","00173-0416-00",,"J0713",,1/1/2002,1/9/2002,"INJECTION, CEFTAZIDIME, PER 500 MG","CEPTAZ (P.B.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00173041700","00173-0417-00",,"J0713",,1/1/2002,1/9/2002,"INJECTION, CEFTAZIDIME, PER 500 MG","CEPTAZ (P.B.) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00173041800","00173-0418-00",,"J0713",,1/1/2002,8/5/2003,"INJECTION, CEFTAZIDIME, PER 500 MG","CEPTAZ (BULK VIAL) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00173042400","00173-0424-00",,"J0697",,1/1/2002,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF (PREMIX) 750 MG/50 ML",50,"ML","PC","IV","ML",750,"MG",0.02,1/1/2002,,,,,,,
"00173042500","00173-0425-00",,"J0697",,1/1/2002,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF (PREMIX) 1.5 GM/50 ML",50,"ML","PC","IV","ML",750,"MG",0.04,1/1/2002,,,,,,,
"00173043400","00173-0434-00",,"J0713",,1/1/2002,,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00173043500","00173-0435-00",,"J0713",,1/1/2002,,"INJECTION, CEFTAZIDIME, PER 500 MG","FORTAZ (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00173043600","00173-0436-00",,"J0697",,1/1/2002,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF (ADD-VANTAGE) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00173043700","00173-0437-00",,"J0697",,1/1/2002,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","ZINACEF (ADD-VANTAGE) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00173044100","00173-0441-00",,"J2780",,1/1/2002,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","ZANTAC (PREMIX) 1 MG/ML",50,"ML","FC","IV","ML",25,"MG",0.04,1/1/2002,,,,,,,
"00173044200","00173-0442-00",,"J2405",,1/1/2002,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ZOFRAN (M.D.V.) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,1/1/2002,,,,,,,
"00173044202","00173-0442-02",,"J2405",,1/1/2002,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ZOFRAN (S.D.V.) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,1/1/2002,,,,,,,
"00173044600","00173-0446-00",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,1/1/2002,,,,,,,
"00173044602","00173-0446-02",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",100,"EA","BX","PO","EA",8,"MG",0.5,1/1/2002,,,,,,,
"00173044604","00173-0446-04",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN (1X3 DAILY PACK) 4 MG",3,"EA","BX","PO","EA",8,"MG",0.5,1/1/2002,,,,,,,
"00173044700","00173-0447-00",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",30,"EA","BO","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00173044702","00173-0447-02",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",100,"EA","BX","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00173044704","00173-0447-04",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN (1X3 DAILY PACK) 8 MG",3,"EA","BX","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00173044901","00173-0449-01",,"J3030",,1/1/2002,10/24/2002,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX (SRN,PREFILLED,UNIT/USE) 6 MG/0.5 ML",0.5,"ML","SR","SC","ML",6,"MG",2,1/1/2002,,,,,,,
"00173044902","00173-0449-02",,"J3030",,1/1/2002,,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX (S.D.V.) 6 MG/0.5 ML",0.5,"ML","VL","SC","ML",6,"MG",2,1/1/2002,,,,,,,
"00173046100","00173-0461-00",,"J2405",,1/1/2002,11/18/2008,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ZOFRAN (PREMIXED BAG) 32 MG/50 ML",50,"ML","FC","IV","ML",1,"MG",0.64,1/1/2002,11/18/2008,,,,,,
"00173048900","00173-0489-00",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN (BERRY) 4 MG/5 ML",50,"ML","BO","PO","ML",8,"MG",0.1,1/1/2002,,,,,,,
"00173051700","00173-0517-00",,"J1325",,1/1/2002,4/1/2009,"INJECTION, EPOPROSTENOL, 0.5 MG","FLOLAN 0.5 MG",1,"EA","VL","IV","EA",0.5,"MG",1,11/11/2006,4/1/2009,1/1/2002,9/30/2006,1,,,
"00173051900","00173-0519-00",,"J1325",,1/1/2002,4/1/2009,"INJECTION, EPOPROSTENOL, 0.5 MG","FLOLAN 1.5 MG",1,"EA","VL","IV","EA",0.5,"MG",3,11/11/2006,4/1/2009,1/1/2002,9/30/2006,3,,,
"00173056900","00173-0569-00",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN ODT 4 MG",30,"EA","BX","PO","EA",8,"MG",0.5,1/1/2002,,,,,,,
"00173057000","00173-0570-00",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN ODT 8 MG",30,"EA","BX","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00173057004","00173-0570-04",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN ODT (5X2) 8 MG",10,"EA","BX","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00173063535","00173-0635-35",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","LEUKERAN 2 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00173065601","00173-0656-01",,"J9390",,1/1/2002,12/19/2005,"INJECTION, VINORELBINE TARTRATE, 10 MG","NAVELBINE (S.D.V.) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,1/1/2002,12/19/2005,,,,,,
"00173065644","00173-0656-44",,"J9390",,1/1/2002,12/19/2005,"INJECTION, VINORELBINE TARTRATE, 10 MG","NAVELBINE (S.D.V.) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,1/1/2002,12/19/2005,,,,,,
"00173068000","00173-0680-00",,"Q0179",,1/1/2002,2/21/2006,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 24 MG",1,"EA","BX","PO","EA",8,"MG",3,1/1/2002,,,,,,,
"00173068101","00173-0681-01",,"G9034",,12/1/2004,5/31/2005,"ZANAMIVIR, INHALATION POWDER ADMINISTERED THROUGH INHALER, BRAND, PER 10 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","RELENZA (5X4,W/DISKHALER) 5 MG/Actuation",20,"EA","IH","IH","EA",10,"MG",0.5,12/1/2004,,,,,,,
"00173071325","00173-0713-25",,,,1/1/2000,,"BUSULFAN, 2 MG, ORAL","MYLERAN 2 MG",25,"EA","BO","PO","EA",2,"MG",1,1/1/2000,,,,,,,
"00173073900","00173-0739-00",,"J3030",,3/17/2006,,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX STATDOSE 4 MG/0.5 ML",1,"EA","BX","SC","EA",6,"MG",0.666667,3/17/2006,,,,,,,
"00173073902","00173-0739-02",,"J3030",,3/17/2006,,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX STATDOSE (REFILL W/2 SYRINGES) 4 MG/0.5 ML",1,"EA","BX","SC","EA",6,"MG",0.666667,3/17/2006,,,,,,,
"00173080725","00173-0807-25",,"J8999",,1/1/2002,9/9/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","PURINETHOL 50 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00173080765","00173-0807-65",,"J8999",,1/1/2002,9/12/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","PURINETHOL 50 MG",250,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00173094555","00173-0945-55",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00173094955","00173-0949-55",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00173095201","00173-0952-01",,"J3490",,1/1/2002,9/30/2003,"UNCLASSIFIED DRUGS","ZOVIRAX 1000 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00173095201","00173-0952-01",,"Q4075",,10/1/2003,1/14/2005,"INJECTION, ACYCLOVIR, 5 MG","ZOVIRAX 1000 MG",1,"EA","VL","IV","EA",5,"MG",200,10/1/2003,,,,,,,
"00173095396","00173-0953-96",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG/5 ML",473,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00173099155","00173-0991-55",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00173099156","00173-0991-56",,"J8499",,1/1/2002,9/7/2007,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX (2X5X10) 200 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00173099501","00173-0995-01",,"J0133",,1/1/2006,4/18/2006,"INJECTION, ACYCLOVIR, 5 MG","ZOVIRAX 500 MG",1,"EA","VL","IV","EA",5,"MG",100,1/1/2006,,,,,,,
"00173099501","00173-0995-01",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ZOVIRAX 500 MG",1,"EA","VL","IV","EA",5,"MG",100,10/1/2003,,,,,,,
"00182020189","00182-0201-89",,"J7506",,1/1/2002,2/5/2009,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 5 MG",100,"EA","BX","PO","EA",5,"MG",1,1/1/2002,2/5/2009,,,,,,
"00182049210","00182-0492-10",,"Q0163",,1/1/2002,10/23/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,10/23/2009,,,,,,
"00182105003","00182-1050-03",,"J7509",,1/1/2002,3/1/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00182108689","00182-1086-89",,"J7506",,1/1/2002,2/5/2009,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 20 MG",100,"EA","BX","PO","EA",5,"MG",4,1/1/2002,2/5/2009,,,,,,
"00182109889","00182-1098-89",,"Q0177",,1/1/2002,4/10/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (10X10) 25 MG",100,"EA","BX","PO","EA",25,"MG",1,1/1/2002,4/10/2006,,,,,,
"00182109989","00182-1099-89",,"Q0178",,1/1/2002,4/10/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (10X10) 50 MG",100,"EA","BX","PO","EA",50,"MG",1,1/1/2002,4/10/2006,,,,,,
"00182113193","00182-1131-93",,"Q0163",,5/3/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NIGHT-TIME SLEEP AID (MAX. STR.,SOFTGEL) 50 MG",32,"EA","BO","PO","EA",50,"MG",1,5/3/2002,,,,,,,
"00182133489","00182-1334-89",,"J7506",,1/1/2002,2/5/2009,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 10 MG",100,"EA","BX","PO","EA",5,"MG",2,1/1/2002,2/5/2009,,,,,,
"00182139601","00182-1396-01",,"Q0173",,1/1/2002,7/7/2004,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"00182153901","00182-1539-01",,,,1/1/1994,10/18/1998,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00182153995","00182-1539-95",,,,3/30/1995,10/18/1998,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",36,"EA","NA","PO","EA",2.5,"MG",1,3/30/1995,,,,,,,
"00182186489","00182-1864-89",,"J8999",,1/1/2002,7/16/2009,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (10X10) 40 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,7/16/2009,,,,,,
"00182200137","00182-2001-37",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GENAHIST 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00182209116","00182-2091-16",,"Q0163",,1/1/2002,10/30/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GENAHIST 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,10/30/2009,,,,,,
"00182209201","00182-2092-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GENAHIST 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00182209216","00182-2092-16",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GENAHIST 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00182266689","00182-2666-89",,"J8499",,1/1/2002,11/29/2007,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (10X10) 200 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00182266789","00182-2667-89",,"J8499",,1/1/2002,9/14/2008,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (10X10) 800 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,9/14/2008,,,,,,
"00182315499","00182-3154-99",,"J9218",,1/25/2002,4/26/2006,"LEUPROLIDE ACETATE, PER 1 MG","LEUPROLIDE ACETATE (2 WEEK ADMINISTRATION) 5 MG/ML",2.8,"ML","VL","SC","EA",1,"MG",14,1/25/2002,4/26/2006,,,,,,
"00182601465","00182-6014-65",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"00182601465","00182-6014-65",,"J7611",,4/1/2008,12/9/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,12/9/2009,,,,,,
"00182616837","00182-6168-37",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDRAMINE (AF) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00182616840","00182-6168-40",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDRAMINE (AF) 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00182709611","00182-7096-11",,"J8498",,1/1/2006,8/19/2008,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,8/19/2008,,,,,,
"00182709611","00182-7096-11",,"K0416",,3/3/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,3/3/2003,,,,,,,
"00182709911","00182-7099-11",,"J8498",,1/1/2006,8/8/2008,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,8/8/2008,,,,,,
"00182709911","00182-7099-11",,"K0416",,10/8/2004,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,10/8/2004,,,,,,,
"00182710011","00182-7100-11",,"J8498",,1/1/2006,8/8/2008,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,8/8/2008,,,,,,
"00182710011","00182-7100-11",,"K0416",,10/8/2004,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"MG",25,10/8/2004,,,,,,,
"00182710111","00182-7101-11",,"J8498",,1/1/2006,8/8/2008,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 50 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,8/8/2008,,,,,,
"00182710111","00182-7101-11",,"K0416",,10/8/2004,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 50 MG",12,"EA","BX","RC","EA",1,"MG",50,10/8/2004,,,,,,,
"00182820089","00182-8200-89",,"J8499",,1/1/2002,9/14/2008,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (10X10) 400 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,9/14/2008,,,,,,
"00182821089","00182-8210-89",,"Q0164",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (10X10,FILM-COATED) 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00182821189","00182-8211-89",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (10X10,FILM-COATED) 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"00185061301","00185-0613-01",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00185061305","00185-0613-05",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00185061501","00185-0615-01",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00185061505","00185-0615-05",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",500,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00185064801","00185-0648-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00185064810","00185-0648-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00185064901","00185-0649-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00185064910","00185-0649-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00185093230","00185-0932-30",,"J7515",,1/1/2002,,"CYCLOSPORINE, ORAL, 25 MG","CYCLOSPORINE (SOFTGEL) 25 MG",30,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00185093330","00185-0933-30",,"J7502",,1/1/2002,,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE (SOFTGEL) 100 MG",30,"EA","BO","PO","EA",100,"MG",1,1/1/2002,,,,,,,
"00185112505","00185-1125-05",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00185112518","00185-1125-18",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",180,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00185112588","00185-1125-88",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE (BLISTER PACK,10X10) 125 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00185720370","00185-7203-70",,"Q0144",,9/21/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (USP,CHERRY) 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,9/21/2006,,,,,,,
"00185720670","00185-7206-70",,"Q0144",,9/21/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (USP,CHERRY) 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,9/21/2006,,,,,,,
"00185720969","00185-7209-69",,"Q0144",,9/21/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (USP,CHERRY) 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,9/21/2006,,,,,,,
"00185721268","00185-7212-68",,"Q0144",,9/21/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (USP,CHERRY) 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,9/21/2006,,,,,,,
"00185732213","00185-7322-13",,"J7620",,7/1/2007,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,7/1/2007,,,,,,,
"00185732230","00185-7322-30",,"J7620",,7/1/2007,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,7/1/2007,,,,,,,
"00185732260","00185-7322-60",,"J7620",,7/1/2007,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (60X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,7/1/2007,,,,,,,
"00185740014","00185-7400-14",,"J9218",,1/1/2002,12/3/2003,"LEUPROLIDE ACETATE, PER 1 MG","LEUPROLIDE ACETATE (M.D.V.) 5 MG/ML",2.8,"ML","VL","SC","ML",1,"MG",5,1/1/2002,,,,,,,
"00185740085","00185-7400-85",,"J9218",,1/1/2002,,"LEUPROLIDE ACETATE, PER 1 MG","LEUPROLIDE ACETATE (2 WEEK ADMINISTRATION) 5 MG/ML",2.8,"ML","BX","SC","EA",1,"MG",14,1/1/2002,,,,,,,
"00186011001","00186-0110-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 1%",20,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186011001","00186-0110-01",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (M.D.V.) 1%",20,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00186011201","00186-0112-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D.V.) 1%",30,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186011201","00186-0112-01",,"J2001",,1/1/2004,11/17/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D.V.) 1%",30,"ML","VL","EP","ML",10,"MG",1,1/1/2004,11/17/2009,,,,,,
"00186011291","00186-0112-91",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D.V.,STERILE-PAK) 1%",30,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186011291","00186-0112-91",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D.V.,STERILE-PAK) 1%",30,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00186012001","00186-0120-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 2%",20,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186012001","00186-0120-01",,"J2001",,1/1/2004,11/17/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (M.D.V.) 2%",20,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,11/17/2009,,,,,,
"00186013501","00186-0135-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 0.5%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186013501","00186-0135-01",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (M.D.V.) 0.5%",50,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2004,,,,,,,
"00186013701","00186-0137-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D.V.) 0.5%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186013701","00186-0137-01",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D.V.) 0.5%",50,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2004,,,,,,,
"00186014501","00186-0145-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186014501","00186-0145-01",,"J2001",,1/1/2004,12/6/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (M.D.V.) 1%",50,"ML","VL","EP","ML",10,"MG",1,1/1/2004,12/6/2009,,,,,,
"00186015501","00186-0155-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 2%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186015501","00186-0155-01",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (M.D.V.) 2%",50,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00186017014","00186-0170-14",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (ASTRAPAK,DENTAL) 2%",1.8,"ML","EA","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186017014","00186-0170-14",,"J2001",,1/1/2004,8/14/2006,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (ASTRAPAK,DENTAL) 2%",1.8,"ML","EA","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00186021003","00186-0210-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D. AMP) 1%",2,"ML","AM","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186021003","00186-0210-03",,"J2001",,1/1/2004,10/8/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D. AMP) 1%",2,"ML","AM","EP","ML",10,"MG",1,1/1/2004,10/8/2009,,,,,,
"00186021503","00186-0215-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D. AMP) 2%",2,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186021503","00186-0215-03",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D. AMP) 2%",2,"ML","AM","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00186023003","00186-0230-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D. AMP) 1%",5,"ML","AM","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186023003","00186-0230-03",,"J2001",,1/1/2004,10/28/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D. AMP) 1%",5,"ML","AM","EP","ML",10,"MG",1,1/1/2004,10/28/2009,,,,,,
"00186023203","00186-0232-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (AMP,CARDIAC) 2%",5,"ML","AM","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186023203","00186-0232-03",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (AMP,CARDIAC) 2%",5,"ML","AM","IV","ML",10,"MG",2,1/1/2004,,,,,,,
"00186023503","00186-0235-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D. AMP) 4%",5,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186023503","00186-0235-03",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D. AMP) 4%",5,"ML","AM","IJ","ML",10,"MG",4,1/1/2004,,,,,,,
"00186024044","00186-0240-44",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (POLYAMP,STERILE-PAK) 2%",10,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186024044","00186-0240-44",,"J2001",,1/1/2004,5/10/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (POLYAMP,STERILE-PAK) 2%",10,"ML","AM","IJ","ML",10,"MG",2,1/1/2004,5/10/2009,,,,,,
"00186024113","00186-0241-13",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D.V.) 2%",2,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186024113","00186-0241-13",,"J2001",,1/1/2004,11/19/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D.V.) 2%",2,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,11/19/2009,,,,,,
"00186024213","00186-0242-13",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D.V.) 2%",5,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186024213","00186-0242-13",,"J2001",,1/1/2004,10/8/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D.V.) 2%",5,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,10/8/2009,,,,,,
"00186024312","00186-0243-12",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 2%",10,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186024312","00186-0243-12",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (M.D.V.) 2%",10,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00186024444","00186-0244-44",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (POLYAMP,STERILE-PAK) 1.5%",10,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186024444","00186-0244-44",,"J2001",,1/1/2004,11/10/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (POLYAMP,STERILE-PAK) 1.5%",10,"ML","AM","IJ","ML",10,"MG",1.5,1/1/2004,11/10/2009,,,,,,
"00186024554","00186-0245-54",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (POLYAMP,STERILE-PAK) 1.5%",20,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186024554","00186-0245-54",,"J2001",,1/1/2004,3/30/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (POLYAMP,STERILE-PAK) 1.5%",20,"ML","AM","IJ","ML",10,"MG",1.5,1/1/2004,3/30/2009,,,,,,
"00186025502","00186-0255-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D. AMP) 1%",30,"ML","AM","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186025502","00186-0255-02",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D. AMP) 1%",30,"ML","AM","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00186027512","00186-0275-12",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 1%",10,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186027512","00186-0275-12",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (M.D.V.) 1%",10,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00186027613","00186-0276-13",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D.V.) 1%",2,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186027613","00186-0276-13",,"J2001",,1/1/2004,9/20/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D.V.) 1%",2,"ML","VL","EP","ML",10,"MG",1,1/1/2004,9/20/2009,,,,,,
"00186027713","00186-0277-13",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D.V.) 1%",5,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186027713","00186-0277-13",,"J2001",,1/1/2004,9/20/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (S.D.V.) 1%",5,"ML","VL","EP","ML",10,"MG",1,1/1/2004,9/20/2009,,,,,,
"00186027844","00186-0278-44",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (POLYAMP,STERILE-PAK) 1%",10,"ML","AM","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186027844","00186-0278-44",,"J2001",,1/1/2004,4/14/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE-MPF (POLYAMP,STERILE-PAK) 1%",10,"ML","AM","EP","ML",10,"MG",1,1/1/2004,4/14/2009,,,,,,
"00186027854","00186-0278-54",,"J2000",,1/1/2002,9/5/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (POLYAMP,STERILE-PAK) 1%",20,"ML","AM","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00186041001","00186-0410-01",,"J0670",,1/1/2002,10/25/2009,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE (M.D.V.) 1%",50,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,10/25/2009,,,,,,
"00186041201","00186-0412-01",,"J0670",,1/1/2002,6/7/2009,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE-MPF (S.D.V.) 1%",30,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,6/7/2009,,,,,,
"00186041801","00186-0418-01",,"J0670",,1/1/2002,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE-MPF (S.D.V.) 1.5%",30,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00186042001","00186-0420-01",,"J0670",,1/1/2002,2/5/2009,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE (M.D.V.) 2%",50,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,2/5/2009,,,,,,
"00186042201","00186-0422-01",,"J0670",,1/1/2002,12/2/2009,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE-MPF (S.D.V.) 2%",20,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,12/2/2009,,,,,,
"00186044014","00186-0440-14",,"J0670",,1/1/2002,8/14/2006,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE (ASTRAPAK) 3%",1.8,"ML","EA","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00186046014","00186-0460-14",,"J0670",,1/1/2002,8/14/2006,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE (ASTRAPK,W/LEVONORDEFRIN) 2%",1.8,"ML","EA","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00186085944","00186-0859-44",,"J2795",,1/1/2002,4/14/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (POLYAMP DUOFIT,STER-PAK) 2 MG/ML",10,"ML","AM","IJ","ML",1,"MG",2,1/1/2002,4/14/2009,,,,,,
"00186085954","00186-0859-54",,"J2795",,1/1/2002,7/13/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (POLYAMP DUOFIT,STER-PAK) 2 MG/ML",20,"ML","AM","IJ","ML",1,"MG",2,1/1/2002,7/13/2009,,,,,,
"00186085977","00186-0859-77",,"J2795",,1/19/2007,6/17/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NOVAPLUS NAROPIN (SINGLE-DOSE,PF) 2 MG/ML",100,"ML","VL","IJ","ML",1,"MG",2,1/19/2007,6/17/2009,,,,,,
"00186085981","00186-0859-81",,"J2795",,1/1/2002,,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (S.D. INFUSION BOTTLE) 2 MG/ML",100,"ML","VL","IJ","ML",1,"MG",2,1/1/2002,,,,,,,
"00186085991","00186-0859-91",,"J2795",,1/1/2002,8/9/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (S.D. INFUSION BOTTLE) 2 MG/ML",200,"ML","VL","IJ","ML",1,"MG",2,1/1/2002,8/9/2009,,,,,,
"00186086344","00186-0863-44",,"J2795",,1/1/2002,9/5/2003,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (POLYAMP DUOFIT,STER PAK) 5 MG/ML",10,"ML","AM","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"00186086354","00186-0863-54",,"J2795",,1/1/2002,4/29/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (POLYAMP DUOFIT,STER PAK) 5 MG/ML",20,"ML","AM","IJ","ML",1,"MG",5,1/1/2002,4/29/2009,,,,,,
"00186086361","00186-0863-61",,"J2795",,1/1/2002,7/19/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (S.D.V.) 5 MG/ML",30,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,7/19/2009,,,,,,
"00186086369","00186-0863-69",,"J2795",,1/1/2002,10/18/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (S.D.V.,STERILE-PAK) 5 MG/ML",30,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,10/18/2009,,,,,,
"00186086377","00186-0863-77",,"J2795",,1/19/2007,8/2/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NOVAPLUS NAROPIN (SDV,PF) 5 MG/ML",30,"ML","VL","IJ","ML",1,"MG",5,1/19/2007,8/2/2009,,,,,,
"00186086744","00186-0867-44",,"J2795",,1/1/2002,9/5/2003,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (POLYAMP DUOFIT,STER-PAK) 7.5 MG/ML",10,"ML","AM","IJ","ML",1,"MG",7.5,1/1/2002,,,,,,,
"00186086754","00186-0867-54",,"J2795",,1/1/2002,9/15/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (POLYAMP DUOFIT,STER-PAK) 7.5 MG/ML",20,"ML","AM","IJ","ML",1,"MG",7.5,1/1/2002,9/15/2009,,,,,,
"00186086844","00186-0868-44",,"J2795",,1/1/2002,8/4/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (POLYAMP DUOFIT,STER-PAK) 10 MG/ML",10,"ML","AM","IJ","ML",1,"MG",10,1/1/2002,8/4/2009,,,,,,
"00186086854","00186-0868-54",,"J2795",,1/1/2002,6/7/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NAROPIN (POLYAMP DUOFIT,STER-PAK) 10 MG/ML",20,"ML","AM","IJ","ML",1,"MG",10,1/1/2002,6/7/2009,,,,,,
"00186086877","00186-0868-77",,"J2795",,8/21/2006,8/26/2009,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG","NOVAPLUS NAROPIN (5X20ML,POLYAMP DUOFIT) 10 MG/ML",20,"ML","AM","IJ","ML",1,"MG",10,8/21/2006,8/26/2009,,,,,,
"00186097166","00186-0971-66",,"J2400",,1/1/2002,,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","NESACAINE (M.D.V.) 1%",30,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,,,,,,,
"00186097266","00186-0972-66",,"J2400",,1/1/2002,3/15/2009,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","NESACAINE (M.D.V.) 2%",30,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,3/15/2009,,,,,,
"00186099166","00186-0991-66",,"J2400",,1/1/2002,11/9/2008,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","NESACAINE-MPF (S.D.V.) 2%",20,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,11/9/2008,,,,,,
"00186099266","00186-0992-66",,"J2400",,1/1/2002,11/9/2008,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","NESACAINE-MPF (S.D.V.) 3%",20,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,11/9/2008,,,,,,
"00186102603","00186-1026-03",,"J3490",,1/1/2002,6/28/2009,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D. AMP,SPINAL,W/DEXTR) 0.75%",2,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,6/28/2009,,,,,,
"00186103001","00186-1030-01",,"J3490",,1/1/2002,8/3/2009,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D.V.) 0.25%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,8/3/2009,,,,,,
"00186103002","00186-1030-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D. AMP) 0.25%",30,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00186103012","00186-1030-12",,"J3490",,1/1/2002,7/26/2009,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D.V.,E-Z O CLOSURE) 0.25%",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,7/26/2009,,,,,,
"00186103091","00186-1030-91",,"J3490",,1/1/2002,9/14/2009,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D.V.,STERILE-PAK) 0.25%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,9/14/2009,,,,,,
"00186103101","00186-1031-01",,"J3490",,1/1/2002,11/11/2009,"UNCLASSIFIED DRUGS","SENSORCAINE (M.D.V.) 0.25%",50,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,11/11/2009,,,,,,
"00186103301","00186-1033-01",,"J3490",,1/1/2002,9/15/2009,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D.V.) 0.5%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,9/15/2009,,,,,,
"00186103302","00186-1033-02",,"J3490",,1/1/2002,8/31/2009,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D. AMP) 0.5%",30,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,8/31/2009,,,,,,
"00186103312","00186-1033-12",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D.V.,E-Z O CLOSURE) 0.5%",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00186103391","00186-1033-91",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D.V.,STERILE-PAK) 0.5%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00186103501","00186-1035-01",,"J3490",,1/1/2002,8/31/2009,"UNCLASSIFIED DRUGS","SENSORCAINE (M.D.V.) 0.5%",50,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,8/31/2009,,,,,,
"00186103701","00186-1037-01",,"J3490",,1/1/2002,9/28/2009,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D.V.) 0.75%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,9/28/2009,,,,,,
"00186103702","00186-1037-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D. AMP) 0.75%",30,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00186103712","00186-1037-12",,"J3490",,1/1/2002,8/3/2009,"UNCLASSIFIED DRUGS","SENSORCAINE-MPF (S.D.V.,E-Z O CLOSURE) 0.75%",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,8/3/2009,,,,,,
"00186115002","00186-1150-02",,"J2275",,1/1/2002,11/11/2009,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","ASTRAMORPH PF (S.D. AMP) 0.5 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.05,1/1/2002,11/11/2009,,,,,,
"00186115102","00186-1151-02",,"J2275",,1/1/2002,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","ASTRAMORPH PF (S.D. AMP) 1 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00186115212","00186-1152-12",,"J2275",,1/1/2002,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","ASTRAMORPH PF (S.D.V.,E-Z O CLOSURE) 0.5 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.05,1/1/2002,,,,,,,
"00186115312","00186-1153-12",,"J2275",,1/1/2002,11/17/2009,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","ASTRAMORPH PF (S.D.V., E-Z O CLOSURE) 1 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.1,1/1/2002,11/17/2009,,,,,,
"00186115903","00186-1159-03",,"J2275",,1/1/2002,9/30/2009,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","ASTRAMORPH PF (S.D. AMP) 0.5 MG/ML",2,"ML","AM","IJ","ML",10,"MG",0.05,1/1/2002,9/30/2009,,,,,,
"00186116003","00186-1160-03",,"J2275",,1/1/2002,10/5/2009,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","ASTRAMORPH PF (S.D. AMP) 1 MG/ML",2,"ML","AM","IJ","ML",10,"MG",0.1,1/1/2002,10/5/2009,,,,,,
"00186177001","00186-1770-01",,"J2995",,1/1/2002,6/26/2002,"INJECTION, STREPTOKINASE, PER 250,000 IU","STREPTASE 250000 IU",1,"EA","VL","IV","EA",250000,"IU",1,1/1/2002,,,,,,,
"00186177101","00186-1771-01",,"J2995",,1/1/2002,9/18/2002,"INJECTION, STREPTOKINASE, PER 250,000 IU","STREPTASE 750000 IU",1,"EA","VL","IV","EA",250000,"IU",3,1/1/2002,,,,,,,
"00186177301","00186-1773-01",,"J2995",,1/1/2002,9/18/2002,"INJECTION, STREPTOKINASE, PER 250,000 IU","STREPTASE 1.5 Million IU",1,"EA","VL","IV","EA",250000,"IU",6,1/1/2002,,,,,,,
"00186177401","00186-1774-01",,"J2995",,1/1/2002,9/18/2002,"INJECTION, STREPTOKINASE, PER 250,000 IU","STREPTASE (INFUSION) 1.5 Million IU",1,"EA","VL","IV","EA",250000,"IU",6,1/1/2002,,,,,,,
"00186190501","00186-1905-01",,"J1455",,1/1/2002,10/5/2005,"INJECTION, FOSCARNET SODIUM, PER 1000 MG","FOSCAVIR 24 MG/ML",250,"ML","GC","IV","ML",1000,"MG",0.024,1/1/2002,,,,,,,
"00186190601","00186-1906-01",,"J1455",,1/1/2002,4/9/2009,"INJECTION, FOSCARNET SODIUM, PER 1000 MG","FOSCAVIR 24 MG/ML",500,"ML","GC","IV","ML",1000,"MG",0.024,1/1/2002,4/9/2009,,,,,,
"00186198804","00186-1988-04",,"J7626",,1/1/2002,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES (5X6) 0.25 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",0.5,1/1/2002,,,,,,,
"00186198804","00186-1988-04","KO","J7626","KO",1/1/2002,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES (5X6) 0.25 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",0.5,1/1/2002,,,,,,,
"00186198904","00186-1989-04",,"J7626",,1/1/2002,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES (5X6) 0.5 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",0.5,1/1/2002,,,,,,,
"00186198904","00186-1989-04","KO","J7626","KO",1/1/2002,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES (5X6) 0.5 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",0.5,1/1/2002,,,,,,,
"00186199004","00186-1990-04",,"J7626",,8/27/2007,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES (30X2ML) 1 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",1,8/27/2007,,,,,,,
"00186199004","00186-1990-04","KO","J7626","KO",8/27/2007,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES (30X2ML) 1 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",1,8/27/2007,,,,,,,
"00187024701","00187-0247-01",,"J8650",,1/1/2007,,"NABILONE, ORAL, 1 MG","CESAMET 1 MG",20,"EA","BO","PO","EA",1,"MG",1,1/1/2007,,,,,,,
"00187024701","00187-0247-01",,"Q0181",,7/10/2006,12/31/2006,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CESAMET 1 MG",20,"EA","BO","PO","EA",1,"EA",1,7/10/2006,,,,,,,
"00187200601","00187-2006-01",,"J9212",,1/18/2008,3/5/2009,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (1X0.5ML,PF) 30 MCG/ML",0.5,"ML","VL","SC","ML",1,"MCG",30,1/18/2008,3/5/2009,,,,,,
"00187200605","00187-2006-05",,"J9212",,1/18/2008,3/5/2009,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (6X0.5ML,PF) 30 MCG/ML",0.5,"ML","VL","SC","ML",1,"MCG",30,1/18/2008,3/5/2009,,,,,,
"00187200702","00187-2007-02",,"J9212",,1/18/2008,3/5/2009,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (1X0.3ML,PF) 30 MCG/ML",0.3,"ML","VL","SC","ML",1,"MCG",30,1/18/2008,3/5/2009,,,,,,
"00187200706","00187-2007-06",,"J9212",,1/18/2008,3/5/2009,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (6X0.3ML,PF) 30 MCG/ML",0.3,"ML","VL","SC","ML",1,"MCG",30,1/18/2008,3/5/2009,,,,,,
"00187307210","00187-3072-10",,"J1960",,1/1/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVO-DROMORAN (AMP) 2 MG/ML",1,"ML","AM","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"00187310130","00187-3101-30",,"J2710",,1/1/2002,6/14/2004,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","PROSTIGMIN (AMP) 0.5 MG/ML",1,"ML","AM","IJ","ML",0.5,"MG",1,1/1/2002,,,,,,,
"00187310350","00187-3103-50",,"J2710",,1/1/2002,6/14/2004,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","PROSTIGMIN (VIAL) 1 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",2,1/1/2002,,,,,,,
"00187310460","00187-3104-60",,"J2710",,1/1/2002,6/14/2004,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","PROSTIGMIN (VIAL) 0.5 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",1,1/1/2002,,,,,,,
"00187375574","00187-3755-74",,"J1990",,1/1/2002,11/6/2008,"INJECTION, CHLORDIAZEPOXIDE HCL, UP TO 100 MG","LIBRIUM (DUPLEX AMP W/DILUENT) 100 MG",1,"EA","AM","IJ","EA",100,"MG",1,1/1/2002,11/6/2008,,,,,,
"00187395364","00187-3953-64",,"J9190",,1/1/2002,11/6/2008,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (VIAL) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,1/1/2002,11/6/2008,,,,,,
"00187395364","00187-3953-64","QR","J9190","QR",1/28/2005,11/6/2008,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (VIAL) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,1/28/2005,11/6/2008,,,,,,
"00206387916","00206-3879-16",,"J3490",,1/1/2002,4/22/2003,"UNCLASSIFIED DRUGS","PIPRACIL (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00206388025","00206-3880-25",,"J3490",,1/1/2002,4/22/2003,"UNCLASSIFIED DRUGS","PIPRACIL (VIAL) 4 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00206388029","00206-3880-29",,"J3490",,1/1/2002,9/6/2002,"UNCLASSIFIED DRUGS","PIPRACIL (ADD-VANTAGE,ADD-VANTAGE) 4 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00206388228","00206-3882-28",,"J3490",,1/1/2002,9/6/2002,"UNCLASSIFIED DRUGS","PIPRACIL (ADD-VANTAGE) 3 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00206388255","00206-3882-55",,"J3490",,1/1/2002,4/22/2003,"UNCLASSIFIED DRUGS","PIPRACIL (VIAL) 3 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00206845216","00206-8452-16",,"J2543",,1/1/2002,12/4/2006,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (VIAL) 2 GM-0.25 GM",1,"EA","VL","IV","EA",1,"GM",2,1/1/2002,,,,,,,
"00206845217","00206-8452-17",,"J2543",,1/1/2002,12/4/2006,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (ADD-VANTAGE) 2 GM-0.25 GM",1,"EA","VL","IV","EA",1,"GM",2,1/1/2002,,,,,,,
"00206845417","00206-8454-17",,"J2543",,1/1/2002,12/4/2006,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (ADD-VANTAGE) 3 GM-0.375 GM",1,"EA","VL","IV","EA",1,"GM",3,1/1/2002,,,,,,,
"00206845455","00206-8454-55",,"J2543",,1/1/2002,12/4/2006,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (VIAL) 3 GM-0.375 GM",1,"EA","VL","IV","EA",1,"GM",3,1/1/2002,,,,,,,
"00206845517","00206-8455-17",,"J2543",,1/1/2002,12/4/2006,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (ADD-VANTAGE) 4 GM-0.5 GM",1,"EA","VL","IV","EA",1,"GM",4,1/1/2002,,,,,,,
"00206845525","00206-8455-25",,"J2543",,1/1/2002,12/4/2006,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (VIAL) 4 GM-0.5 GM",1,"EA","VL","IV","EA",1,"GM",4,1/1/2002,,,,,,,
"00206862011","00206-8620-11",,"J2543",,1/1/2002,12/4/2006,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (BULK VIAL) 36 GM-4.5 GM",1,"EA","VL","IV","EA",1,"GM",36,1/1/2002,,,,,,,
"00206882002","00206-8820-02",,"J2543",,1/1/2002,1/23/2007,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (FROZEN,S.D. GALAXY P.C.) 40 MG/ML-5 MG/ML",50,"ML","PC","IV","ML",1,"GM",0.04,1/1/2002,,,,,,,
"00206882102","00206-8821-02",,"J2543",,1/1/2002,1/23/2007,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (FROZEN,S.D. GALAXY P.C.) 60 MG/ML-7.5 MG/ML",50,"ML","PC","IV","ML",1,"GM",0.06,1/1/2002,,,,,,,
"00206882202","00206-8822-02",,"J2543",,1/1/2002,1/23/2007,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (FROZEN,S.D. GALAXY P.C.) 4 GM/100 ML-0.5 GM/100 ML",100,"ML","PC","IV","ML",1,"GM",0.04,1/1/2002,,,,,,,
"00206885216","00206-8852-16",,"J2543",,4/5/2006,,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN 2 GM-0.25 GM",1,"EA","VL","IV","EA",1,"GM",2,4/5/2006,,,,,,,
"00206885218","00206-8852-18",,"J2543",,4/28/2006,8/17/2007,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (ADD-VANTAGE VIAL) 2 GM-0.25 GM",1,"EA","VL","IV","EA",1,"GM",2,4/28/2006,,,,,,,
"00206885416","00206-8854-16",,"J2543",,3/6/2006,,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (SDV,10X50ML) 3 GM/50 ML-0.375 GM/50 ML",1,"EA","VL","IV","EA",1,"GM",3,3/6/2006,,,,,,,
"00206885418","00206-8854-18",,"J2543",,4/5/2006,8/17/2007,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (ADDVANTAGE VIAL) 3 GM-0.375 GM",1,"EA","VL","IV","EA",1,"GM",3,4/5/2006,,,,,,,
"00206885516","00206-8855-16",,"J2543",,3/13/2006,,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (SDV,10X100ML) 4 GM/100 ML-0.5 GM/100 ML",1,"EA","VL","IV","EA",1,"GM",4,3/13/2006,,,,,,,
"00206885518","00206-8855-18",,"J2543",,4/5/2006,8/17/2007,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (ADDVANTAGE VIAL) 4 GM-0.5 GM",1,"EA","VL","IV","EA",1,"GM",4,4/5/2006,,,,,,,
"00206885910","00206-8859-10",,"J2543",,4/28/2006,,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (PHARMACY BULK VIAL) 36 GM-4.5 GM",1,"EA","VL","IV","EA",1,"GM",36,4/28/2006,,,,,,,
"00206886002","00206-8860-02",,"J2543",,1/9/2006,,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (24 PRE-MIX BAGS OF 50ML) 2 GM/50 ML-0.25 GM/50 ML",50,"ML","PC","IV","ML",1,"GM",0.04,1/9/2006,,,,,,,
"00206886102","00206-8861-02",,"J2543",,1/9/2006,,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN (24 PRE-MIX BAGS OF 50ML) 3 GM/50 ML-0.375 GM/50 ML",50,"ML","PC","IV","ML",1,"GM",0.06,1/9/2006,,,,,,,
"00206886202","00206-8862-02",,"J2543",,1/9/2006,,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)","ZOSYN 4 GM/100 ML-0.5 GM/100 ML",100,"ML","PC","IV","ML",1,"GM",0.04,1/9/2006,,,,,,,
"00223067101","00223-0671-01",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",100,"EA","NA","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00223067102","00223-0671-02",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",1000,"EA","NA","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00223067201","00223-0672-01",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 50 MG",100,"EA","NA","PO","EA",25,"MG",2,1/1/2002,,,,,,,
"00223067202","00223-0672-02",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 50 MG",1000,"EA","NA","PO","EA",25,"MG",2,1/1/2002,,,,,,,
"00223067301","00223-0673-01",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 100 MG",100,"EA","NA","PO","EA",25,"MG",4,1/1/2002,,,,,,,
"00223067401","00223-0674-01",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 200 MG",100,"EA","NA","PO","EA",25,"MG",8,1/1/2002,,,,,,,
"00223079001","00223-0790-01",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",100,"EA","NA","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"00223079001","00223-0790-01",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",100,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00223079101","00223-0791-01",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",100,"EA","NA","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"00223079101","00223-0791-01",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",100,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00223079102","00223-0791-02",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",1000,"EA","NA","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"00223079102","00223-0791-02",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",1000,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00223079201","00223-0792-01",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 1.5 MG",100,"EA","NA","PO","EA",0.25,"MG",6,1/1/2006,,,,,,,
"00223079201","00223-0792-01",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 1.5 MG",100,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00223104901","00223-1049-01",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","NA","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00223104902","00223-1049-02",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",1000,"EA","NA","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00223105001","00223-1050-01",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00223105002","00223-1050-02",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",1000,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00223105101","00223-1051-01",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 100 MG",100,"EA","NA","PO","EA",50,"MG",2,1/1/2002,,,,,,,
"00223105102","00223-1051-02",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 100 MG",1000,"EA","NA","PO","EA",50,"MG",2,1/1/2002,,,,,,,
"00223151201","00223-1512-01",,"J7510",,1/1/2002,8/15/2008,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG",100,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00223151202","00223-1512-02",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG",1000,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00223151501","00223-1515-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00223151502","00223-1515-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00223151601","00223-1516-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00223151602","00223-1516-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00223151701","00223-1517-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","NA","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00223151702","00223-1517-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",1000,"EA","NA","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00223152101","00223-1521-01",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",100,"EA","NA","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00223152102","00223-1521-02",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",1000,"EA","NA","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00223534610","00223-5346-10",,"J2650",,1/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE (VIAL) 50 MG/ML",10,"ML","EA","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00223624608","00223-6246-08",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 100 MG/ML",240,"ML","NA","PO","ML",25,"MG",4,1/1/2002,,,,,,,
"00223634301","00223-6343-01",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 6.25 MG/5 ML",480,"ML","NA","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00223634701","00223-6347-01",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE PEDIATRIC 6.25 MG/5 ML",120,"ML","NA","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00223634702","00223-6347-02",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE PEDIATRIC 6.25 MG/5 ML",480,"ML","NA","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00223649601","00223-6496-01",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG/5 ML",100,"ML","NA","PO","ML",0.25,"MG",0.4,1/1/2006,,,,,,,
"00223649601","00223-6496-01",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG/5 ML",100,"ML","NA","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00223649602","00223-6496-02",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG/5 ML",240,"ML","NA","PO","ML",0.25,"MG",0.4,1/1/2006,,,,,,,
"00223649602","00223-6496-02",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG/5 ML",240,"ML","NA","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00223712620","00223-7126-20",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (VIAL) 250 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00223712802","00223-7128-02",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (VIAL) 25 MG/ML",10,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00223712810","00223-7128-10",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (VIAL) 25 MG/ML",10,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00223713000","00223-7130-00",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE 25 MG/ML",10,"ML","NA","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00223713010","00223-7130-10",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE 25 MG/ML",10,"ML","NA","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00223713620","00223-7136-20",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (S.D.V.) 25 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00223719125","00223-7191-25",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (VIAL) 0.4 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",1.33333,1/1/2002,12/31/2009,,,,,,
"00223719200","00223-7192-00",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (VIAL) 0.4 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",1.33333,1/1/2002,12/31/2009,,,,,,
"00223719325","00223-7193-25",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (AMP) 0.4 MG/ML",1,"ML","AM","IJ","ML",0.3,"MG",1.33333,1/1/2002,12/31/2009,,,,,,
"00223720601","00223-7206-01",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (VIAL) 1 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",3.33333,1/1/2002,12/31/2009,,,,,,
"00223726505","00223-7265-05",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (VIAL) 3 MG/ML",5,"ML","VL","IJ","ML",1,"MG",3,1/1/2002,,,,,,,
"00223726505","00223-7265-05","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (VIAL) 3 MG/ML",5,"ML","VL","IJ","ML",1,"MG",3,1/1/2002,,,,,,,
"00223728000","00223-7280-00",,"J0610",,1/1/2002,,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (VIAL) 100 MG/ML",10,"ML","EA","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00223728010","00223-7280-10",,"J0610",,1/1/2002,,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (VIAL) 100 MG/ML",10,"ML","EA","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00223731010","00223-7310-10",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CHLORPHENIRAMINE MALEATE (VIAL) 10 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00223731030","00223-7310-30",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CHLORPHENIRAMINE MALEATE (VIAL) 10 MG/ML",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00223732502","00223-7325-02",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (AMPULES) 25 MG/ML",2,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00223732510","00223-7325-10",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (VIAL) 25 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00223732610","00223-7326-10",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (VIAL) 25 MG/ML",1,"ML","VL","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00223733002","00223-7330-02",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (VIAL) 25 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00223733401","00223-7334-01",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (VIAL) 25 MG/ML",2,"ML","VL","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00223739005","00223-7390-05",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE (VIAL) 8 MG/ML",5,"ML","VL","IJ","ML",1,"MG",8,1/1/2003,,,,,,,
"00223739005","00223-7390-05",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE (VIAL) 8 MG/ML",5,"ML","VL","IJ","ML",8,"MG",1,1/1/2002,,,,,,,
"00223740125","00223-7401-25",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (AMP) 4 MG/ML",1,"ML","AM","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00223740230","00223-7402-30",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (VIAL) 4 MG/ML",30,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00223740301","00223-7403-01",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (DOSETTE VIAL) 4 MG/ML",1,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00223740405","00223-7404-05",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (VIAL) 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00223740625","00223-7406-25",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (VIAL) 4 MG/ML",25,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00223740701","00223-7407-01",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (DOSETTE VIAL) 4 MG/ML",1,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00223740810","00223-7408-10",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (VIAL) 4 MG/ML",10,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00223743010","00223-7430-10",,"J0500",,1/1/2002,,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOMINE HCL (VIAL) 10 MG/ML",10,"ML","VL","IM","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00223747510","00223-7475-10",,"J1240",,1/1/2002,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00223748405","00223-7484-05",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (AMP, DOSETTE) 40 MG/ML",5,"ML","AM","IV","ML",40,"MG",1,1/1/2006,,,,,,,
"00223748405","00223-7484-05",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (AMP, DOSETTE) 40 MG/ML",5,"ML","AM","IV","ML",40,"MG",1,10/1/2003,,,,,,,
"00223748505","00223-7485-05",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 40 MG/ML",5,"ML","VL","IV","ML",40,"MG",1,1/1/2006,,,,,,,
"00223748505","00223-7485-05",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 40 MG/ML",5,"ML","VL","IV","ML",40,"MG",1,10/1/2003,,,,,,,
"00223748605","00223-7486-05",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (AMP, DOSETTE) 80 MG/ML",5,"ML","AM","IV","ML",40,"MG",2,1/1/2006,,,,,,,
"00223748605","00223-7486-05",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (AMP, DOSETTE) 80 MG/ML",5,"ML","AM","IV","ML",40,"MG",2,10/1/2003,,,,,,,
"00223748705","00223-7487-05",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 80 MG/ML",5,"ML","VL","IV","ML",40,"MG",2,1/1/2006,,,,,,,
"00223748705","00223-7487-05",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 80 MG/ML",5,"ML","VL","IV","ML",40,"MG",2,10/1/2003,,,,,,,
"00223749420","00223-7494-20",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (VIAL) 150 MG/ML",20,"ML","VL","IV","ML",150,"MG",1,1/1/2002,,,,,,,
"00223752001","00223-7520-01",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (VIAL) 1 MG/ML",1,"ML","EA","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00223752005","00223-7520-05",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (VIAL, AQUEOUS) 1 MG/ML",1,"ML","EA","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00223760210","00223-7602-10",,"J1000",,1/1/2002,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","ESTRADIOL CYPIONATE (VIAL) 5 MG/ML",10,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"00223760610","00223-7606-10",,"J1390",,1/1/2002,,"INJECTION, ESTRADIOL VALERATE, UP TO 20 MG","ESTRADIOL VALERATE (VIAL) 20 MG/ML",10,"ML","VL","IM","ML",20,"MG",1,1/1/2002,,,,,,,
"00223760710","00223-7607-10",,"J0970",,1/1/2002,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (VIAL) 40 MG/ML",10,"ML","VL","IM","ML",40,"MG",1,1/1/2002,,,,,,,
"00223766010","00223-7660-10",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (VIAL, AQUEOUS) 2 MG/ML",10,"ML","EA","IM","ML",1,"MG",2,1/1/2002,,,,,,,
"00223767010","00223-7670-10",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (VIAL, AQUEOUS) 5 MG/ML",10,"ML","EA","IM","ML",1,"MG",5,1/1/2002,,,,,,,
"00223770002","00223-7700-02",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (AMP, DOSETTE) 10 MG/ML",2,"ML","AM","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00223770102","00223-7701-02",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00223770404","00223-7704-04",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (AMP, DOSETTE) 10 MG/ML",4,"ML","AM","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00223770504","00223-7705-04",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL) 10 MG/ML",4,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00223770710","00223-7707-10",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (AMP, DOSETTE) 10 MG/ML",10,"ML","AM","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00223770820","00223-7708-20",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL) 10 MG/ML",10,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00223771402","00223-7714-02",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00223771502","00223-7715-02",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00223771720","00223-7717-20",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL) 40 MG/ML",20,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00223771902","00223-7719-02",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00223771925","00223-7719-25",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00223772102","00223-7721-02",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00223772205","00223-7722-05",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (VIAL) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00223772205","00223-7722-05","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (VIAL) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00223772320","00223-7723-20",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (VIAL) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00223772320","00223-7723-20","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (VIAL) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00223776010","00223-7760-10",,"J0725",,1/1/2002,,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","CHORIONIC GONADOTROPIN (W/DILUENT) 5000 U",1,"EA","NA","IM","EA",1000,"USP Units",5,1/1/2002,,,,,,,
"00223777010","00223-7770-10",,"J0725",,1/1/2002,,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","CHORIONIC GONADOTROPIN (W/DILUENT) 10000 U",1,"EA","NA","IM","EA",1000,"USP Units",10,1/1/2002,,,,,,,
"00223780101","00223-7801-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 1000 U/ML",1,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"00223781010","00223-7810-10",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, PORK) 1000 U/ML",10,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"00223781130","00223-7811-30",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, PORK) 5000 U/ML",1,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"00223781801","00223-7818-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 5000 U/ML",1,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"00223782010","00223-7820-10",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, PORK) 5000 U/ML",10,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"00223782801","00223-7828-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, PORK) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00223783004","00223-7830-04",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, PORK) 10000 U/ML",4,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00223783105","00223-7831-05",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 10000 U/ML",5,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00223783210","00223-7832-10",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, PORK) 10000 U/ML",10,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00223784001","00223-7840-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 20000 U/ML",5,"ML","VL","IJ","ML",1000,"U",20,1/1/2002,,,,,,,
"00223784005","00223-7840-05",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, PORK) 20000 U/ML",5,"ML","VL","IJ","ML",1000,"U",20,1/1/2002,,,,,,,
"00223784310","00223-7843-10",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",10,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"00223784430","00223-7844-30",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",30,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"00223784525","00223-7845-25",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, PORK) 5000 U/ML",1,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"00223784601","00223-7846-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00223784704","00223-7847-04",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 10000 U/ML",4,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00223784725","00223-7847-25",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL) 10000 U/ML",4,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00223786101","00223-7861-01",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL, DOSETTE) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00223786302","00223-7863-02",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL, DOSETTE) 10 U/ML",2,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00223786501","00223-7865-01",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL, DOSETTE) 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00223786702","00223-7867-02",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL, DOSETTE) 100 U/ML",2,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00223787710","00223-7877-10",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL) 25 MG/ML",10,"ML","VL","IM","ML",25,"MG",1,1/1/2002,,,,,,,
"00223787810","00223-7878-10",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00223788210","00223-7882-10",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00223788301","00223-7883-01",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL, DOSETTE) 50 MG/ML",1,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00223788402","00223-7884-02",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL) 50 MG/ML",2,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00223788501","00223-7885-01",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL, DOSETTE) 25 MG/ML",1,"ML","VL","IM","ML",25,"MG",1,1/1/2002,,,,,,,
"00223789302","00223-7893-02",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","HYDROCORTISONE SODIUM SUCCINATE 100 MG",1,"EA","NA","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"00223789402","00223-7894-02",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","HYDROCORTISONE SODIUM SUCCINATE 250 MG",1,"EA","NA","IJ","EA",100,"MG",2.5,1/1/2002,,,,,,,
"00223789605","00223-7896-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","HYDROXYPROGESTERONE CAPROATE (VIAL) 250 MG/ML",5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00223789808","00223-7898-08",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","HYDROCORTISONE SODIUM SUCCINATE 500 MG",1,"EA","NA","IJ","EA",100,"MG",5,1/1/2002,,,,,,,
"00223789908","00223-7899-08",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","HYDROCORTISONE SODIUM SUCCINATE 1 GM",1,"EA","NA","IJ","EA",100,"MG",10,1/1/2002,,,,,,,
"00223791210","00223-7912-10",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","HYDROXOCOBALAMIN (VIAL) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00223791230","00223-7912-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","HYDROXOCOBALAMIN (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00223791505","00223-7915-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","HYDROXYPROGESTERONE CAPROATE (VIAL) 250 MG/ML",5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00223810550","00223-8105-50",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (VIAL) 25%",50,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00223815010","00223-8150-10",,"J2800",,1/1/2002,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","METHOCARBAMOL (VIAL) 100 MG/ML",10,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00223816001","00223-8160-01",,"J2920",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (VIAL) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,1/1/2002,,,,,,,
"00223816002","00223-8160-02",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (VIAL) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,1/1/2002,,,,,,,
"00223816102","00223-8161-02",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (VIAL) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,1/1/2002,,,,,,,
"00223816203","00223-8162-03",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG",1,"EA","NA","IJ","EA",125,"MG",4,1/1/2002,,,,,,,
"00223816304","00223-8163-04",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE 1 GM",1,"EA","NA","IJ","EA",125,"MG",8,1/1/2002,,,,,,,
"00223820010","00223-8200-10",,"J2360",,1/1/2002,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (VIAL) 30 MG/ML",10,"ML","VL","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"00223832230","00223-8322-30",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIALS) 2 MEQ/ML",30,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00223833001","00223-8330-01",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (AMP) 2 MEQ/ML",10,"ML","AM","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00223833010","00223-8330-10",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE SOLUTION (AMP) 2 MEQ/ML",10,"ML","AM","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00223833120","00223-8331-20",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE SOLUTION (AMP) 2 MEQ/ML",20,"ML","AM","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00223833230","00223-8332-30",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE SOLUTION (AMP) 2 MEQ/ML",30,"ML","AM","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00223834130","00223-8341-30",,"J2650",,1/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE (VIAL) 50 MG/ML",30,"ML","EA","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00223834510","00223-8345-10",,"J2650",,1/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE (VIAL) 25 MG/ML",10,"ML","EA","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00223834530","00223-8345-30",,"J2650",,1/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE (VIAL) 25 MG/ML",30,"ML","EA","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00223834610","00223-8346-10",,"J2650",,1/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE (VIAL) 50 MG/ML",10,"ML","EA","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00223834630","00223-8346-30",,"J2650",,1/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE (VIAL) 50 MG/ML",30,"ML","EA","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00223839301","00223-8393-01",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (VIAL) 25 MG/ML",1,"ML","VL","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00223839310","00223-8393-10",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (VIAL) 25 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00223839401","00223-8394-01",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (VIAL) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00223839410","00223-8394-10",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00223839710","00223-8397-10",,"J2950",,1/1/2002,12/31/2002,"INJECTION, PROMAZINE HCL, UP TO 25 MG","PROMAZINE HCL (VIAL) 25 MG/ML",10,"ML","EA","IM","ML",25,"MG",1,1/1/2002,,,,,,,
"00223839810","00223-8398-10",,"J2950",,1/1/2002,12/31/2002,"INJECTION, PROMAZINE HCL, UP TO 25 MG","PROMAZINE HCL (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00223840310","00223-8403-10",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (VIAL) 100 MG/ML",10,"ML","VL","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"00223840310","00223-8403-10",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (VIAL) 100 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00223840430","00223-8404-30",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (VIAL) 100 MG/ML",30,"ML","VL","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"00223840430","00223-8404-30",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (VIAL) 100 MG/ML",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00223841010","00223-8410-10",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","VITABEE 6 (VIAL) 100 MG/ML",10,"ML","VL","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"00223841010","00223-8410-10",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","VITABEE 6 (VIAL) 100 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00223849602","00223-8496-02",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (AMP) 0.9%",5,"ML","AM","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00223849602","00223-8496-02",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (AMP) 0.9%",5,"ML","AM","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00223849605","00223-8496-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (AMP) 0.9%",5,"ML","AM","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00223849605","00223-8496-05",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (AMP) 0.9%",5,"ML","AM","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00223849710","00223-8497-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (AMP) 0.9%",10,"ML","AM","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00223849710","00223-8497-10",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (AMP) 0.9%",10,"ML","AM","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00223850030","00223-8500-30",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00223850030","00223-8500-30",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00223870020","00223-8700-20",,"J3250",,1/1/2002,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (VIAL) 100 MG/ML",20,"ML","VL","IM","ML",200,"MG",0.5,1/1/2002,,,,,,,
"00223870901","00223-8709-01",,"J3411",,1/1/2004,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HCL (AMP) 100 MG/ML",1,"ML","AM","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"00223870901","00223-8709-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","THIAMINE HCL (AMP) 100 MG/ML",1,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00223871102","00223-8711-02",,"J3411",,1/1/2004,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HCL (VIAL) 100 MG/ML",30,"ML","VL","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"00223871102","00223-8711-02",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","THIAMINE HCL (VIAL) 100 MG/ML",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00223886030","00223-8860-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (M.D.V.) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00223886101","00223-8861-01",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (VIAL, DOSETTE) 1000 MCG/ML",1,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00223886225","00223-8862-25",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (AMP) 1000 MCG/ML",1,"ML","AM","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00223887000","00223-8870-00",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITABEE 12 (VIAL) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00223887030","00223-8870-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITABEE 12 (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00223887130","00223-8871-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (VIAL) 100 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",0.1,1/1/2002,,,,,,,
"00223888330","00223-8883-30",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION BACTERIOSTATIC (VIAL)",30,"ML","EA","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00223888330","00223-8883-30",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION BACTERIOSTATIC (VIAL)",30,"ML","EA","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00223888410","00223-8884-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION BACTERIOSTATIC (VIAL)",10,"ML","EA","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00223888410","00223-8884-10",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION BACTERIOSTATIC (VIAL)",10,"ML","EA","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00223897905","00223-8979-05",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (AMP)",5,"ML","AM","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00223897905","00223-8979-05",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (AMP)",5,"ML","AM","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00223898010","00223-8980-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (VIAL)",10,"ML","EA","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00223898010","00223-8980-10",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (VIAL)",10,"ML","EA","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00228260511","00228-2605-11",,"J8499",,1/1/2002,12/4/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00228260550","00228-2605-50",,"J8499",,1/1/2002,12/4/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00228260611","00228-2606-11",,"J8499",,1/1/2002,12/4/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00228260650","00228-2606-50",,"J8499",,1/1/2002,12/4/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00228260711","00228-2607-11",,"J8499",,1/1/2002,12/4/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00228260750","00228-2607-50",,"J8499",,1/1/2002,12/4/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00254421613","00254-4216-13",,"J7509",,1/1/2002,3/26/2003,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00254421628","00254-4216-28",,"J7509",,1/1/2002,3/26/2003,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00254494028","00254-4940-28",,"Q0175",,1/1/2002,3/26/2003,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",100,"EA","BO","PO","EA",4,"MG",0.5,1/1/2002,,,,,,,
"00254494035","00254-4940-35",,"Q0175",,1/1/2002,3/26/2003,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",500,"EA","BO","PO","EA",4,"MG",0.5,1/1/2002,,,,,,,
"00254494128","00254-4941-28",,"Q0175",,1/1/2002,3/26/2003,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00254494135","00254-4941-35",,"Q0175",,1/1/2002,3/26/2003,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",500,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00254494228","00254-4942-28",,"Q0176",,1/1/2002,3/26/2003,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",100,"EA","BO","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00254494235","00254-4942-35",,"Q0176",,1/1/2002,3/26/2003,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",500,"EA","BO","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00254494328","00254-4943-28",,"Q0176",,1/1/2002,3/26/2003,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 16 MG",100,"EA","BO","PO","EA",8,"MG",2,1/1/2002,,,,,,,
"00254509313","00254-5093-13",,"J7506",,1/1/2002,3/26/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 10 MG",21,"EA","DP","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00254509323","00254-5093-23",,"J7506",,1/1/2002,3/26/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00254509413","00254-5094-13",,"J7506",,1/1/2002,3/26/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00254509423","00254-5094-23",,"J7506",,1/1/2002,3/26/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 5 MG",48,"EA","DP","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00258371101","00258-3711-01",,"G9020",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","RIMANTADINE HCL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"00259036421","00259-0364-21",,"J7506",,1/1/2002,7/1/2009,"PREDNISONE, ORAL, PER 5MG","STERAPRED DS (6 DAY UNI-PAK) 10 MG",21,"EA","DP","PO","EA",5,"MG",2,1/1/2002,7/1/2009,,,,,,
"00259038948","00259-0389-48",,"J7506",,1/1/2002,8/31/2009,"PREDNISONE, ORAL, PER 5MG","STERAPRED DS (12 DAY UNI-PAK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,1/1/2002,8/31/2009,,,,,,
"00259039021","00259-0390-21",,"J7506",,1/1/2002,10/31/2009,"PREDNISONE, ORAL, PER 5MG","STERAPRED (6 DAY UNI-PAK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,1/1/2002,10/31/2009,,,,,,
"00259039148","00259-0391-48",,"J7506",,1/1/2002,10/31/2009,"PREDNISONE, ORAL, PER 5MG","STERAPRED (12 DAY UNI-PAK) 5 MG",48,"EA","DP","PO","EA",5,"MG",1,1/1/2002,10/31/2009,,,,,,
"00264110155","00264-1101-55",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (GLASS) 5%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264110255","00264-1102-55",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (GLASS W/SS,250 ML) 5%",150,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264110755","00264-1107-55",,"J7060",,1/1/2002,11/20/2009,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (GLASS W/SOLID STOPPER) 5%",1000,"ML","EA","IV","ML",500,"ML",0.002,1/1/2002,11/20/2009,,,,,,
"00264111000","00264-1110-00",,"J7060",,1/1/2002,3/31/1999,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (GLASS) 5%",1000,"ML","EA","IV","ML",500,"ML",0.002,1/1/2002,3/31/1999,,,,,,
"00264111023","00264-1110-23",,"J7060",,1/1/2002,3/31/1999,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (GLASS,250 ML) 5%",150,"ML","EA","IV","ML",500,"ML",0.002,1/1/2002,3/31/1999,,,,,,
"00264112000","00264-1120-00",,"J7799",,1/1/2002,4/30/2002,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS) 10%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,4/30/2002,,,,,,
"00264112001","00264-1120-01",,"J7799",,1/1/2002,3/31/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (AIR TUBE,1000 ML) 10%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,3/31/1999,,,,,,
"00264112010","00264-1120-10",,"J7799",,1/1/2002,3/31/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS) 10%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,3/31/1999,,,,,,
"00264112401","00264-1124-01",,"J7799",,1/1/2002,3/26/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (AIR TUBE,1000 ML) 30%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,3/26/1999,,,,,,
"00264112501","00264-1125-01",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS,1000 ML) 20%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264112510","00264-1125-10",,"J7799",,1/1/2002,2/5/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (AIR TUBE) 20%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,2/5/1999,,,,,,
"00264112601","00264-1126-01",,"J7799",,1/1/2002,3/28/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (AIR TUBE,1000 ML) 40%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,3/28/1999,,,,,,
"00264112700","00264-1127-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS) 60%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264112701","00264-1127-01",,"J7799",,1/1/2002,11/20/2009,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (AIR TUBE,1000 ML) 60%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,11/20/2009,,,,,,
"00264112800","00264-1128-00",,"J7799",,1/1/2002,3/31/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (W/STERILE WATER) 50%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,3/31/1999,,,,,,
"00264112810","00264-1128-10",,"J7799",,1/1/2002,3/31/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS) 50%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,3/31/1999,,,,,,
"00264112850","00264-1128-50",,"J7799",,1/1/2002,3/31/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS) 50%",2000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,3/31/1999,,,,,,
"00264112900","00264-1129-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS) 70%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264112901","00264-1129-01",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS,1000 ML) 70%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264112920","00264-1129-20",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS) 70%",250,"ML","EA","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264112950","00264-1129-50",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/AIR TUBE) 70%",2000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264117810","00264-1178-10",,"J7799",,1/1/2002,4/30/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (GLASS CONTAINER) 20%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,4/30/2003,,,,,,
"00264120055","00264-1200-55",,"J7799",,1/1/2002,9/13/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS W/SOLID STOPPER) 10%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,9/13/1999,,,,,,
"00264120155","00264-1201-55",,"J7799",,1/1/2002,9/13/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS W/SOLID STOPPER) 10%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,9/13/1999,,,,,,
"00264120755","00264-1207-55",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS W/SS,1000 ML) 10%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264121710","00264-1217-10",,"J7799",,1/1/2002,11/20/2009,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (GLASS) 5%-0.11%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,11/20/2009,,,,,,
"00264122200","00264-1222-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (GLASS) 10%-0.45%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264124055","00264-1240-55",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 30%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264125055","00264-1250-55",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 20%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264125155","00264-1251-55",,"J7799",,1/1/2002,7/31/2008,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 20%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,7/31/2008,,,,,,
"00264126055","00264-1260-55",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 40%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264127050","00264-1270-50",,"J7799",,1/1/2002,10/31/2007,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 60%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,10/31/2007,,,,,,
"00264127055","00264-1270-55",,"J7799",,1/1/2002,4/8/1998,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 60%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,4/8/1998,,,,,,
"00264128050","00264-1280-50",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 50%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264128055","00264-1280-55",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 50%",1000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264128155","00264-1281-55",,"J7799",,1/1/2002,6/30/2009,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 50%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,6/30/2009,,,,,,
"00264128555","00264-1285-55",,"J7799",,1/1/2002,4/21/1998,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 50%",2000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,4/21/1998,,,,,,
"00264129050","00264-1290-50",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 70%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264129055","00264-1290-55",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 70%",1000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264129255","00264-1292-55",,"J7799",,1/1/2002,4/21/1998,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 70%",250,"ML","GC","IV","ML",1,"EA",1,1/1/2002,4/21/1998,,,,,,
"00264144155","00264-1441-55",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS) 5%-80 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.02,1/1/2006,,,,,,,
"00264144155","00264-1441-55",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS) 5%-80 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.02,10/1/2003,,,,,,,
"00264144255","00264-1442-55",,"J1265",,1/1/2006,11/30/2007,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS) 5%-80 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.02,1/1/2006,11/30/2007,,,,,,
"00264144255","00264-1442-55",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS) 5%-80 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.02,10/1/2003,,,,,,,
"00264148155","00264-1481-55",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS W/SOLID STOPPER) 5%-160 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.04,1/1/2006,,,,,,,
"00264148155","00264-1481-55",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS W/SOLID STOPPER) 5%-160 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.04,10/1/2003,,,,,,,
"00264148255","00264-1482-55",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS W/SOLID STOPPER) 5%-160 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.04,1/1/2006,,,,,,,
"00264148255","00264-1482-55",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS W/SOLID STOPPER) 5%-160 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.04,10/1/2003,,,,,,,
"00264149255","00264-1492-55",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS W/SOLID STOPPER) 5%-320 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.08,1/1/2006,,,,,,,
"00264149255","00264-1492-55",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (GLASS W/SOLID STOPPER) 5%-320 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.08,10/1/2003,,,,,,,
"00264151031","00264-1510-31",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (100 ML PAB) 5%",50,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264151032","00264-1510-32",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (150 ML PAB) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264151036","00264-1510-36",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (100 ML PAB) 5%",25,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264180031","00264-1800-31",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (100 ML PAB) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00264180031","00264-1800-31",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (100 ML PAB) 0.9%",50,"ML","FC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00264180032","00264-1800-32",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (150 ML PAB) 0.9%",100,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00264180036","00264-1800-36",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (100 ML PAB) 0.9%",25,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00264180036","00264-1800-36",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (100 ML PAB) 0.9%",25,"ML","FC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00264192000","00264-1920-00",,"A4217",,1/1/2004,1/16/1999,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (SUPER-VIAL,HYPOTONIC)",1000,"ML","GC","IJ","ML",500,"ML",0.002,1/1/2004,1/16/1999,,,,,,
"00264192000","00264-1920-00",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (SUPER-VIAL,HYPOTONIC)",1000,"ML","GC","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00264192050","00264-1920-50",,"A4217",,1/1/2004,1/9/1999,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (SUPER-VIAL,HYPOTONIC)",2000,"ML","GC","IJ","ML",500,"ML",0.002,1/1/2004,1/9/1999,,,,,,
"00264192050","00264-1920-50",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (SUPER-VIAL,HYPOTONIC)",2000,"ML","GC","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00264194010","00264-1940-10",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (CONCENTRATE) 2 MEQ/ML",500,"ML","GC","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00264194020","00264-1940-20",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (CONCENTRATE) 2 MEQ/ML",250,"ML","GC","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00264196010","00264-1960-10",,"J7110",,1/1/2002,9/30/2009,"INFUSION, DEXTRAN 75, 500 ML","DEXTRAN-70 W/NACL (GLASS CONTAINER) 6%-0.9%",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,9/30/2009,,,,,,
"00264196210","00264-1962-10",,"J7100",,1/1/2002,4/9/2003,"INFUSION, DEXTRAN 40, 500 ML","DEXTRAN-40 W/DEXTROSE (GLASS CONTAINER) 10%-5%",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264196310","00264-1963-10",,"J7100",,1/1/2002,4/9/2003,"INFUSION, DEXTRAN 40, 500 ML","DEXTRAN-40 W/NACL 10%-0.9%",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264197210","00264-1972-10",,"Q2013",,1/1/2002,4/26/2004,"INJECTION, PENTASTARCH, 10% SOLUTION, PER 100 ML","PENTASPAN 10%",500,"ML","BO","IV","ML",10,"%",0.01,1/1/2002,,,,,,,
"00264210100","00264-2101-00",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (PIC CONTAINER)",1000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264210100","00264-2101-00",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (PIC CONTAINER)",1000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264210110","00264-2101-10",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (PIC CONTAINER)",500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264210110","00264-2101-10",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (PIC CONTAINER)",500,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264210150","00264-2101-50",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (PIC CONTAINER)",2000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264210150","00264-2101-50",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (PIC CONTAINER)",2000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264210170","00264-2101-70",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (PIC CONTAINER)",4000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264210170","00264-2101-70",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION (PIC CONTAINER)",4000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264217155","00264-2171-55",,"J7799",,1/1/2002,3/23/2000,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (GLASS W/SOLID STOPPER) 5%-0.11%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,3/23/2000,,,,,,
"00264220100","00264-2201-00",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (PIC CONTAINER) 0.9%",1000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264220100","00264-2201-00",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (PIC CONTAINER) 0.9%",1000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264220110","00264-2201-10",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (PIC CONTAINER) 0.9%",500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264220110","00264-2201-10",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (PIC CONTAINER) 0.9%",500,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264220150","00264-2201-50",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (PIC CONTAINER) 0.9%",2000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264220150","00264-2201-50",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (PIC CONTAINER) 0.9%",2000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264220170","00264-2201-70",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (PIC CONTAINER) 0.9%",4000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264220170","00264-2201-70",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (PIC CONTAINER) 0.9%",4000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264222055","00264-2220-55",,"J7799",,1/1/2002,11/20/2009,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (GLASS W/SOLID STOPPER) 10%-0.45%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,11/20/2009,,,,,,
"00264230350","00264-2303-50",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","RESECTISOL 5%",2000,"ML","PC","IL","ML",1,"EA",1,1/1/2002,,,,,,,
"00264230370","00264-2303-70",,"J7799",,1/1/2002,8/31/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","RESECTISOL 5%",4000,"ML","PC","IL","ML",1,"EA",1,1/1/2002,8/31/2003,,,,,,
"00264310211","00264-3102-11",,"J0690",,1/1/2002,11/20/2009,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN 500 MG/50 ML",50,"ML","EA","IV","ML",500,"MG",0.02,1/1/2002,11/20/2009,,,,,,
"00264310311","00264-3103-11",,"J0690",,3/5/2003,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (DUPLEX) 1 GM/50 ML-4%",50,"ML","FC","IV","ML",500,"MG",0.04,3/5/2003,,,,,,,
"00264311211","00264-3112-11",,"J0697",,9/15/2003,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 750 MG/50 ML",50,"ML","FC","IV","ML",750,"MG",0.02,9/15/2003,,,,,,,
"00264311411","00264-3114-11",,"J0697",,3/1/2004,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (DUPLEX) 1.5 GM/50 ML",50,"ML","FC","IV","ML",750,"MG",0.04,3/1/2004,,,,,,,
"00264312311","00264-3123-11",,"J0694",,7/1/2006,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN 1 GM",1,"EA","FC","IV","EA",1,"GM",1,7/1/2006,,,,,,,
"00264312511","00264-3125-11",,"J0694",,7/1/2006,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN 2 GM",1,"EA","FC","IV","EA",1,"GM",2,7/1/2006,,,,,,,
"00264315311","00264-3153-11",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE/DEXTROSE 1 GM/50 ML",50,"ML","FC","IV","ML",250,"MG",0.08,7/20/2005,,,,,,,
"00264315511","00264-3155-11",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE/DEXTROSE 2 GM/50 ML",50,"ML","FC","IV","ML",250,"MG",0.16,7/20/2005,,,,,,,
"00264350055","00264-3500-55",,"J7120",,1/1/2002,11/20/2009,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (GLASS CONTAINER)",1000,"ML","GC","IV","ML",1000,"ML",0.001,1/1/2002,11/20/2009,,,,,,
"00264350155","00264-3501-55",,"J7120",,1/1/2002,11/20/2009,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (GLASS CONTAINER)",500,"ML","GC","IV","ML",1000,"ML",0.001,1/1/2002,11/20/2009,,,,,,
"00264351055","00264-3510-55",,"J7120",,1/1/2002,11/20/2009,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 5%/LACTATED RINGERS (GLASS)",1000,"ML","NA","IV","ML",1000,"ML",0.0005,1/1/2002,11/20/2009,,,,,,
"00264351155","00264-3511-55",,"J7120",,1/1/2002,11/20/2009,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 5%/LACTATED RINGERS (GLASS)",500,"ML","NA","IV","ML",1000,"ML",0.0005,1/1/2002,11/20/2009,,,,,,
"00264400055","00264-4000-55",,"J7030",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC","SODIUM CHLORIDE (GLASS CONTAINER) 0.9%",1000,"ML","GC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264400155","00264-4001-55",,"J7040",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE (GLASS CONTAINER) 0.9%",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264400255","00264-4002-55",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (250 ML GLASS CONTAINER) 0.9%",250,"ML","GC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00264402055","00264-4020-55",,"J7799",,1/1/2002,9/11/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (GLASS CONTAINER) 0.45%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,9/11/1999,,,,,,
"00264402155","00264-4021-55",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (GLASS CONTAINER) 0.45%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264553532","00264-5535-32",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (150 ML PAB CONTAINER) 500 MG/100 ML",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264580632","00264-5806-32",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (150 ML PAB CONTAINER) 60 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.0075,1/1/2002,,,,,,,
"00264580832","00264-5808-32",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (150 ML PAB CONTAINER) 80 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.01,1/1/2002,,,,,,,
"00264581032","00264-5810-32",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (150 ML PAB CONTAINER) 100 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.0125,1/1/2002,,,,,,,
"00264581238","00264-5812-38",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (100 ML PAB CONTAINER) 1.2 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.015,1/1/2002,,,,,,,
"00264581638","00264-5816-38",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (100 ML PAB CONTAINER) 1.6 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.02,1/1/2002,,,,,,,
"00264751000","00264-7510-00",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (EXCEL) 5%",1000,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264751010","00264-7510-10",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (EXCEL) 5%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264751020","00264-7510-20",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (EXCEL) 5%",250,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264752000","00264-7520-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (EXCEL) 10%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264752010","00264-7520-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (EXCEL) 10%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264757300","00264-7573-00",,"J7799",,1/1/2002,5/2/1999,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (EXCEL) 10%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,5/2/1999,,,,,,
"00264757810","00264-7578-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (EXCEL) 20%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264757820","00264-7578-20",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (EXCEL) 20%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264760500","00264-7605-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 2.5%-0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264760510","00264-7605-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 2.5%-0.45%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264760800","00264-7608-00",,"J7799",,1/1/2002,11/20/2009,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 3.3%-0.3%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,11/20/2009,,,,,,
"00264760810","00264-7608-10",,"J7799",,1/1/2002,11/20/2009,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 3.3%-0.3%",500,"ML","EA","IV","ML",1,"EA",1,1/1/2002,11/20/2009,,,,,,
"00264760820","00264-7608-20",,"J7799",,1/1/2002,11/20/2009,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 3.3%-0.3%",250,"ML","EA","IV","ML",1,"EA",1,1/1/2002,11/20/2009,,,,,,
"00264760830","00264-7608-30",,"J7799",,1/1/2002,11/20/2009,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 3.3%-0.3%",150,"ML","EA","IV","ML",1,"EA",1,1/1/2002,11/20/2009,,,,,,
"00264761000","00264-7610-00",,"J7042",,1/1/2002,,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.9%",1000,"ML","FC","IV","ML",5,"%",0.002,1/1/2002,,,,,,,
"00264761010","00264-7610-10",,"J7042",,1/1/2002,,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.9%",500,"ML","FC","IV","ML",5,"%",0.002,1/1/2002,,,,,,,
"00264761020","00264-7610-20",,"J7042",,1/1/2002,,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.9%",250,"ML","FC","IV","ML",5,"%",0.002,1/1/2002,,,,,,,
"00264761200","00264-7612-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264761210","00264-7612-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.45%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264761220","00264-7612-20",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.45%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264761400","00264-7614-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.33%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264761410","00264-7614-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.33%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264761420","00264-7614-20",,"J7799",,1/1/2002,9/29/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.33%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,9/29/2003,,,,,,
"00264761600","00264-7616-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.2%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264761610","00264-7616-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.2%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264761620","00264-7616-20",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.2%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264762000","00264-7620-00",,"J7799",,1/1/2002,10/31/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 10%-0.9%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,10/31/2004,,,,,,
"00264762200","00264-7622-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 10%-0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264762320","00264-7623-20",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (EXCEL) 10%-0.2%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264775000","00264-7750-00",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (EXCEL)",1000,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264775010","00264-7750-10",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (EXCEL)",500,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264775020","00264-7750-20",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (EXCEL)",250,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264775100","00264-7751-00",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 5%/LACTATED RINGERS (EXCEL)",1000,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00264775110","00264-7751-10",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 5%/LACTATED RINGERS (EXCEL)",500,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00264775120","00264-7751-20",,"J7120",,1/1/2002,8/8/1998,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 5%/LACTATED RINGERS (EXCEL)",250,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,8/8/1998,,,,,,
"00264775920","00264-7759-20",,"J7120",,1/1/2002,7/31/2006,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 2.5%/LACTATED RINGERS (1/2 STR. LACTATED,EXCEL)",250,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,7/31/2006,,,,,,
"00264780000","00264-7800-00",,"J7030",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC","SODIUM CHLORIDE (EXCEL) 0.9%",1000,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00264780010","00264-7800-10",,"J7040",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE (EXCEL) 0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00264780020","00264-7800-20",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (EXCEL) 0.9%",250,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00264780200","00264-7802-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (EXCEL) 0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264780210","00264-7802-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (EXCEL) 0.45%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264780510","00264-7805-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (HYPERTONIC,EXCEL) 3%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264780610","00264-7806-10",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (HYPERTONIC,EXCEL) 5%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00264785000","00264-7850-00",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (EXCEL)",1000,"ML","FC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264785000","00264-7850-00",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (EXCEL)",1000,"ML","FC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00264785010","00264-7850-10",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (EXCEL)",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264785010","00264-7850-10",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (EXCEL)",500,"ML","FC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00264785020","00264-7850-20",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (EXCEL)",250,"ML","FC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264785020","00264-7850-20",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (EXCEL)",250,"ML","FC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00264786500","00264-7865-00",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE/SODIUM CHLORIDE (EXCEL) 2 MEQ/100 ML-0.9%",1000,"ML","FC","IV","ML",2,"MEQ",0.01,1/1/2002,,,,,,,
"00264920055","00264-9200-55",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (GLASS W/SOLID STOPPER)",1000,"ML","GC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264920055","00264-9200-55",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (GLASS W/SOLID STOPPER)",1000,"ML","GC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00264920155","00264-9201-55",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (GLASS W/SOLID STOPPER)",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264920155","00264-9201-55",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (GLASS W/SOLID STOPPER)",500,"ML","GC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00264920555","00264-9205-55",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (GLASS W/SOLID STOPPER)",2000,"ML","GC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00264920555","00264-9205-55",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (GLASS W/SOLID STOPPER)",2000,"ML","GC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00264955400","00264-9554-00",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (EXCEL) 5%-80 MG/100 ML",1000,"ML","FC","IV","ML",40,"MG",0.02,1/1/2002,,,,,,,
"00264955410","00264-9554-10",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (EXCEL) 5%-80 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.02,1/1/2002,,,,,,,
"00264955810","00264-9558-10",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (EXCEL) 5%-160 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.04,1/1/2002,,,,,,,
"00264955820","00264-9558-20",,"J2810",,1/1/2002,11/20/2009,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (EXCEL) 5%-160 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.04,1/1/2002,11/20/2009,,,,,,
"00264956710","00264-9567-10",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (EXCEL) 5%-4000 U/100 ML",500,"ML","FC","IV","ML",1000,"U",0.04,1/1/2002,,,,,,,
"00264957710","00264-9577-10",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (EXCEL) 5%-5000 U/100 ML",500,"ML","FC","IV","ML",1000,"U",0.05,1/1/2002,,,,,,,
"00264958720","00264-9587-20",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (EXCEL) 5%-10000 U/100 ML",250,"ML","FC","IV","ML",1000,"U",0.1,1/1/2002,,,,,,,
"00264959210","00264-9592-10",,"J2000",,1/1/2002,4/1/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL (EXCEL) 5%-0.2%",500,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00264959410","00264-9594-10",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL (EXCEL) 5%-0.4%",500,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00264959410","00264-9594-10",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (EXCEL) 5%-0.4%",500,"ML","FC","IV","ML",10,"MG",0.4,1/1/2004,,,,,,,
"00264959420","00264-9594-20",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL (EXCEL) 5%-0.4%",250,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00264959420","00264-9594-20",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (EXCEL) 5%-0.4%",250,"ML","FC","IV","ML",10,"MG",0.4,1/1/2004,,,,,,,
"00264959810","00264-9598-10",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL (EXCEL) 5%-0.8%",500,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00264959810","00264-9598-10",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (EXCEL) 5%-0.8%",500,"ML","FC","IV","ML",10,"MG",0.8,1/1/2004,,,,,,,
"00264959820","00264-9598-20",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL (EXCEL) 5%-0.8%",250,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00264959820","00264-9598-20",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (EXCEL) 5%-0.8%",250,"ML","FC","IV","ML",10,"MG",0.8,1/1/2004,,,,,,,
"00264987210","00264-9872-10",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE 200 U/100 ML-0.9%",500,"ML","FC","IV","ML",1000,"U",0.002,1/1/2002,,,,,,,
"00270055615","00270-0556-15",,"J2805",,1/1/2006,,"INJECTION, SINCALIDE, 5 MICROGRAMS","KINEVAC (VIAL) 5 MCG",1,"EA","VL","IV","EA",5,"MCG",1,1/1/2006,,,,,,,
"00270055615","00270-0556-15",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","KINEVAC (VIAL) 5 MCG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00281036510","00281-0365-10",,"J1162",,1/1/2006,,"INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL","DIGIFAB (VIAL,PF) 40 MG",1,"EA","VL","IV","EA",1,"VIAL",1,1/1/2006,,,,,,,
"00281036510","00281-0365-10",,"Q2006",,1/29/2002,12/31/2005,"INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL","DIGIFAB (VIAL,PF) 40 MG",1,"EA","VL","IV","EA",1,"VIAL",1,1/29/2002,,,,,,,
"00281111231","00281-1112-31",,"J1180",,1/1/2002,7/1/2004,"INJECTION, DYPHYLLINE, UP TO 500 MG","DILOR (AMP) 250 MG/ML",2,"ML","AM","IM","ML",500,"MG",0.5,1/1/2002,,,,,,,
"00300210801","00300-2108-01",,"J9217",,1/1/2002,8/27/2009,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT-PED (SRN,PREFIL DUAL CHAMBER) 7.5 MG",1,"EA","BX","IM","EA",7.5,"MG",1,1/1/2002,8/27/2009,,,,,,
"00300228201","00300-2282-01",,"J9217",,1/1/2002,8/27/2009,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT-PED 11.25 MG",1,"EA","BX","IM","EA",7.5,"MG",1.5,1/1/2002,8/27/2009,,,,,,
"00300244001","00300-2440-01",,"J9217",,1/1/2002,8/27/2009,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT-PED (SRN,PREFIL DUAL CHAMBER) 15 MG",1,"EA","BX","IM","EA",7.5,"MG",2,1/1/2002,8/27/2009,,,,,,
"00300334601","00300-3346-01",,"J9217",,1/1/2002,8/27/2009,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT (SRN,PREFIL DUAL CHAMBER) 22.5 MG",1,"EA","BX","IM","EA",7.5,"MG",3,1/1/2002,8/27/2009,,,,,,
"00300361224","00300-3612-24",,"J9218",,1/1/2002,2/13/2009,"LEUPROLIDE ACETATE, PER 1 MG","LUPRON (2 WEEK ADMINISTRATION) 5 MG/ML",2.8,"ML","VL","SC","EA",1,"MG",84,1/1/2002,2/13/2009,,,,,,
"00300361228","00300-3612-28",,"J9218",,1/1/2002,7/24/2009,"LEUPROLIDE ACETATE, PER 1 MG","LUPRON (2 WEEK ADMINISTRATION) 5 MG/ML",2.8,"ML","BX","SC","EA",1,"MG",14,1/1/2002,7/24/2009,,,,,,
"00300364101","00300-3641-01",,"J1950",,1/1/2002,8/27/2009,"INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG","LUPRON DEPOT (SRN,PREFIL DUAL CHAMBER) 3.75 MG",1,"EA","BX","IM","EA",3.75,"MG",1,1/1/2002,8/27/2009,,,,,,
"00300364201","00300-3642-01",,"J9217",,1/1/2002,8/27/2009,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT (SRN,PREFIL DUAL CHAMBER) 7.5 MG",1,"EA","BX","IM","EA",7.5,"MG",1,1/1/2002,8/27/2009,,,,,,
"00300366301","00300-3663-01",,"J9217",,1/1/2002,5/20/2009,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT (SRN,PREFIL DUAL CHAMBER) 11.25 MG",1,"EA","BX","IM","EA",7.5,"MG",1.5,1/1/2002,5/20/2009,,,,,,
"00300368301","00300-3683-01",,"J9217",,1/1/2002,8/27/2009,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT (SRN,PREFIL DUAL CHAMBER) 30 MG",1,"EA","BX","IM","EA",7.5,"MG",4,1/1/2002,8/27/2009,,,,,,
"00310004910","00310-0049-10",,"J1320",,1/1/2002,5/12/2003,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","ELAVIL (M.D.V.) 10 MG/ML",10,"ML","VL","IM","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00310020130","00310-0201-30",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","ARIMIDEX 1 MG",30,"EA","BO","PO","EA",1,"EA",1,8/7/2008,,1/1/2002,,1,,,
"00310020137","00310-0201-37",,"J8999",,5/2/2008,10/20/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","ARIMIDEX (FILM-COATED) 1 MG",30,"EA","DP","PO","EA",1,"EA",1,5/2/2008,10/20/2008,,,,,,
"00310030011","00310-0300-11",,"J3490",,1/1/2002,3/5/2008,"UNCLASSIFIED DRUGS","DIPRIVAN (VIAL) 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00310030022","00310-0300-22",,"J3490",,1/1/2002,2/20/2008,"UNCLASSIFIED DRUGS","DIPRIVAN (VIAL) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00310030050","00310-0300-50",,"J3490",,1/1/2002,4/27/2008,"UNCLASSIFIED DRUGS","DIPRIVAN (VIAL) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00310030054","00310-0300-54",,"J3490",,1/1/2002,2/14/2005,"UNCLASSIFIED DRUGS","DIPRIVAN (SRN, PREFILLED) 10 MG/ML",50,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00310030061","00310-0300-61",,"J3490",,1/1/2002,1/31/2008,"UNCLASSIFIED DRUGS","DIPRIVAN NOVAPLUS (VIAL) 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00310030064","00310-0300-64",,"J3490",,11/18/2004,1/14/2008,"UNCLASSIFIED DRUGS","DIPRIVAN NOVAPLUS 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,11/18/2004,,,,,,,
"00310030065","00310-0300-65",,"J3490",,1/1/2002,3/4/2008,"UNCLASSIFIED DRUGS","DIPRIVAN NOVAPLUS (VIAL) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00310032111","00310-0321-11",,"J3490",,1/1/2002,6/23/2003,"UNCLASSIFIED DRUGS","MERREM IV (VIAL) 1 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00310032115","00310-0321-15",,"J3490",,1/1/2002,6/23/2003,"UNCLASSIFIED DRUGS","MERREM IV (VIAL, ADD-VANTAGE) 1 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00310032130","00310-0321-30",,"J2185",,1/1/2004,,"INJECTION, MEROPENEM, 100 MG","MERREM IV (VIAL) 1 GM",1,"EA","VL","IV","EA",100,"MG",10,1/1/2004,,,,,,,
"00310032130","00310-0321-30",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","MERREM IV (VIAL) 1 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00310032165","00310-0321-65",,"J2185",,7/17/2006,,"INJECTION, MEROPENEM, 100 MG","NOVAPLUS MERREM 1 GM",1,"EA","VL","IV","EA",100,"MG",10,7/17/2006,,,,,,,
"00310032511","00310-0325-11",,"J3490",,1/1/2002,6/23/2003,"UNCLASSIFIED DRUGS","MERREM IV (VIAL) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00310032515","00310-0325-15",,"J3490",,1/1/2002,6/23/2003,"UNCLASSIFIED DRUGS","MERREM IV (VIAL, ADD-VANTAGE) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00310032520","00310-0325-20",,"J2185",,1/1/2004,,"INJECTION, MEROPENEM, 100 MG","MERREM IV (VIAL) 500 MG",1,"EA","VL","IV","EA",100,"MG",5,1/1/2004,,,,,,,
"00310032520","00310-0325-20",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","MERREM IV (VIAL) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00310032564","00310-0325-64",,"J2185",,7/17/2006,,"INJECTION, MEROPENEM, 100 MG","NOVAPLUS MERREM 500 MG",1,"EA","VL","IV","EA",100,"MG",5,7/17/2006,,,,,,,
"00310037510","00310-0375-10",,"J3490",,1/1/2002,7/8/2004,"UNCLASSIFIED DRUGS","CEFOTAN (VIAL, BULK) 10 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037561","00310-0375-61",,"J3490",,1/1/2002,7/8/2004,"UNCLASSIFIED DRUGS","CEFOTAN NOVAPLUS (VIAL) 10 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037610","00310-0376-10",,"J3490",,1/1/2002,5/9/2005,"UNCLASSIFIED DRUGS","CEFOTAN (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037611","00310-0376-11",,"J3490",,1/1/2002,7/8/2004,"UNCLASSIFIED DRUGS","CEFOTAN (P.B.) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037631","00310-0376-31",,"J3490",,1/1/2002,2/8/2005,"UNCLASSIFIED DRUGS","CEFOTAN (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037660","00310-0376-60",,"J3490",,1/1/2002,7/8/2004,"UNCLASSIFIED DRUGS","CEFOTAN NOVAPLUS (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037661","00310-0376-61",,"J3490",,1/1/2002,1/7/2002,"UNCLASSIFIED DRUGS","CEFOTAN NOVAPLUS (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037720","00310-0377-20",,"J3490",,1/1/2002,5/9/2005,"UNCLASSIFIED DRUGS","CEFOTAN (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037721","00310-0377-21",,"J3490",,1/1/2002,7/8/2004,"UNCLASSIFIED DRUGS","CEFOTAN (P.B.) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037732","00310-0377-32",,"J3490",,1/1/2002,2/8/2005,"UNCLASSIFIED DRUGS","CEFOTAN (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037761","00310-0377-61",,"J3490",,1/1/2002,1/7/2002,"UNCLASSIFIED DRUGS","CEFOTAN NOVAPLUS (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037762","00310-0377-62",,"J3490",,1/1/2002,7/8/2004,"UNCLASSIFIED DRUGS","CEFOTAN NOVAPLUS (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"00310037851","00310-0378-51",,"J3490",,1/1/2002,4/4/2006,"UNCLASSIFIED DRUGS","CEFOTAN (GALAXY) 1 GM/50 ML",50,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00310037951","00310-0379-51",,"J3490",,1/1/2002,4/4/2006,"UNCLASSIFIED DRUGS","CEFOTAN (GALAXY) 2 GM/50 ML",50,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00310048230","00310-0482-30",,"J8565",,1/1/2005,,"GEFITINIB, ORAL, 250 MG","IRESSA 250 MG",30,"EA","BO","PO","EA",250,"MG",1,1/1/2005,,,,,,,
"00310060018","00310-0600-18",,"J8999",,1/1/2002,2/24/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",180,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00310060060","00310-0600-60",,"J8999",,1/1/2002,9/1/2006,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00310060075","00310-0600-75",,"J8999",,1/1/2002,2/24/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",2500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00310060412","00310-0604-12",,"J8999",,1/1/2002,2/24/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 20 MG",1250,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00310060430","00310-0604-30",,"J8999",,1/1/2002,9/1/2006,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 20 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00310060490","00310-0604-90",,"J8999",,1/1/2002,2/24/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 20 MG",90,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00310072025","00310-0720-25",,"J9395",,1/1/2004,10/29/2009,"INJECTION, FULVESTRANT, 25 MG","FASLODEX (SRN,PREFILL,SAFETYGUIDE) 50 MG/ML",2.5,"ML","SR","IM","ML",25,"MG",2,1/1/2004,10/29/2009,,,,,,
"00310072025","00310-0720-25",,"J9999",,5/9/2002,12/31/2003,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","FASLODEX (SRN,PREFILL,SAFETYGUIDE) 50 MG/ML",2.5,"ML","SR","IM","ML",1,"EA",1,5/9/2002,,,,,,,
"00310072050","00310-0720-50",,"J9395",,1/1/2004,,"INJECTION, FULVESTRANT, 25 MG","FASLODEX (SRN,PREFILL,SAFETYGUIDE) 50 MG/ML",5,"ML","SR","IM","ML",25,"MG",2,1/1/2004,,,,,,,
"00310072050","00310-0720-50",,"J9999",,5/9/2002,12/31/2003,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","FASLODEX (SRN,PREFILL,SAFETYGUIDE) 50 MG/ML",5,"ML","SR","IM","ML",1,"EA",1,5/9/2002,,,,,,,
"00310073060","00310-0730-60",,"J8999",,10/21/2002,2/20/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",60,"EA","BO","PO","EA",1,"EA",1,10/21/2002,,,,,,,
"00310073130","00310-0731-30",,"J8999",,10/21/2002,2/20/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",30,"EA","BO","PO","EA",1,"EA",1,10/21/2002,,,,,,,
"00310095036","00310-0950-36",,"J9202",,5/5/2003,,"GOSERELIN ACETATE IMPLANT, PER 3.6 MG","ZOLADEX (SAFESYSTEM SRN) 3.6 MG",1,"EA","SR","SC","EA",3.6,"MG",1,5/5/2003,,,,,,,
"00310095130","00310-0951-30",,"J9202",,5/5/2003,,"GOSERELIN ACETATE IMPLANT, PER 3.6 MG","ZOLADEX (SAFESYSTEM SRN) 10.8 MG",1,"EA","SR","SC","EA",3.6,"MG",3,5/5/2003,,,,,,,
"00310096036","00310-0960-36",,"J9202",,1/1/2002,5/4/2003,"GOSERELIN ACETATE IMPLANT, PER 3.6 MG","ZOLADEX 3.6 MG",1,"EA","SR","SC","EA",3.6,"MG",1,1/1/2002,,,,,,,
"00310096130","00310-0961-30",,"J9202",,1/1/2002,5/4/2003,"GOSERELIN ACETATE IMPLANT, PER 3.6 MG","ZOLADEX 10.8 MG",1,"EA","SR","SC","EA",3.6,"MG",3,1/1/2002,,,,,,,
"00314008310","00314-0083-10",,"J3140",,1/1/2002,5/24/2006,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (VIAL) 50 MG/ML",10,"ML","EA","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00314051070","00314-0510-70",,"J1940",,1/1/2002,5/24/2006,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROMIDE M.D. (VIAL) 10 MG/ML",10,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00314054910","00314-0549-10",,"J2360",,1/1/2002,5/24/2006,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENATE (VIAL) 30 MG/ML",10,"ML","EA","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"00314061770","00314-0617-70",,"J0725",,1/1/2002,5/24/2006,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","CHOREX 5000 U",1,"EA","NA","IM","EA",1000,"USP Units",5,1/1/2002,,,,,,,
"00314061870","00314-0618-70",,"J0725",,1/1/2002,5/24/2006,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","CHOREX (W/DILUENT) 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,1/1/2002,,,,,,,
"00314062230","00314-0622-30",,"J3420",,1/1/2002,5/24/2006,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00314062270","00314-0622-70",,"J3420",,1/1/2002,5/24/2006,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (VIAL) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00314064470","00314-0644-70",,"J1435",,1/1/2002,5/24/2006,"INJECTION, ESTRONE, PER 1 MG","KESTRONE 5 (VIAL) 5 MG/ML",10,"ML","VL","IM","ML",1,"MG",5,1/1/2002,,,,,,,
"00314066170","00314-0661-70",,"J1240",,1/1/2002,5/24/2006,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","HYDRATE (VIAL) 50 MG/ML",10,"ML","EA","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00314067370","00314-0673-70",,"J1200",,1/1/2002,5/24/2006,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","HYREXIN (VIAL) 50 MG/ML",10,"ML","EA","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00314067830","00314-0678-30",,"J3420",,1/1/2002,5/24/2006,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","LA-12 (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00314067950","00314-0679-50",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL) 1%",50,"ML","EA","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00314067950","00314-0679-50",,"J2001",,1/1/2004,5/24/2006,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL) 1%",50,"ML","EA","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00314068050","00314-0680-50",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL) 2%",50,"ML","EA","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00314068050","00314-0680-50",,"J2001",,1/1/2004,5/24/2006,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL) 2%",50,"ML","EA","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00314068470","00314-0684-70",,"J2550",,1/1/2002,5/24/2006,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROREX (VIAL) 25 MG/ML",10,"ML","EA","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00314068570","00314-0685-70",,"J2550",,1/1/2002,5/24/2006,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROREX (VIAL) 50 MG/ML",10,"ML","EA","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00314075870","00314-0758-70",,"J3415",,1/1/2004,5/24/2006,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (VIAL) 100 MG/ML",10,"ML","EA","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"00314075870","00314-0758-70",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (VIAL) 100 MG/ML",10,"ML","EA","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00314077170","00314-0771-70",,"J3140",,1/1/2002,5/24/2006,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (VIAL) 100 MG/ML",10,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"00314077270","00314-0772-70",,"J3150",,1/1/2002,5/24/2006,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (VIAL) 100 MG/ML",10,"ML","VL","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"00314077430","00314-0774-30",,"J3411",,1/1/2004,5/24/2006,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HCL (VIAL) 100 MG/ML",30,"ML","EA","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"00314077430","00314-0774-30",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","THIAMINE HCL (VIAL) 100 MG/ML",30,"ML","EA","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00314078270","00314-0782-70",,"J1390",,1/1/2002,5/24/2006,"INJECTION, ESTRADIOL VALERATE, UP TO 20 MG","VALERGEN 20 MG/ML",10,"ML","VL","IM","ML",20,"MG",1,1/1/2002,,,,,,,
"00314078470","00314-0784-70",,"J0970",,1/1/2002,5/24/2006,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","VALERGEN (VIAL) 40 MG/ML",10,"ML","EA","IM","ML",40,"MG",1,1/1/2002,,,,,,,
"00314079430","00314-0794-30",,"A4216",,1/1/2004,5/24/2006,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (VIAL)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00314079430","00314-0794-30",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (VIAL)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00314085570","00314-0855-70",,"J1000",,1/1/2002,5/24/2006,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","DEPOGEN (VIAL) 5 MG/ML",10,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"00314089175","00314-0891-75",,"J3490",,1/1/2002,5/24/2006,"UNCLASSIFIED DRUGS","HYLUTIN (VIAL) 250 MG/ML",5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00314089275","00314-0892-75",,"J3490",,1/1/2002,5/24/2006,"UNCLASSIFIED DRUGS","HYDROXYPROGESTERONE CAPROATE (VIAL) 250 MG/ML",5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"00314089630","00314-0896-30",,"J1100",,1/1/2002,5/24/2006,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","SOLUREX (VIAL) 4 MG/ML",30,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00314089670","00314-0896-70",,"J1100",,1/1/2002,5/24/2006,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","SOLUREX (VIAL) 4 MG/ML",10,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00314089675","00314-0896-75",,"J1100",,1/1/2002,5/24/2006,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","SOLUREX (VIAL) 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00314140070","00314-1400-70",,"J3410",,1/1/2002,5/24/2006,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYZINE (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00314223670","00314-2236-70",,"J0945",,1/1/2002,5/24/2006,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","ND-STAT (VIAL) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00314352002","00314-3520-02",,"J2321",,1/1/2002,5/24/2006,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","HYBOLIN DECANOATE (VIAL) 50 MG/ML",2,"ML","EA","IM","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00314352502","00314-3525-02",,"J2321",,1/1/2002,5/24/2006,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","HYBOLIN DECANOATE (VIAL) 100 MG/ML",2,"ML","EA","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"00314639275","00314-6392-75",,"J7624",,1/1/2002,5/24/2006,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (VIAL) 3 MG/ML",5,"ML","EA","IJ","ML",1,"MG",3,1/1/2002,,,,,,,
"00314639275","00314-6392-75","KO","J7624","KO",1/1/2002,5/24/2006,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (VIAL) 3 MG/ML",5,"ML","EA","IJ","ML",1,"MG",3,1/1/2002,,,,,,,
"00314901305","00314-9013-05",,"J0610",,1/1/2002,5/24/2006,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (VIAL) 100 MG/ML",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00327001105","00327-0011-05",,"Q2004",,1/1/2002,,"IRRIGATION SOLUTION FOR TREATMENT OF BLADDER CALCULI, FOR EXAMPLE RENACIDIN, PER 500 ML","RENACIDIN",500,"ML","BO","IR","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338000344","00338-0003-44",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION",1000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338000344","00338-0003-44",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION",1000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338000346","00338-0003-46",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION",2000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338000346","00338-0003-46",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION",2000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338000347","00338-0003-47",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION",3000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338000347","00338-0003-47",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION",3000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338000349","00338-0003-49",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION",5000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338000349","00338-0003-49",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION",5000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338000402","00338-0004-02",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION",250,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338000402","00338-0004-02",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION",250,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338000403","00338-0004-03",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION",500,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338000403","00338-0004-03",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION",500,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338000404","00338-0004-04",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION",1000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338000404","00338-0004-04",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION",1000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338000405","00338-0004-05",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION",1500,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338000405","00338-0004-05",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION",1500,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338001204","00338-0012-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE 2.5%",1000,"ML","EA","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338001304","00338-0013-04",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION",1000,"ML","FC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338001304","00338-0013-04",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION",1000,"ML","FC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00338001306","00338-0013-06",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION",2000,"ML","FC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338001306","00338-0013-06",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION",2000,"ML","FC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00338001308","00338-0013-08",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION",3000,"ML","PC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338001308","00338-0013-08",,"A4712",,5/22/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION",3000,"ML","PC","IV","ML",10,"ML",0.1,5/22/2002,,,,,,,
"00338001329","00338-0013-29",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION",5000,"ML","FC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338001329","00338-0013-29",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION",5000,"ML","FC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00338001602","00338-0016-02",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",250,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001603","00338-0016-03",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",500,"ML","GC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001701","00338-0017-01",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",150,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001702","00338-0017-02",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",250,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001703","00338-0017-03",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001704","00338-0017-04",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",1000,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001710","00338-0017-10",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (QUAD PACK, MINI-BAG) 5%",25,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001711","00338-0017-11",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (QUAD PACK, MINI-BAG) 5%",50,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001718","00338-0017-18",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (QUAD PACK, MINI-BAG) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001731","00338-0017-31",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (MULTI PACK, MINI-BAG) 5%",50,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001738","00338-0017-38",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (MULTI PACK, MINI-BAG) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001741","00338-0017-41",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (SINGLE PACK MINI-BAG) 5%",50,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338001748","00338-0017-48",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (SINGLE PACK MINI-BAG) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338002302","00338-0023-02",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE 10%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338002303","00338-0023-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE 10%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338002304","00338-0023-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE 10%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338002313","00338-0023-13",,"J7799",,1/1/2002,4/30/2008,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 10%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,4/30/2008,,,,,,
"00338002334","00338-0023-34",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 10%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338003003","00338-0030-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (FULL FILL) 20%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338003106","00338-0031-06",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (BULK PACKAGE) 50%",2000,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338003113","00338-0031-13",,"J7799",,1/1/2002,1/31/2008,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 50%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,1/31/2008,,,,,,
"00338003134","00338-0031-34",,"J7799",,1/1/2002,1/31/2008,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 50%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,1/31/2008,,,,,,
"00338003603","00338-0036-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (GLASS FULL FILL) 50%",500,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338003804","00338-0038-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE 70%",1000,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338004146","00338-0041-46",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE 0.45%",2000,"ML","BO","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004146","00338-0041-46",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE 0.45%",2000,"ML","BO","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004303","00338-0043-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE 0.45%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338004304","00338-0043-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE 0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338004402","00338-0044-02",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE 0.9%",250,"ML","GC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00338004403","00338-0044-03",,"J7040",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE 0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338004724","00338-0047-24",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (ARTHROMATIC P.C.) 0.9%",1000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004724","00338-0047-24",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (ARTHROMATIC P.C.) 0.9%",1000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004727","00338-0047-27",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE 0.9%",3000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004727","00338-0047-27",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE 0.9%",3000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004729","00338-0047-29",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE 0.9%",5000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004729","00338-0047-29",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE 0.9%",5000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004744","00338-0047-44",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (UROMATIC P.C.) 0.9%",1000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004744","00338-0047-44",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (UROMATIC P.C.) 0.9%",1000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004746","00338-0047-46",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE 0.9%",2000,"ML","BO","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004746","00338-0047-46",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE 0.9%",2000,"ML","BO","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004747","00338-0047-47",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE 0.9%",3000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004747","00338-0047-47",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE 0.9%",3000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004802","00338-0048-02",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE 0.9%",250,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004802","00338-0048-02",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE 0.9%",250,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004803","00338-0048-03",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE 0.9%",500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004803","00338-0048-03",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE 0.9%",500,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004804","00338-0048-04",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (P.C.) 0.9%",1000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004804","00338-0048-04",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (P.C.) 0.9%",1000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004805","00338-0048-05",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE 0.9%",1500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338004805","00338-0048-05",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE 0.9%",1500,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004901","00338-0049-01",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE 0.9%",150,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00338004902","00338-0049-02",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE 0.9%",250,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00338004903","00338-0049-03",,"J7040",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE 0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338004904","00338-0049-04",,"J7030",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC","SODIUM CHLORIDE 0.9%",1000,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338004910","00338-0049-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (QUAD PACK, MINI-BAG) 0.9%",25,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00338004910","00338-0049-10",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (QUAD PACK, MINI-BAG) 0.9%",25,"ML","FC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338004911","00338-0049-11",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (QUAD PACK, MINI-BAG) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00338004911","00338-0049-11",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (QUAD PACK, MINI-BAG) 0.9%",50,"ML","FC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338004918","00338-0049-18",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (QUAD PACK, MINI-BAG) 0.9%",100,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00338004931","00338-0049-31",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (MULTI PACK, MINI-BAG) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00338004931","00338-0049-31",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (MULTI PACK, MINI-BAG) 0.9%",50,"ML","FC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338004938","00338-0049-38",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (MULTI PACK, MINI-BAG) 0.9%",100,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00338004941","00338-0049-41",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (SINGLE PACK, MINI-BAG) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00338004941","00338-0049-41",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (SINGLE PACK, MINI-BAG) 0.9%",50,"ML","FC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338004948","00338-0049-48",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (SINGLE PACK, MINI-BAG) 0.9%",100,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00338005047","00338-0050-47",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (PROCESSING) 0.9%",3000,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"00338005047","00338-0050-47",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (PROCESSING) 0.9%",3000,"ML","PC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338005144","00338-0051-44",,"A4217",,1/1/2004,7/15/2004,"STERILE WATER/SALINE, 500 ML","TRAVENOL (STER-CO-SY FOR SLUSH) 0.9%",1000,"ML","FC","IR","ML",500,"ML",0.002,1/1/2004,7/15/2004,,,,,,
"00338005144","00338-0051-44",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","TRAVENOL (STER-CO-SY FOR SLUSH) 0.9%",1000,"ML","FC","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338005403","00338-0054-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE 3%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338005603","00338-0056-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE 5%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338007303","00338-0073-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 2.5%-0.45%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338007304","00338-0073-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 2.5%-0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338007702","00338-0077-02",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 5%-0.2%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338007703","00338-0077-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 5%-0.2%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338007704","00338-0077-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 5%-0.2%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338008102","00338-0081-02",,"J7799",,1/1/2002,5/30/2007,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 5%-0.33%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,5/30/2007,,,,,,
"00338008103","00338-0081-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 5%-0.33%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338008104","00338-0081-04",,"J7799",,1/1/2002,4/30/2007,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 5%-0.33%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,4/30/2007,,,,,,
"00338008502","00338-0085-02",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 5%-0.45%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338008503","00338-0085-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 5%-0.45%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338008504","00338-0085-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 5%-0.45%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338008902","00338-0089-02",,"J7042",,1/1/2002,,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE 5%-0.9%",250,"ML","FC","IV","ML",5,"%",0.002,1/1/2002,,,,,,,
"00338008903","00338-0089-03",,"J7042",,1/1/2002,,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE 5%-0.9%",500,"ML","FC","IV","ML",5,"%",0.002,1/1/2002,,,,,,,
"00338008904","00338-0089-04",,"J7042",,1/1/2002,,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE 5%-0.9%",1000,"ML","FC","IV","ML",5,"%",0.002,1/1/2002,,,,,,,
"00338009503","00338-0095-03",,"J7799",,1/1/2002,8/30/2002,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 10%-0.9%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338009504","00338-0095-04",,"J7799",,1/1/2002,5/30/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 10%-0.9%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,5/30/2006,,,,,,
"00338011702","00338-0117-02",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S",250,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338011703","00338-0117-03",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S",500,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338011704","00338-0117-04",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S",1000,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338012003","00338-0120-03",,"J7120",,1/1/2002,5/1/2004,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 2.5% IN RINGERS",500,"ML","PC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00338012503","00338-0125-03",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S/DEXTROSE 5%",500,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00338012504","00338-0125-04",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S/DEXTROSE 5%",1000,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00338015604","00338-0156-04",,"Q2002",,1/1/2002,5/1/2004,"INJECTION, ELLIOTTS B SOLUTION, PER ML","PLASMA-LYTE R W/DEXTROSE",1000,"ML","GC","IV","ML",1,"ML",1,1/1/2002,,,,,,,
"00338026503","00338-0265-03",,"J7110",,1/1/2002,,"INFUSION, DEXTRAN 75, 500 ML","GENTRAN 70 W/SODIUM CHLORIDE 6%-0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338027003","00338-0270-03",,"J7100",,1/1/2002,,"INFUSION, DEXTRAN 40, 500 ML","GENTRAN 40 W/SODIUM CHLORIDE 10%-0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338027203","00338-0272-03",,"J7100",,1/1/2002,,"INFUSION, DEXTRAN 40, 500 ML","GENTRAN 40 W/DEXTROSE 10%-5%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338031802","00338-0318-02",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (BULK PACKAGE) 2 MEQ/ML",250,"ML","GC","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"00338035104","00338-0351-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","OSMITROL (VIAFLEX,AF) 5%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338035303","00338-0353-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","OSMITROL (VIAFLEX) 10%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338035304","00338-0353-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","OSMITROL (VIAFLEX;12X1000ML) 10%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338035503","00338-0355-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","OSMITROL (VIAFLEX,AF) 15%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338035702","00338-0357-02",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","OSMITROL (VIAFLEX) 20%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338035703","00338-0357-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","OSMITROL (VIAFLEX) 20%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338040902","00338-0409-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL 5%-0.4%",250,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00338040902","00338-0409-02",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL 5%-0.4%",250,"ML","FC","IV","ML",10,"MG",0.4,1/1/2004,,,,,,,
"00338040903","00338-0409-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL 5%-0.4%",500,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00338040903","00338-0409-03",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL 5%-0.4%",500,"ML","FC","IV","ML",10,"MG",0.4,1/1/2004,,,,,,,
"00338041102","00338-0411-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL 5%-0.8%",250,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00338041102","00338-0411-02",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL 5%-0.8%",250,"ML","FC","IV","ML",10,"MG",0.8,1/1/2004,,,,,,,
"00338041103","00338-0411-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","DEXTROSE/LIDOCAINE HCL 5%-0.8%",500,"ML","FC","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00338041103","00338-0411-03",,"J2001",,1/1/2004,10/30/2005,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL 5%-0.8%",500,"ML","FC","IV","ML",10,"MG",0.8,1/1/2004,10/30/2005,,,,,,
"00338043103","00338-0431-03",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE 200 U/100 ML-0.9%",500,"ML","FC","IV","ML",1000,"U",0.002,1/1/2002,,,,,,,
"00338043304","00338-0433-04",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE 200 U/100 ML-0.9%",1000,"ML","FC","IV","ML",1000,"U",0.002,1/1/2002,,,,,,,
"00338043903","00338-0439-03",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE 5%-80 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.02,1/1/2002,,,,,,,
"00338043904","00338-0439-04",,"J2810",,1/1/2002,8/31/2006,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE 5%-80 MG/100 ML",1000,"ML","FC","IV","ML",40,"MG",0.02,1/1/2002,8/31/2006,,,,,,
"00338044102","00338-0441-02",,"J2810",,1/1/2002,12/31/2005,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE 5%-160 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.04,1/1/2002,12/31/2005,,,,,,
"00338044103","00338-0441-03",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE 5%-160 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.04,1/1/2002,,,,,,,
"00338044348","00338-0443-48",,"J2810",,1/1/2002,12/31/2003,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE 5%-200 MG/100 ML",100,"ML","FC","IV","ML",40,"MG",0.05,1/1/2002,12/31/2003,,,,,,
"00338044402","00338-0444-02",,"J2810",,1/1/2002,10/30/2005,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE 5%-320 MG/100 ML",250,"ML","PC","IV","ML",40,"MG",0.08,1/1/2002,10/30/2005,,,,,,
"00338044541","00338-0445-41",,"J2810",,1/1/2002,6/30/2004,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE 5%-200 MG/50 ML",50,"ML","FC","IV","ML",40,"MG",0.1,1/1/2002,6/30/2004,,,,,,
"00338044548","00338-0445-48",,"J2810",,1/1/2002,11/30/2005,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE 5%-400 MG/100 ML",100,"ML","FC","IV","ML",40,"MG",0.1,1/1/2002,11/30/2005,,,,,,
"00338050148","00338-0501-48",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE 60 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.0075,1/1/2002,,,,,,,
"00338050341","00338-0503-41",,"J1580",,1/1/2002,8/31/2004,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE 0.8 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.01,1/1/2002,8/31/2004,,,,,,
"00338050348","00338-0503-48",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAFLEX) 0.8 MG/ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.01,1/1/2002,,,,,,,
"00338050548","00338-0505-48",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE 100 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.0125,1/1/2002,,,,,,,
"00338050741","00338-0507-41",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (24X50ML) 1.2 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.015,1/1/2002,,,,,,,
"00338050748","00338-0507-48",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (24X100ML) 1.2 MG/ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.015,1/1/2002,,,,,,,
"00338050941","00338-0509-41",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE 1.6 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.02,1/1/2002,,,,,,,
"00338051141","00338-0511-41",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE 2 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.025,1/1/2002,,,,,,,
"00338054903","00338-0549-03",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (VIAFLEX,AF) 5%-4000 U/100 ML",500,"ML","FC","IV","ML",1000,"U",0.04,1/1/2002,,,,,,,
"00338055002","00338-0550-02",,"J1644",,12/8/2004,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (VIAFLEX,AF) 5%-5000 U/100 ML",250,"ML","FC","IV","ML",1000,"U",0.05,12/8/2004,,,,,,,
"00338055003","00338-0550-03",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (VIAFLEX,AF) 5%-5000 U/100 ML",500,"ML","PC","IV","ML",1000,"U",0.05,1/1/2002,,,,,,,
"00338055111","00338-0551-11",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (MINI-BAG PLUS) 5%",50,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338055118","00338-0551-18",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (MINI-BAG PLUS) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"00338055311","00338-0553-11",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (MINI-BAG PLUS) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00338055311","00338-0553-11",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (MINI-BAG PLUS) 0.9%",50,"ML","FC","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338055318","00338-0553-18",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (MINI-BAG PLUS) 0.9%",100,"ML","FC","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"00338064002","00338-0640-02",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 10%-0.2%",250,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338069104","00338-0691-04",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE/SODIUM CHLORIDE 2 MEQ/100 ML-0.9%",1000,"ML","FC","IV","ML",2,"MEQ",0.01,1/1/2002,,,,,,,
"00338069504","00338-0695-04",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE/SODIUM CHLORIDE 4 MEQ/100 ML-0.9%",1000,"ML","FC","IV","ML",2,"MEQ",0.02,1/1/2002,,,,,,,
"00338070341","00338-0703-41",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE 20 MEQ/50 ML",50,"ML","PC","IV","ML",2,"MEQ",0.2,1/1/2002,,,,,,,
"00338070348","00338-0703-48",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE 40 MEQ/100 ML",100,"ML","PC","IV","ML",2,"MEQ",0.2,1/1/2002,,,,,,,
"00338070434","00338-0704-34",,"J3480",,5/21/2003,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE/SODIUM CHLORIDE (VIAFLEX BAG,PF) 2 MEQ/100 ML-0.45%",1000,"ML","FC","IV","ML",2,"MEQ",0.01,5/21/2003,,,,,,,
"00338070541","00338-0705-41",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE 10 MEQ/50 ML",50,"ML","PC","IV","ML",2,"MEQ",0.1,1/1/2002,,,,,,,
"00338070548","00338-0705-48",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE 20 MEQ/100 ML",100,"ML","PC","IV","ML",2,"MEQ",0.1,1/1/2002,,,,,,,
"00338070948","00338-0709-48",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE 10 MEQ/100 ML",100,"ML","PC","IV","ML",2,"MEQ",0.05,1/1/2002,,,,,,,
"00338071113","00338-0711-13",,"J7799",,1/1/2002,4/30/2008,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 20%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,4/30/2008,,,,,,
"00338071134","00338-0711-34",,"J7799",,1/1/2002,1/31/2008,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 20%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,1/31/2008,,,,,,
"00338071313","00338-0713-13",,"J7799",,1/1/2002,12/31/2007,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 30%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,12/31/2007,,,,,,
"00338071334","00338-0713-34",,"J7799",,1/1/2002,3/31/2007,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 30%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,3/31/2007,,,,,,
"00338071513","00338-0715-13",,"J7799",,1/1/2002,8/31/2007,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 40%",500,"ML","FC","IV","ML",1,"EA",1,1/1/2002,8/31/2007,,,,,,
"00338071534","00338-0715-34",,"J7799",,1/1/2002,9/30/2007,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAFLEX UNDERFILLED) 40%",1000,"ML","FC","IV","ML",1,"EA",1,1/1/2002,9/30/2007,,,,,,
"00338071906","00338-0719-06",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (BULK PACKAGE) 70%",2000,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338071913","00338-0719-13",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (12X500ML,USP) 70%",500,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338081104","00338-0811-04",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","POTASSIUM CHLORIDE SOLUTION (5%,DEXTROSE & LAC-RING)",1000,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00338081504","00338-0815-04",,"J7120",,1/1/2002,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","POTASSIUM CHLORIDE SOLUTION (5%,DEXTROSE & LAC-RING)",1000,"ML","FC","IV","ML",1000,"ML",0.0005,1/1/2002,,,,,,,
"00338087302","00338-0873-02",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (BULK PACKAGE) 23.4%",250,"ML","GC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338096037","00338-0960-37",,"J0744",,3/18/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (1X200ML,USP,PREMIX,PF) 400 MG/200 ML",200,"ML","FC","IV","ML",200,"MG",0.01,3/18/2008,,,,,,,
"00338096048","00338-0960-48",,"J0744",,3/18/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (1X100ML,USP,PREMIX,PF) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,3/18/2008,,,,,,,
"00338100502","00338-1005-02",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (PRE-MIX IN D5W) 5%-80 MG/100 ML",250,"ML","PC","IV","ML",40,"MG",0.02,1/1/2006,,,,,,,
"00338100502","00338-1005-02",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (PRE-MIX IN D5W) 5%-80 MG/100 ML",250,"ML","PC","IV","ML",40,"MG",0.02,10/1/2003,,,,,,,
"00338100503","00338-1005-03",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-80 MG/100 ML",500,"ML","PC","IV","ML",40,"MG",0.02,1/1/2006,,,,,,,
"00338100503","00338-1005-03",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-80 MG/100 ML",500,"ML","PC","IV","ML",40,"MG",0.02,10/1/2003,,,,,,,
"00338100702","00338-1007-02",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-160 MG/100 ML",250,"ML","PC","IV","ML",40,"MG",0.04,1/1/2006,,,,,,,
"00338100702","00338-1007-02",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-160 MG/100 ML",250,"ML","PC","IV","ML",40,"MG",0.04,10/1/2003,,,,,,,
"00338100703","00338-1007-03",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-160 MG/100 ML",500,"ML","PC","IV","ML",40,"MG",0.04,1/1/2006,,,,,,,
"00338100703","00338-1007-03",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-160 MG/100 ML",500,"ML","PC","IV","ML",40,"MG",0.04,10/1/2003,,,,,,,
"00338100902","00338-1009-02",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-320 MG/100 ML",250,"ML","PC","IV","ML",40,"MG",0.08,1/1/2006,,,,,,,
"00338100902","00338-1009-02",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-320 MG/100 ML",250,"ML","PC","IV","ML",40,"MG",0.08,10/1/2003,,,,,,,
"00338101341","00338-1013-41",,"J2700",,1/1/2002,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (PREMIXED) 1 GM/50 ML",50,"ML","PC","IV","ML",250,"MG",0.08,1/1/2002,,,,,,,
"00338101541","00338-1015-41",,"J2700",,1/1/2002,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (PREMIXED) 2 GM/50 ML",50,"ML","PC","IV","ML",250,"MG",0.16,1/1/2002,,,,,,,
"00338101741","00338-1017-41",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (GALAXY,PREMIX) 1 GM/50 ML",50,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338101948","00338-1019-48",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (GALAXY,PREMIX) 1 GM/50 ML",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338102141","00338-1021-41",,"J2540",,1/1/2002,,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PENICILLIN G POTASSIUM (GALAXY,PREMIX) 1 Million U/50 ML",50,"ML","PC","IV","ML",600000,"U",0.03333,1/1/2002,,,,,,,
"00338102341","00338-1023-41",,"J2540",,1/1/2002,,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PENICILLIN G POTASSIUM (GALAXY,PREMIX) 2 Million U/50 ML",50,"ML","PC","IV","ML",600000,"U",0.06666,1/1/2002,,,,,,,
"00338102541","00338-1025-41",,"J2540",,1/1/2002,,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PENICILLIN G POTASSIUM (GALAXY,PREMIX) 3 Million U/50 ML",50,"ML","PC","IV","ML",600000,"U",0.1,1/1/2002,,,,,,,
"00338105548","00338-1055-48",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE 500 MG/100 ML",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338107103","00338-1071-03",,"J1250",,1/1/2002,7/31/2005,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE (12X500ML) 5%-50 MG/100 ML",500,"ML","FC","IV","ML",250,"MG",0.002,1/1/2002,7/31/2005,,,,,,
"00338107302","00338-1073-02",,"J1250",,1/1/2002,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE 5%-100 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.004,1/1/2002,,,,,,,
"00338107303","00338-1073-03",,"J1250",,1/1/2002,10/30/2006,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE (12X500ML) 5%-100 MG/100 ML",500,"ML","FC","IV","ML",250,"MG",0.004,1/1/2002,10/30/2006,,,,,,
"00338107502","00338-1075-02",,"J1250",,1/1/2002,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE 5%-200 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.008,1/1/2002,,,,,,,
"00338107702","00338-1077-02",,"J1250",,1/1/2002,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE 5%-400 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.016,1/1/2002,,,,,,,
"00338145202","00338-1452-02",,"J7799",,9/22/2003,1/31/2005,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE 0.45%",250,"ML","FC","IV","ML",1,"EA",1,9/22/2003,1/31/2005,,,,,,
"00338145248","00338-1452-48",,"J7799",,9/22/2003,12/31/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE 0.45%",100,"ML","FC","IV","ML",1,"EA",1,9/22/2003,12/31/2004,,,,,,
"00338176241","00338-1762-41",,"J2405",,12/27/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (50MLX10,SD,USP,PREMIX) 32 MG/50 ML",50,"ML","PC","IV","ML",1,"MG",0.64,12/27/2006,,,,,,,
"00338268975","00338-2689-75",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFILLED,GLASS) 1 MG/ML",50,"ML","SR","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00338269075","00338-2690-75",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFILLED,GLASS) 5 MG/ML",50,"ML","SR","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00338269175","00338-2691-75",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (SRN,PREFILLED,GLASS) 10 MG/ML",50,"ML","SR","IJ","ML",100,"MG",0.1,1/1/2002,,,,,,,
"00338350241","00338-3502-41",,"J0690",,1/1/2002,8/27/2006,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (GALAXY P.C.) 500 MG/50 ML",50,"ML","FC","IV","ML",500,"MG",0.02,1/1/2002,8/27/2006,,,,,,
"00338350341","00338-3503-41",,"J0690",,1/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (GALAXY P.C.) 1 GM/50 ML",50,"ML","FC","IV","ML",500,"MG",0.04,1/1/2002,,,,,,,
"00338355148","00338-3551-48",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOCIN HCL (S.D. GALAXY PLASTIC) 5%-500 MG/100 ML",100,"ML","PC","IV","ML",500,"MG",0.01,1/1/2002,,,,,,,
"00338355248","00338-3552-48",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOCIN HCL (S.D. GALAXY PLASTIC) 5%-500 MG/100 ML",200,"ML","PC","IV","ML",500,"MG",0.01,1/1/2002,,,,,,,
"00338500241","00338-5002-41",,"J0696",,9/6/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM/50 ML",50,"ML","PC","IV","ML",250,"MG",0.08,9/6/2005,,,,,,,
"00338500341","00338-5003-41",,"J0696",,9/6/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 2 GM/50 ML",50,"ML","PC","IV","ML",250,"MG",0.16,9/6/2005,,,,,,,
"00338519741","00338-5197-41",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (GALAXY PC,PF) 0.4 MG/ML",50,"ML","PC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338519841","00338-5198-41",,"J3490",,11/1/2003,,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (PREMIXED W/NS,PF) 20 MG/50 ML",50,"ML","PC","IV","ML",1,"EA",1,11/1/2003,,,,,,,
"00338601048","00338-6010-48",,"J2260",,6/5/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","DEXTROSE/MILRINONE LACTATE (BAG,INTRAVIA) 5%-20 MG/100 ML",100,"ML","FC","IV","ML",5,"MG",0.04,6/5/2002,,,,,,,
"00338601137","00338-6011-37",,"J2260",,6/5/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","DEXTROSE/MILRINONE LACTATE (BAG,INTRAVIA) 5%-20 MG/100 ML",200,"ML","FC","IV","ML",5,"MG",0.04,6/5/2002,,,,,,,
"00338604537","00338-6045-37",,"J1450",,7/29/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (INTRAVIA CONTAINER) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,7/29/2004,,,,,,,
"00338604648","00338-6046-48",,"J1450",,7/29/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (INTRAVIA CONTAINERS) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,7/29/2004,,,,,,,
"00338630702","00338-6307-02",,"J7120",,10/17/2007,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (USP,LATEX-FREE)",250,"ML","FC","IV","ML",1000,"ML",0.001,10/17/2007,,,,,,,
"00338634602","00338-6346-02",,"J7060",,3/1/2007,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (USP,40X250ML,AVIVA) 5%",250,"ML","FC","IV","ML",500,"ML",0.002,3/1/2007,,,,,,,
"00338801777","00338-8017-77",,"J2912",,1/1/2002,10/1/2004,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (SRN,PREFILLED) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338801870","00338-8018-70",,"J2912",,1/1/2002,10/1/2004,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (SRN,PREFILLED 6 ML) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338801970","00338-8019-70",,"J2912",,1/1/2002,10/1/2004,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (SRN,PREFILLED 12 ML) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338802072","00338-8020-72",,"J2912",,1/1/2002,10/1/2004,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (SRN,PREFILLED) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338802179","00338-8021-79",,"J2912",,1/1/2002,10/1/2004,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (SRN,PREFILLED) 0.9%",2,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00338802669","00338-8026-69",,"J1642",,4/2/2002,4/2/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,PREFILLED 6 ML) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,4/2/2002,,,,,,,
"00338810669","00338-8106-69",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,PREFILLED 6 ML) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00338811070","00338-8110-70",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,PREFILLED 12 ML) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00338811269","00338-8112-69",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN.BLUNT CANNULA,PF) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00338811370","00338-8113-70",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,BLUNT CANNULA,PF) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00338820669","00338-8206-69",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,PREFILLED 6 ML) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00338820969","00338-8209-69",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,PREFILLED 12 ML) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00338821070","00338-8210-70",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,PREFILLED 12 ML) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00338821269","00338-8212-69",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,BLUNT CANNULA,PF) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00338821370","00338-8213-70",,"J1642",,1/1/2002,10/1/2004,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,BLUNT CANNULA,PF) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00338830179","00338-8301-79",,"A4216",,1/1/2004,10/1/2004,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (SRN,BLUNT CANNULA) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00338830179","00338-8301-79",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE FLUSH (SRN,BLUNT CANNULA) 0.9%",2,"ML","SR","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338830269","00338-8302-69",,"A4216",,1/1/2004,10/1/2004,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (SRN,BLUNT CANNULA) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00338830269","00338-8302-69",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE FLUSH (SRN,BLUNT CANNULA) 0.9%",3,"ML","SR","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338830370","00338-8303-70",,"A4216",,1/1/2004,10/1/2004,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (SRN,BLUNT CANNULA) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00338830370","00338-8303-70",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE FLUSH (SRN,BLUNT CANNULA) 0.9%",5,"ML","SR","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338830372","00338-8303-72",,"A4216",,1/1/2004,10/1/2004,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (SRN,BLUNT CANNULA) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00338830372","00338-8303-72",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE FLUSH (SRN,BLUNT CANNULA) 0.9%",10,"ML","SR","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"00338930248","00338-9302-48",,"J3010",,1/1/2002,2/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 0.2 MG/100 ML-0.9%",100,"ML","FC","IV","ML",0.1,"MG",0.02,1/1/2002,,,,,,,
"00338930702","00338-9307-02",,"J3010",,1/1/2002,2/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 0.5 MG/100 ML-0.9%",250,"ML","FC","IV","ML",0.1,"MG",0.05,1/1/2002,,,,,,,
"00338930972","00338-9309-72",,"J3010",,1/1/2002,2/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (SRN,12 ML) 0.5 MG/100 ML-0.9%",10,"ML","SR","IV","ML",0.1,"MG",0.05,1/1/2002,,,,,,,
"00338931148","00338-9311-48",,"J3010",,1/1/2002,2/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 1 MG/100 ML-0.9%",100,"ML","FC","IV","ML",0.1,"MG",0.1,1/1/2002,,,,,,,
"00338931248","00338-9312-48",,"J3010",,1/1/2002,2/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (IPUMP BAG) 1 MG/100 ML-0.9%",100,"ML","FC","IV","ML",0.1,"MG",0.1,1/1/2002,,,,,,,
"00338931302","00338-9313-02",,"J3010",,1/1/2002,2/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 1 MG/100 ML-0.9%",250,"ML","FC","IV","ML",0.1,"MG",0.1,1/1/2002,,,,,,,
"00338931402","00338-9314-02",,"J3010",,1/1/2002,2/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (IPUMP BAG) 1 MG/100 ML-0.9%",250,"ML","FC","IV","ML",0.1,"MG",0.1,1/1/2002,,,,,,,
"00338931648","00338-9316-48",,"J3010",,1/1/2002,2/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 2 MG/100 ML-0.9%",100,"ML","EA","IV","ML",0.1,"MG",0.2,1/1/2002,,,,,,,
"00338931841","00338-9318-41",,"J3010",,1/1/2002,2/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (INTRAVIA) 0.05 MG/ML",50,"ML","FC","IV","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00338936141","00338-9361-41",,"J1170",,1/1/2002,2/1/2004,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (INTRAVIA) 10 MG/50 ML-0.9%",50,"ML","PC","IV","ML",4,"MG",0.05,1/1/2002,,,,,,,
"00338936267","00338-9362-67",,"J1170",,1/1/2002,2/1/2004,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (SRN,35 ML) 1 MG/5 ML-0.9%",25,"ML","SR","IV","ML",4,"MG",0.05,1/1/2002,,,,,,,
"00338936375","00338-9363-75",,"J1170",,1/1/2002,2/1/2004,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (SRN,60 ML) 1 MG/5 ML-0.9%",50,"ML","SR","IV","ML",4,"MG",0.05,1/1/2002,,,,,,,
"00338936541","00338-9365-41",,"J1170",,1/1/2002,2/1/2004,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (INTRAVIA) 50 MG/50 ML-0.9%",50,"ML","FC","IV","ML",4,"MG",0.25,1/1/2002,,,,,,,
"00338936667","00338-9366-67",,"J1170",,1/1/2002,2/1/2004,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (SRN,35 ML) 1 MG/ML-0.9%",25,"ML","SR","IV","ML",4,"MG",0.25,1/1/2002,,,,,,,
"00338936775","00338-9367-75",,"J1170",,1/1/2002,2/1/2004,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (SRN,50 ML) 1 MG/ML-0.9%",50,"ML","SR","IV","ML",4,"MG",0.25,1/1/2002,,,,,,,
"00338937041","00338-9370-41",,"J2175",,1/1/2002,2/1/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL/SODIUM CHLORIDE (INTRAVIA) 500 MG/50 ML-0.9%",50,"ML","FC","IV","ML",100,"MG",0.1,1/1/2002,,,,,,,
"00338937248","00338-9372-48",,"J2175",,1/1/2002,2/1/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL/SODIUM CHLORIDE (INTRAVIA) 1 GM/100 ML-0.9%",100,"ML","FC","IV","ML",100,"MG",0.1,1/1/2002,,,,,,,
"00338937348","00338-9373-48",,"J2175",,1/1/2002,2/1/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL/SODIUM CHLORIDE (IPUMP BAG) 1 GM/100 ML-0.9%",100,"ML","PC","IV","ML",100,"MG",0.1,1/1/2002,,,,,,,
"00338937548","00338-9375-48",,"J2270",,1/1/2002,2/1/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE/SODIUM CHLORIDE (INTRAVIA) 10 MG/100 ML-0.9%",100,"ML","FC","IV","ML",10,"MG",0.01,1/1/2002,,,,,,,
"00338937741","00338-9377-41",,"J2270",,1/1/2002,2/1/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE/SODIUM CHLORIDE (INTRAVIA) 50 MG/50 ML-0.9%",50,"ML","FC","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00338937848","00338-9378-48",,"J2270",,1/1/2002,2/1/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE/SODIUM CHLORIDE (IPUMP BAG) 100 MG/100 ML-0.9%",100,"ML","PC","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00338937948","00338-9379-48",,"J2270",,1/1/2002,2/1/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE/SODIUM CHLORIDE (INTRAVIA) 100 MG/100 ML-0.9%",100,"ML","FC","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00338938102","00338-9381-02",,"J2270",,1/1/2002,2/1/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE/SODIUM CHLORIDE (INTRAVIA) 250 MG/250 ML-0.9%",250,"ML","FC","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00338938348","00338-9383-48",,"J2270",,1/1/2002,2/1/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (INTRAVIA) 5%-100 MG/100 ML",100,"ML","FC","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00338938502","00338-9385-02",,"J2270",,1/1/2002,2/1/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (INTRAVIA) 5%-100 MG/100 ML",250,"ML","FC","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00338938667","00338-9386-67",,"J2270",,1/1/2002,2/1/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (SRN,35 ML) 5%-2 MG/ML",25,"ML","SR","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00338938775","00338-9387-75",,"J2270",,1/1/2002,2/1/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (SRN,60 ML) 5%-2 MG/ML",50,"ML","SR","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00338938948","00338-9389-48",,"J3490",,1/1/2002,2/1/2004,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (INTRAVIA) 0.0625%-0.9%",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338939048","00338-9390-48",,"J3490",,1/1/2002,2/1/2004,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (IPUMP BAG) 0.0625%-0.9%",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338939148","00338-9391-48",,"J3490",,1/1/2002,2/1/2004,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (INTRAVIA) 0.125%-0.9%",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338939202","00338-9392-02",,"J3490",,1/1/2002,2/1/2004,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (INTAVIA) 0.125%-0.9%",250,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338939341","00338-9393-41",,"J3490",,1/1/2002,2/1/2004,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (INTRAVIA) 0.25%-0.9%",50,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338939448","00338-9394-48",,"J3490",,1/1/2002,2/1/2004,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (IPUMP BAG) 0.125%-0.9%",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00338942448","00338-9424-48",,"J1170",,1/1/2002,2/1/2004,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (IPUMP BAG) 20 MG/100 ML-0.9%",100,"ML","PC","IV","ML",4,"MG",0.05,1/1/2002,,,,,,,
"00364048301","00364-0483-01",,"Q0177",,1/1/2002,2/7/2002,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00364048305","00364-0483-05",,"Q0177",,1/1/2002,4/2/2002,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00364048401","00364-0484-01",,"Q0178",,1/1/2002,10/31/2003,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00364048405","00364-0484-05",,"Q0178",,1/1/2002,9/30/2002,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",500,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00364218646","00364-2186-46",,"J2322",,1/1/2002,9/30/2004,"INJECTION, NANDROLONE DECANOATE, UP TO 200 MG","NANDROLONE DECANOATE (S.D.V.) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,1/1/2002,,,,,,,
"00364246534","00364-2465-34",,"J0690",,1/1/2002,1/16/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00364246693","00364-2466-93",,"J0690",,1/1/2002,4/28/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00364249901","00364-2499-01",,,,1/1/1994,6/2/1998,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00364249936","00364-2499-36",,,,9/30/1996,6/2/1997,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",36,"EA","NA","PO","EA",2.5,"MG",1,9/30/1996,,,,,,,
"00364268905","00364-2689-05",,"J8499",,1/1/2002,4/9/2002,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00364269001","00364-2690-01",,"J8499",,1/1/2002,10/1/2002,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00364269201","00364-2692-01",,"J8499",,1/1/2002,12/31/2002,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00364279123","00364-2791-23",,"J2915",,1/1/2002,12/31/2002,"INJECTION, SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE INJECTION, 62.5 MG","FERRLECIT (SINGLE USE AMP) 62.5 MG/5 ML",5,"ML","AM","IV","ML",62.5,"MG",0.2,1/1/2002,,,,,,,
"00364279123","00364-2791-23",,"J2916",,1/1/2003,1/1/2003,"INJECTION, SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE INJECTION, 12.5 MG","FERRLECIT (SINGLE USE AMP) 62.5 MG/5 ML",5,"ML","AM","IV","ML",12.5,"MG",1,1/1/2003,,,,,,,
"00364288830","00364-2888-30",,"J3420",,1/1/2002,12/23/2003,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","HYDROXOCOBALAMIN 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00364290638","00364-2906-38",,"J2540",,1/1/2002,12/18/2002,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PENICILLIN G POTASSIUM (VIAL) 5 Million U",1,"EA","VL","IV","EA",600000,"U",8.33333,1/1/2002,,,,,,,
"00364290861","00364-2908-61",,"J2540",,1/1/2002,5/19/2003,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PENICILLIN G POTASSIUM (VIAL,100 ML) 20 Million U",1,"EA","VL","IV","EA",600000,"U",33.33333,1/1/2002,,,,,,,
"00364306356","00364-3063-56",,"A4712",,1/1/2002,10/1/2002,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION BACTERIOSTATIC (M.D.V.)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00364668354","00364-6683-54",,"J2675",,1/1/2002,1/31/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE IN SESAME OIL (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00364671747","00364-6717-47",,"J2321",,1/1/2002,4/28/2003,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (M.D.V.) 100 MG/ML",2,"ML","VL","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"00372004704","00372-0047-04",,"Q0163",,1/1/2002,9/6/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SCOT-TUSSIN ALLERGY RELIEF FORMULA (CHERRY-STRAW) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00372004716","00372-0047-16",,"Q0163",,1/1/2002,9/6/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SCOT-TUSSIN ALLERGY RELIEF FORMULA (CHERRY-STRAW) 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00378001401","00378-0014-01",,,,1/1/1994,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00378001450","00378-0014-50",,,,2/23/1998,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",5000,"EA","BO","PO","EA",2.5,"MG",1,2/23/1998,,,,,,,
"00378014405","00378-0144-05",,"J8999",,2/20/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",500,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00378014491","00378-0144-91",,"J8999",,2/20/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",60,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00378025301","00378-0253-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00378027401","00378-0274-01",,"J8999",,2/20/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",100,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00378027493","00378-0274-93",,"J8999",,2/20/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",30,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00378030201","00378-0302-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00378031553","00378-0315-53",,"Q0179",,6/27/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",3,"EA","BX","PO","EA",8,"MG",0.5,6/27/2007,,,,,,,
"00378031593","00378-0315-93",,"Q0179",,6/27/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,6/27/2007,,,,,,,
"00378034453","00378-0344-53",,"Q0179",,6/27/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",3,"EA","BX","PO","EA",8,"MG",1,6/27/2007,,,,,,,
"00378034493","00378-0344-93",,"Q0179",,6/27/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,6/27/2007,,,,,,,
"00378100394","00378-1003-94",,"Q0166",,1/30/2007,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (FILM-COATED) 1 MG",20,"EA","BO","PO","EA",1,"MG",1,1/30/2007,,,,,,,
"00378153383","00378-1533-83",,"Q0144",,6/5/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (3X6,FILM-COATED) 250 MG",18,"EA","BX","PO","EA",1,"GM",0.25,6/5/2007,,,,,,,
"00378153459","00378-1534-59",,"Q0144",,6/5/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (3X3,FILM-COATED) 500 MG",9,"EA","BX","PO","EA",1,"GM",0.5,6/5/2007,,,,,,,
"00378153593","00378-1535-93",,"Q0144",,6/5/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 600 MG",30,"EA","BO","PO","EA",1,"GM",0.6,6/5/2007,,,,,,,
"00378220001","00378-2200-01",,"J8499",,1/1/2002,2/3/2004,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00378220005","00378-2200-05",,"J8499",,1/1/2002,4/16/2004,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00378326694","00378-3266-94",,,,10/19/2001,,"ETOPOSIDE, 50 MG, ORAL","ETOPOSIDE (BLISTER PACK,SOFTGEL) 50 MG",20,"EA","BX","PO","EA",50,"MG",1,10/19/2001,,,,,,,
"00378354725","00378-3547-25",,"J8999",,7/1/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MERCAPTOPURINE (U.S.P.) 50 MG",250,"EA","BO","PO","EA",1,"EA",1,7/1/2005,,,,,,,
"00378354752","00378-3547-52",,"J8999",,7/1/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MERCAPTOPURINE (U.S.P.) 50 MG",25,"EA","BO","PO","EA",1,"EA",1,7/1/2005,,,,,,,
"00378510501","00378-5105-01",,"Q0164",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00378511001","00378-5110-01",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"00378698858","00378-6988-58",,"J7620",,12/28/2007,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML,5 VIALS/POUCH) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,12/28/2007,,,,,,,
"00378698891","00378-6988-91",,"J7620",,12/28/2007,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (60X3ML 5 VIALS/POUCH) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,12/28/2007,,,,,,,
"00378698893","00378-6988-93",,"J7620",,12/28/2007,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML,1 VIAL/POUCH) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,12/28/2007,,,,,,,
"00378773293","00378-7732-93",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,6/25/2007,,,,,,,
"00378773493","00378-7734-93",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"00378773497","00378-7734-97",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP) 8 MG",10,"EA","BO","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"00402005539","00402-0055-39",,"J2000",,1/1/2002,10/1/2002,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00402005550","00402-0055-50",,"J2000",,1/1/2002,10/1/2002,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00402005650","00402-0056-50",,"J2000",,1/1/2002,10/1/2002,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 2%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00402017110","00402-0171-10",,"J3410",,1/1/2002,10/1/2002,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (M.D.V.) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00402019130","00402-0191-30",,"J2912",,1/1/2002,10/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (M.D.V.) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00402043202","00402-0432-02",,"J2321",,1/1/2002,10/1/2002,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (M.D.V.) 100 MG/ML",2,"ML","VL","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"00402066110","00402-0661-10",,"J1100",,1/1/2002,10/1/2002,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",1,"MG",10,1/1/2002,,,,,,,
"00402071001","00402-0710-01",,"J2322",,1/1/2002,10/1/2002,"INJECTION, NANDROLONE DECANOATE, UP TO 200 MG","NANDROLONE DECANOATE (S.D.V.) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,1/1/2002,,,,,,,
"00405464301","00405-4643-01",,,,1/1/1994,4/26/1996,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00405464336","00405-4643-36",,,,1/1/1994,4/26/1996,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",36,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00406064602","00406-0646-02",,"J0706",,1/1/2002,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"00406067252","00406-0672-52",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"00406073552","00406-0735-52",,"J1960",,1/1/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"00406113052","00406-1130-52",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE",1,"EA","BO","NA","GM",0.1,"MG",10000,1/1/2002,,,,,,,
"00406139504","00406-1395-04",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"00406149252","00406-1492-52",,"J2310",,1/1/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"00406151056","00406-1510-56",,"J1230",,1/1/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"00406151057","00406-1510-57",,"J1230",,1/1/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"00406151059","00406-1510-59",,"J1230",,1/1/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"00406152153","00406-1521-53",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"00406152155","00406-1521-55",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"00406152156","00406-1521-56",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"00406152157","00406-1521-57",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"00406154832","00406-1548-32",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2002,,,,,,,
"00406154835","00406-1548-35",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2002,,,,,,,
"00406158555","00406-1585-55",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"00406200301","00406-2003-01",,"J7500",,7/2/2007,3/27/2009,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE (USP) 50 MG",100,"EA","BO","PO","EA",50,"MG",1,7/2/2007,3/27/2009,,,,,,
"00406204001","00406-2040-01",,"Q0169",,9/12/2006,3/27/2009,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 12.5 MG",100,"EA","BO","PO","EA",12.5,"MG",1,9/12/2006,3/27/2009,,,,,,
"00406204101","00406-2041-01",,"Q0170",,9/12/2006,3/27/2009,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",100,"EA","BO","PO","EA",25,"MG",1,9/12/2006,3/27/2009,,,,,,
"00406204110","00406-2041-10",,"Q0170",,7/15/2007,3/27/2009,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",1000,"EA","BO","PO","EA",25,"MG",1,7/15/2007,3/27/2009,,,,,,
"00406204201","00406-2042-01",,"Q0170",,9/12/2006,3/27/2009,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 50 MG",100,"EA","BO","PO","EA",25,"MG",2,9/12/2006,3/27/2009,,,,,,
"00406324552","00406-3245-52",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"00406420012","00406-4200-12",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"00406683804","00406-6838-04",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"00406683806","00406-6838-06",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"00406684504","00406-6845-04",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"00406685804","00406-6858-04",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (A.C.S.)",1,"EA","NA","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"00406805003","00406-8050-03",,"J9218",,1/1/2002,,"LEUPROLIDE ACETATE, PER 1 MG","LEUPROLIDE ACETATE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"00406806103","00406-8061-03",,"J2597",,1/1/2002,9/7/2007,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DESMOPRESSIN ACETATE",1,"EA","BO","NA","GM",1,"MCG",1000000,1/1/2002,,,,,,,
"00406864212","00406-8642-12",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"00409080101","00409-0801-01",,"J9268",,7/20/2007,,"INJECTION, PENTOSTATIN, 10 MG","NIPENT (SDV) 10 MG",1,"EA","VL","IV","EA",10,"MG",1,7/20/2007,,,,,,,
"00409103630","00409-1036-30",,"J0670",,3/21/2006,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE 1%",30,"ML","VL","IJ","ML",10,"ML",0.1,3/21/2006,,,,,,,
"00409103850","00409-1038-50",,"J0670",,10/8/2007,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE (MDV) 1%",50,"ML","VL","IJ","ML",10,"ML",0.1,10/8/2007,,,,,,,
"00409104130","00409-1041-30",,"J0670",,4/26/2006,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE (PF) 1.5%",30,"ML","VL","IJ","ML",10,"ML",0.1,4/26/2006,,,,,,,
"00409106720","00409-1067-20",,"J0670",,1/15/2007,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE (SDV,USP,PF) 2%",20,"ML","VL","IJ","ML",10,"ML",0.1,1/15/2007,,,,,,,
"00409108051","00409-1080-51",,"J7060",,3/24/2006,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (THERMOJECT,10X10ML) 5%",10,"ML","VL","IV","ML",500,"ML",0.002,3/24/2006,,,,,,,
"00409108151","00409-1081-51",,"A4216",,12/27/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (THERMOJECT, 25X10ML) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,12/27/2006,,,,,,,
"00409108201","00409-1082-01",,"J7060",,4/25/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (THERMOJECT KIT) 5%",10,"ML","VL","IV","EA",500,"ML",0.08,4/25/2005,,,,,,,
"00409108251","00409-1082-51",,"J7060",,3/29/2006,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (USP,PF) 5%",10,"ML","VL","IV","ML",500,"ML",0.002,3/29/2006,,,,,,,
"00409109732","00409-1097-32",,"J0745",,11/15/2005,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (LUER-LOCK,CARPUJECT) 15 MG/ML",2,"ML","SR","IJ","ML",30,"MG",0.5,11/15/2005,,,,,,,
"00409110232","00409-1102-32",,"J0745",,10/5/2005,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (LUER LOCK,CARPUJECT) 30 MG/ML",2,"ML","SR","IJ","ML",30,"MG",1,10/5/2005,,,,,,,
"00409112062","00409-1120-62",,"J2405",,1/22/2007,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (10X2ML,SDPFS,USP) 2 MG/ML",2,"ML","SR","IJ","ML",1,"MG",2,1/22/2007,,,,,,,
"00409112910","00409-1129-10",,"J9045",,12/11/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,12/11/2006,,,,,,,
"00409112911","00409-1129-11",,"J9045",,12/11/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,12/11/2006,,,,,,,
"00409112912","00409-1129-12",,"J9045",,12/11/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,12/11/2006,,,,,,,
"00409113002","00409-1130-02",,"J7799",,5/13/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE 23.4%",250,"ML","GC","IV","ML",1,"EA",1,5/13/2005,,,,,,,
"00409113403","00409-1134-03",,"J2271",,9/14/2005,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (VIAL, FLIPTOP) 50 MG/ML",20,"ML","VL","IJ","ML",100,"MG",0.5,9/14/2005,,,,,,,
"00409113405","00409-1134-05",,"J2271",,8/8/2005,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (LATEX-FREE) 50 MG/ML",50,"ML","VL","IJ","ML",100,"MG",0.5,8/8/2005,,,,,,,
"00409113502","00409-1135-02",,"J2275",,7/21/2005,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (HIGH CONCENTRATION,PF) 25 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2.5,7/21/2005,,,,,,,
"00409114102","00409-1141-02",,"J7799",,4/13/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (VIAL,FLIPTOP,BULK PKG) 23.4%",100,"ML","VL","IV","ML",1,"EA",1,4/13/2005,,,,,,,
"00409115112","00409-1151-12",,"J1642",,7/14/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25X10ML,LATEX-FREE) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,7/14/2005,3/2/2009,,,,,,
"00409115112","00409-1151-12",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (25X10ML,LATEX-FREE) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,10/1/2009,,,,,,,
"00409115170","00409-1151-70",,"J1642",,7/20/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (FTV,25X10ML) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,7/20/2005,3/2/2009,,,,,,
"00409115170","00409-1151-70",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (FTV,25X10ML) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,10/1/2009,,,,,,,
"00409115178","00409-1151-78",,"J1642",,9/19/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (FTV,25X30ML) 10 U/ML",30,"ML","VL","IV","ML",10,"U",1,9/19/2005,3/2/2009,,,,,,
"00409115178","00409-1151-78",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (FTV,25X30ML) 10 U/ML",30,"ML","VL","IV","ML",10,"U",1,10/1/2009,,,,,,,
"00409115212","00409-1152-12",,"J1642",,3/15/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL,FLIPTOP,LIFESHIELD) 100 U/ML",10,"ML","VL","IV","ML",10,"U",10,3/15/2005,3/2/2009,,,,,,
"00409115212","00409-1152-12",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL,FLIPTOP,LIFESHIELD) 100 U/ML",10,"ML","VL","IV","ML",10,"U",10,10/1/2009,,,,,,,
"00409115270","00409-1152-70",,"J1642",,9/7/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL, FLIPTOP) 100 U/ML",10,"ML","VL","IV","ML",10,"U",10,9/7/2005,3/2/2009,,,,,,
"00409115270","00409-1152-70",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL, FLIPTOP) 100 U/ML",10,"ML","VL","IV","ML",10,"U",10,10/1/2009,,,,,,,
"00409115278","00409-1152-78",,"J1642",,2/25/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL,FLIPTOP,LATEX-FREE) 100 U/ML",30,"ML","VL","IV","ML",10,"U",10,2/25/2005,3/2/2009,,,,,,
"00409115278","00409-1152-78",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (VIAL,FLIPTOP,LATEX-FREE) 100 U/ML",30,"ML","VL","IV","ML",10,"U",10,10/1/2009,,,,,,,
"00409115801","00409-1158-01",,"J3490",,7/27/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP,5X30ML,LATEX-FREE) 0.25%",30,"ML","AM","IJ","ML",1,"EA",1,7/27/2005,,,,,,,
"00409115802","00409-1158-02",,"J3490",,10/28/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP,25X50ML,LATEX-FREE) 0.25%",50,"ML","AM","IJ","ML",1,"EA",1,10/28/2005,,,,,,,
"00409115901","00409-1159-01",,"J3490",,6/29/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (USP,25X2ML,LATEX-FREE) 0.25%",10,"ML","VL","IJ","ML",1,"EA",1,6/29/2005,,,,,,,
"00409115902","00409-1159-02",,"J3490",,8/10/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (25X30ML,LATEX-FREE) 0.25%",30,"ML","VL","IJ","ML",1,"EA",1,8/10/2005,,,,,,,
"00409116001","00409-1160-01",,"J3490",,4/12/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,FLIPTOP,LATEX-FREE) 0.25%",50,"ML","VL","IJ","ML",1,"EA",1,4/12/2005,,,,,,,
"00409116101","00409-1161-01",,"J3490",,10/18/2004,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP,LATEX-FREE) 0.5%",30,"ML","AM","IJ","ML",1,"EA",1,10/18/2004,,,,,,,
"00409116201","00409-1162-01",,"J3490",,3/8/2006,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (25X10ML) 0.5%",10,"ML","VL","IJ","ML",1,"EA",1,3/8/2006,,,,,,,
"00409116202","00409-1162-02",,"J3490",,11/22/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,LATEX-FREE) 0.5%",30,"ML","VL","IJ","ML",1,"EA",1,11/22/2005,,,,,,,
"00409116301","00409-1163-01",,"J3490",,3/30/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,FLIPTOP,LATEX-FREE) 0.5%",50,"ML","VL","IJ","ML",1,"EA",1,3/30/2005,,,,,,,
"00409116401","00409-1164-01",,"J3490",,3/24/2006,,"UNCLASSIFIED DRUGS","BUPIVACAINE HYDROCHLORIDE (5X30ML,USP) 0.75%",30,"ML","AM","IJ","ML",1,"EA",1,3/24/2006,,,,,,,
"00409116501","00409-1165-01",,"J3490",,12/8/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (VIAL,LATEX-FREE) 0.75%",10,"ML","VL","IJ","ML",1,"EA",1,12/8/2005,,,,,,,
"00409116502","00409-1165-02",,"J3490",,5/24/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (TTV,LATEX-FREE) 0.75%",30,"ML","VL","IJ","ML",1,"EA",1,5/24/2005,,,,,,,
"00409117630","00409-1176-30",,"J2175",,8/25/2005,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LLK,SLIM PK,LATEX-FREE) 25 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.25,8/25/2005,,,,,,,
"00409117830","00409-1178-30",,"J2175",,9/14/2005,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LATEX-FREE,CARPUJECT) 50 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.5,9/14/2005,,,,,,,
"00409117930","00409-1179-30",,"J2175",,12/8/2005,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LATEX-FREE,CARPUJECT) 75 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.75,12/8/2005,,,,,,,
"00409118069","00409-1180-69",,"J2175",,9/14/2005,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (CARPUJECT) 100 MG/ML",1,"ML","SR","IJ","ML",100,"MG",1,9/14/2005,,,,,,,
"00409118130","00409-1181-30",,"J2175",,1/31/2006,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL (USP,MDV,STERILE) 50 MG/ML",30,"ML","VL","IJ","ML",100,"MG",0.5,1/31/2006,,,,,,,
"00409118701","00409-1187-01",,"J1790",,8/23/2005,,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (10X2ML AMP,LATEX-FREE) 2.5 MG/ML",2,"ML","AM","IJ","ML",5,"MG",0.5,8/23/2005,,,,,,,
"00409120120","00409-1201-20",,"J2175",,3/9/2006,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL (MDV) 100 MG/ML",20,"ML","VL","IJ","ML",100,"MG",1,3/9/2006,,,,,,,
"00409120301","00409-1203-01",,"J2175",,12/16/2005,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (UNI-AMP, 5X5,LATEX-FREE) 50 MG/ML",0.5,"ML","AM","IJ","ML",100,"MG",0.5,12/16/2005,,,,,,,
"00409120703","00409-1207-03",,"J1580",,8/30/2005,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL,FLIPTOP) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,8/30/2005,,,,,,,
"00409121201","00409-1212-01",,"J2310",,6/16/2005,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (10X1ML AMP,LATEX-FREE) 0.4 MG/ML",1,"ML","AM","IJ","ML",1,"MG",0.4,6/16/2005,,,,,,,
"00409121501","00409-1215-01",,"J2310",,7/8/2005,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (VIAL,FLIPTOP,10X1ML) 0.4 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.4,7/8/2005,,,,,,,
"00409121901","00409-1219-01",,"J2310",,4/3/2006,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HYDROCHLORIDE 0.4 MG/ML",10,"ML","VL","IJ","ML",1,"MG",0.4,4/3/2006,,,,,,,
"00409125301","00409-1253-01",,"J2175",,1/4/2006,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (LATEX-FREE) 50 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.5,1/4/2006,,,,,,,
"00409125401","00409-1254-01",,"J2175",,3/20/2006,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL (25X1.5ML) 50 MG/ML",1.5,"ML","AM","IJ","ML",100,"MG",0.5,3/20/2006,,,,,,,
"00409125502","00409-1255-02",,"J2175",,11/23/2005,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (UNI-AMP 5X5,LATEX-FREE) 50 MG/ML",2,"ML","AM","IJ","ML",100,"MG",0.5,11/23/2005,,,,,,,
"00409125601","00409-1256-01",,"J2175",,1/26/2006,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (25X1ML,LATEX-FREE) 100 MG/ML",1,"ML","AM","IJ","ML",100,"MG",1,1/26/2006,,,,,,,
"00409125830","00409-1258-30",,"J2270",,5/10/2005,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LUER LOCK,U.S.P.,10X1ML) 4 MG/ML",1,"ML","CR","IJ","ML",10,"MG",0.4,5/10/2005,,,,,,,
"00409126069","00409-1260-69",,"J2270",,3/22/2006,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE 8 MG/ML",1,"ML","SR","IJ","ML",10,"MG",0.8,3/22/2006,,,,,,,
"00409126130","00409-1261-30",,"J2270",,7/21/2005,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LLK,SLIM PK, 10X1ML) 10 MG/ML",1,"ML","SR","IJ","ML",10,"MG",1,7/21/2005,,,,,,,
"00409126431","00409-1264-31",,"J2271",,12/16/2005,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (LUER LOCK,LATEX-FREE) 15 MG/ML",1,"ML","CR","IJ","ML",100,"MG",0.15,12/16/2005,,,,,,,
"00409127332","00409-1273-32",,"J3360",,8/23/2005,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (10X2ML, LUER LOCK) 5 MG/ML",2,"ML","CR","IJ","ML",5,"MG",1,8/23/2005,,,,,,,
"00409127532","00409-1275-32",,"J1940",,8/31/2005,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (CARPUJECT W/LUER LOCK) 10 MG/ML",2,"ML","SR","IJ","ML",20,"MG",0.5,8/31/2005,,,,,,,
"00409127632","00409-1276-32",,"J3010",,7/27/2005,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (LUER LOCK,10X2ML,PF) 0.05 MG/ML",2,"ML","SR","IJ","ML",0.1,"MG",0.5,7/27/2005,,,,,,,
"00409128031","00409-1280-31",,"J1642",,3/28/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",1,"ML","SR","IV","ML",10,"U",1,3/28/2005,3/2/2009,,,,,,
"00409128031","00409-1280-31",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",1,"ML","SR","IV","ML",10,"U",1,10/1/2009,,,,,,,
"00409128032","00409-1280-32",,"J1642",,4/8/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",2,"ML","SR","IV","ML",10,"U",1,4/8/2005,3/2/2009,,,,,,
"00409128032","00409-1280-32",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",2,"ML","SR","IV","ML",10,"U",1,10/1/2009,,,,,,,
"00409128033","00409-1280-33",,"J1642",,4/5/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",3,"ML","CR","IV","ML",10,"U",1,4/5/2005,3/2/2009,,,,,,
"00409128033","00409-1280-33",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",3,"ML","CR","IV","ML",10,"U",1,10/1/2009,,,,,,,
"00409128035","00409-1280-35",,"J1642",,4/1/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",5,"ML","CR","IV","ML",10,"U",1,4/1/2005,3/2/2009,,,,,,
"00409128035","00409-1280-35",,"J1642",,3/3/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML",5,"ML","CR","IV","ML",10,"U",1,3/3/2009,,,,,,,
"00409128131","00409-1281-31",,"J1642",,7/22/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,50X1ML) 100 U/ML",1,"ML","CR","IV","ML",10,"U",10,7/22/2005,3/2/2009,,,,,,
"00409128131","00409-1281-31",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,50X1ML) 100 U/ML",1,"ML","CR","IV","ML",10,"U",10,10/1/2009,,,,,,,
"00409128132","00409-1281-32",,"J1642",,4/25/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,CARPUJECT) 100 U/ML",2,"ML","CR","IV","ML",10,"U",10,4/25/2005,3/2/2009,,,,,,
"00409128132","00409-1281-32",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,CARPUJECT) 100 U/ML",2,"ML","CR","IV","ML",10,"U",10,10/1/2009,,,,,,,
"00409128133","00409-1281-33",,"J1642",,7/15/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,25X3ML) 100 U/ML",3,"ML","CR","IV","ML",10,"U",10,7/15/2005,3/2/2009,,,,,,
"00409128133","00409-1281-33",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,25X3ML) 100 U/ML",3,"ML","CR","IV","ML",10,"U",10,10/1/2009,,,,,,,
"00409128135","00409-1281-35",,"J1642",,4/25/2005,3/2/2009,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,CARPUJECT) 100 U/ML",5,"ML","CR","IV","ML",10,"U",10,4/25/2005,3/2/2009,,,,,,
"00409128135","00409-1281-35",,"J1642",,10/1/2009,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LUER LOCK,CARPUJECT) 100 U/ML",5,"ML","CR","IV","ML",10,"U",10,10/1/2009,,,,,,,
"00409128331","00409-1283-31",,"J1170",,6/14/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (LUER LOCK,10X1ML) 1 MG/ML",1,"ML","CR","IJ","ML",4,"MG",0.25,6/14/2005,,,,,,,
"00409130431","00409-1304-31",,"J1170",,7/13/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (LUER LOCK,10X1ML) 4 MG/ML",1,"ML","CR","IJ","ML",4,"MG",1,7/13/2005,,,,,,,
"00409131230","00409-1312-30",,"J1170",,7/7/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (10X1ML,LLK,SLIM PK) 2 MG/ML",1,"ML","CR","IJ","ML",4,"MG",0.5,7/7/2005,,,,,,,
"00409131625","00409-1316-25",,"J1644",,10/29/2007,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (10X0.5ML,W/ LUER LOCK) 5000 U/0.5 ML",0.5,"ML","SR","IJ","ML",1000,"U",10,10/29/2007,,,,,,,
"00409131632","00409-1316-32",,"J1644",,3/23/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM 10000 U/ML",0.5,"ML","SR","IJ","ML",1000,"U",10,3/23/2005,,,,,,,
"00409131666","00409-1316-66",,"J1644",,2/11/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (PF,CARPUJECT) 10000 U/ML",0.5,"ML","SR","IJ","ML",1000,"U",10,2/11/2005,,,,,,,
"00409131701","00409-1317-01",,"J1165",,2/8/2005,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (AMP,LATEX-FREE) 50 MG/ML",2,"ML","AM","IV","ML",50,"MG",1,2/8/2005,,,,,,,
"00409131702","00409-1317-02",,"J1165",,3/30/2005,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (AMP,LATEX-FREE) 50 MG/ML",5,"ML","AM","IV","ML",50,"MG",1,3/30/2005,,,,,,,
"00409132305","00409-1323-05",,"J2001",,12/8/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (10X5ML, ANSYR) 2%",5,"ML","SR","IJ","ML",10,"MG",2,12/8/2005,,,,,,,
"00409140231","00409-1402-31",,"J1644",,3/21/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (LUER LOCK,CARPUJECT) 5000 U/ML",1,"ML","SR","IJ","ML",1000,"U",5,3/21/2005,,,,,,,
"00409141001","00409-1410-01",,"J7659",,7/28/2005,12/31/2006,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (AMP,25X1ML,LATEX-FREE) 0.2 MG/ML",1,"ML","AM","IV","ML",1,"MG",0.2,7/28/2005,,,,,,,
"00409141001","00409-1410-01",,"J7660",,1/1/2007,,"ISOPROTERENOL HCL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (AMP,25X1ML,LATEX-FREE) 0.2 MG/ML",1,"ML","AM","IV","ML",1,"MG",0.2,1/1/2007,,,,,,,
"00409141001","00409-1410-01","KO","J7659","KO",7/28/2005,12/31/2006,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (AMP,25X1ML,LATEX-FREE) 0.2 MG/ML",1,"ML","AM","IV","ML",1,"MG",0.2,7/28/2005,,,,,,,
"00409141001","00409-1410-01","KO","J7660","KO",1/1/2007,,"ISOPROTERENOL HCL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (AMP,25X1ML,LATEX-FREE) 0.2 MG/ML",1,"ML","AM","IV","ML",1,"MG",0.2,1/1/2007,,,,,,,
"00409141005","00409-1410-05",,"J7659",,10/26/2005,12/31/2006,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (10X5ML,AMP,LATEX-FREE) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,10/26/2005,,,,,,,
"00409141005","00409-1410-05",,"J7660",,1/1/2007,,"ISOPROTERENOL HCL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (10X5ML,AMP,LATEX-FREE) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,1/1/2007,,,,,,,
"00409141005","00409-1410-05","KO","J7659","KO",10/26/2005,12/31/2006,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (10X5ML,AMP,LATEX-FREE) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,10/26/2005,,,,,,,
"00409141005","00409-1410-05","KO","J7660","KO",1/1/2007,,"ISOPROTERENOL HCL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (10X5ML,AMP,LATEX-FREE) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,1/1/2007,,,,,,,
"00409141204","00409-1412-04",,"J3490",,6/14/2006,,"UNCLASSIFIED DRUGS","BUMETANIDE (SDFLIPTOP VIAL,USP) 0.25 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,6/14/2006,,,,,,,
"00409141210","00409-1412-10",,"J3490",,6/29/2006,,"UNCLASSIFIED DRUGS","BUMETANIDE (MDV,USP,10X10ML) 0.25 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,6/29/2006,,,,,,,
"00409146301","00409-1463-01",,"J2300",,3/9/2005,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (AMP,LATEX-FREE) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,3/9/2005,,,,,,,
"00409146401","00409-1464-01",,"J2300",,7/13/2005,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (25X10ML) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,7/13/2005,,,,,,,
"00409146501","00409-1465-01",,"J2300",,11/18/2004,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (AMP,LATEX-FREE) 20 MG/ML",1,"ML","AM","IJ","ML",10,"MG",2,11/18/2004,,,,,,,
"00409146701","00409-1467-01",,"J2300",,5/12/2005,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (VIAL,FLIPTOP) 20 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2,5/12/2005,,,,,,,
"00409150503","00409-1505-03",,"J7110",,12/29/2005,,"INFUSION, DEXTRAN 75, 500 ML","DEXTRAN-70 W/SODIUM CHLORIDE 6%-0.9%",500,"ML","GC","IV","ML",500,"ML",0.002,12/29/2005,,,,,,,
"00409150805","00409-1508-05",,"J7799",,8/31/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (6X1000ML) 2.5%",1000,"ML","GC","IV","ML",1,"EA",1,8/31/2005,,,,,,,
"00409151302","00409-1513-02",,"J3480",,6/16/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (12X250ML,LATEX-FREE) 2 MEQ/ML",250,"ML","VL","IV","ML",2,"MEQ",1,6/16/2005,,,,,,,
"00409152201","00409-1522-01",,"J7060",,4/11/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (12X150ML) 5%",150,"ML","GC","IV","ML",500,"ML",0.002,4/11/2005,,,,,,,
"00409152202","00409-1522-02",,"J7060",,3/9/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (12X250ML) 5%",250,"ML","GC","IV","ML",500,"ML",0.002,3/9/2005,,,,,,,
"00409152203","00409-1522-03",,"J7060",,6/16/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (12X500ML) 5%",500,"ML","GC","IV","ML",500,"ML",0.002,6/16/2005,,,,,,,
"00409152301","00409-1523-01",,"J7060",,9/16/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (50/150ML PART FILL) 5%",50,"ML","GC","IV","ML",500,"ML",0.002,9/16/2005,,,,,,,
"00409152311","00409-1523-11",,"J7060",,7/27/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (12X100ML) 5%",100,"ML","GC","IV","ML",500,"ML",0.002,7/27/2005,,,,,,,
"00409153405","00409-1534-05",,"J7799",,2/24/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE AND SODIUM CHLORIDE (6X1000ML) 10%-0.9%",1000,"ML","GC","IV","ML",1,"EA",1,2/24/2006,,,,,,,
"00409153503","00409-1535-03",,"J7799",,9/8/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (12X500ML) 20%",500,"ML","GC","IV","ML",1,"EA",1,9/8/2005,,,,,,,
"00409153931","00409-1539-31",,"J2060",,12/23/2005,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (10X1ML, LUER LOCK) 4 MG/ML",1,"ML","CR","IJ","ML",2,"MG",2,12/23/2005,,,,,,,
"00409155910","00409-1559-10",,"J3490",,8/22/2005,,"UNCLASSIFIED DRUGS","MARCAINE HCL (10X10ML, S.D.V.) 0.25%",10,"ML","VL","IJ","ML",1,"EA",1,8/22/2005,,,,,,,
"00409155930","00409-1559-30",,"J3490",,9/7/2005,,"UNCLASSIFIED DRUGS","MARCAINE HCL (S.D.V.,LATEX-FREE) 0.25%",30,"ML","VL","IJ","ML",1,"EA",1,9/7/2005,,,,,,,
"00409156010","00409-1560-10",,"J3490",,8/31/2005,,"UNCLASSIFIED DRUGS","MARCAINE HCL (S.D.V.) 0.5%",10,"ML","VL","IJ","ML",1,"EA",1,8/31/2005,,,,,,,
"00409156029","00409-1560-29",,"J3490",,8/5/2005,,"UNCLASSIFIED DRUGS","MARCAINE HCL (S.D.V.) 0.5%",30,"ML","VL","IJ","ML",1,"EA",1,8/5/2005,,,,,,,
"00409158210","00409-1582-10",,"J3490",,7/22/2005,,"UNCLASSIFIED DRUGS","MARCAINE HCL (10X10ML, S.D.V.) 0.75%",10,"ML","VL","IJ","ML",1,"EA",1,7/22/2005,,,,,,,
"00409158229","00409-1582-29",,"J3490",,8/4/2005,,"UNCLASSIFIED DRUGS","MARCAINE HCL (10X30ML,LATEX-FREE) 0.75%",30,"ML","VL","IJ","ML",1,"EA",1,8/4/2005,,,,,,,
"00409158301","00409-1583-01",,"J7050",,7/20/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (12X150ML,PF) 0.9%",150,"ML","FC","IV","ML",250,"ML",0.004,7/20/2005,,,,,,,
"00409158302","00409-1583-02",,"J7050",,9/14/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (12X250ML,PF) 0.9%",250,"ML","GC","IV","ML",250,"ML",0.004,9/14/2005,,,,,,,
"00409158411","00409-1584-11",,"J7050",,9/16/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (12X100ML,150ML VIAL,PF) 0.9%",100,"ML","GC","IV","ML",250,"ML",0.004,9/16/2005,,,,,,,
"00409158603","00409-1586-03",,"J7799",,3/24/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (12X500ML) 5%",500,"ML","GC","IV","ML",1,"EA",1,3/24/2006,,,,,,,
"00409158750","00409-1587-50",,"J3490",,1/10/2006,,"UNCLASSIFIED DRUGS","MARCAINE HCL (M.D.V.,LATEX-FREE) 0.25%",50,"ML","VL","IJ","ML",1,"EA",1,1/10/2006,,,,,,,
"00409159002","00409-1590-02",,"A4217",,8/5/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (12X250ML,PF,LATEX-FREE)",250,"ML","GC","IV","ML",500,"ML",0.002,8/5/2005,,,,,,,
"00409159005","00409-1590-05",,"A4217",,6/28/2005,,"STERILE WATER/SALINE, 500 ML","STERILE WATER (USP)",1000,"ML","GC","IJ","ML",500,"ML",0.002,6/28/2005,,,,,,,
"00409161050","00409-1610-50",,"J3490",,11/22/2005,,"UNCLASSIFIED DRUGS","MARCAINE HCL (M.D.V.) 0.5%",50,"ML","VL","IJ","ML",1,"EA",1,11/22/2005,,,,,,,
"00409162301","00409-1623-01",,"J0595",,9/20/2005,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (10X1ML) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,9/20/2005,,,,,,,
"00409162349","00409-1623-49",,"J0595",,10/19/2005,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE NOVATION (10X1ML) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,10/19/2005,,,,,,,
"00409162601","00409-1626-01",,"J0595",,3/21/2006,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (10X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,3/21/2006,,,,,,,
"00409162602","00409-1626-02",,"J0595",,12/21/2005,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/21/2005,,,,,,,
"00409162649","00409-1626-49",,"J0595",,5/24/2006,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","NOVAPLUS BUTORPHANOL TARTRATE (VHA,10X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,5/24/2006,,,,,,,
"00409162651","00409-1626-51",,"J0595",,12/8/2005,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE NOVATION (10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/8/2005,,,,,,,
"00409163010","00409-1630-10",,"J0460",,1/11/2006,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (ANSYR,10X10ML) 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/11/2006,12/31/2009,,,,,,
"00409163910","00409-1639-10",,"J1940",,1/23/2006,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (10X10ML, ANSYR) 10 MG/ML",10,"ML","SR","IJ","ML",20,"MG",0.5,1/23/2006,,,,,,,
"00409175410","00409-1754-10",,"J3475",,11/27/2006,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (10X10ML,SINGLE-DOSE,USP) 500 MG/ML",10,"ML","SR","IJ","ML",500,"MG",1,11/27/2006,,,,,,,
"00409176102","00409-1761-02",,"J3490",,6/6/2005,,"UNCLASSIFIED DRUGS","MARCAINE SPINAL (AMP,W/DEXTROSE,PF) 0.75%",2,"ML","AM","IJ","ML",1,"EA",1,6/6/2005,,,,,,,
"00409176230","00409-1762-30",,"J2270",,5/27/2005,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LLK,SLIM PK,CARPUJECT) 2 MG/ML",1,"ML","CR","IJ","ML",10,"MG",0.2,5/27/2005,,,,,,,
"00409177510","00409-1775-10",,"J7799",,2/20/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (2.5GM INFANT ANSYR SYR) 25%",10,"ML","SR","IV","ML",1,"EA",1,2/20/2006,,,,,,,
"00409178269","00409-1782-69",,"J2310",,9/29/2005,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (10X1ML, CARPUJECT) 0.4 MG/ML",1,"ML","SR","IJ","ML",1,"MG",0.4,9/29/2005,,,,,,,
"00409180001","00409-1800-01",,"J2370",,4/14/2005,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","NEO-SYNEPHRINE HCL (AMP,25X1ML) 10 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,4/14/2005,,,,,,,
"00409184432","00409-1844-32",,"J1165",,10/5/2004,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (CARPUJECT) 50 MG/ML",2,"ML","SR","IV","ML",50,"MG",1,10/5/2004,,,,,,,
"00409190201","00409-1902-01",,"J2690",,3/10/2006,,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HYDROCHLORIDE (25X10ML,FTV) 100 MG/ML",10,"ML","VL","IJ","ML",1,"GM",0.1,3/10/2006,,,,,,,
"00409190301","00409-1903-01",,"J2690",,8/24/2005,,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL 500 MG/ML",2,"ML","VL","IV","ML",1,"GM",0.5,8/24/2005,,,,,,,
"00409191832","00409-1918-32",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (LUER LOCK,50X2ML,PF) 0.9%",2,"ML","CR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00409191832","00409-1918-32",,"J2912",,11/23/2005,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (LUER LOCK,50X2ML,PF) 0.9%",2,"ML","CR","IV","ML",0.9,"%",0.5,11/23/2005,,,,,,,
"00409191833","00409-1918-33",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (LUER LOCK,PF,LATEX-FREE) 0.9%",5,"ML","CR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00409191833","00409-1918-33",,"J2912",,2/17/2005,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (LUER LOCK,PF,LATEX-FREE) 0.9%",5,"ML","CR","IV","ML",0.9,"%",0.5,2/17/2005,,,,,,,
"00409191835","00409-1918-35",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (LUER LOCK,PF,LATEX-FREE) 0.9%",5,"ML","CR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00409191835","00409-1918-35",,"J2912",,4/8/2005,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (LUER LOCK,PF,LATEX-FREE) 0.9%",5,"ML","CR","IV","ML",0.9,"%",0.5,4/8/2005,,,,,,,
"00409192010","00409-1920-10",,"J3070",,9/29/2005,,"INJECTION, PENTAZOCINE, 30 MG","TALWIN LACTATE (VIAL,LATEX-FREE) 30 MG/ML",10,"ML","VL","IJ","ML",30,"MG",1,9/29/2005,,,,,,,
"00409194101","00409-1941-01",,"J3070",,11/18/2005,,"INJECTION, PENTAZOCINE, 30 MG","TALWIN LACTATE (UNI-AMP,LATEX-FREE) 30 MG/ML",1,"ML","AM","IJ","ML",30,"MG",1,11/18/2005,,,,,,,
"00409195232","00409-1952-32",,"J3250",,1/9/2006,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (LUER LOCK,CARPUJECT) 100 MG/ML",2,"ML","SR","IM","ML",200,"MG",0.5,1/9/2006,,,,,,,
"00409195501","00409-1955-01",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (VIAL,FLIPTOP,LATEX-FREE) 50 MG/ML",2,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2006,,,,,,,
"00409195501","00409-1955-01",,"J3490",,3/11/2005,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (VIAL,FLIPTOP,LATEX-FREE) 50 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,3/11/2005,,,,,,,
"00409195601","00409-1956-01",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (10X2ML) 250 MG/ML",2,"ML","VL","IJ","ML",100,"MG",2.5,1/1/2006,,,,,,,
"00409195601","00409-1956-01",,"J3490",,9/6/2005,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (10X2ML) 250 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,9/6/2005,,,,,,,
"00409195701","00409-1957-01",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (10X4ML) 250 MG/ML",4,"ML","VL","IJ","ML",100,"MG",2.5,1/1/2006,,,,,,,
"00409195701","00409-1957-01",,"J3490",,9/26/2005,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (10X4ML) 250 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,9/26/2005,,,,,,,
"00409196604","00409-1966-04",,"A4216",,8/30/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (25X10ML,LATEX-FREE) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,8/30/2005,,,,,,,
"00409196605","00409-1966-05",,"A4216",,5/2/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (25X20ML,LATEX-FREE) 0.9%",20,"ML","VL","IV","ML",10,"ML",0.1,5/2/2005,,,,,,,
"00409196607","00409-1966-07",,"A4216",,4/5/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (VIAL,FLIPTOP PLASTIC) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,4/5/2005,,,,,,,
"00409196612","00409-1966-12",,"A4216",,10/6/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (25X10ML, LS-PLASTIC) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,10/6/2005,,,,,,,
"00409196614","00409-1966-14",,"A4216",,6/1/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (FLIPTOP,LS-PLASTIC) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,6/1/2005,,,,,,,
"00409198501","00409-1985-01",,"J2060",,4/25/2005,6/12/2009,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,4/25/2005,6/12/2009,,,,,,
"00409198505","00409-1985-05",,"J2060",,2/8/2008,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (10X1ML) 2 MG/ML",1,"ML","SR","IJ","ML",2,"MG",1,2/8/2008,,,,,,,
"00409198510","00409-1985-10",,"J2060",,11/16/2005,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,11/16/2005,,,,,,,
"00409198530","00409-1985-30",,"J2060",,6/1/2005,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (LUER LOCK,CARPUJECT) 2 MG/ML",1,"ML","CR","IJ","ML",2,"MG",1,6/1/2005,,,,,,,
"00409201232","00409-2012-32",,"J0592",,6/17/2005,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (10X1ML,CARPUJECT) 0.3 MG/ML",1,"ML","SR","IJ","ML",0.1,"MG",3.24,6/17/2005,,,,,,,
"00409202520","00409-2025-20",,"J1250",,2/20/2006,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE (10X20ML) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,2/20/2006,,,,,,,
"00409202554","00409-2025-54",,"J1250",,11/10/2005,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (10X40ML) 12.5 MG/ML",40,"ML","VL","IV","ML",250,"MG",0.05,11/10/2005,,,,,,,
"00409204302","00409-2043-02",,"J1245",,3/31/2005,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (AMP,UNI-NEST,LATEX-FREE) 5 MG/ML",2,"ML","AM","IV","ML",10,"MG",0.5,3/31/2005,,,,,,,
"00409204750","00409-2047-50",,"J0670",,9/22/2006,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","CARBOCAINE (M.D.V.,USP) 2%",50,"ML","VL","IJ","ML",10,"ML",0.1,9/22/2006,,,,,,,
"00409206605","00409-2066-05",,"J2001",,9/6/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL,LATEX-FREE) 2%",5,"ML","VL","IJ","ML",10,"MG",2,9/6/2005,,,,,,,
"00409210202","00409-2102-02",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (25X2ML,PF) 0.9%",2,"ML","VL","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00409210202","00409-2102-02",,"J2912",,8/16/2005,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (25X2ML,PF) 0.9%",2,"ML","VL","IV","ML",0.9,"%",0.5,8/16/2005,,,,,,,
"00409210205","00409-2102-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (25X5ML,PF) 0.9%",5,"ML","VL","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00409210205","00409-2102-05",,"J2912",,4/3/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (25X5ML,PF) 0.9%",5,"ML","VL","IV","ML",0.9,"%",0.5,4/3/2006,,,,,,,
"00409216802","00409-2168-02",,"J3475",,1/31/2005,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (VIAL, FLIPTOP) 500 MG/ML",20,"ML","VL","IJ","ML",500,"MG",1,1/31/2005,,,,,,,
"00409216803","00409-2168-03",,"J3475",,10/22/2004,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (VIAL, FLIPTOP) 500 MG/ML",50,"ML","VL","IJ","ML",500,"MG",1,10/22/2004,,,,,,,
"00409216931","00409-2169-31",,"J1160",,6/16/2005,,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (10X1ML,LUER LOCK) 0.25 MG/ML",1,"ML","CR","IV","ML",0.5,"MG",0.5,6/16/2005,,,,,,,
"00409217201","00409-2172-01",,"J1170",,4/19/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (HIGH POTENCY) 10 MG/ML",1,"ML","AM","IJ","ML",4,"MG",2.5,4/19/2005,,,,,,,
"00409217205","00409-2172-05",,"J1170",,4/19/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (HIGH POTENCY) 10 MG/ML",5,"ML","AM","IJ","ML",4,"MG",2.5,4/19/2005,,,,,,,
"00409217332","00409-2173-32",,"J2765",,11/28/2005,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (LEUR LOCK,CARPUJECT) 5 MG/ML",2,"ML","SR","IV","ML",10,"MG",0.5,11/28/2005,,,,,,,
"00409226501","00409-2265-01",,"J2597",,2/4/2005,,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DESMOPRESSIN ACETATE (UNI-AMP) 4 MCG/ML",1,"ML","AM","IJ","ML",1,"MCG",4,2/4/2005,,,,,,,
"00409228721","00409-2287-21",,"J1885",,6/22/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (10X1ML, USP) 30 MG/ML",1,"ML","CT","IJ","ML",15,"MG",2,6/22/2007,,,,,,,
"00409228722","00409-2287-22",,"J1885",,6/22/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (10X2ML) 30 MG/ML",2,"ML","CT","IJ","ML",15,"MG",2,6/22/2007,,,,,,,
"00409228731","00409-2287-31",,"J1885",,4/25/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (LUER LOCK,CARPUJECT) 30 MG/ML",1,"ML","CR","IJ","ML",15,"MG",2,4/25/2005,,,,,,,
"00409228761","00409-2287-61",,"J1885",,6/20/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE ((LUER LOCK),10X2ML) 30 MG/ML",2,"ML","SR","IM","ML",15,"MG",2,6/20/2005,,,,,,,
"00409228821","00409-2288-21",,"J1885",,6/22/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (10X1ML) 15 MG/ML",1,"ML","CT","IJ","ML",15,"MG",1,6/22/2007,,,,,,,
"00409228831","00409-2288-31",,"J1885",,8/29/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (LUER LOCK,LATEX-FREE) 15 MG/ML",1,"ML","SR","IJ","ML",15,"MG",1,8/29/2005,,,,,,,
"00409229011","00409-2290-11",,"J1200",,7/31/2008,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (W/LUER LOCK,10X1ML,USP) 50 MG/ML",1,"ML","CR","IJ","ML",50,"MG",1,7/31/2008,,,,,,,
"00409229031","00409-2290-31",,"J1200",,4/25/2005,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (LUER LOCK,CARPUJECT) 50 MG/ML",1,"ML","CR","IJ","ML",50,"MG",1,4/25/2005,,,,,,,
"00409230502","00409-2305-02",,"J2250",,8/15/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL, FLIPTOP,PF) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,8/15/2005,,,,,,,
"00409230505","00409-2305-05",,"J2250",,12/21/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (PF) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,12/21/2005,,,,,,,
"00409230549","00409-2305-49",,"J2250",,8/2/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (10X2ML,PF) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,8/2/2005,,,,,,,
"00409230550","00409-2305-50",,"J2250",,9/13/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (FTV,10X5ML,PF) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,9/13/2005,,,,,,,
"00409230561","00409-2305-61",,"J2250",,10/3/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL AMERINET CHOICE (VIAL,FLIPTOP,PF) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,10/3/2005,,,,,,,
"00409230562","00409-2305-62",,"J2250",,10/3/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL AMERINET CHOICE (VIAL,FLIPTOP,PF) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,10/3/2005,,,,,,,
"00409230622","00409-2306-22",,"J2250",,7/20/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HYDROCHLORIDE (10X2ML,PF) 1 MG/ML",2,"ML","SR","IJ","ML",1,"MG",1,7/20/2007,,,,,,,
"00409230662","00409-2306-62",,"J2250",,3/10/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (LUER LOCK,STERILE,PF) 1 MG/ML",2,"ML","SR","IJ","ML",1,"MG",1,3/10/2005,,,,,,,
"00409230721","00409-2307-21",,"J2250",,7/20/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HYDROCHLORIDE (10X1ML,PF) 5 MG/ML",1,"ML","SR","IJ","ML",1,"MG",5,7/20/2007,,,,,,,
"00409230760","00409-2307-60",,"J2250",,4/25/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (10X1ML,PF,CARPUJECT) 5 MG/ML",1,"ML","CR","IJ","ML",1,"MG",5,4/25/2005,,,,,,,
"00409230801","00409-2308-01",,"J2250",,6/7/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (10X1ML,PF) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,6/7/2005,,,,,,,
"00409230802","00409-2308-02",,"J2250",,10/10/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,PF) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,10/10/2005,,,,,,,
"00409230849","00409-2308-49",,"J2250",,12/29/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (FLIPTOP VIAL,PF) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,12/29/2005,,,,,,,
"00409230850","00409-2308-50",,"J2250",,11/18/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (VIAL,FLIPTOP,PF) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,11/18/2005,,,,,,,
"00409231202","00409-2312-02",,"J2550",,8/29/2008,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HYDROCHLORIDE(10X1ML,USP) (25MG/ML)",1,"ML","SR","IJ","ML",50,"MG",1,8/29/2008,,,,,,,
"00409231231","00409-2312-31",,"J2550",,4/5/2005,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (LUER LOCK,CARPUJECT) 25 MG/ML",1,"ML","SR","IJ","ML",50,"MG",0.5,4/5/2005,,,,,,,
"00409233610","00409-2336-10",,"J0895",,4/25/2005,,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE (LATEX-FREE) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,4/25/2005,,,,,,,
"00409233725","00409-2337-25",,"J0895",,3/21/2005,,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE (VIAL,LATEX-FREE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,3/21/2005,,,,,,,
"00409234331","00409-2343-31",,"J2560",,9/19/2005,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","LUMINAL SODIUM (LUER LOCK,10X1ML) 60 MG/ML",1,"ML","SR","IJ","ML",120,"MG",0.5,9/19/2005,,,,,,,
"00409234401","00409-2344-01",,"J1250",,7/27/2005,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (VIAL,FLIPTOP) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,7/27/2005,,,,,,,
"00409234402","00409-2344-02",,"J1250",,6/29/2005,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE (10X20ML,FTV) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,6/29/2005,,,,,,,
"00409234488","00409-2344-88",,"J1250",,3/21/2005,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE NOVAPLUS (S.D.V., U.S.P.) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,3/21/2005,,,,,,,
"00409234632","00409-2346-32",,"J1250",,8/11/2005,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE IN DEXTROSE (12X250ML,LATEX-FREE) 5%-100 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.004,8/11/2005,,,,,,,
"00409234634","00409-2346-34",,"J1250",,2/7/2006,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE IN DEXTROSE (12X500ML,LIFECARE) 5%-100 MG/100 ML",500,"ML","FC","IV","ML",250,"MG",0.004,2/7/2006,,,,,,,
"00409234732","00409-2347-32",,"J1250",,1/11/2006,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE (LATEX-FREE) 5%-200 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.008,1/11/2006,,,,,,,
"00409234733","00409-2347-33",,"J1250",,3/21/2005,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE NOVAPLUS (U.S.P.) 5%-200 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.008,3/21/2005,,,,,,,
"00409234931","00409-2349-31",,"J2560",,9/7/2005,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","LUMINAL SODIUM (LUER LOCK,CARPUJECT) 130 MG/ML",1,"ML","SR","IJ","ML",120,"MG",1.08333,9/7/2005,,,,,,,
"00409254001","00409-2540-01",,"J1170",,9/21/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (USP,10X1ML) 4 MG/ML",1,"ML","AM","IJ","ML",4,"MG",1,9/21/2005,,,,,,,
"00409255201","00409-2552-01",,"J1170",,9/21/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (USP,10X1ML) 1 MG/ML",1,"ML","AM","IJ","ML",4,"MG",0.25,9/21/2005,,,,,,,
"00409258102","00409-2581-02",,"J1644",,3/24/2006,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (ADD-VANTAGE VIAL) 2000 U/ML",5,"ML","VL","IV","ML",1000,"U",2,3/24/2006,,,,,,,
"00409258402","00409-2584-02",,"J1644",,7/1/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (25X10ML,PF,LATEX-FREE) 2500 U/ML",10,"ML","VL","IJ","ML",1000,"U",2.5,7/1/2005,,,,,,,
"00409258501","00409-2585-01",,"J0690",,6/27/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN (SDV,ADD-VANTAGE) 1 GM",25,"EA","VL","IV","EA",500,"MG",2,6/27/2007,,,,,,,
"00409258705","00409-2587-05",,"J2250",,1/27/2006,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HYDROCHLORIDE (10X10ML,FLIPTOPVIAL) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/27/2006,,,,,,,
"00409258753","00409-2587-53",,"J2250",,3/7/2006,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","NOVAPLUS MIDAZOLAM HCL (10X10ML,FTV) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,3/7/2006,,,,,,,
"00409259603","00409-2596-03",,"J2250",,10/28/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,FLIPTOP,LATEX-FREE) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,10/28/2005,,,,,,,
"00409259605","00409-2596-05",,"J2250",,1/11/2006,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL, FLIPTOP) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/11/2006,,,,,,,
"00409259652","00409-2596-52",,"J2250",,1/23/2006,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","NOVAPLUS MIDAZOLAM HYDROCHLORIDE (10X5ML) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,1/23/2006,,,,,,,
"00409259653","00409-2596-53",,"J2250",,9/27/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL NOVATION (FTV,10X10ML,LATEX-FREE) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,9/27/2005,,,,,,,
"00409268715","00409-2687-15",,"J0295",,6/22/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM 10 GM-5 GM",1,"EA","VL","IV","EA",1.5,"GM",10,6/22/2007,,,,,,,
"00409268901","00409-2689-01",,"J0295",,10/9/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (SDV,ADD-VANTAGE) 1 GM-0.5 GM",1,"EA","VL","IV","EA",1.5,"GM",1,10/9/2006,,,,,,,
"00409268911","00409-2689-11",,"J0295",,7/1/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","NOVAPLUS AMPICILLIN AND SULBACTAM (USP,ADD-VANTAGE) 1 GM-0.5 GM",1,"EA","VL","IV","EA",1.5,"GM",1,7/1/2007,,,,,,,
"00409277502","00409-2775-02",,"J2260",,12/31/2004,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (VIAL,FLIPTOP,PF) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,12/31/2004,,,,,,,
"00409277602","00409-2776-02",,"J2260",,3/8/2006,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (IN 5% DEXTROSE,10X200ML) 5%-20 MG/100 ML",200,"ML","FC","IV","ML",5,"MG",0.04,3/8/2006,,,,,,,
"00409277623","00409-2776-23",,"J2260",,6/15/2005,,"INJECTION, MILRINONE LACTATE, 5 MG","DEXTROSE/MILRINONE LACTATE (10X100ML,LATEX-FREE) 5%-20 MG/100 ML",100,"ML","FC","IV","ML",5,"MG",0.04,6/15/2005,,,,,,,
"00409298703","00409-2987-03",,"J0295",,10/9/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (SDV,ADD-VANTAGE) 2 GM-1 GM",1,"EA","VL","IV","EA",1.5,"GM",2,10/9/2006,,,,,,,
"00409298713","00409-2987-13",,"J0295",,7/1/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","NOVAPLUS AMPICILLIN AND SULBACTAM (USP,ADD-VANTAGE) 2 GM-1 GM",1,"EA","VL","IV","EA",1.5,"GM",2,7/1/2007,,,,,,,
"00409298801","00409-2988-01",,"J0295",,7/20/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (USP) 1 GM-0.5 GM",10,"EA","VL","IJ","EA",1.5,"GM",1,7/20/2007,,,,,,,
"00409299803","00409-2998-03",,"J0295",,7/20/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (USP) 2 GM-1 GM",10,"EA","VL","IJ","EA",1.5,"GM",2,7/20/2007,,,,,,,
"00409321302","00409-3213-02",,"J3360",,5/9/2005,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (MDV,FLIPTOP) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,5/9/2005,,,,,,,
"00409321312","00409-3213-12",,"J3360",,10/1/2007,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (10X10ML,USP,MDV,FLIPTOP) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,10/1/2007,,,,,,,
"00409321705","00409-3217-05",,"J2920",,10/2/2006,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","A-METHAPRED (SDV) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,10/2/2006,,,,,,,
"00409321805","00409-3218-05",,"J2930",,10/2/2006,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","A-METHAPRED (SDV) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,10/2/2006,,,,,,,
"00409325503","00409-3255-03",,"J3260",,3/31/2005,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (VIAL,ADD-VANTAGE) 10 MG/ML",8,"ML","VL","IJ","ML",80,"MG",0.125,3/31/2005,,,,,,,
"00409330703","00409-3307-03",,"J7608",,4/11/2005,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",30,"ML","VL","IH","ML",1,"GM",0.1,4/11/2005,,,,,,,
"00409330703","00409-3307-03","KO","J7608","KO",4/11/2005,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",30,"ML","VL","IH","ML",1,"GM",0.1,4/11/2005,,,,,,,
"00409330803","00409-3308-03",,"J7608",,5/25/2005,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (3X30ML) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,5/25/2005,,,,,,,
"00409330803","00409-3308-03","KO","J7608","KO",5/25/2005,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (3X30ML) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,5/25/2005,,,,,,,
"00409335601","00409-3356-01",,"J1170",,9/21/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (10X1ML,USP) 2 MG/ML",1,"ML","AM","IJ","ML",4,"MG",0.5,9/21/2005,,,,,,,
"00409336501","00409-3365-01",,"J1170",,9/21/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (SDV,25X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",4,"MG",0.5,9/21/2005,,,,,,,
"00409338031","00409-3380-31",,"J3490",,9/1/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (LATEX-FREE) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,9/1/2005,,,,,,,
"00409338032","00409-3380-32",,"J3490",,11/3/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (AMP,10X2ML,LATEX-FREE) 50 MCG/ML",2,"ML","AM","IJ","ML",1,"EA",1,11/3/2005,,,,,,,
"00409338035","00409-3380-35",,"J3490",,12/28/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (AMP,LATEX-FREE) 50 MCG/ML",5,"ML","AM","IJ","ML",1,"EA",1,12/28/2005,,,,,,,
"00409338049","00409-3380-49",,"J3490",,11/29/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE NOVAPLUS (AMP,PF,LATEX-FREE) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,11/29/2005,,,,,,,
"00409338050","00409-3380-50",,"J3490",,11/7/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE NOVAPLUS (10X2ML,PF,LATEX-FREE) 50 MCG/ML",2,"ML","AM","IJ","ML",1,"EA",1,11/7/2005,,,,,,,
"00409338051","00409-3380-51",,"J3490",,10/12/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE NOVAPLUS (AMP,10X5ML,PF) 50 MCG/ML",5,"ML","AM","IJ","ML",1,"EA",1,10/12/2005,,,,,,,
"00409338221","00409-3382-21",,"J3490",,7/15/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (10X1ML,LATEX-FREE) 50 MCG/ML",1,"ML","VL","IJ","ML",1,"EA",1,7/15/2005,,,,,,,
"00409338222","00409-3382-22",,"J3490",,7/18/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (10X2ML,LATEX-FREE) 50 MCG/ML",2,"ML","VL","IJ","ML",1,"EA",1,7/18/2005,,,,,,,
"00409338225","00409-3382-25",,"J3490",,10/19/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (USP,10X5ML) 50 MCG/ML",5,"ML","VL","IJ","ML",1,"EA",1,10/19/2005,,,,,,,
"00409340001","00409-3400-01",,"J1580",,3/24/2006,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (25X6ML,ADD-VANTAGE) 10 MG/ML",6,"ML","VL","IV","ML",80,"MG",0.125,3/24/2006,,,,,,,
"00409340101","00409-3401-01",,"J1580",,1/9/2006,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL-ADD-VANTAGE) 10 MG/ML",8,"ML","VL","IJ","ML",80,"MG",0.125,1/9/2006,,,,,,,
"00409340201","00409-3402-01",,"J1580",,6/5/2006,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (SD ADD-VANTGE,USP) 10 MG/ML",10,"ML","VL","IV","ML",80,"MG",0.125,6/5/2006,,,,,,,
"00409341301","00409-3413-01",,"J2765",,4/21/2005,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (AMP,25X2ML) 5 MG/ML",2,"ML","AM","IV","ML",10,"MG",0.5,4/21/2005,,,,,,,
"00409346913","00409-3469-13",,"J3260",,5/30/2005,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","SODIUM CHLORIDE/TOBRAMYCIN SULFATE (PREMIX,LATEX-FREE) 0.9%-60 MG/50 ML",50,"ML","FC","IV","ML",80,"MG",0.02,5/30/2005,,,,,,,
"00409347023","00409-3470-23",,"J3260",,9/26/2005,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","SODIUM CHLORIDE/TOBRAMYCIN SULFATE (PREMIX,24X100ML) 0.9%-80 MG/100 ML",100,"ML","FC","IV","ML",80,"MG",0.01,9/26/2005,,,,,,,
"00409357701","00409-3577-01",,"J3260",,3/31/2005,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (VIAL,FLIPTOP,LATEX-FREE) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,3/31/2005,,,,,,,
"00409357801","00409-3578-01",,"J3260",,11/2/2004,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (VIAL,FLIPTOP) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,11/2/2004,,,,,,,
"00409359002","00409-3590-02",,"J3260",,2/15/2006,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (BULK PACKAGE) 40 MG/ML",50,"ML","VL","IJ","ML",80,"MG",0.5,2/15/2006,,,,,,,
"00409361301","00409-3613-01",,"J3490",,1/7/2005,,"UNCLASSIFIED DRUGS","BUPIVACAINE SPINAL AMPUL (AMP,LATEX-FREE) 0.25%",2,"ML","AM","IJ","ML",1,"EA",1,1/7/2005,,,,,,,
"00409372432","00409-3724-32",,"J1250",,10/7/2005,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DEXTROSE/DOBUTAMINE (LATEX-FREE) 5%-400 MG/100 ML",250,"ML","FC","IV","ML",250,"MG",0.016,10/7/2005,,,,,,,
"00409379301","00409-3793-01",,"J1885",,5/31/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,FLIPTOP VIAL) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,5/31/2005,,,,,,,
"00409379349","00409-3793-49",,"J1885",,4/19/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVAPLUS (U.S.P.,25X1ML) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,4/19/2005,,,,,,,
"00409379501","00409-3795-01",,"J1885",,1/6/2006,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (LATEX-FREE) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,1/6/2006,,,,,,,
"00409379549","00409-3795-49",,"J1885",,9/21/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (FTV,25X1ML,2ML VIAL) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,9/21/2005,,,,,,,
"00409379561","00409-3795-61",,"J1885",,10/31/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE AMERINET (VIAL,FLIPTOP,LATEX-FREE) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,10/31/2005,,,,,,,
"00409379601","00409-3796-01",,"J1885",,12/21/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (VIAL, FLIPTOP) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,12/21/2005,,,,,,,
"00409379649","00409-3796-49",,"J1885",,11/7/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE NOVATION (FTV,25X2ML,LATEX-FREE) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,11/7/2005,,,,,,,
"00409379661","00409-3796-61",,"J1885",,8/5/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE AMERINET (FTV,AMERINET,LATEX-FREE) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,8/5/2005,,,,,,,
"00409381412","00409-3814-12",,"J2275",,7/19/2005,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (5X10ML,PF,LATEX-FREE) 0.5 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.05,7/19/2005,,,,,,,
"00409381512","00409-3815-12",,"J2270",,6/28/2005,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (5X10ML,LATEX-FREE) 1 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.1,6/28/2005,,,,,,,
"00409386302","00409-3863-02",,"J1455",,2/1/2006,,"INJECTION, FOSCARNET SODIUM, PER 1000 MG","FOSCARNET SODIUM (12X250ML,PF) 24 MG/ML",250,"ML","GC","IV","ML",1000,"MG",0.024,2/1/2006,,,,,,,
"00409386305","00409-3863-05",,"J1455",,2/1/2006,,"INJECTION, FOSCARNET SODIUM, PER 1000 MG","FOSCARNET SODIUM (12X500ML,PF) 24 MG/ML",500,"ML","GC","IV","ML",1000,"MG",0.024,2/1/2006,,,,,,,
"00409390703","00409-3907-03",,"J3480",,11/24/2004,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (AMP,LATEX-FREE) 2 MEQ/ML",10,"ML","AM","IV","ML",2,"MEQ",1,11/24/2004,,,,,,,
"00409397703","00409-3977-03",,"A4216",,4/7/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION BACTERIOSTATIC (VIAL,FLIPTOP,LATEX-FREE)",30,"ML","VL","IV","ML",10,"ML",0.1,4/7/2005,,,,,,,
"00409402702","00409-4027-02",,"A4217",,5/26/2006,,"STERILE WATER/SALINE, 500 ML","STERILE WATER (5MLX25,USP)",5,"ML","AM","IJ","ML",500,"ML",0.002,5/26/2006,,,,,,,
"00409402903","00409-4029-03",,"A4216",,3/1/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (AMP,PF,LATEX-FREE)",20,"ML","AM","IV","ML",10,"ML",0.1,3/1/2005,,,,,,,
"00409403101","00409-4031-01",,"J2150",,10/19/2004,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (VIAL, FLIPTOP) 25%",50,"ML","VL","IV","ML",50,"ML",0.02,10/19/2004,,,,,,,
"00409404402","00409-4044-02",,"A4216",,2/9/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (25X10ML,PF,LATEX-FREE)",10,"ML","AM","IV","ML",10,"ML",0.1,2/9/2006,,,,,,,
"00409405001","00409-4050-01",,"J3490",,5/13/2005,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL,FLIPTOP,LATEX-FREE) 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,5/13/2005,,,,,,,
"00409405101","00409-4051-01",,"J3490",,5/31/2005,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL,FLIPTOP,LATEX-FREE) 150 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,5/31/2005,,,,,,,
"00409405201","00409-4052-01",,"J3490",,7/5/2005,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (25X6ML,LATEX-FREE) 150 MG/ML",6,"ML","VL","IJ","ML",1,"EA",1,7/5/2005,,,,,,,
"00409405303","00409-4053-03",,"J3490",,5/11/2005,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (ADD-VANTAGE,25X2ML) 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,5/11/2005,,,,,,,
"00409405403","00409-4054-03",,"J3490",,2/18/2005,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL,ADD-VANTAGE) 150 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,2/18/2005,,,,,,,
"00409405503","00409-4055-03",,"J3490",,2/24/2005,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL,ADD-VANTAGE) 150 MG/ML",6,"ML","VL","IJ","ML",1,"EA",1,2/24/2005,,,,,,,
"00409405601","00409-4056-01",,"J2001",,10/31/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,PF) 1.5%",20,"ML","AM","IJ","ML",10,"MG",1.5,10/31/2005,,,,,,,
"00409405712","00409-4057-12",,"J2275",,12/13/2005,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (PF,LATEX-FREE) 0.5 MG/ML",5,"ML","AM","IJ","ML",10,"MG",0.05,12/13/2005,,,,,,,
"00409405812","00409-4058-12",,"J2270",,10/7/2005,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (AMP,LATEX-FREE) 1 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.1,10/7/2005,,,,,,,
"00409408902","00409-4089-02",,"J7799",,5/18/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (AMP,LATEX-FREE) 10%",5,"ML","AM","IV","ML",1,"EA",1,5/18/2005,,,,,,,
"00409414202","00409-4142-02",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-160 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.04,1/1/2006,,,,,,,
"00409414202","00409-4142-02",,"Q4076",,2/1/2005,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL 5%-160 MG/100 ML",250,"ML","GC","IV","ML",40,"MG",0.04,2/1/2005,,,,,,,
"00409416901","00409-4169-01",,"J2400",,6/20/2005,,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","CHLOROPROCAINE HCL (25X30ML) 2%",30,"ML","VL","IJ","ML",30,"ML",0.03333,6/20/2005,,,,,,,
"00409417001","00409-4170-01",,"J2400",,4/20/2005,,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","CHLOROPROCAINE HCL (VIAL,25X30ML) 3%",30,"ML","VL","IJ","ML",30,"ML",0.03333,4/20/2005,,,,,,,
"00409419701","00409-4197-01",,"J3490",,3/31/2005,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (VIAL,BULK,LATEX-FREE) 150 MG/ML",60,"ML","VL","IJ","ML",1,"EA",1,3/31/2005,,,,,,,
"00409421902","00409-4219-02",,"J7799",,3/30/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE 2.5%",250,"ML","GC","IV","ML",1,"EA",1,3/30/2005,,,,,,,
"00409426501","00409-4265-01",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (25X10ML) 80 MG/ML",10,"ML","VL","IV","ML",40,"MG",2,1/1/2006,,,,,,,
"00409426501","00409-4265-01",,"Q4076",,7/11/2005,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (25X10ML) 80 MG/ML",10,"ML","VL","IV","ML",40,"MG",2,7/11/2005,,,,,,,
"00409427001","00409-4270-01",,"J2001",,2/27/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (STERILE PACK,SDV) 1%",30,"ML","VL","EP","ML",10,"MG",1,2/27/2006,,,,,,,
"00409427201","00409-4272-01",,"J3490",,4/6/2006,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP,STERILE,USP,5X20ML) 0.25%",20,"ML","AM","IJ","ML",1,"EA",1,4/6/2006,,,,,,,
"00409427301","00409-4273-01",,"J3490",,6/28/2006,,"UNCLASSIFIED DRUGS","BUPIVACAINE HYDROCHLORIDE (SINGLE-DOSE,5X20ML,PF) 0.5%",20,"ML","AM","IJ","ML",1,"EA",1,6/28/2006,,,,,,,
"00409427401","00409-4274-01",,"J3490",,3/31/2006,,"UNCLASSIFIED DRUGS","BUPIVACAINE HCL (AMP,STERILE,USP,5X20ML) 0.75%",20,"ML","AM","IJ","ML",1,"EA",1,3/31/2006,,,,,,,
"00409427501","00409-4275-01",,"J2001",,12/30/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (VIAL, FLIPTOP) 0.5%",50,"ML","VL","IJ","ML",10,"MG",0.5,12/30/2005,,,,,,,
"00409427601","00409-4276-01",,"J2001",,8/12/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (FTV,25X20ML) 1%",20,"ML","VL","EP","ML",10,"MG",1,8/12/2005,,,,,,,
"00409427602","00409-4276-02",,"J2001",,7/7/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (25X50ML) 1%",50,"ML","VL","EP","ML",10,"MG",1,7/7/2005,,,,,,,
"00409427701","00409-4277-01",,"J2001",,6/13/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (25X20ML,LATEX-FREE) 2%",20,"ML","VL","IJ","ML",10,"MG",2,6/13/2005,,,,,,,
"00409427702","00409-4277-02",,"J2001",,8/12/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (FTV,25X50ML,LATEX-FREE) 2%",50,"ML","VL","IJ","ML",10,"MG",2,8/12/2005,,,,,,,
"00409427801","00409-4278-01",,"J2001",,6/29/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (25X50ML) 0.5%",50,"ML","VL","IJ","ML",10,"MG",0.5,6/29/2005,,,,,,,
"00409427902","00409-4279-02",,"J2001",,8/31/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (TEARDROP BOTTLE) 1%",30,"ML","VL","EP","ML",10,"MG",1,8/31/2005,,,,,,,
"00409428201","00409-4282-01",,"J2001",,9/9/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,25X2ML,LATEX-FREE) 2%",2,"ML","AM","IJ","ML",10,"MG",2,9/9/2005,,,,,,,
"00409428202","00409-4282-02",,"J2001",,2/8/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HYDROCHLORIDE (USP,25X10ML,SDA,PF) 2%",10,"ML","AM","IJ","ML",10,"MG",2,2/8/2006,,,,,,,
"00409428301","00409-4283-01",,"J2001",,5/16/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (AMP,LATEX-FREE) 4%",5,"ML","AM","IJ","ML",10,"MG",4,5/16/2005,,,,,,,
"00409433201","00409-4332-01",,"J3370",,4/25/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (VIAL,FLIPTOP) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,4/25/2005,,,,,,,
"00409433249","00409-4332-49",,"J3370",,8/4/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL NOVATION (FTV,LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,8/4/2005,,,,,,,
"00409434673","00409-4346-73",,"J3490",,4/13/2005,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (VIAL,FLIPTOP) 250 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,4/13/2005,,,,,,,
"00409434835","00409-4348-35",,"J0282",,9/27/2006,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HYDROCHLORIDE (3MLX10,SINGLE-DOSE) 50 MG/ML",3,"ML","AM","IV","ML",30,"MG",1.66666,9/27/2006,,,,,,,
"00409468402","00409-4684-02",,"J1450",,3/6/2007,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (6X200ML,LATEX-FREE) 400 MG/200 ML",200,"ML","FC","IV","ML",200,"MG",0.01,3/6/2007,,,,,,,
"00409468423","00409-4684-23",,"J1450",,4/14/2006,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (6X100ML) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,4/14/2006,,,,,,,
"00409468802","00409-4688-02",,"J1450",,7/27/2006,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (6X200ML) 400 MG/200 ML",200,"ML","FC","IV","ML",200,"MG",0.01,7/27/2006,,,,,,,
"00409468823","00409-4688-23",,"J1450",,6/16/2006,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (6X100ML,LATEX FREE) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,6/16/2006,,,,,,,
"00409468827","00409-4688-27",,"J1450",,5/27/2006,,"INJECTION FLUCONAZOLE, 200 MG","AMERINET CHOICE FLUCONAZOLE (100MLX6,LATEX-FREE) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,5/27/2006,,,,,,,
"00409468828","00409-4688-28",,"J1450",,6/1/2005,,"INJECTION FLUCONAZOLE, 200 MG","NOVAPLUS FLUCONAZOLE (6X100ML, LATEX-FREE) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,6/1/2005,,,,,,,
"00409468833","00409-4688-33",,"J1450",,10/25/2006,,"INJECTION FLUCONAZOLE, 200 MG","AMERINET CHOICE FLUCONAZOLE (6X200ML,LATEX-FREE) 200 MG/100 ML",200,"ML","FC","IV","ML",200,"MG",0.01,10/25/2006,,,,,,,
"00409468834","00409-4688-34",,"J1450",,3/2/2006,,"INJECTION FLUCONAZOLE, 200 MG","NOVAPLUS FLUCONAZOLE (6X200ML,LATEX-FREE) 200 MG/100 ML",200,"ML","FC","IV","ML",200,"MG",0.01,3/2/2006,,,,,,,
"00409469924","00409-4699-24",,"J3490",,3/22/2006,,"UNCLASSIFIED DRUGS","PROPOFOL (FLIPTOP VIAL) 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,3/22/2006,,,,,,,
"00409469930","00409-4699-30",,"J3490",,3/22/2006,,"UNCLASSIFIED DRUGS","PROPOFOL (FLIPTOP VIAL) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,3/22/2006,,,,,,,
"00409469933","00409-4699-33",,"J3490",,3/22/2006,,"UNCLASSIFIED DRUGS","PROPOFOL (FLIPTOP VIAL) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,3/22/2006,,,,,,,
"00409469940","00409-4699-40",,"J3490",,1/31/2008,2/1/2008,"UNCLASSIFIED DRUGS","PROPOFOL (5X20ML,SDV) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/31/2008,,,,,,,
"00409469961","00409-4699-61",,"J3490",,12/1/2007,,"UNCLASSIFIED DRUGS","AMERINET CHOICE PROPOFOL (5X20ML,SDV,PF) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,12/1/2007,,,,,,,
"00409471302","00409-4713-02",,"J2001",,11/21/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (25X5ML,LATEX-FREE) 1%",5,"ML","AM","EP","ML",10,"MG",1,11/21/2005,,,,,,,
"00409471332","00409-4713-32",,"J2001",,9/6/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (LATEX-FREE) 1%",2,"ML","AM","EP","ML",10,"MG",1,9/6/2005,,,,,,,
"00409475501","00409-4755-01",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (5X2ML,SDV,USP) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"00409475502","00409-4755-02",,"J2405",,8/24/2007,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (SINGLEDOSE,USP,10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,8/24/2007,,,,,,,
"00409475561","00409-4755-61",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","AMERINET CHOICE ONDANSETRON (5X2ML,SDV,USP) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"00409475562","00409-4755-62",,"J2405",,10/1/2007,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","AMERINET CHOICE ONDANSETRON (10X2ML,SDV,USP) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,10/1/2007,,,,,,,
"00409475901","00409-4759-01",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (MDV,USP) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"00409476013","00409-4760-13",,"J2405",,2/1/2007,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (PF,LATEX-FREE) 32 MG/50 ML",50,"ML","FC","IV","ML",1,"MG",0.64,2/1/2007,,,,,,,
"00409476586","00409-4765-86",,"J0744",,8/29/2006,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (SINGLE-DOSE,USP) 10 MG/ML",20,"ML","VL","IV","ML",200,"MG",0.05,8/29/2006,,,,,,,
"00409477601","00409-4776-01",,"J2001",,2/6/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HYDROCHLORIDE (25X20ML,PF) 1.5%",20,"ML","AM","IJ","ML",10,"MG",1.5,2/6/2006,,,,,,,
"00409477702","00409-4777-02",,"J0744",,3/19/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (24X200ML,SINGLEDOSE,USP) 400 MG/200 ML",200,"ML","FC","IV","ML",200,"MG",0.01,3/19/2008,,,,,,,
"00409477723","00409-4777-23",,"J0744",,3/19/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (24X100ML,SINGLEDOSE,USP) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,3/19/2008,,,,,,,
"00409477761","00409-4777-61",,"J0744",,5/19/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","AMERINET CHOICE CIPROFLOXACIN (24X100ML,SINGLEDOSE,USP) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,5/19/2008,,,,,,,
"00409477762","00409-4777-62",,"J0744",,5/19/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","AMERINET CHOICE CIPROFLOXACIN (24X200ML,SINGLEDOSE,USP) 400 MG/200 ML",200,"ML","FC","IV","ML",200,"MG",0.01,5/19/2008,,,,,,,
"00409477886","00409-4778-86",,"J0744",,8/29/2006,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (SINGLE-DOSE,USP) 10 MG/ML",40,"ML","VL","IV","ML",200,"MG",0.05,8/29/2006,,,,,,,
"00409485605","00409-4856-05",,"J1720",,6/27/2006,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","A-HYDROCORT (SINGLE-DOSE) 100 MG",10,"EA","VL","IJ","EA",100,"MG",1,6/27/2006,,,,,,,
"00409485702","00409-4857-02",,"Q2009",,8/5/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (USP2MLX25) 75 MG/ML",2,"ML","VL","IJ","ML",50,"MG",1.5,8/5/2007,,,,,,,
"00409485710","00409-4857-10",,"Q2009",,8/5/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (USP,10MLX10) 75 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1.5,8/5/2007,,,,,,,
"00409486202","00409-4862-02",,"J7799",,3/9/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 10%-0.225%",250,"ML","GC","IV","ML",1,"EA",1,3/9/2005,,,,,,,
"00409486203","00409-4862-03",,"J7799",,4/4/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE 10%-0.225%",500,"ML","GC","IV","ML",1,"EA",1,4/4/2005,,,,,,,
"00409488710","00409-4887-10",,"A4216",,8/18/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (FTV,25X10ML,PF)",10,"ML","VL","IV","ML",10,"ML",0.1,8/18/2005,,,,,,,
"00409488720","00409-4887-20",,"A4216",,6/16/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (25X20ML,STERILE,PF)",20,"ML","VL","IV","ML",10,"ML",0.1,6/16/2005,,,,,,,
"00409488750","00409-4887-50",,"A4216",,8/5/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (FTV,25X50ML,PF)",50,"ML","VL","IV","ML",10,"ML",0.1,8/5/2005,,,,,,,
"00409488799","00409-4887-99",,"A4216",,8/3/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (FTV,25X100ML,PF)",100,"ML","VL","IV","ML",10,"ML",0.1,8/3/2005,,,,,,,
"00409488810","00409-4888-10",,"A4216",,4/22/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL,FLIPTOP,ADDITIVE) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,4/22/2005,,,,,,,
"00409488812","00409-4888-12",,"A4216",,7/15/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (25X10ML,PF,LATEX-FREE) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,7/15/2005,,,,,,,
"00409488820","00409-4888-20",,"A4216",,2/23/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 0.9%",20,"ML","VL","IV","ML",10,"ML",0.1,2/23/2005,,,,,,,
"00409488850","00409-4888-50",,"A4216",,2/14/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL,FLIPTOP,ADDITIVE) 0.9%",50,"ML","VL","IV","ML",10,"ML",0.1,2/14/2005,,,,,,,
"00409490118","00409-4901-18",,"J0170",,9/23/2005,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (18GX3-1/2,10X10ML) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,9/23/2005,,,,,,,
"00409490234","00409-4902-34",,"J7799",,12/8/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LIFESHEILD, 18G1-1/2) 50%",1,"ML","SR","IV","ML",1,"EA",1,12/8/2005,,,,,,,
"00409490334","00409-4903-34",,"J2001",,12/1/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (21GX1-1/2"",LATEX-FREE) 2%",5,"ML","SR","IJ","ML",10,"MG",2,12/1/2005,,,,,,,
"00409490434","00409-4904-34",,"J2001",,8/23/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (10X5ML,LATEX-FREE) 1%",5,"ML","SR","EP","ML",10,"MG",1,8/23/2005,,,,,,,
"00409491034","00409-4910-34",,"J0460",,8/18/2005,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (LIFESHIELD,LATEX-FREE) 0.1 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.33333,8/18/2005,12/31/2009,,,,,,
"00409491134","00409-4911-34",,"J0460",,11/14/2005,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (LIFESHIELD,21GX1-1/2) 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,11/14/2005,12/31/2009,,,,,,
"00409492134","00409-4921-34",,"J0170",,12/23/2005,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (LIFE,21GX1-1/2) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,12/23/2005,,,,,,,
"00409508216","00409-5082-16",,"J0713",,10/24/2005,,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (LATEX-FREE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,10/24/2005,,,,,,,
"00409508252","00409-5082-52",,"J0713",,10/4/2005,,"INJECTION, CEFTAZIDIME, PER 500 MG","NOVAPLUS TAZICEF 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,10/4/2005,,,,,,,
"00409508411","00409-5084-11",,"J0713",,12/5/2005,,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,12/5/2005,,,,,,,
"00409508451","00409-5084-51",,"J0713",,10/4/2005,,"INJECTION, CEFTAZIDIME, PER 500 MG","NOVAPLUS TAZICEF 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,10/4/2005,,,,,,,
"00409508611","00409-5086-11",,"J0713",,4/19/2006,,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (BULK PHARMACY) 6 GM",1,"EA","VL","IV","EA",500,"MG",12,4/19/2006,,,,,,,
"00409508651","00409-5086-51",,"J0713",,10/4/2005,,"INJECTION, CEFTAZIDIME, PER 500 MG","NOVAPLUS TAZICEF (BULK PACKAGE) 6 GM",1,"EA","VL","IJ","EA",500,"MG",12,10/4/2005,,,,,,,
"00409509216","00409-5092-16",,"J0713",,5/2/2006,,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (SINGLE-DOSE ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,5/2/2006,,,,,,,
"00409509252","00409-5092-52",,"J0713",,6/27/2006,,"INJECTION, CEFTAZIDIME, PER 500 MG","NOVAPLUS TAZICEF 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,6/27/2006,,,,,,,
"00409509311","00409-5093-11",,"J0713",,4/3/2006,,"INJECTION, CEFTAZIDIME, PER 500 MG","TAZICEF (ADD-VANTAGE,USP) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,4/3/2006,,,,,,,
"00409509351","00409-5093-51",,"J0713",,10/1/2006,,"INJECTION, CEFTAZIDIME, PER 500 MG","NOVAPLUS TAZICEF (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,10/1/2006,,,,,,,
"00409568401","00409-5684-01",,"J2920",,11/1/2005,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","A-METHAPRED (UNIVIAL,LATEX-FREE) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,11/1/2005,,,,,,,
"00409568502","00409-5685-02",,"J2930",,11/1/2005,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","A-METHAPRED (UNIVIAL,LATEX-FREE) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,11/1/2005,,,,,,,
"00409582001","00409-5820-01",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (FLIPTOP) 40 MG/ML",5,"ML","VL","IV","ML",40,"MG",1,1/1/2006,,,,,,,
"00409582001","00409-5820-01",,"Q4076",,8/23/2005,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (FLIPTOP) 40 MG/ML",5,"ML","VL","IV","ML",40,"MG",1,8/23/2005,,,,,,,
"00409592101","00409-5921-01",,"J0280",,4/25/2005,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (VIAL,FLIPTOP,25X10ML) 25 MG/ML",10,"ML","VL","IV","ML",250,"MG",0.1,4/25/2005,,,,,,,
"00409592201","00409-5922-01",,"J0280",,12/24/2004,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (VIAL, FLIPTOP,ABBOJECT) 25 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.1,12/24/2004,,,,,,,
"00409602804","00409-6028-04",,"J2271",,3/23/2007,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (SDV,30MLX10) 5 MG/ML",30,"ML","VL","IV","ML",100,"MG",0.05,3/23/2007,,,,,,,
"00409603004","00409-6030-04",,"J2175",,1/2/2007,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HYDROCHLORIDE (SDV,USP,10X30ML) 10 MG/ML",30,"ML","VL","IV","ML",100,"MG",0.1,1/2/2007,,,,,,,
"00409606202","00409-6062-02",,"J2270",,1/10/2006,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE IN 5% DEXTROSE (PREMIX) 5%-100 MG/100 ML",250,"ML","GC","IV","ML",10,"MG",0.1,1/10/2006,,,,,,,
"00409606211","00409-6062-11",,"J2270",,7/22/2005,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (PREMIX) 5%-100 MG/100 ML",100,"ML","GC","IV","ML",10,"MG",0.1,7/22/2005,,,,,,,
"00409610202","00409-6102-02",,"J1940",,2/18/2005,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL,FLIPTOP,ABBOJECT) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,2/18/2005,,,,,,,
"00409610204","00409-6102-04",,"J1940",,2/21/2005,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL,FLIPTOP,ABBOJECT) 10 MG/ML",4,"ML","VL","IJ","ML",20,"MG",0.5,2/21/2005,,,,,,,
"00409610210","00409-6102-10",,"J1940",,3/24/2005,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL,FLIPTOP,ABBOJECT) 10 MG/ML",10,"ML","VL","IJ","ML",20,"MG",0.5,3/24/2005,,,,,,,
"00409613803","00409-6138-03",,"A4217",,6/1/2005,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (USP,AQUALITE,PF) 0.9%",500,"ML","PC","IR","ML",500,"ML",0.002,6/1/2005,,,,,,,
"00409613822","00409-6138-22",,"A4217",,9/1/2005,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (AQUALITE, 24X250ML,PF) 0.9%",250,"ML","PC","IR","ML",500,"ML",0.002,9/1/2005,,,,,,,
"00409613903","00409-6139-03",,"A4217",,5/9/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (AQUALITE, U.S.P.)",500,"ML","PC","IR","ML",500,"ML",0.002,5/9/2005,,,,,,,
"00409613922","00409-6139-22",,"A4217",,5/4/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (AQUALITE, U.S.P.)",250,"ML","PC","IR","ML",500,"ML",0.002,5/4/2005,,,,,,,
"00409617714","00409-6177-14",,"J2270",,7/14/2005,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (ADD-VANTAGE, 10X4ML) 25 MG/ML",4,"ML","VL","IJ","ML",10,"MG",2.5,7/14/2005,,,,,,,
"00409617914","00409-6179-14",,"J2270",,9/1/2005,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (ADD-VANTAGE,LATEX-FREE) 25 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2.5,9/1/2005,,,,,,,
"00409647644","00409-6476-44",,"J1364",,3/10/2006,,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG","ERYTHROCIN LACTOBIONATE (ADD-VANTAGE VIAL,PF) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,3/10/2006,,,,,,,
"00409647844","00409-6478-44",,"J1364",,1/10/2007,,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG","ERYTHROCIN LACTOBIONATE (ADD-VANTAGE VIAL) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/10/2007,,,,,,,
"00409648201","00409-6482-01",,"J1364",,5/23/2005,,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG","ERYTHROCIN LACTOBIONATE (LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,5/23/2005,,,,,,,
"00409650901","00409-6509-01",,"J3370",,6/6/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (BULK,LATEX-FREE) 5 GM",1,"EA","VL","IV","GM",500,"MG",2,6/6/2005,,,,,,,
"00409650949","00409-6509-49",,"J3370",,6/3/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL NOVAPLUS (BULK) 5 GM",1,"EA","VL","IV","GM",500,"MG",2,6/3/2005,,,,,,,
"00409653301","00409-6533-01",,"J3370",,3/15/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (VIAL,FLIPTOP,LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,3/15/2005,,,,,,,
"00409653349","00409-6533-49",,"J3370",,4/6/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL NOVATION (VIAL,FLIPTOP,LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,4/6/2005,,,,,,,
"00409653361","00409-6533-61",,"J3370",,10/1/2007,,"INJECTION, VANCOMYCIN HCL, 500 MG","AMERINET CHOICE VANCOMYCIN HYDROCHLORIDE (SDV,FLIPTOP,USP) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,10/1/2007,,,,,,,
"00409653401","00409-6534-01",,"J3370",,6/8/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (ADD-VANTAGE,LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,6/8/2005,,,,,,,
"00409653449","00409-6534-49",,"J3370",,6/10/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL NOVATION (ADD-VANTAGE,10X10) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,6/10/2005,,,,,,,
"00409653501","00409-6535-01",,"J3370",,3/29/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HYDROCHLORIDE (ADD-VANTAGE,LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,3/29/2005,,,,,,,
"00409653549","00409-6535-49",,"J3370",,4/6/2005,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HYDROCHLORIDE NOVATION (ADD-VANTAGE,LATEX-FREE) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,4/6/2005,,,,,,,
"00409662902","00409-6629-02",,"J0330",,4/25/2005,,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","QUELICIN (VIAL,FLIPTOP) 20 MG/ML",10,"ML","VL","IV","ML",20,"MG",1,4/25/2005,,,,,,,
"00409662961","00409-6629-61",,"J0330",,4/20/2006,,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","AMERINET CHOICE SUCCINYLCHOLINE CHLORIDE (USP,25X10ML,MD FLIPTOP) 20 MG/ML",10,"ML","VL","IJ","ML",20,"MG",1,4/20/2006,,,,,,,
"00409663501","00409-6635-01",,"J3480",,9/21/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (FTV,25X5ML,10ML VIAL) 2 MEQ/ML",5,"ML","VL","IV","ML",2,"MEQ",1,9/21/2005,,,,,,,
"00409663601","00409-6636-01",,"J3480",,8/9/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (FTV,30ML,LATEX-FREE) 2 MEQ/ML",15,"ML","VL","IV","ML",2,"MEQ",1,8/9/2005,,,,,,,
"00409664802","00409-6648-02",,"J7799",,3/29/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (VIAL,FLIPTOP,ADDITIVE) 50%",50,"ML","VL","IV","ML",1,"EA",1,3/29/2005,,,,,,,
"00409665106","00409-6651-06",,"J3480",,11/10/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL,FLIPTOP,20ML) 2 MEQ/ML",10,"ML","VL","IV","ML",2,"MEQ",1,11/10/2005,,,,,,,
"00409665305","00409-6653-05",,"J3480",,8/9/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (FTV,30ML,LATEX-FREE) 2 MEQ/ML",20,"ML","VL","IV","ML",2,"MEQ",1,8/9/2005,,,,,,,
"00409665773","00409-6657-73",,"J7799",,10/14/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (FTV,50MEQ,25X20ML) 14.6%",20,"ML","VL","IV","ML",1,"EA",1,10/14/2005,,,,,,,
"00409666075","00409-6660-75",,"J7799",,7/26/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (25X40ML,LATEX-FREE) 14.6%",40,"ML","VL","IV","ML",1,"EA",1,7/26/2005,,,,,,,
"00409672723","00409-6727-23",,"J3475",,9/20/2005,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","DEXTROSE/MAGNESIUM SULFATE (PLASTIC CONTAINER) 5%-1 GM/100 ML",100,"ML","FC","IV","ML",500,"MG",0.02,9/20/2005,,,,,,,
"00409672803","00409-6728-03",,"J3475",,12/1/2006,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE IN DEXTROSE (SINGLE DOSE,LATEX-FREE) 5%-2 GM/100 ML",500,"ML","FC","IV","ML",500,"MG",0.04,12/1/2006,,,,,,,
"00409672903","00409-6729-03",,"J3475",,8/16/2005,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (24X500ML,LATEX-FREE) 40 MG/ML",500,"ML","PC","IV","ML",500,"MG",0.08,8/16/2005,,,,,,,
"00409672909","00409-6729-09",,"J3475",,9/22/2005,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (PLASTIC CONTAINER) 40 MG/ML",1000,"ML","PC","IV","ML",500,"MG",0.08,9/22/2005,,,,,,,
"00409672923","00409-6729-23",,"J3475",,10/6/2005,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (24X100ML,LATEX-FREE) 40 MG/ML",100,"ML","PC","IV","ML",500,"MG",0.08,10/6/2005,,,,,,,
"00409672924","00409-6729-24",,"J3475",,12/1/2006,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (SINGLE DOSE,LATEX-FREE) 40 MG/ML",50,"ML","FC","IV","ML",500,"MG",0.08,12/1/2006,,,,,,,
"00409673013","00409-6730-13",,"J3475",,4/3/2006,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (LATEX-FREE) 80 MG/ML",50,"ML","FC","IV","ML",500,"MG",0.16,4/3/2006,,,,,,,
"00409677802","00409-6778-02",,"J2060",,1/27/2006,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (10X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,1/27/2006,,,,,,,
"00409677862","00409-6778-62",,"J2060",,6/28/2005,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (10X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,6/28/2005,,,,,,,
"00409677902","00409-6779-02",,"J2060",,1/5/2006,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL, FLIPTOP) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,1/5/2006,,,,,,,
"00409678002","00409-6780-02",,"J2060",,12/29/2005,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (VIAL,FLIPTOP) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,12/29/2005,,,,,,,
"00409678102","00409-6781-02",,"J2060",,1/23/2006,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P., 10X10ML) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,1/23/2006,,,,,,,
"00409694003","00409-6940-03",,"J3520",,10/17/2007,,"EDETATE DISODIUM, PER 150 MG","ENDRATE (25X20ML) 150 MG/ML",20,"ML","AM","IV","ML",150,"MG",1,10/17/2007,,,,,,,
"00409697010","00409-6970-10",,"J0330",,9/30/2005,,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","QUELICIN (FTV,25X10ML,20ML VIAL) 100 MG/ML",10,"ML","VL","IV","ML",20,"MG",5,9/30/2005,,,,,,,
"00409707426","00409-7074-26",,"J3480",,4/25/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (P.C.,LATEX-FREE) 10 MEQ/100 ML",100,"ML","PC","IV","ML",2,"MEQ",0.05,4/25/2005,,,,,,,
"00409707514","00409-7075-14",,"J3480",,6/8/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (24X50ML,LATEX-FREE) 10 MEQ/50 ML",50,"ML","PC","IV","ML",2,"MEQ",0.1,6/8/2005,,,,,,,
"00409707526","00409-7075-26",,"J3480",,4/11/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (PC,24X100ML,LATEX-FREE) 20 MEQ/100 ML",100,"ML","FC","IV","ML",2,"MEQ",0.1,4/11/2005,,,,,,,
"00409707626","00409-7076-26",,"J3480",,2/8/2006,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (USP,100MLX24) 30 MEQ/100 ML",100,"ML","FC","IV","ML",2,"MEQ",0.15,2/8/2006,,,,,,,
"00409707714","00409-7077-14",,"J3480",,6/28/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (24X50ML,LATEX-FREE) 20 MEQ/50 ML",50,"ML","FC","IV","ML",2,"MEQ",0.2,6/28/2005,,,,,,,
"00409707726","00409-7077-26",,"J3480",,5/4/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (HIGHLY CONC.,24X100ML) 40 MEQ/100 ML",100,"ML","FC","IV","ML",2,"MEQ",0.2,5/4/2005,,,,,,,
"00409710002","00409-7100-02",,"J7060",,7/22/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (ADD-VANTAGE,24X250ML) 5%",250,"ML","FC","IV","ML",500,"ML",0.002,7/22/2005,,,,,,,
"00409710066","00409-7100-66",,"J7060",,8/17/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (ADD-VANTAGE,LATEX-FREE) 5%",50,"ML","FC","IV","ML",500,"ML",0.002,8/17/2005,,,,,,,
"00409710067","00409-7100-67",,"J7060",,9/14/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (ADD-VANTAGE,50X100ML) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,9/14/2005,,,,,,,
"00409710102","00409-7101-02",,"J7050",,7/8/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (ADD-VANTAGE,24X250ML,PF) 0.9%",250,"ML","FC","IV","ML",250,"ML",0.004,7/8/2005,,,,,,,
"00409710166","00409-7101-66",,"A4216",,7/28/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (ADD-VANT,LIFECARE) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,7/28/2005,,,,,,,
"00409710167","00409-7101-67",,"J7050",,8/24/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (50X100ML, ADD-VANTAGE) 0.9%",100,"ML","PC","IV","ML",250,"ML",0.004,8/24/2005,,,,,,,
"00409711109","00409-7111-09",,"J7120",,8/5/2005,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEX/LACT. RINGERS/POTASSIUM CHL (12X1000ML,LATEX-FREE)",1000,"ML","FC","IV","ML",1000,"ML",0.0005,8/5/2005,,,,,,,
"00409711309","00409-7113-09",,"J7120",,2/21/2005,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE/LACTATED RINGERS/POTASSIUM CHLORIDE (5% DEXTROSE,LATEX-FREE)",1000,"ML","FC","IV","ML",1000,"ML",0.0005,2/21/2005,,,,,,,
"00409711509","00409-7115-09",,"J3480",,4/6/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE/SODIUM CHLORIDE (12X1000ML,LATEX-FREE) 2 MEQ/100 ML-0.9%",1000,"ML","FC","IV","ML",2,"MEQ",0.01,4/6/2005,,,,,,,
"00409711609","00409-7116-09",,"J3480",,6/22/2005,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE/SODIUM CHLORIDE (12X1000ML,LATEX-FREE) 4 MEQ/100 ML-0.9%",1000,"ML","FC","IV","ML",2,"MEQ",0.02,6/22/2005,,,,,,,
"00409711807","00409-7118-07",,"A4217",,8/16/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (BULK PACKAGE,PF)",2000,"ML","FC","IR","ML",500,"ML",0.002,8/16/2005,,,,,,,
"00409711907","00409-7119-07",,"J7799",,5/27/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (2000MLX6) 50%",2000,"ML","FC","IV","ML",1,"EA",1,5/27/2006,,,,,,,
"00409712007","00409-7120-07",,"J7799",,7/6/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (6X2000ML,LATEX-FREE) 70%",2000,"ML","FC","IV","ML",1,"EA",1,7/6/2005,,,,,,,
"00409713202","00409-7132-02",,"J7799",,5/26/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (USP,ADD-VANTAGE) 0.45%",250,"ML","FC","IV","ML",1,"EA",1,5/26/2006,,,,,,,
"00409713266","00409-7132-66",,"J7799",,9/12/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%",50,"ML","FC","IV","ML",1,"EA",1,9/12/2005,,,,,,,
"00409713267","00409-7132-67",,"J7799",,11/14/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%",100,"ML","PC","IV","ML",1,"EA",1,11/14/2005,,,,,,,
"00409713809","00409-7138-09",,"A4217",,5/11/2005,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (AQUALITE,12X1000ML,PF) 0.9%",1000,"ML","FC","IR","ML",500,"ML",0.002,5/11/2005,,,,,,,
"00409713836","00409-7138-36",,"A4217",,6/9/2005,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (AQUALITE,9X1500ML,PF) 0.9%",1500,"ML","PC","IR","ML",500,"ML",0.002,6/9/2005,,,,,,,
"00409713909","00409-7139-09",,"A4217",,3/2/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (AQUALITE W/HANGER,PF)",1000,"ML","PC","IR","ML",500,"ML",0.002,3/2/2005,,,,,,,
"00409713936","00409-7139-36",,"A4217",,5/4/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (AQUALITE)",1500,"ML","PC","IR","ML",500,"ML",0.002,5/4/2005,,,,,,,
"00409724101","00409-7241-01",,"J0170",,9/13/2005,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,9/13/2005,,,,,,,
"00409733201","00409-7332-01",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,FLIPTOP VIAL) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/20/2005,,,,,,,
"00409733304","00409-7333-04",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,ADD-VANTAGE VIAL) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/20/2005,,,,,,,
"00409733349","00409-7333-49",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE NOVAPLUS (USP,ADD-VANTAGE VIAL) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/20/2005,,,,,,,
"00409733410","00409-7334-10",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,BULK PACK) 10 GM",1,"EA","VL","IJ","EA",250,"MG",40,7/20/2005,,,,,,,
"00409733503","00409-7335-03",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,FLIPTOP VIAL) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,7/20/2005,,,,,,,
"00409733604","00409-7336-04",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,ADD-VANTAGE VIAL) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,7/20/2005,,,,,,,
"00409733649","00409-7336-49",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE NOVAPLUS (USP,ADD-VANTAGE VIAL) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,7/20/2005,,,,,,,
"00409733701","00409-7337-01",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,7/20/2005,,,,,,,
"00409733801","00409-7338-01",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,7/20/2005,,,,,,,
"00409738501","00409-7385-01",,"J0280",,12/29/2005,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (AMP,LATEX-FREE) 25 MG/ML",10,"ML","AM","IV","ML",250,"MG",0.1,12/29/2005,,,,,,,
"00409738601","00409-7386-01",,"J0280",,11/29/2005,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (AMP,LATEX-FREE) 25 MG/ML",20,"ML","AM","IV","ML",250,"MG",0.1,11/29/2005,,,,,,,
"00409741803","00409-7418-03",,"J7100",,2/14/2006,,"INFUSION, DEXTRAN 40, 500 ML","LMD IN DEXTROSE (12X500ML,LATEX-FREE) 10%-5%",500,"ML","FC","IV","ML",500,"ML",0.002,2/14/2006,,,,,,,
"00409741903","00409-7419-03",,"J7100",,8/9/2005,,"INFUSION, DEXTRAN 40, 500 ML","LMD W/0.9% SODIUM CHLORIDE (LATEX-FREE) 10%-0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,8/9/2005,,,,,,,
"00409744401","00409-7444-01",,"J3490",,4/3/2006,,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (LATEX-FREE) 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,4/3/2006,,,,,,,
"00409744501","00409-7445-01",,"J3490",,11/10/2005,,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (VIAL,FLIPTOP,LATEX-FREE) 150 MG/ML",8,"ML","VL","IJ","ML",1,"EA",1,11/10/2005,,,,,,,
"00409744716","00409-7447-16",,"J3490",,1/9/2006,,"UNCLASSIFIED DRUGS","CIMETIDINE HCL 300 MG/50 ML",50,"ML","FC","IV","ML",1,"EA",1,1/9/2006,,,,,,,
"00409751716","00409-7517-16",,"J7799",,12/7/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (ANSYR II,LATEX-FREE) 50%",50,"ML","SR","IV","ML",1,"EA",1,12/7/2005,,,,,,,
"00409755101","00409-7551-01",,"J0670",,5/5/2008,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","MEPIVACAINE HYDROCHLORIDE (50X1.8ML,DENTALCARPULE) 3%",1.8,"ML","CT","IJ","ML",10,"ML",0.1,5/5/2008,,,,,,,
"00409762003","00409-7620-03",,"J1644",,4/5/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (18X500ML,LATEX-FREE) 200 U/100 ML-0.9%",500,"ML","FC","IV","ML",1000,"U",0.002,4/5/2005,,,,,,,
"00409762059","00409-7620-59",,"J1644",,4/13/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (LATEX-FREE) 200 U/100 ML-0.9%",1000,"ML","FC","IV","ML",1000,"U",0.002,4/13/2005,,,,,,,
"00409765062","00409-7650-62",,"J1644",,7/6/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (24X250ML,LATEX-FREE) 10000 U/100 ML-0.45%",250,"ML","FC","IV","ML",1000,"U",0.1,7/6/2005,,,,,,,
"00409765103","00409-7651-03",,"J1644",,6/28/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (24X500ML,LATEX-FREE) 5000 U/100 ML-0.45%",500,"ML","FC","IV","ML",1000,"U",0.05,6/28/2005,,,,,,,
"00409765162","00409-7651-62",,"J1644",,7/28/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM/SODIUM CHLORIDE (24X250ML,LATEX-FREE) 5000 U/100 ML-0.45%",250,"ML","FC","IV","ML",1000,"U",0.05,7/28/2005,,,,,,,
"00409766503","00409-7665-03",,"J2810",,12/29/2005,,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-80 MG/100 ML",500,"ML","GC","IV","ML",40,"MG",0.02,12/29/2005,,,,,,,
"00409766509","00409-7665-09",,"J2810",,4/25/2005,,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (LATEX-FREE) 5%-80 MG/100 ML",1000,"ML","PC","IV","ML",40,"MG",0.02,4/25/2005,,,,,,,
"00409766603","00409-7666-03",,"J2810",,5/27/2006,6/12/2009,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE IN DEXTROSE (SINGLE DOSE,USP) 5%-160 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.04,5/27/2006,6/12/2009,,,,,,
"00409766662","00409-7666-62",,"J2810",,1/27/2006,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE IN DEXTROSE (24X250ML,LATEX-FREE) 5%-160 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.04,1/27/2006,,,,,,,
"00409766823","00409-7668-23",,"J2810",,2/6/2007,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE IN DEXTROSE (24X100ML,SINGLE-DOSE) 5%-200 MG/100 ML",100,"ML","FC","IV","ML",40,"MG",0.05,2/6/2007,,,,,,,
"00409767713","00409-7677-13",,"J2810",,8/10/2006,,"INJECTION, THEOPHYLLINE, PER 40 MG","DEXTROSE/THEOPHYLLINE (50MLX24,DEHP,LATEX-FREE) 5%-200 MG/50 ML",50,"ML","FC","IV","ML",40,"MG",0.1,8/10/2006,,,,,,,
"00409770562","00409-7705-62",,"J2810",,5/27/2006,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE IN DEXTROSE (USP,250MLX24) 5%-320 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.08,5/27/2006,,,,,,,
"00409771209","00409-7712-09",,"J7799",,8/19/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (LATEX-FREE) 5%",1000,"ML","FC","IV","ML",1,"EA",1,8/19/2005,,,,,,,
"00409771309","00409-7713-09",,"J7799",,4/7/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (USP,LATEX-FREE) 10%",1000,"ML","FC","IV","ML",1,"EA",1,4/7/2006,,,,,,,
"00409771403","00409-7714-03",,"J7799",,8/30/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (LATEX-FREE) 15%",500,"ML","FC","IV","ML",1,"EA",1,8/30/2005,,,,,,,
"00409771502","00409-7715-02",,"J7799",,11/14/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (FLEX CONTAINER,24X250ML) 20%",250,"ML","FC","IV","ML",1,"EA",1,11/14/2005,,,,,,,
"00409771503","00409-7715-03",,"J7799",,9/16/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MANNITOL (FLEX CONTAINER,12X500ML) 20%",500,"ML","FC","IV","ML",1,"EA",1,9/16/2005,,,,,,,
"00409773020","00409-7730-20",,"J7799",,7/27/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (QUAD-PK,48X25ML) 0.45%",25,"ML","FC","IV","ML",1,"EA",1,7/27/2005,,,,,,,
"00409773036","00409-7730-36",,"J7799",,7/11/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (80X50ML,LATEX-FREE) 0.45%",50,"ML","FC","IV","ML",1,"EA",1,7/11/2005,,,,,,,
"00409773037","00409-7730-37",,"J7799",,9/16/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (80X100ML,LATEX-FREE) 0.45%",100,"ML","FC","IV","ML",1,"EA",1,9/16/2005,,,,,,,
"00409776003","00409-7760-03",,"J1644",,8/30/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (LATEX-FREE) 5%-4000 U/100 ML",500,"ML","FC","IV","ML",1000,"U",0.04,8/30/2005,,,,,,,
"00409776103","00409-7761-03",,"J1644",,7/22/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (24X500ML,LATEX-FREE) 5%-5000 U/100 ML",500,"ML","FC","IV","ML",1000,"U",0.05,7/22/2005,,,,,,,
"00409779323","00409-7793-23",,"J1644",,1/25/2006,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM IN DEXTROSE (USP,SINGLE DOSE) 5%-10000 U/100 ML",100,"ML","FC","IV","ML",1000,"U",0.1,1/25/2006,,,,,,,
"00409779362","00409-7793-62",,"J1644",,10/14/2005,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","DEXTROSE/HEPARIN SODIUM (24X250ML,LATEX-FREE) 5%-10000 U/100 ML",250,"ML","FC","IV","ML",1000,"U",0.1,10/14/2005,,,,,,,
"00409779462","00409-7794-62",,"J1644",,6/12/2006,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM IN DEXTROSE (24X250ML,USP,LATEX-FREE) 5%-5000 U/100 ML",250,"ML","FC","IV","ML",1000,"U",0.05,6/12/2006,,,,,,,
"00409780822","00409-7808-22",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,12X250ML) 5%-80 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.02,1/1/2006,,,,,,,
"00409780822","00409-7808-22",,"Q4076",,6/17/2005,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,12X250ML) 5%-80 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.02,6/17/2005,,,,,,,
"00409780824","00409-7808-24",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-80 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.02,1/1/2006,,,,,,,
"00409780824","00409-7808-24",,"Q4076",,8/30/2005,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-80 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.02,8/30/2005,,,,,,,
"00409780922","00409-7809-22",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-160 MG/100 ML",250,"ML","PC","IV","ML",40,"MG",0.04,1/1/2006,,,,,,,
"00409780922","00409-7809-22",,"Q4076",,4/25/2005,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-160 MG/100 ML",250,"ML","PC","IV","ML",40,"MG",0.04,4/25/2005,,,,,,,
"00409780924","00409-7809-24",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,12X500ML) 5%-100 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.025,1/1/2006,,,,,,,
"00409780924","00409-7809-24",,"Q4076",,10/10/2005,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,12X500ML) 5%-100 MG/100 ML",500,"ML","FC","IV","ML",40,"MG",0.025,10/10/2005,,,,,,,
"00409781022","00409-7810-22",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,12X250ML) 5%-320 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.08,1/1/2006,,,,,,,
"00409781022","00409-7810-22",,"Q4076",,8/4/2005,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DEXTROSE/DOPAMINE HCL (LIFECARE,12X250ML) 5%-320 MG/100 ML",250,"ML","FC","IV","ML",40,"MG",0.08,8/4/2005,,,,,,,
"00409781124","00409-7811-24",,"J3490",,8/31/2005,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (S.D.V.,LATEX-FREE) 500 MG/100 ML",100,"ML","FC","IV","ML",1,"EA",1,8/31/2005,,,,,,,
"00409781137","00409-7811-37",,"J3490",,9/22/2005,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (LIFECARE,QUAD PACK) 500 MG/100 ML",100,"ML","FC","IV","ML",1,"EA",1,9/22/2005,,,,,,,
"00409787913","00409-7879-13",,"J1580",,3/31/2006,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE IN SODIUM CHLORIDE (LATEX-FREE) 1.2 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.015,3/31/2006,,,,,,,
"00409788113","00409-7881-13",,"J1580",,1/23/2006,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE, 24X50ML) 1.4 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.0175,1/23/2006,,,,,,,
"00409788313","00409-7883-13",,"J1580",,1/9/2006,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 1.6 MG/ML-0.9%",50,"ML","FC","IV","ML",80,"MG",0.02,1/9/2006,,,,,,,
"00409788423","00409-7884-23",,"J1580",,7/6/2005,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE,24X100ML) 80 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.01,7/6/2005,,,,,,,
"00409788623","00409-7886-23",,"J1580",,1/27/2006,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE IN SODIUM CHLORIDE (LIFECARE,24X100ML) 90 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.01125,1/27/2006,,,,,,,
"00409788923","00409-7889-23",,"J1580",,9/20/2005,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE/SODIUM CHLORIDE (LIFECARE,24X100ML) 100 MG/100 ML-0.9%",100,"ML","FC","IV","ML",80,"MG",0.0125,9/20/2005,,,,,,,
"00409791819","00409-7918-19",,"J7799",,7/8/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (12X500ML,LATEX-FREE) 70%",500,"ML","PC","IV","ML",1,"EA",1,7/8/2005,,,,,,,
"00409792202","00409-7922-02",,"J7060",,4/5/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE/PLASTIC) 5%",250,"ML","FC","IV","ML",500,"ML",0.002,4/5/2005,,,,,,,
"00409792203","00409-7922-03",,"J7060",,2/25/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE/PLASTIC) 5%",500,"ML","FC","IV","ML",500,"ML",0.002,2/25/2005,,,,,,,
"00409792209","00409-7922-09",,"J7060",,2/21/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE/PLASTIC) 5%",1000,"ML","FC","IV","ML",500,"ML",0.002,2/21/2005,,,,,,,
"00409792230","00409-7922-30",,"J7060",,4/14/2006,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (VISIV CONTAINER) 5%",500,"ML","FC","IV","ML",500,"ML",0.002,4/14/2006,,,,,,,
"00409792248","00409-7922-48",,"J7060",,4/14/2006,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (VISIV CONTAINER) 5%",1000,"ML","FC","IV","ML",500,"ML",0.002,4/14/2006,,,,,,,
"00409792253","00409-7922-53",,"J7060",,9/1/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,24X250ML) 5%",250,"ML","FC","IV","ML",500,"ML",0.002,9/1/2005,,,,,,,
"00409792255","00409-7922-55",,"J7060",,10/31/2006,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (18X500ML,LATEX-FREE) 5%",500,"ML","FC","IV","ML",500,"ML",0.002,10/31/2006,,,,,,,
"00409792261","00409-7922-61",,"J7060",,8/5/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,32X150ML) 5%",150,"ML","FC","IV","ML",500,"ML",0.002,8/5/2005,,,,,,,
"00409792313","00409-7923-13",,"J7060",,6/9/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (48X50ML,LATEX-FREE) 5%",50,"ML","FC","IV","ML",500,"ML",0.002,6/9/2005,,,,,,,
"00409792320","00409-7923-20",,"J7060",,6/17/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,48X25ML) 5%",25,"ML","FC","IV","ML",500,"ML",0.002,6/17/2005,,,,,,,
"00409792323","00409-7923-23",,"J7060",,7/15/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (48X100ML,LATEX-FREE) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,7/15/2005,,,,,,,
"00409792336","00409-7923-36",,"J7060",,4/5/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,QUAD PACK) 5%",50,"ML","FC","IV","ML",500,"ML",0.002,4/5/2005,,,,,,,
"00409792337","00409-7923-37",,"J7060",,3/16/2005,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (LIFECARE,80X100ML) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,3/16/2005,,,,,,,
"00409792402","00409-7924-02",,"J7799",,7/28/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (24X250ML,LATEX-FREE) 5%-0.225%",250,"ML","FC","IV","ML",1,"EA",1,7/28/2005,,,,,,,
"00409792403","00409-7924-03",,"J7799",,7/28/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.225%",500,"ML","FC","IV","ML",1,"EA",1,7/28/2005,,,,,,,
"00409792409","00409-7924-09",,"J7799",,12/21/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE, PLASTIC) 5%-0.225%",1000,"ML","FC","IV","ML",1,"EA",1,12/21/2005,,,,,,,
"00409792502","00409-7925-02",,"J7799",,6/29/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE, 24X250ML) 5%-0.3%",250,"ML","FC","IV","ML",1,"EA",1,6/29/2005,,,,,,,
"00409792503","00409-7925-03",,"J7799",,9/16/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE,PLASTIC) 5%-0.3%",500,"ML","FC","IV","ML",1,"EA",1,9/16/2005,,,,,,,
"00409792509","00409-7925-09",,"J7799",,3/17/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (12X1000ML) 5%-0.3%",1000,"ML","FC","IV","ML",1,"EA",1,3/17/2006,,,,,,,
"00409792602","00409-7926-02",,"J7799",,8/30/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.45%",250,"ML","FC","IV","ML",1,"EA",1,8/30/2005,,,,,,,
"00409792603","00409-7926-03",,"J7799",,6/7/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (24X500ML,LATEX-FREE) 5%-0.45%",500,"ML","FC","IV","ML",1,"EA",1,6/7/2005,,,,,,,
"00409792609","00409-7926-09",,"J7799",,8/25/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (12X1000ML, LIFECARE) 5%-0.45%",1000,"ML","FC","IV","ML",1,"EA",1,8/25/2005,,,,,,,
"00409792630","00409-7926-30",,"J7799",,4/14/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (VISIV CONTAINER) 5%-0.45%",500,"ML","FC","IV","ML",1,"EA",1,4/14/2006,,,,,,,
"00409792648","00409-7926-48",,"J7799",,4/14/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE/SODIUM CHLORIDE (VISIV CONTAINER) 5%-0.45%",1000,"ML","FC","IV","ML",1,"EA",1,4/14/2006,,,,,,,
"00409792903","00409-7929-03",,"J7120",,6/9/2005,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 5% IN RINGERS (LATEX-FREE)",500,"ML","FC","IV","ML",1000,"ML",0.0005,6/9/2005,,,,,,,
"00409792909","00409-7929-09",,"J7120",,2/7/2005,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","DEXTROSE 5% IN RINGERS (LIFECARE,LATEX-FREE)",1000,"ML","FC","IV","ML",1000,"ML",0.0005,2/7/2005,,,,,,,
"00409793002","00409-7930-02",,"J7799",,7/5/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (24X250ML,LIFECARE) 10%",250,"ML","FC","IV","ML",1,"EA",1,7/5/2005,,,,,,,
"00409793003","00409-7930-03",,"J7799",,1/12/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LIFECARE,LATEX-FREE) 10%",500,"ML","FC","IV","ML",1,"EA",1,1/12/2005,,,,,,,
"00409793009","00409-7930-09",,"J7799",,3/16/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (LIFECARE,LATEX-FREE) 10%",1000,"ML","FC","IV","ML",1,"EA",1,3/16/2005,,,,,,,
"00409793124","00409-7931-24",,"J2001",,5/18/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (LIFECARE,24X500ML) 5%-0.4%",500,"ML","PC","IV","ML",10,"MG",0.4,5/18/2005,,,,,,,
"00409793132","00409-7931-32",,"J2001",,9/16/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (LIFECARE,12X250ML) 5%-0.4%",250,"ML","FC","IV","ML",10,"MG",0.4,9/16/2005,,,,,,,
"00409793519","00409-7935-19",,"J7799",,9/12/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000ML CONTAINER) 20%",500,"ML","FC","IV","ML",1,"EA",1,9/12/2005,,,,,,,
"00409793619","00409-7936-19",,"J7799",,6/24/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (12X500ML,LATEX-FREE) 50%",500,"ML","PC","IV","ML",1,"EA",1,6/24/2005,,,,,,,
"00409793629","00409-7936-29",,"J7799",,10/28/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (2000ML BAG,6X1000ML) 50%",1000,"ML","FC","IV","ML",1,"EA",1,10/28/2005,,,,,,,
"00409793719","00409-7937-19",,"J7799",,8/24/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (12X500ML,LATEX-FREE) 40%",500,"ML","FC","IV","ML",1,"EA",1,8/24/2005,,,,,,,
"00409793819","00409-7938-19",,"J7799",,9/29/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1000ML CONTAINER) 10%",500,"ML","PC","IV","ML",1,"EA",1,9/29/2005,,,,,,,
"00409793932","00409-7939-32",,"J2001",,1/11/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","DEXTROSE/LIDOCAINE HCL (LIFECARE,LATEX-FREE) 5%-0.8%",250,"ML","FC","IV","ML",10,"MG",0.8,1/11/2006,,,,,,,
"00409794102","00409-7941-02",,"J7042",,5/27/2006,,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE AND SODIUM CHLORIDE (250MLX24,USP,LATEX-FREE) 5%-0.9%",250,"ML","FC","IV","ML",5,"%",0.002,5/27/2006,,,,,,,
"00409794103","00409-7941-03",,"J7042",,9/20/2005,,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE (24X500ML,LATEX-FREE) 5%-0.9%",500,"ML","FC","IV","ML",5,"%",0.002,9/20/2005,,,,,,,
"00409794109","00409-7941-09",,"J7042",,8/8/2005,,"5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)","DEXTROSE/SODIUM CHLORIDE (LIFECARE,12X1000ML) 5%-0.9%",1000,"ML","FC","IV","ML",5,"%",0.002,8/8/2005,,,,,,,
"00409795302","00409-7953-02",,"J7120",,3/9/2005,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (LIFECARE,LATEX-FREE)",250,"ML","FC","IV","ML",1000,"ML",0.001,3/9/2005,,,,,,,
"00409795303","00409-7953-03",,"J7120",,5/20/2005,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (LIFECARE,24X500ML)",500,"ML","PC","IV","ML",1000,"ML",0.001,5/20/2005,,,,,,,
"00409795309","00409-7953-09",,"J7120",,5/18/2005,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (LIFECARE,LATEX-FREE)",1000,"ML","PC","IV","ML",1000,"ML",0.001,5/18/2005,,,,,,,
"00409795330","00409-7953-30",,"J7120",,4/14/2006,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (VISIV CONTAINER)",500,"ML","FC","IV","ML",1000,"ML",0.001,4/14/2006,,,,,,,
"00409795348","00409-7953-48",,"J7120",,4/14/2006,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (VISIV CONTAINER)",1000,"ML","FC","IV","ML",1000,"ML",0.001,4/14/2006,,,,,,,
"00409797205","00409-7972-05",,"A4217",,9/1/2005,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (FLEXIBLE CONTAINER,PF) 0.9%",1000,"ML","FC","IR","ML",500,"ML",0.002,9/1/2005,,,,,,,
"00409797207","00409-7972-07",,"A4217",,4/5/2005,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (FLEX CONTAINER,6X2000ML) 0.9%",2000,"ML","FC","IR","ML",500,"ML",0.002,4/5/2005,,,,,,,
"00409797208","00409-7972-08",,"A4217",,5/18/2005,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (FLEX CONTAINER,4X3000ML) 0.9%",3000,"ML","PC","IR","ML",500,"ML",0.002,5/18/2005,,,,,,,
"00409797305","00409-7973-05",,"A4217",,3/16/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)",1000,"ML","FC","IR","ML",500,"ML",0.002,3/16/2005,,,,,,,
"00409797307","00409-7973-07",,"A4217",,8/9/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (FLEXIBLE, CONTAINER,PF)",2000,"ML","FC","IR","ML",500,"ML",0.002,8/9/2005,,,,,,,
"00409797308","00409-7973-08",,"A4217",,7/14/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION (4X3000ML,PF,LATEX-FREE)",3000,"ML","FC","IR","ML",500,"ML",0.002,7/14/2005,,,,,,,
"00409797507","00409-7975-07",,"A4217",,4/26/2006,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (USP,6X2000ML) 0.45%",2000,"ML","FC","IR","ML",500,"ML",0.002,4/26/2006,,,,,,,
"00409798302","00409-7983-02",,"J7050",,7/1/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LIFECARE,24X250ML,PF) 0.9%",250,"ML","FC","IV","ML",250,"ML",0.004,7/1/2005,,,,,,,
"00409798303","00409-7983-03",,"J7040",,1/5/2005,,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE (LIFECARE,P.C.,24X500ML) 0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/5/2005,,,,,,,
"00409798309","00409-7983-09",,"J7030",,2/7/2005,,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC","SODIUM CHLORIDE (LIFECARE,P.C.,12X1000ML) 0.9%",1000,"ML","FC","IV","ML",1000,"ML",0.001,2/7/2005,,,,,,,
"00409798330","00409-7983-30",,"J7040",,4/14/2006,,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE (VISIV CONTAINER) 0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,4/14/2006,,,,,,,
"00409798348","00409-7983-48",,"J7030",,4/14/2006,,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC","SODIUM CHLORIDE (VISIV CONTAINER) 0.9%",1000,"ML","FC","IV","ML",1000,"ML",0.001,4/14/2006,,,,,,,
"00409798353","00409-7983-53",,"J7050",,9/30/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LIFECARE,2 PORTS,PC,LF) 0.9%",250,"ML","FC","IV","ML",250,"ML",0.004,9/30/2005,,,,,,,
"00409798355","00409-7983-55",,"J7040",,4/11/2005,,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE (LIFECARE,2 PORTS,PC,LF) 0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,4/11/2005,,,,,,,
"00409798361","00409-7983-61",,"J7050",,6/17/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LIFECARE,P.C.,32X150ML) 0.9%",150,"ML","FC","IV","ML",250,"ML",0.004,6/17/2005,,,,,,,
"00409798413","00409-7984-13",,"A4216",,6/20/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (48X50ML,PF,LATEX-FREE) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,6/20/2005,,,,,,,
"00409798420","00409-7984-20",,"A4216",,6/17/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (LIFECARE,QUAD PACK,LF) 0.9%",25,"ML","FC","IV","ML",10,"ML",0.1,6/17/2005,,,,,,,
"00409798423","00409-7984-23",,"J7050",,5/18/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LIFECARE SINGLE-P/F) 0.9%",100,"ML","PC","IV","ML",250,"ML",0.004,5/18/2005,,,,,,,
"00409798436","00409-7984-36",,"A4216",,7/14/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (LFCARE,QUAD,LF,80X50ML) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,7/14/2005,,,,,,,
"00409798437","00409-7984-37",,"J7050",,7/15/2005,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (LFCARE,QUAD,LF,80X100ML) 0.9%",100,"ML","FC","IV","ML",250,"ML",0.004,7/15/2005,,,,,,,
"00409798502","00409-7985-02",,"J7799",,4/6/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (24X250ML,LATEX-FREE) 0.45%",250,"ML","FC","IV","ML",1,"EA",1,4/6/2005,,,,,,,
"00409798503","00409-7985-03",,"J7799",,4/6/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (LIFECARE,24X500ML) 0.45%",500,"ML","FC","IV","ML",1,"EA",1,4/6/2005,,,,,,,
"00409798509","00409-7985-09",,"J7799",,11/24/2004,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (LIFECARE,12X1000ML) 0.45%",1000,"ML","FC","IV","ML",1,"EA",1,11/24/2004,,,,,,,
"00409799009","00409-7990-09",,"A4217",,9/2/2005,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION (LIFECARE,PF,LATEX-FREE)",1000,"ML","FC","IV","ML",500,"ML",0.002,9/2/2005,,,,,,,
"00409800415","00409-8004-15",,"J7799",,8/1/2005,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (12X500ML,LATEX-FREE) 30%",500,"ML","FC","IV","ML",1,"EA",1,8/1/2005,,,,,,,
"00409909332","00409-9093-32",,"J3010",,11/14/2005,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (10X2ML,LATEX-FREE) 0.05 MG/ML",2,"ML","AM","IJ","ML",0.1,"MG",0.5,11/14/2005,,,,,,,
"00409909335","00409-9093-35",,"J3010",,12/13/2005,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,LATEX-FREE) 0.05 MG/ML",5,"ML","AM","IJ","ML",0.1,"MG",0.5,12/13/2005,,,,,,,
"00409909336","00409-9093-36",,"J3010",,7/12/2006,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (SINGLE-DOSE,5X10ML) 0.05 MG/ML",10,"ML","AM","IJ","ML",0.1,"MG",0.5,7/12/2006,,,,,,,
"00409909338","00409-9093-38",,"J3010",,3/3/2006,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (5X20ML) 0.05 MG/ML",20,"ML","AM","IJ","ML",0.1,"MG",0.5,3/3/2006,,,,,,,
"00409909422","00409-9094-22",,"J3010",,10/12/2005,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (FTV,25X2ML,LATEX-FREE) 0.05 MG/ML",2,"ML","VL","IJ","ML",0.1,"MG",0.5,10/12/2005,,,,,,,
"00409909425","00409-9094-25",,"J3010",,11/7/2005,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (VIAL,FLIPTOP,LATEX-FREE) 0.05 MG/ML",5,"ML","VL","IJ","ML",0.1,"MG",0.5,11/7/2005,,,,,,,
"00409909428","00409-9094-28",,"J3010",,2/14/2006,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (25X10ML,FTV) 0.05 MG/ML",10,"ML","VL","IJ","ML",0.1,"MG",0.5,2/14/2006,,,,,,,
"00409909431","00409-9094-31",,"J3010",,9/23/2005,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (FTV,LATEX-FREE) 0.05 MG/ML",20,"ML","VL","IJ","ML",0.1,"MG",0.5,9/23/2005,,,,,,,
"00409909461","00409-9094-61",,"J3010",,12/30/2005,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (VIAL, FLIPTOP) 0.05 MG/ML",50,"ML","VL","IJ","ML",0.1,"MG",0.5,12/30/2005,,,,,,,
"00409910420","00409-9104-20",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (25X10ML) 40 MG/ML",10,"ML","VL","IV","ML",40,"MG",1,1/1/2006,,,,,,,
"00409910420","00409-9104-20",,"Q4076",,7/1/2005,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (25X10ML) 40 MG/ML",10,"ML","VL","IV","ML",40,"MG",1,7/1/2005,,,,,,,
"00409913705","00409-9137-05",,"J2001",,6/30/2005,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (ANSYR,10X5ML,LATEX-FREE) 1%",5,"ML","SR","EP","ML",10,"MG",1,6/30/2005,,,,,,,
"00409962905","00409-9629-05",,"J0460",,4/26/2006,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (10X5ML) 0.1 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.33333,4/26/2006,12/31/2009,,,,,,
"00409963005","00409-9630-05",,"J0460",,10/19/2004,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (ANSYR PLASTIC SYRINGE) 0.05 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.16666,10/19/2004,12/31/2009,,,,,,
"00409963104","00409-9631-04",,"J1940",,4/21/2006,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (PF) 10 MG/ML",4,"ML","SR","IJ","ML",20,"MG",0.5,4/21/2006,,,,,,,
"00433043305","00433-0433-05",,"J1212",,1/1/2002,6/21/2007,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","RIMSO-50 50%",50,"ML","BO","IL","ML",50,"%",0.02,1/1/2002,,,,,,,
"00436028070","00436-0280-70",,"J2550",,1/1/2002,10/1/2003,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PENTAZINE (VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00436052504","00436-0525-04",,"Q0163",,1/1/2002,10/1/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TUSSTAT 12.5 MG/5 ML",120,"ML","EA","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00436052516","00436-0525-16",,"Q0163",,1/1/2002,10/1/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TUSSTAT 12.5 MG/5 ML",480,"ML","EA","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00436052528","00436-0525-28",,"Q0163",,1/1/2002,10/1/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TUSSTAT 12.5 MG/5 ML",3840,"ML","EA","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00436058004","00436-0580-04",,"Q0170",,1/1/2002,10/1/2003,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PENTAZINE 6.25 MG/5 ML",120,"ML","NA","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00436058016","00436-0580-16",,"Q0170",,1/1/2002,10/1/2003,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PENTAZINE 6.25 MG/5 ML",480,"ML","NA","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00436058028","00436-0580-28",,"Q0170",,1/1/2002,10/1/2003,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PENTAZINE 6.25 MG/5 ML",3840,"ML","NA","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00436070210","00436-0702-10",,"J3480",,1/1/2002,12/10/2003,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE 200 MEQ",1,"EA","NA","NA","EA",2,"MEQ",100,1/1/2002,,,,,,,
"00451150008","00451-1500-08",,"J7510",,1/1/2002,9/17/2003,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"00451150016","00451-1500-16",,"J7510",,1/1/2002,9/17/2003,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (CHERRY) 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"00451220104","00451-2201-04",,"J7510",,1/1/2002,9/17/2003,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (SF,DYE-FREE,CHERRY) 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"00456052101","00456-0521-01",,"G9036",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","FLUMADINE 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"00456052708","00456-0527-08",,"G9036",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","FLUMADINE 50 MG/5 ML",240,"ML","BO","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"00463101530","00463-1015-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITAMIN B12 (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00463101930","00463-1019-30",,"J2650",,1/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","COTOLONE (VIAL) 25 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00463102010","00463-1020-10",,"J2650",,1/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","COTOLONE (VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00463102130","00463-1021-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITAMIN B12 (VIAL) 100 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",0.1,1/1/2002,,,,,,,
"00463102930","00463-1029-30",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (VIAL, AQUEOUS) 5 MG/ML",30,"ML","EA","IM","ML",1,"MG",5,1/1/2002,,,,,,,
"00463103610","00463-1036-10",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (VIAL) 25 MG/ML",10,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"00463106910","00463-1069-10",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTRO AQ (VIAL) 100 MG/ML",10,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"00463107310","00463-1073-10",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (VIAL) 100 MG/ML",10,"ML","VL","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"00463107430","00463-1074-30",,"J3411",,1/1/2004,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HCL (VIAL) 100 MG/ML",30,"ML","VL","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"00463107430","00463-1074-30",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","THIAMINE HCL (VIAL) 100 MG/ML",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00463108030","00463-1080-30",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","TRUXADRYL (VIAL) 10 MG/ML",30,"ML","VL","IJ","ML",50,"MG",0.2,1/1/2002,,,,,,,
"00463108610","00463-1086-10",,"J1240",,1/1/2002,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00463108910","00463-1089-10",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","TRUXADRYL (VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00463109105","00463-1091-05",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCOT (VIAL) 40 MG/ML",5,"ML","VL","IJ","ML",5,"MG",8,1/1/2002,,,,,,,
"00463109210","00463-1092-10",,"J2360",,1/1/2002,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORFRO (VIAL) 30 MG/ML",10,"ML","VL","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"00463109430","00463-1094-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","HYDROXOCOBALAMIN (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00463110110","00463-1101-10",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","VISTACOT (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00463110410","00463-1104-10",,"J0500",,1/1/2002,,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOCOT (VIAL) 10 MG/ML",10,"ML","VL","IM","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00463110820","00463-1108-20",,"J3250",,1/1/2002,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","BENZACOT (VIAL) 100 MG/ML",20,"ML","VL","IM","ML",200,"MG",0.5,1/1/2002,,,,,,,
"00463607110","00463-6071-10",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","COTOLONE 5 MG",1000,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00463614010","00463-6140-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNICOT 10 MG",1000,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00463614110","00463-6141-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNICOT 20 MG",1000,"EA","NA","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00463615510","00463-6155-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNICOT 5 MG",1000,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00463615610","00463-6156-10",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMACOT 25 MG",1000,"EA","NA","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00469002103","00469-0021-03",,"J0215",,2/28/2008,,"INJECTION, ALEFACEPT, 0.5 MG","AMEVIVE (W/DILUENT PACK,PF) 15 MG",1,"EA","VL","IM","EA",0.5,"MG",30,2/28/2008,,,,,,,
"00469002104","00469-0021-04",,"J0215",,12/31/2007,,"INJECTION, ALEFACEPT, 0.5 MG","AMEVIVE (W/DILUENT PACK,PF) 15 MG",1,"EA","VL","IM","EA",0.5,"MG",30,12/31/2007,,,,,,,
"00469060767","00469-0607-67",,"J7507",,1/1/2002,2/13/2002,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF 0.5 MG",100,"EA","BO","PO","EA",1,"MG",0.5,1/1/2002,,,,,,,
"00469060773","00469-0607-73",,"J7507",,1/1/2002,,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF 0.5 MG",100,"EA","BO","PO","EA",1,"MG",0.5,1/1/2002,,,,,,,
"00469061710","00469-0617-10",,"J7507",,1/1/2002,2/13/2002,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF (10X10,BLISTER PACK) 1 MG",100,"EA","BX","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"00469061711","00469-0617-11",,"J7507",,1/1/2002,,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF (10X10,BLISTER PACK) 1 MG",100,"EA","BX","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"00469061771","00469-0617-71",,"J7507",,1/1/2002,2/12/2002,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF 1 MG",100,"EA","BO","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"00469061773","00469-0617-73",,"J7507",,2/13/2002,,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF 1 MG",100,"EA","BO","PO","EA",1,"MG",1,2/13/2002,,,,,,,
"00469065710","00469-0657-10",,"J7508",,1/1/2002,2/13/2002,"TACROLIMUS, ORAL, PER 5 MG","PROGRAF (10X10,BLISTER PACK) 5 MG",100,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00469065711","00469-0657-11",,"J7507",,1/1/2004,,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF (10X10,BLISTER PACK) 5 MG",100,"EA","BX","PO","EA",1,"MG",5,1/1/2004,,,,,,,
"00469065711","00469-0657-11",,"J7508",,1/1/2002,12/31/2003,"TACROLIMUS, ORAL, PER 5 MG","PROGRAF (10X10,BLISTER PACK) 5 MG",100,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00469065771","00469-0657-71",,"J7508",,1/1/2002,2/13/2002,"TACROLIMUS, ORAL, PER 5 MG","PROGRAF 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00469065773","00469-0657-73",,"J7507",,1/1/2004,,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF 5 MG",100,"EA","BO","PO","EA",1,"MG",5,1/1/2004,,,,,,,
"00469065773","00469-0657-73",,"J7508",,1/1/2002,12/31/2003,"TACROLIMUS, ORAL, PER 5 MG","PROGRAF 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00469087120","00469-0871-20",,"J0151",,1/1/2002,12/31/2003,"INJECTION, ADENOSINE, 90 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSCAN (S.D.V.,PF) 3 MG/ML",20,"ML","VL","IV","ML",90,"MG",0.03333,1/1/2002,,,,,,,
"00469087120","00469-0871-20",,"J0152",,1/1/2004,,"INJECTION, ADENOSINE FOR DIAGNOSTIC USE, 30 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS; INSTEAD USE A9270)","ADENOSCAN (S.D.V.,PF) 3 MG/ML",20,"ML","VL","IV","ML",30,"MG",0.1,1/1/2004,,,,,,,
"00469087130","00469-0871-30",,"J0151",,1/1/2002,12/31/2003,"INJECTION, ADENOSINE, 90 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSCAN (S.D.V.,PF) 3 MG/ML",30,"ML","VL","IV","ML",90,"MG",0.03333,1/1/2002,,,,,,,
"00469087130","00469-0871-30",,"J0152",,1/1/2004,,"INJECTION, ADENOSINE FOR DIAGNOSTIC USE, 30 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS; INSTEAD USE A9270)","ADENOSCAN (S.D.V.,PF) 3 MG/ML",30,"ML","VL","IV","ML",30,"MG",0.1,1/1/2004,,,,,,,
"00469087202","00469-0872-02",,"J0150",,1/1/2002,10/1/2003,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOCARD (S.D.V.,PF) 3 MG/ML",2,"ML","VL","IV","ML",6,"MG",0.5,1/1/2002,,,,,,,
"00469301601","00469-3016-01",,"J7525",,1/1/2002,,"TACROLIMUS, PARENTERAL, 5 MG","PROGRAF (AMP,PF) 5 MG/ML",1,"ML","AM","IV","ML",5,"MG",1,1/1/2002,,,,,,,
"00469305130","00469-3051-30",,"J0286",,1/1/2002,12/31/2002,"INJECTION, AMPHOTERICIN B, ANY LIPID FORMULATION, 50 MG","AMBISOME 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"00469305130","00469-3051-30",,"J0289",,1/1/2003,,"INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG","AMBISOME 50 MG",1,"EA","VL","IV","EA",10,"MG",5,1/1/2003,,,,,,,
"00469321110","00469-3211-10",,"J2248",,1/1/2007,,"INJECTION, MICAFUNGIN SODIUM, 1 MG","MYCAMINE (W/RED FLIP-OFF CAP) 100 MG",1,"EA","VL","IV","EA",1,"MG",100,1/1/2007,,,,,,,
"00469325010","00469-3250-10",,"J2248",,1/1/2007,,"INJECTION, MICAFUNGIN SODIUM, 1 MG","MYCAMINE (PF) 50 MG",1,"EA","VL","IV","EA",1,"MG",50,1/1/2007,,,,,,,
"00469325010","00469-3250-10",,"J7799",,5/3/2005,12/31/2006,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","MYCAMINE (PF) 50 MG",1,"EA","VL","IV","EA",1,"EA",1,5/3/2005,,,,,,,
"00469511705","00469-5117-05",,"J3302",,1/1/2002,3/9/2004,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","ARISTOCORT (VIAL) 25 MG/ML",5,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"00469511805","00469-5118-05",,"J3303",,1/1/2002,12/18/2003,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN (VIAL) 5 MG/ML",5,"ML","VL","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"00469511901","00469-5119-01",,"J3303",,1/1/2002,12/18/2003,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN (VIAL) 20 MG/ML",1,"ML","VL","IJ","ML",5,"MG",4,1/1/2002,,,,,,,
"00469511905","00469-5119-05",,"J3303",,1/1/2002,12/18/2003,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN (VIAL) 20 MG/ML",5,"ML","VL","IJ","ML",5,"MG",4,1/1/2002,,,,,,,
"00469722001","00469-7220-01",,"J0715",,1/1/2002,3/1/2007,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (S.D. GALAXY P.C.,PF) 1 GM/50 ML",50,"ML","FC","IV","ML",500,"MG",0.04,1/1/2002,,,,,,,
"00469722102","00469-7221-02",,"J0715",,1/1/2002,3/1/2007,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (S.D. GALAXY P.C.,PF) 2 GM/50 ML",50,"ML","FC","IV","ML",500,"MG",0.08,1/1/2002,,,,,,,
"00469723412","00469-7234-12",,"J0150",,1/1/2002,10/1/2003,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOCARD (SRN,LUER-TIP,PF) 3 MG/ML",2,"ML","SR","IV","ML",6,"MG",0.5,1/1/2002,,,,,,,
"00469723414","00469-7234-14",,"J0150",,1/1/2002,10/1/2003,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOCARD (SRN,LUER-TIP,PF) 3 MG/ML",4,"ML","SR","IV","ML",6,"MG",0.5,1/1/2002,,,,,,,
"00469725101","00469-7251-01",,"J0715",,1/1/2002,8/1/2006,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00469725201","00469-7252-01",,"J0715",,1/1/2002,10/1/2006,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (S.D.V,P.B.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00469725302","00469-7253-02",,"J0715",,1/1/2002,10/1/2006,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (S.D.V.,PF) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00469725402","00469-7254-02",,"J0715",,1/1/2002,10/1/2006,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (S.D.V.,P.B.,PF) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00469725510","00469-7255-10",,"J0715",,1/1/2002,10/1/2006,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (BULK PACKAGE,PF) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"00469727101","00469-7271-01",,"J0715",,1/1/2002,10/1/2006,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (ADD-VANTAGE,PF) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00469727202","00469-7272-02",,"J0715",,1/1/2002,8/1/2006,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (ADD-VANTAGE,PF) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00469823412","00469-8234-12",,"J0150",,6/14/2002,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOCARD (ANSYR,LUER LOK) 3 MG/ML",2,"ML","SR","IV","ML",6,"MG",0.5,6/14/2002,,,,,,,
"00469823414","00469-8234-14",,"J0150",,6/14/2002,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOCARD (ANSYR,LUER LOK) 3 MG/ML",4,"ML","SR","IV","ML",6,"MG",0.5,6/14/2002,,,,,,,
"00472008216","00472-0082-16",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG/5 ML",480,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00472009612","00472-0096-12",,"K0416",,12/18/2002,7/22/2004,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"MG",25,12/18/2002,,,,,,,
"00472021208","00472-0212-08",,"J7510",,1/1/2002,6/4/2003,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"00472021216","00472-0212-16",,"J7510",,1/1/2002,6/4/2003,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"00472025008","00472-0250-08",,"J7510",,6/5/2003,3/27/2006,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,6/5/2003,,,,,,,
"00472025016","00472-0250-16",,"J7510",,6/5/2003,3/27/2006,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,6/5/2003,,,,,,,
"00472074298","00472-0742-98",,"Q0172",,1/1/2002,4/5/2005,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 100 MG/ML",240,"ML","BO","PO","ML",25,"MG",4,1/1/2002,,,,,,,
"00472075021","00472-0750-21",,"J7631",,1/1/2002,10/21/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00472075021","00472-0750-21","KO","J7631","KO",1/1/2002,10/21/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00472075060","00472-0750-60",,"J7631",,1/1/2002,7/23/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00472075060","00472-0750-60","KO","J7631","KO",1/1/2002,7/23/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"00472075123","00472-0751-23",,"J7644",,1/1/2002,1/22/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00472075123","00472-0751-23","KO","J7644","KO",1/1/2002,1/22/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00472075130","00472-0751-30",,"J7644",,1/1/2002,9/10/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00472075130","00472-0751-30","KO","J7644","KO",1/1/2002,9/10/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00472075160","00472-0751-60",,"J7644",,1/1/2002,9/8/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00472075160","00472-0751-60","KO","J7644","KO",1/1/2002,9/8/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00472075221","00472-0752-21",,"J7631",,10/22/2003,4/5/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,10/22/2003,4/5/2005,,,,,,
"00472075221","00472-0752-21","KO","J7631","KO",10/22/2003,4/5/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,10/22/2003,4/5/2005,,,,,,
"00472075260","00472-0752-60",,"J7631",,7/24/2003,4/5/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,7/24/2003,4/5/2005,,,,,,
"00472075260","00472-0752-60","KO","J7631","KO",7/24/2003,4/5/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,7/24/2003,4/5/2005,,,,,,
"00472075323","00472-0753-23",,"J7644",,1/23/2004,6/30/2007,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/23/2004,6/30/2007,,,,,,
"00472075323","00472-0753-23","KO","J7644","KO",1/23/2004,6/30/2007,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/23/2004,6/30/2007,,,,,,
"00472075330","00472-0753-30",,"J7644",,9/11/2003,6/30/2007,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,9/11/2003,6/30/2007,,,,,,
"00472075330","00472-0753-30","KO","J7644","KO",9/11/2003,6/30/2007,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,9/11/2003,6/30/2007,,,,,,
"00472075360","00472-0753-60",,"J7644",,9/9/2003,6/30/2007,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,9/9/2003,6/30/2007,,,,,,
"00472075360","00472-0753-60","KO","J7644","KO",9/9/2003,6/30/2007,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,9/9/2003,6/30/2007,,,,,,
"00472083123","00472-0831-23",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00472083123","00472-0831-23",,"J7613",,4/1/2008,2/28/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,2/28/2009,,,,,,
"00472083123","00472-0831-23","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00472083123","00472-0831-23","KO","J7613","KO",4/1/2008,2/28/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,2/28/2009,,,,,,
"00472083130","00472-0831-30",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00472083130","00472-0831-30",,"J7613",,4/1/2008,2/28/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,2/28/2009,,,,,,
"00472083130","00472-0831-30","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00472083130","00472-0831-30","KO","J7613","KO",4/1/2008,2/28/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,2/28/2009,,,,,,
"00472083160","00472-0831-60",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00472083160","00472-0831-60",,"J7613",,4/1/2008,2/28/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,2/28/2009,,,,,,
"00472083160","00472-0831-60","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00472083160","00472-0831-60","KO","J7613","KO",4/1/2008,2/28/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,2/28/2009,,,,,,
"00472083220","00472-0832-20",,"J7618",,1/1/2002,10/7/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2002,,,,,,,
"00472097208","00472-0972-08",,"Q0181",,1/1/2002,9/18/2003,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG/5 ML",240,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00472097233","00472-0972-33",,"Q0181",,1/1/2002,2/24/2003,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG/5 ML",100,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00472122394","00472-1223-94",,"Q0163",,1/1/2002,12/1/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDRAMINE 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00472123204","00472-1232-04",,"Q0163",,1/1/2002,12/1/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDRAMINE COUGH 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00472123216","00472-1232-16",,"Q0163",,1/1/2002,12/1/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDRAMINE COUGH 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00472150404","00472-1504-04",,"Q0170",,1/1/2002,4/2/2003,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00472150408","00472-1504-08",,"Q0170",,1/1/2002,4/2/2003,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE (CHERRY) 6.25 MG/5 ML",240,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00472150416","00472-1504-16",,"Q0170",,1/1/2002,4/2/2003,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 6.25 MG/5 ML",480,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00472150428","00472-1504-28",,"Q0170",,1/1/2002,3/11/2002,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 6.25 MG/5 ML",3840,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"00487020101","00487-0201-01",,"J7620",,1/1/2008,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","VL","IH","ML",2.5,"MG",0.33333,1/1/2008,,,,,,,
"00487020102","00487-0201-02",,"J7620",,1/1/2008,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML, ROBOT READY) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","VL","IH","ML",2.5,"MG",0.33333,1/1/2008,,,,,,,
"00487020106","00487-0201-06",,"J7620",,1/1/2008,10/24/2008,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (60X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","NA","IH","ML",2.5,"MG",0.33333,1/1/2008,10/24/2008,,,,,,
"00487020160","00487-0201-60",,"J7620",,1/1/2008,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (60X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,1/1/2008,,,,,,,
"00487930102","00487-9301-02",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (ROBOT READY,30X3ML) 0.9%",3,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"00487930102","00487-9301-02",,"J7051",,7/20/2005,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (ROBOT READY,30X3ML) 0.9%",3,"ML","PC","IH","ML",5,"ML",0.2,7/20/2005,,,,,,,
"00487930103","00487-9301-03",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (VIAL) 0.9%",3,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"00487930103","00487-9301-03",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (VIAL) 0.9%",3,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"00487930133","00487-9301-33",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE 0.9%",3,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"00487930133","00487-9301-33",,"J7051",,3/1/2004,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE 0.9%",3,"ML","PC","IH","ML",5,"ML",0.2,3/1/2004,,,,,,,
"00487950101","00487-9501-01",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950101","00487-9501-01",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487950101","00487-9501-01","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950101","00487-9501-01","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487950102","00487-9501-02",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (ROBOT READY,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950102","00487-9501-02",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (ROBOT READY,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487950102","00487-9501-02","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (ROBOT READY,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950102","00487-9501-02","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (ROBOT READY,PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487950103","00487-9501-03",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950103","00487-9501-03",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487950103","00487-9501-03","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950103","00487-9501-03","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487950125","00487-9501-25",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950125","00487-9501-25",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487950125","00487-9501-25","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950125","00487-9501-25","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487950160","00487-9501-60",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950160","00487-9501-60",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487950160","00487-9501-60","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"00487950160","00487-9501-60","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"00487980101","00487-9801-01",,"J7644",,1/3/2003,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/3/2003,,,,,,,
"00487980101","00487-9801-01","KO","J7644","KO",1/3/2003,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/3/2003,,,,,,,
"00487980102","00487-9801-02",,"J7644",,7/20/2005,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (ROBOT READY,PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,7/20/2005,,,,,,,
"00487980102","00487-9801-02","KO","J7644","KO",7/20/2005,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (ROBOT READY,PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,7/20/2005,,,,,,,
"00487980125","00487-9801-25",,"J7644",,10/11/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,10/11/2002,,,,,,,
"00487980125","00487-9801-25","KO","J7644","KO",10/11/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,10/11/2002,,,,,,,
"00487980130","00487-9801-30",,"J7644",,1/3/2003,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/3/2003,,,,,,,
"00487980130","00487-9801-30","KO","J7644","KO",1/3/2003,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/3/2003,,,,,,,
"00487980160","00487-9801-60",,"J7644",,1/3/2003,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/3/2003,,,,,,,
"00487980160","00487-9801-60","KO","J7644","KO",1/3/2003,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/3/2003,,,,,,,
"00487990102","00487-9901-02",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (UNIT OF USE,ROBOT READY) 0.5%",0.5,"ML","PC","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"00487990102","00487-9901-02",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE (UNIT OF USE,ROBOT READY) 0.5%",0.5,"ML","PC","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"00487990130","00487-9901-30",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (UNIT OF USE,PF) 0.5%",0.5,"ML","PC","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"00487990130","00487-9901-30",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE (UNIT OF USE,PF) 0.5%",0.5,"ML","PC","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"00487990401","00487-9904-01",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"00487990401","00487-9904-01",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"00487990401","00487-9904-01","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"00487990401","00487-9904-01","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"00487990402","00487-9904-02",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (ROBOT READY,LDPE VIAL) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"00487990402","00487-9904-02",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (ROBOT READY,LDPE VIAL) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"00487990402","00487-9904-02","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (ROBOT READY,LDPE VIAL) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"00487990402","00487-9904-02","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (ROBOT READY,LDPE VIAL) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"00487990425","00487-9904-25",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (LDPE VIAL) 0.042%",3,"ML","VL","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"00487990425","00487-9904-25",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (LDPE VIAL) 0.042%",3,"ML","VL","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"00487990425","00487-9904-25","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (LDPE VIAL) 0.042%",3,"ML","VL","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"00487990425","00487-9904-25","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (LDPE VIAL) 0.042%",3,"ML","VL","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"00490007500","00490-0075-00",,"Q0179",,1/1/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON ODT 4 MG",100,"EA","BX","PO","EA",8,"MG",0.5,1/1/2007,,,,,,,
"00490007530","00490-0075-30",,"Q0179",,1/1/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON ODT 4 MG",30,"EA","BX","PO","EA",8,"MG",0.5,1/1/2007,,,,,,,
"00490007560","00490-0075-60",,"Q0179",,1/1/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON ODT 4 MG",60,"EA","BX","PO","EA",8,"MG",0.5,1/1/2007,,,,,,,
"00490007590","00490-0075-90",,"Q0179",,1/1/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON ODT 4 MG",90,"EA","BX","PO","EA",8,"MG",0.5,1/1/2007,,,,,,,
"00490009100","00490-0091-00",,"Q0175",,1/1/2007,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2007,,,,,,,
"00490009130","00490-0091-30",,"Q0175",,1/1/2007,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",30,"EA","BO","PO","EA",4,"MG",1,1/1/2007,,,,,,,
"00490009160","00490-0091-60",,"Q0175",,1/1/2007,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",60,"EA","BO","PO","EA",4,"MG",1,1/1/2007,,,,,,,
"00490009190","00490-0091-90",,"Q0175",,1/1/2007,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",90,"EA","BO","PO","EA",4,"MG",1,1/1/2007,,,,,,,
"00501205004","00501-2050-04",,"Q0163",,11/1/2002,11/16/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL ALLERGY (AF,CHERRY) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,11/1/2002,,,,,,,
"00501205304","00501-2053-04",,"Q0163",,11/1/2002,11/16/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL ALLERGY (CHILDREN'S,AF,SF) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,11/1/2002,,,,,,,
"00501243104","00501-2431-04",,"Q0163",,8/2/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHILDREN'S PEDIA CARE (NIGHTTIME COUGH,AF) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,8/2/2006,,,,,,,
"00516006060","00516-0060-60",,"J0620",,1/1/2002,,"INJECTION, CALCIUM GLYCEROPHOSPHATE AND CALCIUM LACTATE, PER 10 ML","CALPHOSAN (M.D.V.) 50 MG/10 ML-50 MG/10 ML",60,"ML","VL","IJ","ML",10,"ML",0.1,2/11/2004,,1/1/2002,2/10/2004,0.1,,,
"00517002010","00517-0020-10",,"J0706",,9/10/2007,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (USP,10X3ML,SINGLE-DOSE) 20 MG/ML",3,"ML","VL","IV","ML",5,"MG",4,9/10/2007,,,,,,,
"00517003125","00517-0031-25",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN 1000 MCG/ML",1,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00517003225","00517-0032-25",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (M.D.V.) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00517003310","00517-0033-10",,"J2710",,1/1/2002,1/14/2003,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",2,1/1/2002,,,,,,,
"00517003325","00517-0033-25",,"J2710",,1/15/2003,,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",2,1/15/2003,,,,,,,
"00517003410","00517-0034-10",,"J2710",,1/1/2002,1/14/2003,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.) 0.5 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",1,1/1/2002,,,,,,,
"00517003425","00517-0034-25",,"J2710",,1/15/2003,,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.) 0.5 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",1,1/15/2003,,,,,,,
"00517010125","00517-0101-25",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (AMP,PF) 1 MG/ML",1,"ML","AM","IJ","ML",0.3,"MG",3.33333,1/1/2002,12/31/2009,,,,,,
"00517013001","00517-0130-01",,"J3420",,1/1/2002,8/1/2003,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (M.D.V.) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00517013005","00517-0130-05",,"J3420",,5/29/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (M.D.V.) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,5/29/2003,,,,,,,
"00517013225","00517-0132-25",,"J0636",,3/14/2005,,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL 1 MCG/ML",1,"ML","AM","IV","ML",0.1,"MCG",10,3/14/2005,,,,,,,
"00517029925","00517-0299-25",,"J2370",,1/1/2002,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (S.D.V.) 10 MG/ML",1,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00517040125","00517-0401-25",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (S.D.V.,PF) 0.4 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",1.33333,1/1/2002,12/31/2009,,,,,,
"00517040525","00517-0405-25",,"J2370",,1/1/2002,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (VIAL) 10 MG/ML",5,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00517060125","00517-0601-25",,"J1885",,4/1/2008,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,25X1ML,SDV) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,4/1/2008,,,,,,,
"00517062525","00517-0625-25",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00517062525","00517-0625-25",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00517062625","00517-0626-25",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 2%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00517062625","00517-0626-25",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (M.D.V.) 2%",50,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"00517064825","00517-0648-25",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (M.D.V.) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00517064825","00517-0648-25",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (M.D.V.) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00517066225","00517-0662-25",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION BACTERIOSTATIC (M.D.V.)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00517066225","00517-0662-25",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION BACTERIOSTATIC (M.D.V.)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00517080125","00517-0801-25",,"J1885",,4/1/2008,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,25X2ML,SDV) 30 MG/ML",2,"ML","VL","IJ","ML",15,"MG",2,4/1/2008,,,,,,,
"00517080525","00517-0805-25",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (AMP,PF) 0.4 MG/ML",0.5,"ML","AM","IJ","ML",0.3,"MG",1.33333,1/1/2002,12/31/2009,,,,,,
"00517090125","00517-0901-25",,"J0360",,1/1/2002,,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HYDROCHLORIDE (S.D.V.) 20 MG/ML",1,"ML","VL","IJ","ML",20,"MG",1,1/1/2002,,,,,,,
"00517090225","00517-0902-25",,"J1885",,4/1/2008,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,25X2ML,SDV) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,4/1/2008,,,,,,,
"00517091125","00517-0911-25",,"J0360",,6/1/2002,8/11/2006,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HYDROCHLORIDE NOVAPLUS (S.D.V.) 20 MG/ML",1,"ML","VL","IJ","ML",20,"MG",1,6/1/2002,8/11/2006,,,,,,
"00517101025","00517-1010-25",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (S.D.V.,PF) 1 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",3.33333,1/1/2002,12/31/2009,,,,,,
"00517104525","00517-1045-25",,"J1955",,1/1/2002,,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE (S.D.V.) 200 MG/ML",5,"ML","VL","IV","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00517107125","00517-1071-25",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00517113001","00517-1130-01",,"J0170",,1/1/2002,8/1/2003,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE (M.D.V.) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00517113005","00517-1130-05",,"J0170",,8/1/2003,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE (M.D.V.) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,8/1/2003,,,,,,,
"00517130525","00517-1305-25",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 160 MG/ML",5,"ML","VL","IV","ML",40,"MG",4,1/1/2006,,,,,,,
"00517130525","00517-1305-25",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 160 MG/ML",5,"ML","VL","IV","ML",40,"MG",4,10/1/2003,,,,,,,
"00517180525","00517-1805-25",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 40 MG/ML",5,"ML","VL","IV","ML",40,"MG",1,1/1/2006,,,,,,,
"00517180525","00517-1805-25",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 40 MG/ML",5,"ML","VL","IV","ML",40,"MG",1,10/1/2003,,,,,,,
"00517190525","00517-1905-25",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 80 MG/ML",5,"ML","VL","IV","ML",40,"MG",2,1/1/2006,,,,,,,
"00517190525","00517-1905-25",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (S.D.V.) 80 MG/ML",5,"ML","VL","IV","ML",40,"MG",2,10/1/2003,,,,,,,
"00517231005","00517-2310-05",,"J1756",,5/1/2007,,"INJECTION, IRON SUCROSE, 1 MG","VENOFER (5X10ML,SDV,USP,PF) 20 MG/ML",10,"ML","VL","IV","ML",1,"MG",20,5/1/2007,,,,,,,
"00517234010","00517-2340-10",,"J1755",,1/1/2002,12/31/2002,"INJECTION, IRON SUCROSE, 20MG","VENOFER (S.D.V.,PF) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,1/1/2002,,,,,,,
"00517234010","00517-2340-10",,"J1756",,1/1/2003,,"INJECTION, IRON SUCROSE, 1 MG","VENOFER (S.D.V.,PF) 20 MG/ML",5,"ML","VL","IV","ML",1,"MG",20,1/1/2003,,,,,,,
"00517234025","00517-2340-25",,"J1756",,10/1/2006,,"INJECTION, IRON SUCROSE, 1 MG","VENOFER (25X5ML SDV,PF) 20 MG/ML",5,"ML","VL","IV","ML",1,"MG",20,10/1/2006,,,,,,,
"00517260225","00517-2602-25",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (S.D.V.,PF) 500 MG/ML",2,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00517261025","00517-2610-25",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (S.D.V.,PF) 500 MG/ML",10,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00517265025","00517-2650-25",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (S.D.V.,PF) 500 MG/ML",50,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00517280225","00517-2802-25",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (S.D.V.,PF) 0.9%",2,"ML","VL","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"00517280225","00517-2802-25",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (S.D.V.,PF) 0.9%",2,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00517281025","00517-2810-25",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (S.D.V.,PF) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00517281025","00517-2810-25",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (S.D.V.,PF) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00517290025","00517-2900-25",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE CONCENTRATE (BULK PACKAGE) 23.4%",100,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00517293025","00517-2930-25",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE CONCENTRATE (S.D.V.) 23.4%",30,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00517300525","00517-3005-25",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.)",5,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00517300525","00517-3005-25",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.)",5,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00517301025","00517-3010-25",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.)",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00517301025","00517-3010-25",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.)",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00517302025","00517-3020-25",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.)",20,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00517302025","00517-3020-25",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.)",20,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00517305025","00517-3050-25",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.)",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"00517305025","00517-3050-25",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.)",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00517381025","00517-3810-25",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (S.D.V.,PF) 25 MG/ML",10,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00517382025","00517-3820-25",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (S.D.V.,PF) 25 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"00517390025","00517-3900-25",,"J0610",,1/1/2002,,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (VIAL,PF) 100 MG/ML",100,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00517391025","00517-3910-25",,"J0610",,1/1/2002,,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (S.D.V.,PF) 100 MG/ML",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00517395025","00517-3950-25",,"J0610",,1/1/2002,,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (S.D.V.,PF) 100 MG/ML",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"00517400205","00517-4002-05",,"J2440",,1/1/2002,9/14/2003,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (S.D.V.) 30 MG/ML",2,"ML","VL","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"00517400225","00517-4002-25",,"J2440",,9/15/2003,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (S.D.V.) 30 MG/ML",2,"ML","VL","IJ","ML",60,"MG",0.5,9/15/2003,,,,,,,
"00517401001","00517-4010-01",,"J2440",,1/1/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (M.D.V.) 30 MG/ML",10,"ML","VL","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"00517405025","00517-4050-25",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (S.D.V.,PF) 25%",50,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00517420125","00517-4201-25",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (S.D.V.) 25 MG/ML",1,"ML","VL","IM","ML",25,"MG",1,1/1/2002,,,,,,,
"00517460125","00517-4601-25",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00517460125","00517-4601-25","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00517460225","00517-4602-25",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00517460225","00517-4602-25","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00517460525","00517-4605-25",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00517460525","00517-4605-25","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00517462025","00517-4620-25",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00517462025","00517-4620-25","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00517490125","00517-4901-25",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (S.D.V.) 4 MG/ML",1,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00517490525","00517-4905-25",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00517493025","00517-4930-25",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 4 MG/ML",30,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"00517560125","00517-5601-25",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (S.D.V.) 50 MG/ML",1,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00517560225","00517-5602-25",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (S.D.V.) 50 MG/ML",2,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00517561025","00517-5610-25",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (M.D.V.) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"00517570225","00517-5702-25",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (S.D.V.) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00517570425","00517-5704-25",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (S.D.V.) 10 MG/ML",4,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00517571025","00517-5710-25",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (S.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00517750412","00517-7504-12",,"J7608",,1/1/2002,1/24/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00517750412","00517-7504-12","KO","J7608","KO",1/1/2002,1/24/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00517750425","00517-7504-25",,"J7608",,1/24/2003,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/24/2003,,,,,,,
"00517750425","00517-7504-25","KO","J7608","KO",1/24/2003,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/24/2003,,,,,,,
"00517751003","00517-7510-03",,"J7608",,1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00517751003","00517-7510-03","KO","J7608","KO",1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00517753003","00517-7530-03",,"J7608",,1/1/2002,7/2/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00517753003","00517-7530-03","KO","J7608","KO",1/1/2002,7/2/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00517760412","00517-7604-12",,"J7608",,1/1/2002,1/29/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00517760412","00517-7604-12","KO","J7608","KO",1/1/2002,1/29/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00517760425","00517-7604-25",,"J7608",,1/29/2003,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/29/2003,,,,,,,
"00517760425","00517-7604-25","KO","J7608","KO",1/29/2003,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/29/2003,,,,,,,
"00517761003","00517-7610-03",,"J7608",,1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00517761003","00517-7610-03","KO","J7608","KO",1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00517763003","00517-7630-03",,"J7608",,1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00517763003","00517-7630-03","KO","J7608","KO",1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (PF) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00517860525","00517-8605-25",,"J0640",,1/1/2002,1/9/2002,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (S.D.V.,PF) 10 MG/ML",5,"ML","VL","IJ","ML",50,"MG",0.2,1/1/2002,,,,,,,
"00517871110","00517-8711-10",,"J0696",,5/6/2008,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,5/6/2008,,,,,,,
"00517872210","00517-8722-10",,"J0696",,5/6/2008,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,5/6/2008,,,,,,,
"00517872510","00517-8725-10",,"J0696",,5/6/2008,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,5/6/2008,,,,,,,
"00517875010","00517-8750-10",,"J0696",,5/6/2008,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,5/6/2008,,,,,,,
"00517881001","00517-8810-01",,"J3490",,1/1/2002,1/1/2004,"UNCLASSIFIED DRUGS","BRETYLIUM TOSYLATE (S.D.V.,PF) 50 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00517890501","00517-8905-01",,"J0210",,1/1/2002,2/26/2003,"INJECTION, METHYLDOPATE  HCL, UP TO 250 MG","METHYLDOPATE HCL (S.D.V.) 50 MG/ML",5,"ML","VL","IV","ML",250,"MG",0.2,1/1/2002,,,,,,,
"00517890510","00517-8905-10",,"J0210",,2/26/2003,,"INJECTION, METHYLDOPATE  HCL, UP TO 250 MG","METHYLDOPATE HCL (S.D.V.) 50 MG/ML",5,"ML","VL","IV","ML",250,"MG",0.2,2/26/2003,,,,,,,
"00517912005","00517-9120-05",,"J3490",,1/1/2002,3/12/2003,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (M.D.V.) 250 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00517912025","00517-9120-25",,"J3490",,3/12/2003,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (M.D.V.) 250 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,3/12/2003,,,,,,,
"00517970225","00517-9702-25",,"J1790",,1/1/2002,,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (S.D.V.) 2.5 MG/ML",2,"ML","VL","IJ","ML",5,"MG",0.5,1/1/2002,,,,,,,
"00527120101","00527-1201-01",,"J7510",,1/1/2002,10/1/2003,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00527120110","00527-1201-10",,"J7510",,1/1/2002,10/30/2004,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,10/30/2004,,,,,,
"00527129607","00527-1296-07",,"J7509",,1/1/2002,10/1/2003,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (UNIT OF USE) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00527129701","00527-1297-01",,"Q0164",,1/1/2002,1/1/2002,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00527129801","00527-1298-01",,"Q0165",,1/1/2002,1/1/2002,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"00536077085","00536-0770-85",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHIST 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00536077097","00536-0770-97",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHIST 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00536359401","00536-3594-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHIST 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00536359410","00536-3594-10",,"Q0163",,9/29/2003,2/7/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHIST 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,9/29/2003,,,,,,,
"00536359701","00536-3597-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHIST (CAPTAB) 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00536377206","00536-3772-06",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",50,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00536399801","00536-3998-01",,,,1/1/1994,10/14/1999,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00536399836","00536-3998-36",,,,1/1/1994,10/14/1999,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",36,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00548100100","00548-1001-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (MIN-I-JET,18GX1 1/2"") 50%",50,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00548101400","00548-1014-00",,"J0170",,1/1/2002,7/1/2007,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (MIN-I-JET,18GX3 1/2"") 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,1/1/2002,7/1/2007,,,,,,
"00548101500","00548-1015-00",,"J7799",,1/1/2002,10/1/2007,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (MIN-I-JET,21GX1 1/2"") 25%",10,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00548101600","00548-1016-00",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (MIN-I-JET,21GX1 1/2"") 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00548103400","00548-1034-00",,"J3475",,1/1/2002,7/1/2007,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (MIN-I-JET,19GX2 1/2"") 500 MG/ML",10,"ML","SR","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"00548103800","00548-1038-00",,"J0460",,1/1/2002,7/1/2002,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (MIN-I-JET,21GX1 1/2) 0.1 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,,,,,,,
"00548103900","00548-1039-00",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (MIN-I-JET,21GX1 1/2"") 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,12/31/2009,,,,,,
"00548107800","00548-1078-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (MINIJET CONTROL SRN) 1%",20,"ML","SR","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00548107800","00548-1078-00",,"J2001",,1/1/2004,7/1/2008,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (MINIJET CONTROL SRN) 1%",20,"ML","SR","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"00548107900","00548-1079-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (MINIJET CONTROL SRN) 1%",30,"ML","SR","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00548107900","00548-1079-00",,"J2001",,1/1/2004,9/1/2008,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (MINIJET CONTROL SRN) 1%",30,"ML","SR","EP","ML",10,"MG",1,1/1/2004,9/1/2008,,,,,,
"00548108000","00548-1080-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (MINIJET OB KIT) 1%",20,"ML","SR","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00548108000","00548-1080-00",,"J2001",,1/1/2004,9/1/2008,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (MINIJET OB KIT) 1%",20,"ML","SR","EP","ML",10,"MG",1,1/1/2004,9/1/2008,,,,,,
"00548108100","00548-1081-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (MINIJET OB KIT) 1%",30,"ML","SR","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00548108100","00548-1081-00",,"J2001",,1/1/2004,11/30/2008,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (MINIJET OB KIT) 1%",30,"ML","SR","EP","ML",10,"MG",1,1/1/2004,11/30/2008,,,,,,
"00548119000","00548-1190-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (MINIJET,21GX1 1/2"") 2%",5,"ML","SR","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00548119000","00548-1190-00",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (MINIJET,21GX1 1/2"") 2%",5,"ML","SR","IV","ML",10,"MG",2,1/1/2004,,,,,,,
"00548119200","00548-1192-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (MINIJET,21GX1 1/2"") 1%",5,"ML","SR","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00548119200","00548-1192-00",,"J2001",,1/1/2004,10/1/2007,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (MINIJET,21GX1 1/2"") 1%",5,"ML","SR","IV","ML",10,"MG",1,1/1/2004,,,,,,,
"00548119900","00548-1199-00",,"J2690",,1/1/2002,7/1/2002,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (MIN-I-JET,21GX1 1/2"") 100 MG/ML",10,"ML","SR","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00548139000","00548-1390-00",,"J1200",,1/1/2002,4/1/2008,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (MINIJET,21GX1 1/2"") 50 MG/ML",1,"ML","SR","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00548143100","00548-1431-00",,"J1940",,1/1/2002,7/1/2007,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (MIN-I-JET,21GX1 1/2) 10 MG/ML",10,"ML","SR","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"00548146600","00548-1466-00",,"J2310",,1/1/2002,7/1/2007,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (21GX1 1/2"",MINIJET,PF) 0.4 MG/ML",1,"ML","SR","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"00548146900","00548-1469-00",,"J2310",,1/1/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (21GX1 1/2"",MINIJET,PF) 1 MG/ML",2,"ML","SR","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"00548191125","00548-1911-25",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFILLED,PUMP-JET) 1 MG/ML",30,"ML","SR","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00548193110","00548-1931-10",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFILL,PCA INJECT) 1 MG/ML",30,"ML","SR","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00548193310","00548-1933-10",,"J2270",,1/1/2002,7/1/2007,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFILLED,PCA) 1 MG/ML",30,"ML","VL","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00548193700","00548-1937-00",,"J2270",,1/23/2002,7/1/2007,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (DELTEC PCA VIAL) 1 MG/ML",30,"ML","VL","IV","ML",10,"MG",0.1,1/23/2002,,,,,,,
"00548200100","00548-2001-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (SRN,PREFILLED,STICKGARD) 50%",50,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00548201600","00548-2016-00",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (SRN,PREFILLED,STICKGARD) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00548203900","00548-2039-00",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (SRN,PREFILLED,STICKGARD) 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,12/31/2009,,,,,,
"00548219000","00548-2190-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (SRN,PREFILLED,STICKGARD) 2%",5,"ML","SR","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"00548219000","00548-2190-00",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (SRN,PREFILLED,STICKGARD) 2%",5,"ML","SR","IV","ML",10,"MG",2,1/1/2004,,,,,,,
"00548290125","00548-2901-25",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFILLED,STICKGARD) 1 MG/ML",10,"ML","SR","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00548330100","00548-3301-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (SRN,PREFILLED,LUER-JET) 50%",50,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00548331500","00548-3315-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (SRN,PREFILLED,LUER-JET) 25%",10,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00548331600","00548-3316-00",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (SRN,PREFILLED,LUER-JET) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00548333800","00548-3338-00",,"J0460",,1/1/2002,7/1/2007,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (SRN,PREFILLED,LUER-JET) 0.1 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,,,,,,,
"00548333900","00548-3339-00",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (SRN,PREFILLED,LUER-JET) 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,12/31/2009,,,,,,
"00548336600","00548-3366-00",,"J2310",,1/15/2002,7/1/2007,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (SRN,PREFIL,LUERJET,PF) 0.4 MG/ML",1,"ML","SR","IJ","ML",1,"MG",0.4,1/15/2002,,,,,,,
"00548336900","00548-3369-00",,"J2310",,1/15/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (SRN,PREFIL,LUERJET,PF) 1 MG/ML",2,"ML","SR","IJ","ML",1,"MG",1,1/15/2002,,,,,,,
"00548338000","00548-3380-00",,"J0282",,2/1/2004,4/1/2008,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",3,"ML","SR","IV","ML",30,"MG",1.66666,2/1/2004,,,,,,,
"00548339000","00548-3390-00",,"J2000",,1/23/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (SRN,PREFILLED,LUER-JET) 2%",5,"ML","SR","IV","ML",50,"ML",0.02,1/23/2002,,,,,,,
"00548339000","00548-3390-00",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (SRN,PREFILLED,LUER-JET) 2%",5,"ML","SR","IV","ML",10,"MG",2,1/1/2004,,,,,,,
"00548339110","00548-3391-10",,"J2270",,1/1/2002,10/1/2007,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFILLED,LUER-JET) 1 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00548590000","00548-5900-00",,"J0835",,6/26/2003,12/31/2009,"INJECTION, COSYNTROPIN, PER 0.25 MG","CORTROSYN (S.D.V.) 0.25 MG",1,"EA","VL","IJ","EA",0.25,"MG",1,6/26/2003,12/31/2009,,,,,,
"00548604025","00548-6040-25",,"J2271",,1/1/2002,4/1/2004,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (SRN,PREFIL,DILUTE-A-JET) 50 MG/ML",20,"ML","SR","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00548604125","00548-6041-25",,"J2271",,1/1/2002,7/1/2002,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (SRN,PREFIL,DILUTE-A-JET) 50 MG/ML",40,"ML","SR","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00548604225","00548-6042-25",,"J2270",,1/1/2002,10/1/2007,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFIL,DILUTE-A-JET) 25 MG/ML",10,"ML","SR","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00548604325","00548-6043-25",,"J2270",,1/1/2002,10/1/2007,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFIL,DILUTE-A-JET) 25 MG/ML",20,"ML","SR","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00548604525","00548-6045-25",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (SRN,PREFIL,DILUTE-A-JET) 25 MG/ML",4,"ML","SR","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"00548635600","00548-6356-00",,"J2275",,1/1/2002,7/1/2002,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (SRN,DILUTE-A-JET,PF) 50 MG/ML",10,"ML","SR","IJ","ML",10,"MG",5,1/1/2002,,,,,,,
"00548830100","00548-8301-00",,"J2370",,1/1/2002,7/1/2002,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (S.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00548845000","00548-8450-00",,"J2270",,1/23/2002,6/1/2003,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (S.D.V.,FLIPTOP) 1 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.1,1/23/2002,,,,,,,
"00548905100","00548-9051-00",,"J2912",,1/1/2002,7/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (S.D.V.) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00548906100","00548-9061-00",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (M.D.V.) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00548909000","00548-9090-00",,"J3470",,11/1/2004,,"INJECTION, HYALURONIDASE, UP TO 150 UNITS","AMPHADASE 150 U/ML",1,"ML","VL","SC","ML",150,"U",1,11/1/2004,,,,,,,
"00548909010","00548-9090-10",,"J3470",,4/25/2005,,"INJECTION, HYALURONIDASE, UP TO 150 UNITS","AMPHADASE 150 U/ML",1,"ML","VL","SC","ML",150,"U",1,4/25/2005,,,,,,,
"00555005902","00555-0059-02",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00555005905","00555-0059-05",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00555030102","00555-0301-02",,"J7509",,2/5/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,2/5/2002,,,,,,,
"00555030138","00555-0301-38",,"J7509",,4/10/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,4/10/2002,,,,,,,
"00555030202","00555-0302-02",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00555030204","00555-0302-04",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",500,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00555032302","00555-0323-02",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00555032304","00555-0323-04",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00555032402","00555-0324-02",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 100 MG",100,"EA","BO","PO","EA",50,"MG",2,1/1/2002,,,,,,,
"00555044605","00555-0446-05",,"J8999",,2/20/2003,10/11/2005,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",1000,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00555044609","00555-0446-09",,"J8999",,1/1/2002,12/22/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",60,"EA","BO","PO","EA",1,"EA",1,2/20/2003,12/22/2008,1/1/2002,8/20/2002,1,,,
"00555044663","00555-0446-63",,"J8999",,1/1/2002,12/22/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",180,"EA","BO","PO","EA",1,"EA",1,2/20/2003,12/22/2008,1/1/2002,8/20/2002,1,,,
"00555052102","00555-0521-02",,"Q0164",,4/29/2004,5/28/2009,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,4/29/2004,5/28/2009,,,,,,
"00555052202","00555-0522-02",,"Q0165",,1/7/2002,5/28/2009,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/7/2002,5/28/2009,,,,,,
"00555052204","00555-0522-04",,"Q0165",,7/11/2002,6/28/2007,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",500,"EA","BO","PO","EA",10,"MG",1,7/11/2002,,,,,,,
"00555057202","00555-0572-02",,,,1/1/1994,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00555057235","00555-0572-35",,,,1/1/1994,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",36,"EA","BO","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00555057245","00555-0572-45",,,,10/4/1994,11/14/2002,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",8,"EA","DP","PO","EA",2.5,"MG",1,10/4/1994,,,,,,,
"00555057246","00555-0572-46",,,,10/4/1994,12/10/2002,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",12,"EA","DP","PO","EA",2.5,"MG",1,10/4/1994,,,,,,,
"00555057247","00555-0572-47",,,,10/4/1994,1/17/2003,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",16,"EA","DP","PO","EA",2.5,"MG",1,10/4/1994,,,,,,,
"00555057248","00555-0572-48",,,,10/4/1994,11/14/2002,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",20,"EA","DP","PO","EA",2.5,"MG",1,10/4/1994,,,,,,,
"00555057249","00555-0572-49",,,,10/4/1994,10/4/2002,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",24,"EA","DP","PO","EA",2.5,"MG",1,10/4/1994,,,,,,,
"00555057651","00555-0576-51",,"Q0166",,3/17/2008,6/18/2009,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (2X10,FILM COATED) 1 MG",20,"EA","BX","PO","EA",1,"MG",1,3/17/2008,6/18/2009,,,,,,
"00555057693","00555-0576-93",,"Q0166",,3/17/2008,5/28/2009,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (FILM COATED) 1 MG",2,"EA","BX","PO","EA",1,"MG",1,3/17/2008,5/28/2009,,,,,,
"00555060602","00555-0606-02",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 20 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00555060702","00555-0607-02",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00555060703","00555-0607-03",,"J8999",,1/1/2002,11/13/2002,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",250,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00555060704","00555-0607-04",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00555087004","00555-0870-04",,"J8999",,1/1/2002,5/7/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00555087063","00555-0870-63",,"J8999",,1/1/2002,12/22/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",180,"EA","BO","PO","EA",1,"EA",1,1/1/2002,12/22/2008,,,,,,
"00555088202","00555-0882-02",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00555090401","00555-0904-01",,"J8999",,1/1/2002,12/22/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,12/22/2008,,,,,,
"00555090405","00555-0904-05",,"J8999",,2/20/2003,10/11/2005,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",1000,"EA","BO","PO","EA",1,"EA",1,2/20/2003,,,,,,,
"00555090414","00555-0904-14",,"J8999",,1/1/2002,12/22/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",90,"EA","BO","PO","EA",1,"EA",1,2/20/2003,12/22/2008,1/1/2002,8/20/2002,1,,,
"00555092701","00555-0927-01",,,,5/1/2001,3/9/2006,"METHOTREXATE, 5 MG","TREXALL 5 MG",30,"EA","BO","PO","EA",5,"MG",1,5/1/2001,3/9/2006,,,,,,
"00555092801","00555-0928-01",,,,5/1/2001,3/9/2006,"METHOTREXATE, 7.5 MG","TREXALL 7.5 MG",30,"EA","BO","PO","EA",7.5,"MG",1,5/1/2001,3/9/2006,,,,,,
"00555092901","00555-0929-01",,,,5/1/2001,12/2/2005,"METHOTREXATE, 10 MG","TREXALL 10 MG",30,"EA","BO","PO","EA",10,"MG",1,5/1/2001,12/2/2005,,,,,,
"00555094501","00555-0945-01",,,,5/1/2001,12/2/2005,"METHOTREXATE, 15 MG","TREXALL 15 MG",30,"EA","BO","PO","EA",15,"MG",1,5/1/2001,12/2/2005,,,,,,
"00555111705","00555-1117-05",,"J1170",,5/8/2007,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (10X1ML,PF) 10 MG/ML",1,"ML","VL","IJ","ML",4,"MG",2.5,5/8/2007,,,,,,,
"00555111706","00555-1117-06",,"J1170",,5/8/2007,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (10X5ML,PF) 10 MG/ML",5,"ML","VL","IJ","ML",4,"MG",2.5,5/8/2007,,,,,,,
"00555111707","00555-1117-07",,"J1170",,5/8/2007,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (SDV,PF) 10 MG/ML",50,"ML","VL","IJ","ML",4,"MG",2.5,5/8/2007,,,,,,,
"00555111909","00555-1119-09",,"J2300",,5/25/2007,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HYDROCHLORIDE (25X10ML) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,5/25/2007,,,,,,,
"00555112009","00555-1120-09",,"J2300",,5/25/2007,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HYDROCHLORIDE (25X10ML) 20 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2,5/25/2007,,,,,,,
"00555112105","00555-1121-05",,"J2300",,5/25/2007,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HYDROCHLORIDE (10X1ML) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,5/25/2007,,,,,,,
"00555112205","00555-1122-05",,"J2300",,5/25/2007,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HYDROCHLORIDE (10X1ML) 20 MG/ML",1,"ML","AM","IJ","ML",10,"MG",2,5/25/2007,,,,,,,
"00555112710","00555-1127-10",,"J2275",,7/10/2007,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (USP,5X10ML,PF) 0.5 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.05,7/10/2007,,,,,,,
"00555112810","00555-1128-10",,"J2275",,7/10/2007,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (USP,5X10ML,PF) 1 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.1,7/10/2007,,,,,,,
"00555112910","00555-1129-10",,"J2275",,7/10/2007,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (USP,5X10ML,PF) 0.5 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.05,7/10/2007,,,,,,,
"00555113010","00555-1130-10",,"J2275",,7/10/2007,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (USP,5X10ML,PF) 1 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.1,7/10/2007,,,,,,,
"00555113111","00555-1131-11",,"J0895",,9/5/2007,,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,9/5/2007,,,,,,,
"00555113212","00555-1132-12",,"J0895",,9/5/2007,,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,9/5/2007,,,,,,,
"00555198414","00555-1984-14",,"J9265",,6/3/2008,6/30/2009,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (1X16.7ML,USP,MDV) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,6/3/2008,6/30/2009,,,,,,
"00555198514","00555-1985-14",,"J9265",,6/3/2008,6/30/2009,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (1X50ML,USP,MDV) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,6/3/2008,6/30/2009,,,,,,
"00562780501","00562-7805-01",,"J2790",,9/1/2007,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","RHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 300 MCG",1,"EA","SR","IM","EA",300,"MCG",1,9/1/2007,,,,,,,
"00562780505","00562-7805-05",,"J2790",,9/1/2007,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","RHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 300 MCG",5,"EA","SR","IM","EA",300,"MCG",1,9/1/2007,,,,,,,
"00562780525","00562-7805-25",,"J2790",,9/1/2007,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","RHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 300 MCG",25,"EA","SR","IM","EA",300,"MCG",1,9/1/2007,,,,,,,
"00562780601","00562-7806-01",,"J2788",,9/1/2007,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MCG (250 I.U.)","MICRHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 50 MCG",1,"EA","SR","IM","EA",50,"MCG",1,9/1/2007,,,,,,,
"00562780605","00562-7806-05",,"J2788",,9/1/2007,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MCG (250 I.U.)","MICRHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 50 MCG",5,"EA","SR","IM","EA",50,"MCG",1,9/1/2007,,,,,,,
"00562780625","00562-7806-25",,"J2788",,9/1/2007,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MCG (250 I.U.)","MICRHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 50 MCG",25,"EA","SR","IM","EA",50,"MCG",1,9/1/2007,,,,,,,
"00562780701","00562-7807-01",,"J2790",,8/8/2006,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","RHOGAM (ULTRA-FILTERED,SF)",1,"ML","SR","IM","ML",300,"MCG",1,8/8/2006,,,,,,,
"00562780706","00562-7807-06",,"J2790",,1/1/2002,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","RHOGAM (SRN,SFTY~300 MCG ANTI-D)",1,"ML","SR","IM","ML",300,"MCG",1,1/1/2002,,,,,,,
"00562780726","00562-7807-26",,"J2790",,1/1/2002,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","RHOGAM (SRN,SFTY~300 MCG ANTI-D)",1,"ML","SR","IM","ML",300,"MCG",1,1/1/2002,,,,,,,
"00562780801","00562-7808-01",,"J2788",,8/8/2006,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MCG (250 I.U.)","MICRHOGAM ULTRA-FILTERED (PF)",1,"ML","SR","IM","ML",50,"MCG",1,8/8/2006,,,,,,,
"00562780805","00562-7808-05",,"J2790",,1/1/2002,1/27/2002,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","MICRHOGAM (SRN,~50 MCG ANTI-RHO)",1,"ML","SR","IM","ML",300,"MCG",0.16667,1/1/2002,,,,,,,
"00562780806","00562-7808-06",,"J2788",,1/1/2003,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MCG (250 I.U.)","MICRHOGAM ULTRA-FILTERED (SRN,~50MCG ANTI-RHO,PF)",1,"ML","SR","IM","ML",50,"MCG",1,1/1/2003,,,,,,,
"00562780806","00562-7808-06",,"J2790",,2/12/2002,12/31/2002,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","MICRHOGAM ULTRA-FILTERED (SRN,~50MCG ANTI-RHO,PF)",1,"ML","SR","IM","ML",300,"MCG",0.16667,2/12/2002,,,,,,,
"00562780825","00562-7808-25",,"J2790",,1/1/2002,1/27/2002,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","MICRHOGAM (SRN,~50 MCG ANTI-RHO)",1,"ML","SR","IM","ML",300,"MCG",0.16667,1/1/2002,,,,,,,
"00562780826","00562-7808-26",,"J2788",,1/1/2003,,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MCG (250 I.U.)","MICRHOGAM ULTRA-FILTERED (SRN,~50MCG ANTI-RHO,PF)",1,"ML","SR","IM","ML",50,"MCG",1,1/1/2003,,,,,,,
"00562780826","00562-7808-26",,"J2790",,2/12/2002,12/31/2002,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","MICRHOGAM ULTRA-FILTERED (SRN,~50MCG ANTI-RHO,PF)",1,"ML","SR","IM","ML",300,"MCG",0.16667,2/12/2002,,,,,,,
"00574014804","00574-0148-04",,"J7510",,8/4/2004,6/28/2006,"PREDNISOLONE ORAL, PER 5 MG","BUBBLI-PRED (DYE-FREE,BUBBLE GUM) 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,8/4/2004,,,,,,,
"00574020001","00574-0200-01",,"J3490",,1/1/2002,8/25/2003,"UNCLASSIFIED DRUGS","BACITRACIN (VIAL) 50000 U",1,"EA","BO","IM","EA",1,"EA",1,1/1/2002,,,,,,,
"00574040005","00574-0400-05",,"J3490",,1/1/2002,11/12/2003,"UNCLASSIFIED DRUGS","BACITRACIN (U.S.P.,5 MU,MICRONIZED)",1,"EA","BO","NA","EA",1,"EA",1,1/1/2002,,,,,,,
"00574040810","00574-0408-10",,"J7638",,1/1/2002,12/16/2008,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","CN","NA","GM",1,"MG",1000,1/1/2002,12/16/2008,,,,,,
"00574040810","00574-0408-10","KO","J7638","KO",1/1/2002,12/16/2008,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","CN","NA","GM",1,"MG",1000,1/1/2002,12/16/2008,,,,,,
"00574042101","00574-0421-01",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"00574042125","00574-0421-25",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"00574043000","00574-0430-00",,"J2675",,1/1/2002,11/21/2008,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,11/21/2008,,,,,,
"00574043001","00574-0430-01",,"J2675",,1/1/2002,1/6/2009,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,1/6/2009,,,,,,
"00574043025","00574-0430-25",,"J2675",,1/1/2002,1/26/2009,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,1/26/2009,,,,,,
"00574043100","00574-0431-00",,"J2675",,1/1/2002,4/6/2009,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE WETTABLE (U.S.P.,MICROCRYSTALLINE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,4/6/2009,,,,,,
"00574043101","00574-0431-01",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE WETTABLE (U.S.P.,MICROCRYSTALLINE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"00574043125","00574-0431-25",,"J2675",,1/1/2002,10/27/2008,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE WETTABLE (U.S.P.,MICROCRYSTALLINE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,10/27/2008,,,,,,
"00574043200","00574-0432-00",,"J2675",,1/1/2002,5/23/2007,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., MILLED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"00574045005","00574-0450-05",,"J7684",,1/1/2002,9/27/2007,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,9/27/2007,,,,,,
"00574045005","00574-0450-05","KO","J7684","KO",1/1/2002,9/27/2007,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,9/27/2007,,,,,,
"00574045010","00574-0450-10",,"J7684",,1/1/2002,1/6/2004,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"00574045010","00574-0450-10","KO","J7684","KO",1/1/2002,1/6/2004,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"00574046000","00574-0460-00",,"J3140",,1/1/2002,6/3/2002,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"00574046005","00574-0460-05",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"00574046025","00574-0460-25",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"00574046105","00574-0461-05",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"00574046125","00574-0461-25",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"00574082001","00574-0820-01",,"J1080",,12/21/2007,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE (1X1ML,USP) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,12/21/2007,,,,,,,
"00574082010","00574-0820-10",,"J1080",,12/21/2007,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE (1X10ML,USP) 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,12/21/2007,,,,,,,
"00574082105","00574-0821-05",,"J3130",,8/1/2007,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE (USP,MULTIPLE DOSE) 200 MG/ML",5,"ML","VL","IM","ML",200,"MG",1,8/1/2007,,,,,,,
"00574082301","00574-0823-01",,"J0706",,9/21/2006,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (USP,PF) 20 MG/ML",3,"ML","VL","IV","ML",5,"MG",4,9/21/2006,,,,,,,
"00574082381","00574-0823-81",,"J0706",,9/28/2007,,"INJECTION, CAFFEINE CITRATE, 5MG","NOVAPLUS CAFFEINE CITRATE (USP,10X3ML,PF) 20 MG/ML",3,"ML","VL","IV","ML",5,"MG",4,9/28/2007,,,,,,,
"00574083625","00574-0836-25",,"J2550",,8/8/2003,4/20/2006,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (AMP) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,8/8/2003,,,,,,,
"00574085005","00574-0850-05",,"J1110",,8/4/2003,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"MG",1,8/4/2003,,,,,,,
"00574085010","00574-0850-10",,"J1110",,3/15/2004,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"MG",1,3/15/2004,,,,,,,
"00574085801","00574-0858-01",,"J0770",,3/11/2005,,"INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG","COLISTIMETHATE SODIUM (VIAL,STERILE) 150 MG",1,"EA","VL","IJ","EA",150,"MG",1,3/11/2005,,,,,,,
"00574086610","00574-0866-10",,"J7516",,11/19/2004,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORINE 50 MG/ML",5,"ML","AM","IV","ML",250,"MG",0.2,11/19/2004,,,,,,,
"00574200625","00574-2006-25",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"00574201701","00574-2017-01",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"00574722612","00574-7226-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPRO 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"00574722612","00574-7226-12",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPRO 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"00574723412","00574-7234-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENADOZ 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"00574723412","00574-7234-12",,"K0416",,6/26/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENADOZ 25 MG",12,"EA","BX","RC","EA",1,"MG",25,6/26/2003,,,,,,,
"00574723612","00574-7236-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENADOZ 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"00574723612","00574-7236-12",,"K0416",,7/29/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENADOZ 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,7/29/2003,,,,,,,
"00585067302","00585-0673-02",,"J7631",,1/1/2002,12/14/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,1/1/2003,,1/1/2002,12/31/2002,1,,,
"00585067302","00585-0673-02","KO","J7631","KO",1/1/2002,12/14/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,1/1/2003,,1/1/2002,12/31/2002,1,,,
"00585067303","00585-0673-03",,"J7631",,1/1/2002,12/14/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,1/1/2003,,1/1/2002,12/31/2002,1,,,
"00585067303","00585-0673-03","KO","J7631","KO",1/1/2002,12/14/2005,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,1/1/2003,,1/1/2002,12/31/2002,1,,,
"00591021702","00591-0217-02",,"J7510",,1/1/2002,8/15/2008,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG",1000,"EA","NA","PO","EA",5,"MG",1,1/1/2002,8/15/2008,,,,,,
"00591033501","00591-0335-01",,"J8499",,10/22/2003,12/8/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,10/22/2003,12/8/2009,,,,,,
"00591033505","00591-0335-05",,"J8499",,11/18/2003,10/31/2005,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",500,"EA","BO","PO","EA",1,"EA",1,11/18/2003,,,,,,,
"00591033601","00591-0336-01",,"J8499",,7/2/2003,12/8/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,7/2/2003,12/8/2009,,,,,,
"00591033605","00591-0336-05",,"J8499",,11/18/2003,12/6/2005,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",500,"EA","BO","PO","EA",1,"EA",1,11/18/2003,,,,,,,
"00591052038","00591-0520-38",,"J7510",,5/15/2003,8/2/2004,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",236,"ML","BO","PO","ML",5,"MG",0.6,5/15/2003,,,,,,,
"00591079001","00591-0790-01",,"J7509",,1/1/2002,4/9/2007,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00591079021","00591-0790-21",,"J7509",,7/22/2002,4/7/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,7/22/2002,,,,,,,
"00591080001","00591-0800-01",,"Q0177",,9/18/2006,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (USP) 25 MG",100,"EA","BO","PO","EA",25,"MG",1,9/18/2006,,,,,,,
"00591080005","00591-0800-05",,"Q0177",,9/18/2006,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (USP) 25 MG",500,"EA","BO","PO","EA",25,"MG",1,9/18/2006,,,,,,,
"00591080101","00591-0801-01",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,9/18/2006,,1/1/2002,8/17/2005,1,,,
"00591080105","00591-0801-05",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",500,"EA","BO","PO","EA",50,"MG",1,9/18/2006,,1/1/2002,8/9/2005,1,,,
"00591218653","00591-2186-53",,"J2322",,7/9/2003,3/20/2007,"INJECTION, NANDROLONE DECANOATE, UP TO 200 MG","NANDROLONE DECANOATE (S.D.V.) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,7/9/2003,,,,,,,
"00591218654","00591-2186-54",,"J2322",,7/9/2003,3/20/2007,"INJECTION, NANDROLONE DECANOATE, UP TO 200 MG","NANDROLONE DECANOATE (S.D.V.) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,7/9/2003,3/20/2007,,,,,,
"00591222455","00591-2224-55",,"J7502",,12/23/2008,,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE (1X50ML,MODIFIED) 100 MG/ML",50,"ML","VL","PO","ML",100,"MG",1,12/23/2008,,,,,,,
"00591236569","00591-2365-69",,"J0690",,1/22/2003,1/2/2007,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,3/7/2005,,1/22/2003,11/18/2004,2,,,
"00591236668","00591-2366-68",,"J0690",,4/29/2003,8/24/2006,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,3/7/2005,,4/29/2003,10/14/2004,20,,,
"00591269201","00591-2692-01",,"J8499",,1/1/2003,12/8/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,4/3/2009,12/8/2009,1/1/2003,2/13/2009,1,,,
"00591269205","00591-2692-05",,"J8499",,11/18/2003,12/6/2005,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",500,"EA","BO","PO","EA",1,"EA",1,11/18/2003,,,,,,,
"00591312879","00591-3128-79",,"J2675",,12/17/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE IN SESAME OIL (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,12/17/2002,,,,,,,
"00591315754","00591-3157-54",,"J2550",,1/20/2003,10/5/2006,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/20/2003,10/5/2006,,,,,,
"00591315783","00591-3157-83",,"J2550",,1/23/2003,10/5/2006,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (AMPULES) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/23/2003,,,,,,,
"00591315854","00591-3158-54",,"J2550",,1/20/2003,2/28/2006,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,1/20/2003,2/28/2006,,,,,,
"00591315883","00591-3158-83",,"J2550",,1/23/2003,10/5/2006,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (AMPULE) 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,1/23/2003,,,,,,,
"00591318902","00591-3189-02",,"J9206",,3/4/2008,5/1/2008,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SINGLE-USE) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,3/4/2008,5/1/2008,,,,,,
"00591318902","00591-3189-02","QR","J9206","QR",3/4/2008,5/1/2008,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SINGLE-USE) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,3/4/2008,5/1/2008,,,,,,
"00591318926","00591-3189-26",,"J9206",,3/4/2008,5/1/2008,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SINGLE-USE) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,3/4/2008,5/1/2008,,,,,,
"00591318926","00591-3189-26","QR","J9206","QR",3/4/2008,5/1/2008,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SINGLE-USE) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,3/4/2008,5/1/2008,,,,,,
"00591322126","00591-3221-26",,"J3130",,3/9/2004,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE 200 MG/ML",5,"ML","VL","IM","ML",200,"MG",1,3/9/2004,,,,,,,
"00591322247","00591-3222-47",,"J2360",,9/7/2004,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE 30 MG/ML",2,"ML","AM","IJ","ML",60,"MG",0.5,9/7/2004,,,,,,,
"00591322379","00591-3223-79",,"J1080",,3/29/2004,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE (M.D.V.) 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,3/29/2004,,,,,,,
"00591333626","00591-3336-26",,"J9045",,1/19/2007,10/17/2007,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV,PF) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,1/19/2007,,,,,,,
"00591333712","00591-3337-12",,"J9045",,1/19/2007,10/17/2007,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV,PF) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,1/19/2007,,,,,,,
"00591333889","00591-3338-89",,"J9045",,1/19/2007,10/17/2007,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV,PF) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,1/19/2007,,,,,,,
"00591336545","00591-3365-45",,"J2060",,2/22/2005,9/12/2007,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (SDV) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,8/16/2006,,2/22/2005,2/27/2006,1,,,
"00591336570","00591-3365-70",,"J2060",,2/22/2005,7/17/2007,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (MDV) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,2/22/2005,7/17/2007,,,,,,
"00591343330","00591-3433-30",,"J7620",,1/2/2008,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,1/2/2008,,,,,,,
"00591343360","00591-3433-60",,"J7620",,1/2/2008,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (60X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,1/2/2008,,,,,,,
"00591345460","00591-3454-60",,"J9045",,1/19/2007,10/17/2007,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV,600MG/60ML,PF) 10 MG/ML",60,"ML","VL","IV","ML",50,"MG",0.2,1/19/2007,,,,,,,
"00591346753","00591-3467-53",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (25X3ML,PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.21,1/1/2008,,,,,,,
"00591346753","00591-3467-53",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (25X3ML,PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.21,4/1/2008,,,,,,,
"00591346753","00591-3467-53","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (25X3ML,PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.21,1/1/2008,,,,,,,
"00591346753","00591-3467-53","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (25X3ML,PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.21,4/1/2008,,,,,,,
"00591346853","00591-3468-53",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (25X3ML,PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"00591346853","00591-3468-53",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (25X3ML,PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"00591346853","00591-3468-53","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (25X3ML,PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"00591346853","00591-3468-53","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (25X3ML,PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"00591346983","00591-3469-83",,"J9178",,10/23/2007,10/26/2007,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,10/23/2007,10/26/2007,,,,,,
"00591347057","00591-3470-57",,"J9178",,10/23/2007,10/26/2007,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,10/23/2007,10/26/2007,,,,,,
"00591354969","00591-3549-69",,"J0690",,1/3/2007,1/12/2009,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN (USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/3/2007,1/12/2009,,,,,,
"00591355068","00591-3550-68",,"J0690",,8/25/2006,11/7/2008,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN (USP) 10 GM",1,"EA","VL","IV","EA",500,"MG",20,8/25/2006,11/7/2008,,,,,,
"00591355369","00591-3553-69",,"J2590",,12/6/2006,11/19/2007,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (USP,SYNTHETIC,1MLX25) 10 U/ML",1,"ML","VL","IJ","ML",10,"U",1,12/6/2006,,,,,,,
"00591355911","00591-3559-11",,"J0770",,1/30/2007,5/22/2008,"INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG","COLISTIMETHATE (USP) 150 MG",1,"EA","VL","IJ","EA",150,"MG",1,1/30/2007,5/22/2008,,,,,,
"00591505201","00591-5052-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00591505210","00591-5052-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00591505901","00591-5059-01",,"J7510",,1/1/2002,8/15/2008,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,8/15/2008,,,,,,
"00591530701","00591-5307-01",,"Q0170",,4/15/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",100,"EA","BO","PO","EA",25,"MG",1,4/15/2002,,,,,,,
"00591530710","00591-5307-10",,"Q0170",,4/15/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",1000,"EA","BO","PO","EA",25,"MG",1,4/15/2002,,,,,,,
"00591531901","00591-5319-01",,"Q0170",,4/15/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 50 MG",100,"EA","BO","PO","EA",25,"MG",2,4/15/2002,,,,,,,
"00591544201","00591-5442-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00591544205","00591-5442-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",500,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00591544210","00591-5442-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00591544301","00591-5443-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00591544305","00591-5443-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",500,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00591544310","00591-5443-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",1000,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00591572601","00591-5726-01",,"Q0177",,2/13/2002,8/1/2005,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,2/13/2002,,,,,,,
"00591572605","00591-5726-05",,"Q0177",,1/1/2002,9/27/2005,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00591671702","00591-6717-02",,"J2321",,4/29/2003,3/20/2007,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (M.D.V.) 100 MG/ML",2,"ML","VL","IM","ML",100,"MG",1,4/29/2003,3/20/2007,,,,,,
"00591671747","00591-6717-47",,"J2321",,4/29/2003,1/5/2007,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (M.D.V.) 100 MG/ML",2,"ML","VL","IM","ML",100,"MG",1,4/29/2003,,,,,,,
"00597006011","00597-0060-11",,"J0706",,1/1/2002,12/31/2003,"INJECTION, CAFFEINE CITRATE, 5MG","CAFCIT (S.D.V.) 20 MG/ML",3,"ML","VL","IJ","ML",5,"MG",4,1/1/2002,,,,,,,
"00597008062","00597-0080-62",,"J7644",,1/1/2002,7/6/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROVENT (VIAL) 0.02%",2.5,"ML","VL","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00597008062","00597-0080-62","KO","J7644","KO",1/1/2002,7/6/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROVENT (VIAL) 0.02%",2.5,"ML","VL","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00603023918","00603-0239-18",,"Q0163",,1/1/2002,10/14/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","Q-DRYL (CAPLET) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00603024018","00603-0240-18",,"Q0163",,1/1/2002,6/4/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","Q-DRYL 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00603024118","00603-0241-18",,"Q0163",,6/5/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","Q-DRYL 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,6/5/2007,,,,,,,
"00603082354","00603-0823-54",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","Q-DRYL (AF,CHERRY) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00603082358","00603-0823-58",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","Q-DRYL 12.5 MG/5 ML",473,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00603082381","00603-0823-81",,"Q0163",,7/25/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","Q-DRYL 12.5 MG/5 ML",240,"ML","BO","PO","ML",50,"MG",0.05,7/25/2002,,,,,,,
"00603082394","00603-0823-94",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","Q-DRYL (UNBOXED,AF,CHERRY) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00603086054","00603-0860-54",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","QUENALIN 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00603100540","00603-1005-40",,"J7619",,1/1/2002,10/14/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00603100540","00603-1005-40","KO","J7619","KO",1/1/2002,10/14/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"00603100643","00603-1006-43",,"J7611",,1/1/2005,1/25/2005,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2005,,,,,,,
"00603100643","00603-1006-43",,"J7618",,1/1/2002,12/31/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2002,,,,,,,
"00603101058","00603-1010-58",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 50 MG/5 ML",480,"ML","BO","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"00603114556","00603-1145-56",,"Q0181",,1/1/2002,1/10/2003,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG/5 ML",240,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00603156756","00603-1567-56",,"J7510",,11/5/2007,8/7/2009,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,11/5/2007,8/7/2009,,,,,,
"00603156758","00603-1567-58",,"J7510",,11/5/2007,8/7/2009,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,11/5/2007,8/7/2009,,,,,,
"00603158454","00603-1584-54",,"Q0170",,5/12/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE PLAIN (USP) 6.25 MG/5 ML",118,"ML","BO","PO","ML",25,"MG",0.05,5/12/2006,,,,,,,
"00603158458","00603-1584-58",,"Q0170",,5/12/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE PLAIN (USP) 6.25 MG/5 ML",473,"ML","BO","PO","ML",25,"MG",0.05,5/12/2006,,,,,,,
"00603333721","00603-3337-21",,"Q0163",,12/16/2002,5/23/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,12/16/2002,,,,,,,
"00603333732","00603-3337-32",,"Q0163",,1/1/2002,6/4/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00603333821","00603-3338-21",,"Q0163",,12/16/2002,4/2/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,12/16/2002,,,,,,,
"00603333832","00603-3338-32",,"Q0163",,1/1/2002,4/2/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00603333921","00603-3339-21",,"Q0163",,5/24/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE (USP) 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,5/24/2007,,,,,,,
"00603333932","00603-3339-32",,"Q0163",,6/5/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE (USP) 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,6/5/2007,,,,,,,
"00603334021","00603-3340-21",,"Q0163",,4/3/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE (USP) 50 MG",100,"EA","BO","PO","EA",50,"MG",1,4/3/2007,,,,,,,
"00603334032","00603-3340-32",,"Q0163",,4/3/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE (USP) 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,4/3/2007,,,,,,,
"00603394621","00603-3946-21",,"J8999",,1/1/2002,1/30/2002,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00603449921","00603-4499-21",,,,1/1/1994,8/24/2000,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00603459315","00603-4593-15",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00603459321","00603-4593-21",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00603509021","00603-5090-21",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",100,"EA","BO","PO","EA",4,"MG",0.5,7/2/2009,,1/1/2002,9/19/2008,0.5,,,
"00603509028","00603-5090-28",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",500,"EA","BO","PO","EA",4,"MG",0.5,7/2/2009,,1/1/2002,9/19/2008,0.5,,,
"00603509121","00603-5091-21",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,7/2/2009,,1/1/2002,9/19/2008,1,,,
"00603509128","00603-5091-28",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",500,"EA","BO","PO","EA",4,"MG",1,7/2/2009,,1/1/2002,9/19/2008,1,,,
"00603509221","00603-5092-21",,"Q0176",,1/1/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",100,"EA","BO","PO","EA",8,"MG",1,7/2/2009,,1/1/2002,9/19/2008,1,,,
"00603509228","00603-5092-28",,"Q0176",,1/1/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",500,"EA","BO","PO","EA",8,"MG",1,7/2/2009,,1/1/2002,9/19/2008,1,,,
"00603509321","00603-5093-21",,"Q0176",,1/1/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 16 MG",100,"EA","BO","PO","EA",8,"MG",2,7/2/2009,,1/1/2002,9/19/2008,2,,,
"00603533215","00603-5332-15",,"J7506",,1/1/2002,8/19/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00603533221","00603-5332-21",,"J7506",,1/1/2002,1/15/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00603533231","00603-5332-31",,"J7506",,1/1/2002,8/19/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 5 MG",48,"EA","DP","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00603533232","00603-5332-32",,"J7506",,1/1/2002,1/15/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00603533315","00603-5333-15",,"J7506",,1/1/2002,3/5/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 10 MG",21,"EA","DP","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00603533321","00603-5333-21",,"J7506",,1/1/2002,1/29/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00603533331","00603-5333-31",,"J7506",,1/1/2002,4/1/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00603533332","00603-5333-32",,"J7506",,1/1/2002,1/29/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00603533421","00603-5334-21",,"J7506",,1/1/2002,9/9/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00603533432","00603-5334-32",,"J7506",,1/1/2002,9/9/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",1000,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00603533521","00603-5335-21",,"J7506",,1/3/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",100,"EA","BO","PO","EA",5,"MG",0.2,1/3/2005,,,,,,,
"00603533532","00603-5335-32",,"J7506",,1/3/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",1000,"EA","BO","PO","EA",5,"MG",0.2,1/3/2005,,,,,,,
"00603533621","00603-5336-21",,"J7506",,1/3/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 2.5 MG",100,"EA","BO","PO","EA",5,"MG",0.5,1/3/2005,,,,,,,
"00603533715","00603-5337-15",,"J7506",,8/20/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,8/20/2003,,,,,,,
"00603533721","00603-5337-21",,"J7506",,1/16/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/16/2003,,,,,,,
"00603533731","00603-5337-31",,"J7506",,8/20/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 5 MG",48,"EA","DP","PO","EA",5,"MG",1,8/20/2003,,,,,,,
"00603533732","00603-5337-32",,"J7506",,1/16/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/16/2003,,,,,,,
"00603533815","00603-5338-15",,"J7506",,3/6/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 10 MG",21,"EA","DP","PO","EA",5,"MG",2,3/6/2003,,,,,,,
"00603533821","00603-5338-21",,"J7506",,1/30/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/30/2003,,,,,,,
"00603533828","00603-5338-28",,"J7506",,1/30/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",500,"EA","BO","PO","EA",5,"MG",2,1/30/2003,,,,,,,
"00603533831","00603-5338-31",,"J7506",,4/2/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,4/2/2003,,,,,,,
"00603533832","00603-5338-32",,"J7506",,1/30/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,1/30/2003,,,,,,,
"00603533921","00603-5339-21",,"J7506",,9/10/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,9/10/2003,,,,,,,
"00603533928","00603-5339-28",,"J7506",,9/10/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",500,"EA","BO","PO","EA",5,"MG",4,9/10/2003,,,,,,,
"00603533932","00603-5339-32",,"J7506",,9/10/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",1000,"EA","BO","PO","EA",5,"MG",4,9/10/2003,,,,,,,
"00603543721","00603-5437-21",,"Q0169",,8/25/2006,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 12.5 MG",100,"EA","BO","PO","EA",12.5,"MG",1,8/25/2006,,,,,,,
"00603543821","00603-5438-21",,"Q0170",,8/25/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",100,"EA","BO","PO","EA",25,"MG",1,8/25/2006,,,,,,,
"00603543832","00603-5438-32",,"Q0170",,8/25/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",1000,"EA","BO","PO","EA",25,"MG",1,8/25/2006,,,,,,,
"00603543921","00603-5439-21",,"Q0170",,8/25/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 50 MG",100,"EA","BO","PO","EA",25,"MG",2,8/25/2006,,,,,,,
"00603625621","00603-6256-21",,"Q0173",,1/1/2002,5/2/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"00615033153","00615-0331-53",,"Q0177",,1/1/2002,10/31/2003,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (31X10,CARDED) 25 MG",31,"EA","BX","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00615033163","00615-0331-63",,"Q0177",,1/1/2002,10/31/2003,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (31X10) 25 MG",31,"EA","BX","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00615033253","00615-0332-53",,"Q0178",,1/1/2002,10/31/2003,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (31X10,CARDED) 50 MG",31,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00615033263","00615-0332-63",,"Q0178",,1/1/2002,10/31/2003,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (31X10) 50 MG",31,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00615036853","00615-0368-53",,"Q0163",,4/1/2003,10/31/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (31X10,CARDED) 25 MG",31,"EA","BX","PO","EA",50,"MG",0.5,4/1/2003,,,,,,,
"00615036863","00615-0368-63",,"Q0163",,4/1/2003,10/31/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (31X10) 25 MG",31,"EA","BX","PO","EA",50,"MG",0.5,4/1/2003,,,,,,,
"00615036953","00615-0369-53",,"Q0163",,1/1/2002,10/30/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (31X10,CARDED) 50 MG",31,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00615036963","00615-0369-63",,"Q0163",,1/1/2002,10/31/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (31X10) 50 MG",31,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00615053653","00615-0536-53",,"J7506",,1/1/2002,10/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (31X10,CARDED) 5 MG",31,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00615053663","00615-0536-63",,"J7506",,1/1/2002,10/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (31X10) 5 MG",31,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00615357053","00615-3570-53",,"J8999",,1/1/2002,10/31/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (31X10,CARDED) 40 MG",31,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00615357063","00615-3570-63",,"J8999",,1/1/2002,10/31/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (31X10) 40 MG",31,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00615359353","00615-3593-53",,"J7506",,1/1/2002,10/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (31X10,CARDED) 10 MG",31,"EA","BX","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00615359363","00615-3593-63",,"J7506",,1/1/2002,10/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (31X10,CARDED) 10 MG",31,"EA","BX","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00641012121","00641-0121-21",,"J1170",,12/8/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (VIAL, DOSETTE) 2 MG/ML",1,"ML","VL","IJ","ML",4,"MG",0.5,12/8/2004,,,,,,,
"00641012125","00641-0121-25",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (VIAL, DOSETTE) 2 MG/ML",1,"ML","VL","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00641013025","00641-0130-25",,"J2175",,1/1/2002,4/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (VIAL, DOSETTE) 25 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.25,1/1/2002,,,,,,,
"00641014025","00641-0140-25",,"J2175",,1/1/2002,4/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (VIAL, DOSETTE) 50 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"00641015025","00641-0150-25",,"J2175",,1/1/2002,4/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (VIAL, DOSETTE) 75 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.75,1/1/2002,,,,,,,
"00641016025","00641-0160-25",,"J2175",,1/1/2002,4/24/2003,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (VIAL, DOSETTE) 100 MG/ML",1,"ML","VL","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"00641016825","00641-0168-25",,"J2270",,1/1/2002,4/29/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, DOSETTE) 5 MG/ML",1,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00641017021","00641-0170-21",,"J2270",,12/8/2004,12/14/2006,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, DOSETTE) 8 MG/ML",1,"ML","VL","IJ","ML",10,"MG",0.8,12/8/2004,,,,,,,
"00641017025","00641-0170-25",,"J2270",,1/1/2002,12/14/2006,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, DOSETTE) 8 MG/ML",1,"ML","VL","IJ","ML",10,"MG",0.8,1/1/2002,,,,,,,
"00641018025","00641-0180-25",,"J2270",,1/1/2002,5/18/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL, DOSETTE) 10 MG/ML",1,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00641019021","00641-0190-21",,"J2271",,12/8/2004,12/14/2006,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (DOSETTE, VIAL) 15 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.15,12/8/2004,,,,,,,
"00641019025","00641-0190-25",,"J2271",,1/1/2002,12/14/2006,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (DOSETTE, VIAL) 15 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"00641027221","00641-0272-21",,"J1642",,5/5/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK U/P (PF) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,5/5/2007,,,,,,,
"00641027225","00641-0272-25",,"J1642",,10/17/2005,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK U/P (PF) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,10/17/2005,,,,,,,
"00641027321","00641-0273-21",,"J1642",,5/5/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,5/5/2007,,,,,,,
"00641027325","00641-0273-25",,"J1642",,10/17/2005,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,10/17/2005,,,,,,,
"00641036721","00641-0367-21",,"J1100",,12/8/2004,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (VIAL, DOSETTE) 10 MG/ML",1,"ML","VL","IJ","ML",1,"MG",10,12/8/2004,,,,,,,
"00641036725","00641-0367-25",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (VIAL, DOSETTE) 10 MG/ML",1,"ML","VL","IJ","ML",1,"MG",10,1/1/2002,,,,,,,
"00641037401","00641-0374-01",,"J2730",,12/8/2004,,"INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM","PROTOPAM CHLORIDE (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,12/8/2004,,,,,,,
"00641037406","00641-0374-06",,"J2730",,3/14/2003,12/19/2004,"INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM","PROTOPAM CHLORIDE (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,3/14/2003,,,,,,,
"00641037621","00641-0376-21",,"J1200",,12/8/2004,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (DOSETTE VIAL) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,12/8/2004,,,,,,,
"00641037625","00641-0376-25",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (DOSETTE VIAL) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00641038721","00641-0387-21",,"J1642",,12/8/2004,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (DOSETTE VIAL) 100 U/ML",2,"ML","VL","IV","ML",10,"U",10,12/8/2004,,,,,,,
"00641038725","00641-0387-25",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (DOSETTE VIAL) 100 U/ML",2,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00641038921","00641-0389-21",,"J1642",,12/8/2004,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (DOSETTE VIAL) 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,12/8/2004,,,,,,,
"00641038925","00641-0389-25",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (DOSETTE VIAL) 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00641039102","00641-0391-02",,"J1644",,10/1/2007,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM 1000 U/ML",1,"ML","VL","IJ","ML",1000,"U",1,10/1/2007,,,,,,,
"00641039121","00641-0391-21",,"J1644",,12/8/2004,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, DOSETTE) 1000 U/ML",1,"ML","VL","IJ","ML",1000,"U",1,12/8/2004,,,,,,,
"00641039125","00641-0391-25",,"J1644",,1/1/2002,4/1/2008,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, DOSETTE) 1000 U/ML",1,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,4/1/2008,,,,,,
"00641039164","00641-0391-64",,"J1644",,10/1/2007,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM 1000 U/ML",1,"ML","VL","IJ","ML",1000,"U",1,10/1/2007,,,,,,,
"00641039221","00641-0392-21",,"J1642",,12/8/2004,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (DOSETTE VIAL) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,12/8/2004,,,,,,,
"00641039225","00641-0392-25",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (DOSETTE VIAL) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00641039321","00641-0393-21",,"J1642",,12/8/2004,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (DOSETTE VIAL) 10 U/ML",2,"ML","VL","IV","ML",10,"U",1,12/8/2004,,,,,,,
"00641039325","00641-0393-25",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (DOSETTE VIAL) 10 U/ML",2,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00641039425","00641-0394-25",,"J1580",,1/1/2002,5/21/2003,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL, DOSETTE) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"00641039525","00641-0395-25",,"J1580",,1/1/2002,5/21/2003,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL, DOSETTE) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00641040002","00641-0400-02",,"J1644",,10/1/2007,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM 5000 U/ML",1,"ML","VL","IJ","ML",1000,"U",5,10/1/2007,,,,,,,
"00641040021","00641-0400-21",,"J1644",,12/8/2004,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, DOSETTE) 5000 U/ML",1,"ML","VL","IJ","ML",1000,"U",5,12/8/2004,,,,,,,
"00641040025","00641-0400-25",,"J1644",,1/1/2002,4/1/2008,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, DOSETTE) 5000 U/ML",1,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,4/1/2008,,,,,,
"00641040064","00641-0400-64",,"J1644",,10/1/2007,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM 5000 U/ML",1,"ML","VL","IJ","ML",1000,"U",5,10/1/2007,,,,,,,
"00641041002","00641-0410-02",,"J1644",,10/1/2007,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,10/1/2007,,,,,,,
"00641041021","00641-0410-21",,"J1644",,12/8/2004,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, DOSETTE) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,12/8/2004,,,,,,,
"00641041025","00641-0410-25",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (VIAL, DOSETTE) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00641041064","00641-0410-64",,"J1644",,10/1/2007,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,10/1/2007,,,,,,,
"00641041121","00641-0411-21",,"J1642",,12/8/2004,12/14/2006,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK U/P (DOSETTE VIAL,PF) 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,12/8/2004,,,,,,,
"00641041125","00641-0411-25",,"J1642",,1/1/2002,12/14/2006,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK U/P (DOSETTE VIAL,PF) 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00641041421","00641-0414-21",,"J1642",,12/8/2004,12/14/2006,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK U/P (DOSETTE VIAL,PF) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,12/8/2004,,,,,,,
"00641041425","00641-0414-25",,"J1642",,1/1/2002,12/14/2006,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK U/P (DOSETTE VIAL,PF) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00641047621","00641-0476-21",,"J2560",,12/8/2004,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM (VIAL, DOSETTE) 65 MG/ML",1,"ML","VL","IJ","ML",120,"MG",0.54166,12/8/2004,,,,,,,
"00641047625","00641-0476-25",,"J2560",,1/1/2002,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM (VIAL, DOSETTE) 65 MG/ML",1,"ML","VL","IJ","ML",120,"MG",0.54166,1/1/2002,,,,,,,
"00641047721","00641-0477-21",,"J2560",,12/8/2004,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM (DOSETTE VIAL) 130 MG/ML",1,"ML","VL","IJ","ML",120,"MG",1.08333,12/8/2004,,,,,,,
"00641047725","00641-0477-25",,"J2560",,1/1/2002,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM (DOSETTE VIAL) 130 MG/ML",1,"ML","VL","IJ","ML",120,"MG",1.08333,1/1/2002,,,,,,,
"00641048925","00641-0489-25",,"J2690",,1/1/2002,5/7/2002,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (M.D.V.) 500 MG/ML",2,"ML","VL","IV","ML",1,"GM",0.5,1/1/2002,,,,,,,
"00641049121","00641-0491-21",,"J0780",,12/8/2004,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (VIAL, DOSETTE) 5 MG/ML",2,"ML","VL","IJ","ML",10,"MG",0.5,12/8/2004,,,,,,,
"00641049125","00641-0491-25",,"J0780",,1/1/2002,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (VIAL, DOSETTE) 5 MG/ML",2,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00641049321","00641-0493-21",,"J1165",,12/8/2004,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (DOSETTE,VIAL) 50 MG/ML",2,"ML","VL","IV","ML",50,"MG",1,12/8/2004,,,,,,,
"00641049325","00641-0493-25",,"J1165",,1/1/2002,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (DOSETTE,VIAL) 50 MG/ML",2,"ML","VL","IV","ML",50,"MG",1,1/1/2002,,,,,,,
"00641049517","00641-0495-17",,"J2912",,12/8/2004,12/14/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL, DOSETTE) 0.9%",2,"ML","VL","IV","ML",0.9,"%",0.5,12/8/2004,,,,,,,
"00641049525","00641-0495-25",,"J2912",,1/1/2002,5/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (VIAL, DOSETTE,PF) 0.9%",2,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"00641061025","00641-0610-25",,"J3490",,1/1/2002,5/12/2003,"UNCLASSIFIED DRUGS","THIAMINE HCL (VIAL, DOSETTE) 100 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00641092821","00641-0928-21",,"J2550",,12/8/2004,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (DOSETTE,VIAL) 25 MG/ML",1,"ML","VL","IJ","ML",50,"MG",0.5,12/8/2004,,,,,,,
"00641092825","00641-0928-25",,"J2550",,12/27/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (DOSETTE,VIAL) 25 MG/ML",1,"ML","VL","IJ","ML",50,"MG",0.5,12/27/2002,,,,,,,
"00641092921","00641-0929-21",,"J2550",,12/8/2004,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (DOSETTE,VIAL) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,12/8/2004,,,,,,,
"00641092925","00641-0929-25",,"J2550",,12/27/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (DOSETTE,VIAL) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,12/27/2002,,,,,,,
"00641094831","00641-0948-31",,"J2550",,12/8/2004,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL NOVAPLUS (AMP,DOSETTE) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,12/8/2004,,,,,,,
"00641094835","00641-0948-35",,"J2550",,1/6/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL NOVAPLUS (AMP,DOSETTE) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/6/2003,,,,,,,
"00641094931","00641-0949-31",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL NOVAPLUS (DOSETTE) 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,5/5/2007,,,,,,,
"00641094935","00641-0949-35",,"J2550",,1/6/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL NOVAPLUS (AMP,DOSETTE) 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,1/6/2003,,,,,,,
"00641095521","00641-0955-21",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL NOVAPLUS (DOSETTE) 25 MG/ML",1,"ML","VL","IJ","ML",50,"MG",0.5,5/5/2007,,,,,,,
"00641095525","00641-0955-25",,"J2550",,12/27/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL NOVAPLUS (VIAL,DOSETTE) 25 MG/ML",1,"ML","VL","IJ","ML",50,"MG",0.5,12/27/2002,,,,,,,
"00641095621","00641-0956-21",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL NOVAPLUS (DOSETTE) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,5/5/2007,,,,,,,
"00641095625","00641-0956-25",,"J2550",,12/27/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL NOVAPLUS (VIAL,DOSETTE) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,12/27/2002,,,,,,,
"00641111233","00641-1112-33",,"J2275",,1/1/2002,5/18/2004,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","DURAMORPH (AMP,DOSETTE,PF) 0.5 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.05,1/1/2002,,,,,,,
"00641111433","00641-1114-33",,"J2275",,1/1/2002,4/29/2004,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","DURAMORPH (AMP,DOSETTE,PF) 1 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00641111733","00641-1117-33",,"J3010",,1/1/2002,6/10/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,DOSETTE,PF) 0.05 MG/ML",5,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00641111834","00641-1118-34",,"J3010",,1/1/2002,5/2/2006,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,DOSETTE,PF) 0.05 MG/ML",10,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,5/2/2006,,,,,,
"00641111934","00641-1119-34",,"J3010",,1/1/2002,10/25/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,DOSETTE,PF) 0.05 MG/ML",20,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00641112035","00641-1120-35",,"J2175",,2/28/2002,1/18/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (DOSETTE AMP) 25 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.25,2/28/2002,,,,,,,
"00641113035","00641-1130-35",,"J2175",,2/28/2002,7/6/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (DOSETTE AMP) 50 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.5,2/28/2002,,,,,,,
"00641113131","00641-1131-31",,"J2275",,1/1/2002,3/31/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","INFUMORPH (AMP, DOSETTE,PF) 10 MG/ML",20,"ML","AM","IJ","ML",10,"MG",1,1/19/2004,,1/1/2002,6/1/2002,1,,,
"00641113231","00641-1132-31",,"J2275",,1/1/2002,4/19/2004,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","INFUMORPH (AMP, DOSETTE,PF) 25 MG/ML",20,"ML","AM","IJ","ML",10,"MG",2.5,1/19/2004,,1/1/2002,6/1/2002,2.5,,,
"00641113834","00641-1138-34",,"J1245",,1/1/2002,11/11/2004,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (DOSETTE AMP) 5 MG/ML",2,"ML","AM","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00641113931","00641-1139-31",,"J1245",,1/1/2002,8/29/2005,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (DOSETTE AMP) 5 MG/ML",10,"ML","AM","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00641114035","00641-1140-35",,"J2175",,1/19/2004,2/6/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (DOSETTE AMP) 75 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.75,1/19/2004,,,,,,,
"00641114133","00641-1141-33",,"J3490",,1/1/2002,8/25/2004,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (DOSETTE AMP) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00641114233","00641-1142-33",,"J3490",,1/1/2002,4/29/2004,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (DOSETTE AMP) 50 MCG/ML",2,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00641114333","00641-1143-33",,"J3490",,1/1/2002,6/1/2004,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (DOSETTE AMP) 50 MCG/ML",5,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00641115035","00641-1150-35",,"J2175",,1/19/2004,2/6/2004,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (DOSETTE AMP) 100 MG/ML",1,"ML","AM","IJ","ML",100,"MG",1,1/19/2004,,,,,,,
"00641117035","00641-1170-35",,"J2270",,1/1/2002,6/10/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (AMP, DOSETTE) 8 MG/ML",1,"ML","AM","IJ","ML",10,"MG",0.8,1/1/2002,,,,,,,
"00641118035","00641-1180-35",,"J2270",,1/1/2002,10/8/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (AMP, DOSETTE) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00641119035","00641-1190-35",,"J2271",,1/1/2002,9/6/2005,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (AMP, DOSETTE) 15 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"00641139731","00641-1397-31",,"J3230",,5/5/2007,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (USP) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,5/5/2007,,,,,,,
"00641139735","00641-1397-35",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (AMP, DOSETTE) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00641139831","00641-1398-31",,"J3230",,5/5/2007,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (USP) 25 MG/ML",2,"ML","AM","IJ","ML",50,"MG",0.5,5/5/2007,,,,,,,
"00641139835","00641-1398-35",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (AMP, DOSETTE) 25 MG/ML",2,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00641140833","00641-1408-33",,"J3360",,1/1/2002,5/14/2007,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (AMP, DOSETTE) 5 MG/ML",2,"ML","AM","IJ","ML",5,"MG",1,12/8/2004,,1/1/2002,12/20/2002,1,,,
"00641141031","00641-1410-31",,"J1160",,5/5/2007,,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (USP) 0.25 MG/ML",2,"ML","AM","IV","ML",0.5,"MG",0.5,5/5/2007,,,,,,,
"00641141035","00641-1410-35",,"J1160",,1/1/2002,,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (AMP, DOSETTE) 0.25 MG/ML",2,"ML","AM","IV","ML",0.5,"MG",0.5,1/1/2002,,,,,,,
"00641143835","00641-1438-35",,"J7659",,1/1/2002,12/20/2002,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (AMP,DOSETTE) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00641143835","00641-1438-35","KO","J7659","KO",1/1/2002,12/20/2002,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (AMP,DOSETTE) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,1/1/2002,,,,,,,
"00641149531","00641-1495-31",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (USP) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,5/5/2007,,,,,,,
"00641149535","00641-1495-35",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (AMP, DOSETTE) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"00641149631","00641-1496-31",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (USP) 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,5/5/2007,,,,,,,
"00641149635","00641-1496-35",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (AMP, DOSETTE) 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"00641228941","00641-2289-41",,"J3360",,1/1/2002,7/28/2008,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,12/8/2004,7/28/2008,1/1/2002,1/10/2002,1,,,
"00641228943","00641-2289-43",,"J3360",,8/5/2004,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (USP,MDV,10X10ML) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,8/5/2004,,,,,,,
"00641233143","00641-2331-43",,"J1580",,1/1/2002,12/20/2002,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (M.D.V.) 40 MG/ML",20,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00641234139","00641-2341-39",,"J1170",,5/5/2007,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (USP) 2 MG/ML",1,"ML","NA","IJ","ML",4,"MG",0.5,5/5/2007,,,,,,,
"00641234141","00641-2341-41",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (M.D.V.) 2 MG/ML",20,"ML","VL","IJ","ML",4,"MG",0.5,1/1/2002,,,,,,,
"00641234341","00641-2343-41",,"J2270",,1/1/2002,7/8/2004,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (M.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"00641234541","00641-2345-41",,"J2271",,1/1/2002,3/23/2004,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (M.D.V.) 15 MG/ML",20,"ML","VL","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"00641240241","00641-2402-41",,"J3010",,1/1/2002,5/1/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (S.D.V.,PF) 0.05 MG/ML",30,"ML","VL","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00641240341","00641-2403-41",,"J3010",,1/1/2002,4/29/2004,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (S.D.V.,PF) 0.05 MG/ML",50,"ML","VL","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"00641243641","00641-2436-41",,"J1642",,5/5/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (MDV) 100 U/ML",10,"ML","VL","IV","ML",10,"U",10,5/5/2007,,,,,,,
"00641243645","00641-2436-45",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (M.D.V.) 100 U/ML",10,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00641243841","00641-2438-41",,"J1642",,5/5/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (MDV) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,5/5/2007,,,,,,,
"00641243845","00641-2438-45",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (M.D.V.) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00641244041","00641-2440-41",,"J1644",,12/8/2004,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",10,"ML","VL","IJ","ML",1000,"U",1,12/8/2004,,,,,,,
"00641244045","00641-2440-45",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",10,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"00641244241","00641-2442-41",,"J1642",,5/5/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (MDV) 10 U/ML",30,"ML","VL","IV","ML",10,"U",1,5/5/2007,,,,,,,
"00641244245","00641-2442-45",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (M.D.V.) 10 U/ML",30,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"00641244341","00641-2443-41",,"J1642",,5/5/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (MDV) 100 U/ML",30,"ML","VL","IV","ML",10,"U",10,5/5/2007,,,,,,,
"00641244345","00641-2443-45",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (M.D.V.) 100 U/ML",30,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"00641245041","00641-2450-41",,"J1644",,12/8/2004,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",30,"ML","VL","IJ","ML",1000,"U",1,12/8/2004,,,,,,,
"00641245045","00641-2450-45",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",30,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"00641246041","00641-2460-41",,"J1644",,12/8/2004,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 5000 U/ML",10,"ML","VL","IJ","ML",1000,"U",5,12/8/2004,,,,,,,
"00641246045","00641-2460-45",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 5000 U/ML",10,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"00641247041","00641-2470-41",,"J1644",,12/8/2004,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 10000 U/ML",4,"ML","VL","IJ","ML",1000,"U",10,12/8/2004,,,,,,,
"00641247045","00641-2470-45",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 10000 U/ML",4,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"00641255541","00641-2555-41",,"J1165",,5/5/2007,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (USP) 50 MG/ML",1,"ML","VL","IV","ML",50,"MG",1,5/5/2007,,,,,,,
"00641255545","00641-2555-45",,"J1165",,1/1/2002,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (VIAL, DOSETTE) 50 MG/ML",5,"ML","VL","IV","ML",50,"MG",1,1/1/2002,,,,,,,
"00641256941","00641-2569-41",,"J1245",,5/5/2007,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (SDV) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,5/5/2007,,,,,,,
"00641256944","00641-2569-44",,"J1245",,1/1/2002,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (S.D.V.) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00641258745","00641-2587-45",,"J2690",,1/1/2002,8/31/2002,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"00641276443","00641-2764-43",,"J3490",,1/1/2002,12/20/2002,"UNCLASSIFIED DRUGS","SMZ-TMP (S.D.V.) 80 MG/ML-16 MG/ML",5,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00641276543","00641-2765-43",,"J3490",,1/1/2002,12/20/2002,"UNCLASSIFIED DRUGS","SMZ-TMP (S.D.V.) 80 MG/ML-16 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00641276641","00641-2766-41",,"J3490",,1/1/2002,12/20/2002,"UNCLASSIFIED DRUGS","SMZ-TMP (M.D.V.) 80 MG/ML-16 MG/ML",30,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00641514133","00641-5141-33",,"J3490",,1/1/2002,1/7/2002,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (DOSETTE AMP) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00677011701","00677-0117-01",,"J7506",,1/1/2002,10/29/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00677011710","00677-0117-10",,"J7506",,1/1/2002,10/29/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00677042701","00677-0427-01",,"J7506",,1/1/2002,5/14/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00677042705","00677-0427-05",,"J7506",,1/1/2002,5/14/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",500,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00677042710","00677-0427-10",,"J7506",,1/1/2002,5/14/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",1000,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"00677056501","00677-0565-01",,"J7509",,1/1/2002,5/20/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00677056513","00677-0565-13",,"J7509",,1/1/2002,6/26/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00677059601","00677-0596-01",,"Q0177",,1/1/2002,4/15/2002,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00677059701","00677-0597-01",,"Q0178",,1/1/2002,4/15/2002,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00677060142","00677-0601-42",,"Q0181",,1/1/2002,4/10/2003,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG/5 ML",240,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00677069801","00677-0698-01",,"J7506",,1/1/2002,5/23/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00677069805","00677-0698-05",,"J7506",,1/1/2002,5/23/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",500,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00677069810","00677-0698-10",,"J7506",,1/1/2002,5/23/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"00677138301","00677-1383-01",,"Q0173",,1/1/2002,4/22/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"00677161001","00677-1610-01",,,,6/3/1996,11/18/1999,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","NA","PO","EA",2.5,"MG",1,6/3/1996,,,,,,,
"00677168001","00677-1680-01",,"J8999",,1/1/2002,5/23/2002,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00677183101","00677-1831-01",,"J7509",,1/1/2002,3/16/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00677183113","00677-1831-13",,"J7509",,3/1/2002,5/26/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,3/1/2002,,,,,,,
"00677185601","00677-1856-01",,"Q0163",,1/29/2003,4/19/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/29/2003,,,,,,,
"00677185610","00677-1856-10",,"Q0163",,1/29/2003,7/19/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/29/2003,,,,,,,
"00677185701","00677-1857-01",,"Q0163",,2/14/2003,4/19/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,2/14/2003,,,,,,,
"00677185710","00677-1857-10",,"Q0163",,2/14/2003,4/19/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,2/14/2003,,,,,,,
"00677185801","00677-1858-01",,"Q0163",,1/28/2003,6/13/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPTAB) 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/28/2003,,,,,,,
"00703003101","00703-0031-01",,"J1030",,3/9/2005,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (SDV) 40 MG/ML",1,"ML","VL","IJ","ML",40,"MG",1,3/9/2005,,,,,,,
"00703003104","00703-0031-04",,"J1030",,3/9/2005,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (SDV) 40 MG/ML",1,"ML","VL","IJ","ML",40,"MG",1,3/9/2005,,,,,,,
"00703004301","00703-0043-01",,"J1030",,10/31/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (MDV,USP) 40 MG/ML",5,"ML","VL","IJ","ML",40,"MG",1,10/31/2006,,,,,,,
"00703004501","00703-0045-01",,"J1030",,10/31/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (MDV,USP) 40 MG/ML",10,"ML","VL","IJ","ML",40,"MG",1,10/31/2006,,,,,,,
"00703005101","00703-0051-01",,"J1040",,3/9/2005,,"INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG","METHYLPREDNISOLONE ACETATE (SDV) 80 MG/ML",1,"ML","VL","IJ","ML",80,"MG",1,3/9/2005,,,,,,,
"00703005104","00703-0051-04",,"J1040",,3/9/2005,,"INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG","METHYLPREDNISOLONE ACETATE (SDV) 80 MG/ML",1,"ML","VL","IJ","ML",80,"MG",1,3/9/2005,,,,,,,
"00703006301","00703-0063-01",,"J1040",,10/31/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG","METHYLPREDNISOLONE ACETATE (MDV,USP) 80 MG/ML",5,"ML","VL","IJ","ML",80,"MG",1,10/31/2006,,,,,,,
"00703031503","00703-0315-03",,"J0696",,12/21/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,SINGLE-DOSE) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,12/21/2007,,,,,,,
"00703032503","00703-0325-03",,"J0696",,12/21/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,SINGLE-DOSE) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,12/21/2007,,,,,,,
"00703033504","00703-0335-04",,"J0696",,12/21/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,SINGLE-DOSE) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,12/21/2007,,,,,,,
"00703034603","00703-0346-03",,"J0696",,12/21/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,SINGLE-DOSE) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,12/21/2007,,,,,,,
"00703035901","00703-0359-01",,"J0696",,12/21/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,PHARMACY BULK PCKGE) 10 GM",1,"EA","VL","IV","EA",250,"MG",40,12/21/2007,,,,,,,
"00703040402","00703-0404-02",,"J1955",,1/1/2002,,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE (VIAL) 200 MG/ML",5,"ML","VL","IV","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00703040502","00703-0405-02",,"J1955",,1/1/2002,,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE (VIAL) 200 MG/ML",12.5,"ML","VL","IV","ML",1,"GM",0.2,1/1/2002,,,,,,,
"00703095603","00703-0956-03",,"J0744",,8/28/2006,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (SDV,10X20ML,200MG,1%) 10 MG/ML",20,"ML","VL","IV","ML",200,"MG",0.05,8/28/2006,,,,,,,
"00703095803","00703-0958-03",,"J0744",,8/28/2006,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (SDV,10X40ML,400MG,1%) 10 MG/ML",40,"ML","VL","IV","ML",200,"MG",0.05,8/28/2006,,,,,,,
"00703096036","00703-0960-36",,"J0744",,3/18/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (1X200ML,USP,LATEX-FREE) 400 MG/200 ML",200,"ML","FC","IV","ML",200,"MG",0.01,3/18/2008,,,,,,,
"00703096936","00703-0969-36",,"J0744",,3/18/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (1X100ML,USP,LATEX-FREE) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,3/18/2008,,,,,,,
"00703101009","00703-1010-09",,"J1450",,8/2/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE IV 400 MG/200 ML",200,"ML","VL","IV","ML",200,"MG",0.01,8/2/2004,,,,,,,
"00703101909","00703-1019-09",,"J1450",,8/2/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE IV 200 MG/100 ML",100,"ML","VL","IV","ML",200,"MG",0.01,8/2/2004,,,,,,,
"00703102030","00703-1020-30",,"J1450",,3/14/2005,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (6X200ML) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,3/14/2005,,,,,,,
"00703102930","00703-1029-30",,"J1450",,3/16/2005,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE IV (6X100ML) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,3/16/2005,,,,,,,
"00703127104","00703-1271-04",,"J3105",,7/22/2004,,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG","TERBUTALINE SULFATE 1 MG/ML",1,"ML","VL","SC","ML",1,"MG",1,7/22/2004,,,,,,,
"00703133501","00703-1335-01",,"J0282",,12/4/2003,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",9,"ML","VL","IV","ML",30,"MG",1.66666,12/4/2003,,,,,,,
"00703150102","00703-1501-02",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (S.D.V.) 0.5 MG/ML",1,"ML","VL","IV","ML",1.25,"MCG",400,1/1/2002,,,,,,,
"00703163104","00703-1631-04",,"J2370",,1/1/2002,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (S.D.V.) 10 MG/ML",1,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"00703165202","00703-1652-02",,"J1245",,1/1/2002,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (S.D.V.) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00703165402","00703-1654-02",,"J1245",,1/1/2002,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (S.D.V.) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00703198501","00703-1985-01",,"J1325",,4/23/2008,,"INJECTION, EPOPROSTENOL, 0.5 MG","EPOPROSTENOL SODIUM 0.5 MG",1,"EA","VL","IV","EA",0.5,"MG",1,4/23/2008,,,,,,,
"00703199501","00703-1995-01",,"J1325",,4/23/2008,,"INJECTION, EPOPROSTENOL, 0.5 MG","EPOPROSTENOL SODIUM 1.5 MG",1,"EA","VL","IV","EA",0.5,"MG",3,4/23/2008,,,,,,,
"00703219104","00703-2191-04",,"J2550",,9/30/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL 25 MG/ML",1,"ML","VL","IJ","ML",50,"MG",0.5,9/30/2002,,,,,,,
"00703220104","00703-2201-04",,"J2550",,9/30/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,9/30/2002,,,,,,,
"00703270403","00703-2704-03",,"J2710",,1/1/2002,5/3/2007,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",2,1/1/2002,,,,,,,
"00703271103","00703-2711-03",,"J2710",,1/1/2002,5/3/2007,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (S.D.V.) 0.5 MG/ML",1,"ML","VL","IJ","ML",0.5,"MG",1,1/1/2002,,,,,,,
"00703271403","00703-2714-03",,"J2710",,1/1/2002,5/3/2007,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.) 0.5 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",1,1/1/2002,,,,,,,
"00703285604","00703-2856-04",,"J3490",,6/26/2007,,"UNCLASSIFIED DRUGS","PROPOFOL (SDV,25X20ML) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,6/26/2007,,,,,,,
"00703285809","00703-2858-09",,"J3490",,6/26/2007,,"UNCLASSIFIED DRUGS","PROPOFOL (SDV,20X50ML) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,6/26/2007,,,,,,,
"00703285903","00703-2859-03",,"J3490",,6/26/2007,,"UNCLASSIFIED DRUGS","PROPOFOL (SDV,10X100ML) 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,6/26/2007,,,,,,,
"00703301513","00703-3015-13",,"J9190",,9/2/2003,,"INJECTION, FLUOROURACIL, 500 MG","ADRUCIL (S.D.V.) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,9/2/2003,,,,,,,
"00703301513","00703-3015-13","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","ADRUCIL (S.D.V.) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,1/28/2005,,,,,,,
"00703301812","00703-3018-12",,"J9190",,9/2/2003,,"INJECTION, FLUOROURACIL, 500 MG","ADRUCIL (PHARMACY BULK PACKAGE) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,9/2/2003,,,,,,,
"00703301812","00703-3018-12","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","ADRUCIL (PHARMACY BULK PACKAGE) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,1/28/2005,,,,,,,
"00703301912","00703-3019-12",,"J9190",,9/2/2003,,"INJECTION, FLUOROURACIL, 500 MG","ADRUCIL (PHARMACY BULK PACKAGE) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,9/2/2003,,,,,,,
"00703301912","00703-3019-12","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","ADRUCIL (PHARMACY BULK PACKAGE) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,1/28/2005,,,,,,,
"00703306711","00703-3067-11",,"J9178",,8/9/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SDV,PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,8/9/2007,,,,,,,
"00703306911","00703-3069-11",,"J9178",,8/9/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SDV,PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,8/9/2007,,,,,,,
"00703315401","00703-3154-01",,"J9040",,1/1/2002,,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLEOMYCIN SULFATE (S.D.V.) 15 U",1,"EA","VL","IJ","EA",15,"U",1,1/1/2002,,,,,,,
"00703315491","00703-3154-91",,"J9040",,2/20/2002,12/31/2008,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLEOMYCIN SULFATE NOVAPLUS (S.D.V.) 15 U",1,"EA","VL","IJ","EA",15,"U",1,2/20/2002,12/31/2008,,,,,,
"00703315501","00703-3155-01",,"J9040",,1/1/2002,,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLEOMYCIN SULFATE (S.D.V.) 30 U",1,"EA","VL","IJ","EA",15,"U",2,1/1/2002,,,,,,,
"00703315591","00703-3155-91",,"J9040",,2/20/2002,12/31/2008,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLEOMYCIN SULFATE NOVAPLUS (S.D.V.) 30 U",1,"EA","VL","IJ","EA",15,"U",2,2/20/2002,12/31/2008,,,,,,
"00703324411","00703-3244-11",,"J9045",,6/24/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,6/24/2004,,,,,,,
"00703324611","00703-3246-11",,"J9045",,6/24/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,6/24/2004,,,,,,,
"00703324811","00703-3248-11",,"J9045",,6/24/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,6/24/2004,,,,,,,
"00703324911","00703-3249-11",,"J9045",,11/17/2005,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (AQUEOUS SOLUTION) 10 MG/ML",60,"ML","VL","IV","ML",50,"MG",0.2,11/17/2005,,,,,,,
"00703326401","00703-3264-01",,"J9045",,6/24/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 50 MG",1,"EA","VL","IV","EA",50,"MG",1,6/24/2004,,,,,,,
"00703326601","00703-3266-01",,"J9045",,6/24/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (VIAL) 150 MG",1,"EA","VL","IV","EA",50,"MG",3,6/24/2004,,,,,,,
"00703326801","00703-3268-01",,"J9045",,6/24/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 450 MG",1,"EA","VL","IV","EA",50,"MG",9,6/24/2004,,,,,,,
"00703326871","00703-3268-71",,"J9045",,5/1/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 450 MG",1,"EA","VL","IV","EA",50,"MG",9,5/1/2006,,,,,,,
"00703327401","00703-3274-01",,"J9045",,5/1/2006,12/23/2008,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 50 MG",1,"EA","VL","IV","EA",50,"MG",1,5/1/2006,12/23/2008,,,,,,
"00703327601","00703-3276-01",,"J9045",,5/1/2006,12/23/2008,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 150 MG",1,"EA","VL","IV","EA",50,"MG",3,5/1/2006,12/23/2008,,,,,,
"00703327801","00703-3278-01",,"J9045",,5/1/2006,12/23/2008,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 450 MG",1,"EA","VL","IV","EA",50,"MG",9,5/1/2006,12/23/2008,,,,,,
"00703330104","00703-3301-04",,"J2354",,11/14/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (1MLX25 VIALS) 50 MCG/ML",1,"ML","VL","IJ","ML",25,"MCG",2,11/14/2005,,,,,,,
"00703331104","00703-3311-04",,"J2354",,11/14/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (1MLX25 VIALS) 100 MCG/ML",1,"ML","VL","IJ","ML",25,"MCG",4,11/14/2005,,,,,,,
"00703332104","00703-3321-04",,"J2354",,11/14/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (1MLX25 VIALS) 500 MCG/ML",1,"ML","VL","IJ","ML",25,"MCG",20,11/14/2005,,,,,,,
"00703333301","00703-3333-01",,"J2354",,11/23/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE 200 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",8,11/23/2005,,,,,,,
"00703334301","00703-3343-01",,"J2354",,11/23/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE 1000 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",40,11/23/2005,,,,,,,
"00703342711","00703-3427-11",,"J9208",,7/26/2007,,"INJECTION, IFOSFAMIDE, 1 GRAM","IFOSFAMIDE 1 GM",1,"EA","VL","IV","EA",1,"GM",1,7/26/2007,,,,,,,
"00703342911","00703-3429-11",,"J9208",,7/26/2007,,"INJECTION, IFOSFAMIDE, 1 GRAM","IFOSFAMIDE 3 GM",1,"EA","VL","IV","EA",1,"GM",3,7/26/2007,,,,,,,
"00703352403","00703-3524-03",,"J1100",,2/20/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",1,"MG",10,2/20/2002,,,,,,,
"00703401418","00703-4014-18",,"J9218",,1/1/2002,,"LEUPROLIDE ACETATE, PER 1 MG","LEUPROLIDE ACETATE (2 WEEK ADMINISTRATION) 5 MG/ML",2.8,"ML","BX","SC","EA",1,"MG",14,1/1/2002,,,,,,,
"00703401419","00703-4014-19",,"J9218",,1/1/2002,,"LEUPROLIDE ACETATE, PER 1 MG","LEUPROLIDE ACETATE (M.D.V.) 5 MG/ML",2.8,"ML","VL","SC","ML",1,"MG",5,1/1/2002,,,,,,,
"00703407519","00703-4075-19",,"J2430",,9/23/2002,4/24/2006,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM 3 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.1,9/23/2002,4/24/2006,,,,,,
"00703407559","00703-4075-59",,"J2430",,11/8/2005,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (S.D.V) 3 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.1,11/8/2005,,,,,,,
"00703408511","00703-4085-11",,"J2430",,9/23/2002,4/24/2006,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM 9 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.3,9/23/2002,4/24/2006,,,,,,
"00703408551","00703-4085-51",,"J2430",,11/8/2005,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM 9 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.3,11/8/2005,,,,,,,
"00703408591","00703-4085-91",,"J2430",,7/1/2003,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (SINGLE-USE VIAL) 9 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.3,7/1/2003,,,,,,,
"00703410048","00703-4100-48",,"J9999",,4/8/2002,,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFOSFAMIDE/MESNA (COMBO-PACK) 5 GM-3 GM",1,"EA","BX","IV","EA",1,"EA",1,4/8/2002,,,,,,,
"00703410058","00703-4100-58",,"J9999",,4/8/2002,,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFOSFAMIDE/MESNA (COMBO-PACK) 10 GM-10 GM",1,"EA","BX","IV","EA",1,"EA",1,4/8/2002,,,,,,,
"00703410068","00703-4100-68",,"J9999",,4/8/2002,,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFOSFAMIDE/MESNA (COMBO-PACK) 6 GM-6 GM",1,"EA","BX","IV","EA",1,"EA",1,4/8/2002,,,,,,,
"00703410948","00703-4109-48",,"J9999",,5/1/2006,8/19/2008,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFOSFAMIDE/MESNA 5 GM-3 GM",1,"EA","BX","IV","EA",1,"EA",1,5/1/2006,8/19/2008,,,,,,
"00703410958","00703-4109-58",,"J9999",,5/1/2006,4/28/2009,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFOSFAMIDE/MESNA (NOV) 10 GM-10 GM",1,"EA","BX","IV","EA",1,"EA",1,5/1/2006,4/28/2009,,,,,,
"00703410968","00703-4109-68",,"J9999",,5/1/2006,4/28/2009,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","IFOSFAMIDE/MESNA (NOV) 6 GM-6 GM",1,"EA","BX","IV","EA",1,"EA",1,5/1/2006,4/28/2009,,,,,,
"00703415411","00703-4154-11",,"J9211",,9/24/2002,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDARUBICIN HYDROCHLORIDE (S.D.V.) 1 MG/ML",5,"ML","VL","IV","ML",5,"MG",0.2,9/24/2002,,,,,,,
"00703415511","00703-4155-11",,"J9211",,9/24/2002,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDARUBICIN HYDROCHLORIDE (S.D.V.) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,9/24/2002,,,,,,,
"00703415611","00703-4156-11",,"J9211",,9/24/2002,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDARUBICIN HYDROCHLORIDE (S.D.V.) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,9/24/2002,,,,,,,
"00703418201","00703-4182-01",,"J9390",,2/10/2003,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (S.D.V.,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,2/10/2003,,,,,,,
"00703418281","00703-4182-81",,"J9390",,5/1/2006,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (OTN,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,5/1/2006,,,,,,,
"00703418291","00703-4182-91",,"J9390",,5/1/2006,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (NOV,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,5/1/2006,,,,,,,
"00703418301","00703-4183-01",,"J9390",,2/10/2003,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (S.D.V.,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,2/10/2003,,,,,,,
"00703418381","00703-4183-81",,"J9390",,5/1/2006,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (OTN,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,5/1/2006,,,,,,,
"00703418391","00703-4183-91",,"J9390",,5/1/2006,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (NOV,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,5/1/2006,,,,,,,
"00703424401","00703-4244-01",,"J9045",,5/1/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (1X5ML) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,5/1/2006,,,,,,,
"00703424601","00703-4246-01",,"J9045",,5/1/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (1X15ML) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,5/1/2006,,,,,,,
"00703424801","00703-4248-01",,"J9045",,2/1/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,2/1/2006,,,,,,,
"00703430102","00703-4301-02",,"J9340",,1/1/2002,6/17/2008,"INJECTION, THIOTEPA, 15 MG","THIOTEPA (S.D.V.) 15 MG",1,"EA","VL","IJ","EA",15,"MG",1,1/1/2002,,,,,,,
"00703430301","00703-4303-01",,"J9340",,1/1/2002,,"INJECTION, THIOTEPA, 15 MG","THIOTEPA (S.D.V.) 30 MG",1,"EA","VL","IJ","EA",15,"MG",2,1/1/2002,,,,,,,
"00703440211","00703-4402-11",,"J9370",,1/1/2002,,"VINCRISTINE SULFATE, 1 MG","VINCRISTINE SULFATE (S.D.V.) 1 MG/ML",1,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"00703441211","00703-4412-11",,"J9370",,1/1/2002,,"VINCRISTINE SULFATE, 1 MG","VINCRISTINE SULFATE (S.D.V.) 1 MG/ML",2,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"00703443211","00703-4432-11",,"J9206",,2/28/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SINGLE DOSE) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/28/2008,,,,,,,
"00703443211","00703-4432-11","QR","J9206","QR",2/28/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SINGLE DOSE) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/28/2008,,,,,,,
"00703443411","00703-4434-11",,"J9206",,2/28/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SINGLE DOSE) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/28/2008,,,,,,,
"00703443411","00703-4434-11","QR","J9206","QR",2/28/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SINGLE DOSE) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/28/2008,,,,,,,
"00703450204","00703-4502-04",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (S.D.V.) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"00703463601","00703-4636-01",,"J9320",,12/3/2003,,"INJECTION, STREPTOZOCIN, 1 GRAM","ZANOSAR 1 GM",1,"EA","VL","IV","EA",1,"GM",1,12/3/2003,,,,,,,
"00703465801","00703-4658-01",,"J9140",,1/1/2002,9/20/2002,"DACARBAZINE, 200 MG","DACARBAZINE (VIAL) 500 MG",1,"EA","VL","IV","EA",200,"MG",2.5,1/1/2002,,,,,,,
"00703468001","00703-4680-01",,"J9293",,4/11/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (MDV,PF) 2 MG/ML",12.5,"ML","VL","IV","ML",5,"MG",0.4,4/11/2006,,,,,,,
"00703468091","00703-4680-91",,"J9293",,11/6/2006,8/19/2008,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (MDV,PF) 2 MG/ML",12.5,"ML","VL","IV","ML",5,"MG",0.4,11/6/2006,8/19/2008,,,,,,
"00703468501","00703-4685-01",,"J9293",,4/11/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (MDV,PF) 2 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.4,4/11/2006,,,,,,,
"00703468591","00703-4685-91",,"J9293",,11/6/2006,8/19/2008,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (MDV,PF) 2 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.4,11/6/2006,8/19/2008,,,,,,
"00703468601","00703-4686-01",,"J9293",,4/11/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (MDV,PF) 2 MG/ML",15,"ML","VL","IV","ML",5,"MG",0.4,4/11/2006,,,,,,,
"00703468691","00703-4686-91",,"J9293",,11/6/2006,8/19/2008,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (M.D.V,PF) 2 MG/ML",15,"ML","VL","IV","ML",5,"MG",0.4,11/6/2006,8/19/2008,,,,,,
"00703480503","00703-4805-03",,"J9209",,2/22/2002,,"INJECTION, MESNA, 200 MG","MESNA (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,2/22/2002,,,,,,,
"00703485211","00703-4852-11",,"J9185",,5/2/2007,,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG","FLUDARABINE PHOSPHATE (SDV) 25 MG/ML",2,"ML","VL","IV","ML",50,"MG",0.5,5/2/2007,,,,,,,
"00703485281","00703-4852-81",,"J9185",,8/3/2006,,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG","OTN FLUDARABINE PHOSPHATE (SDV) 25 MG/ML",2,"ML","VL","IV","ML",50,"MG",0.5,8/3/2006,,,,,,,
"00703500301","00703-5003-01",,"J2680",,1/1/2002,1/10/2007,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE (M.D.V.) 25 MG/ML",5,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"00703504001","00703-5040-01",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL (M.D.V. POLYMER) 2 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00703504303","00703-5043-03",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL (S.D.V. POLYMER) 2 MG/ML",5,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00703504601","00703-5046-01",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL (S.D.V. POLYMER) 2 MG/ML",25,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"00703505103","00703-5051-03",,"J2597",,1/1/2002,,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DESMOPRESSIN ACETATE (VIAL) 4 MCG/ML",1,"ML","VL","IJ","ML",1,"MCG",4,1/1/2002,,,,,,,
"00703505401","00703-5054-01",,"J2597",,1/1/2002,,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DESMOPRESSIN ACETATE (M.D.V.) 4 MCG/ML",10,"ML","VL","IJ","ML",1,"MCG",4,1/1/2002,,,,,,,
"00703507501","00703-5075-01",,"J9140",,1/1/2002,,"DACARBAZINE, 200 MG","DACARBAZINE (S.D.V.) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,1/1/2002,,,,,,,
"00703507503","00703-5075-03",,"J9140",,1/1/2002,,"DACARBAZINE, 200 MG","DACARBAZINE (VIAL) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,1/1/2002,,,,,,,
"00703514001","00703-5140-01",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (VIAL,PF) 100 MG",1,"EA","VL","IJ","EA",50,"MG",2,1/1/2002,,,,,,,
"00703514501","00703-5145-01",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (PF) 350 MG",1,"EA","VL","IJ","EA",50,"MG",7,1/1/2002,,,,,,,
"00703518203","00703-5182-03",,"J9100",,1/1/2002,2/14/2002,"INJECTION, CYTARABINE, 100 MG","CYTARABINE (M.D.V.,GLASS) 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"00703519302","00703-5193-02",,"J9110",,1/1/2002,2/14/2002,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (M.D.V.,GLASS) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"00703519401","00703-5194-01",,"J9110",,1/1/2002,2/14/2002,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (M.D.V.,GLASS) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"00703519501","00703-5195-01",,"J9110",,1/1/2002,2/14/2002,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (M.D.V.,GLASS) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"00703523313","00703-5233-13",,"J9150",,1/27/2003,,"INJECTION, DAUNORUBICIN, 10 MG","DAUNORUBICIN HCL (S.D.V.,PF) 5 MG/ML",4,"ML","VL","IV","ML",10,"MG",0.5,1/27/2003,,,,,,,
"00703565301","00703-5653-01",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V. POLYMER) 20 MG/ML",5,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00703565601","00703-5656-01",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V. POLYMER) 20 MG/ML",25,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00703565701","00703-5657-01",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V.) 20 MG/ML",50,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"00703574711","00703-5747-11",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (M.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00703574811","00703-5748-11",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (M.D.V.) 1 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"00703585401","00703-5854-01",,"J9185",,9/12/2003,,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG","FLUDARABINE PHOSPHATE 50 MG",1,"EA","VL","IV","EA",50,"MG",1,9/12/2003,,,,,,,
"00703612101","00703-6121-01",,"J1080",,4/16/2007,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE (USP,MDV) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,4/16/2007,,,,,,,
"00703612501","00703-6125-01",,"J1080",,4/16/2007,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE (USP,MDV) 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,4/16/2007,,,,,,,
"00703627104","00703-6271-04",,"J2590",,1/24/2008,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (25X1ML) 10 U/ML",1,"ML","VL","IJ","ML",10,"U",1,1/24/2008,,,,,,,
"00703627503","00703-6275-03",,"J2590",,1/24/2008,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN 10 U/ML",10,"ML","VL","IJ","ML",10,"U",1,1/24/2008,,,,,,,
"00703680101","00703-6801-01",,"J1055",,9/13/2004,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","MEDROXYPROGESTERONE ACETATE (ODOR-FREE) 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,9/13/2004,,,,,,,
"00703680104","00703-6801-04",,"J1055",,9/13/2004,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","MEDROXYPROGESTERONE ACETATE (ODOR-FREE) 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,9/13/2004,,,,,,,
"00703681121","00703-6811-21",,"J1055",,9/16/2005,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","MEDROXYPROGESTERONE ACETATE (ODOR-FREE) 150 MG/ML",1,"ML","SR","IM","ML",150,"MG",1,9/16/2005,,,,,,,
"00703701103","00703-7011-03",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (VIAL) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00703701301","00703-7013-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (M.D.V.) 50 MG/ML",5,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"00703702103","00703-7021-03",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (VIAL) 100 MG/ML",1,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"00703702301","00703-7023-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (M.D.V.) 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"00703704103","00703-7041-03",,"J1630",,1/18/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL LACTATE (S.D.V.) 5 MG/ML",1,"ML","VL","IM","ML",5,"MG",1,1/18/2002,,,,,,,
"00703704501","00703-7045-01",,"J1630",,1/18/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL LACTATE (M.D.V.) 5 MG/ML",10,"ML","VL","IM","ML",5,"MG",1,1/18/2002,,,,,,,
"00703710104","00703-7101-04",,"J1165",,9/14/2007,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","FOSPHENYTOIN SODIUM (USP,25X2ML) 50 MG/ML",2,"ML","VL","IV","ML",50,"MG",1,9/14/2007,,,,,,,
"00703710503","00703-7105-03",,"J1165",,9/14/2007,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","FOSPHENYTOIN SODIUM (USP,10X10ML) 50 MG/ML",10,"ML","VL","IV","ML",50,"MG",1,9/14/2007,,,,,,,
"00703717104","00703-7171-04",,"J0780",,6/17/2003,7/1/2008,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (S.D.V.) 5 MG/ML",2,"ML","VL","IJ","ML",10,"MG",0.5,6/17/2003,7/1/2008,,,,,,
"00703717501","00703-7175-01",,"J0780",,6/17/2003,7/1/2008,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.5,6/17/2003,7/1/2008,,,,,,
"00703722102","00703-7221-02",,"J2405",,11/22/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (SDV,USP,5X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,11/22/2006,,,,,,,
"00703722103","00703-7221-03",,"J2405",,11/22/2006,5/10/2007,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (SDV,USP,10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,11/22/2006,,,,,,,
"00703722104","00703-7221-04",,"J2405",,11/22/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (SDV,USP,25X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,11/22/2006,,,,,,,
"00703722601","00703-7226-01",,"J2405",,11/22/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (MDV,USP) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,11/22/2006,,,,,,,
"00703722603","00703-7226-03",,"J2405",,11/22/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (MDV,USP,10X20ML) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,11/22/2006,,,,,,,
"00703723939","00703-7239-39",,"J2405",,11/22/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (SINGLE DOSE,6X50ML,PF) 32 MG/50 ML",50,"ML","FC","IV","ML",1,"MG",0.64,11/22/2006,,,,,,,
"00703731104","00703-7311-04",,"J0636",,1/17/2005,,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL (25X1ML) 1 MCG/ML",1,"ML","VL","IV","ML",0.1,"MCG",10,1/17/2005,,,,,,,
"00703787103","00703-7871-03",,"J1626",,1/3/2008,10/19/2009,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (10X1ML,SINGLE-USE,PF) 1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",10,1/3/2008,10/19/2009,,,,,,
"00703789102","00703-7891-02",,"J1626",,1/3/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (5X1ML,SINGLE-USE,PF) 0.1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",1,1/3/2008,,,,,,,
"00703797103","00703-7971-03",,"J1626",,1/3/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (10X1ML,SINGLE-USE) 1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",10,1/3/2008,,,,,,,
"00703797301","00703-7973-01",,"J1626",,6/30/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X4ML) 1 MG/ML",4,"ML","VL","IV","ML",100,"MCG",10,6/30/2008,,,,,,,
"00703800503","00703-8005-03",,"J2260",,6/19/2003,4/17/2008,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,6/19/2003,,,,,,,
"00703800603","00703-8006-03",,"J2260",,6/19/2003,4/17/2008,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,6/19/2003,,,,,,,
"00703800801","00703-8008-01",,"J2260",,6/19/2003,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",5,"MG",0.2,6/19/2003,,,,,,,
"00703820104","00703-8201-04",,"J0360",,1/1/2002,1/15/2002,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (VIAL) 20 MG/ML",1,"ML","VL","IJ","ML",20,"MG",1,1/1/2002,,,,,,,
"00703846309","00703-8463-09",,"J0895",,3/31/2006,12/23/2008,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE (USP,SDV) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,3/31/2006,12/23/2008,,,,,,
"00703846501","00703-8465-01",,"J0895",,3/31/2006,12/23/2008,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE (USP,SDV) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,3/31/2006,12/23/2008,,,,,,
"00703877103","00703-8771-03",,"J0150",,6/16/2004,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE 3 MG/ML",2,"ML","VL","IV","ML",6,"MG",0.5,6/16/2004,,,,,,,
"00703877301","00703-8773-01",,"J0150",,6/16/2004,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE 3 MG/ML",4,"ML","VL","IV","ML",6,"MG",0.5,6/16/2004,,,,,,,
"00703903203","00703-9032-03",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (S.D.V.) 250 MG/ML",2,"ML","VL","IJ","ML",100,"MG",2.5,1/1/2006,,,,,,,
"00703903203","00703-9032-03",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (S.D.V.) 250 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00703904003","00703-9040-03",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (VIAL) 250 MG/ML",4,"ML","VL","IJ","ML",100,"MG",2.5,1/1/2006,,,,,,,
"00703904003","00703-9040-03",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (VIAL) 250 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"00703908503","00703-9085-03",,"J0456",,3/1/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN (SDV) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,3/1/2007,,,,,,,
"00703908901","00703-9089-01",,"J0456",,3/1/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN (PHARMACY BULK PKG) 2.5 GM",1,"EA","VL","IV","EA",500,"MG",5,3/1/2007,,,,,,,
"00703940204","00703-9402-04",,"J3260",,1/1/2002,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (M.D.V.) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00703941601","00703-9416-01",,"J3260",,1/1/2002,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (M.D.V.) 40 MG/ML",30,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"00703950303","00703-9503-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SMZ-TMP CONCENTRATE (S.D.V.) 80 MG/ML-16 MG/ML",5,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00703951403","00703-9514-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SMZ-TMP CONCENTRATE (M.D.V.) 80 MG/ML-16 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00703952601","00703-9526-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SMZ-TMP (M.D.V.) 80 MG/ML-16 MG/ML",30,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00703978501","00703-9785-01",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (S.D.V.) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"00713013512","00713-0135-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"00713013512","00713-0135-12",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"00713052612","00713-0526-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHEGAN 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"00713052612","00713-0526-12",,"K0416",,2/12/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHEGAN 25 MG",12,"EA","BX","RC","EA",1,"MG",25,2/12/2002,,,,,,,
"00713053612","00713-0536-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHEGAN 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"00713053612","00713-0536-12",,"K0416",,3/31/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHEGAN 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,3/31/2003,,,,,,,
"00761091420","00761-0914-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ANTI-HIST 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00781104601","00781-1046-01",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",100,"EA","BO","PO","EA",4,"MG",0.5,1/1/2002,,,,,,,
"00781104610","00781-1046-10",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",1000,"EA","BO","PO","EA",4,"MG",0.5,5/16/2008,,1/1/2002,12/1/2004,0.5,,,
"00781104613","00781-1046-13",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",100,"EA","BX","PO","EA",4,"MG",0.5,1/1/2002,,,,,,,
"00781104701","00781-1047-01",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00781104710","00781-1047-10",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",1000,"EA","BO","PO","EA",4,"MG",1,5/16/2008,,1/1/2002,12/1/2004,1,,,
"00781104713","00781-1047-13",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",100,"EA","BX","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00781104801","00781-1048-01",,"Q0176",,1/1/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",100,"EA","BO","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00781104810","00781-1048-10",,"Q0176",,1/1/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",1000,"EA","BO","PO","EA",8,"MG",1,5/16/2008,,1/1/2002,1/1/2005,1,,,
"00781104813","00781-1048-13",,"Q0176",,1/1/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",100,"EA","BX","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"00781104901","00781-1049-01",,"Q0176",,1/1/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 16 MG",100,"EA","BO","PO","EA",8,"MG",2,1/1/2002,,,,,,,
"00781104913","00781-1049-13",,"Q0176",,1/1/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 16 MG",100,"EA","BX","PO","EA",8,"MG",2,5/16/2008,,1/1/2002,,2,,,
"00781105901","00781-1059-01",,"J7500",,1/1/2002,4/3/2003,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00781107601","00781-1076-01",,,,1/1/1994,10/4/1999,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00781107636","00781-1076-36",,,,1/1/1994,10/4/1999,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",36,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00781149131","00781-1491-31",,"Q0144",,11/14/2005,11/15/2005,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 500 MG",30,"EA","NA","PO","EA",1,"GM",0.5,11/14/2005,11/15/2005,,,,,,
"00781149133","00781-1491-33",,"Q0144",,11/14/2005,11/15/2005,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (3X3,UNIT OF USE) 500 MG",3,"EA","NA","PO","EA",1,"GM",0.5,11/14/2005,11/15/2005,,,,,,
"00781149631","00781-1496-31",,"Q0144",,1/9/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,1/9/2006,,,,,,,
"00781149668","00781-1496-68",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (3X6,UNIT OF USE) 250 MG",3,"EA","DP","PO","EA",1,"GM",0.25,11/14/2005,,,,,,,
"00781149669","00781-1496-69",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",50,"EA","BX","PO","EA",1,"GM",0.25,11/14/2005,,,,,,,
"00781149731","00781-1497-31",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 600 MG",30,"EA","BO","PO","EA",1,"GM",0.6,11/14/2005,,,,,,,
"00781183001","00781-1830-01",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00781183010","00781-1830-10",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",1000,"EA","BO","PO","EA",25,"MG",1,1/20/2005,,1/1/2002,8/25/2003,1,,,
"00781183201","00781-1832-01",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 50 MG",100,"EA","BO","PO","EA",25,"MG",2,1/1/2002,,,,,,,
"00781194131","00781-1941-31",,"Q0144",,11/16/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 500 MG",30,"EA","BO","PO","EA",1,"GM",0.5,11/16/2005,,,,,,,
"00781194133","00781-1941-33",,"Q0144",,11/16/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (3X3,UNIT OF USE) 500 MG",3,"EA","DP","PO","EA",1,"GM",0.5,11/16/2005,,,,,,,
"00781204801","00781-2048-01",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"00781204805","00781-2048-05",,"G9017",,1/20/2005,,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",500,"EA","BO","PO","EA",100,"MG",1,1/20/2005,,,,,,,
"00781210201","00781-2102-01",,"J7507",,8/10/2009,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS (HARD GELATIN) 0.5 MG",100,"EA","BO","PO","EA",1,"MG",0.5,8/10/2009,,,,,,,
"00781210301","00781-2103-01",,"J7507",,8/10/2009,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS (HARD GELATIN) 1 MG",100,"EA","BO","PO","EA",1,"MG",1,8/10/2009,,,,,,,
"00781210401","00781-2104-01",,"J7507",,8/10/2009,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS (HARD GELATIN) 5 MG",100,"EA","BO","PO","EA",1,"MG",5,8/10/2009,,,,,,,
"00781300107","00781-3001-07",,"J2941",,3/12/2008,,"INJECTION, SOMATROPIN, 1 MG","OMNITROPE (1X1.5ML,W/DILUENT) 5 MG/1.5 ML",1.5,"ML","CT","SC","ML",1,"MG",3.33333,3/12/2008,,,,,,,
"00781300126","00781-3001-26",,"J2941",,3/12/2008,,"INJECTION, SOMATROPIN, 1 MG","OMNITROPE (5X1.5ML,W/DILUENT) 5 MG/1.5 ML",1.5,"ML","CT","SC","ML",1,"MG",3.33333,3/12/2008,,,,,,,
"00781300144","00781-3001-44",,"J2941",,3/12/2008,,"INJECTION, SOMATROPIN, 1 MG","OMNITROPE (10X1.5ML,W/DILUENT) 5 MG/1.5 ML",1.5,"ML","CT","SC","ML",1,"MG",3.33333,3/12/2008,,,,,,,
"00781300995","00781-3009-95",,"J0330",,4/15/2005,,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","ANECTINE (MDV,10MLX10VIALS) 20 MG/ML",10,"ML","VL","IV","ML",20,"MG",1,4/15/2005,,,,,,,
"00781302975","00781-3029-75",,"J1390",,10/4/2007,,"INJECTION, ESTRADIOL VALERATE, UP TO 20 MG","ESTRADIOL VALERATE 20 MG/ML",5,"ML","VL","IM","ML",20,"MG",1,10/4/2007,,,,,,,
"00781303075","00781-3030-75",,"J1380",,10/4/2007,,"INJECTION, ESTRADIOL VALERATE, UP TO 10 MG","ESTRADIOL VALERATE 10 MG/ML",5,"ML","VL","IM","ML",10,"MG",1,10/4/2007,,,,,,,
"00781303175","00781-3031-75",,"J0970",,10/4/2007,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE 40 MG/ML",5,"ML","VL","IM","ML",40,"MG",1,10/4/2007,,,,,,,
"00781303295","00781-3032-95",,"J0295",,9/5/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (USP) 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,9/5/2006,,,,,,,
"00781303395","00781-3033-95",,"J0295",,9/5/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (USP) 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,9/5/2006,,,,,,,
"00781303446","00781-3034-46",,"J0295",,9/5/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (USP) 10 GM-5 GM",1,"EA","VL","IV","EA",1.5,"GM",10,9/5/2006,,,,,,,
"00781305271","00781-3052-71",,"J0835",,3/26/2008,12/31/2009,"INJECTION, COSYNTROPIN, PER 0.25 MG","COSYNTROPIN (NO ANTMCRBIAL&PRESRVATV) 0.25 MG/ML",1,"ML","VL","IV","ML",0.25,"MG",1,3/26/2008,,,,,,,
"00781305295","00781-3052-95",,"J0835",,3/26/2008,12/31/2009,"INJECTION, COSYNTROPIN, PER 0.25 MG","COSYNTROPIN (NO ANTMCRBIAL&PRESRVATV) 0.25 MG/ML",10,"ML","VL","IV","ML",0.25,"MG",1,3/26/2008,12/31/2009,,,,,,
"00781305714","00781-3057-14",,"J2405",,11/22/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON HYDROCHLORIDE (S.D.V,5X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,11/22/2006,,,,,,,
"00781305780","00781-3057-80",,"J2405",,11/22/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON HYDROCHLORIDE (MULTIPLE DOSE VIAL) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,11/22/2006,,,,,,,
"00781305995","00781-3059-95",,"J1160",,7/21/2006,,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (USP,10X2ML) 0.25 MG/ML",2,"ML","AM","IJ","ML",0.5,"MG",0.5,7/21/2006,,,,,,,
"00781306672","00781-3066-72",,"J9206",,2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,S.D.V) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"00781306672","00781-3066-72","QR","J9206","QR",2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,S.D.V) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"00781306675","00781-3066-75",,"J9206",,2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,S.D.V) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"00781306675","00781-3066-75","QR","J9206","QR",2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,S.D.V) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"00781307370","00781-3073-70",,"J1070",,10/17/2006,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (USP,MDV) 100 MG/ML",10,"ML","VL","IM","ML",100,"MG",1,10/17/2006,,,,,,,
"00781307470","00781-3074-70",,"J1080",,10/17/2006,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE (USP,MDV) 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,10/17/2006,,,,,,,
"00781307471","00781-3074-71",,"J1080",,10/17/2006,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE (USP,MDV) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,10/17/2006,,,,,,,
"00781308475","00781-3084-75",,"J3303",,1/29/2007,,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN 5 MG/ML",5,"ML","VL","IJ","ML",5,"MG",1,1/29/2007,,,,,,,
"00781309415","00781-3094-15",,"J2700",,3/19/2008,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN (USP,ADD-VANTAGE VIAL) 1 GM",1,"EA","VL","IV","EA",250,"MG",4,3/19/2008,,,,,,,
"00781309492","00781-3094-92",,"J2700",,3/19/2008,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN (1X10,USP,ADD-VANTAGE) 1 GM",1,"EA","VL","IV","EA",250,"MG",4,3/19/2008,,,,,,,
"00781309580","00781-3095-80",,"J2700",,3/19/2008,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN (USP,ADD-VANTAGE VIAL) 2 GM",1,"EA","VL","IV","EA",250,"MG",8,3/19/2008,,,,,,,
"00781309592","00781-3095-92",,"J2700",,3/19/2008,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN (1X10,USP,ADD-VANTAGE) 2 GM",1,"EA","VL","IV","EA",250,"MG",8,3/19/2008,,,,,,,
"00781309995","00781-3099-95",,"J2700",,2/8/2005,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,2/8/2005,,,,,,,
"00781310180","00781-3101-80",,"J2700",,2/1/2007,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN (USP) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,2/1/2007,,,,,,,
"00781310195","00781-3101-95",,"J2700",,7/2/2004,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (VIAL,PIGGYBACK) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,7/2/2004,,,,,,,
"00781310395","00781-3103-95",,"J2700",,8/31/2004,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","OXACILLIN SODIUM (PHARMACY BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",250,"MG",40,8/31/2004,,,,,,,
"00781312485","00781-3124-85",,"J3490",,9/9/2005,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,9/9/2005,,,,,,,
"00781312492","00781-3124-92",,"J3490",,2/23/2005,8/1/2006,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (ADD-VANTAGE VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,2/23/2005,,,,,,,
"00781312495","00781-3124-95",,"J3490",,4/27/2004,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,4/27/2004,,,,,,,
"00781312585","00781-3125-85",,"J3490",,9/9/2005,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,9/9/2005,,,,,,,
"00781312592","00781-3125-92",,"J3490",,2/23/2005,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (ADD-VANTAGE VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,2/23/2005,,,,,,,
"00781312595","00781-3125-95",,"J3490",,4/27/2004,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,4/27/2004,,,,,,,
"00781312646","00781-3126-46",,"J3490",,9/9/2005,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM 10 GM",1,"EA","VL","IJ","EA",1,"EA",1,9/9/2005,,,,,,,
"00781312695","00781-3126-95",,"J3490",,4/27/2004,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (VIAL,PHARMACY BULK) 10 GM",1,"EA","VL","IJ","EA",1,"EA",1,4/27/2004,,,,,,,
"00781312892","00781-3128-92",,"J3490",,4/17/2006,,"UNCLASSIFIED DRUGS","NAFCILLIN (USP,ADD-VANTAGE VIAL) 1 GM",1,"EA","VL","IV","EA",1,"EA",1,4/17/2006,,,,,,,
"00781312992","00781-3129-92",,"J3490",,2/22/2006,,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM (2GMX10, ADD-VANTAGE) 2 GM",1,"EA","VL","IV","EA",1,"EA",1,2/22/2006,,,,,,,
"00781314784","00781-3147-84",,"J2430",,10/3/2005,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM 30 MG",1,"EA","VL","IV","EA",30,"MG",1,10/3/2005,,,,,,,
"00781314870","00781-3148-70",,"J2430",,10/3/2005,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM 90 MG",1,"EA","VL","IV","EA",30,"MG",3,10/3/2005,,,,,,,
"00781315796","00781-3157-96",,"J0690",,7/17/2002,9/21/2006,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,7/17/2002,,,,,,,
"00781317796","00781-3177-96",,"J0713",,2/23/2007,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME (USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,2/23/2007,,,,,,,
"00781317895","00781-3178-95",,"J0713",,2/23/2007,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME (USP) 2 GM",1,"EA","VL","IV","EA",500,"MG",4,2/23/2007,,,,,,,
"00781317986","00781-3179-86",,"J0713",,2/23/2007,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME (USP,PHARMACY BULK PKG) 6 GM",1,"EA","VL","IV","EA",500,"MG",12,2/23/2007,,,,,,,
"00781318273","00781-3182-73",,"J1451",,4/2/2008,,"INJECTION, FOMEPIZOLE, 15 MG","FOMEPIZOLE (1X1.5ML,PF) 1 GM/ML",1.5,"ML","VL","IV","ML",15,"MG",66.66666,4/2/2008,,,,,,,
"00781318284","00781-3182-84",,"J1451",,4/2/2008,,"INJECTION, FOMEPIZOLE, 15 MG","FOMEPIZOLE (4X1.5ML,PF) 1 GM/ML",1.5,"ML","VL","IV","ML",15,"MG",66.66666,4/2/2008,,,,,,,
"00781320695","00781-3206-95",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,7/19/2005,,,,,,,
"00781320795","00781-3207-95",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,7/19/2005,,,,,,,
"00781320895","00781-3208-95",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/19/2005,,,,,,,
"00781320995","00781-3209-95",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,7/19/2005,,,,,,,
"00781321046","00781-3210-46",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 10 GM",1,"EA","VL","IJ","EA",250,"MG",40,7/19/2005,,,,,,,
"00781322280","00781-3222-80",,"J0692",,4/14/2008,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME HYDROCHLORIDE (S.D.V,USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,4/14/2008,,,,,,,
"00781322295","00781-3222-95",,"J0692",,4/14/2008,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME HYDROCHLORIDE (USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,4/14/2008,,,,,,,
"00781322391","00781-3223-91",,"J0692",,4/14/2008,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME HYDROCHLORIDE (S.D.V,USP) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,4/14/2008,,,,,,,
"00781322395","00781-3223-95",,"J0692",,4/14/2008,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME HYDROCHLORIDE (USP) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,4/14/2008,,,,,,,
"00781323909","00781-3239-09",,"J0744",,3/18/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (24X100ML,USP,LATEX-FREE) 200 MG/100 ML",100,"ML","FC","IV","ML",200,"MG",0.01,3/18/2008,,,,,,,
"00781324009","00781-3240-09",,"J0744",,3/18/2008,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (24X200ML,USP,LATEX-FREE) 400 MG/200 ML",200,"ML","FC","IV","ML",200,"MG",0.01,3/18/2008,,,,,,,
"00781333870","00781-3338-70",,"J0690",,8/23/2004,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (1X10ML VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,8/23/2004,,,,,,,
"00781333895","00781-3338-95",,"J0690",,8/23/2004,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (10 VIAL PACK) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,8/23/2004,,,,,,,
"00781334646","00781-3346-46",,"J0690",,6/18/2004,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,6/18/2004,,,,,,,
"00781334695","00781-3346-95",,"J0690",,6/18/2004,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,6/18/2004,,,,,,,
"00781340095","00781-3400-95",,"J0290",,5/12/2004,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM 125 MG",1,"EA","VL","IJ","EA",500,"MG",0.25,5/12/2004,,,,,,,
"00781340295","00781-3402-95",,"J0290",,12/1/2005,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (U.S.P.) 250 MG",1,"EA","VL","IJ","EA",500,"MG",0.5,12/1/2005,,,,,,,
"00781340495","00781-3404-95",,"J0290",,12/1/2005,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (U.S.P.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,12/1/2005,,,,,,,
"00781340795","00781-3407-95",,"J0290",,12/1/2005,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (U.S.P.) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,12/1/2005,,,,,,,
"00781340895","00781-3408-95",,"J0290",,12/1/2005,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (U.S.P.) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,12/1/2005,,,,,,,
"00781340995","00781-3409-95",,"J0290",,5/12/2004,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,5/12/2004,,,,,,,
"00781341292","00781-3412-92",,"J0290",,3/20/2007,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (ADD-VANTAGE,USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,3/20/2007,,,,,,,
"00781341392","00781-3413-92",,"J0290",,3/20/2007,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (ADD-VANTAGE,ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,3/20/2007,,,,,,,
"00781345095","00781-3450-95",,"J0690",,11/8/2006,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (USP) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,11/8/2006,,,,,,,
"00781345196","00781-3451-96",,"J0690",,9/13/2006,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN (USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,9/13/2006,,,,,,,
"00781345295","00781-3452-95",,"J0690",,9/13/2006,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN (USP) 10 GM",1,"EA","VL","IV","EA",500,"MG",20,9/13/2006,,,,,,,
"00781377795","00781-3777-95",,"J1800",,2/15/2007,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HYDROCHLORIDE (USP,10X1ML) 1 MG/ML",1,"ML","VL","IV","ML",1,"MG",1,2/15/2007,,,,,,,
"00781391896","00781-3918-96",,"J0697",,1/1/2002,8/11/2006,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"00781392296","00781-3922-96",,"J0697",,1/1/2002,8/11/2006,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"00781392695","00781-3926-95",,"J0697",,1/1/2002,8/11/2006,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,1/1/2002,,,,,,,
"00781400436","00781-4004-36",,"J2941",,1/15/2007,,"INJECTION, SOMATROPIN, 1 MG","OMNITROPE (W/ 8 VIALS OF DILUENT) 5.8 MG",1,"EA","VL","SC","EA",1,"MG",5.8,1/15/2007,,,,,,,
"00781502001","00781-5020-01",,"Q0164",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"00781502101","00781-5021-01",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"00781502201","00781-5022-01",,"J7509",,4/4/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,4/4/2003,,,,,,,
"00781502207","00781-5022-07",,"J7509",,4/4/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (UNIT OF USE) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,4/4/2003,,,,,,,
"00781502901","00781-5029-01",,"G9020",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","RIMANTADINE HCL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"00781507501","00781-5075-01",,"J7500",,4/4/2003,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,4/4/2003,,,,,,,
"00781525713","00781-5257-13",,"Q0179",,12/27/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM COATED) 4 MG",100,"EA","BX","PO","EA",8,"MG",0.5,12/27/2006,,,,,,,
"00781525731","00781-5257-31",,"Q0179",,12/27/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM COATED) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,12/27/2006,,,,,,,
"00781525733","00781-5257-33",,"Q0179",,12/27/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM COATED) 4 MG",3,"EA","BX","PO","EA",8,"MG",0.5,12/27/2006,,,,,,,
"00781525813","00781-5258-13",,"Q0179",,12/27/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM COATED) 8 MG",100,"EA","BX","PO","EA",8,"MG",1,12/27/2006,,,,,,,
"00781525831","00781-5258-31",,"Q0179",,12/27/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM COATED) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,12/27/2006,,,,,,,
"00781525833","00781-5258-33",,"Q0179",,12/27/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM COATED) 8 MG",3,"EA","BX","PO","EA",8,"MG",1,12/27/2006,,,,,,,
"00781526564","00781-5265-64",,"Q0179",,12/26/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (3X10,STRAWBERRY) 4 MG",30,"EA","BX","PO","EA",8,"MG",0.5,12/26/2006,,,,,,,
"00781526664","00781-5266-64",,"Q0179",,12/26/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (3X10,STRAWBERRY) 8 MG",30,"EA","BX","PO","EA",8,"MG",1,12/26/2006,,,,,,,
"00781526680","00781-5266-80",,"Q0179",,12/26/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (1X10,STRAWBERRY) 8 MG",10,"EA","BX","PO","EA",8,"MG",1,12/26/2006,,,,,,,
"00781613595","00781-6135-95",,"J2540",,11/25/2002,,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PENICILLIN G POTASSIUM 5 Million U",1,"EA","VL","IV","EA",600000,"U",8.33333,11/25/2002,,,,,,,
"00781613694","00781-6136-94",,"J2540",,11/25/2002,,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PENICILLIN G POTASSIUM 20 Million U",1,"EA","VL","IV","EA",600000,"U",33.33333,11/25/2002,,,,,,,
"00781615395","00781-6153-95",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","PENICILLIN G SODIUM (VIAL) 5 Million U",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00781615397","00781-6153-97",,"J3490",,1/1/2002,8/25/2003,"UNCLASSIFIED DRUGS","PENICILLIN G SODIUM (VIAL) 5 Million U",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"00781910985","00781-9109-85",,"J2700",,2/1/2007,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,2/1/2007,,,,,,,
"00781910995","00781-9109-95",,"J2700",,3/1/2006,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN (USP) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,3/1/2006,,,,,,,
"00781911015","00781-9110-15",,"J2700",,3/19/2008,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN (USP,ADD-VANTAGE VIAL) 1 GM",1,"EA","VL","IV","EA",250,"MG",4,3/19/2008,,,,,,,
"00781911092","00781-9110-92",,"J2700",,3/19/2008,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN (1X10,USP,ADD-VANTAGE) 1 GM",1,"EA","VL","IV","EA",250,"MG",4,3/19/2008,,,,,,,
"00781911180","00781-9111-80",,"J2700",,2/1/2007,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,2/1/2007,,,,,,,
"00781911195","00781-9111-95",,"J2700",,5/4/2006,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN (USP) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,5/4/2006,,,,,,,
"00781911220","00781-9112-20",,"J2700",,3/19/2008,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN (USP,ADD-VANTAGE VIAL) 2 GM",1,"EA","VL","IV","EA",250,"MG",8,3/19/2008,,,,,,,
"00781911292","00781-9112-92",,"J2700",,3/19/2008,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN (1X10,USP,ADD-VANTAGE) 2 GM",1,"EA","VL","IV","EA",250,"MG",8,3/19/2008,,,,,,,
"00781911346","00781-9113-46",,"J2700",,2/1/2007,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN 10 GM",1,"EA","VL","IJ","EA",250,"MG",40,2/1/2007,,,,,,,
"00781911395","00781-9113-95",,"J2700",,5/3/2006,,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG","NOVAPLUS OXACILLIN 10 GM",1,"EA","VL","IJ","EA",250,"MG",40,5/3/2006,,,,,,,
"00781912485","00781-9124-85",,"J3490",,2/1/2007,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,2/1/2007,,,,,,,
"00781912495","00781-9124-95",,"J3490",,2/1/2006,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,2/1/2006,,,,,,,
"00781912585","00781-9125-85",,"J3490",,2/1/2007,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,2/1/2007,,,,,,,
"00781912595","00781-9125-95",,"J3490",,2/1/2006,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,2/1/2006,,,,,,,
"00781912646","00781-9126-46",,"J3490",,3/31/2007,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN 10 GM",1,"EA","VL","IJ","EA",1,"EA",1,3/31/2007,,,,,,,
"00781912695","00781-9126-95",,"J3490",,2/1/2006,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",1,"EA",1,2/1/2006,,,,,,,
"00781916475","00781-9164-75",,"J2354",,4/7/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE NOVAPLUS (M.D.V.) 1000 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",40,4/7/2005,,,,,,,
"00781916575","00781-9165-75",,"J2354",,4/7/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE NOVAPLUS (M.D.V.) 200 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",8,4/7/2005,,,,,,,
"00781916695","00781-9166-95",,"J2354",,4/7/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE NOVAPLUS (M.D.V.) 50 MCG/ML",1,"ML","AM","IJ","ML",25,"MCG",2,4/7/2005,,,,,,,
"00781916795","00781-9167-95",,"J2354",,4/7/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE NOVAPLUS (M.D.V.) 100 MCG/ML",1,"ML","AM","IJ","ML",25,"MCG",4,4/7/2005,,,,,,,
"00781916895","00781-9168-95",,"J2354",,4/7/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE NOVAPLUS (M.D.V.) 500 MCG/ML",1,"ML","AM","IJ","ML",25,"MCG",20,4/7/2005,,,,,,,
"00781920570","00781-9205-70",,"J0697",,5/1/2003,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME NOVAPLUS 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,5/1/2003,,,,,,,
"00781920596","00781-9205-96",,"J0697",,5/1/2003,8/18/2006,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME NOVAPLUS 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,5/1/2003,,,,,,,
"00781920680","00781-9206-80",,"J0697",,5/1/2003,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME NOVAPLUS 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,5/1/2003,,,,,,,
"00781920696","00781-9206-96",,"J0697",,5/1/2003,8/18/2006,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME NOVAPLUS 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,5/1/2003,,,,,,,
"00781920746","00781-9207-46",,"J0697",,5/1/2003,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME NOVAPLUS (PHARMACY BULK PACKAGE) 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,5/1/2003,,,,,,,
"00781920795","00781-9207-95",,"J0697",,5/1/2003,8/18/2006,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME NOVAPLUS (PHARMACY BULK PACKAGE) 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,5/1/2003,,,,,,,
"00781922415","00781-9224-15",,"J3490",,2/1/2007,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN (ADD-VANTAGE) 1 GM",1,"EA","VL","IV","EA",1,"EA",1,2/1/2007,,,,,,,
"00781922492","00781-9224-92",,"J3490",,9/18/2006,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN (USP,ADD-VANTAGE) 1 GM",1,"EA","VL","IV","EA",1,"EA",1,9/18/2006,,,,,,,
"00781922520","00781-9225-20",,"J3490",,2/1/2007,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN (ADD-VANTAGE) 2 GM",1,"EA","VL","IV","EA",1,"EA",1,2/1/2007,,,,,,,
"00781922592","00781-9225-92",,"J3490",,9/18/2006,,"UNCLASSIFIED DRUGS","NOVAPLUS NAFCILLIN (USP,ADD-VANTAGE) 2 GM",1,"EA","VL","IV","EA",1,"EA",1,9/18/2006,,,,,,,
"00781932695","00781-9326-95",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE NOVAPLUS 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,7/19/2005,,,,,,,
"00781932795","00781-9327-95",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE NOVAPLUS 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,7/19/2005,,,,,,,
"00781932895","00781-9328-95",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE NOVAPLUS 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/19/2005,,,,,,,
"00781932990","00781-9329-90",,"J0696",,3/31/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE NOVAPLUS 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,3/31/2007,,,,,,,
"00781932995","00781-9329-95",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE NOVAPLUS 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,7/19/2005,,,,,,,
"00781933046","00781-9330-46",,"J0696",,7/19/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE NOVAPLUS 10 GM",1,"EA","VL","IJ","EA",250,"MG",40,7/19/2005,,,,,,,
"00781933746","00781-9337-46",,"J0690",,4/25/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","NOVAPLUS CEFAZOLIN (PHARMACY BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,4/25/2007,,,,,,,
"00781933795","00781-9337-95",,"J0690",,4/25/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","NOVAPLUS CEFAZOLIN (PHARMACY BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,4/25/2007,,,,,,,
"00781933885","00781-9338-85",,"J0690",,2/27/2006,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","NOVAPLUS CEFAZOLIN 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,2/27/2006,,,,,,,
"00781933895","00781-9338-95",,"J0690",,2/27/2006,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","NOVAPLUS CEFAZOLIN (USP) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,2/27/2006,,,,,,,
"00781933985","00781-9339-85",,"J0690",,5/15/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","NOVAPLUS CEFAZOLIN 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,5/15/2007,,,,,,,
"00781933996","00781-9339-96",,"J0690",,5/15/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","NOVAPLUS CEFAZOLIN (USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,5/15/2007,,,,,,,
"00781940178","00781-9401-78",,"J0290",,2/1/2007,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN 125 MG",1,"EA","VL","IJ","EA",500,"MG",0.25,2/1/2007,,,,,,,
"00781940195","00781-9401-95",,"J0290",,2/1/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (USP) 125 MG",1,"EA","VL","IJ","EA",500,"MG",0.25,2/1/2006,,,,,,,
"00781940278","00781-9402-78",,"J0290",,1/24/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN 250 MG",1,"EA","VL","IJ","EA",500,"MG",0.5,1/24/2006,,,,,,,
"00781940295","00781-9402-95",,"J0290",,2/1/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (USP) 250 MG",1,"EA","VL","IJ","EA",500,"MG",0.5,2/1/2006,,,,,,,
"00781940485","00781-9404-85",,"J0290",,1/24/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/24/2006,,,,,,,
"00781940495","00781-9404-95",,"J0290",,2/1/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,2/1/2006,,,,,,,
"00781940778","00781-9407-78",,"J0290",,1/24/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/24/2006,,,,,,,
"00781940795","00781-9407-95",,"J0290",,2/1/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (USP) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,2/1/2006,,,,,,,
"00781940880","00781-9408-80",,"J0290",,1/24/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/24/2006,,,,,,,
"00781940892","00781-9408-92",,"J0290",,2/1/2007,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,2/1/2007,,,,,,,
"00781940895","00781-9408-95",,"J0290",,2/1/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (USP) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,2/1/2006,,,,,,,
"00781940995","00781-9409-95",,"J0290",,2/1/2006,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (USP) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,2/1/2006,,,,,,,
"00781940996","00781-9409-96",,"J0290",,2/1/2007,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,2/1/2007,,,,,,,
"00781941215","00781-9412-15",,"J0290",,2/1/2007,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,2/1/2007,,,,,,,
"00781941292","00781-9412-92",,"J0290",,3/20/2007,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,3/20/2007,,,,,,,
"00781941392","00781-9413-92",,"J0290",,3/20/2007,,"INJECTION, AMPICILLIN SODIUM,  500 MG","NOVAPLUS AMPICILLIN (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,3/20/2007,,,,,,,
"00781945196","00781-9451-96",,"J0690",,1/4/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","NOVAPLUS CEFAZOLIN (USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/4/2007,,,,,,,
"00781945295","00781-9452-95",,"J0690",,1/9/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","NOVAPLUS CEFAZOLIN (USP) 10 GM",1,"EA","VL","IV","EA",500,"MG",20,1/9/2007,,,,,,,
"00832011100","00832-0111-00",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"00832011150","00832-0111-50",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",500,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"00832101500","00832-1015-00",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"00832101550","00832-1015-50",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",500,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"00839790506","00839-7905-06",,,,3/8/1994,11/14/1997,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","NA","PO","EA",2.5,"MG",1,3/8/1994,,,,,,,
"00904036060","00904-0360-60",,"Q0178",,1/1/2002,3/3/2003,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 100 MG",100,"EA","BO","PO","EA",50,"MG",2,1/1/2002,,,,,,,
"00904036240","00904-0362-40",,"Q0177",,1/1/2002,3/3/2003,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00904036260","00904-0362-60",,"Q0177",,1/1/2002,3/3/2003,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00904036261","00904-0362-61",,"Q0177",,1/1/2002,11/13/2002,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (10X10) 25 MG",100,"EA","BX","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"00904036340","00904-0363-40",,"Q0178",,1/1/2002,7/19/2002,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",500,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00904036360","00904-0363-60",,"Q0178",,1/1/2002,3/3/2003,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00904036361","00904-0363-61",,"Q0178",,1/1/2002,11/13/2002,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (10X10) 50 MG",100,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00904088910","00904-0889-10",,"J3420",,1/1/2002,2/5/2002,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (VIAL) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00904088930","00904-0889-30",,"J3420",,1/1/2002,2/5/2002,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"00904097209","00904-0972-09",,"Q0181",,1/1/2002,3/3/2003,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG/5 ML",240,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"00904122800","00904-1228-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BANOPHEN (AF) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00904122820","00904-1228-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BANOPHEN (BOXED) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00904174960","00904-1749-60",,,,1/1/1994,5/25/2007,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,1/1/1994,5/25/2007,,,,,,
"00904174973","00904-1749-73",,,,1/1/1994,1/31/2000,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",36,"EA","BO","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"00904203524","00904-2035-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BANOPHEN 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00904203559","00904-2035-59",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BANOPHEN 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00904205661","00904-2056-61",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (10X10) 50 MG",100,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00904217519","00904-2175-19",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (UNIPAK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00904217560","00904-2175-60",,"J7509",,1/1/2002,3/4/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"00904357060","00904-3570-60",,"J8999",,1/1/2002,5/6/2002,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 20 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00904357160","00904-3571-60",,"J8999",,1/1/2002,5/6/2002,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00904357161","00904-3571-61",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (10X10) 40 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"00904427451","00904-4274-51",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP TABS 25 MG",50,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00904514724","00904-5147-24",,"Q0163",,1/1/2002,7/22/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BANOPHEN (DYE-FREE,SOFTGEL) 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00904517416","00904-5174-16",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BANOPHEN 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00904530660","00904-5306-60",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00904530661","00904-5306-61",,"Q0163",,5/12/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (10X10) 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,5/12/2003,,,,,,,
"00904530680","00904-5306-80",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"00904530760","00904-5307-60",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00904530780","00904-5307-80",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00904555159","00904-5551-59",,"Q0163",,8/13/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BANOPHEN (MINI TABS,MINI TAB) 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,8/13/2002,,,,,,,
"00904578961","00904-5789-61",,"J8499",,1/3/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (10X10,USP) 200 MG",100,"EA","BX","PO","EA",1,"EA",1,1/3/2007,,,,,,,
"00904579061","00904-5790-61",,"J8499",,1/8/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (10X10,USP) 400 MG",100,"EA","BX","PO","EA",1,"EA",1,1/8/2007,,,,,,,
"00904579961","00904-5799-61",,"J8499",,1/12/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (10X10,USP) 800 MG",100,"EA","BX","PO","EA",1,"EA",1,1/12/2007,,,,,,,
"00904584061","00904-5840-61",,"Q0170",,5/6/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",100,"EA","BX","PO","EA",25,"MG",1,5/6/2008,,,,,,,
"00904765855","00904-7658-55",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"00904765855","00904-7658-55",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"00905184724","00905-1847-24",,"J3490",,1/1/2002,9/27/2004,"UNCLASSIFIED DRUGS","FLAGYL I.V. RTU (S.D. CONTAINER) 500 MG/100 ML",100,"ML","FC","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"00927022124","00927-0221-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLERMAX 50 MG",24,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00927061634","00927-0616-34",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TWILITE 50 MG",20,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"00927061712","00927-0617-12",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLERMAX 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"00944047169","00944-0471-69",,"J1566",,1/1/2006,5/1/2008,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","POLYGAM S/D (S.D.V. W/DILUENT) 0.5 GM",1,"EA","VL","IV","EA",500,"MG",1,1/1/2006,5/1/2008,,,,,,
"00944047169","00944-0471-69",,"Q9941",,7/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","POLYGAM S/D (S.D.V. W/DILUENT) 0.5 GM",1,"EA","VL","IV","EA",1,"GM",0.5,7/1/2005,,,,,,,
"00944047172","00944-0471-72",,"J1566",,1/1/2006,5/1/2008,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","POLYGAM S/D (S.D.V. W/DILUENT) 2.5 GM",1,"EA","VL","IV","EA",500,"MG",5,1/1/2006,5/1/2008,,,,,,
"00944047172","00944-0471-72",,"Q9941",,7/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","POLYGAM S/D (S.D.V. W/DILUENT) 2.5 GM",1,"EA","VL","IV","EA",1,"GM",2.5,7/1/2005,12/31/2005,,,,,,
"00944047175","00944-0471-75",,"J1566",,1/1/2006,5/1/2008,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","POLYGAM S/D (S.D.V. W/DILUENT) 5 GM",1,"EA","VL","IV","EA",500,"MG",10,1/1/2006,5/1/2008,,,,,,
"00944047175","00944-0471-75",,"Q9941",,7/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","POLYGAM S/D (S.D.V. W/DILUENT) 5 GM",1,"EA","VL","IV","EA",1,"GM",5,7/1/2005,,,,,,,
"00944047180","00944-0471-80",,"J1566",,1/1/2006,5/1/2008,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","POLYGAM S/D (S.D.V.W/DILUENT) 10 GM",1,"EA","VL","IV","EA",500,"MG",20,1/1/2006,5/1/2008,,,,,,
"00944047180","00944-0471-80",,"Q9941",,7/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","POLYGAM S/D (S.D.V.W/DILUENT) 10 GM",1,"EA","VL","IV","EA",1,"GM",10,7/1/2005,,,,,,,
"00944058101","00944-0581-01",,"J7194",,1/1/2002,12/31/2006,"FACTOR IX, COMPLEX, PER I.U.","PROPLEX T (ACTIVATED IN 30 ML) (700-3900 IU) 1 IU",3900,"IU","VL","IV","EA",1,"IU",1,1/1/2002,12/31/2006,,,,,,
"00944130101","00944-1301-01",,"J7190",,11/1/2005,1/31/2006,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONARC-M (220IU-400IU,PF) 1 IU",400,"IU","VL","IV","EA",1,"IU",1,11/1/2005,,,,,,,
"00944130110","00944-1301-10",,"J7190",,2/1/2006,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONARC-M (220IU-400IU,PF) 1 IU",400,"IU","VL","IV","EA",1,"IU",1,2/1/2006,,,,,,,
"00944130201","00944-1302-01",,"J7190",,11/1/2005,1/31/2006,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONARC-M (401IU-800IU,PF) 1 IU",800,"IU","VL","IV","EA",1,"IU",1,11/1/2005,,,,,,,
"00944130210","00944-1302-10",,"J7190",,2/1/2006,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONARC-M (401IU-800IU,PF) 1 IU",800,"IU","VL","IV","EA",1,"IU",1,2/1/2006,,,,,,,
"00944130301","00944-1303-01",,"J7190",,11/1/2005,1/31/2006,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONARC-M (801IU-1700IU,PF) 1 IU",1700,"IU","VL","IV","EA",1,"IU",1,11/1/2005,,,,,,,
"00944130310","00944-1303-10",,"J7190",,2/1/2006,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONARC-M (801IU-1700IU,PF) 1 IU",1700,"IU","VL","IV","EA",1,"IU",1,2/1/2006,,,,,,,
"00944130401","00944-1304-01",,"J7190",,11/1/2005,1/31/2006,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONARC-M (1701IU-2000IU,PF) 1 IU",2000,"IU","VL","IV","EA",1,"IU",1,11/1/2005,,,,,,,
"00944130410","00944-1304-10",,"J7190",,2/1/2006,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONARC-M (1701IU-2000IU,PF) 1 IU",2000,"IU","VL","IV","EA",1,"IU",1,2/1/2006,,,,,,,
"00944262001","00944-2620-01",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","GAMMAGARD S/D 0.5 GM",1,"EA","VL","IV","EA",500,"MG",1,1/1/2006,,,,,,,
"00944262001","00944-2620-01",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","GAMMAGARD S/D 0.5 GM",1,"EA","VL","IV","EA",1,"GM",0.5,4/1/2005,,,,,,,
"00944262002","00944-2620-02",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","GAMMAGARD S/D 2.5 GM",1,"EA","VL","IV","EA",500,"MG",5,1/1/2006,,,,,,,
"00944262002","00944-2620-02",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","GAMMAGARD S/D 2.5 GM",1,"EA","VL","IV","EA",1,"GM",2.5,4/1/2005,,,,,,,
"00944262003","00944-2620-03",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","GAMMAGARD S/D 5 GM",1,"EA","VL","IV","EA",500,"MG",10,1/1/2006,,,,,,,
"00944262003","00944-2620-03",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","GAMMAGARD S/D 5 GM",1,"EA","VL","IV","EA",1,"GM",5,4/1/2005,,,,,,,
"00944262004","00944-2620-04",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","GAMMAGARD S/D 10 GM",1,"EA","VL","IV","EA",500,"MG",20,1/1/2006,,,,,,,
"00944262004","00944-2620-04",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","GAMMAGARD S/D 10 GM",1,"EA","VL","IV","EA",1,"GM",10,4/1/2005,,,,,,,
"00944265503","00944-2655-03",,"J1566",,6/1/2007,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","GAMMAGARD S/D (W/TRANSFER SET) 5 GM",1,"EA","VL","IV","EA",500,"MG",10,6/1/2007,,,,,,,
"00944265504","00944-2655-04",,"J1566",,6/1/2007,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","GAMMAGARD S/D (W/TRANSFER SET) 10 GM",1,"EA","VL","IV","EA",500,"MG",20,6/1/2007,,,,,,,
"00944270002","00944-2700-02",,"J1569",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED,(E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"00944270002","00944-2700-02",,"Q4088",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"00944270003","00944-2700-03",,"J1569",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED,(E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",25,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"00944270003","00944-2700-03",,"Q4088",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",25,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"00944270004","00944-2700-04",,"J1569",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED,(E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"00944270004","00944-2700-04",,"Q4088",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"00944270005","00944-2700-05",,"J1569",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED,(E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"00944270005","00944-2700-05",,"Q4088",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"00944270006","00944-2700-06",,"J1569",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED,(E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"00944270006","00944-2700-06",,"Q4088",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMMAGARD LIQUID (PF,LATEX-FREE) 100 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"00944280101","00944-2801-01",,"J0256",,2/13/2006,,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","ARALAST (500MG VIAL,PF) 1 MG",500,"MG","VL","IV","EA",10,"MG",0.1,2/13/2006,,,,,,,
"00944280102","00944-2801-02",,"J0256",,2/13/2006,,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","ARALAST (1000MG VIAL,PF) 1 MG",1000,"MG","VL","IV","EA",10,"MG",0.1,2/13/2006,,,,,,,
"00944280201","00944-2802-01",,"J0256",,2/25/2008,,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","ARALAST NP (SDV,APPROX 500MG,PF) 1 MG",500,"MG","VL","IV","EA",10,"MG",0.1,2/25/2008,,,,,,,
"00944280202","00944-2802-02",,"J0256",,2/25/2008,,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","ARALAST NP (SDV,APRROX 1000MG,PF) 1 MG",1000,"MG","VL","IV","EA",10,"MG",0.1,2/25/2008,,,,,,,
"00944283110","00944-2831-10",,"J7192",,10/5/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","RECOMBINATE (SINGLE-DOSE,220-400 IU) 1 IU",400,"IU","VL","IV","EA",1,"IU",1,10/5/2007,,,,,,,
"00944283210","00944-2832-10",,"J7192",,10/5/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","RECOMBINATE (SINGLE-DOSE,401-800 IU) 1 IU",800,"IU","VL","IV","EA",1,"IU",1,10/5/2007,,,,,,,
"00944283310","00944-2833-10",,"J7192",,10/5/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","RECOMBINATE (SINGLE-DOSE,801-1240IU) 1 IU",1240,"IU","VL","IV","EA",1,"IU",1,10/5/2007,,,,,,,
"00944293501","00944-2935-01",,"J7190",,1/1/2002,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","HEMOFIL-M (220-400 IU) 1 IU",400,"IU","VL","IV","EA",1,"IU",1,1/1/2002,6/30/2008,,,,,,
"00944293502","00944-2935-02",,"J7190",,4/17/2006,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","HEMOFIL M (MID,401-800IU) 1 IU",800,"IU","VL","IV","EA",1,"IU",1,4/17/2006,6/30/2008,,,,,,
"00944293503","00944-2935-03",,"J7190",,4/17/2006,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","HEMOFIL M (HIGH,801-1700IU) 1 IU",1700,"IU","VL","IV","EA",1,"IU",1,4/17/2006,6/30/2008,,,,,,
"00944293504","00944-2935-04",,"J7190",,4/17/2006,6/30/2008,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","HEMOFIL M (SUPERHIGH,1701-2000IU) 1 IU",2000,"IU","VL","IV","EA",1,"IU",1,4/17/2006,6/30/2008,,,,,,
"00944293801","00944-2938-01",,"J7192",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","RECOMBINATE (APPROX. 250 IU/VIAL) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00944293802","00944-2938-02",,"J7192",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","RECOMBINATE (APPROX. 500 IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00944293803","00944-2938-03",,"J7192",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","RECOMBINATE (APPROX. 1000 IU/VIAL) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"00944294001","00944-2940-01",,"J7192",,7/28/2003,1/22/2007,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","ADVATE (APPROX. 250 IU/VIAL,PF) 1 IU",250,"IU","VL","MR","EA",1,"IU",1,7/28/2003,1/22/2007,,,,,,
"00944294002","00944-2940-02",,"J7192",,7/28/2003,1/22/2007,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","ADVATE (APPROX. 500 IU/VIAL,PF) 1 IU",500,"IU","VL","MR","EA",1,"IU",1,7/28/2003,1/22/2007,,,,,,
"00944294003","00944-2940-03",,"J7192",,7/28/2003,1/22/2007,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","ADVATE (APPROX. 1000 IU/VIAL,PF) 1 IU",1000,"IU","VL","MR","EA",1,"IU",1,7/28/2003,1/22/2007,,,,,,
"00944294004","00944-2940-04",,"J7192",,7/28/2003,1/22/2007,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","ADVATE (APPROX. 1500 IU/VIAL,PF) 1 IU",1500,"IU","VL","MR","EA",1,"IU",1,7/28/2003,1/22/2007,,,,,,
"00944294010","00944-2940-10",,"J7192",,4/17/2006,1/22/2007,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","ADVATE (1800-2200IU,PF) 1 IU",2000,"IU","VL","MR","EA",1,"IU",1,4/17/2006,1/22/2007,,,,,,
"00944294110","00944-2941-10",,"J7192",,1/22/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","ADVATE (AP 250IU/VIAL,W/DILUENT) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,1/22/2007,,,,,,,
"00944294210","00944-2942-10",,"J7192",,1/22/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","ADVATE (AP 500IU/VIAL,W/DILUENT) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/22/2007,,,,,,,
"00944294310","00944-2943-10",,"J7192",,1/22/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","ADVATE (AP1000IU/VIAL,W/DILUENT) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/22/2007,,,,,,,
"00944294410","00944-2944-10",,"J7192",,1/22/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","ADVATE (AP1500IU/VIAL,W/DILUENT) 1 IU",1500,"IU","VL","IV","EA",1,"IU",1,1/22/2007,,,,,,,
"00944294510","00944-2945-10",,"J7192",,1/22/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","ADVATE (AP2000IU/VIAL,W/DILUENT) 1 IU",2000,"IU","VL","IV","EA",1,"IU",1,1/22/2007,,,,,,,
"00944294610","00944-2946-10",,"J7192",,7/5/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","ADVATE (2400-3600,PF) 1 IU",1,"EA","VL","IV","EA",1,"IU",1,7/5/2007,,,,,,,
"00944295002","00944-2950-02",,"J2792",,3/25/2005,1/1/2008,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (S.D.V.,PF) 600 IU",1,"EA","VL","IV","EA",100,"IU",6,3/25/2005,,,,,,,
"00944295004","00944-2950-04",,"J2792",,3/25/2005,1/1/2008,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (S.D.V.,PF) 1500 IU",1,"EA","VL","IV","EA",100,"IU",15,3/25/2005,,,,,,,
"00944295006","00944-2950-06",,"J2792",,3/25/2005,1/1/2008,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (VIAL,PF) 5000 IU",1,"EA","VL","IV","EA",100,"IU",50,3/25/2005,,,,,,,
"00944296701","00944-2967-01",,"J2792",,3/1/2006,10/31/2007,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (SDV,PF) 600 IU",0.5,"ML","VL","IV","ML",100,"IU",12,3/1/2006,10/31/2007,,,,,,
"00944296703","00944-2967-03",,"J2792",,3/1/2006,,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (SDV,PF) 1500 IU",1.3,"ML","VL","IV","ML",100,"IU",11.53846,3/1/2006,,,,,,,
"00944296705","00944-2967-05",,"J2792",,3/1/2006,,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (SDV,PF) 5000 IU",4.4,"ML","VL","IV","ML",100,"IU",11.36363,3/1/2006,,,,,,,
"00944296707","00944-2967-07",,"J2792",,3/1/2006,,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (SDV,PF) 2500 IU",2.2,"ML","VL","IV","ML",100,"IU",11.36363,3/1/2006,,,,,,,
"00944296709","00944-2967-09",,"J2792",,3/1/2006,,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (SDV,PF) 15000 IU",13,"ML","VL","IV","ML",100,"IU",11.53846,3/1/2006,,,,,,,
"00944417505","00944-4175-05",,"J2724",,1/1/2008,,"INJECTION, PROTEIN C CONCENTRATE, INTRAVENOUS, HUMAN, 10 IU","CEPROTIN (400-600IU) 1 IU",600,"IU","VL","IV","EA",10,"IU",0.1,1/1/2008,,,,,,,
"00944417505","00944-4175-05",,"J3590",,6/28/2007,12/31/2007,"UNCLASSIFIED BIOLOGICS","CEPROTIN (400-600IU) 1 IU",600,"IU","VL","IV","EA",1,"EA",1,6/28/2007,,,,,,,
"00944417510","00944-4175-10",,"J2724",,1/1/2008,,"INJECTION, PROTEIN C CONCENTRATE, INTRAVENOUS, HUMAN, 10 IU","CEPROTIN (800-1200IU) 1 IU",1200,"IU","VL","IV","EA",10,"IU",0.1,1/1/2008,,,,,,,
"00944417510","00944-4175-10",,"J3590",,6/28/2007,12/31/2007,"UNCLASSIFIED BIOLOGICS","CEPROTIN (800-1200IU) 1 IU",1200,"IU","VL","IV","EA",1,"EA",1,6/28/2007,,,,,,,
"03221020811","03221-0208-11",,"J3490",,1/1/2008,,"UNCLASSIFIED DRUGS","VERITAS COLLAGEN MATRIX (2CMX8CM)",1,"EA","NA","IP","EA",1,"EA",1,1/1/2008,,,,,,,
"03221020811","03221-0208-11",,"J7345",,8/1/2007,12/31/2007,"DERMAL (SUBSTITUTE) TISSUE OF NON-HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","VERITAS COLLAGEN MATRIX (2CMX8CM)",1,"EA","NA","IP","EA",1,"SQCM",16,8/1/2007,,,,,,,
"03221040711","03221-0407-11",,"J3490",,1/1/2008,,"UNCLASSIFIED DRUGS","VERITAS COLLAGEN MATRIX (4CMX7CM)",1,"EA","NA","IP","EA",1,"EA",1,1/1/2008,,,,,,,
"03221040711","03221-0407-11",,"J7345",,8/1/2007,12/31/2007,"DERMAL (SUBSTITUTE) TISSUE OF NON-HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","VERITAS COLLAGEN MATRIX (4CMX7CM)",1,"EA","NA","IP","EA",1,"SQCM",28,8/1/2007,,,,,,,
"03221041511","03221-0415-11",,"J3490",,1/1/2008,,"UNCLASSIFIED DRUGS","VERITAS COLLAGEN MATRIX (4CMX15CM)",1,"EA","NA","IP","EA",1,"EA",1,1/1/2008,,,,,,,
"03221041511","03221-0415-11",,"J7345",,8/1/2007,12/31/2007,"DERMAL (SUBSTITUTE) TISSUE OF NON-HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","VERITAS COLLAGEN MATRIX (4CMX15CM)",1,"EA","NA","IP","EA",1,"SQCM",60,8/1/2007,,,,,,,
"03221060811","03221-0608-11",,"J3490",,1/1/2008,,"UNCLASSIFIED DRUGS","VERITAS COLLAGEN MATRIX (6CMX8CM)",1,"EA","NA","IP","EA",1,"EA",1,1/1/2008,,,,,,,
"03221060811","03221-0608-11",,"J7345",,8/1/2007,12/31/2007,"DERMAL (SUBSTITUTE) TISSUE OF NON-HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","VERITAS COLLAGEN MATRIX (6CMX8CM)",1,"EA","NA","IP","EA",1,"SQCM",48,8/1/2007,,,,,,,
"03221081411","03221-0814-11",,"J3490",,1/1/2008,,"UNCLASSIFIED DRUGS","VERITAS COLLAGEN MATRIX (8CMX14CM)",1,"EA","NA","IP","EA",1,"EA",1,1/1/2008,,,,,,,
"03221081411","03221-0814-11",,"J7345",,8/1/2007,12/31/2007,"DERMAL (SUBSTITUTE) TISSUE OF NON-HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","VERITAS COLLAGEN MATRIX (8CMX14CM)",1,"EA","NA","IP","EA",1,"SQCM",112,8/1/2007,,,,,,,
"03221101611","03221-1016-11",,"J3490",,1/1/2008,,"UNCLASSIFIED DRUGS","VERITAS COLLAGEN MATRIX (10CMX16CM)",1,"EA","NA","IP","EA",1,"EA",1,1/1/2008,,,,,,,
"03221101611","03221-1016-11",,"J7345",,8/1/2007,12/31/2007,"DERMAL (SUBSTITUTE) TISSUE OF NON-HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","VERITAS COLLAGEN MATRIX (10CMX16CM)",1,"EA","NA","IP","EA",1,"SQCM",160,8/1/2007,,,,,,,
"03221122511","03221-1225-11",,"J3490",,1/1/2008,,"UNCLASSIFIED DRUGS","VERITAS COLLAGEN MATRIX (12CMX25CM)",1,"EA","NA","IP","EA",1,"EA",1,1/1/2008,,,,,,,
"03221122511","03221-1225-11",,"J7345",,8/1/2007,12/31/2007,"DERMAL (SUBSTITUTE) TISSUE OF NON-HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","VERITAS COLLAGEN MATRIX (12CMX25CM)",1,"EA","NA","IP","EA",1,"SQCM",300,8/1/2007,,,,,,,
"05324502745","05324-5027-45",,"J3480",,1/1/2002,8/9/2004,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P., F.C.C.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"05324502760","05324-5027-60",,"J3480",,1/1/2002,8/9/2004,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P., F.C.C.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"05324503135","05324-5031-35",,"J3490",,1/1/2002,8/9/2004,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","NA","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"05324503145","05324-5031-45",,"J3490",,1/1/2002,8/9/2004,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","NA","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"05324509810","05324-5098-10",,"J3420",,1/1/2002,8/9/2004,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,1/1/2002,,,,,,,
"05324509815","05324-5098-15",,"J3420",,1/1/2002,8/9/2004,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,1/1/2002,,,,,,,
"05324511945","05324-5119-45",,"J2150",,1/1/2002,8/9/2004,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"05324511960","05324-5119-60",,"J2150",,1/1/2002,8/9/2004,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"05324516645","05324-5166-45",,"J3350",,1/1/2002,8/9/2004,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"05324516660","05324-5166-60",,"J3350",,1/1/2002,8/9/2004,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"05324517515","05324-5175-15",,"J7636",,1/1/2002,8/9/2004,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"05324517515","05324-5175-15","KO","J7636","KO",1/1/2002,8/9/2004,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"05324517525","05324-5175-25",,"J7636",,1/1/2002,8/9/2004,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"05324517525","05324-5175-25","KO","J7636","KO",1/1/2002,8/9/2004,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"05324521835","05324-5218-35",,"J1200",,1/1/2002,8/9/2004,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"05324523215","05324-5232-15",,"J1700",,1/1/2002,8/9/2004,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"05324523225","05324-5232-25",,"J1700",,1/1/2002,8/9/2004,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"05324523235","05324-5232-35",,"J1700",,1/1/2002,8/9/2004,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"05324523255","05324-5232-55",,"J1700",,1/1/2002,8/9/2004,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"05324523335","05324-5233-35",,"J3410",,1/1/2002,8/9/2004,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"05324523345","05324-5233-45",,"J3410",,1/1/2002,8/9/2004,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"05324524525","05324-5245-25",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"05324524525","05324-5245-25",,"J2001",,1/1/2004,8/9/2004,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"05324524535","05324-5245-35",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"05324524535","05324-5245-35",,"J2001",,1/1/2004,8/9/2004,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"05324524545","05324-5245-45",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"05324524545","05324-5245-45",,"J2001",,1/1/2004,8/9/2004,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"05324525715","05324-5257-15",,"J2440",,1/1/2002,8/9/2004,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"05324527325","05324-5273-25",,"J2675",,1/1/2002,8/9/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"05324527335","05324-5273-35",,"J2675",,1/1/2002,8/9/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"05324530935","05324-5309-35",,"J2810",,1/1/2002,8/9/2004,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"05324530945","05324-5309-45",,"J2810",,1/1/2002,8/9/2004,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"05324531510","05324-5315-10",,"J7684",,1/1/2002,8/9/2004,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"05324531510","05324-5315-10","KO","J7684","KO",1/1/2002,8/9/2004,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"08024072412","08024-0724-12",,"J7321",,1/1/2008,,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","HYALGAN (VIAL) 10 MG/ML",2,"ML","VL","IJ","ML",1,"DOSE",0.5,1/1/2008,,,,,,,
"08024072412","08024-0724-12",,"Q4083",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","HYALGAN (VIAL) 10 MG/ML",2,"ML","VL","IJ","ML",1,"DOSE",0.5,1/1/2007,,,,,,,
"08024072420","08024-0724-20",,"J7321",,1/1/2008,,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","HYALGAN (SRN,PREFILLED,LUER LOCK) 10 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,,,,,,,
"08024072420","08024-0724-20",,"Q4083",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","HYALGAN (SRN,PREFILLED,LUER LOCK) 10 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2007,,,,,,,
"08080100000","08080-1000-00",,"A4217",,3/1/2006,,"STERILE WATER/SALINE, 500 ML","CURITY STERILE WATER",100,"ML","NA","IR","ML",500,"ML",0.002,3/1/2006,,,,,,,
"08080102000","08080-1020-00",,"A4217",,3/1/2006,,"STERILE WATER/SALINE, 500 ML","CURITY STERILE SALINE (100MLX48) 0.9%",100,"ML","NA","IR","ML",500,"ML",0.002,3/1/2006,,,,,,,
"08080102200","08080-1022-00",,"A4217",,3/1/2006,,"STERILE WATER/SALINE, 500 ML","CURITY STERILE SALINE (100MLX48) 0.9%",100,"ML","NA","IR","ML",500,"ML",0.002,3/1/2006,,,,,,,
"08121860047","08121-8600-47",,"J7344",,1/1/2005,12/31/2008,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","GRAFTJACKET (MAXIMUM FORCE)",1,"EA","NA","TP","EA",1,"SQCM",28,1/1/2005,,,,,,,
"08121860047","08121-8600-47",,"Q4107",,1/1/2009,,"SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER","GRAFTJACKET (MAXIMUM FORCE, 28SQ CM)",1,"EA","NA","TP","EA",1,"SQCM",28,1/1/2009,,,,,,,
"08121860055","08121-8600-55",,"J7344",,2/3/2005,12/31/2008,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","GRAFTJACKET (MAX FORCE,25SQ CM)",1,"EA","NA","TP","EA",1,"SQCM",25,2/3/2005,,,,,,,
"08121860055","08121-8600-55",,"Q4107",,1/1/2009,,"SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER","GRAFTJACKET (MAX FORCE,25SQ CM)",1,"EA","NA","TP","EA",1,"SQCM",25,1/1/2009,,,,,,,
"08121860204","08121-8602-04",,"J7344",,1/1/2005,12/31/2008,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","GRAFTJACKET (HAND SURGERY,8SQ CM)",1,"EA","NA","TP","EA",1,"SQCM",8,1/1/2005,,,,,,,
"08121860204","08121-8602-04",,"Q4107",,1/1/2009,,"SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER","GRAFTJACKET (HAND SURGERY,8SQ CM)",1,"EA","NA","TP","EA",1,"SQCM",8,1/1/2009,,,,,,,
"08121860404","08121-8604-04",,"J7344",,1/1/2005,12/31/2008,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","GRAFTJACKET (4X4 CM)",1,"EA","PT","TP","EA",1,"SQCM",16,1/1/2005,,,,,,,
"08121860404","08121-8604-04",,"Q4107",,1/1/2009,,"SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER","GRAFTJACKET (4X4 CM)",1,"EA","PT","TP","EA",1,"SQCM",16,1/1/2009,,,,,,,
"08121860407","08121-8604-07",,"J7344",,6/30/2005,12/31/2008,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","GRAFTJACKET (MAXFORCE-EXTREME)",1,"EA","NA","TP","EA",1,"SQCM",28,6/30/2005,,,,,,,
"08121860407","08121-8604-07",,"Q4107",,1/1/2009,,"SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER","GRAFTJACKET (MAXFORCE EXTREME 28SQ CM)",1,"EA","NA","TP","EA",1,"SQCM",28,1/1/2009,,,,,,,
"08121860505","08121-8605-05",,"J7344",,1/1/2005,12/31/2008,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","GRAFTJACKET",1,"EA","NA","TP","EA",1,"SQCM",25,1/1/2005,,,,,,,
"08121860505","08121-8605-05",,"Q4107",,1/1/2009,,"SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER","GRAFTJACKET (TISSUE MATRIX, 25SQ CM)",1,"EA","NA","TP","EA",1,"SQCM",25,1/1/2009,,,,,,,
"08121860510","08121-8605-10",,"J7344",,1/1/2005,12/31/2008,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","GRAFTJACKET",1,"EA","NA","TP","EA",1,"SQCM",50,1/1/2005,,,,,,,
"08121860510","08121-8605-10",,"Q4107",,1/1/2009,,"SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER","GRAFTJACKET (TISSUE MATRIX, 50SQ CM)",1,"EA","NA","TP","EA",1,"SQCM",50,1/1/2009,,,,,,,
"08121860530","08121-8605-30",,"J7344",,1/4/2005,12/31/2008,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","GRAFTJACKET SLR (SMALL LIGAMENT)",1,"EA","NA","TP","EA",1,"SQCM",1.5,1/4/2005,,,,,,,
"08121860530","08121-8605-30",,"Q4107",,1/1/2009,,"SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER","GRAFTJACKET SLR (SMALL LIGAMENT, 1.5SQ CM)",1,"EA","NA","TP","EA",1,"SQCM",1.5,1/1/2009,,,,,,,
"08166110003","08166-1100-03",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","VASCEZE HEPARIN LOCK FLUSH (LUER SLIP NOZZLE) 100 U/ML",3,"ML","NA","IV","ML",10,"U",10,1/1/2002,,,,,,,
"08166110005","08166-1100-05",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","VASCEZE HEPARIN LOCK FLUSH (LUER SLIP NOZZLE) 100 U/ML",5,"ML","NA","IV","ML",10,"U",10,1/1/2002,,,,,,,
"08166110903","08166-1109-03",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","VASCEZE SODIUM CHLORIDE (LUER SLIP NOZZLE) 0.9%",3,"ML","NA","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08166110903","08166-1109-03",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","VASCEZE SODIUM CHLORIDE (LUER SLIP NOZZLE) 0.9%",3,"ML","NA","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08166110905","08166-1109-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","VASCEZE SODIUM CHLORIDE (LUER SLIP NOZZLE) 0.9%",5,"ML","NA","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08166110905","08166-1109-05",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","VASCEZE SODIUM CHLORIDE (LUER SLIP NOZZLE) 0.9%",5,"ML","NA","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08166110910","08166-1109-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","VASCEZE SODIUM CHLORIDE (LUER SLIP NOZZLE) 0.9%",10,"ML","NA","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08166110910","08166-1109-10",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","VASCEZE SODIUM CHLORIDE (LUER SLIP NOZZLE) 0.9%",10,"ML","NA","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08166111003","08166-1110-03",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","VASCEZE HEPARIN LOCK FLUSH (LUER SLIP NOZZLE,PF) 10 U/ML",3,"ML","NA","IV","ML",10,"U",1,1/1/2002,,,,,,,
"08166111005","08166-1110-05",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","VASCEZE HEPARIN LOCK FLUSH (LUER SLIP NOZZLE,PF) 10 U/ML",5,"ML","NA","IV","ML",10,"U",1,1/1/2002,,,,,,,
"08290031002","08290-0310-02",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,3 ML,PF) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290031002","08290-0310-02",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,3 ML,PF) 0.9%",2,"ML","SR","IV","ML",0.9,"%",0.5,8/15/2002,,1/1/2002,4/1/2002,0.5,,,
"08290031003","08290-0310-03",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,3 ML,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290031003","08290-0310-03",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,3 ML,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,8/15/2002,,1/1/2002,4/1/2002,0.5,,,
"08290031102","08290-0311-02",,"A4216",,1/1/2004,8/15/2008,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,3 ML W/CANNULA,PF) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,8/15/2008,,,,,,
"08290031102","08290-0311-02",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN,3 ML W/CANNULA,PF) 0.9%",2,"ML","SR","IV","ML",1000,"ML",0.001,8/15/2002,,1/1/2002,4/1/2002,0.001,,,
"08290031103","08290-0311-03",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,3 ML W/CANNULA,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08290031103","08290-0311-03",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN,3 ML W/CANNULA,PF) 0.9%",3,"ML","SR","IV","ML",1000,"ML",0.001,8/15/2002,,1/1/2002,4/1/2002,0.001,,,
"08290032003","08290-0320-03",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,6 ML,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290032003","08290-0320-03",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,6 ML,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,8/15/2002,,1/1/2002,4/1/2002,0.5,,,
"08290032005","08290-0320-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,6 ML,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290032005","08290-0320-05",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,6 ML,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,8/15/2002,,1/1/2002,4/1/2002,0.5,,,
"08290032103","08290-0321-03",,"A4216",,1/1/2004,8/15/2008,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,6 ML W/CANNULA,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,8/15/2008,,,,,,
"08290032103","08290-0321-03",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN,6 ML W/CANNULA,PF) 0.9%",3,"ML","SR","IV","ML",1000,"ML",0.001,8/15/2002,,1/1/2002,4/1/2002,0.001,,,
"08290032105","08290-0321-05",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,6 ML W/CANNULA,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08290032105","08290-0321-05",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN,6 ML W/CANNULA,PF) 0.9%",5,"ML","SR","IV","ML",1000,"ML",0.001,8/15/2002,,1/1/2002,4/1/2002,0.001,,,
"08290033003","08290-0330-03",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,12 ML,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290033003","08290-0330-03",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,12 ML,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,8/15/2002,,1/1/2002,4/1/2002,0.5,,,
"08290033005","08290-0330-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,12 ML,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290033005","08290-0330-05",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,12 ML,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,8/15/2002,,1/1/2002,4/1/2002,0.5,,,
"08290033006","08290-0330-06",,"A4216",,1/1/2007,9/5/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,12 ML,PF) 0.9%",6,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,9/5/2007,,,,,,
"08290033006","08290-0330-06",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,12 ML,PF) 0.9%",6,"ML","SR","IV","ML",0.9,"%",0.5,8/15/2002,,1/1/2002,,0.5,,,
"08290033010","08290-0330-10",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,12 ML,PF) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290033010","08290-0330-10",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,12 ML,PF) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,8/15/2002,,1/1/2002,,0.5,,,
"08290033103","08290-0331-03",,"A4216",,1/1/2004,9/20/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, 12 ML W/CANN,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,9/20/2007,,,,,,
"08290033103","08290-0331-03",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN, 12 ML W/CANN,PF) 0.9%",3,"ML","SR","IV","ML",1000,"ML",0.001,8/15/2002,,1/1/2002,,0.001,,,
"08290033105","08290-0331-05",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, 12 ML W/ CANN,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08290033105","08290-0331-05",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN, 12 ML W/ CANN,PF) 0.9%",5,"ML","SR","IV","ML",1000,"ML",0.001,8/15/2002,,1/1/2002,4/1/2002,0.001,,,
"08290033110","08290-0331-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, 12 ML W/CANN,PF) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08290033110","08290-0331-10",,"A4323",,1/1/2002,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN, 12 ML W/CANN,PF) 0.9%",10,"ML","SR","IV","ML",1000,"ML",0.001,8/15/2002,,1/1/2002,,0.001,,,
"08290034002","08290-0340-02",,"J1642",,8/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (3 ML SRN) 10 U/ML",2,"ML","SR","IV","ML",10,"U",1,8/1/2002,,,,,,,
"08290034003","08290-0340-03",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (3 ML SRN) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,8/15/2002,,1/1/2002,,1,,,
"08290035005","08290-0350-05",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6 ML SRN) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,8/15/2002,,1/1/2002,,1,,,
"08290036003","08290-0360-03",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12 ML SRN) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,8/15/2002,,1/1/2002,4/1/2002,1,,,
"08290036005","08290-0360-05",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12 ML SRN) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,8/15/2002,,1/1/2002,4/1/2002,1,,,
"08290036006","08290-0360-06",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12 ML SRN) 10 U/ML",6,"ML","SR","IV","ML",10,"U",1,9/9/2002,,1/1/2002,4/1/2002,1,,,
"08290036105","08290-0361-05",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12 ML SRN W/CANNULA) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,8/15/2002,,1/1/2002,4/1/2002,1,,,
"08290037002","08290-0370-02",,"J1642",,8/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (3 ML SRN) 100 U/ML",2,"ML","SR","IV","ML",10,"U",10,8/1/2002,,,,,,,
"08290037003","08290-0370-03",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (3 ML SRN) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,8/15/2002,,1/1/2002,4/1/2002,10,,,
"08290038003","08290-0380-03",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6 ML SRN) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,8/15/2002,,1/1/2002,4/1/2002,10,,,
"08290038005","08290-0380-05",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6 ML SRN) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,8/15/2002,,1/1/2002,4/1/2002,10,,,
"08290039003","08290-0390-03",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12 ML SRN) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,8/15/2002,,1/1/2002,4/1/2002,10,,,
"08290039005","08290-0390-05",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12 ML SRN) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,7/18/2002,,1/1/2002,4/1/2002,10,,,
"08290039105","08290-0391-05",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12 ML SRN W/CANNULA) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,8/15/2002,,1/1/2002,4/1/2002,10,,,
"08290040003","08290-0400-03",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH/SALINE FLUSH (2X3ML SAL.&1X3ML HEP.) 10 U/ML-0.9%",3,"ML","SR","IV","EA",10,"U",3,1/1/2002,,,,,,,
"08290041003","08290-0410-03",,"J1642",,1/25/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH/SALINE FLUSH (2X3ML SAL.&1X3ML HEP.) 100 U/ML-0.9%",3,"ML","SR","IV","EA",10,"U",30,1/25/2002,,,,,,,
"08290042005","08290-0420-05",,"J1642",,1/25/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH/SALINE FLUSH (2X5ML SAL.&1X5ML HEP.) 100 U/ML-0.9%",5,"ML","SR","IV","EA",10,"U",50,1/25/2002,,,,,,,
"08290091002","08290-0910-02",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, 2ML,PF) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290091002","08290-0910-02",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN, 2ML,PF) 0.9%",2,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290091003","08290-0910-03",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, 3ML,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290091003","08290-0910-03",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN, 3ML,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290091102","08290-0911-02",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, W/CANNULA,PF) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08290091102","08290-0911-02",,"A4323",,6/1/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN, W/CANNULA,PF) 0.9%",2,"ML","SR","IV","ML",1000,"ML",0.001,6/1/2003,,,,,,,
"08290091103","08290-0911-03",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, W/CANNULA,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08290091103","08290-0911-03",,"A4323",,6/1/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN, W/CANNULA,PF) 0.9%",3,"ML","SR","IV","ML",1000,"ML",0.001,6/1/2003,,,,,,,
"08290092005","08290-0920-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, 5ML,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290092005","08290-0920-05",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN, 5ML,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290092105","08290-0921-05",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, W/CANNULA,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08290092105","08290-0921-05",,"A4323",,6/1/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN, W/CANNULA,PF) 0.9%",5,"ML","SR","IV","ML",1000,"ML",0.001,6/1/2003,,,,,,,
"08290093010","08290-0930-10",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, 10ML,PF) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290093010","08290-0930-10",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN, 10ML,PF) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290094010","08290-0940-10",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (REG LENGTH PLUNGER ROD) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290094010","08290-0940-10",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (REG LENGTH PLUNGER ROD) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290094110","08290-0941-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN, W/CANNULA,PF) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08290094110","08290-0941-10",,"A4323",,6/1/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN, W/CANNULA,PF) 0.9%",10,"ML","SR","IV","ML",1000,"ML",0.001,6/1/2003,,,,,,,
"08290095010","08290-0950-10",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","BD POSIFLUSH SF (SALINE FLUSH SYRINGE) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08290095010","08290-0950-10",,"J2912",,11/1/2005,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","BD POSIFLUSH SF (SALINE FLUSH SYRINGE) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,11/1/2005,,,,,,,
"08290306500","08290-3065-00",,"J2912",,1/1/2002,4/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,PF) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290306501","08290-3065-01",,"J2912",,1/1/2002,4/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,PF) 0.9%",6,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290306502","08290-3065-02",,"J2912",,1/1/2002,4/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290306503","08290-3065-03",,"J2912",,1/1/2002,4/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290306504","08290-3065-04",,"J2912",,1/1/2002,4/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290306505","08290-3065-05",,"J2912",,1/1/2002,4/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290306507","08290-3065-07",,"J2912",,1/1/2002,4/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290306508","08290-3065-08",,"J2912",,1/1/2002,4/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,PF) 0.9%",2,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"08290306509","08290-3065-09",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 10 U/ML",6,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"08290306510","08290-3065-10",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"08290306511","08290-3065-11",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"08290306512","08290-3065-12",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"08290306513","08290-3065-13",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"08290306514","08290-3065-14",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"08290306515","08290-3065-15",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"08290306516","08290-3065-16",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"08290306517","08290-3065-17",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"08290306518","08290-3065-18",,"A4323",,1/1/2002,4/1/2002,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN W/CANNULA,PF) 0.9%",10,"ML","SR","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"08290306519","08290-3065-19",,"A4323",,1/1/2002,4/1/2002,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","NORMAL SALINE FLUSH (SRN W/CANNULA,PF) 0.9%",5,"ML","SR","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"08290306521","08290-3065-21",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"08290306525","08290-3065-25",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN W/BLUNT CANNULA) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"08290306531","08290-3065-31",,"J1642",,1/1/2002,4/1/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN W/BLUNT CANNULA) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"08363776101","08363-7761-01",,"J7321",,1/1/2008,,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SUPARTZ (SRN,PREFILLED) 10 MG/ML",2.5,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,,,,,,,
"08363776101","08363-7761-01",,"Q4083",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SUPARTZ (SRN,PREFILLED) 10 MG/ML",2.5,"ML","SR","IJ","ML",1,"DOSE",0.4,1/1/2007,,,,,,,
"08363776501","08363-7765-01",,"J7321",,1/1/2008,,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SUPARTZ (SRN,PREFILLED) 10 MG/ML",2.5,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,,,,,,,
"08363776501","08363-7765-01",,"Q4083",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SUPARTZ (SRN,PREFILLED) 10 MG/ML",2.5,"ML","SR","IJ","ML",1,"DOSE",0.4,1/1/2007,,,,,,,
"08450090102","08450-0901-02",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (3ML,PRE-FILLED SYRINGE) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08450090102","08450-0901-02",,"J2912",,11/1/2003,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (3ML,PRE-FILLED SYRINGE) 0.9%",2,"ML","SR","IV","ML",0.9,"%",0.5,11/1/2003,,,,,,,
"08450090303","08450-0903-03",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (6ML,PRE-FILLED SYRINGE) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08450090303","08450-0903-03",,"J2912",,11/1/2003,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (6ML,PRE-FILLED SYRINGE) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,11/1/2003,,,,,,,
"08450090505","08450-0905-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (12ML,PRE-FILLED SYRINGE) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08450090505","08450-0905-05",,"J2912",,11/1/2003,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (12ML,PRE-FILLED SYRINGE) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,11/1/2003,,,,,,,
"08450090610","08450-0906-10",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (12ML,PRE-FILLED SYRINGE) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"08450090610","08450-0906-10",,"J2912",,11/1/2003,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (12ML,PRE-FILLED SYRINGE) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,11/1/2003,,,,,,,
"08450601102","08450-6011-02",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (3ML W/CANNULA) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08450601102","08450-6011-02",,"A4323",,11/1/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE FLUSH (3ML W/CANNULA) 0.9%",2,"ML","SR","IV","ML",1000,"ML",0.001,11/1/2003,,,,,,,
"08450601203","08450-6012-03",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (6ML W/CANNULA) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08450601203","08450-6012-03",,"A4323",,11/1/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE FLUSH (6ML W/CANNULA) 0.9%",3,"ML","SR","IV","ML",1000,"ML",0.001,11/1/2003,,,,,,,
"08450601305","08450-6013-05",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (12ML W/CANNULA) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08450601305","08450-6013-05",,"A4323",,11/1/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE FLUSH (12ML W/CANNULA) 0.9%",5,"ML","SR","IV","ML",1000,"ML",0.001,11/1/2003,,,,,,,
"08450601410","08450-6014-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (12ML W/CANNULA) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"08450601410","08450-6014-10",,"A4323",,11/1/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE FLUSH (12ML W/CANNULA) 0.9%",10,"ML","SR","IV","ML",1000,"ML",0.001,11/1/2003,,,,,,,
"08450602603","08450-6026-03",,"J1642",,11/1/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6ML,PRE-FILLED SYRINGE) 10 U/ML",3,"ML","EA","IV","ML",10,"U",1,11/1/2003,,,,,,,
"08450603005","08450-6030-05",,"J1642",,11/1/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12ML,PRE-FILLED SYRINGE) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,11/1/2003,,,,,,,
"08450603403","08450-6034-03",,"J1642",,11/1/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6ML W/CANNULA) 10 U/ML",3,"ML","EA","IV","ML",10,"U",1,11/1/2003,,,,,,,
"08450603705","08450-6037-05",,"J1642",,11/1/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12ML W/CANNULA) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,11/1/2003,,,,,,,
"08450604603","08450-6046-03",,"J1642",,11/1/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6ML,PRE-FILLED SYRINGE) 100 U/ML",3,"ML","EA","IV","ML",10,"U",10,11/1/2003,,,,,,,
"08450604903","08450-6049-03",,"J1642",,11/1/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12ML,PRE-FILLED SYRINGE) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,11/1/2003,,,,,,,
"08450605005","08450-6050-05",,"J1642",,11/1/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12ML,PRE-FILLED SYRINGE) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,11/1/2003,,,,,,,
"08450605503","08450-6055-03",,"J1642",,11/1/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6ML W/CANNULA) 100 U/ML",3,"ML","EA","IV","ML",10,"U",10,11/1/2003,,,,,,,
"08450605805","08450-6058-05",,"J1642",,11/1/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12ML W/CANNULA) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,11/1/2003,,,,,,,
"08478400402","08478-4004-02",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA BILAYER MATRIX WOUND DRESSING (2""X2"")",1,"EA","NA","TP","EA",1,"SQCM",25.806,1/1/2008,,,,,,,
"08478400402","08478-4004-02",,"Q4104",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER","INTEGRA BILAYER MATRIX WOUND DRESSING (2""X2"")",1,"EA","NA","TP","EA",1,"SQCM",25.806,1/1/2009,,,,,,,
"08478400405","08478-4004-05",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA BILAYER MATRIX WOUND DRESSING (4""X5"")",1,"EA","NA","TP","EA",1,"SQCM",129.032,1/1/2008,,,,,,,
"08478400405","08478-4004-05",,"Q4104",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER","INTEGRA BILAYER MATRIX WOUND DRESSING (4""X5"")",1,"EA","NA","TP","EA",1,"SQCM",129.032,1/1/2009,,,,,,,
"08478400406","08478-4004-06",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA BILAYER MATRIX WOUND DRESSING (4""X10"")",1,"EA","NA","TP","EA",1,"SQCM",258.064,1/1/2008,,,,,,,
"08478400406","08478-4004-06",,"Q4104",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER","INTEGRA BILAYER MATRIX WOUND DRESSING (4""X10"")",1,"EA","NA","TP","EA",1,"SQCM",258.064,1/1/2009,,,,,,,
"08478400408","08478-4004-08",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA BILAYER MATRIX WOUND DRESSING (8""X10"")",1,"EA","NA","TP","EA",1,"SQCM",516.128,1/1/2008,,,,,,,
"08478400408","08478-4004-08",,"Q4104",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER","INTEGRA BILAYER MATRIX WOUND DRESSING (8""X10"")",1,"EA","NA","TP","EA",1,"SQCM",516.128,1/1/2009,,,,,,,
"08478401402","08478-4014-02",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA MATRIX WOUND DRESSING (2""X2"")",1,"EA","NA","TP","EA",1,"SQCM",25.806,1/1/2008,,,,,,,
"08478401402","08478-4014-02",,"Q4108",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA MATRIX, PER SQUARE CENTIMETER","INTEGRA MATRIX WOUND DRESSING (2""X2"")",1,"EA","NA","TP","EA",1,"SQCM",25.806,1/1/2009,,,,,,,
"08478401405","08478-4014-05",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA MATRIX WOUND DRESSING (4""X5"")",1,"EA","NA","TP","EA",1,"SQCM",129.032,1/1/2008,,,,,,,
"08478401405","08478-4014-05",,"Q4108",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA MATRIX, PER SQUARE CENTIMETER","INTEGRA MATRIX WOUND DRESSING (4""X5"")",1,"EA","NA","TP","EA",1,"SQCM",129.032,1/1/2009,,,,,,,
"08478401406","08478-4014-06",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA MATRIX WOUND DRESSING (4""X10"")",1,"EA","NA","TP","EA",1,"SQCM",258.064,1/1/2008,,,,,,,
"08478401406","08478-4014-06",,"Q4108",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA MATRIX, PER SQUARE CENTIMETER","INTEGRA MATRIX WOUND DRESSING (4""X10"")",1,"EA","NA","TP","EA",1,"SQCM",258.064,1/1/2009,,,,,,,
"08478401408","08478-4014-08",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA MATRIX WOUND DRESSING (8""X10"")",1,"EA","NA","TP","EA",1,"SQCM",516.128,1/1/2008,,,,,,,
"08478401408","08478-4014-08",,"Q4108",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA MATRIX, PER SQUARE CENTIMETER","INTEGRA MATRIX WOUND DRESSING (8""X10"")",1,"EA","NA","TP","EA",1,"SQCM",516.128,1/1/2009,,,,,,,
"08478800402","08478-8004-02",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA DERMAL REGENERATION TEMPLATE (2""X2"")",1,"EA","NA","TP","EA",1,"SQCM",25.806,1/1/2008,,,,,,,
"08478800402","08478-8004-02",,"Q4105",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA DERMAL REGENERATION TEMPLATE (DRT), PER SQUARE CENTIMETER","INTEGRA DERMAL REGENERATION TEMPLATE (2""X2"")",1,"EA","NA","TP","EA",1,"SQCM",25.806,1/1/2009,,,,,,,
"08478800405","08478-8004-05",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA DERMAL REGENERATION TEMPLATE (4""X5"")",1,"EA","NA","TP","EA",1,"SQCM",129.032,1/1/2008,,,,,,,
"08478800405","08478-8004-05",,"Q4105",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA DERMAL REGENERATION TEMPLATE (DRT), PER SQUARE CENTIMETER","INTEGRA DERMAL REGENERATION TEMPLATE (4""X5"")",1,"EA","NA","TP","EA",1,"SQCM",129.032,1/1/2009,,,,,,,
"08478800406","08478-8004-06",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA DERMAL REGENERATION TEMPLATE (4""X10"")",1,"EA","NA","TP","EA",1,"SQCM",258.064,1/1/2008,,,,,,,
"08478800406","08478-8004-06",,"Q4105",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA DERMAL REGENERATION TEMPLATE (DRT), PER SQUARE CENTIMETER","INTEGRA DERMAL REGENERATION TEMPLATE (4""X10"")",1,"EA","NA","TP","EA",1,"SQCM",258.064,1/1/2009,,,,,,,
"08478800408","08478-8004-08",,"J7347",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER","INTEGRA DERMAL REGENERATION TEMPLATE (8""X10"")",1,"EA","NA","TP","EA",1,"SQCM",516.128,1/1/2008,,,,,,,
"08478800408","08478-8004-08",,"Q4105",,1/1/2009,,"SKIN SUBSTITUTE, INTEGRA DERMAL REGENERATION TEMPLATE (DRT), PER SQUARE CENTIMETER","INTEGRA DERMAL REGENERATION TEMPLATE (8""X10"")",1,"EA","NA","TP","EA",1,"SQCM",516.128,1/1/2009,,,,,,,
"08533601002","08533-6010-02",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (5X6CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",30,1/1/2008,,,,,,,
"08533601002","08533-6010-02",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (5X6CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",30,"SQCM",1,1/1/2009,,,,,,,
"08533601004","08533-6010-04",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (6X12CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",72,1/1/2008,,,,,,,
"08533601004","08533-6010-04",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (6X12CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",72,"SQCM",1,1/1/2009,,,,,,,
"08533601005","08533-6010-05",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (10X10CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",1,"SQCM",100,1/1/2008,,,,,,,
"08533601005","08533-6010-05",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (10X10CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",100,"SQCM",1,1/1/2009,,,,,,,
"08533601006","08533-6010-06",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (10X15CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",1,"SQCM",150,1/1/2008,,,,,,,
"08533601006","08533-6010-06",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (10X15CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",150,"SQCM",1,1/1/2009,,,,,,,
"08533601007","08533-6010-07",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (10X20CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",1,"SQCM",200,1/1/2008,,,,,,,
"08533601007","08533-6010-07",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (10X20CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",200,"SQCM",1,1/1/2009,,,,,,,
"08533601008","08533-6010-08",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (16X20CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",1,"SQCM",320,1/1/2008,,,,,,,
"08533601008","08533-6010-08",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (16X20CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",320,"SQCM",1,1/1/2009,,,,,,,
"08533601009","08533-6010-09",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (13X25CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",1,"SQCM",325,1/1/2008,,,,,,,
"08533601009","08533-6010-09",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (13X25CM,THICK,SINGLEUSE)",1,"EA","NA","TP","EA",325,"SQCM",1,1/1/2009,,,,,,,
"08533601010","08533-6010-10",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (4X16CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",64,1/1/2008,,,,,,,
"08533601010","08533-6010-10",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (4X16CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",64,"SQCM",1,1/1/2009,,,,,,,
"08533601012","08533-6010-12",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (3X3CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",9,1/1/2008,,,,,,,
"08533601012","08533-6010-12",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (3X3CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",9,"SQCM",1,1/1/2009,,,,,,,
"08533601013","08533-6010-13",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (4X7CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",28,1/1/2008,,,,,,,
"08533601013","08533-6010-13",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (4X7CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",28,"SQCM",1,1/1/2009,,,,,,,
"08533601014","08533-6010-14",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (4X12CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",48,1/1/2008,,,,,,,
"08533601014","08533-6010-14",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (4X12CM,THICK,SINGLE USE)",1,"EA","NA","TP","EA",48,"SQCM",1,1/1/2009,,,,,,,
"08533602002","08533-6020-02",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (4X7CM,THIN,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",28,1/1/2008,,,,,,,
"08533602002","08533-6020-02",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (4X7CM,THIN,SINGLE USE)",1,"EA","NA","TP","EA",28,"SQCM",1,1/1/2009,,,,,,,
"08533602003","08533-6020-03",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (5X6CM,THIN,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",30,1/1/2008,,,,,,,
"08533602003","08533-6020-03",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (5X6CM,THIN,SINGLE USE)",1,"EA","NA","TP","EA",30,"SQCM",1,1/1/2009,,,,,,,
"08533602005","08533-6020-05",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (3X3CM,THIN,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",9,1/1/2008,,,,,,,
"08533602005","08533-6020-05",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (3X3CM,THIN,SINGLE USE)",1,"EA","NA","TP","EA",9,"SQCM",1,1/1/2009,,,,,,,
"08533603001","08533-6030-01",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (.3X25CM,STRIP,SINGLEUSE)",1,"EA","NA","TP","EA",1,"SQCM",7.5,1/1/2008,,,,,,,
"08533603001","08533-6030-01",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (.3X25CM,STRIP,SINGLEUSE)",1,"EA","NA","TP","EA",7.5,"SQCM",1,1/1/2009,,,,,,,
"08533603002","08533-6030-02",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (.6X25CM,STRIP,SINGLEUSE)",1,"EA","NA","TP","EA",1,"SQCM",15,1/1/2008,,,,,,,
"08533603002","08533-6030-02",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (.6X25CM,STRIP,SINGLEUSE)",1,"EA","NA","TP","EA",15,"SQCM",1,1/1/2009,,,,,,,
"08533603003","08533-6030-03",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","SURGIMEND COLLAGEN MATRIX (1X25CM,SINGLE USE)",1,"EA","NA","TP","EA",1,"SQCM",25,1/1/2008,,,,,,,
"08533603003","08533-6030-03",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","SURGIMEND COLLAGEN MATRIX (1X25CM,SINGLE USE)",1,"EA","NA","TP","EA",25,"SQCM",1,1/1/2009,,,,,,,
"08533607009","08533-6070-09",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","PRIMATRIX DERMAL REPAIR SCAFFOLD (0.2X26.5CM,SINGLE USE)",3,"EA","NA","TP","EA",1,"SQCM",5.3,1/1/2008,,,,,,,
"08533607009","08533-6070-09",,"Q4110",,1/1/2009,,"SKIN SUBSTITUTE, PRIMATRIX, PER SQUARE CENTIMETER","PRIMATRIX DERMAL REPAIR SCAFFOLD (0.2X26.5CM,SINGLE USE)",3,"EA","NA","TP","EA",1,"SQCM",5.3,1/1/2009,,,,,,,
"08533607440","08533-6074-40",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","PRIMATRIX DERMAL REPAIR SCAFFOLD (4X4CM)",1,"EA","NA","TP","EA",1,"SQCM",16,1/1/2008,,,,,,,
"08533607440","08533-6074-40",,"Q4110",,1/1/2009,,"SKIN SUBSTITUTE, PRIMATRIX, PER SQUARE CENTIMETER","PRIMATRIX DERMAL REPAIR SCAFFOLD (4X4CM)",1,"EA","NA","TP","EA",1,"SQCM",16,1/1/2009,,,,,,,
"08533607812","08533-6078-12",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","PRIMATRIX DERMAL REPAIR SCAFFOLD (8X12CM)",1,"EA","NA","TP","EA",1,"SQCM",96,1/1/2008,,,,,,,
"08533607812","08533-6078-12",,"Q4110",,1/1/2009,,"SKIN SUBSTITUTE, PRIMATRIX, PER SQUARE CENTIMETER","PRIMATRIX DERMAL REPAIR SCAFFOLD (8X12CM)",1,"EA","NA","TP","EA",1,"SQCM",96,1/1/2009,,,,,,,
"08533607880","08533-6078-80",,"J7349",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER","PRIMATRIX DERMAL REPAIR SCAFFOLD (8X8CM)",1,"EA","NA","TP","EA",1,"SQCM",64,1/1/2008,,,,,,,
"08533607880","08533-6078-80",,"Q4110",,1/1/2009,,"SKIN SUBSTITUTE, PRIMATRIX, PER SQUARE CENTIMETER","PRIMATRIX DERMAL REPAIR SCAFFOLD (8X8CM)",1,"EA","NA","TP","EA",1,"SQCM",64,1/1/2009,,,,,,,
"08533649501","08533-6495-01",,"J7348",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (TISSUEMEND), PER SQUARE CENTIMETER","TISSUEMEND (5X6CM)",1,"EA","NA","IP","EA",1,"SQCM",30,1/1/2008,,,,,,,
"08533649501","08533-6495-01",,"Q4109",,1/1/2009,,"SKIN SUBSTITUTE, TISSUEMEND, PER SQUARE CENTIMETER","TISSUEMEND (5X6CM)",1,"EA","NA","IP","EA",1,"SQCM",30,1/1/2009,,,,,,,
"08533649503","08533-6495-03",,"J7348",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (TISSUEMEND), PER SQUARE CENTIMETER","TISSUEMEND (4X4CM)",1,"EA","NA","IP","EA",1,"SQCM",16,1/1/2008,,,,,,,
"08533649503","08533-6495-03",,"Q4109",,1/1/2009,,"SKIN SUBSTITUTE, TISSUEMEND, PER SQUARE CENTIMETER","TISSUEMEND (4X4CM)",1,"EA","NA","IP","EA",1,"SQCM",16,1/1/2009,,,,,,,
"08533649504","08533-6495-04",,"J7348",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (TISSUEMEND), PER SQUARE CENTIMETER","TISSUEMEND (6X10CM)",1,"EA","NA","IP","EA",1,"SQCM",60,1/1/2008,,,,,,,
"08533649504","08533-6495-04",,"Q4109",,1/1/2009,,"SKIN SUBSTITUTE, TISSUEMEND, PER SQUARE CENTIMETER","TISSUEMEND (6X10CM)",1,"EA","NA","IP","EA",1,"SQCM",60,1/1/2009,,,,,,,
"08533649506","08533-6495-06",,"J7348",,1/1/2008,12/31/2008,"DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (TISSUEMEND), PER SQUARE CENTIMETER","TISSUEMEND (3X3CM)",1,"EA","NA","IP","EA",1,"SQCM",9,1/1/2008,,,,,,,
"08533649506","08533-6495-06",,"Q4109",,1/1/2009,,"SKIN SUBSTITUTE, TISSUEMEND, PER SQUARE CENTIMETER","TISSUEMEND (3X3CM)",1,"EA","NA","IP","EA",1,"SQCM",9,1/1/2009,,,,,,,
"08541000101","08541-0001-01",,"J7342",,7/10/2006,12/31/2008,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITH METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","DERMAGRAFT (W/CRYOPROTECTANT)",1,"EA","NA","TP","EA",1,"SQCM",37.5,7/10/2006,,,,,,,
"08541000101","08541-0001-01",,"Q4106",,1/1/2009,,"SKIN SUBSTITUTE, DERMAGRAFT, PER SQUARE CENTIMETER","DERMAGRAFT (W/CRYOPROTECT,5X7.5CM,FR)",1,"EA","NA","TP","EA",1,"SQCM",37.5,1/1/2009,,,,,,,
"08881012502","08881-0125-02",,"J1642",,8/23/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,3 ML,LATEX-FREE) 100 U/ML (2.5 ML, 180S)",2.5,"ML","SR","IV","U",10,"U",10,8/23/2006,,,,,,,
"08881570128","08881-5701-28",,"A4216",,7/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","MONOJECT PREFILL ADVANCED (60X10ML,PF,LATEX-FREE) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,7/1/2006,,,,,,,
"08881570129","08881-5701-29",,"A4216",,7/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","MONOJECT PREFILL ADVANCED (120X10ML,PF,LATEX-FREE) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,7/1/2006,,,,,,,
"08881580121","08881-5801-21",,"J1642",,3/14/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN, 12 ML,LATEX-FREE) 10 U/ML (10 ML 180S)",10,"ML","SR","IV","U",10,"U",1,3/14/2002,,,,,,,
"08881580123","08881-5801-23",,"J1642",,3/14/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,12 ML, PF, LATEX-FREE) 10 U/ML (2.5 ML 180S)",2.5,"ML","SR","IV","U",10,"U",1,3/14/2002,,,,,,,
"08881580125","08881-5801-25",,"J1642",,8/23/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,12 ML,PF,LATEX-FREE) 10 U/ML (5 ML 180S)",10,"ML","SR","IV","U",10,"U",1,8/23/2006,,,,,,,
"08881590121","08881-5901-21",,"J1642",,3/14/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,12 ML,PF,LATEX-FREE) 100 U/ML (10ML 180S)",10,"ML","SR","IV","U",10,"U",10,3/14/2002,,,,,,,
"08881590123","08881-5901-23",,"J1642",,3/14/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,12 ML,PF,LATEX-FREE) 100 U/ML (10ML 180S)",10,"ML","SR","IV","U",10,"U",1,3/14/2002,,,,,,,
"08881590125","08881-5901-25",,"J1642",,8/23/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL ADVANCED HEPARIN LOCK FLUSH (SRN,12 ML,PF,LATEX-FREE) 100 U/ML (2.5 ML 180S)",5,"ML","SR","IV","U",10,"U",10,8/23/2006,,,,,,,
"08888713115","08888-7131-15",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","SENSI-TOUCH LUMBAR PUNCTURE TRAY (ADULT) 1%",8,"ML","VL","EP","EA",50,"ML",0.64,1/1/2002,,,,,,,
"08888713115","08888-7131-15",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","SENSI-TOUCH LUMBAR PUNCTURE TRAY (ADULT) 1%",8,"ML","VL","EP","EA",10,"MG",32,1/1/2004,,,,,,,
"08888713123","08888-7131-23",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","SENSI-TOUCH LUMBAR PUNCTURE TRAY (ADULT) 1%",8,"ML","VL","EP","EA",50,"ML",0.64,1/1/2002,,,,,,,
"08888713123","08888-7131-23",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","SENSI-TOUCH LUMBAR PUNCTURE TRAY (ADULT) 1%",8,"ML","VL","EP","EA",10,"MG",32,1/1/2004,,,,,,,
"08888713131","08888-7131-31",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","SENSI-TOUCH LUMBAR PUNCTURE TRAY (ADULT) 1%",8,"ML","VL","EP","EA",50,"ML",0.64,1/1/2002,,,,,,,
"08888713131","08888-7131-31",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","SENSI-TOUCH LUMBAR PUNCTURE TRAY (ADULT) 1%",8,"ML","VL","EP","EA",10,"MG",32,1/1/2004,,,,,,,
"08888714113","08888-7141-13",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","SENSI-TOUCH LUMBAR PUNCTURE TRAY (PEDIATRIC) 1%",8,"ML","VL","EP","EA",50,"ML",0.64,1/1/2002,,,,,,,
"08888714113","08888-7141-13",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","SENSI-TOUCH LUMBAR PUNCTURE TRAY (PEDIATRIC) 1%",8,"ML","VL","EP","EA",10,"MG",32,1/1/2004,,,,,,,
"09978000199","09978-0001-99",,"J7340",,1/1/2002,12/31/2008,"DERMAL AND EPIDERMAL TISSUE OF HUMAN ORIGIN, WITH OR WITHOUT BIOENGINEERED OR PROCESSED ELEMENTS, WITH METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","APLIGRAF (75MM DIAM DISK)",1,"EA","BG","TP","EA",1,"SQCM",44.17865,1/1/2002,,,,,,,
"09978000199","09978-0001-99",,"Q4101",,1/1/2009,,"SKIN SUBSTITUTE, APLIGRAF, PER SQUARE CENTIMETER","APLIGRAF (75MM DIAM DISK)",1,"EA","BG","TP","EA",1,"SQCM",44.17865,1/1/2009,,,,,,,
"10019000673","10019-0006-73",,"J2275",,1/1/2002,4/22/2004,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","DURAMORPH (AMP,DOSETTE,PF) 5 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"10019000773","10019-0007-73",,"J2275",,1/1/2002,3/26/2004,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","DURAMORPH (AMP,DOSETTE,PF) 1 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.1,1/1/2002,,,,,,,
"10019001301","10019-0013-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"10019001302","10019-0013-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V. W/VENTED SPIKE) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"10019001303","10019-0013-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V. W/4-WAY STOPCOCK) 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"10019001304","10019-0013-04",,"J3490",,1/1/2002,5/28/2002,"UNCLASSIFIED DRUGS","PROPOFOL (SRN,PREFILLED) 10 MG/ML",20,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"10019001306","10019-0013-06",,"J3490",,10/1/2002,3/30/2007,"UNCLASSIFIED DRUGS","PROPOFOL 10 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,10/1/2002,,,,,,,
"10019001602","10019-0016-02",,"J7643",,9/28/2005,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,9/28/2005,,,,,,,
"10019001602","10019-0016-02","KO","J7643","KO",9/28/2005,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,9/28/2005,,,,,,,
"10019001617","10019-0016-17",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"10019001617","10019-0016-17","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"10019001629","10019-0016-29",,"J7643",,5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (MDV) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"10019001629","10019-0016-29","KO","J7643","KO",5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (MDV) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"10019001654","10019-0016-54",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"10019001654","10019-0016-54","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"10019001663","10019-0016-63",,"J7643",,1/1/2002,12/14/2006,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"10019001663","10019-0016-63","KO","J7643","KO",1/1/2002,12/14/2006,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"10019001681","10019-0016-81",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"10019001681","10019-0016-81","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"10019001756","10019-0017-56",,"J2000",,1/1/2002,8/19/2002,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",30,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"10019001757","10019-0017-57",,"J2000",,1/1/2002,4/19/2002,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"10019001957","10019-0019-57",,"J2000",,1/1/2002,7/10/2002,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 2%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"10019002109","10019-0021-09",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (SRN) 15 MG/ML",1,"ML","SR","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"10019002209","10019-0022-09",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (SRN) 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"10019002232","10019-0022-32",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (SRN) 30 MG/ML",2,"ML","SR","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"10019002701","10019-0027-01",,"J2250",,12/8/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (10X1ML) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,12/8/2005,,,,,,,
"10019002702","10019-0027-02",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (10X2ML) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,12/8/2005,,1/1/2002,9/27/2004,5,,,
"10019002703","10019-0027-03",,"J2250",,12/10/2003,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (DOSETTE) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,12/10/2003,,,,,,,
"10019002704","10019-0027-04",,"J2250",,12/10/2003,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (DOSETTE) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,12/10/2003,,,,,,,
"10019002705","10019-0027-05",,"J2250",,12/8/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (10X5ML) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,12/8/2005,,,,,,,
"10019002710","10019-0027-10",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"10019002729","10019-0027-29",,"J2250",,5/5/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,5/5/2007,,,,,,,
"10019002736","10019-0027-36",,"J2250",,5/5/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,5/5/2007,,,,,,,
"10019002737","10019-0027-37",,"J2250",,5/5/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,5/5/2007,,,,,,,
"10019002739","10019-0027-39",,"J2250",,5/5/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,5/5/2007,,,,,,,
"10019002802","10019-0028-02",,"J2250",,12/8/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (10X2ML) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,12/8/2005,,,,,,,
"10019002803","10019-0028-03",,"J2250",,12/10/2003,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (DOSETTE) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,12/10/2003,,,,,,,
"10019002805","10019-0028-05",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"10019002810","10019-0028-10",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"10019002836","10019-0028-36",,"J2250",,5/5/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,5/5/2007,,,,,,,
"10019002837","10019-0028-37",,"J2250",,5/5/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,5/5/2007,,,,,,,
"10019002839","10019-0028-39",,"J2250",,5/5/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,5/5/2007,,,,,,,
"10019002902","10019-0029-02",,"J1885",,7/21/2004,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (1X25) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,7/21/2004,,,,,,,
"10019002912","10019-0029-12",,"J1885",,5/5/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,5/5/2007,,,,,,,
"10019003003","10019-0030-03",,"J1885",,7/21/2004,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (1X25) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,7/21/2004,,,,,,,
"10019003004","10019-0030-04",,"J1885",,7/21/2004,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (1X25) 30 MG/ML",2,"ML","VL","IJ","ML",15,"MG",2,7/21/2004,,,,,,,
"10019003012","10019-0030-12",,"J1885",,5/5/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,5/5/2007,,,,,,,
"10019003017","10019-0030-17",,"J1885",,5/5/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE 30 MG/ML",2,"ML","VL","IJ","ML",15,"MG",2,5/5/2007,,,,,,,
"10019003372","10019-0033-72",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,PF) 0.05 MG/ML",5,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"10019003473","10019-0034-73",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,PF) 0.05 MG/ML",10,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"10019003574","10019-0035-74",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,PF) 0.05 MG/ML",20,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"10019003639","10019-0036-39",,"J3010",,8/21/1998,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (1x30ML, SDV, USP,PF) 0.05 MG/ML",30,"ML","VL","IJ","ML",0.1,"MG",0.5,8/21/1998,,,,,,,
"10019003682","10019-0036-82",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (S.D.V.,PF) 0.05 MG/ML",30,"ML","VL","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"10019003783","10019-0037-83",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (S.D.V.,PF) 0.05 MG/ML",50,"ML","VL","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"10019003867","10019-0038-67",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP,PF) 0.05 MG/ML",2,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"10019004301","10019-0043-01",,"J0780",,1/14/2005,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","NOVAPLUS PROCHLORPERAZINE EDISYLATE (USP,DOSETTE VIAL,25X2ML) 5 MG/ML",2,"ML","AM","IJ","ML",10,"MG",0.5,1/14/2005,,,,,,,
"10019004344","10019-0043-44",,"J0780",,5/5/2007,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","NOVAPLUS PROCHLORPERAZINE EDISYLATE (USP) 5 MG/ML",2,"ML","AM","IJ","ML",10,"MG",0.5,5/5/2007,,,,,,,
"10019004501","10019-0045-01",,"J3490",,1/1/2002,11/1/2003,"UNCLASSIFIED DRUGS","FAMOTIDINE (S.D.V.,PF) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,8/19/2002,,1/1/2002,5/28/2002,1,,,
"10019004502","10019-0045-02",,"J3490",,11/1/2003,,"UNCLASSIFIED DRUGS","FAMOTIDINE (S.D.V.,PF) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,11/1/2003,,,,,,,
"10019004517","10019-0045-17",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","FAMOTIDINE (SDV,PF) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,,,,,,
"10019004602","10019-0046-02",,"J3490",,1/1/2002,11/1/2003,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"10019004603","10019-0046-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"10019004604","10019-0046-04",,"J3490",,11/1/2003,,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,11/1/2003,,,,,,,
"10019004614","10019-0046-14",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","FAMOTIDINE (MDV) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,,,,,,
"10019004663","10019-0046-63",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","FAMOTIDINE (MDV) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,,,,,,
"10019004701","10019-0047-01",,"J3490",,11/1/2003,,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (S.D.V.,PF) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,11/1/2003,,,,,,,
"10019004717","10019-0047-17",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (SDV,PF) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,,,,,,
"10019004802","10019-0048-02",,"J3490",,11/1/2003,,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (M.D.V.) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,11/1/2003,,,,,,,
"10019004803","10019-0048-03",,"J3490",,1/1/2004,,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (M.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2004,,,,,,,
"10019004814","10019-0048-14",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (MDV) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,,,,,,
"10019004863","10019-0048-63",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (MDV) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,,,,,,
"10019005006","10019-0050-06",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (AMP) 50 MCG/ML",5,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"10019005021","10019-0050-21",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (AMP) 50 MCG/ML",2,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"10019005036","10019-0050-36",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE 50 MCG/ML",5,"ML","AM","IJ","ML",1,"EA",1,5/5/2007,,,,,,,
"10019005037","10019-0050-37",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE 50 MCG/ML",2,"ML","AM","IJ","ML",1,"EA",1,5/5/2007,,,,,,,
"10019005039","10019-0050-39",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,5/5/2007,,,,,,,
"10019005043","10019-0050-43",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (AMP) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"10019005303","10019-0053-03",,"J1626",,12/31/2007,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X4ML,LATEX-FREE) 1 MG/ML",4,"ML","VL","IV","ML",100,"MCG",10,12/31/2007,,,,,,,
"10019005314","10019-0053-14",,"J1626",,12/31/2007,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X4ML,INNER,LATEX-FREE) 1 MG/ML",4,"ML","NA","IV","ML",100,"MCG",10,12/31/2007,,,,,,,
"10019006302","10019-0063-02",,"J0150",,5/5/2007,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (SDV,PF) 3 MG/ML",2,"ML","VL","IV","ML",6,"MG",0.5,5/5/2007,,,,,,,
"10019006303","10019-0063-03",,"J0150",,6/17/2004,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (PF) 3 MG/ML",2,"ML","VL","IV","ML",6,"MG",0.5,6/17/2004,,,,,,,
"10019006307","10019-0063-07",,"J0150",,5/24/2005,7/15/2008,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (SINGLE-DOSE SYRINGE,PF) 3 MG/ML",2,"ML","SR","IV","ML",6,"MG",0.5,5/24/2005,7/15/2008,,,,,,
"10019006308","10019-0063-08",,"J0150",,5/24/2005,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (SINGLE-DOSE SYRINGES,PF) 3 MG/ML",2,"ML","SR","IV","ML",6,"MG",0.5,5/24/2005,,,,,,,
"10019006334","10019-0063-34",,"J0150",,5/5/2007,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (SINGLE DOSE,PF) 3 MG/ML",2,"ML","NA","IV","ML",6,"MG",0.5,5/5/2007,,,,,,,
"10019007001","10019-0070-01",,"J2260",,5/22/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,5/22/2002,,,,,,,
"10019007002","10019-0070-02",,"J2260",,5/22/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,5/22/2002,,,,,,,
"10019007003","10019-0070-03",,"J2260",,5/22/2002,11/20/2003,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",5,"MG",0.2,5/22/2002,,,,,,,
"10019007010","10019-0070-10",,"J2260",,5/5/2007,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (SDV) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,5/5/2007,,,,,,,
"10019007020","10019-0070-20",,"J2260",,5/5/2007,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (SDV) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,5/5/2007,,,,,,,
"10019009701","10019-0097-01",,"J2550",,1/17/2005,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL AMERINET CHOICE 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/17/2005,,,,,,,
"10019009744","10019-0097-44",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL AMERINET CHOICE 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,5/5/2007,,,,,,,
"10019009801","10019-0098-01",,"J0696",,7/5/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE AMERINET CHOICE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/5/2005,,,,,,,
"10019009871","10019-0098-71",,"J0696",,5/5/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE AMERINET CHOICE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,5/5/2007,,,,,,,
"10019010201","10019-0102-01",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"10019010210","10019-0102-10",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"10019010237","10019-0102-37",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,5/5/2007,,,,,,,
"10019010239","10019-0102-39",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,5/5/2007,,,,,,,
"10019010301","10019-0103-01",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (S.D.V.) 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"10019010310","10019-0103-10",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (M.D.V.) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"10019010337","10019-0103-37",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,5/5/2007,,,,,,,
"10019010339","10019-0103-39",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM 4 MG/ML",25,"ML","VL","IJ","ML",2,"MG",2,5/5/2007,,,,,,,
"10019010346","10019-0103-46",,"J2060",,1/1/2002,1/21/2002,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (2 ML TUBEX) 4 MG/ML",1,"ML","SR","IJ","ML",2,"MG",2,1/1/2002,,,,,,,
"10019010501","10019-0105-01",,"J2060",,5/3/2006,,"INJECTION, LORAZEPAM, 2 MG","NOVAPLUS LORAZEPAM (25X1ML,SDV) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,5/3/2006,,,,,,,
"10019010502","10019-0105-02",,"J2060",,5/3/2006,,"INJECTION, LORAZEPAM, 2 MG","NOVAPLUS LORAZEPAM (10X10ML,MDV) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,5/3/2006,,,,,,,
"10019010544","10019-0105-44",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","NOVAPLUS LORAZEPAM (USP) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,5/5/2007,,,,,,,
"10019010571","10019-0105-71",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","NOVAPLUS LORAZEPAM (USP) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,5/5/2007,,,,,,,
"10019010601","10019-0106-01",,"J2060",,5/3/2006,,"INJECTION, LORAZEPAM, 2 MG","NOVAPLUS LORAZEPAM (25X1ML,SDV) 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,5/3/2006,,,,,,,
"10019010602","10019-0106-02",,"J2060",,5/3/2006,,"INJECTION, LORAZEPAM, 2 MG","NOVAPLUS LORAZEPAM (10X10ML,MDV) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,5/3/2006,,,,,,,
"10019010644","10019-0106-44",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","NOVAPLUS LORAZEPAM 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,5/5/2007,,,,,,,
"10019010671","10019-0106-71",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","NOVAPLUS LORAZEPAM 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,5/5/2007,,,,,,,
"10019012708","10019-0127-08",,"J2250",,1/1/2002,6/1/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (SRN,RAPI-JECT) 5 MG/ML",2,"ML","SR","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"10019013101","10019-0131-01",,"J0282",,10/16/2002,5/18/2006,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",3,"ML","AM","IV","ML",30,"MG",1.66666,10/16/2002,,,,,,,
"10019013301","10019-0133-01",,"J0282",,11/20/2003,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,11/20/2003,,,,,,,
"10019013302","10019-0133-02",,"J0282",,11/20/2003,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (SDV) 50 MG/ML",18,"ML","VL","IV","ML",30,"MG",1.66666,11/20/2003,,,,,,,
"10019013304","10019-0133-04",,"J0282",,6/16/2004,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",9,"ML","VL","IV","ML",30,"MG",1.66666,6/16/2004,,,,,,,
"10019013313","10019-0133-13",,"J0282",,5/5/2007,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,5/5/2007,,,,,,,
"10019013319","10019-0133-19",,"J0282",,5/5/2007,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",9,"ML","VL","IV","ML",30,"MG",1.66666,5/5/2007,,,,,,,
"10019014501","10019-0145-01",,"J1800",,1/15/2004,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","INDERAL (AMP) 1 MG/ML",1,"ML","AM","IV","ML",1,"MG",1,1/15/2004,,,,,,,
"10019014543","10019-0145-43",,"J1800",,5/5/2007,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","INDERAL 1 MG/ML",1,"ML","AM","IV","ML",1,"MG",1,5/5/2007,,,,,,,
"10019015244","10019-0152-44",,"J2175",,1/1/2002,4/19/2002,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (S.D.V.) 50 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"10019015344","10019-0153-44",,"J2175",,1/1/2002,4/19/2002,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (S.D.V.) 75 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.75,1/1/2002,,,,,,,
"10019015347","10019-0153-47",,"J2175",,1/1/2002,4/19/2002,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (TUBEX) 75 MG/ML",1,"ML","NA","IJ","ML",100,"MG",0.75,1/1/2002,,,,,,,
"10019015444","10019-0154-44",,"J2175",,1/1/2002,4/19/2002,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (DOSETTE VIAL) 100 MG/ML",1,"ML","VL","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"10019015568","10019-0155-68",,"J2175",,3/27/2002,12/14/2006,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (DOSETTE AMP) 25 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.25,3/27/2002,,,,,,,
"10019015668","10019-0156-68",,"J2175",,2/26/2002,2/22/2006,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (DOSETTE AMP) 50 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.5,2/26/2002,,,,,,,
"10019015768","10019-0157-68",,"J2175",,3/27/2002,12/14/2006,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (DOSETTE AMP) 75 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.75,3/27/2002,,,,,,,
"10019015868","10019-0158-68",,"J2175",,3/27/2002,12/14/2006,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (DOSETTE AMP) 100 MG/ML",1,"ML","AM","IJ","ML",100,"MG",1,3/27/2002,,,,,,,
"10019015901","10019-0159-01",,"J2175",,1/7/2004,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (SDV (DOSETTE)) 25 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.25,1/7/2004,,,,,,,
"10019015944","10019-0159-44",,"J2175",,5/5/2007,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL 25 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.25,5/5/2007,,,,,,,
"10019016001","10019-0160-01",,"J2175",,1/7/2004,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (SDV (DOSETTE)) 50 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.5,1/7/2004,,,,,,,
"10019016044","10019-0160-44",,"J2175",,5/5/2007,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL 50 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.5,5/5/2007,,,,,,,
"10019016101","10019-0161-01",,"J2175",,1/7/2004,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (SDV (DOSETTE)) 75 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.75,1/7/2004,,,,,,,
"10019016144","10019-0161-44",,"J2175",,5/5/2007,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL 75 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.75,5/5/2007,,,,,,,
"10019016201","10019-0162-01",,"J2175",,1/7/2004,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (SDV (DOSETTE)) 100 MG/ML",1,"ML","VL","IJ","ML",100,"MG",1,1/7/2004,,,,,,,
"10019016244","10019-0162-44",,"J2175",,5/5/2007,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL 100 MG/ML",1,"ML","VL","IJ","ML",100,"MG",1,5/5/2007,,,,,,,
"10019016301","10019-0163-01",,"J2370",,1/1/2002,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (S.D.V.) 10 MG/ML",5,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"10019016312","10019-0163-12",,"J2370",,1/1/2002,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (S.D.V.) 10 MG/ML",1,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"10019017639","10019-0176-39",,"J2270",,8/21/1998,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (1X1ML,SDV,USP) 5MG/ML",1,"ML","VL","IJ","ML",10,"MG",0.5,8/21/1998,,,,,,,
"10019017644","10019-0176-44",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (S.D.V.) 5 MG/ML",1,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"10019017737","10019-0177-37",,"J2270",,5/5/2007,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE 8 MG/ML",1,"ML","AM","IJ","ML",10,"MG",0.8,5/5/2007,,,,,,,
"10019017739","10019-0177-39",,"J2270",,9/13/2001,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (1X1ML,USP) 8MG/ML",1,"ML","VL","IJ","ML",10,"MG",0.8,9/13/2001,,,,,,,
"10019017744","10019-0177-44",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL,DOSETTE) 8 MG/ML",1,"ML","VL","IJ","ML",10,"MG",0.8,1/1/2002,,,,,,,
"10019017768","10019-0177-68",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (AMP) 8 MG/ML",1,"ML","AM","IJ","ML",10,"MG",0.8,1/1/2002,,,,,,,
"10019017836","10019-0178-36",,"J2270",,5/5/2007,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (MDV) 10 MG/ML",10,"ML","NA","IJ","ML",10,"MG",1,5/5/2007,,,,,,,
"10019017837","10019-0178-37",,"J2270",,8/21/1998,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (1X1ML,USP) 10MG/ML",1,"ML","VL","IJ","ML",10,"MG",1,8/21/1998,,,,,,,
"10019017839","10019-0178-39",,"J2270",,5/5/2007,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE 10 MG/ML",1,"ML","VL","IJ","ML",10,"MG",1,5/5/2007,,,,,,,
"10019017844","10019-0178-44",,"J2270",,12/22/2005,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (S.D.V.,25X1ML) 10 MG/ML",1,"ML","VL","IJ","ML",10,"MG",1,12/22/2005,,,,,,,
"10019017862","10019-0178-62",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (M.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"10019017868","10019-0178-68",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (AMP) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"10019017936","10019-0179-36",,"J2271",,5/5/2007,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (MDV) 15 MG/ML",20,"ML","NA","IJ","ML",100,"MG",0.15,5/5/2007,,,,,,,
"10019017939","10019-0179-39",,"J2270",,5/5/1999,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (1X1ML,SDV, USP) 15MG/ML",1,"ML","VL","IJ","ML",10,"MG",1.5,5/5/1999,,,,,,,
"10019017944","10019-0179-44",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (S.D.V.) 15 MG/ML",1,"ML","VL","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"10019017963","10019-0179-63",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (M.D.V.) 15 MG/ML",20,"ML","VL","IJ","ML",100,"MG",0.15,1/1/2002,,,,,,,
"10019017968","10019-0179-68",,"J2271",,9/6/2005,3/30/2007,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (25X1ML AMP) 15 MG/ML",1,"ML","AM","IJ","ML",100,"MG",0.15,9/6/2005,,,,,,,
"10019018420","10019-0184-20",,"J1250",,1/1/2002,1/20/2002,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (S.D.V.) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,1/1/2002,,,,,,,
"10019021301","10019-0213-01",,"J3490",,9/10/2002,,"UNCLASSIFIED DRUGS","PROPOFOL 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,9/10/2002,12/14/2005,1,,,
"10019021302","10019-0213-02",,"J3490",,9/10/2002,,"UNCLASSIFIED DRUGS","PROPOFOL 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,9/10/2002,12/14/2005,1,,,
"10019021303","10019-0213-03",,"J3490",,9/10/2002,,"UNCLASSIFIED DRUGS","PROPOFOL 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,9/10/2002,12/14/2005,1,,,
"10019021311","10019-0213-11",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","PROPOFOL (SDV) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,,,,,,
"10019021320","10019-0213-20",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","PROPOFOL 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,,,,,,
"10019021352","10019-0213-52",,"J3490",,5/5/2007,,"UNCLASSIFIED DRUGS","PROPOFOL (SDV) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,5/5/2007,,,,,,,
"10019025012","10019-0250-12",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (S.D.V.) 0.4 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",1.33333,1/1/2002,12/31/2009,,,,,,
"10019025020","10019-0250-20",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (M.D.V.) 0.4 MG/ML",20,"ML","VL","IJ","ML",0.3,"MG",1.33333,1/1/2002,12/31/2009,,,,,,
"10019025037","10019-0250-37",,"J0460",,9/9/1997,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (MDV,1X20ML,USP) 0.4 MG/ML",20,"ML","VL","IJ","ML",0.3,"MG",1.33333,9/9/1997,12/31/2009,,,,,,
"10019025039","10019-0250-39",,"J0460",,9/9/1997,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (SDV,1X1ML,USP) 0.4 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",1.33333,9/9/1997,12/31/2009,,,,,,
"10019025112","10019-0251-12",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (S.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",3.33333,1/1/2002,12/31/2009,,,,,,
"10019025139","10019-0251-39",,"J0460",,9/9/1997,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (SDV,1X1ML,USP) 1 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",3.33333,9/9/1997,12/31/2009,,,,,,
"10019026301","10019-0263-01",,"Q2009",,8/6/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (USP,SINGLE DOSE,25X2) 75 MG/ML",2,"ML","VL","IJ","ML",50,"MG",1.5,8/6/2007,,,,,,,
"10019026303","10019-0263-03",,"Q2009",,8/6/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (USP,SINGLE DOSE,10X10) 75 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1.5,8/6/2007,,,,,,,
"10019027010","10019-0270-10",,"J2710",,1/1/2002,,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",2,1/1/2002,,,,,,,
"10019027102","10019-0271-02",,"J2710",,1/1/2002,6/30/2007,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (S.D.V.) 0.5 MG/ML",1,"ML","VL","IJ","ML",0.5,"MG",1,1/1/2002,6/30/2007,,,,,,
"10019027110","10019-0271-10",,"J2710",,1/1/2002,,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.) 0.5 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",1,1/1/2002,,,,,,,
"10019029102","10019-0291-02",,"J2590",,5/7/2007,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (1MLX25,SDV,USP) 10 U/ML",1,"ML","VL","IJ","ML",10,"U",1,5/7/2007,,,,,,,
"10019029104","10019-0291-04",,"J2590",,5/7/2007,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (10MLX25,MDV,USP) 10 U/ML",10,"ML","VL","IJ","ML",10,"U",1,5/7/2007,,,,,,,
"10019029112","10019-0291-12",,"J2590",,5/29/2007,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (SDV,USP) 10 U/ML",1,"ML","VL","IJ","ML",10,"U",1,5/29/2007,,,,,,,
"10019029171","10019-0291-71",,"J2590",,5/29/2007,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (MDV,USP) 10 U/ML",10,"ML","VL","IJ","ML",10,"U",1,5/29/2007,,,,,,,
"10019045002","10019-0450-02",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (S.D.V.) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"10019045039","10019-0450-39",,"J2765",,5/5/2007,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,5/5/2007,,,,,,,
"10019046101","10019-0461-01",,"J0595",,1/1/2004,12/14/2006,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (S.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,1/1/2004,,,,,,,
"10019046101","10019-0461-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"10019046201","10019-0462-01",,"J0595",,1/1/2004,12/14/2006,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"10019046201","10019-0462-01",,"J3490",,3/14/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,3/14/2002,,,,,,,
"10019050602","10019-0506-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUMETANIDE (S.D.V.) 0.25 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"10019050610","10019-0506-10",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUMETANIDE (M.D.V.) 0.25 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"10019050645","10019-0506-45",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUMETANIDE (S.D.V.) 0.25 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"10019061001","10019-0610-01",,"J0690",,3/1/2004,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (10ML VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,3/1/2004,,,,,,,
"10019061010","10019-0610-10",,"J0690",,5/5/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,5/5/2007,,,,,,,
"10019061103","10019-0611-03",,"J0690",,3/1/2004,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (10ML VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,3/1/2004,,,,,,,
"10019061110","10019-0611-10",,"J0690",,5/5/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,5/5/2007,,,,,,,
"10019061205","10019-0612-05",,"J0690",,10/5/2006,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN (USP,PHARMACY BULK) 10 GM",1,"EA","VL","IV","EA",500,"MG",20,10/5/2006,,,,,,,
"10019061211","10019-0612-11",,"J0690",,5/5/2007,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN 10 GM",1,"EA","VL","IV","EA",500,"MG",20,5/5/2007,,,,,,,
"10019061306","10019-0613-06",,"J0690",,3/1/2004,7/21/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (100ML VIAL, BULK PKG) 20 GM",1,"EA","VL","IJ","EA",500,"MG",40,3/1/2004,,,,,,,
"10019062001","10019-0620-01",,"J0697",,3/1/2004,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (10ML VIAL) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,3/1/2004,,,,,,,
"10019062010","10019-0620-10",,"J0697",,5/5/2007,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,5/5/2007,,,,,,,
"10019062103","10019-0621-03",,"J0697",,3/1/2004,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (20ML VIAL) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,3/1/2004,,,,,,,
"10019062120","10019-0621-20",,"J0697",,5/5/2007,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (USP) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,5/5/2007,,,,,,,
"10019062205","10019-0622-05",,"J0697",,3/1/2004,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (100ML VIAL, BULK PKG) 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,3/1/2004,,,,,,,
"10019062211","10019-0622-11",,"J0697",,5/5/2007,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (USP) 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,5/5/2007,,,,,,,
"10019063001","10019-0630-01",,"J0295",,12/15/2003,11/17/2005,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM (VIAL) 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,12/15/2003,,,,,,,
"10019063002","10019-0630-02",,"J0295",,12/15/2003,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM (VIAL) 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,12/15/2003,,,,,,,
"10019063003","10019-0630-03",,"J0295",,12/15/2003,2/22/2006,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM (BULK PACKAGE) 10 GM-5 GM",1,"EA","VL","IV","EA",1.5,"GM",10,12/15/2003,,,,,,,
"10019063033","10019-0630-33",,"J0295",,5/5/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,5/5/2007,,,,,,,
"10019063101","10019-0631-01",,"J0295",,11/18/2005,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,11/18/2005,,,,,,,
"10019063131","10019-0631-31",,"J0295",,5/5/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,5/5/2007,,,,,,,
"10019063203","10019-0632-03",,"J0295",,11/18/2005,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM (BULK PACKAGE) 10 GM-5 GM",1,"EA","VL","IV","EA",1.5,"GM",10,11/18/2005,,,,,,,
"10019063302","10019-0633-02",,"J0295",,3/10/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMERINET CHOICE AMPICILLIN AND SULBACTAM 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,3/10/2006,,,,,,,
"10019063333","10019-0633-33",,"J0295",,5/5/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMERINET CHOICE AMPICILLIN AND SULBACTAM 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,5/5/2007,,,,,,,
"10019063401","10019-0634-01",,"J0295",,3/10/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMERINET CHOICE AMPICILLIN AND SULBACTAM (10X10MLVIALS) 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,3/10/2006,,,,,,,
"10019063431","10019-0634-31",,"J0295",,5/5/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMERINET CHOICE AMPICILLIN AND SULBACTAM 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,5/5/2007,,,,,,,
"10019063503","10019-0635-03",,"J0295",,12/14/2005,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMERINET CHOICE AMPICILLIN AND SULBACTAM (PHARMACY BULK) 10 GM-5 GM",1,"EA","VL","IJ","EA",1.5,"GM",10,12/14/2005,,,,,,,
"10019063601","10019-0636-01",,"J0295",,5/2/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","NOVAPLUS AMPICILLIN AND SULBACTAM (USP,10MLX10) 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,5/2/2006,,,,,,,
"10019063631","10019-0636-31",,"J0295",,5/5/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","NOVAPLUS AMPICILLIN AND SULBACTAM 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,5/5/2007,,,,,,,
"10019063702","10019-0637-02",,"J0295",,5/2/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","NOVAPLUS AMPICILLIN AND SULBACTAM (USP,20MLX10) 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,5/2/2006,,,,,,,
"10019063733","10019-0637-33",,"J0295",,5/5/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","NOVAPLUS AMPICILLIN AND SULBACTAM 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,5/5/2007,,,,,,,
"10019063803","10019-0638-03",,"J0295",,5/2/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","NOVAPLUS AMPICILLIN AND SULBACTAM (USP,PHARMACYBULK) 10 GM-5 GM",1,"EA","VL","IV","EA",1.5,"GM",10,5/2/2006,,,,,,,
"10019064802","10019-0648-02",,"J0456",,4/12/2006,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN (10X10ML) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,4/12/2006,,,,,,,
"10019064871","10019-0648-71",,"J0456",,5/5/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN 500 MG",1,"EA","VL","IV","EA",500,"MG",1,5/5/2007,,,,,,,
"10019066001","10019-0660-01",,"J0694",,12/1/2003,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,12/1/2003,,,,,,,
"10019066071","10019-0660-71",,"J0694",,5/5/2007,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,5/5/2007,,,,,,,
"10019066102","10019-0661-02",,"J0694",,12/1/2003,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,12/1/2003,,,,,,,
"10019066127","10019-0661-27",,"J0694",,5/5/2007,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,5/5/2007,,,,,,,
"10019066203","10019-0662-03",,"J0694",,12/1/2003,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM 10 GM",1,"EA","VL","IJ","EA",1,"GM",10,12/1/2003,,,,,,,
"10019066211","10019-0662-11",,"J0694",,5/5/2007,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM 10 GM",1,"EA","VL","IJ","EA",1,"GM",10,5/5/2007,,,,,,,
"10019068001","10019-0680-01",,"J0698",,7/5/2005,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (S.D.V.,USP) 500 MG",1,"EA","VL","IJ","EA",1,"GM",0.5,7/5/2005,,,,,,,
"10019068015","10019-0680-15",,"J0698",,5/5/2007,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP,SDV) 500 MG",1,"EA","VL","IJ","EA",1,"GM",0.5,5/5/2007,,,,,,,
"10019068102","10019-0681-02",,"J0698",,7/5/2005,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (S.D.V.,USP) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,7/5/2005,,,,,,,
"10019068115","10019-0681-15",,"J0698",,5/5/2007,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP,SDV) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,5/5/2007,,,,,,,
"10019068203","10019-0682-03",,"J0698",,7/5/2005,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (S.D.V.,USP) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,7/5/2005,,,,,,,
"10019068215","10019-0682-15",,"J0698",,5/5/2007,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP,SDV) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,5/5/2007,,,,,,,
"10019068501","10019-0685-01",,"J0696",,7/5/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,7/5/2005,,,,,,,
"10019068571","10019-0685-71",,"J0696",,5/5/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,5/5/2007,,,,,,,
"10019068602","10019-0686-02",,"J0696",,7/5/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,7/5/2005,,,,,,,
"10019068671","10019-0686-71",,"J0696",,5/5/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,5/5/2007,,,,,,,
"10019068703","10019-0687-03",,"J0696",,7/5/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/5/2005,,,,,,,
"10019068771","10019-0687-71",,"J0696",,5/5/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,5/5/2007,,,,,,,
"10019068804","10019-0688-04",,"J0696",,7/5/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,7/5/2005,,,,,,,
"10019068827","10019-0688-27",,"J0696",,5/5/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,5/5/2007,,,,,,,
"10019068905","10019-0689-05",,"J0696",,10/5/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,PHARMACY BULK) 10 GM",1,"EA","VL","IV","EA",250,"MG",40,10/5/2006,,,,,,,
"10019069102","10019-0691-02",,"J0713",,3/22/2007,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME (SDV) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,3/22/2007,,,,,,,
"10019069127","10019-0691-27",,"J0713",,5/5/2007,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME (SDV) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,5/5/2007,,,,,,,
"10019069203","10019-0692-03",,"J0713",,3/22/2007,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME (SDV) 2 GM",1,"EA","VL","IV","EA",500,"MG",4,3/22/2007,,,,,,,
"10019069250","10019-0692-50",,"J0713",,5/5/2007,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME 2 GM",1,"EA","VL","IV","EA",500,"MG",4,5/5/2007,,,,,,,
"10019069304","10019-0693-04",,"J0713",,3/22/2007,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME (SDV,BULK) 6 GM",1,"EA","VL","IV","EA",500,"MG",12,3/22/2007,,,,,,,
"10019069311","10019-0693-11",,"J0713",,5/5/2007,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME 6 GM",1,"EA","VL","IV","EA",500,"MG",12,5/5/2007,,,,,,,
"10019090501","10019-0905-01",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (2MLX25,SDV,USP) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"10019090517","10019-0905-17",,"J2405",,5/5/2007,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (LATEX-FREE) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,5/5/2007,,,,,,,
"10019090603","10019-0906-03",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (MDV,USP,LATEX-FREE) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"10019090663","10019-0906-63",,"J2405",,5/5/2007,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (LATEX-FREE) 2 MG/ML",1,"ML","NA","IJ","ML",1,"MG",2,5/5/2007,,,,,,,
"10019091001","10019-0910-01",,"J9060",,1/1/2002,12/22/2005,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (M.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"10019091002","10019-0910-02",,"J9060",,1/1/2002,4/5/2006,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (M.D.V.) 1 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,4/5/2006,,,,,,
"10019091201","10019-0912-01",,"J9045",,10/15/2004,5/18/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,10/15/2004,,,,,,,
"10019091202","10019-0912-02",,"J9045",,10/15/2004,5/18/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,10/15/2004,,,,,,,
"10019091203","10019-0912-03",,"J9045",,10/15/2004,4/5/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,10/15/2004,4/5/2006,,,,,,
"10019091501","10019-0915-01",,"J9045",,10/15/2004,12/31/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (S.D.V.,PF) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,10/15/2004,12/31/2006,,,,,,
"10019091601","10019-0916-01",,"J9045",,10/15/2004,4/5/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (S.D.V.,PF) 150 MG",1,"EA","VL","IV","EA",50,"MG",3,10/15/2004,4/5/2006,,,,,,
"10019091701","10019-0917-01",,"J9045",,10/15/2004,12/14/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (S.D.V.,PF) 450 MG",1,"EA","VL","IV","EA",50,"MG",9,10/15/2004,,,,,,,
"10019092001","10019-0920-01",,"J9000",,1/1/2002,9/30/2007,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL (S.D.V.,PF) 10 MG",1,"EA","VL","IV","EA",10,"MG",1,6/10/2003,9/30/2007,1/1/2002,4/3/2002,1,,,
"10019092102","10019-0921-02",,"J9000",,1/1/2002,6/30/2008,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL (SDV,PF) 50 MG",1,"EA","VL","IV","EA",10,"MG",5,6/10/2003,6/30/2008,1/1/2002,8/19/2002,5,,,
"10019092501","10019-0925-01",,"J9208",,9/12/2005,,"INJECTION, IFOSFAMIDE, 1 GRAM","IFOSFAMIDE (SDV,30ML VIAL) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,9/12/2005,,,,,,,
"10019092582","10019-0925-82",,"J9208",,5/5/2007,,"INJECTION, IFOSFAMIDE, 1 GRAM","IFOSFAMIDE (SDV,30ML) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,5/5/2007,,,,,,,
"10019092602","10019-0926-02",,"J9208",,9/12/2005,,"INJECTION, IFOSFAMIDE, 1 GRAM","IFOSFAMIDE (SDV,75ML VIAL) 3 GM",1,"EA","VL","IV","EA",1,"GM",3,9/12/2005,,,,,,,
"10019092616","10019-0926-16",,"J9208",,5/5/2007,,"INJECTION, IFOSFAMIDE, 1 GRAM","IFOSFAMIDE (SDV,75ML) 3 GM",1,"EA","VL","IV","EA",1,"GM",3,5/5/2007,,,,,,,
"10019093001","10019-0930-01",,"J9181",,1/1/2002,12/14/2006,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V.) 20 MG/ML",5,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"10019093002","10019-0930-02",,"J9181",,9/1/2003,12/14/2006,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V.) 20 MG/ML",25,"ML","VL","IV","ML",10,"MG",2,9/1/2003,,,,,,,
"10019093401","10019-0934-01",,"J9206",,2/21/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SDV,AMBER GLASS) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/21/2008,,,,,,,
"10019093401","10019-0934-01","QR","J9206","QR",2/21/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SDV,AMBER GLASS) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/21/2008,,,,,,,
"10019093402","10019-0934-02",,"J9206",,2/21/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SDV,AMBER GLASS) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/21/2008,,,,,,,
"10019093402","10019-0934-02","QR","J9206","QR",2/21/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SDV,AMBER GLASS) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/21/2008,,,,,,,
"10019093417","10019-0934-17",,"J9206",,2/21/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SDV,INNER NDC) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/21/2008,,,,,,,
"10019093417","10019-0934-17","QR","J9206","QR",2/21/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SDV,INNER NDC) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/21/2008,,,,,,,
"10019093479","10019-0934-79",,"J9206",,2/21/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SDV,INNER NDC) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/21/2008,,,,,,,
"10019093479","10019-0934-79","QR","J9206","QR",2/21/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SDV,INNER NDC) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/21/2008,,,,,,,
"10019094001","10019-0940-01",,"J9250",,1/1/2002,5/27/2002,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"10019094002","10019-0940-02",,"J9250",,1/1/2002,5/27/2002,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",4,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"10019094101","10019-0941-01",,"J9250",,1/1/2002,5/27/2002,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (M.D.V.) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"10019095301","10019-0953-01",,"J9209",,3/15/2004,,"INJECTION, MESNA, 200 MG","MESNA (S.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,3/15/2004,,,,,,,
"10019095302","10019-0953-02",,"J9209",,3/15/2004,,"INJECTION, MESNA, 200 MG","MESNA (S.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,3/15/2004,,,,,,,
"10019095362","10019-0953-62",,"J9209",,5/5/2007,,"INJECTION, MESNA, 200 MG","MESNA 100 MG/ML",1,"ML","VL","IV","ML",200,"MG",0.5,5/5/2007,,,,,,,
"10019095501","10019-0955-01",,"J9090",,4/30/2004,,"CYCLOPHOSPHAMIDE, 500 MG","CYCLOPHOSPHAMIDE (S.D.V.,PF) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,4/30/2004,,,,,,,
"10019095601","10019-0956-01",,"J9091",,4/30/2004,,"CYCLOPHOSPHAMIDE, 1.0 GRAM","CYCLOPHOSPHAMIDE (S.D.V.,PF) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,4/30/2004,,,,,,,
"10019095701","10019-0957-01",,"J9092",,4/30/2004,,"CYCLOPHOSPHAMIDE, 2.0 GRAM","CYCLOPHOSPHAMIDE (S.D.V.,PF) 2 GM",1,"EA","VL","IV","EA",2,"GM",1,4/30/2004,,,,,,,
"10019095711","10019-0957-11",,"J9092",,4/30/2004,,"CYCLOPHOSPHAMIDE, 2.0 GRAM","CYCLOPHOSPHAMIDE (SDV,USP,PF) 2 GM",1,"EA","VL","IV","GM",2,"GM",1,4/30/2004,,,,,,,
"10019097001","10019-0970-01",,"J9390",,12/1/2003,12/14/2006,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,12/1/2003,,,,,,,
"10019097002","10019-0970-02",,"J9390",,12/1/2003,12/14/2006,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,12/1/2003,,,,,,,
"10106006101","10106-0061-01",,"J9017",,1/1/2002,,"INJECTION, ARSENIC TRIOXIDE, 1 MG","ARSENIC TRIOXIDE (A.C.S., REAGENT)",1,"EA","NA","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"10106006104","10106-0061-04",,"J9017",,1/1/2002,,"INJECTION, ARSENIC TRIOXIDE, 1 MG","ARSENIC TRIOXIDE (A.C.S., REAGENT)",1,"EA","NA","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"10106006201","10106-0062-01",,"J9017",,1/1/2002,,"INJECTION, ARSENIC TRIOXIDE, 1 MG","ARSENIC TRIOXIDE (REAGENT)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"10106006204","10106-0062-04",,"J9017",,1/1/2002,,"INJECTION, ARSENIC TRIOXIDE, 1 MG","ARSENIC TRIOXIDE (REAGENT)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"10106108001","10106-1080-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (FINE, U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"10106164901","10106-1649-01",,"J0706",,1/1/2002,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"10106164904","10106-1649-04",,"J0706",,1/1/2002,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"10106250601","10106-2506-01",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE ANHYDROUS (REAGENT)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"10106250605","10106-2506-05",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE ANHYDROUS (REAGENT)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"10106255505","10106-2555-05",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"10106304601","10106-3046-01",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P., F.C.C.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"10106304605","10106-3046-05",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P., F.C.C.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"10106305201","10106-3052-01",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P., F.C.C.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"10106305205","10106-3052-05",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P., F.C.C.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"10106334301","10106-3343-01",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P., F.C.C.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"10106334301","10106-3343-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P., F.C.C.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"10106420601","10106-4206-01",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"10106420605","10106-4206-05",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"10106899401","10106-8994-01",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"10106922401","10106-9224-01",,"J1212",,1/1/2002,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (A.C.S., REAGENT)",500,"ML","EA","NA","ML",50,"%",0.02,1/1/2002,,,,,,,
"10135014901","10135-0149-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10135014910","10135-0149-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10135014924","10135-0149-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10135014961","10135-0149-61",,"Q0163",,11/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",10,"EA","BO","PO","EA",50,"MG",0.5,11/1/2002,,,,,,,
"10135015101","10135-0151-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET) 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10135015110","10135-0151-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET) 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10135015124","10135-0151-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET) 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10135015150","10135-0151-50",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET) 25 MG",50,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10135015152","10135-0151-52",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (BOXED,CAPLET) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10135015157","10135-0151-57",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (BOXED,CAPLET) 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10135015601","10135-0156-01",,"Q0163",,11/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,11/1/2002,,,,,,,
"10135015610","10135-0156-10",,"Q0163",,11/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,11/1/2002,,,,,,,
"10135015613","10135-0156-13",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"10135016613","10135-0166-13",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (BLISTER PACK,CAPLET) 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10139002521","10139-0025-21",,"Q2009",,8/8/2007,5/31/2009,"INJECTION, FOSPHENYTOIN, 50 MG","FOSPHENYTOIN SODIUM (USP,SINGLE DOSE,2X10) 75 MG/ML",2,"ML","VL","IJ","ML",50,"MG",1.5,8/8/2007,5/31/2009,,,,,,
"10139002522","10139-0025-22",,"Q2009",,8/8/2007,6/30/2009,"INJECTION, FOSPHENYTOIN, 50 MG","FOSPHENYTOIN SODIUM (USP,SINGLE DOSE,10X10) 75 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1.5,8/8/2007,6/30/2009,,,,,,
"10139005003","10139-0050-03",,"J0282",,3/15/2005,9/30/2006,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",3,"ML","NA","IV","ML",30,"MG",1.66666,3/15/2005,,,,,,,
"10139005009","10139-0050-09",,"J0282",,3/15/2005,3/31/2006,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",9,"ML","NA","IV","ML",30,"MG",1.66666,3/15/2005,,,,,,,
"10139005010","10139-0050-10",,"J0282",,3/28/2005,9/30/2006,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (10X3ML) 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,3/28/2005,,,,,,,
"10139005011","10139-0050-11",,"J0282",,3/28/2005,3/31/2006,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (10X9ML) 50 MG/ML",9,"ML","VL","IV","ML",30,"MG",1.66666,3/28/2005,,,,,,,
"10139005028","10139-0050-28",,"J0282",,3/28/2005,2/28/2006,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (SDV) 50 MG/ML",18,"ML","VL","IV","ML",30,"MG",1.66666,3/28/2005,,,,,,,
"10139005710","10139-0057-10",,"J2260",,4/15/2005,12/31/2006,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (10X20ML) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,4/15/2005,,,,,,,
"10139005720","10139-0057-20",,"J2260",,4/7/2005,12/31/2006,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE 1 MG/ML",20,"ML","NA","IV","ML",5,"MG",0.2,4/7/2005,,,,,,,
"10139006005","10139-0060-05",,"J9045",,7/9/2007,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV,YELLOWSEAL,1X5ML) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,7/9/2007,,,,,,,
"10139006015","10139-0060-15",,"J9045",,7/9/2007,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV,PURPLESEAL,1X15ML) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,7/9/2007,,,,,,,
"10139006045","10139-0060-45",,"J9045",,7/9/2007,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV,BLUESEAL,1X45ML) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,7/9/2007,,,,,,,
"10139006101","10139-0061-01",,"J9178",,11/30/2007,6/30/2009,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SINGLE DOSE,1X100ML,PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,11/30/2007,6/30/2009,,,,,,
"10139006125","10139-0061-25",,"J9178",,11/30/2007,6/30/2009,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SINGLE DOSE,1X25ML,PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,11/30/2007,6/30/2009,,,,,,
"10139006202","10139-0062-02",,"J9250",,7/2/2007,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE (USP,SDV,PF) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,7/2/2007,,,,,,,
"10139006210","10139-0062-10",,"J9250",,6/7/2007,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE (USP,SDV,PF) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,6/7/2007,,,,,,,
"10139006240","10139-0062-40",,"J9250",,6/7/2007,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE (USP,SDV,PF) 25 MG/ML",40,"ML","VL","IJ","ML",5,"MG",5,6/7/2007,,,,,,,
"10139006301","10139-0063-01",,"J9190",,7/2/2007,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (USP,BULK) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,7/2/2007,,,,,,,
"10139006301","10139-0063-01","QR","J9190","QR",7/2/2007,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (USP,BULK) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,7/2/2007,,,,,,,
"10139006311","10139-0063-11",,"J9190",,6/11/2007,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (USP,SDV,10MLX10) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,6/11/2007,,,,,,,
"10139006311","10139-0063-11","QR","J9190","QR",6/11/2007,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (USP,SDV,10MLX10) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,6/11/2007,,,,,,,
"10139006312","10139-0063-12",,"J9190",,6/11/2007,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (USP,SDV,20MLX10) 50 MG/ML",20,"ML","VL","IV","ML",500,"MG",0.1,6/11/2007,,,,,,,
"10139006312","10139-0063-12","QR","J9190","QR",6/11/2007,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (USP,SDV,20MLX10) 50 MG/ML",20,"ML","VL","IV","ML",500,"MG",0.1,6/11/2007,,,,,,,
"10139006350","10139-0063-50",,"J9190",,6/7/2007,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (USP) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,6/7/2007,,,,,,,
"10139006350","10139-0063-50","QR","J9190","QR",6/7/2007,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (USP) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,6/7/2007,,,,,,,
"10139007011","10139-0070-11",,"J0295",,7/3/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (USP) 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,7/3/2007,,,,,,,
"10139007110","10139-0071-10",,"J0295",,7/3/2007,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (USP) 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,7/3/2007,,,,,,,
"10139007501","10139-0075-01",,"J3490",,11/20/2006,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (PF) 50 MCG/ML",1,"ML","NA","IJ","ML",1,"EA",1,11/20/2006,,,,,,,
"10139007502","10139-0075-02",,"J3490",,11/20/2006,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (PF) 50 MCG/ML",2,"ML","NA","IJ","ML",1,"EA",1,11/20/2006,,,,,,,
"10139007505","10139-0075-05",,"J3490",,11/20/2006,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (PF) 50 MCG/ML",5,"ML","NA","IJ","ML",1,"EA",1,11/20/2006,,,,,,,
"10139007510","10139-0075-10",,"J3490",,11/20/2006,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (1MLX10,USP,SINGLE-DOSE) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,11/20/2006,,,,,,,
"10139007512","10139-0075-12",,"J3490",,11/20/2006,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (2MLX10,USP,SINGLE-DOSE) 50 MCG/ML",2,"ML","AM","IJ","ML",1,"EA",1,11/20/2006,,,,,,,
"10139007515","10139-0075-15",,"J3490",,11/20/2006,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (5MLX10,USP,SINGLE-DOSE) 50 MCG/ML",5,"ML","AM","IJ","ML",1,"EA",1,11/20/2006,,,,,,,
"10139023010","10139-0230-10",,"J2360",,1/5/2007,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (10X2ML,SINGLE DOSE,USP) 30 MG/ML",2,"ML","VL","IJ","ML",60,"MG",0.5,1/5/2007,,,,,,,
"10139050112","10139-0501-12",,"J3370",,8/19/2008,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HYDROCHLORIDE (USP,PF,LYOPHILIZED) (1GM = 1000 MG)",10,"EA","NA","NA","EA",500,"MG",2,8/19/2008,,,,,,,
"10148010100","10148-0101-00",,"J7699",,2/1/2005,6/30/2005,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","VENTAVIS (UNIT-DOSE VIAL,PF) 10 MCG/ML",2,"ML","GC","IH","ML",1,"EA",1,2/1/2005,,,,,,,
"10148010100","10148-0101-00",,"Q4080",,7/1/2005,7/31/2008,"ILOPROST, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS","VENTAVIS (UNIT-DOSE VIAL,PF) 10 MCG/ML",2,"ML","GC","IH","ML",20,"MCG",0.5,7/1/2005,7/31/2008,,,,,,
"10148010101","10148-0101-01",,"Q4074",,1/1/2010,,"ILOPROST, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 20 MICROGRAMS","VENTAVIS (UNIT-DOSE VIAL,PF) 10 MCG/ML",2,"ML","VL","IH","ML",20,"MCG",0.5,1/1/2010,,,,,,,
"10148010101","10148-0101-01",,"Q4080",,7/1/2005,12/31/2009,"ILOPROST, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS","VENTAVIS (UNIT-DOSE VIAL,PF) 10 MCG/ML",2,"ML","VL","IH","ML",20,"MCG",0.5,7/1/2005,12/31/2009,,,,,,
"10148010130","10148-0101-30",,"J7699",,2/1/2005,6/30/2005,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","VENTAVIS (UNIT-DOSE VIAL,PF) 10 MCG/ML",2,"ML","GC","IH","ML",1,"EA",1,2/1/2005,,,,,,,
"10148010130","10148-0101-30",,"Q4080",,7/1/2005,7/31/2008,"ILOPROST, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS","VENTAVIS (UNIT-DOSE VIAL,PF) 10 MCG/ML",2,"ML","GC","IH","ML",20,"MCG",0.5,7/1/2005,7/31/2008,,,,,,
"10148010200","10148-0102-00",,"Q4080",,12/8/2005,1/14/2009,"ILOPROST, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS","VENTAVIS (PF) 10 MCG/ML",1,"ML","GC","IH","ML",20,"MCG",0.5,1/1/2008,1/14/2009,12/8/2005,12/31/2007,1,,,
"10148010230","10148-0102-30",,"Q4080",,12/8/2005,1/14/2009,"ILOPROST, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS","VENTAVIS (PF) 10 MCG/ML",1,"ML","GC","IH","ML",20,"MCG",0.5,1/1/2008,1/14/2009,12/8/2005,12/31/2007,1,,,
"10158004201","10158-0042-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NYTOL QUICKGELS MAXIMUM STRENGTH (SOFTGEL) 50 MG",8,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"10158004302","10158-0043-02",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NYTOL QUICKCAPS 25 MG",16,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10158004304","10158-0043-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NYTOL QUICKCAPS 25 MG",32,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10158004306","10158-0043-06",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NYTOL QUICKCAPS 25 MG",72,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10158042010","10158-0420-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NYTOL QUICKGELS MAXIMUM STRENGTH (SOFTGEL) 50 MG",8,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"10158043020","10158-0430-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NYTOL QUICKCAPS 25 MG",16,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10158043040","10158-0430-40",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NYTOL QUICKCAPS 25 MG",32,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10158043060","10158-0430-60",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NYTOL QUICKCAPS 25 MG",72,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10267002001","10267-0020-01",,"Q0173",,1/1/2002,12/31/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","NA","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"10267083501","10267-0835-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10267083504","10267-0835-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"10267083601","10267-0836-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"10267083604","10267-0836-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"10454071010","10454-0710-10",,"J0587",,8/1/2005,,"INJECTION, RIMABOTULINUMTOXINB, 100 UNITS","MYOBLOC (PF) 2500 U/0.5 ML",0.5,"ML","VL","IM","ML",100,"U",50,8/1/2005,,,,,,,
"10454071110","10454-0711-10",,"J0587",,8/1/2005,,"INJECTION, RIMABOTULINUMTOXINB, 100 UNITS","MYOBLOC (PF) 5000 U/ML",1,"ML","VL","IM","ML",100,"U",50,8/1/2005,,,,,,,
"10454071210","10454-0712-10",,"J0587",,6/30/2006,,"INJECTION, RIMABOTULINUMTOXINB, 100 UNITS","MYOBLOC 5000 U/ML",2,"ML","VL","IM","ML",100,"U",50,6/30/2006,,,,,,,
"10518010207","10518-0102-07",,"J9265",,4/19/2007,7/5/2009,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (USP,MDV) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,4/19/2007,7/5/2009,,,,,,
"10518010208","10518-0102-08",,"J9265",,4/19/2007,7/5/2009,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (USP,MDV) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,4/19/2007,7/5/2009,,,,,,
"10518010209","10518-0102-09",,"J9265",,4/19/2007,7/5/2009,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (USP,MDV) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,4/19/2007,7/5/2009,,,,,,
"10518010310","10518-0103-10",,"J9206",,2/27/2008,3/11/2009,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/27/2008,3/11/2009,,,,,,
"10518010310","10518-0103-10","QR","J9206","QR",2/27/2008,3/11/2009,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/27/2008,3/11/2009,,,,,,
"10518010311","10518-0103-11",,"J9206",,2/27/2008,6/1/2009,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/27/2008,6/1/2009,,,,,,
"10518010311","10518-0103-11","QR","J9206","QR",2/27/2008,6/1/2009,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/27/2008,6/1/2009,,,,,,
"10518010410","10518-0104-10",,"J9178",,8/24/2007,8/20/2009,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SINGLE-USE,PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,8/24/2007,8/20/2009,,,,,,
"10518010411","10518-0104-11",,"J9178",,8/24/2007,8/20/2009,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SINGLE-USE,PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,8/24/2007,8/20/2009,,,,,,
"10544032221","10544-0322-21",,"J7509",,1/11/2008,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","BO","PO","EA",4,"MG",1,1/11/2008,,,,,,,
"10544032830","10544-0328-30",,"Q0177",,1/1/2008,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,1/1/2008,,,,,,,
"10544034320","10544-0343-20",,"Q0170",,1/11/2008,10/1/2009,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,1/11/2008,10/1/2009,,,,,,
"10544034330","10544-0343-30",,"Q0170",,1/21/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,1/21/2008,,,,,,,
"10702000201","10702-0002-01",,"Q0169",,5/10/2007,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 12.5 MG",100,"EA","BO","PO","EA",12.5,"MG",1,5/10/2007,,,,,,,
"10702000301","10702-0003-01",,"Q0170",,1/16/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/16/2007,,,,,,,
"10702000310","10702-0003-10",,"Q0170",,1/16/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",1000,"EA","BO","PO","EA",25,"MG",1,1/16/2007,,,,,,,
"10702000401","10702-0004-01",,"Q0170",,1/16/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 50 MG",100,"EA","BO","PO","EA",25,"MG",2,1/16/2007,,,,,,,
"10768708501","10768-7085-01",,"J7506",,5/12/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",100,"EA","BO","PO","EA",5,"MG",4,5/12/2006,,,,,,,
"10768728301","10768-7283-01",,"J7506",,5/12/2006,12/11/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP,BLISTER PACK) 10 MG",21,"EA","DP","PO","EA",5,"MG",2,5/12/2006,,,,,,,
"10768728302","10768-7283-02",,"J7506",,5/12/2006,12/11/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP,BLISTER PACK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,5/12/2006,,,,,,,
"10768728303","10768-7283-03",,"J7506",,5/12/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 10 MG",100,"EA","BO","PO","EA",5,"MG",2,5/12/2006,,,,,,,
"10768728304","10768-7283-04",,"J7506",,5/12/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,5/12/2006,,,,,,,
"10768773301","10768-7733-01",,"J7506",,5/12/2006,12/11/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP,BLISTER PACK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,5/12/2006,,,,,,,
"10768773302","10768-7733-02",,"J7506",,5/12/2006,12/11/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP,BLISTER PACK) 5 MG",48,"EA","DP","PO","EA",5,"MG",1,5/12/2006,,,,,,,
"10768773303","10768-7733-03",,"J7506",,5/12/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 5 MG",100,"EA","BO","PO","EA",5,"MG",1,5/12/2006,,,,,,,
"10768773304","10768-7733-04",,"J7506",,5/12/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,5/12/2006,,,,,,,
"10892011265","10892-0112-65",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DYTUSS 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"10956059304","10956-0593-04",,"Q0163",,1/1/2002,3/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALER-DRYL 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"10956060124","10956-0601-24",,"Q0163",,1/1/2002,11/1/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP-ETTES D 50 MG",24,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"10956060148","10956-0601-48",,"Q0163",,1/1/2002,11/1/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP-ETTES D 50 MG",48,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"10956060724","10956-0607-24",,"Q0163",,1/1/2002,11/1/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALER-DRYL 50 MG",24,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"10956060748","10956-0607-48",,"Q0163",,1/1/2002,11/1/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALER-DRYL 50 MG",48,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"10956075024","10956-0750-24",,"Q0163",,11/2/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP-ETTES D 50 MG",24,"EA","NA","PO","EA",50,"MG",1,11/2/2004,,,,,,,
"10956075048","10956-0750-48",,"Q0163",,11/2/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP-ETTES D 50 MG",48,"EA","BO","PO","EA",50,"MG",1,11/2/2004,,,,,,,
"10956075124","10956-0751-24",,"Q0163",,11/2/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALER-DRYL 50 MG",24,"EA","BX","PO","EA",50,"MG",1,11/2/2004,,,,,,,
"10956075148","10956-0751-48",,"Q0163",,11/2/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALER-DRYL 50 MG",48,"EA","BO","PO","EA",50,"MG",1,11/2/2004,,,,,,,
"10960059024","10960-0590-24",,"Q0163",,1/1/2002,5/20/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLER-MED (CAPLET) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"11098001001","11098-0010-01",,"J1790",,1/1/2002,6/3/2009,"INJECTION, DROPERIDOL, UP TO 5 MG","INAPSINE (AMP) 2.5 MG/ML",1,"ML","AM","IJ","ML",5,"MG",0.5,1/1/2002,6/3/2009,,,,,,
"11098001002","11098-0010-02",,"J1790",,1/1/2002,6/3/2009,"INJECTION, DROPERIDOL, UP TO 5 MG","INAPSINE (AMP) 2.5 MG/ML",2,"ML","AM","IJ","ML",5,"MG",0.5,1/1/2002,6/3/2009,,,,,,
"11098003002","11098-0030-02",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","SUBLIMAZE (AMP) 0.05 MG/ML",2,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"11098003005","11098-0030-05",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","SUBLIMAZE (AMP) 0.05 MG/ML",5,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"11098003010","11098-0030-10",,"J3010",,1/1/2002,3/15/2007,"INJECTION, FENTANYL CITRATE, 0.1 MG","SUBLIMAZE (AMP) 0.05 MG/ML",10,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"11098003020","11098-0030-20",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","SUBLIMAZE (AMP) 0.05 MG/ML",20,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"11098005001","11098-0050-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTA (AMP) 50 MCG/ML",1,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"11098005002","11098-0050-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTA (AMP) 50 MCG/ML",2,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"11098005005","11098-0050-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTA (AMP) 50 MCG/ML",5,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"11098052603","11098-0526-03",,"J0470",,1/1/2002,,"INJECTION, DIMERCAPROL, PER 100 MG","BAL IN OIL (AMP) 10%",3,"ML","AM","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"11098053301","11098-0533-01",,"J1600",,6/21/2002,,"INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG","MYOCHRYSINE (VIAL) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,6/21/2002,,,,,,,
"11098053310","11098-0533-10",,"J1600",,6/21/2002,,"INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG","MYOCHRYSINE (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,6/21/2002,,,,,,,
"11584101602","11584-1016-02",,"J2360",,1/1/2002,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","MIO-REL (AMP) 30 MG/ML",2,"ML","AM","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"11584101605","11584-1016-05",,"J2360",,1/1/2002,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","MIO-REL (AMP) 30 MG/ML",2,"ML","AM","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"11584102501","11584-1025-01",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","NEUROFORTE-R (VIAL) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"11743021002","11743-0210-02",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (HEMOCHRON RXDX,VIAL) 1000 U/ML",10,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"11743025001","11743-0250-01",,"J2720",,1/1/2002,5/2/2005,"INJECTION, PROTAMINE SULFATE, PER 10 MG","PROTAMINE SULFATE (HEMOCHRON RXDX,M.D.V.) 10 MG/ML",25,"ML","VL","IV","ML",10,"MG",1,1/1/2002,,,,,,,
"11822052710","11822-0527-10",,"Q0163",,5/2/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","RITE AID ALLERGY (AF,SF,DYE-FREE) 12.5 MG/5 ML",118,"ML","NA","PO","ML",50,"MG",0.05,5/2/2006,,,,,,,
"11845089601","11845-0896-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLERGY RELIEF MEDICINE 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"11845089607","11845-0896-07",,"Q0163",,1/1/2002,9/24/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLERGY RELIEF MEDICINE (COMPLETE) 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"11926061616","11926-0616-16",,"Q0163",,1/1/2002,12/3/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEPINAL 50 MG",16,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"11926061632","11926-0616-32",,"Q0163",,1/1/2002,12/3/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEPINAL 50 MG",32,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"11926062108","11926-0621-08",,"Q0163",,1/1/2002,7/15/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEPINAL (SOFTGEL) 50 MG",8,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"11994000505","11994-0005-05",,"J1245",,1/1/2002,10/6/2003,"INJECTION, DIPYRIDAMOLE, PER 10 MG","IV PERSANTINE (VIAL) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"11994001104","11994-0011-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","DEFINITY (VIAL,GLASS)",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"12120502503","12120-5025-03",,"J2675",,1/1/2002,11/12/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"12120502603","12120-5026-03",,"J2675",,1/1/2002,11/12/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE,MICRONIZED)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"12280005730","12280-0057-30",,"Q0144",,3/21/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 600 MG",30,"EA","BO","PO","EA",1,"GM",0.6,3/21/2005,,,,,,,
"12280006824","12280-0068-24",,"Q0163",,7/12/2005,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL (DYE-FREE,SOFTGEL) 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,7/12/2005,4/1/2009,,,,,,
"12280006830","12280-0068-30",,"Q0163",,3/21/2005,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,3/21/2005,4/1/2009,,,,,,
"12280007215","12280-0072-15",,"J2941",,3/21/2005,4/1/2009,"INJECTION, SOMATROPIN, 1 MG","NORDITROPIN NORDIFLEX 5 MG/1.5 ML",1.5,"ML","SR","SC","ML",1,"MG",3.33333,3/21/2005,4/1/2009,,,,,,
"12280007310","12280-0073-10",,"J0696",,3/21/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (10 VIALS X 6ML) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,3/21/2005,,,,,,,
"12280009215","12280-0092-15",,"J2941",,3/23/2005,4/1/2009,"INJECTION, SOMATROPIN, 1 MG","NORDITROPIN 5 MG/1.5 ML",1.5,"ML","CT","SC","ML",1,"MG",3.33333,3/23/2005,4/1/2009,,,,,,
"12280009430","12280-0094-30",,"J7644",,3/30/2005,4/1/2009,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,3/30/2005,4/1/2009,,,,,,
"12280009430","12280-0094-30","KO","J7644","KO",3/30/2005,4/1/2009,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,3/30/2005,4/1/2009,,,,,,
"12280010930","12280-0109-30",,"Q0144",,3/24/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,3/24/2005,,,,,,,
"12280013930","12280-0139-30",,"J7500",,4/21/2005,4/1/2009,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,4/21/2005,4/1/2009,,,,,,
"12280018500","12280-0185-00",,"Q0163",,6/22/2005,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,6/22/2005,4/1/2009,,,,,,
"12280020504","12280-0205-04",,"Q0177",,6/29/2005,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VISTARIL 25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.2,6/29/2005,,,,,,,
"12280022710","12280-0227-10",,"J1200",,8/8/2005,4/1/2009,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,8/8/2005,4/1/2009,,,,,,
"12280022901","12280-0229-01",,"J2800",,8/16/2005,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","ROBAXIN 100 MG/ML",10,"ML","VL","IJ","ML",10,"ML",0.1,8/16/2005,,,,,,,
"12280023001","12280-0230-01",,"J2001",,8/16/2005,4/1/2009,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (LATEX-FREE) 2%",50,"ML","NA","IJ","ML",10,"MG",2,8/16/2005,4/1/2009,,,,,,
"12280023201","12280-0232-01",,"J2930",,8/18/2005,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,8/18/2005,,,,,,,
"12280023301","12280-0233-01",,"A4216",,8/18/2005,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION BACTERIOSTATIC (LATEX-FREE)",30,"ML","VL","IV","ML",10,"ML",0.1,8/18/2005,,,,,,,
"12280024125","12280-0241-25",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"12280024125","12280-0241-25",,"J7613",,4/1/2008,4/1/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,4/1/2009,,,,,,
"12280024125","12280-0241-25","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"12280024125","12280-0241-25","KO","J7613","KO",4/1/2008,4/1/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,4/1/2009,,,,,,
"12280025601","12280-0256-01",,"J1030",,5/19/2006,4/1/2009,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL 40 MG/ML",1,"ML","VL","IJ","ML",40,"MG",1,5/19/2006,4/1/2009,,,,,,
"12280025605","12280-0256-05",,"J1030",,12/14/2005,4/1/2009,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL 40 MG/ML",5,"ML","VL","IJ","ML",40,"MG",1,12/14/2005,4/1/2009,,,,,,
"12280026806","12280-0268-06",,"Q0144",,3/8/2006,4/1/2009,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (1X6) 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,3/8/2006,4/1/2009,,,,,,
"12280026903","12280-0269-03",,"Q0144",,3/8/2006,4/1/2009,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (1X3) 500 MG",3,"EA","DP","PO","EA",1,"GM",0.5,3/8/2006,4/1/2009,,,,,,
"12280027630","12280-0276-30",,"Q0175",,3/21/2006,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",30,"EA","BO","PO","EA",4,"MG",1,3/21/2006,,,,,,,
"12280027660","12280-0276-60",,"Q0175",,3/21/2006,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",60,"EA","BO","PO","EA",4,"MG",1,3/21/2006,,,,,,,
"12280027690","12280-0276-90",,"Q0175",,3/21/2006,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",90,"EA","BO","PO","EA",4,"MG",1,3/21/2006,,,,,,,
"12280027730","12280-0277-30",,"Q0176",,3/21/2006,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",30,"EA","BO","PO","EA",8,"MG",1,3/21/2006,,,,,,,
"12280027760","12280-0277-60",,"Q0176",,3/21/2006,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",60,"EA","BO","PO","EA",8,"MG",1,3/21/2006,,,,,,,
"12280027790","12280-0277-90",,"Q0176",,3/21/2006,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",90,"EA","BO","PO","EA",8,"MG",1,3/21/2006,,,,,,,
"12280034630","12280-0346-30",,"J8999",,1/9/2008,4/1/2009,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","ARIMIDEX 1 MG",30,"EA","BO","PO","EA",1,"EA",1,1/9/2008,4/1/2009,,,,,,
"12280045610","12280-0456-10",,"J1885",,10/4/2005,8/1/2007,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE 30 MG/ML",2,"ML","NA","IM","ML",15,"MG",2,10/4/2005,,,,,,,
"12496075701","12496-0757-01",,"J0592",,1/1/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENEX (AMP) 0.3 MG/ML",1,"ML","AM","IJ","ML",0.1,"MG",3.24,1/1/2003,,,,,,,
"12496075701","12496-0757-01",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENEX (AMP) 0.3 MG/ML",1,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"12547017021","12547-0170-21",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL (DYE-FREE,SOFTGEL) 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"12547017031","12547-0170-31",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL (ULTRATAB) 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"12547017033","12547-0170-33",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL (ULTRATAB) 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"12547017055","12547-0170-55",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL ALLERGY (AF,CHERRY) 12.5 MG/5 ML",240,"ML","NA","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"12547017136","12547-0171-36",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL (ULTRATAB) 25 MG",48,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"12547017137","12547-0171-37",,"Q0163",,11/17/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL ALLERGY (CHILDREN'S,AF,SF) 12.5 MG/5 ML",118,"ML","NA","PO","ML",50,"MG",0.05,11/17/2003,,,,,,,
"12547017238","12547-0172-38",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL ALLERGY 12.5 MG",24,"EA","NA","PO","EA",50,"MG",0.25,1/1/2002,,,,,,,
"12547170210","12547-1702-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL (DYE-FREE,SOFTGEL) 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"12547170310","12547-1703-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL (ULTRATAB) 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"12547170330","12547-1703-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL (ULTRATAB) 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"12547170550","12547-1705-50",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL ALLERGY (AF,CHERRY) 12.5 MG/5 ML",240,"ML","EA","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"12547171360","12547-1713-60",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL (ULTRATAB) 25 MG",48,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"12547171370","12547-1713-70",,"Q0163",,11/17/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL ALLERGY (CHILDREN'S,AF,SF) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,11/17/2003,,,,,,,
"12547172380","12547-1723-80",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","BENADRYL ALLERGY 12.5 MG",24,"EA","NA","PO","EA",50,"MG",0.25,1/1/2002,,,,,,,
"12810037926","12810-0379-26",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ANTIHISTAMINE 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"13411013101","13411-0131-01",,"Q0144",,8/23/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",10,"EA","BO","PO","EA",1,"GM",0.25,8/23/2006,,,,,,,
"13411013103","13411-0131-03",,"Q0144",,6/1/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,6/1/2005,,,,,,,
"13411013106","13411-0131-06",,"Q0144",,8/23/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",60,"EA","BO","PO","EA",1,"GM",0.25,8/23/2006,,,,,,,
"13411013109","13411-0131-09",,"Q0144",,8/23/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",90,"EA","BO","PO","EA",1,"GM",0.25,8/23/2006,,,,,,,
"13411013115","13411-0131-15",,"Q0144",,8/23/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",15,"EA","BO","PO","EA",1,"GM",0.25,8/23/2006,,,,,,,
"13411018201","13411-0182-01",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",10,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13411018203","13411-0182-03",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13411018206","13411-0182-06",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13411018209","13411-0182-09",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",90,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13411018210","13411-0182-10",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13411018301","13411-0183-01",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",10,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13411018303","13411-0183-03",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13411018306","13411-0183-06",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",60,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13411018309","13411-0183-09",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",90,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13411018310","13411-0183-10",,"J8499",,8/23/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,8/23/2006,,,,,,,
"13436070001","13436-0700-01",,"J0170",,8/3/2005,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","TWINJECT (0.3MG DELIVERY) 1 MG/ML",0.3,"ML","SR","IJ","EA",1,"ML",1,8/3/2005,,,,,,,
"13436070002","13436-0700-02",,"J0170",,8/3/2005,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","TWINJECT (0.3MG DELIVERY) 1 MG/ML",0.3,"ML","SR","IJ","EA",1,"ML",1,8/3/2005,,,,,,,
"13436070101","13436-0701-01",,"J0170",,8/3/2005,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","TWINJECT (0.15MG DELIVERY) 1 MG/ML",0.15,"ML","SR","IJ","EA",1,"ML",1,8/3/2005,,,,,,,
"13436070102","13436-0701-02",,"J0170",,8/3/2005,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","TWINJECT (0.15MG DELIVERY) 1 MG/ML",0.15,"ML","SR","IJ","EA",1,"ML",1,8/3/2005,,,,,,,
"13533060130","13533-0601-30",,"J0256",,10/20/2005,,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","PROLASTIN (W/20ML DILUENT,PF) 500 MG",500,"MG","VL","IV","EA",10,"MG",0.1,10/20/2005,,,,,,,
"13533060135","13533-0601-35",,"J0256",,10/20/2005,,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","PROLASTIN (W/40ML DILUENT,PF) 1000 MG",1000,"MG","VL","IV","EA",10,"MG",0.1,10/20/2005,,,,,,,
"13533060320","13533-0603-20",,"J7197",,10/14/2006,,"ANTITHROMBIN III (HUMAN), PER I.U.","THROMBATE III (W/DILUENT,~500IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,10/14/2006,,,,,,,
"13533060330","13533-0603-30",,"J7197",,10/14/2006,,"ANTITHROMBIN III (HUMAN), PER I.U.","THROMBATE III (W/DILUENT,~1000IU/VIAL) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,10/14/2006,,,,,,,
"13533063102","13533-0631-02",,"J2792",,12/21/2005,,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","HYPERRHO S/D (FULL DOSE,PF)",1,"ML","SR","IM","ML",100,"IU",15,12/21/2005,,,,,,,
"13533063106","13533-0631-06",,"J2792",,12/21/2005,,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","HYPERRHO S/D (MINI-DOSE)",0.17,"ML","SR","IM","ML",100,"IU",12.5,12/21/2005,,,,,,,
"13533063402","13533-0634-02",,"J1670",,10/14/2006,,"INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS","HYPERTET S/D (PF) 250 U",1,"ML","SR","IM","ML",250,"U",1,10/14/2006,,,,,,,
"13533063503","13533-0635-03",,"J1460",,1/17/2008,,"INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC","GAMASTAN S/D (1X2ML,PF,LATEX-FREE)",2,"ML","SR","IM","ML",1,"ML",1,1/17/2008,,,,,,,
"13533063504","13533-0635-04",,"J1460",,10/4/2005,,"INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC","GAMASTAN S/D (S.D.V.,PF)",2,"ML","VL","IM","ML",1,"ML",1,10/4/2005,,,,,,,
"13533063512","13533-0635-12",,"J1460",,10/4/2005,,"INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC","GAMASTAN S/D (S.D.V.,PF)",10,"ML","VL","IM","ML",1,"ML",1,10/4/2005,,,,,,,
"13533063601","13533-0636-01",,"J3590",,10/14/2006,,"UNCLASSIFIED BIOLOGICS","HYPERHEP B S/D (PF)",1,"ML","VL","IM","ML",1,"EA",1,10/14/2006,,,,,,,
"13533063602","13533-0636-02",,"J3590",,1/18/2006,,"UNCLASSIFIED BIOLOGICS","HYPERHEP B S/D (SINGLE DOSE,PF)",1,"ML","SR","IM","ML",1,"EA",1,1/18/2006,,,,,,,
"13533063603","13533-0636-03",,"J3590",,1/18/2006,,"UNCLASSIFIED BIOLOGICS","HYPERHEP B S/D (NEONATAL SINGLE DOSE,PF)",0.5,"ML","SR","IM","ML",1,"EA",1,1/18/2006,,,,,,,
"13533063605","13533-0636-05",,"J3590",,1/18/2006,,"UNCLASSIFIED BIOLOGICS","HYPERHEP B S/D (SDV,PF)",5,"ML","VL","IM","ML",1,"EA",1,1/18/2006,,,,,,,
"13533064512","13533-0645-12",,"J1561",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"13533064512","13533-0645-12",,"Q4092",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"13533064515","13533-0645-15",,"J1561",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",25,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"13533064515","13533-0645-15",,"Q4092",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",25,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"13533064520","13533-0645-20",,"J1561",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"13533064520","13533-0645-20",,"Q4092",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"13533064524","13533-0645-24",,"J1561",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"13533064524","13533-0645-24",,"Q4092",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"13533064571","13533-0645-71",,"J1561",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.2,1/1/2008,,,,,,,
"13533064571","13533-0645-71",,"Q4092",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","GAMUNEX (PF) 100 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.2,7/1/2007,,,,,,,
"13533066520","13533-0665-20",,"J7190",,11/1/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","KOATE-DVI (250IU) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,11/1/2007,,,,,,,
"13533066530","13533-0665-30",,"J7190",,11/1/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","KOATE-DVI (500IU) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,11/1/2007,,,,,,,
"13533066550","13533-0665-50",,"J7190",,11/1/2007,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","KOATE-DVI (1000IU) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,11/1/2007,,,,,,,
"13632012301","13632-0123-01",,"J8999",,7/10/2006,1/1/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","SOLTAMOX (SF,LICORICE) 10 MG/5 ML",120,"ML","BO","PO","ML",1,"EA",1,7/10/2006,1/1/2008,,,,,,
"15054104005","15054-1040-05",,"J2170",,1/1/2007,,"INJECTION, MECASERMIN, 1 MG","INCRELEX (10X4ML,M.D.V.) 10 MG/ML",4,"ML","VL","SC","ML",1,"MG",10,1/1/2007,,,,,,,
"15054104005","15054-1040-05",,"J3490",,11/1/2005,12/31/2006,"UNCLASSIFIED DRUGS","INCRELEX (10X4ML,M.D.V.) 10 MG/ML",4,"ML","VL","SC","ML",1,"EA",1,11/1/2005,,,,,,,
"15210006112","15210-0061-12",,"J9045",,1/15/2007,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,1/15/2007,,,,,,,
"15210006312","15210-0063-12",,"J9045",,1/15/2007,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,1/15/2007,,,,,,,
"15210006612","15210-0066-12",,"J9045",,1/15/2007,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,1/15/2007,,,,,,,
"15210006712","15210-0067-12",,"J9045",,1/15/2007,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV) 10 MG/ML",60,"ML","VL","IV","ML",50,"MG",0.2,1/15/2007,,,,,,,
"15210040111","15210-0401-11",,"J2430",,7/12/2006,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","OTN PAMIDRONATE DISODIUM 3 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.1,7/12/2006,,,,,,,
"15210040211","15210-0402-11",,"J2430",,7/12/2006,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","OTN PAMIDRONATE DISODIUM 9 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.3,7/12/2006,,,,,,,
"15210040335","15210-0403-35",,"J9293",,8/14/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","OTN MITOXANTRONE (USP,MDV,PF,CONCENTRATE) 2 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.4,8/14/2006,,,,,,,
"15210040336","15210-0403-36",,"J9293",,7/31/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","OTN MITOXANTRONE (MDV,USP,PF,CONCENTRATE) 2 MG/ML",12.5,"ML","NA","IV","ML",5,"MG",0.4,7/31/2006,,,,,,,
"15210040337","15210-0403-37",,"J9293",,8/14/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","OTN MITOXANTRONE (USP,MDV,PF,CONCENTRATE) 2 MG/ML",15,"ML","VL","IV","ML",5,"MG",0.4,8/14/2006,,,,,,,
"15686011103","15686-0111-03",,"A4216",,4/2/2007,7/10/2008,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (USP,100X3ML,LATEX-FREE) 0.9%",3,"ML","PC","IH","ML",10,"ML",0.1,4/2/2007,7/10/2008,,,,,,
"15686011105","15686-0111-05",,"A4216",,4/2/2007,7/10/2008,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (USP,100X5ML,LATEX-FREE) 0.9%",5,"ML","PC","IH","ML",10,"ML",0.1,4/2/2007,7/10/2008,,,,,,
"15927322000","15927-3220-00",,"J7799",,9/8/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE (BASE)",1,"EA","BO","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"16252009722","16252-0097-22",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (25X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"16252009722","16252-0097-22",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (25X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"16252009722","16252-0097-22","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (25X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"16252009722","16252-0097-22","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (25X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"16252009733","16252-0097-33",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (30X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"16252009733","16252-0097-33",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (30X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"16252009733","16252-0097-33","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (30X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"16252009733","16252-0097-33","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (30X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"16252009766","16252-0097-66",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (60X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"16252009766","16252-0097-66",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (60X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"16252009766","16252-0097-66","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (60X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"16252009766","16252-0097-66","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (60X3ML,LDPE) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"16252009822","16252-0098-22",,"J7644",,4/1/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (25X2.5ML,LDPE) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/1/2006,,,,,,,
"16252009822","16252-0098-22","KO","J7644","KO",4/1/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (25X2.5ML,LDPE) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/1/2006,,,,,,,
"16252009833","16252-0098-33",,"J7644",,4/1/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (30X2.5ML,LDPE) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/1/2006,,,,,,,
"16252009833","16252-0098-33","KO","J7644","KO",4/1/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (30X2.5ML,LDPE) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/1/2006,,,,,,,
"16252009866","16252-0098-66",,"J7644",,4/1/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (60X2.5ML,LDPE) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/1/2006,,,,,,,
"16252009866","16252-0098-66","KO","J7644","KO",4/1/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (60X2.5ML,LDPE) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/1/2006,,,,,,,
"16252053608","16252-0536-08",,"J8515",,5/1/2008,,"CABERGOLINE, ORAL, 0.25 MG","CABERGOLINE 0.5 MG",8,"EA","BO","PO","EA",0.25,"MG",2,5/1/2008,,,,,,,
"16252054733","16252-0547-33",,"J7620",,12/31/2007,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE/ALBUTEROL SULFATE (30X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","VL","IH","ML",2.5,"MG",0.33333,12/31/2007,,,,,,,
"16252054766","16252-0547-66",,"J7620",,12/31/2007,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","IPRATROPIUM BROMIDE/ALBUTEROL SULFATE (60X3ML) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","VL","IH","ML",2.5,"MG",0.33333,12/31/2007,,,,,,,
"16477051008","16477-0510-08",,"J8499",,4/30/2008,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","MILLIPRED (1X237ML,AF,DYE-FREE) 10 MG/5 ML",237,"ML","BO","PO","ML",1,"EA",1,4/30/2008,,,,,,,
"16500010200","16500-0102-00",,"Q0163",,1/1/2002,1/1/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MILES NERVINE 25 MG",30,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"16500010220","16500-0102-20",,"Q0163",,1/1/2002,1/1/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MILES NERVINE 25 MG",12,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"16590000330","16590-0003-30",,"J8499",,2/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,2/1/2006,,,,,,,
"16590000360","16590-0003-60",,"J8499",,2/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",60,"EA","BO","PO","EA",1,"EA",1,2/1/2006,,,,,,,
"16590007820","16590-0078-20",,"Q0163",,2/1/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,2/1/2006,,,,,,,
"16590007920","16590-0079-20",,"Q0163",,2/1/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 50 MG",20,"EA","BO","PO","EA",50,"MG",1,2/1/2006,,,,,,,
"16590014921","16590-0149-21",,"J7509",,1/1/2006,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPRED-DP 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2006,,,,,,,
"16590019110","16590-0191-10",,"Q0170",,4/1/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,4/1/2007,,,,,,,
"16590019115","16590-0191-15",,"Q0170",,2/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",15,"EA","BO","PO","EA",25,"MG",1,2/1/2006,,,,,,,
"16590019120","16590-0191-20",,"Q0170",,6/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,6/1/2006,,,,,,,
"16590019130","16590-0191-30",,"Q0170",,2/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,2/1/2006,,,,,,,
"16590019160","16590-0191-60",,"Q0170",,2/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,2/1/2006,,,,,,,
"16590019190","16590-0191-90",,"Q0170",,2/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",90,"EA","BO","PO","EA",25,"MG",1,2/1/2006,,,,,,,
"16590019312","16590-0193-12",,"J8498",,2/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,2/1/2006,,,,,,,
"16590019412","16590-0194-12",,"J8498",,2/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,2/1/2006,,,,,,,
"16590024010","16590-0240-10",,"Q0173",,2/1/2006,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE 250 MG",10,"EA","NA","PO","EA",250,"MG",1,2/1/2006,,,,,,,
"16590024020","16590-0240-20",,"Q0173",,2/1/2006,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE 250 MG",20,"EA","NA","PO","EA",250,"MG",1,2/1/2006,,,,,,,
"16590024806","16590-0248-06",,"Q0144",,2/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX Z-PAK 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,2/1/2006,,,,,,,
"16590032610","16590-0326-10",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,6/1/2006,,,,,,,
"16590032620","16590-0326-20",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,6/1/2006,,,,,,,
"16590032621","16590-0326-21",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,6/1/2006,,,,,,,
"16590032630","16590-0326-30",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,6/1/2006,,,,,,,
"16590032645","16590-0326-45",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",45,"EA","BO","PO","EA",5,"MG",4,6/1/2006,,,,,,,
"16590032660","16590-0326-60",,"J7506",,11/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",60,"EA","BO","PO","EA",5,"MG",4,11/1/2007,,,,,,,
"16590032710","16590-0327-10",,"Q0165",,4/1/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,4/1/2007,,,,,,,
"16590035709","16590-0357-09",,"Q0177",,5/1/2006,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",9,"EA","BO","PO","EA",25,"MG",1,5/1/2006,,,,,,,
"16590035712","16590-0357-12",,"Q0177",,5/1/2006,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",12,"EA","BO","PO","EA",25,"MG",1,5/1/2006,,,,,,,
"16590035720","16590-0357-20",,"Q0177",,5/1/2006,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,5/1/2006,,,,,,,
"16590035730","16590-0357-30",,"Q0177",,5/1/2006,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,5/1/2006,,,,,,,
"16590036206","16590-0362-06",,"Q0144",,12/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,12/1/2006,,,,,,,
"16590037020","16590-0370-20",,"J8499",,6/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",20,"EA","BO","PO","EA",1,"EA",1,6/1/2006,,,,,,,
"16590037030","16590-0370-30",,"J8499",,6/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,6/1/2006,,,,,,,
"16590037040","16590-0370-40",,"J8499",,6/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",40,"EA","BO","PO","EA",1,"EA",1,6/1/2006,,,,,,,
"16590040410","16590-0404-10",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",10,"EA","BO","PO","EA",5,"MG",2,6/1/2006,,,,,,,
"16590040420","16590-0404-20",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,6/1/2006,,,,,,,
"16590040421","16590-0404-21",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,6/1/2006,,,,,,,
"16590040430","16590-0404-30",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,6/1/2006,,,,,,,
"16590040445","16590-0404-45",,"J7506",,6/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",45,"EA","BO","PO","EA",5,"MG",2,6/1/2006,,,,,,,
"16714022130","16714-0221-30",,"Q0166",,5/15/2008,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (FILM-COATED) 1 MG",2,"EA","BX","PO","EA",1,"MG",1,5/15/2008,,,,,,,
"16714022132","16714-0221-32",,"Q0166",,5/15/2008,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (2X10,FILM-COATED) 1 MG",20,"EA","BX","PO","EA",1,"MG",1,5/15/2008,,,,,,,
"16887021101","16887-0211-01",,"J0364",,1/1/2007,6/23/2009,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOKYN 10 MG/ML",3,"ML","CT","SC","ML",1,"MG",10,1/1/2007,6/23/2009,,,,,,
"16887021101","16887-0211-01",,"J3490",,12/15/2006,12/31/2006,"UNCLASSIFIED DRUGS","APOKYN 10 MG/ML",3,"ML","CT","SC","ML",1,"EA",1,12/15/2006,,,,,,,
"16887021105","16887-0211-05",,"J0364",,1/1/2007,6/23/2009,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOKYN (5X3ML) 10 MG/ML",3,"ML","CT","SC","ML",1,"MG",10,1/1/2007,6/23/2009,,,,,,
"16887021105","16887-0211-05",,"J3490",,12/15/2006,12/31/2006,"UNCLASSIFIED DRUGS","APOKYN (5X3ML) 10 MG/ML",3,"ML","CT","SC","ML",1,"EA",1,12/15/2006,,,,,,,
"17236049501","17236-0495-01",,"J8999",,10/1/2002,4/1/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",100,"EA","BO","PO","EA",1,"EA",1,10/1/2002,,,,,,,
"17236051601","17236-0516-01",,"Q0163",,1/1/2002,1/1/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"17236051610","17236-0516-10",,"Q0163",,1/1/2002,1/1/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"17236051801","17236-0518-01",,"Q0163",,1/1/2002,1/1/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"17236051810","17236-0518-10",,"Q0163",,1/1/2002,1/1/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"17236069701","17236-0697-01",,"J8999",,10/1/2002,4/1/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 20 MG",100,"EA","BO","PO","EA",1,"EA",1,10/1/2002,,,,,,,
"17236085401","17236-0854-01",,"J8499",,1/1/2002,8/31/2004,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"17236085501","17236-0855-01",,"J8499",,1/1/2002,4/1/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"17236090501","17236-0905-01",,"Q0163",,10/1/2002,1/1/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET,CAPLET) 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,10/1/2002,,,,,,,
"17236090510","17236-0905-10",,"Q0163",,10/1/2002,1/1/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET,CAPLET) 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,10/1/2002,,,,,,,
"17314725303","17314-7253-03",,"J0207",,1/1/2002,1/2/2002,"INJECTION, AMIFOSTINE, 500 MG","ETHYOL (S.D.V.) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"17314960001","17314-9600-01",,"J9001",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, ALL LIPID FORMULATIONS, 10 MG","DOXIL (S.D.V.,STEALTH LIPOSOME) 2 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"17314960002","17314-9600-02",,"J9001",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, ALL LIPID FORMULATIONS, 10 MG","DOXIL (S.D.V.,STEALTH LIPOSOME) 2 MG/ML",25,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"17317002201","17317-0022-01",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","VL","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"17317002204","17317-0022-04",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","VL","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"17317002205","17317-0022-05",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","VL","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"17317003602","17317-0036-02",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317003602","17317-0036-02","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317003605","17317-0036-05",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317003605","17317-0036-05","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317003607","17317-0036-07",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317003607","17317-0036-07","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","VL","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317004901","17317-0049-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","NA","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317004904","17317-0049-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","NA","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317004905","17317-0049-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","NA","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317007301","17317-0073-01",,"J0706",,1/1/2002,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"17317007304","17317-0073-04",,"J0706",,1/1/2002,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"17317007305","17317-0073-05",,"J0706",,1/1/2002,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"17317007308","17317-0073-08",,"J0706",,1/1/2002,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"17317014603","17317-0146-03",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317014605","17317-0146-05",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317014606","17317-0146-06",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317019901","17317-0199-01",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P,MICRONIZED)",1,"EA","NA","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"17317019902","17317-0199-02",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"17317019903","17317-0199-03",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"17317019908","17317-0199-08",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"17317034501","17317-0345-01",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"17317034505","17317-0345-05",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE HEPTAHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"17317034508","17317-0345-08",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"17317034601","17317-0346-01",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (PURIFIED, U.S.P./F.C.C.)",1,"EA","FC","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"17317034605","17317-0346-05",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (PURIFIED, U.S.P./F.C.C.)",1,"EA","FC","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"17317034608","17317-0346-08",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (PURIFIED, U.S.P./F.C.C.)",1,"EA","FC","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"17317039801","17317-0398-01",,"J2440",,1/1/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"17317039804","17317-0398-04",,"J2440",,1/1/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"17317041301","17317-0413-01",,"J2560",,1/1/2002,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","SODIUM PHENOBARBITAL (U.S.P.)",1,"EA","BO","NA","GM",120,"MG",8.33333,1/1/2002,,,,,,,
"17317041702","17317-0417-02",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317041703","17317-0417-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317041705","17317-0417-05",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317043801","17317-0438-01",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P., F.C.C.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"17317043805","17317-0438-05",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P./F.C.C.)",1,"EA","FC","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"17317043808","17317-0438-08",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P./F.C.C.)",1,"EA","FC","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"17317044702","17317-0447-02",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"17317044703","17317-0447-03",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"17317045502","17317-0455-02",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"17317045502","17317-0455-02",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317045503","17317-0455-03",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"17317045503","17317-0455-03",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317045505","17317-0455-05",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"17317045505","17317-0455-05",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317045506","17317-0455-06",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"17317045506","17317-0455-06",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"17317047708","17317-0477-08",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"17317056702","17317-0567-02",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317056703","17317-0567-03",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317056708","17317-0567-08",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317056802","17317-0568-02",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"17317056803","17317-0568-03",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"17317056808","17317-0568-08",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"17317057101","17317-0571-01",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (ANHYDROUS, U.S.P.)",1,"EA","NA","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"17317057104","17317-0571-04",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (ANHYDROUS, U.S.P.)",1,"EA","NA","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"17317057105","17317-0571-05",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (ANHYDROUS, U.S.P.)",1,"EA","NA","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"17317057108","17317-0571-08",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (ANHYDROUS, U.S.P.)",1,"EA","NA","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"17317059301","17317-0593-01",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"17317059305","17317-0593-05",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"17317059308","17317-0593-08",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"17317062601","17317-0626-01",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317062602","17317-0626-02",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317062603","17317-0626-03",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317062608","17317-0626-08",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317071901","17317-0719-01",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317071901","17317-0719-01","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317071907","17317-0719-07",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317071907","17317-0719-07","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"17317073501","17317-0735-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"17317073501","17317-0735-01",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"17317073502","17317-0735-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"17317073502","17317-0735-02",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"17317073503","17317-0735-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"17317073503","17317-0735-03",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"17317073504","17317-0735-04",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"17317073504","17317-0735-04",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"17317073506","17317-0735-06",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"17317073506","17317-0735-06",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"17317082801","17317-0828-01",,"J1212",,1/1/2002,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (A.C.S., REAGENT)",500,"ML","EA","NA","ML",50,"%",0.02,1/1/2002,,,,,,,
"17317082901","17317-0829-01",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"17317082905","17317-0829-05",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"17317082908","17317-0829-08",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"17317093401","17317-0934-01",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317093402","17317-0934-02",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317093403","17317-0934-03",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317093408","17317-0934-08",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"17317101001","17317-1010-01",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101003","17317-1010-03",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101005","17317-1010-05",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101008","17317-1010-08",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101101","17317-1011-01",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101105","17317-1011-05",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101108","17317-1011-08",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101109","17317-1011-09",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101201","17317-1012-01",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (REAGENT)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101203","17317-1012-03",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (REAGENT)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317101208","17317-1012-08",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (REAGENT)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"17317141301","17317-1413-01",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE ANHYDROUS (REAGENT)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"17317141303","17317-1413-03",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE ANHYDROUS (REAGENT)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"17317146601","17317-1466-01",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (A.C.S., REAGENT)",1,"EA","NA","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"17317146605","17317-1466-05",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (A.C.S., REAGENT)",1,"EA","NA","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"17317148501","17317-1485-01",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (A.C.S., REAGENT)",1,"EA","NA","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"17317148504","17317-1485-04",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (A.C.S., REAGENT)",1,"EA","NA","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"17317148505","17317-1485-05",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (A.C.S., REAGENT)",1,"EA","NA","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"17317156501","17317-1565-01",,"J3520",,1/1/2002,4/18/2008,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM",1,"EA","NA","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"17317156505","17317-1565-05",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM",1,"EA","NA","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"17317156508","17317-1565-08",,"J3520",,1/1/2002,4/18/2008,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM",1,"EA","NA","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"17317240902","17317-2409-02",,"J0600",,1/1/2002,,"INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG","EDETATE CALCIUM DISODIUM (U.S.P.)",1,"EA","BO","NA","GM",1000,"MG",1,1/1/2002,,,,,,,
"17474012301","17474-0123-01",,"J1642",,3/14/2002,3/14/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,12 ML,LATEX-FREE) 10 U/ML",10,"ML","SR","IV","ML",10,"U",1,3/14/2002,3/14/2002,,,,,,
"17474012302","17474-0123-02",,"J1642",,3/14/2002,8/29/2008,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,3 ML,PF,LATEX-FREE) 10 U/ML",2.5,"ML","SR","IV","ML",10,"U",1,3/14/2002,8/29/2008,,,,,,
"17474012303","17474-0123-03",,"J1642",,3/14/2002,3/14/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,12 ML,PF,LATEX-FREE) 10 U/ML",2.5,"ML","SR","IV","ML",10,"U",1,3/14/2002,3/14/2002,,,,,,
"17474012305","17474-0123-05",,"J1642",,3/14/2002,3/14/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,12 ML,PF,LATEX-FREE) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,3/14/2002,3/14/2002,,,,,,
"17474012501","17474-0125-01",,"J1642",,3/14/2002,3/14/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,12 ML,PF,LATEX-FREE) 100 U/ML",10,"ML","SR","IV","ML",10,"U",10,3/14/2002,3/14/2002,,,,,,
"17474012502","17474-0125-02",,"J1642",,3/14/2002,3/14/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,3 ML,LATEX-FREE) 100 U/ML",2.5,"ML","SR","IV","ML",10,"U",10,3/14/2002,3/14/2002,,,,,,
"17474012503","17474-0125-03",,"J1642",,3/14/2002,3/14/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL ADVANCED HEPARIN LOCK FLUSH (SRN,12 ML,PF,LATEX-FREE) 100 U/ML",2.5,"ML","SR","IV","ML",10,"U",10,3/14/2002,3/14/2002,,,,,,
"17474012505","17474-0125-05",,"J1642",,3/14/2002,3/14/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","MONOJECT PREFILL HEPARIN LOCK FLUSH (SRN,12 ML,PF,LATEX-FREE) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,3/14/2002,3/14/2002,,,,,,
"17474300201","17474-3002-01",,"A4216",,1/1/2007,3/14/2002,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","MONOJECT PREFILL FLUSH (SRN,12 ML) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,3/14/2002,,,,,,
"17474300201","17474-3002-01",,"J2912",,3/14/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","MONOJECT PREFILL FLUSH (SRN,12 ML) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,3/14/2002,,,,,,,
"17474300202","17474-3002-02",,"A4216",,1/1/2007,3/14/2002,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","MONOJECT PREFILL FLUSH (SRN,3 ML) 0.9%",2.5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,3/14/2002,,,,,,
"17474300202","17474-3002-02",,"J2912",,3/14/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","MONOJECT PREFILL FLUSH (SRN,3 ML) 0.9%",2.5,"ML","SR","IV","ML",0.9,"%",0.5,3/14/2002,,,,,,,
"17474300203","17474-3002-03",,"A4216",,1/1/2007,3/14/2002,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","MONOJECT PREFILL FLUSH (SRN,12 ML) 0.9%",2.5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,3/14/2002,,,,,,
"17474300203","17474-3002-03",,"J2912",,3/14/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","MONOJECT PREFILL FLUSH (SRN,12 ML) 0.9%",2.5,"ML","SR","IV","ML",0.9,"%",0.5,3/14/2002,,,,,,,
"17474300205","17474-3002-05",,"A4216",,1/1/2007,3/14/2002,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","MONOJECT PREFILL FLUSH (SRN,12 ML) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,3/14/2002,,,,,,
"17474300205","17474-3002-05",,"J2912",,3/14/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","MONOJECT PREFILL FLUSH (SRN,12 ML) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,3/14/2002,,,,,,,
"17478004001","17478-0040-01",,"J2060",,3/28/2005,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,3/28/2005,,,,,,,
"17478052402","17478-0524-02",,"J2250",,4/29/2005,3/29/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,4/29/2005,,,,,,,
"17478052405","17478-0524-05",,"J2250",,4/29/2005,3/29/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,4/29/2005,,,,,,,
"17478052410","17478-0524-10",,"J2250",,4/29/2005,3/29/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,4/29/2005,,,,,,,
"17478053802","17478-0538-02",,"J2360",,10/1/2006,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (10X2ML) 30 MG/ML",2,"ML","VL","IJ","ML",60,"MG",0.5,10/1/2006,,,,,,,
"17478056001","17478-0560-01",,"J3470",,5/16/2007,4/30/2009,"INJECTION, HYALURONIDASE, UP TO 150 UNITS","HYDASE (6X1ML) 150 U/ML",1,"ML","VL","SC","ML",150,"U",1,5/16/2007,4/30/2009,,,,,,
"17714002001","17714-0020-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"17714002010","17714-0020-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"17714002101","17714-0021-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"17714002110","17714-0021-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"17714004201","17714-0042-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET) 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"17714004224","17714-0042-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPLETE ALLERGY MEDICATION (CAPLET) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"18111000202","18111-0002-02",,"J9206",,2/28/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/28/2008,,,,,,,
"18111000202","18111-0002-02","QR","J9206","QR",2/28/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/28/2008,,,,,,,
"18111000203","18111-0002-03",,"J9206",,2/28/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/28/2008,,,,,,,
"18111000203","18111-0002-03","QR","J9206","QR",2/28/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/28/2008,,,,,,,
"18837003730","18837-0037-30",,"J8540",,9/1/2006,6/1/2007,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",30,"EA","NA","PO","EA",0.25,"MG",16,9/1/2006,,,,,,,
"18837004330","18837-0043-30",,"Q0163",,11/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 50 MG",30,"EA","BX","PO","EA",50,"MG",1,11/1/2007,,,,,,,
"18837008621","18837-0086-21",,"J7509",,6/1/2007,7/1/2009,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE DP 4 MG",21,"EA","DP","PO","EA",4,"MG",1,6/1/2007,7/1/2009,,,,,,
"18837012710","18837-0127-10",,"Q0170",,8/1/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,8/1/2007,,,,,,,
"18837012730","18837-0127-30",,"Q0170",,9/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,9/1/2006,,,,,,,
"18837012745","18837-0127-45",,"Q0170",,9/1/2006,6/1/2007,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",45,"EA","NA","PO","EA",25,"MG",1,9/1/2006,,,,,,,
"18837012760","18837-0127-60",,"Q0170",,9/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,9/1/2006,,,,,,,
"18837012790","18837-0127-90",,"Q0170",,9/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",90,"EA","BO","PO","EA",25,"MG",1,9/1/2006,,,,,,,
"18837018440","18837-0184-40",,"Q0179",,9/1/2006,6/1/2007,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",40,"EA","NA","PO","EA",8,"MG",1,9/1/2006,,,,,,,
"18837021330","18837-0213-30",,"Q0163",,10/26/2006,6/1/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 50 MG",30,"EA","NA","PO","EA",50,"MG",1,10/26/2006,,,,,,,
"18837021398","18837-0213-98",,"Q0163",,10/26/2006,6/1/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 50 MG",120,"EA","NA","PO","EA",50,"MG",1,10/26/2006,,,,,,,
"18837026502","18837-0265-02",,"J7321",,1/1/2008,,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","HYALGAN 10 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,,,,,,,
"18837026502","18837-0265-02",,"Q4083",,6/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","HYALGAN 10 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,6/1/2007,,,,,,,
"18837026721","18837-0267-21",,"J7506",,2/15/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,2/15/2008,,,,,,,
"18837026730","18837-0267-30",,"J7506",,8/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,8/1/2007,,,,,,,
"18837026748","18837-0267-48",,"J7506",,2/15/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",48,"EA","BO","PO","EA",5,"MG",2,2/15/2008,,,,,,,
"18837029930","18837-0299-30",,"Q0163",,2/1/2008,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",30,"EA","BX","PO","EA",50,"MG",0.5,2/1/2008,,,,,,,
"18837033806","18837-0338-06",,"Q0144",,4/15/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,4/15/2008,,,,,,,
"18837035310","18837-0353-10",,"J7506",,9/24/2008,7/1/2009,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,9/24/2008,7/1/2009,,,,,,
"18837035330","18837-0353-30",,"J7506",,5/22/2008,7/1/2009,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,5/22/2008,7/1/2009,,,,,,
"18864021103","18864-0211-03",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SERABRINA LA FRANCE 50 MG/15 ML",480,"ML","NA","PO","ML",50,"MG",0.06666,1/1/2002,,,,,,,
"18864211030","18864-2110-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SERABRINA LA FRANCE 50 MG/15 ML",480,"ML","EA","PO","ML",50,"MG",0.06666,1/1/2002,,,,,,,
"19458507601","19458-5076-01",,"Q0163",,1/1/2002,6/4/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL (MINI-TABS) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,6/4/2007,,,,,,
"19458507602","19458-5076-02",,"Q0163",,1/1/2002,6/4/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL (MINI-TABS) 25 MG",48,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,6/4/2007,,,,,,
"19458916302","19458-9163-02",,"Q0163",,1/1/2002,6/4/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEPING AID 25 MG",16,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,6/4/2007,,,,,,
"20254001801","20254-0018-01",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","NA","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"20254001803","20254-0018-03",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",500,"EA","NA","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"20254020706","20254-0207-06",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET) 25 MG",60,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"20254020710","20254-0207-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET) 25 MG",10,"EA","DP","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"20254020806","20254-0208-06",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET) 50 MG",60,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"20254020810","20254-0208-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (CAPLET) 50 MG",10,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"20694011101","20694-0111-01",,"J1325",,10/1/2006,11/17/2006,"INJECTION, EPOPROSTENOL, 0.5 MG","FLOLAN 0.5 MG",1,"EA","NA","IV","EA",0.5,"MG",1,10/1/2006,,,,,,,
"20694011201","20694-0112-01",,"J1325",,10/1/2006,11/17/2006,"INJECTION, EPOPROSTENOL, 0.5 MG","FLOLAN 1.5 MG",1,"EA","NA","IV","EA",0.5,"MG",3,10/1/2006,,,,,,,
"21695001020","21695-0010-20",,"J8499",,11/30/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",20,"EA","BO","PO","EA",1,"EA",1,11/30/2006,,,,,,,
"21695001025","21695-0010-25",,"J8499",,5/19/2008,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,5/19/2008,,,,,,,
"21695001030","21695-0010-30",,"J8499",,2/1/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,2/1/2007,,,,,,,
"21695001060","21695-0010-60",,"J8499",,11/30/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","BO","PO","EA",1,"EA",1,11/30/2006,,,,,,,
"21695001130","21695-0011-30",,"J8499",,5/19/2008,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,5/19/2008,,,,,,,
"21695001206","21695-0012-06",,"Q0144",,7/19/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,7/19/2007,,,,,,,
"21695008021","21695-0080-21",,"J7509",,1/1/2007,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISONE 4 MG",21,"EA","BO","PO","EA",4,"MG",1,1/1/2007,,,,,,,
"21695017000","21695-0170-00",,"J7507",,12/15/2006,,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF 1 MG",100,"EA","BO","PO","EA",1,"MG",1,12/15/2006,,,,,,,
"21695017100","21695-0171-00",,"J7517",,12/15/2006,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT 250 MG",100,"EA","BO","PO","EA",250,"MG",1,12/15/2006,,,,,,,
"21695020210","21695-0202-10",,"J0696",,2/1/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (SDV) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,2/1/2007,,,,,,,
"21695024101","21695-0241-01",,"J3070",,1/1/2007,,"INJECTION, PENTAZOCINE, 30 MG","TALWIN 30 MG/ML",1,"ML","AM","IJ","ML",30,"MG",1,1/1/2007,,,,,,,
"21695024520","21695-0245-20",,"J7602",,1/24/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/24/2008,,,,,,,
"21695024520","21695-0245-20",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"21695030430","21695-0304-30",,"Q0163",,2/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,2/1/2007,,,,,,,
"21695030490","21695-0304-90",,"Q0163",,9/17/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",90,"EA","BO","PO","EA",50,"MG",0.5,9/17/2007,,,,,,,
"21695030620","21695-0306-20",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,4/1/2007,,,,,,,
"21695030621","21695-0306-21",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,4/1/2007,,,,,,,
"21695030628","21695-0306-28",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",28,"EA","BO","PO","EA",5,"MG",2,4/1/2007,,,,,,,
"21695030630","21695-0306-30",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,4/1/2007,,,,,,,
"21695030642","21695-0306-42",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","BO","PO","EA",5,"MG",2,4/1/2007,,,,,,,
"21695030710","21695-0307-10",,"J7506",,2/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,2/1/2007,,,,,,,
"21695030715","21695-0307-15",,"J7506",,9/3/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,9/3/2008,,,,,,,
"21695030718","21695-0307-18",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","BO","PO","EA",5,"MG",4,4/1/2007,,,,,,,
"21695030720","21695-0307-20",,"J7506",,7/27/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,7/27/2007,,,,,,,
"21695030721","21695-0307-21",,"J7506",,8/14/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,8/14/2008,,,,,,,
"21695030730","21695-0307-30",,"J7506",,2/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,2/1/2007,,,,,,,
"21695031303","21695-0313-03",,"J7322",,1/1/2008,12/31/2009,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC HYLAN G-F (3X2ML SYRINGES) 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,12/31/2009,,,,,,
"21695031303","21695-0313-03",,"Q4084",,2/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC HYLAN G-F (3X2ML SYRINGES) 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,2/1/2007,,,,,,,
"21695033225","21695-0332-25",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (3MLX25) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"21695033225","21695-0332-25",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (3MLX25) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"21695033225","21695-0332-25","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (3MLX25) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"21695033225","21695-0332-25","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (3MLX25) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"21695036508","21695-0365-08",,"J7510",,10/15/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,10/15/2007,,,,,,,
"21695036516","21695-0365-16",,"J7510",,10/15/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,10/15/2007,,,,,,,
"21695037402","21695-0374-02",,"J7321",,1/1/2008,,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","HYALGAN L/L 10 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,,,,,,,
"21695037402","21695-0374-02",,"Q4083",,2/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","HYALGAN L/L 10 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,2/1/2007,,,,,,,
"21695038204","21695-0382-04",,"J8540",,2/1/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",4,"EA","BO","PO","EA",0.25,"MG",16,2/1/2007,,,,,,,
"21695041460","21695-0414-60",,"Q0175",,4/1/2007,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",60,"EA","BO","PO","EA",4,"MG",1,4/1/2007,,,,,,,
"21695041560","21695-0415-60",,"Q0176",,6/27/2007,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE (FILM-COATED) 8 MG",60,"EA","BO","PO","EA",8,"MG",1,6/27/2007,,,,,,,
"21695045310","21695-0453-10",,"Q0170",,4/1/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,4/1/2007,,,,,,,
"21695045315","21695-0453-15",,"Q0170",,1/15/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",15,"EA","BO","PO","EA",25,"MG",1,1/15/2008,,,,,,,
"21695045320","21695-0453-20",,"Q0170",,4/1/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,4/1/2007,,,,,,,
"21695045325","21695-0453-25",,"Q0170",,4/1/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",25,"EA","BO","PO","EA",25,"MG",1,4/1/2007,,,,,,,
"21695050030","21695-0500-30",,"Q0163",,4/15/2008,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,4/15/2008,,,,,,,
"21695057130","21695-0571-30",,"Q0164",,8/22/2008,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,8/22/2008,,,,,,,
"21695057230","21695-0572-30",,"Q0165",,7/24/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (FILM-COATED) 10 MG",30,"EA","BO","PO","EA",10,"MG",1,7/24/2007,,,,,,,
"21695057320","21695-0573-20",,"Q0177",,8/14/2008,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,8/14/2008,,,,,,,
"21695057330","21695-0573-30",,"Q0177",,8/14/2008,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,8/14/2008,,,,,,,
"21695058005","21695-0580-05",,"J7506",,7/25/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",5,"EA","BO","PO","EA",5,"MG",10,7/25/2007,,,,,,,
"21695058710","21695-0587-10",,"J2930",,8/9/2007,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,8/9/2007,,,,,,,
"21695058825","21695-0588-25",,"J1885",,8/9/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC (1MLX25) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,8/9/2007,,,,,,,
"21695064912","21695-0649-12",,"J8498",,11/12/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,11/12/2007,,,,,,,
"21695070304","21695-0703-04",,"Q0170",,3/14/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (1X120ML,FRUIT,TROPICAL) 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,3/14/2008,,,,,,,
"21695072125","21695-0721-25",,"J1940",,3/20/2008,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (25X2ML) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,3/20/2008,,,,,,,
"21695076548","21695-0765-48",,"J7506",,6/9/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",48,"EA","NA","PO","EA",5,"MG",2,6/9/2008,,,,,,,
"23360001602","23360-0016-02",,"J2405",,10/15/2008,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (USP,SDV,5X2ML)",2,"ML","VL","IJ","ML",1,"MG",2,10/15/2008,,,,,,,
"23360001620","23360-0016-20",,"J2405",,10/15/2008,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (USP,SDV,5X2ML); (2MG/ML)",20,"ML","VL","IJ","ML",1,"MG",2,10/15/2008,,,,,,,
"23490111302","23490-1113-02",,"J7506",,10/3/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","NA","PO","EA",5,"MG",2,10/3/2006,,,,,,,
"23490111303","23490-1113-03",,"J7506",,9/21/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","NA","PO","EA",5,"MG",2,9/21/2006,,,,,,,
"23490191102","23490-1911-02",,"J7509",,10/3/2006,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","NA","PO","EA",4,"MG",1,10/3/2006,,,,,,,
"23490501101","23490-5011-01",,"J8499",,10/11/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG/5 ML",120,"ML","BO","PO","ML",1,"EA",1,10/11/2007,,,,,,,
"23490501201","23490-5012-01",,"J8499",,2/7/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,2/7/2007,,,,,,,
"23490501202","23490-5012-02",,"J8499",,2/7/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,2/7/2007,,,,,,,
"23490501203","23490-5012-03",,"J8499",,2/7/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","BO","PO","EA",1,"EA",1,2/7/2007,,,,,,,
"23490501204","23490-5012-04",,"J8499",,2/7/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,2/7/2007,,,,,,,
"23490501301","23490-5013-01",,"J8499",,2/7/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,2/7/2007,,,,,,,
"23490501302","23490-5013-02",,"J8499",,2/7/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,2/7/2007,,,,,,,
"23490501303","23490-5013-03",,"J8499",,2/7/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",40,"EA","BO","PO","EA",1,"EA",1,2/7/2007,,,,,,,
"23490501304","23490-5013-04",,"J8499",,10/11/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,10/11/2007,,,,,,,
"23490501501","23490-5015-01",,"J8499",,2/7/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",25,"EA","BO","PO","EA",1,"EA",1,2/7/2007,,,,,,,
"23490501502","23490-5015-02",,"J8499",,10/11/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,10/11/2007,,,,,,,
"23490502001","23490-5020-01",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (24X3ML) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"23490502001","23490-5020-01",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (24X3ML) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"23490502001","23490-5020-01","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (24X3ML) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"23490502001","23490-5020-01","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (24X3ML) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"23490502002","23490-5020-02",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (25X3ML) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"23490502002","23490-5020-02",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (25X3ML) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"23490502002","23490-5020-02","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (25X3ML) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"23490502002","23490-5020-02","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (25X3ML) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"23490502003","23490-5020-03",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (30X3ML) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"23490502003","23490-5020-03",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (30X3ML) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"23490502003","23490-5020-03","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (30X3ML) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"23490502003","23490-5020-03","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (30X3ML) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"23490502102","23490-5021-02",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (1X20ML) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"23490502102","23490-5021-02",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE (1X20ML) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"23490511009","23490-5110-09",,"J7500",,4/30/2007,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",90,"EA","BO","PO","EA",50,"MG",1,4/30/2007,,,,,,,
"23490518602","23490-5186-02",,"J0595",,4/9/2007,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE 2 MG/ML",10,"ML","VL","IJ","ML",1,"MG",2,4/9/2007,,,,,,,
"23490540401","23490-5404-01",,"J8540",,2/7/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",0.25,"MG",3,2/7/2007,,,,,,,
"23490540701","23490-5407-01",,"J8540",,2/7/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",6,"EA","BO","PO","EA",0.25,"MG",16,2/7/2007,,,,,,,
"23490540702","23490-5407-02",,"J8540",,11/30/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",12,"EA","BO","PO","EA",0.25,"MG",16,11/30/2007,,,,,,,
"23490541300","23490-5413-00",,"J1100",,4/9/2007,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,4/9/2007,,,,,,,
"23490545501","23490-5455-01",,"Q0163",,11/30/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE (1X120ML) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,11/30/2007,,,,,,,
"23490545700","23490-5457-00",,"Q0163",,11/30/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,11/30/2007,,,,,,,
"23490545701","23490-5457-01",,"Q0163",,2/7/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",6,"EA","BO","PO","EA",50,"MG",0.5,2/7/2007,,,,,,,
"23490545702","23490-5457-02",,"Q0163",,2/7/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",15,"EA","BO","PO","EA",50,"MG",0.5,2/7/2007,,,,,,,
"23490545703","23490-5457-03",,"Q0163",,2/7/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,2/7/2007,,,,,,,
"23490545704","23490-5457-04",,"Q0163",,2/7/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,2/7/2007,,,,,,,
"23490545705","23490-5457-05",,"Q0163",,2/7/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,2/7/2007,,,,,,,
"23490545901","23490-5459-01",,"Q0163",,2/7/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 50 MG",6,"EA","BO","PO","EA",50,"MG",1,2/7/2007,,,,,,,
"23490545902","23490-5459-02",,"Q0163",,2/7/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 50 MG",15,"EA","BO","PO","EA",50,"MG",1,2/7/2007,,,,,,,
"23490545903","23490-5459-03",,"Q0163",,2/7/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,2/7/2007,,,,,,,
"23490545904","23490-5459-04",,"Q0163",,2/7/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 50 MG",60,"EA","BO","PO","EA",50,"MG",1,2/7/2007,,,,,,,
"23490549702","23490-5497-02",,"J0170",,4/30/2007,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HYDROCHLORIDE 1 MG/ML",1,"ML","NA","IJ","ML",1,"ML",1,4/30/2007,,,,,,,
"23490562102","23490-5621-02",,"J1940",,4/30/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,4/30/2007,,,,,,,
"23490573301","23490-5733-01",,"Q0177",,2/7/2007,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,2/7/2007,,,,,,,
"23490573302","23490-5733-02",,"Q0177",,2/7/2007,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,2/7/2007,,,,,,,
"23490576101","23490-5761-01",,"J7644",,4/9/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (25X2.5ML) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/9/2007,,,,,,,
"23490576101","23490-5761-01","KO","J7644","KO",4/9/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (25X2.5ML) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/9/2007,,,,,,,
"23490579204","23490-5792-04",,"J1885",,4/9/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE 30 MG/ML",1,"ML","NA","IJ","ML",15,"MG",2,4/9/2007,,,,,,,
"23490585401","23490-5854-01",,"J1055",,2/7/2007,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","MEDROXYPROGESTERONE ACETATE 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,2/7/2007,,,,,,,
"23490588900","23490-5889-00",,,,11/30/2007,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE 2.5 MG",24,"EA","BO","PO","EA",2.5,"MG",1,11/30/2007,,,,,,,
"23490590201","23490-5902-01",,"J7509",,2/7/2007,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","BO","PO","EA",4,"MG",1,2/7/2007,,,,,,,
"23490591401","23490-5914-01",,"J2765",,4/9/2007,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HYDROCHLORIDE 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,4/9/2007,,,,,,,
"23490593201","23490-5932-01",,"J2250",,4/30/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HYDROCHLORIDE 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,4/30/2007,,,,,,,
"23490593301","23490-5933-01",,"J2250",,4/30/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HYDROCHLORIDE 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,4/30/2007,,,,,,,
"23490593302","23490-5933-02",,"J2250",,4/30/2007,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HYDROCHLORIDE (10X10ML) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,4/30/2007,,,,,,,
"23490595501","23490-5955-01",,"J2300",,4/9/2007,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HYDROCHLORIDE 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,4/9/2007,,,,,,,
"23490614401","23490-6144-01",,"J7510",,4/9/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,4/9/2007,,,,,,,
"23490614402","23490-6144-02",,"J7510",,10/11/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",180,"ML","BO","PO","ML",5,"MG",0.6,10/11/2007,,,,,,,
"23490614403","23490-6144-03",,"J7510",,10/11/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.6,10/11/2007,,,,,,,
"23490614501","23490-6145-01",,"J7510",,10/11/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,10/11/2007,,,,,,,
"23490614502","23490-6145-02",,"J7510",,10/11/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",180,"ML","BO","PO","ML",5,"MG",0.6,10/11/2007,,,,,,,
"23490614503","23490-6145-03",,"J7510",,10/11/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.6,10/11/2007,,,,,,,
"23490615701","23490-6157-01",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",10,"EA","BO","PO","EA",5,"MG",2,2/7/2007,,,,,,,
"23490615702","23490-6157-02",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,2/7/2007,,,,,,,
"23490615703","23490-6157-03",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,2/7/2007,,,,,,,
"23490615704","23490-6157-04",,"J7506",,4/9/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",37,"EA","BO","PO","EA",5,"MG",2,4/9/2007,,,,,,,
"23490615705","23490-6157-05",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,2/7/2007,,,,,,,
"23490615706","23490-6157-06",,"J7506",,11/30/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,11/30/2007,,,,,,,
"23490615707","23490-6157-07",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,2/7/2007,,,,,,,
"23490615708","23490-6157-08",,"J7506",,4/9/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,4/9/2007,,,,,,,
"23490615800","23490-6158-00",,"J7506",,4/9/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",6,"EA","BO","PO","EA",5,"MG",4,4/9/2007,,,,,,,
"23490615801","23490-6158-01",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,2/7/2007,,,,,,,
"23490615802","23490-6158-02",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","BO","PO","EA",5,"MG",4,2/7/2007,,,,,,,
"23490615803","23490-6158-03",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,2/7/2007,,,,,,,
"23490615804","23490-6158-04",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,2/7/2007,,,,,,,
"23490615805","23490-6158-05",,"J7506",,10/11/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,10/11/2007,,,,,,,
"23490615807","23490-6158-07",,"J7506",,4/9/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",25,"EA","BO","PO","EA",5,"MG",4,4/9/2007,,,,,,,
"23490615808","23490-6158-08",,"J7506",,4/9/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,4/9/2007,,,,,,,
"23490615809","23490-6158-09",,"J7506",,10/11/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",90,"EA","BO","PO","EA",5,"MG",4,10/11/2007,,,,,,,
"23490615901","23490-6159-01",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,2/7/2007,,,,,,,
"23490615902","23490-6159-02",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,2/7/2007,,,,,,,
"23490615903","23490-6159-03",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,2/7/2007,,,,,,,
"23490615904","23490-6159-04",,"J7506",,2/7/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","BO","PO","EA",5,"MG",1,2/7/2007,,,,,,,
"23490615905","23490-6159-05",,"J7506",,11/30/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",28,"EA","BO","PO","EA",5,"MG",1,11/30/2007,,,,,,,
"23490615906","23490-6159-06",,"J7506",,11/30/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,11/30/2007,,,,,,,
"23490617401","23490-6174-01",,"J8498",,2/7/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",3,"EA","BX","RC","EA",1,"EA",1,2/7/2007,,,,,,,
"23490618001","23490-6180-01",,"J8498",,2/7/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,2/7/2007,,,,,,,
"23490618201","23490-6182-01",,"J8498",,2/7/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",6,"EA","BX","RC","EA",1,"EA",1,2/7/2007,,,,,,,
"23490618202","23490-6182-02",,"J8498",,2/7/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,2/7/2007,,,,,,,
"23490618203","23490-6182-03",,"J8498",,11/30/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",10,"EA","BX","RC","EA",1,"EA",1,11/30/2007,,,,,,,
"23490618301","23490-6183-01",,"Q0170",,2/7/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,2/7/2007,,,,,,,
"23490618302","23490-6183-02",,"Q0170",,2/7/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",12,"EA","BO","PO","EA",25,"MG",1,2/7/2007,,,,,,,
"23490618303","23490-6183-03",,"Q0170",,2/7/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,2/7/2007,,,,,,,
"23490618304","23490-6183-04",,"Q0170",,4/9/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,4/9/2007,,,,,,,
"23490618306","23490-6183-06",,"Q0170",,11/30/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,11/30/2007,,,,,,,
"23490618307","23490-6183-07",,"Q0170",,3/12/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",90,"EA","BO","PO","EA",25,"MG",1,3/12/2008,,,,,,,
"23490618308","23490-6183-08",,"Q0170",,3/12/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,3/12/2008,,,,,,,
"23490618701","23490-6187-01",,"Q0170",,11/30/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (1X120ML) 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,11/30/2007,,,,,,,
"23490634301","23490-6343-01",,"J1080",,2/7/2007,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE 200 MG/ML",10,"ML","NA","IM","ML",200,"MG",1,2/7/2007,,,,,,,
"23490650903","23490-6509-03",,"Q0165",,11/30/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,11/30/2007,,,,,,,
"23490651201","23490-6512-01",,"Q0164",,2/7/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",6,"EA","BO","PO","EA",5,"MG",1,2/7/2007,,,,,,,
"23490651202","23490-6512-02",,"Q0164",,2/7/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,2/7/2007,,,,,,,
"23490668700","23490-6687-00",,"J1815",,4/30/2007,,"INJECTION, INSULIN, PER 5 UNITS","INSULIN HUMAN REGULAR 100 U/ML",10,"ML","NA","IJ","ML",5,"U",20,4/30/2007,,,,,,,
"23490690401","23490-6904-01",,"Q0144",,11/12/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (1X15ML) 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,11/12/2007,,,,,,,
"23490690500","23490-6905-00",,"Q0144",,4/9/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN DIHYDRATE 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,4/9/2007,,,,,,,
"23490690501","23490-6905-01",,"Q0144",,10/11/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN DIHYDRATE 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,10/11/2007,,,,,,,
"23490690502","23490-6905-02",,"Q0144",,10/11/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN DIHYDRATE 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,10/11/2007,,,,,,,
"23490754502","23490-7545-02",,"J3360",,4/9/2007,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM 5 MG/ML",10,"ML","NA","IJ","ML",5,"MG",1,4/9/2007,,,,,,,
"23490775801","23490-7758-01",,"Q0144",,2/7/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",3,"EA","DP","PO","EA",1,"GM",0.5,2/7/2007,,,,,,,
"23490776001","23490-7760-01",,"Q0144",,2/7/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,2/7/2007,,,,,,,
"23490776002","23490-7760-02",,"Q0144",,4/9/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,4/9/2007,,,,,,,
"23490785400","23490-7854-00",,"J7506",,11/30/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (1X120ML) 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,11/30/2007,,,,,,,
"23535060861","23535-0608-61",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE",1,"EA","NA","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"23535060868","23535-0608-68",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE",1,"EA","NA","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"23535608610","23535-6086-10",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE",1,"EA","NA","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"23535608680","23535-6086-80",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE",1,"EA","NA","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"24208034720","24208-0347-20",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (STERILE) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"24208034720","24208-0347-20",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE (STERILE) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"24208037360","24208-0373-60",,"J7631",,1/1/2002,1/1/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (AMP) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"24208037360","24208-0373-60","KO","J7631","KO",1/1/2002,1/1/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (AMP) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"24208037362","24208-0373-62",,"J7631",,1/1/2002,1/1/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (AMP) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"24208037362","24208-0373-62","KO","J7631","KO",1/1/2002,1/1/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (AMP) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"24208041201","24208-0412-01",,"J7310",,7/26/2005,,"GANCICLOVIR, 4.5 MG, LONG-ACTING IMPLANT","VITRASERT 4.5 MG",1,"EA","BX","IO","EA",4.5,"MG",1,7/26/2005,,,,,,,
"24208041601","24208-0416-01",,"J3490",,6/20/2005,12/31/2006,"UNCLASSIFIED DRUGS","RETISERT (DIRECT SHIP ONLY) 0.59 MG",1,"EA","PG","IO","EA",1,"EA",1,6/20/2005,,,,,,,
"24208041601","24208-0416-01",,"J7311",,1/1/2007,,"FLUOCINOLONE ACETONIDE, INTRAVITREAL IMPLANT","RETISERT (DIRECT SHIP ONLY) 0.59 MG",1,"EA","PG","IO","EA",1,"IMPLANT",1,1/1/2007,,,,,,,
"24385037926","24385-0379-26",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL (CHERRY) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"24385040673","24385-0406-73",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP TABLETS 25 MG",16,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"24385043126","24385-0431-26",,"Q0163",,2/13/2002,7/8/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NIGHTTIME SLEEP AID (CAPLET) 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,2/13/2002,,,,,,,
"24385043126","24385-0431-26",,"Q0163",,8/3/2009,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NIGHTTIME SLEEP AID (CAPLET) 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,8/3/2009,,,,,,,
"24385046262","24385-0462-62",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"24385046278","24385-0462-78",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"24385047962","24385-0479-62",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"24385047978","24385-0479-78",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"24385089762","24385-0897-62",,"Q0163",,1/1/2002,7/8/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL (DYE-FREE,SOFTGEL) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"24385090126","24385-0901-26",,"Q0163",,1/1/2002,8/1/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL (AF,BUBBLEGUM) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"24430100101","24430-1001-01",,"J3365",,4/1/2007,4/6/2008,"INJECTION, IV, UROKINASE, 250,000 I.U. VIAL","ABBOKINASE (PF) 250000 IU",1,"EA","VL","IV","EA",250000,"IU",1,4/1/2007,,,,,,,
"24430100301","24430-1003-01",,"J3365",,4/7/2008,,"INJECTION, IV, UROKINASE, 250,000 I.U. VIAL","KINLYTIC (LYOPHILIZED) 250000 IU",1,"EA","VL","IV","EA",250000,"IU",1,4/7/2008,,,,,,,
"25208000201","25208-0002-01",,"J3246",,4/1/2008,,"INJECTION, TIROFIBAN HCL, 0.25MG","AGGRASTAT (1X100ML) 0.05 MG/ML",100,"ML","PC","IV","ML",0.25,"MG",0.2,4/1/2008,,,,,,,
"25208000202","25208-0002-02",,"J3246",,4/1/2008,,"INJECTION, TIROFIBAN HCL, 0.25MG","AGGRASTAT (1X250ML) 0.05 MG/ML",250,"ML","PC","IV","ML",0.25,"MG",0.2,4/1/2008,,,,,,,
"25332000430","25332-0004-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","COBOLIN-M (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"25332001005","25332-0010-05",,"J1100",,1/1/2002,3/1/2006,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXASONE (VIAL) 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"25332001105","25332-0011-05",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXASONE L.A. (VIAL) 8 MG/ML",5,"ML","VL","IJ","ML",1,"MG",8,1/1/2003,,,,,,,
"25332001105","25332-0011-05",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXASONE L.A. (VIAL) 8 MG/ML",5,"ML","VL","IJ","ML",8,"MG",1,1/1/2002,,,,,,,
"25332001910","25332-0019-10",,"J1435",,1/1/2002,3/1/2006,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (VIAL, AQUEOUS) 5 MG/ML",10,"ML","VL","IM","ML",1,"MG",5,1/1/2002,,,,,,,
"25332002650","25332-0026-50",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL 1%",50,"ML","NA","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"25332002650","25332-0026-50",,"J2001",,1/1/2004,3/1/2006,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL 1%",50,"ML","NA","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"25332002750","25332-0027-50",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL 2%",50,"ML","NA","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"25332002750","25332-0027-50",,"J2001",,1/1/2004,3/1/2006,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL 2%",50,"ML","NA","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"25332007330","25332-0073-30",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","RODEX (VIAL) 100 MG/ML",30,"ML","VL","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"25332007330","25332-0073-30",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","RODEX (VIAL) 100 MG/ML",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"25332007810","25332-0078-10",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","DEPO-COBOLIN (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"25332008805","25332-0088-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","PRODROX (VIAL) 250 MG/ML",5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"25332011710","25332-0117-10",,"J1390",,1/1/2002,12/31/2002,"INJECTION, ESTRADIOL VALERATE, UP TO 20 MG","MENAVAL-20 (VIAL) 20 MG/ML",10,"ML","VL","IM","ML",20,"MG",1,1/1/2002,,,,,,,
"25682000101","25682-0001-01",,"J1300",,1/1/2008,,"INJECTION, ECULIZUMAB, 10 MG","SOLIRIS (PF) 10 MG/ML",30,"ML","VL","IV","ML",10,"MG",1,1/1/2008,,,,,,,
"25682000101","25682-0001-01",,"J3490",,3/26/2007,12/31/2007,"UNCLASSIFIED DRUGS","SOLIRIS (PF) 10 MG/ML",30,"ML","VL","IV","ML",1,"EA",1,3/26/2007,,,,,,,
"30103032254","30103-0322-54",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DORMIN SLEEP AID 25 MG",32,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"30103072254","30103-0722-54",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DORMIN SLEEP AID 25 MG",72,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"30103322540","30103-3225-40",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DORMIN SLEEP AID 25 MG",32,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"30103722540","30103-7225-40",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DORMIN SLEEP AID 25 MG",72,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"30170000001","30170-0000-01",,"J7340",,1/1/2002,12/31/2008,"DERMAL AND EPIDERMAL TISSUE OF HUMAN ORIGIN, WITH OR WITHOUT BIOENGINEERED OR PROCESSED ELEMENTS, WITH METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","ORCEL (36 SQUARE CM)",1,"EA","NA","TP","EA",1,"SQCM",36,1/1/2002,,,,,,,
"30170000001","30170-0000-01",,"Q4100",,1/1/2009,,"SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED","ORCEL (36 SQUARE CM)",1,"EA","NA","TP","EA",36,"SQCM",1,1/1/2009,,,,,,,
"30727031480","30727-0314-80",,"J3420",,1/1/2002,12/31/2002,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","COBAL 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,12/31/2002,,,,,,
"33261033521","33261-0335-21",,"J7509",,1/15/2008,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","NA","PO","EA",4,"MG",1,1/15/2008,,,,,,,
"33358000925","33358-0009-25",,"J8499",,7/10/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,7/10/2007,,,,,,,
"33358001015","33358-0010-15",,"J8499",,7/10/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,7/10/2007,,,,,,,
"33358001028","33358-0010-28",,"J8499",,7/10/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",28,"EA","BO","PO","EA",1,"EA",1,7/10/2007,,,,,,,
"33358001030","33358-0010-30",,"J8499",,7/10/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,7/10/2007,,,,,,,
"33358001060","33358-0010-60",,"J8499",,7/10/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","BO","PO","EA",1,"EA",1,7/10/2007,,,,,,,
"33358001125","33358-0011-25",,"J8499",,7/10/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",25,"EA","BO","PO","EA",1,"EA",1,7/10/2007,,,,,,,
"33358001130","33358-0011-30",,"J8499",,7/10/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,7/10/2007,,,,,,,
"33358001135","33358-0011-35",,"J8499",,7/10/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",35,"EA","BO","PO","EA",1,"EA",1,7/10/2007,,,,,,,
"33358004006","33358-0040-06",,"Q0144",,7/10/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,7/10/2007,,,,,,,
"33358004110","33358-0041-10",,"Q0144",,7/10/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",10,"EA","BO","PO","EA",1,"GM",0.5,7/10/2007,,,,,,,
"33358011030","33358-0110-30",,"Q0163",,7/10/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,7/10/2007,,,,,,,
"33358011120","33358-0111-20",,"Q0163",,7/10/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 50 MG",20,"EA","BO","PO","EA",50,"MG",1,7/10/2007,,,,,,,
"33358011130","33358-0111-30",,"Q0163",,7/10/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,7/10/2007,,,,,,,
"33358018220","33358-0182-20",,"Q0177",,7/10/2007,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAM 25 MG",20,"EA","BO","PO","EA",25,"MG",1,7/10/2007,,,,,,,
"33358018230","33358-0182-30",,"Q0177",,7/10/2007,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAM 25 MG",30,"EA","BO","PO","EA",25,"MG",1,7/10/2007,,,,,,,
"33358024121","33358-0241-21",,"J7509",,7/10/2007,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","BO","PO","EA",4,"MG",1,7/10/2007,,,,,,,
"33358029108","33358-0291-08",,"J7510",,7/10/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,7/10/2007,,,,,,,
"33358029212","33358-0292-12",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",12,"EA","BO","PO","EA",5,"MG",1,7/10/2007,,,,,,,
"33358029215","33358-0292-15",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",15,"EA","BO","PO","EA",5,"MG",1,7/10/2007,,,,,,,
"33358029221","33358-0292-21",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,7/10/2007,,,,,,,
"33358029230","33358-0292-30",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,7/10/2007,,,,,,,
"33358029278","33358-0292-78",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",78,"EA","BO","PO","EA",5,"MG",1,7/10/2007,,,,,,,
"33358029320","33358-0293-20",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,7/10/2007,,,,,,,
"33358029330","33358-0293-30",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,7/10/2007,,,,,,,
"33358029340","33358-0293-40",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,7/10/2007,,,,,,,
"33358029415","33358-0294-15",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,7/10/2007,,,,,,,
"33358029420","33358-0294-20",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,7/10/2007,,,,,,,
"33358029430","33358-0294-30",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,7/10/2007,,,,,,,
"33358029440","33358-0294-40",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",40,"EA","BO","PO","EA",5,"MG",4,7/10/2007,,,,,,,
"33358029460","33358-0294-60",,"J7506",,7/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",60,"EA","BO","PO","EA",5,"MG",4,7/10/2007,,,,,,,
"33358029920","33358-0299-20",,"Q0164",,7/10/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,7/10/2007,,,,,,,
"33358029930","33358-0299-30",,"Q0164",,7/10/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,7/10/2007,,,,,,,
"33358030010","33358-0300-10",,"Q0165",,7/10/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,7/10/2007,,,,,,,
"33358030020","33358-0300-20",,"Q0165",,7/10/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",20,"EA","BO","PO","EA",10,"MG",1,7/10/2007,,,,,,,
"33358030030","33358-0300-30",,"Q0165",,7/10/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,7/10/2007,,,,,,,
"33358030060","33358-0300-60",,"Q0165",,7/10/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",60,"EA","BO","PO","EA",10,"MG",1,7/10/2007,,,,,,,
"33358030102","33358-0301-02",,"J8498",,7/10/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",2,"EA","BX","RC","EA",1,"EA",1,7/10/2007,,,,,,,
"33358030112","33358-0301-12",,"J8498",,7/10/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,7/10/2007,,,,,,,
"33358030208","33358-0302-08",,"Q0170",,7/10/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",8,"EA","BO","PO","EA",25,"MG",1,7/10/2007,,,,,,,
"33358030210","33358-0302-10",,"Q0170",,7/10/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,7/10/2007,,,,,,,
"33358030230","33358-0302-30",,"Q0170",,7/10/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,7/10/2007,,,,,,,
"33358030260","33358-0302-60",,"Q0170",,7/10/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,7/10/2007,,,,,,,
"33358031301","33358-0313-01",,"J3415",,7/10/2007,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE (SINGLE-DOSE) 100 MG/ML",1,"ML","VL","IJ","ML",100,"MG",1,7/10/2007,,,,,,,
"33358035210","33358-0352-10",,"Q0173",,7/10/2007,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE 250 MG",10,"EA","NA","PO","EA",250,"MG",1,7/10/2007,,,,,,,
"33358035220","33358-0352-20",,"Q0173",,7/10/2007,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE 250 MG",20,"EA","NA","PO","EA",250,"MG",1,7/10/2007,,,,,,,
"33358036701","33358-0367-01",,"Q0144",,7/10/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 1 GM/Packet",1,"EA","BX","PO","EA",1,"GM",1,7/10/2007,,,,,,,
"33358036703","33358-0367-03",,"Q0144",,7/10/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 1 GM/Packet",1,"EA","BX","PO","EA",1,"GM",1,7/10/2007,,,,,,,
"33358036804","33358-0368-04",,"Q0144",,7/10/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,7/10/2007,,,,,,,
"33358036830","33358-0368-30",,"Q0144",,7/10/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,7/10/2007,,,,,,,
"33358036850","33358-0368-50",,"Q0144",,7/10/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",50,"EA","BO","PO","EA",1,"GM",0.25,7/10/2007,,,,,,,
"33358036902","33358-0369-02",,"Q0179",,7/10/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",2,"EA","BO","PO","EA",8,"MG",0.5,7/10/2007,,,,,,,
"33358037002","33358-0370-02",,"Q0179",,7/10/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",2,"EA","BO","PO","EA",8,"MG",0.5,7/10/2007,,,,,,,
"33358041830","33358-0418-30",,"Q0169",,7/24/2007,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 12.5 MG",30,"EA","BO","PO","EA",12.5,"MG",1,7/24/2007,,,,,,,
"35356001703","35356-0017-03",,"Q0144",,9/14/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",3,"EA","BO","PO","EA",1,"GM",0.5,9/14/2007,,,,,,,
"35356001810","35356-0018-10",,"J1650",,9/14/2007,7/2/2009,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (10X0.4ML) 40 MG/0.4 ML",0.4,"ML","SR","SC","ML",10,"MG",10,9/14/2007,7/2/2009,,,,,,
"35356001910","35356-0019-10",,"J1650",,9/14/2007,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (10X0.6ML) 60 MG/0.6 ML",0.6,"ML","SR","SC","ML",10,"MG",10,9/14/2007,,,,,,,
"35356002010","35356-0020-10",,"J1650",,9/14/2007,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (10X0.8ML) 80 MG/0.8 ML",0.8,"ML","SR","SC","ML",10,"MG",10,9/14/2007,,,,,,,
"35356003401","35356-0034-01",,"J7322",,1/1/2008,12/31/2009,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC HYLAN GF 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,12/31/2009,,,,,,
"35356003401","35356-0034-01",,"Q4084",,10/19/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC HYLAN GF 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,10/19/2007,,,,,,,
"35356003403","35356-0034-03",,"J7322",,1/1/2008,7/2/2009,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC HYLAN GF (3X2ML) 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,7/2/2009,,,,,,
"35356003403","35356-0034-03",,"Q4084",,10/19/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC HYLAN GF (3X2ML) 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,10/19/2007,,,,,,,
"35356003601","35356-0036-01",,"J7321",,1/10/2008,7/2/2009,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SUPARTZ 10 MG/ML",2.5,"ML","SR","IJ","ML",1,"DOSE",0.5,1/10/2008,7/2/2009,,,,,,
"35356003602","35356-0036-02",,"J7321",,1/10/2008,,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SUPARTZ 10 MG/ML",2.5,"ML","SR","IJ","ML",1,"DOSE",0.5,1/10/2008,,,,,,,
"35356003912","35356-0039-12",,"J8498",,10/19/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENADOZ 25 MG",12,"EA","BX","RC","EA",1,"EA",1,10/19/2007,,,,,,,
"35356004415","35356-0044-15",,"Q0144",,10/26/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,10/26/2007,,,,,,,
"35356005810","35356-0058-10",,"J1070",,11/9/2007,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","DEPO-TESTOSTERONE 100 MG/ML",10,"ML","VL","IM","ML",100,"MG",1,11/9/2007,,,,,,,
"35356007802","35356-0078-02",,"J1652",,1/25/2008,7/2/2009,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (2X0.5ML) 2.5 MG/0.5 ML",0.5,"ML","SR","SC","ML",0.5,"MG",10,1/25/2008,7/2/2009,,,,,,
"35356007810","35356-0078-10",,"J1652",,1/25/2008,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (10X0.5ML) 2.5 MG/0.5 ML",0.5,"ML","SR","SC","ML",0.5,"MG",10,1/25/2008,,,,,,,
"35356007902","35356-0079-02",,"J1652",,1/25/2008,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (2X0.4ML) 5 MG/0.4 ML",0.4,"ML","SR","SC","ML",0.5,"MG",25,1/25/2008,,,,,,,
"35356007910","35356-0079-10",,"J1652",,1/25/2008,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (10X0.4ML) 5 MG/0.4 ML",0.4,"ML","SR","SC","ML",0.5,"MG",25,1/25/2008,,,,,,,
"35356008002","35356-0080-02",,"J1652",,1/25/2008,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (2X0.6ML) 7.5 MG/0.6 ML",0.6,"ML","SR","SC","ML",0.5,"MG",25,1/25/2008,,,,,,,
"35356008010","35356-0080-10",,"J1652",,1/25/2008,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (10X0.6ML) 7.5 MG/0.6 ML",0.6,"ML","SR","SC","ML",0.5,"MG",25,1/25/2008,,,,,,,
"35356008102","35356-0081-02",,"J1652",,1/25/2008,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (2X0.8ML) 10 MG/0.8 ML",0.8,"ML","SR","SC","ML",0.5,"MG",25,1/25/2008,,,,,,,
"35356008110","35356-0081-10",,"J1652",,1/25/2008,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (10X0.8ML) 10 MG/0.8 ML",0.8,"ML","SR","SC","ML",0.5,"MG",25,1/25/2008,,,,,,,
"35356008201","35356-0082-01",,"J3301",,2/8/2008,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","KENALOG 10 MG/ML",5,"ML","VL","IJ","ML",10,"MG",1,2/8/2008,,,,,,,
"35356008301","35356-0083-01",,"J1030",,2/8/2008,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE 40 MG/ML",5,"ML","VL","IJ","ML",40,"MG",1,2/8/2008,,,,,,,
"35356008401","35356-0084-01",,"J0702",,2/8/2008,,"INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG","CELESTONE SOLUSPAN 3 MG/ML-3 MG/ML",5,"ML","VL","IJ","ML",3,"MG",1,2/8/2008,,,,,,,
"35356009660","35356-0096-60",,"Q0176",,2/29/2008,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",60,"EA","BO","PO","EA",8,"MG",1,2/29/2008,,,,,,,
"35356009890","35356-0098-90",,"Q0172",,2/29/2008,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE 100 MG",90,"EA","BO","PO","EA",25,"MG",4,2/29/2008,,,,,,,
"35356010200","35356-0102-00",,"J1817",,3/7/2008,,"INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS","HUMALOG (100X10ML) 100 U/ML",10,"ML","VL","SC","ML",50,"U",2,3/7/2008,,,,,,,
"35356012430","35356-0124-30",,"J7644",,3/13/2008,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (30X2.5ML,PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,3/13/2008,,,,,,,
"35356012430","35356-0124-30","KO","J7644","KO",3/13/2008,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (30X2.5ML,PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,3/13/2008,,,,,,,
"35356012815","35356-0128-15",,"Q0144",,3/13/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,3/13/2008,,,,,,,
"35356017715","35356-0177-15",,"J0696",,5/16/2008,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (1X15ML) 1 GM",15,"ML","NA","IJ","ML",250,"MG",4,5/16/2008,,,,,,,
"35356017805","35356-0178-05",,"J1040",,5/16/2008,,"INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG","METHYLPREDNISOLONE ACETATE (1X5ML) 80 MG/ML",5,"ML","NA","IJ","ML",80,"MG",1,5/16/2008,,,,,,,
"35356018050","35356-0180-50",,"J2001",,5/16/2008,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (1X50ML,LATEX-FREE) 2%",50,"ML","NA","IJ","ML",10,"MG",2,5/16/2008,,,,,,,
"35356018130","35356-0181-30",,"A4216",,5/16/2008,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (1X30ML,LATEX-FREE) 0.9%",30,"ML","NA","IV","ML",10,"ML",0.1,5/16/2008,,,,,,,
"35356019421","35356-0194-21",,"J7509",,5/16/2008,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL (DOSE PACK) 4 MG",21,"EA","NA","PO","EA",4,"MG",1,5/16/2008,,,,,,,
"35356020660","35356-0206-60",,"J1324",,5/30/2008,,"INJECTION, ENFUVIRTIDE, 1 MG","FUZEON 90 MG",1,"EA","PG","SC","EA",1,"MG",90,5/30/2008,,,,,,,
"35356021901","35356-0219-01",,"J7321",,6/5/2008,,"HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE","HYALGAN 10 MG/ML",1,"EA","VL","IJ","EA",1,"DOSE",0.5,6/5/2008,,,,,,,
"35356032500","35356-0325-00",,"Q0165",,8/1/2008,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",1,"EA","BO","PO","EA",10,"MG",1,8/1/2008,,,,,,,
"35356035930","35356-0359-30",,"J8540",,8/8/2008,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 1 MG",1,"EA","BO","PO","EA",0.3,"MG",4,8/8/2008,,,,,,,
"37205012073","37205-0120-73",,"Q0163",,1/1/2002,9/9/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP AID MAXIMUM STRENGTH (LIQUICAP) 50 MG",16,"EA","BX","PO","EA",50,"MG",1,1/1/2002,9/9/2005,,,,,,
"37205027062","37205-0270-62",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPLETE ALLERGY MEDICINE 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"37205027078","37205-0270-78",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPLETE ALLERGY MEDICINE 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"37205027762","37205-0277-62",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPLETE ALLERGY MEDICINE 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"37205027778","37205-0277-78",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPLETE ALLERGY MEDICINE 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"37205056526","37205-0565-26",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPLETE ALLERGY (AF,CHERRY) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"37205056534","37205-0565-34",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPLETE ALLERGY (AF,CHERRY) 12.5 MG/5 ML",240,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"38172002020","38172-0020-20",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","DERMAGRAFT (2""X3"")",1,"EA","EA","TP","EA",1,"EA",1,1/1/2002,,,,,,,
"38172002020","38172-0020-20",,"J7342",,1/1/2003,7/9/2006,"DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITH METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER","DERMAGRAFT (2""X3"")",1,"EA","EA","TP","EA",1,"SQCM",38.71,1/1/2003,,,,,,,
"38423011001","38423-0110-01",,"J1190",,9/6/2007,,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG","TOTECT (W/10 VIALS OF DILUENT) 500 MG",1,"EA","VL","IV","EA",250,"MG",2,9/6/2007,,,,,,,
"38739015008","38739-0150-08",,"J7510",,9/24/2007,,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,9/24/2007,,,,,,,
"38779000603","38779-0006-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779000604","38779-0006-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779000605","38779-0006-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779000801","38779-0008-01",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"38779000804","38779-0008-04",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"38779000805","38779-0008-05",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"38779000808","38779-0008-08",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"38779000809","38779-0008-09",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"38779001101","38779-0011-01",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001101","38779-0011-01","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001103","38779-0011-03",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001103","38779-0011-03","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001104","38779-0011-04",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001104","38779-0011-04","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001105","38779-0011-05",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001105","38779-0011-05","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001401","38779-0014-01",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001401","38779-0014-01","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001404","38779-0014-04",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001404","38779-0014-04","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001405","38779-0014-05",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001405","38779-0014-05","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001408","38779-0014-08",,"J7636",,4/22/2002,4/25/2002,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,4/22/2002,,,,,,,
"38779001408","38779-0014-08","KO","J7636","KO",4/22/2002,4/25/2002,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,4/22/2002,,,,,,,
"38779001501","38779-0015-01",,"J3490",,4/26/2002,,"UNCLASSIFIED DRUGS","BACITRACIN (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"EA",1,4/26/2002,,,,,,,
"38779001504","38779-0015-04",,"J3490",,4/26/2002,,"UNCLASSIFIED DRUGS","BACITRACIN (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"EA",1,4/26/2002,,,,,,,
"38779001505","38779-0015-05",,"J3490",,4/26/2002,,"UNCLASSIFIED DRUGS","BACITRACIN (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"EA",1,4/26/2002,,,,,,,
"38779001701","38779-0017-01",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001701","38779-0017-01","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001703","38779-0017-03",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001703","38779-0017-03","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001704","38779-0017-04",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001704","38779-0017-04","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001706","38779-0017-06",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779001706","38779-0017-06","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779002501","38779-0025-01",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P., 5-FU)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"38779002501","38779-0025-01","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P., 5-FU)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"38779002504","38779-0025-04",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"38779002504","38779-0025-04","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"38779002505","38779-0025-05",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"38779002505","38779-0025-05","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"38779002509","38779-0025-09",,"J9190",,1/1/2002,4/25/2002,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"38779003404","38779-0034-04",,"J2010",,1/1/2002,,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","LINCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779003405","38779-0034-05",,"J2010",,1/1/2002,,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","LINCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779003408","38779-0034-08",,"J2010",,8/26/2002,,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","LINCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,8/26/2002,,,,,,,
"38779003503","38779-0035-03",,"J8610",,1/1/2002,1/1/2004,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,1/1/2002,,,,,,,
"38779003504","38779-0035-04",,"J8610",,1/1/2002,1/1/2004,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,1/1/2002,,,,,,,
"38779003506","38779-0035-06",,"J8610",,1/1/2002,1/1/2004,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,1/1/2002,,,,,,,
"38779004205","38779-0042-05",,"J2460",,4/25/2002,,"INJECTION, OXYTETRACYCLINE HCL, UP TO 50 MG","OXYTETRACYCLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,4/25/2002,,,,,,,
"38779004301","38779-0043-01",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,9/26/2008,,1/1/2002,,20,,,
"38779004304","38779-0043-04",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779004305","38779-0043-05",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779004308","38779-0043-08",,"J2675",,4/25/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,4/25/2002,,,,,,,
"38779004309","38779-0043-09",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779004403","38779-0044-03",,"J7506",,3/7/2002,4/25/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,3/7/2002,,,,,,,
"38779004404","38779-0044-04",,"J7506",,3/7/2002,4/25/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,3/7/2002,,,,,,,
"38779004405","38779-0044-05",,"J7506",,3/7/2002,4/25/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,3/7/2002,,,,,,,
"38779004703","38779-0047-03",,"J3140",,1/1/2002,10/9/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779004704","38779-0047-04",,"J3140",,1/1/2002,10/9/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779004705","38779-0047-05",,"J3140",,1/1/2002,1/1/2004,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779004708","38779-0047-08",,"J3140",,4/30/2002,1/1/2004,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,4/30/2002,,,,,,,
"38779004709","38779-0047-09",,"J3140",,4/30/2002,1/1/2004,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,4/30/2002,,,,,,,
"38779005101","38779-0051-01",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779005101","38779-0051-01","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779005103","38779-0051-03",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779005103","38779-0051-03","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779005104","38779-0051-04",,"J7684",,4/30/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,4/30/2002,,,,,,,
"38779005104","38779-0051-04","KO","J7684","KO",4/30/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,4/30/2002,,,,,,,
"38779005105","38779-0051-05",,"J7684",,4/30/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,4/30/2002,,,,,,,
"38779005105","38779-0051-05","KO","J7684","KO",4/30/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,4/30/2002,,,,,,,
"38779005403","38779-0054-03",,"J3150",,1/1/2002,10/9/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779005404","38779-0054-04",,"J3150",,1/1/2002,10/9/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779005405","38779-0054-05",,"J3150",,1/1/2002,10/9/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779005701","38779-0057-01",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,9/26/2008,,1/1/2002,,20,,,
"38779005704","38779-0057-04",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (USP, WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779005705","38779-0057-05",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779005709","38779-0057-09",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779006305","38779-0063-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779006308","38779-0063-08",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779006309","38779-0063-09",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779007001","38779-0070-01",,"J1095",,1/1/2002,4/25/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE MONOHYDRATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"38779007003","38779-0070-03",,"J1095",,1/1/2002,4/25/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE MONOHYDRATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"38779007004","38779-0070-04",,"J1095",,1/1/2002,4/25/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE MONOHYDRATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"38779007101","38779-0071-01",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779007101","38779-0071-01","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779007103","38779-0071-03",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779007103","38779-0071-03","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779007104","38779-0071-04",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779007104","38779-0071-04","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779007105","38779-0071-05",,"J7638",,9/3/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","NA","NA","GM",1,"MG",1000,9/3/2002,,,,,,,
"38779007105","38779-0071-05","KO","J7638","KO",9/3/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","NA","NA","GM",1,"MG",1000,9/3/2002,,,,,,,
"38779007108","38779-0071-08",,"J7638",,9/3/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","NA","NA","GM",1,"MG",1000,9/3/2002,,,,,,,
"38779007108","38779-0071-08","KO","J7638","KO",9/3/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","NA","NA","GM",1,"MG",1000,9/3/2002,,,,,,,
"38779008204","38779-0082-04",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"38779008204","38779-0082-04",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"38779008205","38779-0082-05",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"38779008205","38779-0082-05",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"38779008208","38779-0082-08",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"38779008208","38779-0082-08",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"38779008209","38779-0082-09",,"J2000",,8/26/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","JR","NA","GM",50,"ML",4,8/26/2002,,,,,,,
"38779008209","38779-0082-09",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"38779010108","38779-0101-08",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"38779010109","38779-0101-09",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"38779010301","38779-0103-01",,"J7638",,3/8/2002,4/25/2002,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,3/8/2002,,,,,,,
"38779010301","38779-0103-01","KO","J7638","KO",3/8/2002,4/25/2002,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,3/8/2002,,,,,,,
"38779010303","38779-0103-03",,"J7638",,3/8/2002,4/25/2002,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,3/8/2002,,,,,,,
"38779010303","38779-0103-03","KO","J7638","KO",3/8/2002,4/25/2002,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,3/8/2002,,,,,,,
"38779010304","38779-0103-04",,"J7638",,3/8/2002,4/25/2002,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,3/8/2002,,,,,,,
"38779010304","38779-0103-04","KO","J7638","KO",3/8/2002,4/25/2002,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,3/8/2002,,,,,,,
"38779010403","38779-0104-03",,"J1230",,1/1/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779010404","38779-0104-04",,"J1230",,1/1/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779010405","38779-0104-05",,"J1230",,1/1/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779012304","38779-0123-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779012305","38779-0123-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779012308","38779-0123-08",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779012309","38779-0123-09",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779012601","38779-0126-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779012603","38779-0126-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779012604","38779-0126-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779012606","38779-0126-06",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779014103","38779-0141-03",,"J7509",,1/1/2002,4/25/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"38779014104","38779-0141-04",,"J7509",,1/1/2002,4/25/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"38779014106","38779-0141-06",,"J7509",,1/1/2002,4/25/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"38779014203","38779-0142-03",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"38779014204","38779-0142-04",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"38779014206","38779-0142-06",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"38779014403","38779-0144-03",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"38779014404","38779-0144-04",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"38779014405","38779-0144-05",,"J1030",,9/3/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,9/3/2002,,,,,,,
"38779014406","38779-0144-06",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"38779014604","38779-0146-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779014605","38779-0146-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779014608","38779-0146-08",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779014609","38779-0146-09",,"J3490",,9/3/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/3/2002,,,,,,,
"38779015001","38779-0150-01",,"J7510",,1/1/2002,4/25/2002,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779015003","38779-0150-03",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779015004","38779-0150-04",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779015005","38779-0150-05",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779015008","38779-0150-08",,"J7510",,4/25/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (ANHYDROUS,MICRONIZED)",1,"EA","NA","NA","GM",5,"MG",200,4/25/2002,,,,,,,
"38779015009","38779-0150-09",,"J7510",,9/3/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,9/3/2002,,,,,,,
"38779015103","38779-0151-03",,"J7510",,3/8/2002,4/25/2002,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE HYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,3/8/2002,,,,,,,
"38779015105","38779-0151-05",,"J7510",,3/8/2002,4/25/2002,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE HYDROUS",1,"EA","BO","NA","GM",5,"MG",200,3/8/2002,,,,,,,
"38779015403","38779-0154-03",,"J7506",,3/7/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,3/7/2002,,,,,,,
"38779015404","38779-0154-04",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779015405","38779-0154-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779015408","38779-0154-08",,"J7506",,8/26/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,8/26/2002,,,,,,,
"38779015409","38779-0154-09",,"J7506",,8/26/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,8/26/2002,,,,,,,
"38779016303","38779-0163-03",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779016304","38779-0163-04",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779016305","38779-0163-05",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779016308","38779-0163-08",,"J3140",,4/30/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,4/30/2002,,,,,,,
"38779016309","38779-0163-09",,"J3140",,4/30/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,4/30/2002,,,,,,,
"38779016403","38779-0164-03",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779016404","38779-0164-04",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779016405","38779-0164-05",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779016408","38779-0164-08",,"J1070",,4/30/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,4/30/2002,,,,,,,
"38779016409","38779-0164-09",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779016503","38779-0165-03",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (USP,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779016504","38779-0165-04",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (USP,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779016505","38779-0165-05",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779016508","38779-0165-08",,"J3150",,4/30/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,4/30/2002,,,,,,,
"38779016601","38779-0166-01",,"J3302",,1/1/2002,5/12/2004,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779016603","38779-0166-03",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (USP)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779016604","38779-0166-04",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (USP)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779016605","38779-0166-05",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (USP)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779017101","38779-0171-01",,"J7669",,1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017101","38779-0171-01","KO","J7669","KO",1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017104","38779-0171-04",,"J7669",,1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017104","38779-0171-04","KO","J7669","KO",1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017105","38779-0171-05",,"J7669",,1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017105","38779-0171-05","KO","J7669","KO",1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017108","38779-0171-08",,"J7669",,1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017108","38779-0171-08","KO","J7669","KO",1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017109","38779-0171-09",,"J7669",,1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017109","38779-0171-09","KO","J7669","KO",1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/26/2008,,1/1/2002,,100,,,
"38779017301","38779-0173-01",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"38779017301","38779-0173-01",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"38779017304","38779-0173-04",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"38779017304","38779-0173-04",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"38779017305","38779-0173-05",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"38779017305","38779-0173-05",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"38779017308","38779-0173-08",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"38779017308","38779-0173-08",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"38779018004","38779-0180-04",,"Q0165",,3/8/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,3/8/2002,,,,,,,
"38779018005","38779-0180-05",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779018008","38779-0180-08",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779018303","38779-0183-03",,"J1800",,1/1/2002,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018304","38779-0183-04",,"J1800",,1/1/2002,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018305","38779-0183-05",,"J1800",,1/1/2002,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018308","38779-0183-08",,"J1800",,1/1/2002,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018404","38779-0184-04",,"J7619",,1/1/2002,1/1/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018404","38779-0184-04","KO","J7619","KO",1/1/2002,1/1/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018405","38779-0184-05",,"J7619",,1/1/2002,1/1/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018405","38779-0184-05","KO","J7619","KO",1/1/2002,1/1/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018408","38779-0184-08",,"J7619",,1/1/2002,4/25/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018408","38779-0184-08","KO","J7619","KO",1/1/2002,4/25/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779018504","38779-0185-04",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779018504","38779-0185-04",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"38779018504","38779-0185-04","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779018504","38779-0185-04","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"38779018505","38779-0185-05",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779018505","38779-0185-05",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"38779018505","38779-0185-05","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779018505","38779-0185-05","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"38779018508","38779-0185-08",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779018508","38779-0185-08",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"38779018508","38779-0185-08","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779018508","38779-0185-08","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"38779018509","38779-0185-09",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779018509","38779-0185-09",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"38779018509","38779-0185-09","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779018509","38779-0185-09","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"38779018903","38779-0189-03",,"J1320",,1/1/2002,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"38779018904","38779-0189-04",,"J1320",,1/1/2002,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"38779018905","38779-0189-05",,"J1320",,1/1/2002,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"38779019103","38779-0191-03",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779019104","38779-0191-04",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779019105","38779-0191-05",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779019106","38779-0191-06",,"J0285",,11/27/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,11/27/2003,,,,,,,
"38779019108","38779-0191-08",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779019109","38779-0191-09",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779019403","38779-0194-03",,"J0515",,1/1/2002,,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","BENZTROPINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779019404","38779-0194-04",,"J0515",,4/19/2002,,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","BENZTROPINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,4/19/2002,,,,,,,
"38779019406","38779-0194-06",,"J0515",,1/1/2002,,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","BENZTROPINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779019501","38779-0195-01",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779019501","38779-0195-01","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779019503","38779-0195-03",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779019503","38779-0195-03","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779019506","38779-0195-06",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779019506","38779-0195-06","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779019704","38779-0197-04",,"J0945",,1/1/2002,1/1/2004,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779019705","38779-0197-05",,"J0945",,1/1/2002,1/1/2004,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779019800","38779-0198-00",,"J7626",,1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"38779019800","38779-0198-00",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"38779019800","38779-0198-00","KO","J7626","KO",1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"38779019800","38779-0198-00","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"38779019803","38779-0198-03",,"J7626",,4/19/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,4/19/2002,,,,,,,
"38779019803","38779-0198-03",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"38779019803","38779-0198-03","KO","J7626","KO",4/19/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,4/19/2002,,,,,,,
"38779019803","38779-0198-03","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"38779019804","38779-0198-04",,"J7626",,4/19/2002,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,9/26/2008,,4/19/2002,,2000,,,
"38779019804","38779-0198-04","KO","J7626","KO",4/19/2002,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,9/26/2008,,4/19/2002,,2000,,,
"38779019805","38779-0198-05",,"J7626",,6/2/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED,MICRONIZED)",1,"EA","NA","NA","GM",0.25,"MG",2000,6/2/2003,,,,,,,
"38779019805","38779-0198-05",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED,MICRONIZED)",1,"EA","NA","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"38779019805","38779-0198-05","KO","J7626","KO",6/2/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED,MICRONIZED)",1,"EA","NA","NA","GM",0.25,"MG",2000,6/2/2003,,,,,,,
"38779019805","38779-0198-05","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED,MICRONIZED)",1,"EA","NA","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"38779019806","38779-0198-06",,"J7626",,1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"38779019806","38779-0198-06",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"38779019806","38779-0198-06","KO","J7626","KO",1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"38779019806","38779-0198-06","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"38779021500","38779-0215-00",,"J1160",,2/5/2002,,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (U.S.P.)",1,"EA","BO","NA","GM",0.5,"MG",2000,2/5/2002,,,,,,,
"38779021506","38779-0215-06",,"J1160",,2/5/2002,,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (U.S.P.)",1,"EA","BO","NA","GM",0.5,"MG",2000,2/5/2002,,,,,,,
"38779021509","38779-0215-09",,"J1160",,2/5/2002,,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (U.S.P.)",1,"EA","BO","NA","GM",0.5,"MG",2000,2/5/2002,,,,,,,
"38779021604","38779-0216-04",,"J1165",,1/1/2002,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779021605","38779-0216-05",,"J1165",,1/1/2002,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779021608","38779-0216-08",,"J1165",,1/1/2002,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779022604","38779-0226-04",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"38779022605","38779-0226-05",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"38779022608","38779-0226-08",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"38779022804","38779-0228-04",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779022805","38779-0228-05",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779023003","38779-0230-03",,"J7644",,1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779023003","38779-0230-03",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779023003","38779-0230-03","KO","J7644","KO",1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779023003","38779-0230-03","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779023004","38779-0230-04",,"J7644",,1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779023004","38779-0230-04",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779023004","38779-0230-04","KO","J7644","KO",1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779023004","38779-0230-04","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779023005","38779-0230-05",,"J7644",,1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779023005","38779-0230-05",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779023005","38779-0230-05","KO","J7644","KO",1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779023005","38779-0230-05","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779023006","38779-0230-06",,"J7644",,1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779023006","38779-0230-06",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779023006","38779-0230-06","KO","J7644","KO",1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779023006","38779-0230-06","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779024603","38779-0246-03",,"J3310",,3/18/2002,1/1/2004,"INJECTION, PERPHENAZINE, UP TO 5 MG","PERPHENAZINE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,3/18/2002,,,,,,,
"38779024604","38779-0246-04",,"J3310",,3/18/2002,1/1/2004,"INJECTION, PERPHENAZINE, UP TO 5 MG","PERPHENAZINE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,3/18/2002,,,,,,,
"38779024606","38779-0246-06",,"J3310",,9/3/2002,1/1/2004,"INJECTION, PERPHENAZINE, UP TO 5 MG","PERPHENAZINE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/3/2002,,,,,,,
"38779024704","38779-0247-04",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779024705","38779-0247-05",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779024903","38779-0249-03",,"J7659",,5/6/2002,1/1/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/6/2002,,,,,,,
"38779024903","38779-0249-03","KO","J7659","KO",5/6/2002,1/1/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/6/2002,,,,,,,
"38779024904","38779-0249-04",,"J7659",,5/6/2002,1/1/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/6/2002,,,,,,,
"38779024904","38779-0249-04","KO","J7659","KO",5/6/2002,1/1/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/6/2002,,,,,,,
"38779024905","38779-0249-05",,"J7659",,5/6/2002,1/1/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/6/2002,,,,,,,
"38779024905","38779-0249-05","KO","J7659","KO",5/6/2002,1/1/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/6/2002,,,,,,,
"38779025304","38779-0253-04",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779025305","38779-0253-05",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779025308","38779-0253-08",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779025309","38779-0253-09",,"J2550",,9/3/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL",1,"EA","NA","NA","GM",50,"MG",20,9/3/2002,,,,,,,
"38779027403","38779-0274-03",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"38779027404","38779-0274-04",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"38779027405","38779-0274-05",,"J3370",,1/1/2002,4/25/2002,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"38779027406","38779-0274-06",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"38779028104","38779-0281-04",,"J1240",,2/5/2002,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,2/5/2002,,,,,,,
"38779028105","38779-0281-05",,"J1240",,2/5/2002,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,2/5/2002,,,,,,,
"38779028108","38779-0281-08",,"J1240",,2/5/2002,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,2/5/2002,,,,,,,
"38779028204","38779-0282-04",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779028205","38779-0282-05",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779028208","38779-0282-08",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779028209","38779-0282-09",,"J1200",,4/22/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","NA","NA","GM",50,"MG",20,4/22/2002,,,,,,,
"38779029503","38779-0295-03",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"38779029503","38779-0295-03",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779029504","38779-0295-04",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"38779029504","38779-0295-04",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779029505","38779-0295-05",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"38779029505","38779-0295-05",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779029804","38779-0298-04",,"J3410",,4/30/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,4/30/2002,,,,,,,
"38779029805","38779-0298-05",,"J3410",,4/30/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,4/30/2002,,,,,,,
"38779030103","38779-0301-03",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030103","38779-0301-03",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"38779030103","38779-0301-03","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030104","38779-0301-04",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030104","38779-0301-04",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"38779030104","38779-0301-04","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030105","38779-0301-05",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030105","38779-0301-05",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"38779030105","38779-0301-05","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030108","38779-0301-08",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030108","38779-0301-08",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"38779030108","38779-0301-08","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030109","38779-0301-09",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030109","38779-0301-09",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"38779030109","38779-0301-09","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"38779030303","38779-0303-03",,"J1110",,1/1/2002,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779030304","38779-0303-04",,"J1110",,2/5/2002,4/25/2002,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,2/5/2002,,,,,,,
"38779030306","38779-0303-06",,"J1110",,1/1/2002,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779030504","38779-0305-04",,"J3000",,4/1/2002,1/1/2004,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE",1,"EA","BO","NA","GM",1,"GM",1,4/1/2002,,,,,,,
"38779030505","38779-0305-05",,"J3000",,4/1/2002,1/1/2004,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE",1,"EA","BO","NA","GM",1,"GM",1,4/1/2002,,,,,,,
"38779030508","38779-0305-08",,"J3000",,4/1/2002,1/1/2004,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE",1,"EA","BO","NA","GM",1,"GM",1,4/1/2002,,,,,,,
"38779030509","38779-0305-09",,"J3000",,4/1/2002,1/1/2004,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE",1,"EA","BO","NA","GM",1,"GM",1,4/1/2002,,,,,,,
"38779031004","38779-0310-04",,"J2675",,1/1/2002,3/29/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED, U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779031005","38779-0310-05",,"J2675",,1/1/2002,3/29/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED, U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779031009","38779-0310-09",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED, U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/26/2008,,1/1/2002,,20,,,
"38779031203","38779-0312-03",,"J7501",,1/1/2002,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779031204","38779-0312-04",,"J7501",,1/1/2002,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779031206","38779-0312-06",,"J7501",,1/1/2002,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779031901","38779-0319-01",,"J7682",,1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779031901","38779-0319-01",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779031901","38779-0319-01","KO","J7682","KO",1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779031901","38779-0319-01","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779031903","38779-0319-03",,"J7682",,1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779031903","38779-0319-03",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779031903","38779-0319-03","KO","J7682","KO",1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779031903","38779-0319-03","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779031904","38779-0319-04",,"J7682",,5/13/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,5/13/2002,,,,,,,
"38779031904","38779-0319-04",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779031904","38779-0319-04","KO","J7682","KO",5/13/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,5/13/2002,,,,,,,
"38779031904","38779-0319-04","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779031905","38779-0319-05",,"J7682",,5/13/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,5/13/2002,,,,,,,
"38779031905","38779-0319-05",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779031905","38779-0319-05","KO","J7682","KO",5/13/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,5/13/2002,,,,,,,
"38779031905","38779-0319-05","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779031906","38779-0319-06",,"J7682",,1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779031906","38779-0319-06",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779031906","38779-0319-06","KO","J7682","KO",1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779031906","38779-0319-06","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"38779032304","38779-0323-04",,"J0120",,5/13/2002,1/1/2004,"INJECTION, TETRACYCLINE, UP TO 250 MG","TETRACYCLINE (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,5/13/2002,,,,,,,
"38779032305","38779-0323-05",,"J0120",,5/13/2002,1/1/2004,"INJECTION, TETRACYCLINE, UP TO 250 MG","TETRACYCLINE (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,5/13/2002,,,,,,,
"38779032308","38779-0323-08",,"J0120",,5/13/2002,1/1/2004,"INJECTION, TETRACYCLINE, UP TO 250 MG","TETRACYCLINE (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,5/13/2002,,,,,,,
"38779032403","38779-0324-03",,"J1730",,1/1/2002,,"INJECTION, DIAZOXIDE, UP TO 300 MG","DIAZOXIDE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779032404","38779-0324-04",,"J1730",,1/1/2002,,"INJECTION, DIAZOXIDE, UP TO 300 MG","DIAZOXIDE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779032406","38779-0324-06",,"J1730",,1/1/2002,,"INJECTION, DIAZOXIDE, UP TO 300 MG","DIAZOXIDE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"38779033001","38779-0330-01",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779033003","38779-0330-03",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779033004","38779-0330-04",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779033005","38779-0330-05",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779033006","38779-0330-06",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779033700","38779-0337-00",,"J0640",,1/1/2002,1/1/2004,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM HYDRATED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779033703","38779-0337-03",,"J0640",,1/1/2002,1/1/2004,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM HYDRATED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779033704","38779-0337-04",,"J0640",,1/1/2002,4/25/2002,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM HYDRATED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779033706","38779-0337-06",,"J0640",,1/1/2002,1/1/2004,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM HYDRATED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779033709","38779-0337-09",,"J0640",,4/25/2002,1/1/2004,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM HYDRATED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,4/25/2002,,,,,,,
"38779036401","38779-0364-01",,"J7622",,2/7/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,2/7/2002,,,,,,,
"38779036401","38779-0364-01","KO","J7622","KO",2/7/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,2/7/2002,,,,,,,
"38779036403","38779-0364-03",,"J7622",,2/7/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,2/7/2002,,,,,,,
"38779036403","38779-0364-03","KO","J7622","KO",2/7/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,2/7/2002,,,,,,,
"38779036406","38779-0364-06",,"J7622",,2/7/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,2/7/2002,,,,,,,
"38779036406","38779-0364-06","KO","J7622","KO",2/7/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,2/7/2002,,,,,,,
"38779038101","38779-0381-01",,"J7681",,1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779038101","38779-0381-01","KO","J7681","KO",1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779038103","38779-0381-03",,"J7681",,9/3/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/3/2002,,,,,,,
"38779038103","38779-0381-03","KO","J7681","KO",9/3/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/3/2002,,,,,,,
"38779038104","38779-0381-04",,"J7681",,1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779038104","38779-0381-04","KO","J7681","KO",1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779038105","38779-0381-05",,"J7681",,1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779038105","38779-0381-05","KO","J7681","KO",1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779038803","38779-0388-03",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779038804","38779-0388-04",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779038805","38779-0388-05",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779038809","38779-0388-09",,"J0475",,4/22/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,4/22/2002,,,,,,,
"38779039303","38779-0393-03",,"J0520",,1/1/2002,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779039304","38779-0393-04",,"J0520",,1/1/2002,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779039305","38779-0393-05",,"J0520",,4/19/2002,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,4/19/2002,,,,,,,
"38779039306","38779-0393-06",,"J0520",,1/1/2002,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779040000","38779-0400-00",,"J2690",,1/1/2002,11/26/2003,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"38779040004","38779-0400-04",,"J2690",,1/1/2002,,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"38779040005","38779-0400-05",,"J2690",,1/1/2002,,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"38779040008","38779-0400-08",,"J2690",,1/1/2002,,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"38779040009","38779-0400-09",,"J2690",,11/27/2003,,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (U.S.P.)",1,"EA","JR","NA","GM",1,"GM",1,11/27/2003,,,,,,,
"38779040301","38779-0403-01",,"J2765",,4/25/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,4/25/2002,,,,,,,
"38779040304","38779-0403-04",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779040305","38779-0403-05",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"38779040501","38779-0405-01",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040501","38779-0405-01","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040503","38779-0405-03",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040503","38779-0405-03","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040504","38779-0405-04",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040504","38779-0405-04","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040505","38779-0405-05",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040505","38779-0405-05","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040506","38779-0405-06",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040506","38779-0405-06","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040600","38779-0406-00",,"J7641",,1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040600","38779-0406-00","KO","J7641","KO",1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040603","38779-0406-03",,"J7641",,4/23/2002,4/25/2002,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,4/23/2002,,,,,,,
"38779040603","38779-0406-03","KO","J7641","KO",4/23/2002,4/25/2002,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,4/23/2002,,,,,,,
"38779040606","38779-0406-06",,"J7641",,1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040606","38779-0406-06","KO","J7641","KO",1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040609","38779-0406-09",,"J7641",,4/26/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,4/26/2002,,,,,,,
"38779040609","38779-0406-09","KO","J7641","KO",4/26/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,4/26/2002,,,,,,,
"38779040703","38779-0407-03",,"J0760",,1/1/2002,1/1/2004,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779040706","38779-0407-06",,"J0760",,1/1/2002,1/1/2004,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779042304","38779-0423-04",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779042305","38779-0423-05",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779043604","38779-0436-04",,"J7799",,8/21/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,8/21/2002,,,,,,,
"38779043605","38779-0436-05",,"J7799",,8/21/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,8/21/2002,,,,,,,
"38779043700","38779-0437-00",,"J1330",,1/1/2002,1/1/2004,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"38779043701","38779-0437-01",,"J1330",,4/23/2002,4/25/2002,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",0.2,"MG",5000,4/23/2002,,,,,,,
"38779043703","38779-0437-03",,"J1330",,1/1/2002,1/1/2004,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"38779043706","38779-0437-06",,"J1330",,1/1/2002,1/1/2004,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"38779044103","38779-0441-03",,"J1710",,1/1/2002,1/1/2004,"INJECTION, HYDROCORTISONE SODIUM  PHOSPHATE, UP TO 50 MG","HYDROCORTISONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779044106","38779-0441-06",,"J1710",,1/1/2002,1/1/2004,"INJECTION, HYDROCORTISONE SODIUM  PHOSPHATE, UP TO 50 MG","HYDROCORTISONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"38779045204","38779-0452-04",,"J2360",,1/1/2002,3/29/2004,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"38779045205","38779-0452-05",,"J2360",,1/1/2002,3/29/2004,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"38779045208","38779-0452-08",,"J2360",,1/1/2002,3/29/2004,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"38779045403","38779-0454-03",,"J2440",,1/1/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"38779045404","38779-0454-04",,"J2440",,1/1/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"38779045405","38779-0454-05",,"J2440",,1/1/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"38779046803","38779-0468-03",,"J3420",,4/25/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,4/25/2003,,,,,,,
"38779046804","38779-0468-04",,"J3420",,4/25/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,4/25/2003,,,,,,,
"38779046805","38779-0468-05",,"J3420",,4/25/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,4/25/2003,,,,,,,
"38779046806","38779-0468-06",,"J3420",,4/25/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,4/25/2003,,,,,,,
"38779048605","38779-0486-05",,"J0282",,1/28/2002,1/1/2004,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL",1,"EA","NA","NA","GM",30,"MG",33.33333,1/28/2002,,,,,,,
"38779048608","38779-0486-08",,"J0282",,1/28/2002,1/1/2004,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL",1,"EA","NA","NA","GM",30,"MG",33.33333,1/28/2002,,,,,,,
"38779049504","38779-0495-04",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"38779049504","38779-0495-04",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"38779049504","38779-0495-04","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"38779049505","38779-0495-05",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"38779049505","38779-0495-05",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"38779049505","38779-0495-05","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"38779049508","38779-0495-08",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"38779049508","38779-0495-08",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"38779049508","38779-0495-08","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"38779049509","38779-0495-09",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"38779049509","38779-0495-09",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"38779049509","38779-0495-09","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"38779050100","38779-0501-00",,"J1790",,1/1/2002,,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779050106","38779-0501-06",,"J1790",,1/1/2002,,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779050603","38779-0506-03",,"J9096",,1/1/2002,,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM","CYCLOPHOSPHAMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"38779050604","38779-0506-04",,"J9096",,1/1/2002,,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM","CYCLOPHOSPHAMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"38779050605","38779-0506-05",,"J9096",,1/1/2002,,"CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM","CYCLOPHOSPHAMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"38779051603","38779-0516-03",,"J2545",,4/25/2002,1/1/2004,"PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG","PENTAMIDINE ISETHIONATE (BP)",1,"EA","BO","NA","GM",300,"MG",3.33333,4/25/2002,,,,,,,
"38779051606","38779-0516-06",,"J2545",,4/25/2002,1/1/2004,"PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG","PENTAMIDINE ISETHIONATE (BP)",1,"EA","BO","NA","GM",300,"MG",3.33333,4/25/2002,,,,,,,
"38779053405","38779-0534-05",,"J3490",,4/25/2002,,"UNCLASSIFIED DRUGS","CIPROFLOXACIN HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,4/25/2002,,,,,,,
"38779053408","38779-0534-08",,"J3490",,4/25/2002,,"UNCLASSIFIED DRUGS","CIPROFLOXACIN HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,4/25/2002,,,,,,,
"38779053409","38779-0534-09",,"J3490",,4/25/2002,,"UNCLASSIFIED DRUGS","CIPROFLOXACIN HCL (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,4/25/2002,,,,,,,
"38779053604","38779-0536-04",,"J2780",,5/20/2002,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,5/20/2002,,,,,,,
"38779053605","38779-0536-05",,"J2780",,5/20/2002,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,5/20/2002,,,,,,,
"38779053608","38779-0536-08",,"J2780",,5/20/2002,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,5/20/2002,,,,,,,
"38779053609","38779-0536-09",,"J2780",,5/20/2002,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,5/20/2002,,,,,,,
"38779055307","38779-0553-07",,"J9290",,5/24/2002,,"MITOMYCIN, 20 MG","MITOMYCIN (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,5/24/2002,,,,,,,
"38779055309","38779-0553-09",,"J9290",,5/29/2002,,"MITOMYCIN, 20 MG","MITOMYCIN (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,5/29/2002,,,,,,,
"38779056101","38779-0561-01",,"J0735",,1/1/2002,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779056103","38779-0561-03",,"J0735",,1/1/2002,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779056104","38779-0561-04",,"J0735",,9/3/2002,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,9/3/2002,,,,,,,
"38779056106","38779-0561-06",,"J0735",,1/1/2002,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779056205","38779-0562-05",,"J0280",,1/28/2002,1/1/2004,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/28/2002,,,,,,,
"38779056208","38779-0562-08",,"J0280",,1/28/2002,1/1/2004,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/28/2002,,,,,,,
"38779056803","38779-0568-03",,"J0970",,1/1/2002,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"38779056804","38779-0568-04",,"J0970",,1/1/2002,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"38779056806","38779-0568-06",,"J0970",,1/1/2002,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"38779057105","38779-0571-05",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,9/26/2008,,1/1/2002,,4,,,
"38779057108","38779-0571-08",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,9/26/2008,,1/1/2002,,4,,,
"38779059901","38779-0599-01",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"38779059908","38779-0599-08",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"38779059909","38779-0599-09",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (USP,D-MANNITOL)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"38779063204","38779-0632-04",,"J7699",,1/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779063205","38779-0632-05",,"J7699",,1/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779063208","38779-0632-08",,"J7699",,1/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779063209","38779-0632-09",,"J7699",,1/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779065206","38779-0652-06",,"J9000",,4/24/2002,1/1/2004,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,4/24/2002,,,,,,,
"38779065209","38779-0652-09",,"J9000",,4/24/2002,1/1/2004,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,4/24/2002,,,,,,,
"38779065504","38779-0655-04",,"J3490",,8/21/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,8/21/2002,,,,,,,
"38779065505","38779-0655-05",,"J3490",,8/21/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,8/21/2002,,,,,,,
"38779065508","38779-0655-08",,"J3490",,8/21/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,8/21/2002,,,,,,,
"38779066003","38779-0660-03",,"J7516",,2/6/2002,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A",1,"EA","BO","NA","GM",250,"MG",4,2/6/2002,,,,,,,
"38779066004","38779-0660-04",,"J7516",,2/6/2002,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A",1,"EA","BO","NA","GM",250,"MG",4,2/6/2002,,,,,,,
"38779066005","38779-0660-05",,"J7516",,2/6/2002,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A",1,"EA","BO","NA","GM",250,"MG",4,2/6/2002,,,,,,,
"38779066006","38779-0660-06",,"J7516",,2/6/2002,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A",1,"EA","BO","NA","GM",250,"MG",4,2/6/2002,,,,,,,
"38779067303","38779-0673-03",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779067304","38779-0673-04",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779067305","38779-0673-05",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779067307","38779-0673-07",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779067903","38779-0679-03",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2002,,,,,,,
"38779067904","38779-0679-04",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2002,,,,,,,
"38779067905","38779-0679-05",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2002,,,,,,,
"38779071003","38779-0710-03",,"J1980",,4/30/2002,1/1/2004,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",0.25,"MG",4000,4/30/2002,,,,,,,
"38779071004","38779-0710-04",,"J1980",,4/30/2002,1/1/2004,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",0.25,"MG",4000,4/30/2002,,,,,,,
"38779072203","38779-0722-03",,"J9360",,5/9/2002,10/9/2003,"INJECTION, VINBLASTINE SULFATE, 1 MG","VINBLASTINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/9/2002,,,,,,,
"38779072206","38779-0722-06",,"J9360",,5/9/2002,1/1/2004,"INJECTION, VINBLASTINE SULFATE, 1 MG","VINBLASTINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/9/2002,,,,,,,
"38779072209","38779-0722-09",,"J9360",,5/9/2002,1/1/2004,"INJECTION, VINBLASTINE SULFATE, 1 MG","VINBLASTINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/9/2002,,,,,,,
"38779073101","38779-0731-01",,"J1170",,4/23/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,4/23/2002,,,,,,,
"38779073103","38779-0731-03",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"38779073104","38779-0731-04",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"38779073105","38779-0731-05",,"J1170",,9/27/2007,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (1X100GM)",1,"EA","JR","NA","GM",4,"MG",250,9/27/2007,,,,,,,
"38779073106","38779-0731-06",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"38779076703","38779-0767-03",,"J2310",,1/1/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779076706","38779-0767-06",,"J2310",,1/1/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779078403","38779-0784-03",,"J9182",,4/25/2002,,"ETOPOSIDE, 100 MG","ETOPOSIDE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/26/2008,,4/25/2002,,10,,,
"38779078406","38779-0784-06",,"J9182",,4/25/2002,,"ETOPOSIDE, 100 MG","ETOPOSIDE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/26/2008,,4/25/2002,,10,,,
"38779081304","38779-0813-04",,"J3000",,5/15/2002,,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (B.P.)",1,"EA","NA","NA","GM",1,"GM",1,5/15/2002,,,,,,,
"38779081305","38779-0813-05",,"J3000",,5/15/2002,,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (B.P.)",1,"EA","NA","NA","GM",1,"GM",1,5/15/2002,,,,,,,
"38779081308","38779-0813-08",,"J3000",,5/15/2002,,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (B.P.)",1,"EA","NA","NA","GM",1,"GM",1,5/15/2002,,,,,,,
"38779081309","38779-0813-09",,"J3000",,5/15/2002,,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (B.P.)",1,"EA","NA","NA","GM",1,"GM",1,5/15/2002,,,,,,,
"38779085304","38779-0853-04",,"J2560",,5/23/2002,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",120,"MG",8.33333,5/23/2002,,,,,,,
"38779085305","38779-0853-05",,"J2560",,5/23/2002,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",120,"MG",8.33333,5/23/2002,,,,,,,
"38779085503","38779-0855-03",,"J3130",,4/25/2002,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE",1,"EA","NA","NA","GM",200,"MG",5,4/25/2002,,,,,,,
"38779085504","38779-0855-04",,"J3130",,4/25/2002,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE",1,"EA","NA","NA","GM",200,"MG",5,4/25/2002,,,,,,,
"38779087304","38779-0873-04",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"38779087304","38779-0873-04",,"J3490",,4/25/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,4/25/2002,,,,,,,
"38779087305","38779-0873-05",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"38779087305","38779-0873-05",,"J3490",,4/25/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,4/25/2002,,,,,,,
"38779087308","38779-0873-08",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"38779087308","38779-0873-08",,"J3490",,4/25/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,4/25/2002,,,,,,,
"38779087309","38779-0873-09",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"38779087309","38779-0873-09",,"J3490",,4/25/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,4/25/2002,,,,,,,
"38779088503","38779-0885-03",,"J1960",,11/22/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,11/22/2002,,,,,,,
"38779088504","38779-0885-04",,"J1960",,11/22/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,11/22/2002,,,,,,,
"38779088506","38779-0885-06",,"J1960",,11/22/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,11/22/2002,,,,,,,
"38779088800","38779-0888-00",,"J0592",,1/1/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,1/1/2003,,,,,,,
"38779088800","38779-0888-00",,"J3490",,2/11/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,2/11/2002,,,,,,,
"38779088806","38779-0888-06",,"J0592",,1/1/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,1/1/2003,,,,,,,
"38779088806","38779-0888-06",,"J3490",,2/11/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,2/11/2002,,,,,,,
"38779088809","38779-0888-09",,"J0592",,1/1/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,1/1/2003,,,,,,,
"38779088809","38779-0888-09",,"J3490",,2/11/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,2/11/2002,,,,,,,
"38779089103","38779-0891-03",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779089104","38779-0891-04",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779089105","38779-0891-05",,"J1435",,8/21/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,8/21/2002,,,,,,,
"38779089106","38779-0891-06",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"38779092505","38779-0925-05",,"J3360",,4/25/2002,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,4/25/2002,,,,,,,
"38779092508","38779-0925-08",,"J3360",,4/25/2002,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,4/25/2002,,,,,,,
"38779092509","38779-0925-09",,"J3360",,4/25/2002,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,4/25/2002,,,,,,,
"38779092701","38779-0927-01",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"38779092703","38779-0927-03",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"38779092704","38779-0927-04",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"38779092705","38779-0927-05",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"38779092706","38779-0927-06",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"38779092708","38779-0927-08",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"38779094400","38779-0944-00",,"J0270",,1/1/2002,4/25/2002,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,1/1/2002,,,,,,,
"38779094407","38779-0944-07",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,1/1/2002,,,,,,,
"38779094409","38779-0944-09",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,1/1/2002,,,,,,,
"38779096303","38779-0963-03",,"J0151",,4/22/2002,12/31/2003,"INJECTION, ADENOSINE, 90 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE",1,"EA","BO","NA","GM",90,"MG",11.11111,4/22/2002,,,,,,,
"38779096303","38779-0963-03",,"J0152",,1/1/2004,3/29/2004,"INJECTION, ADENOSINE FOR DIAGNOSTIC USE, 30 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS; INSTEAD USE A9270)","ADENOSINE",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2004,,,,,,,
"38779096304","38779-0963-04",,"J0151",,1/1/2002,12/31/2003,"INJECTION, ADENOSINE, 90 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE",1,"EA","BO","NA","GM",90,"MG",11.11111,1/1/2002,,,,,,,
"38779096304","38779-0963-04",,"J0152",,1/1/2004,3/29/2004,"INJECTION, ADENOSINE FOR DIAGNOSTIC USE, 30 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS; INSTEAD USE A9270)","ADENOSINE",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2004,,,,,,,
"38779098904","38779-0989-04",,"J3490",,1/28/2002,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/28/2002,,,,,,,
"38779098905","38779-0989-05",,"J3490",,1/28/2002,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/28/2002,,,,,,,
"38779098908","38779-0989-08",,"J3490",,1/28/2002,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/28/2002,,,,,,,
"38779098909","38779-0989-09",,"J3490",,1/28/2002,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/28/2002,,,,,,,
"38779107305","38779-1073-05",,"J0706",,1/28/2002,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/28/2002,,,,,,,
"38779107308","38779-1073-08",,"J0706",,1/28/2002,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/28/2002,,,,,,,
"38779120303","38779-1203-03",,"J0770",,2/7/2002,,"INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG","COLISTIMETHATE SODIUM",1,"EA","BO","NA","GM",150,"MG",6.66666,2/7/2002,,,,,,,
"38779120306","38779-1203-06",,"J0770",,2/7/2002,,"INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG","COLISTIMETHATE SODIUM",1,"EA","BO","NA","GM",150,"MG",6.66666,2/7/2002,,,,,,,
"38779123904","38779-1239-04",,"J0500",,2/6/2002,1/1/2004,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOMINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,2/6/2002,,,,,,,
"38779123905","38779-1239-05",,"J0500",,2/6/2002,1/1/2004,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOMINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,2/6/2002,,,,,,,
"38779123908","38779-1239-08",,"J0500",,2/6/2002,1/1/2004,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOMINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,2/6/2002,,,,,,,
"38779150200","38779-1502-00",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779150203","38779-1502-03",,"J2760",,5/22/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,5/22/2002,,,,,,,
"38779150206","38779-1502-06",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779150209","38779-1502-09",,"J2760",,5/22/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,5/22/2002,,,,,,,
"38779163604","38779-1636-04",,"J0330",,1/1/2002,1/1/2004,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","SUCCINYLCHOLINE CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"38779163605","38779-1636-05",,"J0330",,1/1/2002,1/1/2004,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","SUCCINYLCHOLINE CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"38779175600","38779-1756-00",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,1/1/2002,,,,,,,
"38779175603","38779-1756-03",,"J3010",,4/23/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","JR","NA","GM",0.1,"MG",10000,4/23/2002,,,,,,,
"38779175606","38779-1756-06",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","JR","NA","GM",0.1,"MG",10000,1/1/2002,,,,,,,
"38779175609","38779-1756-09",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,1/1/2002,,,,,,,
"38779176400","38779-1764-00",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779176400","38779-1764-00",,"J3490",,1/28/2002,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/28/2002,,,,,,,
"38779176403","38779-1764-03",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779176403","38779-1764-03",,"J3490",,1/28/2002,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/28/2002,,,,,,,
"38779176404","38779-1764-04",,"J3490",,1/28/2002,4/25/2002,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/28/2002,,,,,,,
"38779176406","38779-1764-06",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"38779176406","38779-1764-06",,"J3490",,1/28/2002,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/28/2002,,,,,,,
"38779176603","38779-1766-03",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779176604","38779-1766-04",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779176605","38779-1766-05",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"38779181605","38779-1816-05",,"J2810",,5/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (USP)",1,"EA","BO","NA","GM",40,"MG",25,5/1/2002,,,,,,,
"38779181608","38779-1816-08",,"J2810",,5/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (USP)",1,"EA","BO","NA","GM",40,"MG",25,5/1/2002,,,,,,,
"38779182101","38779-1821-01",,"J1250",,4/25/2002,1/1/2004,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,4/25/2002,,,,,,,
"38779182103","38779-1821-03",,"J1250",,4/25/2002,1/1/2004,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,4/25/2002,,,,,,,
"38779182106","38779-1821-06",,"J1250",,4/25/2002,1/1/2004,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,4/25/2002,,,,,,,
"38779190103","38779-1901-03",,"J1000",,1/1/2002,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","ESTRADIOL CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779190104","38779-1901-04",,"J1000",,1/1/2002,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","ESTRADIOL CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779190105","38779-1901-05",,"J1000",,1/1/2002,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","ESTRADIOL CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"38779190501","38779-1905-01",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE MICRONIZED (ANHYDROUS)",1,"EA","NA","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"38779190501","38779-1905-01",,"J1095",,4/25/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE MICRONIZED (ANHYDROUS)",1,"EA","NA","NA","GM",8,"MG",125,4/25/2002,,,,,,,
"38779190503","38779-1905-03",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE MICRONIZED (ANHYDROUS)",1,"EA","NA","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"38779190503","38779-1905-03",,"J1095",,4/25/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE MICRONIZED (ANHYDROUS)",1,"EA","NA","NA","GM",8,"MG",125,4/25/2002,,,,,,,
"38779190504","38779-1905-04",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE MICRONIZED (ANHYDROUS)",1,"EA","NA","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"38779190504","38779-1905-04",,"J1095",,4/25/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE MICRONIZED (ANHYDROUS)",1,"EA","NA","NA","GM",8,"MG",125,4/25/2002,,,,,,,
"38779190505","38779-1905-05",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"38779190505","38779-1905-05",,"J1095",,2/6/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",8,"MG",125,2/6/2002,,,,,,,
"38779193101","38779-1931-01",,"J1835",,4/25/2002,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","BO","NA","GM",50,"MG",20,4/25/2002,,,,,,,
"38779194305","38779-1943-05",,"J2800",,4/25/2002,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","METHOCARBAMOL (U.S.P.)",1,"EA","BO","NA","GM",10,"ML",1,4/25/2002,,,,,,,
"38779194308","38779-1943-08",,"J2800",,4/25/2002,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","METHOCARBAMOL (U.S.P.)",1,"EA","BO","NA","GM",10,"ML",1,4/25/2002,,,,,,,
"38779194309","38779-1943-09",,"J2800",,4/25/2002,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","METHOCARBAMOL (U.S.P.)",1,"EA","BO","NA","GM",10,"ML",1,4/25/2002,,,,,,,
"38779196807","38779-1968-07",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (USP)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779196809","38779-1968-09",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (USP)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"38779198101","38779-1981-01",,"J1840",,4/25/2002,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (XXX U/MG)",1,"EA","NA","NA","GM",500,"MG",2,4/25/2002,,,,,,,
"38779198104","38779-1981-04",,"J1840",,4/25/2002,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (XXX U/MG)",1,"EA","NA","NA","GM",500,"MG",2,4/25/2002,,,,,,,
"38779198105","38779-1981-05",,"J1840",,4/25/2002,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (XXX U/MG)",1,"EA","NA","NA","GM",500,"MG",2,4/25/2002,,,,,,,
"38779198108","38779-1981-08",,"J1840",,4/25/2002,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (XXX U/MG)",1,"EA","NA","NA","GM",500,"MG",2,4/25/2002,,,,,,,
"38779206204","38779-2062-04",,"J1245",,4/25/2002,1/1/2004,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,4/25/2002,,,,,,,
"38779206205","38779-2062-05",,"J1245",,4/25/2002,1/1/2004,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,4/25/2002,,,,,,,
"38779206208","38779-2062-08",,"J1245",,4/25/2002,1/1/2004,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,4/25/2002,,,,,,,
"38779206503","38779-2065-03",,"J7799",,5/2/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE HCL",1,"EA","NA","NA","GM",1,"EA",1,5/2/2002,,,,,,,
"38779206506","38779-2065-06",,"J7799",,5/2/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE HCL",1,"EA","NA","NA","GM",1,"EA",1,5/2/2002,,,,,,,
"38779207803","38779-2078-03",,"J2680",,4/25/2002,1/1/2004,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,4/25/2002,,,,,,,
"38779207806","38779-2078-06",,"J2680",,4/25/2002,1/1/2004,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,4/25/2002,,,,,,,
"38779208703","38779-2087-03",,"J7643",,5/2/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,5/2/2002,,,,,,,
"38779208703","38779-2087-03","KO","J7643","KO",5/2/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,5/2/2002,,,,,,,
"38779208706","38779-2087-06",,"J7643",,5/2/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,5/2/2002,,,,,,,
"38779208706","38779-2087-06","KO","J7643","KO",5/2/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,5/2/2002,,,,,,,
"38779209603","38779-2096-03",,"J0360",,5/2/2002,1/1/2004,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,5/2/2002,,,,,,,
"38779209604","38779-2096-04",,"J0360",,5/2/2002,1/1/2004,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,5/2/2002,,,,,,,
"38779209605","38779-2096-05",,"J0360",,5/2/2002,1/1/2004,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,5/2/2002,,,,,,,
"38779214404","38779-2144-04",,"J2515",,5/23/2002,10/9/2003,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","PENTOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,5/23/2002,,,,,,,
"38779214405","38779-2144-05",,"J2515",,5/23/2002,10/9/2003,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","PENTOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,5/23/2002,,,,,,,
"38779214408","38779-2144-08",,"J2515",,5/23/2002,10/9/2003,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","PENTOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,5/23/2002,,,,,,,
"38779216503","38779-2165-03",,"J0780",,4/25/2002,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,4/25/2002,,,,,,,
"38779216506","38779-2165-06",,"J0780",,4/25/2002,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,4/25/2002,,,,,,,
"38779219603","38779-2196-03",,"J3250",,4/25/2002,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,9/26/2008,,4/25/2002,,5,,,
"38779219604","38779-2196-04",,"J3250",,4/25/2002,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,9/26/2008,,4/25/2002,,5,,,
"38779219605","38779-2196-05",,"J3250",,4/25/2002,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,9/26/2008,,4/25/2002,,5,,,
"38779236305","38779-2363-05",,"J1956",,10/25/2007,,"INJECTION, LEVOFLOXACIN, 250 MG","LEVOFLOXACIN HEMIHYDRATE (1X100GM)",1,"EA","BO","NA","GM",250,"MG",4,10/25/2007,,,,,,,
"39822020005","39822-0200-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BACI-RX (U.S.P.,5 MMU,MICRONIZED)",1,"EA","BO","NA","EA",1,"EA",1,1/1/2002,,,,,,,
"39822027702","39822-0277-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BACIIM (STERILE) 50000 U",1,"EA","VL","IM","EA",1,"EA",1,1/1/2002,,,,,,,
"39822027707","39822-0277-07",,"J3490",,11/16/2005,,"UNCLASSIFIED DRUGS","BACIIM (STERILE,USP,LATEX-FREE) 50000 U",1,"EA","VL","IM","EA",1,"EA",1,11/16/2005,,,,,,,
"39822027709","39822-0277-09",,"J3490",,2/1/2006,6/1/2009,"UNCLASSIFIED DRUGS","AMERINET CHOICE BACIIM (STERILE) 50000 U",10,"EA","VL","IM","EA",1,"EA",1,2/1/2006,6/1/2009,,,,,,
"39822041201","39822-0412-01",,"J7682",,1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"39822041201","39822-0412-01",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2007,,,,,,,
"39822041201","39822-0412-01","KO","J7682","KO",1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"39822041201","39822-0412-01","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2007,,,,,,,
"39822041206","39822-0412-06",,"J7682",,1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"39822041206","39822-0412-06",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2007,,,,,,,
"39822041206","39822-0412-06","KO","J7682","KO",1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2002,,,,,,,
"39822041206","39822-0412-06","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2007,,,,,,,
"39822061501","39822-0615-01",,"J0770",,1/1/2002,,"INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG","COLISTIMETHATE SODIUM (VIAL,STERILE) 150 MG",1,"EA","VL","IJ","EA",150,"MG",1,1/1/2002,,,,,,,
"39822070601","39822-0706-01",,"J3000",,1/1/2002,9/30/2005,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (STERILE) 1 GM",1,"EA","VL","IM","EA",1,"GM",1,1/1/2002,,,,,,,
"39822070602","39822-0706-02",,"J3000",,1/1/2002,,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (STERILE) 1 GM",1,"EA","VL","IM","EA",1,"GM",1,1/1/2002,,,,,,,
"39822071001","39822-0710-01",,"J1451",,12/14/2007,,"INJECTION, FOMEPIZOLE, 15 MG","FOMEPIZOLE (1X1.5ML,PF) 1 GM/ML",1.5,"ML","VL","IV","ML",15,"MG",66.66666,12/14/2007,,,,,,,
"39822105505","39822-1055-05",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (STERILE) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"39822105507","39822-1055-07",,"J0285",,3/20/2006,,"INJECTION, AMPHOTERICIN B, 50 MG","NOVAPLUS AMPHOTERICIN B 50 MG",1,"EA","VL","IV","EA",50,"MG",1,3/20/2006,,,,,,,
"39822509001","39822-5090-01",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"39822509003","39822-5090-03",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"39822509005","39822-5090-05",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"39822509009","39822-5090-09",,"J1700",,1/1/2002,6/1/2005,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","DR","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"39822530005","39822-5300-05",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"39822530005","39822-5300-05","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"39822600001","39822-6000-01",,"J2675",,1/1/2002,5/18/2009,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,5/18/2009,,,,,,
"39822600003","39822-6000-03",,"J2675",,1/1/2002,5/18/2009,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,5/18/2009,,,,,,
"39822600005","39822-6000-05",,"J2675",,1/1/2002,11/22/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"39822600007","39822-6000-07",,"J2675",,1/1/2002,5/18/2009,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,5/18/2009,,,,,,
"39822600009","39822-6000-09",,"J2675",,1/1/2002,1/1/2006,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","DR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"39822610001","39822-6100-01",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (USP,WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"39822610003","39822-6100-03",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (USP,WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"39822610005","39822-6100-05",,"J2675",,1/1/2002,11/22/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"39822610007","39822-6100-07",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (USP,WETTABLE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"39822610009","39822-6100-09",,"J2675",,1/1/2002,1/1/2006,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P., WETTABLE)",1,"EA","DR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"41280022059","41280-0220-59",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP FORMULA 25 MG",72,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"42023010101","42023-0101-01",,"J0170",,2/28/2008,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","ADRENALIN (1X30ML,MDV) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,2/28/2008,,,,,,,
"42023011001","42023-0110-01",,"J1380",,12/10/2007,,"INJECTION, ESTRADIOL VALERATE, UP TO 10 MG","DELESTROGEN (1X5ML,MULTIDOSE) 10 MG/ML",5,"ML","VL","IM","ML",10,"MG",1,12/10/2007,,,,,,,
"42023011101","42023-0111-01",,"J1390",,12/18/2007,,"INJECTION, ESTRADIOL VALERATE, UP TO 20 MG","DELESTROGEN (1X5ML,MULTIDOSE) 20 MG/ML",5,"ML","VL","IM","ML",20,"MG",1,12/18/2007,,,,,,,
"42023011201","42023-0112-01",,"J0970",,3/31/2008,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","DELESTROGEN (1X5ML,MDV,USP) 40 MG/ML",5,"ML","VL","IM","ML",40,"MG",1,3/31/2008,,,,,,,
"42023011601","42023-0116-01",,"J2590",,2/29/2008,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","PITOCIN (1X10ML,MDV) 10 U/ML",10,"ML","VL","IJ","ML",10,"U",1,2/29/2008,,,,,,,
"42023011625","42023-0116-25",,"J2590",,2/1/2008,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","PITOCIN (25X1ML) 10 U/ML",1,"ML","VL","IJ","ML",10,"U",1,2/1/2008,,,,,,,
"42023011801","42023-0118-01",,"J3250",,8/1/2008,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (MDV,1X20ML) 100 MG/ML",20,"ML","VL","IM","ML",200,"MG",0.5,8/1/2008,,,,,,,
"42023011925","42023-0119-25",,"J3250",,7/22/2008,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TIGAN (SDV, 25X2ML) 100 MG/ML",2,"ML","VL","IM","ML",200,"MG",1,7/22/2008,,,,,,,
"42023012225","42023-0122-25",,"J0170",,6/4/2008,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","ADRENALIN CHLORIDE (25X1ML,SDV) 1 MG/ML",1,"ML","VL","IJ","ML",1,"ML",1,6/4/2008,,,,,,,
"43292055631","43292-0556-31",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALERTAB 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"43292055705","43292-0557-05",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALERCAP 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"43292055719","43292-0557-19",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP-TABS 25 MG",36,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"43292055765","43292-0557-65",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (MAX. STR.) 50 MG",50,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"43292055778","43292-0557-78",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEP-TABS 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"44087000407","44087-0004-07",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","SEROSTIM 4 MG",1,"EA","VL","SC","EA",1,"MG",4,1/1/2002,,,,,,,
"44087000507","44087-0005-07",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","SEROSTIM (S.D.V., W/DILUENT) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,1/1/2002,,,,,,,
"44087000607","44087-0006-07",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","SEROSTIM (S.D.V., W/DILUENT) 6 MG",1,"EA","VL","SC","EA",1,"MG",6,1/1/2002,,,,,,,
"44087002203","44087-0022-03",,"J3490",,3/13/2002,12/31/2002,"UNCLASSIFIED DRUGS","REBIF (SRN,PREFILLED,27G,PF) 22 MCG/0.5 ML",0.5,"ML","SR","SC","ML",1,"EA",1,3/13/2002,,,,,,,
"44087002203","44087-0022-03",,"Q3026",,1/1/2003,,"INJECTION, INTERFERON BETA-1A, 11 MCG FOR SUBCUTANEOUS USE","REBIF (SRN,PREFILLED,27G,PF) 22 MCG/0.5 ML",0.5,"ML","SR","SC","ML",11,"MCG",4,1/1/2003,,,,,,,
"44087004403","44087-0044-03",,"J3490",,3/13/2002,12/31/2002,"UNCLASSIFIED DRUGS","REBIF (SRN,PREFILLED,27G,PF) 44 MCG/0.5 ML",0.5,"ML","SR","SC","ML",1,"EA",1,3/13/2002,,,,,,,
"44087004403","44087-0044-03",,"Q3026",,1/1/2003,,"INJECTION, INTERFERON BETA-1A, 11 MCG FOR SUBCUTANEOUS USE","REBIF (SRN,PREFILLED,27G,PF) 44 MCG/0.5 ML",0.5,"ML","SR","SC","ML",11,"MCG",8,1/1/2003,,,,,,,
"44087008804","44087-0088-04",,"J2941",,10/15/2007,,"INJECTION, SOMATROPIN, 1 MG","SEROSTIM (W/DILUENT) 8.8 MG",1,"EA","VL","SC","EA",1,"MG",8.8,10/15/2007,,,,,,,
"44087025001","44087-0250-01",,"J3490",,1/1/2002,11/9/2003,"UNCLASSIFIED DRUGS","OVIDREL (VIAL W/DILUENT) 0.25 MG",1,"EA","VL","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"44087100502","44087-1005-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","SAIZEN (VIAL, W/DILUENT) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,1/1/2002,,,,,,,
"44087108001","44087-1080-01",,"J2941",,10/22/2004,,"INJECTION, SOMATROPIN, 1 MG","SAIZEN CLICK EASY CARTRIDGE (W/DILUENT) 8.8 MG",1,"CT","VL","IJ","EA",1,"MG",8.8,10/22/2004,,,,,,,
"44087108002","44087-1080-02",,"J2941",,10/22/2004,9/20/2006,"INJECTION, SOMATROPIN, 1 MG","SAIZEN CLICK EASY CARTRIDGE (W/DILUENT) 8.8 MG",1,"EA","CT","IJ","EA",1,"MG",8.8,10/22/2004,,,,,,,
"44087108801","44087-1088-01",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","SAIZEN (VIAL W/DILUENT) 8.8 MG",1,"EA","VL","IJ","EA",1,"MG",8.8,1/1/2002,,,,,,,
"44087111201","44087-1112-01",,"J3490",,6/15/2004,,"UNCLASSIFIED DRUGS","GONAL-F RFF (29GX1/2 NEEDLE,PEN) 450 IU/0.75 ML",0.75,"ML","CR","SC","ML",1,"EA",1,6/15/2004,,,,,,,
"44087111301","44087-1113-01",,"J3490",,6/15/2004,,"UNCLASSIFIED DRUGS","GONAL-F RFF (29GX1/2,PEN) 300 IU/0.5 ML",0.5,"ML","CR","SC","ML",1,"EA",1,6/15/2004,,,,,,,
"44087111401","44087-1114-01",,"J3490",,6/15/2004,,"UNCLASSIFIED DRUGS","GONAL-F RFF (29GX1/2,PEN) 900 IU/1.5 ML",1.5,"ML","CR","SC","ML",1,"EA",1,6/15/2004,,,,,,,
"44087115001","44087-1150-01",,"J3490",,11/10/2003,,"UNCLASSIFIED DRUGS","OVIDREL (SRN,PREFILLED SYRINGE) 0.25 MG/0.5 ML",0.5,"ML","SR","SC","ML",1,"EA",1,11/10/2003,,,,,,,
"44087120001","44087-1200-01",,"J3490",,1/1/2002,7/20/2005,"UNCLASSIFIED DRUGS","GONAL-F (VIAL) 1200 IU",1,"EA","VL","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"44087152001","44087-1520-01",,"J9293",,6/11/2003,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","NOVANTRONE (M.D.V.) 2 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.4,6/11/2003,,,,,,,
"44087152501","44087-1525-01",,"J9293",,6/11/2003,6/7/2007,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","NOVANTRONE (M.D.V.) 2 MG/ML",12.5,"ML","VL","IV","ML",5,"MG",0.4,6/11/2003,,,,,,,
"44087153001","44087-1530-01",,"J9293",,6/11/2003,9/4/2007,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","NOVANTRONE (M.D.V.) 2 MG/ML",15,"ML","VL","IV","ML",5,"MG",0.4,6/11/2003,,,,,,,
"44087338807","44087-3388-07",,"J2941",,4/7/2003,,"INJECTION, SOMATROPIN, 1 MG","ZORBTIVE (MDV, VIALS W/ DILUENT) 8.8 MG",1,"EA","VL","SC","EA",1,"MG",8.8,4/7/2003,,,,,,,
"44087400501","44087-4005-01",,"Q2014",,1/1/2002,7/31/2003,"INJECTION, SERMORELIN ACETATE, 0.5 MG","GEREF (VIAL) 0.5 MG",1,"EA","VL","IJ","EA",0.5,"MG",1,1/1/2002,,,,,,,
"44087401001","44087-4010-01",,"Q2014",,1/1/2002,6/7/2003,"INJECTION, SERMORELIN ACETATE, 0.5 MG","GEREF (VIAL) 1 MG",1,"EA","VL","IJ","EA",0.5,"MG",2,1/1/2002,,,,,,,
"44087405001","44087-4050-01",,"Q0515",,1/1/2006,8/1/2008,"INJECTION, SERMORELIN ACETATE, 1 MICROGRAM","GEREF DIAGNOSTIC (AMP) 50 MCG",1,"EA","VL","IJ","EA",1,"MCG",50,1/1/2006,8/1/2008,,,,,,
"44087405001","44087-4050-01",,"Q2014",,1/1/2002,12/31/2005,"INJECTION, SERMORELIN ACETATE, 0.5 MG","GEREF DIAGNOSTIC (AMP) 50 MCG",1,"EA","VL","IJ","EA",0.5,"MG",0.1,1/1/2002,,,,,,,
"44087607501","44087-6075-01",,"J3355",,1/1/2006,,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 75 IU",1,"EA","NA","IM","EA",75,"IU",1,1/1/2006,,,,,,,
"44087607501","44087-6075-01",,"Q2018",,1/1/2002,12/31/2005,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 75 IU",1,"EA","NA","IM","EA",75,"IU",1,1/1/2002,,,,,,,
"44087607503","44087-6075-03",,"J3355",,1/1/2006,,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 75 IU",1,"EA","NA","IM","EA",75,"IU",1,1/1/2006,,,,,,,
"44087607503","44087-6075-03",,"Q2018",,1/1/2002,12/31/2005,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 75 IU",1,"EA","NA","IM","EA",75,"IU",1,1/1/2002,,,,,,,
"44087607504","44087-6075-04",,"J3355",,1/1/2006,,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 75 IU",1,"EA","NA","IM","EA",75,"IU",1,1/1/2006,,,,,,,
"44087607504","44087-6075-04",,"Q2018",,1/1/2002,12/31/2005,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 75 IU",1,"EA","NA","IM","EA",75,"IU",1,1/1/2002,,,,,,,
"44087615001","44087-6150-01",,"J3355",,1/1/2006,,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 150 IU",1,"EA","NA","IM","EA",75,"IU",2,1/1/2006,,,,,,,
"44087615001","44087-6150-01",,"Q2018",,1/1/2002,12/31/2005,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 150 IU",1,"EA","NA","IM","EA",75,"IU",2,1/1/2002,,,,,,,
"44087707501","44087-7075-01",,"Q2018",,1/1/2002,2/14/2003,"INJECTION, UROFOLLITROPIN, 75 IU","FERTINEX 75 IU",1,"EA","VL","SC","EA",75,"IU",1,1/1/2002,,,,,,,
"44087707503","44087-7075-03",,"Q2018",,1/1/2002,2/14/2003,"INJECTION, UROFOLLITROPIN, 75 IU","FERTINEX 75 IU",1,"EA","VL","SC","EA",75,"IU",1,1/1/2002,,,,,,,
"44087801003","44087-8010-03",,"J0725",,1/1/2002,2/14/2004,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","PROFASI 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,1/1/2002,,,,,,,
"44087882201","44087-8822-01",,"Q3026",,2/14/2005,,"INJECTION, INTERFERON BETA-1A, 11 MCG FOR SUBCUTANEOUS USE","REBIF (TITRATION PACK,PF) 44 MCG/ML",4.2,"ML","BX","SC","ML",11,"MCG",4,2/14/2005,,,,,,,
"44087900501","44087-9005-01",,"J3490",,6/7/2004,,"UNCLASSIFIED DRUGS","GONAL-F RFF 75 IU",1,"EA","VL","SC","EA",1,"EA",1,6/7/2004,,,,,,,
"44087900506","44087-9005-06",,"J3490",,6/7/2004,,"UNCLASSIFIED DRUGS","GONAL-F RFF 75 IU",1,"EA","VL","SC","EA",1,"EA",1,6/7/2004,,,,,,,
"44087903001","44087-9030-01",,"J3490",,5/10/2004,,"UNCLASSIFIED DRUGS","GONAL-F (M.D.V.) 450 IU",1,"EA","VL","SC","EA",1,"EA",1,5/10/2004,,,,,,,
"44087907001","44087-9070-01",,"J3490",,5/7/2007,,"UNCLASSIFIED DRUGS","GONAL-F (MDV) 1200 IU",1,"EA","VL","SC","EA",1,"EA",1,5/7/2007,,,,,,,
"44087907501","44087-9075-01",,"J3490",,1/1/2002,7/5/2004,"UNCLASSIFIED DRUGS","GONAL-F (AMP) 75 IU",1,"EA","AM","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"44087907503","44087-9075-03",,"J3490",,1/1/2002,7/5/2004,"UNCLASSIFIED DRUGS","GONAL-F (AMP) 75 IU",1,"EA","AM","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"44087907504","44087-9075-04",,"J3490",,1/1/2002,7/5/2004,"UNCLASSIFIED DRUGS","GONAL-F (AMP) 75 IU",1,"EA","AM","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"44087915001","44087-9150-01",,"J3490",,1/1/2002,7/5/2004,"UNCLASSIFIED DRUGS","GONAL-F (AMP) 150 IU",1,"EA","AM","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"44087937501","44087-9375-01",,"J3490",,1/1/2002,7/5/2004,"UNCLASSIFIED DRUGS","GONAL-F (AMP) 37.5 IU",1,"EA","AM","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"44087937503","44087-9375-03",,"J3490",,1/1/2002,7/5/2004,"UNCLASSIFIED DRUGS","GONAL-F (AMP) 37.5 IU",1,"EA","AM","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"44206030001","44206-0300-01",,"J2791",,1/1/2008,,"INJECTION, RHO(D) IMMUNE GLOBULIN (HUMAN), (RHOPHYLAC), INTRAMUSCULAR OR INTRAVENOUS, 100 IU","RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML",2,"ML","SR","IJ","ML",100,"IU",7.5,1/1/2008,,,,,,,
"44206030001","44206-0300-01",,"Q4089",,7/1/2007,12/31/2007,"INJECTION, RHO(D) IMMUNE GLOBULIN (HUMAN), (RHOPHYLAC®) INTRAMUSCULAR OR INTRAVENOUS, 100 IU","RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML",2,"ML","SR","IJ","ML",100,"IU",7.5,7/1/2007,,,,,,,
"44206030010","44206-0300-10",,"J2791",,1/1/2008,,"INJECTION, RHO(D) IMMUNE GLOBULIN (HUMAN), (RHOPHYLAC), INTRAMUSCULAR OR INTRAVENOUS, 100 IU","RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML",2,"ML","SR","IJ","ML",100,"IU",7.5,1/1/2008,,,,,,,
"44206030010","44206-0300-10",,"Q4089",,7/1/2007,12/31/2007,"INJECTION, RHO(D) IMMUNE GLOBULIN (HUMAN), (RHOPHYLAC®) INTRAMUSCULAR OR INTRAVENOUS, 100 IU","RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML",2,"ML","SR","IJ","ML",100,"IU",7.5,7/1/2007,,,,,,,
"44206041501","44206-0415-01",,"J1566",,1/1/2006,3/31/2009,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","CARIMUNE NF (PF,NANOFILTERED) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2006,3/31/2009,,,,,,
"44206041501","44206-0415-01",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","CARIMUNE NF (PF,NANOFILTERED) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,4/1/2005,,,,,,,
"44206041603","44206-0416-03",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","CARIMUNE NF (PF,NANOFILTERED) 3 GM",1,"EA","VL","IV","EA",500,"MG",6,1/1/2006,,,,,,,
"44206041603","44206-0416-03",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","CARIMUNE NF (PF,NANOFILTERED) 3 GM",1,"EA","VL","IV","EA",1,"GM",3,4/1/2005,,,,,,,
"44206041706","44206-0417-06",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","CARIMUNE NF (PF,NANOFILTERED) 6 GM",1,"EA","VL","IV","EA",500,"MG",12,1/1/2006,,,,,,,
"44206041706","44206-0417-06",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","CARIMUNE NF (PF,NANOFILTERED) 6 GM",1,"EA","VL","IV","EA",1,"GM",6,4/1/2005,,,,,,,
"44206041812","44206-0418-12",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","CARIMUNE NF (PF,NANOFILTERED) 12 GM",1,"EA","VL","IV","EA",500,"MG",24,1/1/2006,,,,,,,
"44206041812","44206-0418-12",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","CARIMUNE NF (PF,NANOFILTERED) 12 GM",1,"EA","VL","IV","EA",1,"GM",12,4/1/2005,,,,,,,
"44206043605","44206-0436-05",,"J1459",,1/1/2009,,"INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","PRIVIGEN (PF,LATEX-FREE) 10%",50,"ML","VL","IV","ML",500,"MG",0.2,1/1/2009,,,,,,,
"44206043605","44206-0436-05",,"Q4097",,4/1/2008,12/31/2008,"INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG","PRIVIGEN (PF,LATEX-FREE) 10%",50,"ML","VL","IV","ML",500,"MG",0.2,4/1/2008,,,,,,,
"44206043710","44206-0437-10",,"J1459",,1/1/2009,,"INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","PRIVIGEN (PF,LATEX-FREE) 10%",100,"ML","VL","IV","ML",500,"MG",0.2,1/1/2009,,,,,,,
"44206043710","44206-0437-10",,"Q4097",,4/1/2008,12/31/2008,"INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG","PRIVIGEN (PF,LATEX-FREE) 10%",100,"ML","VL","IV","ML",500,"MG",0.2,4/1/2008,,,,,,,
"44206043820","44206-0438-20",,"J1459",,1/1/2009,,"INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","PRIVIGEN (PF,LATEX-FREE) 10%",200,"ML","VL","IV","ML",500,"MG",0.2,1/1/2009,,,,,,,
"44206043820","44206-0438-20",,"Q4097",,4/1/2008,12/31/2008,"INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG","PRIVIGEN (PF,LATEX-FREE) 10%",200,"ML","VL","IV","ML",500,"MG",0.2,4/1/2008,,,,,,,
"44206050653","44206-0506-53",,"J1563",,1/1/2002,8/11/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","CARIMUNE 3 GM",1,"EA","VL","IV","EA",1,"GM",3,1/1/2002,,,,,,,
"44206050756","44206-0507-56",,"J1563",,1/1/2002,8/12/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","CARIMUNE 6 GM",1,"EA","PT","IV","EA",1,"GM",6,1/1/2002,,,,,,,
"44206050862","44206-0508-62",,"J1563",,1/1/2002,8/27/2004,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","CARIMUNE 12 GM",1,"EA","VL","IV","EA",1,"GM",12,1/1/2002,,,,,,,
"44206310101","44206-3101-01",,"J0850",,2/20/2007,,"INJECTION, CYTOMEGALOVIRUS IMMUNE GLOBULIN INTRAVENOUS (HUMAN), PER VIAL","CYTOGAM (PF)",50,"ML","NA","IV","ML",1,"EA",0.02,2/20/2007,,,,,,,
"45802012714","45802-0127-14",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",3,"EA","BX","PO","EA",8,"MG",0.5,6/25/2007,,,,,,,
"45802012765","45802-0127-65",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,6/25/2007,,,,,,,
"45802020514","45802-0205-14",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",3,"EA","BX","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"45802020565","45802-0205-65",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"45802030321","45802-0303-21",,"J7506",,12/12/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP,BLISTER PACK) 10 MG",21,"EA","DP","PO","EA",5,"MG",2,12/12/2007,,,,,,,
"45802030367","45802-0303-67",,"J7506",,12/12/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP,BLISTER PACK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,12/12/2007,,,,,,,
"45802073321","45802-0733-21",,"J7506",,12/12/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP,BLISTER PACK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,12/12/2007,,,,,,,
"45802073367","45802-0733-67",,"J7506",,12/12/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP,BLISTER PACK) 5 MG",48,"EA","DP","PO","EA",5,"MG",1,12/12/2007,,,,,,,
"45802075830","45802-0758-30",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"45802075830","45802-0758-30",,"K0416",,6/30/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,6/30/2003,,,,,,,
"45802075930","45802-0759-30",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"45802075930","45802-0759-30",,"K0416",,6/30/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"MG",25,6/30/2003,,,,,,,
"46287001501","46287-0015-01",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (RASPBERRY) 50 MG/5 ML",473,"ML","BO","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"46672060616","46672-0606-16",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 50 MG/5 ML",480,"ML","BO","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"47682018232","47682-0182-32",,"Q0163",,1/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEN (SF) 25 MG",12,"EA","NA","PO","EA",50,"MG",0.5,1/1/2007,,,,,,,
"47682018247","47682-0182-47",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEN (200X1,SF) 25 MG",200,"EA","PG","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"47682018264","47682-0182-64",,"Q0163",,1/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEN (SF) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2007,,,,,,,
"47682084787","47682-0847-87",,"Q0163",,1/1/2007,6/1/2008,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MEDI-FIRST DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,1/1/2007,6/1/2008,,,,,,
"47682085887","47682-0858-87",,"Q0163",,1/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MEDI-FIRST DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,1/1/2007,,,,,,,
"48879000101","48879-0001-01",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INHALATION (AL7023)",3,"ML","EA","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"48879000101","48879-0001-01",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","WATER FOR INHALATION (AL7023)",3,"ML","EA","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"48879000102","48879-0001-02",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INHALATION (AL7025)",5,"ML","EA","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"48879000102","48879-0001-02",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","WATER FOR INHALATION (AL7025)",5,"ML","EA","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"48879000201","48879-0002-01",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SALINE SOLUTION (AL7453) 0.45%",3,"ML","EA","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"48879000201","48879-0002-01",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SALINE SOLUTION (AL7453) 0.45%",3,"ML","EA","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"48879000202","48879-0002-02",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SALINE SOLUTION (AL7455) 0.45%",5,"ML","EA","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"48879000202","48879-0002-02",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SALINE SOLUTION (AL7455) 0.45%",5,"ML","EA","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"48879000301","48879-0003-01",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SALINE SOLUTION (AL7093) 0.9%",3,"ML","EA","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"48879000301","48879-0003-01",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SALINE SOLUTION (AL7093) 0.9%",3,"ML","EA","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"48879000302","48879-0003-02",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SALINE SOLUTION (AL7095) 0.9%",5,"ML","EA","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"48879000302","48879-0003-02",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SALINE SOLUTION (AL7095) 0.9%",5,"ML","EA","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"48879000307","48879-0003-07",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SALINE SOLUTION (AL4015) 0.9%",15,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"48879000307","48879-0003-07",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SALINE SOLUTION (AL4015) 0.9%",15,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"49072014530","49072-0145-30",,"J3420",,1/1/2002,11/1/2002,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (M.D.V.) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"49072029130","49072-0291-30",,"J1644",,1/1/2002,11/1/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",30,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"49072029710","49072-0297-10",,"J1644",,1/1/2002,11/1/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 5000 U/ML",10,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"49072029905","49072-0299-05",,"J1644",,1/1/2002,11/1/2004,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 10000 U/ML",4,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"49072043305","49072-0433-05",,"J1212",,1/1/2002,11/1/2002,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (M.D.V.) 50%",50,"ML","VL","IL","ML",50,"%",0.02,1/1/2002,,,,,,,
"49072047550","49072-0475-50",,"J3475",,1/1/2002,11/1/2002,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (S.D.V.) 500 MG/ML",50,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"49072057130","49072-0571-30",,"J3480",,1/1/2002,12/1/2007,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (M.D.V.) 2 MEQ/ML",30,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,12/1/2007,,,,,,
"49072066930","49072-0669-30",,"A4216",,1/1/2004,12/1/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (M.D.V.) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,12/1/2007,,,,,,
"49072066930","49072-0669-30",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (M.D.V.) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"49072070420","49072-0704-20",,"J0610",,1/1/2002,11/1/2002,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (S.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"49072070450","49072-0704-50",,"J0610",,1/1/2002,11/1/2002,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (S.D.V.) 100 MG/ML",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"49072080730","49072-0807-30",,"A4712",,1/1/2002,11/1/2002,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION BACTERIOSTATIC (M.D.V.)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"49281054505","49281-0545-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","ACTHIB (SDV W/DIL,TAX INCL,PF) 10 MCG",1,"EA","VL","IM","EA",1,"EA",1,1/1/2002,,,,,,,
"49281088001","49281-0880-01",,"J9031",,1/1/2002,,"BCG (INTRAVESICAL) PER INSTILLATION","THERACYS (S.D.V. W/DILUENT,PF) 81 MG",1,"EA","VL","IL","EA",1,"INSTILLATION",1,1/1/2002,,,,,,,
"49348004404","49348-0044-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VALU-DRYL ALLERGY 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"49348004410","49348-0044-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VALU-DRYL ALLERGY 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"49348004534","49348-0045-34",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VALU-DRYL ALLERGY CHILDREN'S 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"49348020434","49348-0204-34",,"Q0163",,1/1/2002,3/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VALU-DRYL CLEAR (AF,SF,DYE-FREE) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"49348020537","49348-0205-37",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VALU-DRYL ALLERGY CHILDREN'S (AF,CHERRY) 12.5 MG/5 ML",236,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"49348028208","49348-0282-08",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VALU-DRYL ALLERGY 25 MG",48,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"49348056404","49348-0564-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VALU-DRYL ALLERGY 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"49452000101","49452-0001-01",,"J7799",,2/5/2002,9/30/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,2/5/2002,,,,,,,
"49452000101","49452-0001-01",,"Q4075",,10/1/2003,1/1/2004,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"49452000102","49452-0001-02",,"J7799",,2/5/2002,9/30/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,2/5/2002,,,,,,,
"49452000102","49452-0001-02",,"Q4075",,10/1/2003,11/15/2004,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"49452000103","49452-0001-03",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"49452000103","49452-0001-03",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"49452000104","49452-0001-04",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"49452000104","49452-0001-04",,"Q4075",,1/1/2004,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2004,,,,,,,
"49452000105","49452-0001-05",,"Q4075",,1/1/2004,11/15/2004,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2004,,,,,,,
"49452000601","49452-0006-01",,"J7632",,1/1/2008,3/15/2008,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,3/15/2008,,,,,,
"49452000601","49452-0006-01",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452000601","49452-0006-01","KO","J7632","KO",1/1/2008,3/15/2008,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,3/15/2008,,,,,,
"49452000602","49452-0006-02",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"49452000602","49452-0006-02",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452000602","49452-0006-02","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"49452000603","49452-0006-03",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"49452000603","49452-0006-03",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452000603","49452-0006-03","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"49452000604","49452-0006-04",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"49452000604","49452-0006-04",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452000604","49452-0006-04","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"49452001101","49452-0011-01",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452001102","49452-0011-02",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452001103","49452-0011-03",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452002301","49452-0023-01",,"J0285",,1/24/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/24/2002,,,,,,,
"49452002302","49452-0023-02",,"J0285",,1/24/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,1/24/2002,,,,,,,
"49452002303","49452-0023-03",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452002702","49452-0027-02",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2002,,,,,,,
"49452002703","49452-0027-03",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","JR","NA","GM",30,"MG",33.33333,1/1/2002,,,,,,,
"49452002704","49452-0027-04",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2002,,,,,,,
"49452002801","49452-0028-01",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452002802","49452-0028-02",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452002803","49452-0028-03",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452002804","49452-0028-04",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452002901","49452-0029-01",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"49452002902","49452-0029-02",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","JR","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"49452002903","49452-0029-03",,"J1170",,1/1/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"49452002904","49452-0029-04",,"J1170",,11/15/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","JR","NA","GM",4,"MG",250,11/15/2004,,,,,,,
"49452003101","49452-0031-01",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452003102","49452-0031-02",,"J2175",,1/1/2002,3/15/2008,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,3/15/2008,,,,,,
"49452003103","49452-0031-03",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452003201","49452-0032-01",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,1/1/2002,,,,,,,
"49452003202","49452-0032-02",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","JR","NA","GM",0.1,"MG",10000,1/1/2002,,,,,,,
"49452007301","49452-0073-01",,"J0270",,1/1/2002,2/5/2002,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,1/1/2002,,,,,,,
"49452007302","49452-0073-02",,"J0270",,2/5/2002,4/1/2005,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,2/5/2002,,,,,,,
"49452007303","49452-0073-03",,"J0270",,2/5/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,11/15/2004,,2/5/2002,11/14/2004,800000,,,
"49452007304","49452-0073-04",,"J0270",,11/15/2004,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,11/15/2004,,,,,,,
"49452009701","49452-0097-01",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"49452009701","49452-0097-01",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452009701","49452-0097-01","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"49452009702","49452-0097-02",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"49452009702","49452-0097-02",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452009702","49452-0097-02","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"49452009703","49452-0097-03",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"49452009703","49452-0097-03",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452009703","49452-0097-03","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"49452009704","49452-0097-04",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"49452009704","49452-0097-04",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452009704","49452-0097-04","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"49452009705","49452-0097-05",,"J7608",,1/1/2002,1/17/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452009705","49452-0097-05","KO","J7608","KO",1/1/2002,1/17/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","N-ACETYL-L-CYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452010501","49452-0105-01",,"J1212",,1/1/2002,1/31/2002,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (U.S.P.)",500,"ML","BO","NA","ML",50,"%",0.02,1/1/2002,,,,,,,
"49452010502","49452-0105-02",,"J1212",,1/1/2002,1/31/2002,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (U.S.P.)",4000,"ML","BO","NA","ML",50,"%",0.02,1/1/2002,,,,,,,
"49452022501","49452-0225-01",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452022501","49452-0225-01",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452022501","49452-0225-01","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452022501","49452-0225-01","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452022503","49452-0225-03",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452022503","49452-0225-03",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452022503","49452-0225-03","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452022503","49452-0225-03","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452022601","49452-0226-01",,"J7619",,1/1/2002,11/14/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452022601","49452-0226-01","KO","J7619","KO",1/1/2002,11/14/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452022602","49452-0226-02",,"J7619",,1/1/2002,11/14/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452022602","49452-0226-02","KO","J7619","KO",1/1/2002,11/14/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452022603","49452-0226-03",,"J7619",,1/1/2002,11/14/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452022603","49452-0226-03","KO","J7619","KO",1/1/2002,11/14/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452022701","49452-0227-01",,"J7609",,1/1/2007,3/15/2007,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,3/15/2007,,,,,,
"49452022701","49452-0227-01",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452022701","49452-0227-01","KO","J7609","KO",1/1/2007,3/15/2007,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,3/15/2007,,,,,,
"49452022701","49452-0227-01","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452022702","49452-0227-02",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452022702","49452-0227-02",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452022702","49452-0227-02","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452022702","49452-0227-02","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452022703","49452-0227-03",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452022703","49452-0227-03",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452022703","49452-0227-03","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452022703","49452-0227-03","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452039901","49452-0399-01",,"J3490",,2/5/2002,1/1/2003,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,2/5/2002,,,,,,,
"49452039902","49452-0399-02",,"J3490",,2/5/2002,1/1/2003,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,2/5/2002,,,,,,,
"49452040901","49452-0409-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452040902","49452-0409-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452040903","49452-0409-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452040904","49452-0409-04",,"J3490",,11/15/2004,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,11/15/2004,,,,,,,
"49452043001","49452-0430-01",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"49452043002","49452-0430-02",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"49452043003","49452-0430-03",,"J0280",,1/1/2002,1/2/2002,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"49452043006","49452-0430-06",,"J0280",,1/1/2002,3/14/2008,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/1/2002,3/14/2008,,,,,,
"49452046001","49452-0460-01",,"J1320",,1/1/2002,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452046002","49452-0460-02",,"J1320",,1/1/2002,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452046003","49452-0460-03",,"J1320",,1/1/2002,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452060101","49452-0601-01",,"J0300",,1/25/2002,1/1/2003,"INJECTION, AMOBARBITAL, UP TO 125 MG","AMOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",125,"MG",8,1/25/2002,,,,,,,
"49452060102","49452-0601-02",,"J0300",,1/25/2002,1/1/2003,"INJECTION, AMOBARBITAL, UP TO 125 MG","AMOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",125,"MG",8,1/25/2002,,,,,,,
"49452060603","49452-0606-03",,"J0285",,1/1/2002,1/24/2002,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452073501","49452-0735-01",,"J9017",,11/15/2004,,"INJECTION, ARSENIC TRIOXIDE, 1 MG","ARSENIC TRIOXIDE (A.C.S.,REAGENT)",1,"EA","BO","NA","GM",1,"MG",1000,11/15/2004,,,,,,,
"49452073502","49452-0735-02",,"J9017",,11/15/2004,,"INJECTION, ARSENIC TRIOXIDE, 1 MG","ARSENIC TRIOXIDE (A.C.S.,REAGENT)",1,"EA","BO","NA","GM",1,"MG",1000,11/15/2004,,,,,,,
"49452077001","49452-0770-01",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452077001","49452-0770-01","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452077002","49452-0770-02",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452077002","49452-0770-02","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452077003","49452-0770-03",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452077003","49452-0770-03","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452078001","49452-0780-01",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452078001","49452-0780-01","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452078002","49452-0780-02",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452078002","49452-0780-02","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452078003","49452-0780-03",,"J7636",,1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452078003","49452-0780-03","KO","J7636","KO",1/1/2002,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452078203","49452-0782-03",,"J7501",,1/1/2002,1/3/2002,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452078301","49452-0783-01",,"J7501",,1/24/2002,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/24/2002,,,,,,,
"49452078302","49452-0783-02",,"J7501",,1/24/2002,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/24/2002,,,,,,,
"49452078303","49452-0783-03",,"J7501",,1/1/2002,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452080001","49452-0800-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BACITRACIN (MICRNZD, U.S.P./5MU)",1,"EA","BO","NA","EA",1,"EA",1,1/1/2002,,,,,,,
"49452080101","49452-0801-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BACITRACIN (U.S.P. STERILE)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452080201","49452-0802-01",,"J7622",,1/1/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452080201","49452-0802-01","KO","J7622","KO",1/1/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452080202","49452-0802-02",,"J7622",,1/1/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452080202","49452-0802-02","KO","J7622","KO",1/1/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452080203","49452-0802-03",,"J7622",,1/1/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452080203","49452-0802-03","KO","J7622","KO",1/1/2002,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452080701","49452-0807-01",,"J0475",,1/1/2002,11/15/2004,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452080702","49452-0807-02",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452080703","49452-0807-03",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452080704","49452-0807-04",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452087601","49452-0876-01",,"J7622",,1/1/2002,1/8/2002,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452087601","49452-0876-01","KO","J7622","KO",1/1/2002,1/8/2002,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452087602","49452-0876-02",,"J7622",,1/1/2002,1/8/2002,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452087602","49452-0876-02","KO","J7622","KO",1/1/2002,1/8/2002,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452087603","49452-0876-03",,"J7622",,1/1/2002,1/8/2002,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452087603","49452-0876-03","KO","J7622","KO",1/1/2002,1/8/2002,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452097001","49452-0970-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452097002","49452-0970-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452097003","49452-0970-03",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452101601","49452-1016-01",,"J0515",,1/1/2002,,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","BENZTROPINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452101602","49452-1016-02",,"J0515",,1/1/2002,,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","BENZTROPINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452101603","49452-1016-03",,"J0515",,1/1/2005,,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","BENZTROPINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"49452107004","49452-1070-04",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107004","49452-1070-04","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107005","49452-1070-05",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107005","49452-1070-05","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107006","49452-1070-06",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107006","49452-1070-06","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107202","49452-1072-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452107203","49452-1072-03",,"J3490",,1/8/2002,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/8/2002,,,,,,,
"49452107501","49452-1075-01",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107501","49452-1075-01","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107502","49452-1075-02",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107502","49452-1075-02","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107503","49452-1075-03",,"J7624",,1/1/2004,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2004,,,,,,,
"49452107503","49452-1075-03","KO","J7624","KO",1/1/2004,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2004,,,,,,,
"49452107504","49452-1075-04",,"J7624",,1/1/2002,11/15/2004,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107504","49452-1075-04","KO","J7624","KO",1/1/2002,11/15/2004,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107701","49452-1077-01",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107701","49452-1077-01","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107702","49452-1077-02",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107702","49452-1077-02","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107703","49452-1077-03",,"J7624",,1/1/2002,11/15/2004,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107703","49452-1077-03","KO","J7624","KO",1/1/2002,11/15/2004,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452107704","49452-1077-04",,"J7624",,1/1/2004,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2004,,,,,,,
"49452107704","49452-1077-04","KO","J7624","KO",1/1/2004,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2004,,,,,,,
"49452108301","49452-1083-01",,"J0520",,1/1/2002,3/15/2008,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,3/15/2008,,,,,,
"49452108302","49452-1083-02",,"J0520",,1/1/2002,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452108303","49452-1083-03",,"J0520",,1/1/2002,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452129101","49452-1291-01",,"J7626",,1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"49452129101","49452-1291-01",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"49452129101","49452-1291-01","KO","J7626","KO",1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"49452129101","49452-1291-01","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"49452129102","49452-1291-02",,"J7626",,1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"49452129102","49452-1291-02",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"49452129102","49452-1291-02","KO","J7626","KO",1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"49452129102","49452-1291-02","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"49452129103","49452-1291-03",,"J7626",,1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"49452129103","49452-1291-03",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"49452129103","49452-1291-03","KO","J7626","KO",1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"49452129103","49452-1291-03","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (EP,MICRONIZED)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"49452130401","49452-1304-01",,"J3490",,1/1/2002,1/8/2002,"UNCLASSIFIED DRUGS","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452130402","49452-1304-02",,"J3490",,1/1/2002,1/8/2002,"UNCLASSIFIED DRUGS","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452130901","49452-1309-01",,"J0945",,1/1/2002,,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452130902","49452-1309-02",,"J0945",,1/1/2002,1/8/2002,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452130904","49452-1309-04",,"J0945",,1/1/2002,,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452130905","49452-1309-05",,"J0945",,1/1/2002,,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452131701","49452-1317-01",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2004,,,,,,,
"49452131701","49452-1317-01",,"J3490",,1/1/2003,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2003,,,,,,,
"49452131702","49452-1317-02",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2004,,,,,,,
"49452131702","49452-1317-02",,"J3490",,1/1/2003,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2003,,,,,,,
"49452133001","49452-1330-01",,"J0706",,1/1/2002,7/7/2007,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,7/7/2007,,,,,,
"49452133002","49452-1330-02",,"J0706",,1/1/2002,7/7/2007,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,7/7/2007,,,,,,
"49452133003","49452-1330-03",,"J0706",,1/1/2002,7/7/2007,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,7/7/2007,,,,,,
"49452177501","49452-1775-01",,"J1955",,1/1/2002,,"INJECTION, LEVOCARNITINE, PER 1 GM","L-CARNITINE FREE BASE",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452177502","49452-1775-02",,"J1955",,1/1/2002,,"INJECTION, LEVOCARNITINE, PER 1 GM","L-CARNITINE FREE BASE",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452177503","49452-1775-03",,"J1955",,1/1/2004,,"INJECTION, LEVOCARNITINE, PER 1 GM","L-CARNITINE FREE BASE",1,"EA","BO","NA","GM",1,"GM",1,1/1/2004,,,,,,,
"49452177601","49452-1776-01",,"J1955",,1/1/2002,,"INJECTION, LEVOCARNITINE, PER 1 GM","L-CARNITINE HYDROCHLORIDE",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452177602","49452-1776-02",,"J1955",,1/1/2002,,"INJECTION, LEVOCARNITINE, PER 1 GM","L-CARNITINE HYDROCHLORIDE",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452199001","49452-1990-01",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452199002","49452-1990-02",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452199003","49452-1990-03",,"J3230",,1/1/2002,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452207801","49452-2078-01",,"J9060",,1/30/2002,3/15/2008,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/30/2002,3/15/2008,,,,,,
"49452207802","49452-2078-02",,"J9060",,1/30/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/30/2002,,,,,,,
"49452207803","49452-2078-03",,"J9060",,1/30/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/30/2002,,,,,,,
"49452214701","49452-2147-01",,"J0735",,1/1/2002,11/15/2004,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452214702","49452-2147-02",,"J0735",,1/1/2002,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452214703","49452-2147-03",,"J0735",,1/1/2002,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452214704","49452-2147-04",,"J0735",,11/15/2004,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,11/15/2004,,,,,,,
"49452221001","49452-2210-01",,"J0760",,1/1/2002,11/15/2004,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452221002","49452-2210-02",,"J0760",,1/1/2002,,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452221003","49452-2210-03",,"J0760",,1/1/2002,,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452233901","49452-2339-01",,"J7631",,2/4/2002,11/14/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,2/4/2002,,,,,,,
"49452233901","49452-2339-01","KO","J7631","KO",2/4/2002,11/14/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,2/4/2002,,,,,,,
"49452233902","49452-2339-02",,"J7631",,2/14/2002,11/14/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,2/14/2002,,,,,,,
"49452233902","49452-2339-02","KO","J7631","KO",2/14/2002,11/14/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,2/14/2002,,,,,,,
"49452233903","49452-2339-03",,"J7631",,2/14/2002,11/14/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,2/14/2002,,,,,,,
"49452233903","49452-2339-03","KO","J7631","KO",2/14/2002,11/14/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,2/14/2002,,,,,,,
"49452233904","49452-2339-04",,"J7631",,2/14/2002,11/14/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,2/14/2002,,,,,,,
"49452233904","49452-2339-04","KO","J7631","KO",2/14/2002,11/14/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,2/14/2002,,,,,,,
"49452240001","49452-2400-01",,"J3420",,1/1/2002,11/15/2004,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,1/1/2002,,,,,,,
"49452240002","49452-2400-02",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,1/1/2002,,,,,,,
"49452240003","49452-2400-03",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,1/1/2002,,,,,,,
"49452240004","49452-2400-04",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,1/1/2002,,,,,,,
"49452243701","49452-2437-01",,"J9000",,1/30/2002,1/1/2003,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/30/2002,,,,,,,
"49452246001","49452-2460-01",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE ANHYDROUS (U.S.P,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"49452246001","49452-2460-01",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE ANHYDROUS (U.S.P,MICRONIZED)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"49452246002","49452-2460-02",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE ANHYDROUS (U.S.P,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"49452246002","49452-2460-02",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE ANHYDROUS (U.S.P,MICRONIZED)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"49452246003","49452-2460-03",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE ANHYDROUS (U.S.P,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"49452246003","49452-2460-03",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE ANHYDROUS (U.S.P,MICRONIZED)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"49452246501","49452-2465-01",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452246501","49452-2465-01","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452246502","49452-2465-02",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452246502","49452-2465-02","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452246503","49452-2465-03",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452246503","49452-2465-03","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452246504","49452-2465-04",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452246504","49452-2465-04","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452247001","49452-2470-01",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452247001","49452-2470-01","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452247002","49452-2470-02",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452247002","49452-2470-02","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452247003","49452-2470-03",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452247003","49452-2470-03","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452247004","49452-2470-04",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452247004","49452-2470-04","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452254001","49452-2540-01",,"J3360",,1/1/2003,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (BP)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2003,,,,,,,
"49452254002","49452-2540-02",,"J3360",,1/1/2003,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (BP)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2003,,,,,,,
"49452254003","49452-2540-03",,"J3360",,1/1/2003,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (BP)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2003,,,,,,,
"49452254101","49452-2541-01",,"J1730",,1/1/2002,1/1/2003,"INJECTION, DIAZOXIDE, UP TO 300 MG","DIAZOXIDE (U.S.P./N.F.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"49452254102","49452-2541-02",,"J1730",,1/1/2002,,"INJECTION, DIAZOXIDE, UP TO 300 MG","DIAZOXIDE (U.S.P./N.F.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"49452254103","49452-2541-03",,"J1730",,1/1/2002,,"INJECTION, DIAZOXIDE, UP TO 300 MG","DIAZOXIDE (U.S.P./N.F.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"49452258401","49452-2584-01",,"J0500",,1/31/2002,11/15/2004,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/31/2002,,,,,,,
"49452258402","49452-2584-02",,"J0500",,1/31/2002,11/15/2004,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/31/2002,,,,,,,
"49452258801","49452-2588-01",,"J1212",,1/31/2002,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (U.S.P.)",500,"ML","BO","NA","ML",50,"%",0.02,1/31/2002,,,,,,,
"49452258802","49452-2588-02",,"J1212",,1/31/2002,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (U.S.P.)",4000,"ML","BO","NA","ML",50,"%",0.02,1/31/2002,,,,,,,
"49452258804","49452-2588-04",,"J1212",,1/31/2002,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (U.S.P.)",100,"ML","BO","NA","ML",50,"%",0.02,1/31/2002,,,,,,,
"49452261201","49452-2612-01",,"J1160",,1/1/2002,11/15/2004,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (U.S.P.)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2002,,,,,,,
"49452261202","49452-2612-02",,"J1160",,1/1/2002,,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (U.S.P.)",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2002,,,,,,,
"49452261501","49452-2615-01",,"J1240",,1/28/2002,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/28/2002,,,,,,,
"49452261502","49452-2615-02",,"J1240",,1/28/2002,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/28/2002,,,,,,,
"49452261503","49452-2615-03",,"J1240",,1/28/2002,1/1/2003,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/28/2002,,,,,,,
"49452261601","49452-2616-01",,"J1110",,1/31/2002,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/31/2002,,,,,,,
"49452261602","49452-2616-02",,"J1110",,1/31/2002,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/31/2002,,,,,,,
"49452261603","49452-2616-03",,"J1110",,1/31/2002,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/31/2002,,,,,,,
"49452264001","49452-2640-01",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452264002","49452-2640-02",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452264103","49452-2641-03",,"J1245",,1/1/2003,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2003,,,,,,,
"49452264104","49452-2641-04",,"J1245",,1/1/2003,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2003,,,,,,,
"49452264105","49452-2641-05",,"J1245",,1/1/2003,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2003,,,,,,,
"49452264106","49452-2641-06",,"J1245",,1/1/2003,11/15/2004,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2003,,,,,,,
"49452269601","49452-2696-01",,"J1790",,1/1/2002,3/15/2008,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,3/15/2008,,,,,,
"49452269602","49452-2696-02",,"J1790",,1/1/2002,,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452269701","49452-2697-01",,"J0600",,1/1/2002,,"INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG","EDETATE CALCIUM DISODIUM (U.S.P.)",1,"EA","BO","NA","GM",1000,"MG",1,1/1/2002,,,,,,,
"49452269702","49452-2697-02",,"J0600",,1/1/2002,,"INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG","EDETATE CALCIUM DISODIUM (U.S.P.)",1,"EA","BO","NA","GM",1000,"MG",1,1/1/2002,,,,,,,
"49452269703","49452-2697-03",,"J0600",,1/1/2002,,"INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG","EDETATE CALCIUM DISODIUM (U.S.P.)",1,"EA","BO","NA","GM",1000,"MG",1,1/1/2002,,,,,,,
"49452270003","49452-2700-03",,"J3520",,1/1/2002,1/11/2002,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"49452270201","49452-2702-01",,"J3520",,1/11/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/11/2002,,,,,,,
"49452270202","49452-2702-02",,"J3520",,1/11/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/11/2002,,,,,,,
"49452270203","49452-2702-03",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"49452274001","49452-2740-01",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452274501","49452-2745-01",,"J7799",,1/25/2002,1/1/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRIN HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/25/2002,,,,,,,
"49452274502","49452-2745-02",,"J7799",,1/25/2002,1/1/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRIN HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/25/2002,,,,,,,
"49452276201","49452-2762-01",,"J1330",,1/1/2002,11/15/2004,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"49452276202","49452-2762-02",,"J1330",,1/1/2002,,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"49452276203","49452-2762-03",,"J1330",,1/1/2002,,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"49452279101","49452-2791-01",,"J0970",,1/1/2002,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"49452279102","49452-2791-02",,"J0970",,1/1/2002,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"49452279103","49452-2791-03",,"J0970",,1/1/2002,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"49452279501","49452-2795-01",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452279502","49452-2795-02",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452279503","49452-2795-03",,"J1435",,1/1/2002,11/14/2004,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452279504","49452-2795-04",,"J1435",,11/15/2004,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,11/15/2004,,,,,,,
"49452303802","49452-3038-02",,"J3490",,1/31/2002,3/15/2008,"UNCLASSIFIED DRUGS","FAMOTIDINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/31/2002,3/15/2008,,,,,,
"49452303803","49452-3038-03",,"J3490",,1/31/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/31/2002,,,,,,,
"49452303804","49452-3038-04",,"J3490",,1/31/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/31/2002,,,,,,,
"49452303805","49452-3038-05",,"J3490",,1/31/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/31/2002,,,,,,,
"49452315101","49452-3151-01",,"J1450",,1/1/2003,3/15/2008,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE",1,"EA","BO","NA","GM",200,"MG",5,1/1/2003,3/15/2008,,,,,,
"49452315102","49452-3151-02",,"J1450",,1/1/2003,3/15/2008,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE",1,"EA","BO","NA","GM",200,"MG",5,1/1/2003,3/15/2008,,,,,,
"49452315103","49452-3151-03",,"J1450",,11/15/2004,3/15/2008,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE",1,"EA","BO","NA","GM",200,"MG",5,11/15/2004,3/15/2008,,,,,,
"49452316201","49452-3162-01",,"J7641",,1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452316201","49452-3162-01","KO","J7641","KO",1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452316202","49452-3162-02",,"J7641",,1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452316202","49452-3162-02","KO","J7641","KO",1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452316203","49452-3162-03",,"J7641",,1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452316203","49452-3162-03","KO","J7641","KO",1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452317501","49452-3175-01",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"49452317501","49452-3175-01","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"49452317502","49452-3175-02",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"49452317502","49452-3175-02","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"49452317503","49452-3175-03",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"49452317503","49452-3175-03","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"49452317504","49452-3175-04",,"J9190",,1/1/2004,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2004,,,,,,,
"49452317504","49452-3175-04","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"49452322201","49452-3222-01",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (U.S.P./N.F.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452322202","49452-3222-02",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (U.S.P./N.F.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452322203","49452-3222-03",,"J1940",,1/1/2004,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (U.S.P./N.F.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2004,,,,,,,
"49452326101","49452-3261-01",,"J7699",,1/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.,CRYSTALLINE)",1,"EA","BO","NA","GM",1,"EA",1,3/15/2007,,1/1/2002,,1,,,
"49452326102","49452-3261-02",,"J7699",,1/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.,CRYSTALLINE)",1,"EA","BO","NA","GM",1,"EA",1,3/15/2007,,1/1/2002,,1,,,
"49452326103","49452-3261-03",,"J7699",,1/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.,CRYSTALLINE)",1,"EA","BO","NA","GM",1,"EA",1,3/15/2007,,1/1/2002,,1,,,
"49452335801","49452-3358-01",,"J7643",,1/1/2003,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"49452335801","49452-3358-01","KO","J7643","KO",1/1/2003,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"49452335802","49452-3358-02",,"J7643",,1/1/2003,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"49452335802","49452-3358-02","KO","J7643","KO",1/1/2003,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"49452344601","49452-3446-01",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452344602","49452-3446-02",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452345001","49452-3450-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (U.S.P., 160 UNITS/MG)",1,"EA","BO","NA","GM",1000,"U",160,1/1/2002,,,,,,,
"49452345002","49452-3450-02",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (USP, 160 UNITS/MG)",1,"EA","BO","NA","GM",1000,"U",160,1/1/2002,,,,,,,
"49452345003","49452-3450-03",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (USP, 160 UNITS/MG)",1,"EA","BO","NA","GM",1000,"U",160,1/1/2002,,,,,,,
"49452354301","49452-3543-01",,"J3490",,1/1/2007,,"UNCLASSIFIED DRUGS","HYALURONIC ACID",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452354301","49452-3543-01",,"J7317",,1/1/2003,12/31/2006,"SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION","HYALURONIC ACID",1,"EA","BO","NA","GM",20,"MG",40,1/1/2003,,,,,,,
"49452354302","49452-3543-02",,"J3490",,1/1/2007,,"UNCLASSIFIED DRUGS","HYALURONIC ACID",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"49452354302","49452-3543-02",,"J7317",,1/1/2003,12/31/2006,"SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION","HYALURONIC ACID",1,"EA","BO","NA","GM",20,"MG",40,1/1/2003,,,,,,,
"49452354401","49452-3544-01",,"J0360",,2/4/2002,,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,2/4/2002,,,,,,,
"49452354402","49452-3544-02",,"J0360",,2/4/2002,,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,2/4/2002,,,,,,,
"49452354403","49452-3544-03",,"J0360",,4/1/2005,,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,4/1/2005,,,,,,,
"49452354501","49452-3545-01",,"J0360",,1/1/2002,2/4/2002,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452354502","49452-3545-02",,"J0360",,1/1/2002,2/4/2002,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452354503","49452-3545-03",,"J0360",,2/4/2002,3/15/2008,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,2/4/2002,3/15/2008,,,,,,
"49452359001","49452-3590-01",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452359002","49452-3590-02",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452359003","49452-3590-03",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452359004","49452-3590-04",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452359005","49452-3590-05",,"J1700",,1/1/2002,1/11/2002,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452359006","49452-3590-06",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452359601","49452-3596-01",,"J1710",,1/1/2002,1/1/2003,"INJECTION, HYDROCORTISONE SODIUM  PHOSPHATE, UP TO 50 MG","HYDROCORTISONE SODIUM PHOSPHATE (U.S.P., N.F.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452359602","49452-3596-02",,"J1710",,1/1/2002,1/1/2003,"INJECTION, HYDROCORTISONE SODIUM  PHOSPHATE, UP TO 50 MG","HYDROCORTISONE SODIUM PHOSPHATE (U.S.P., N.F.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452365201","49452-3652-01",,"J3410",,1/1/2002,1/16/2002,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452365202","49452-3652-02",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452365203","49452-3652-03",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452365601","49452-3656-01",,"J1980",,1/1/2002,,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",0.25,"MG",4000,1/1/2002,,,,,,,
"49452365602","49452-3656-02",,"J1980",,1/1/2002,,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",0.25,"MG",4000,1/1/2002,,,,,,,
"49452365901","49452-3659-01",,"Q0178",,1/10/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (U.S.P./N.F.)",1,"EA","BO","NA","GM",50,"MG",20,1/10/2002,,,,,,,
"49452365902","49452-3659-02",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (U.S.P./N.F.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452379102","49452-3791-02",,"J7644",,1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452379102","49452-3791-02",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452379102","49452-3791-02","KO","J7644","KO",1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452379102","49452-3791-02","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452379103","49452-3791-03",,"J7644",,1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452379103","49452-3791-03",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452379103","49452-3791-03","KO","J7644","KO",1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452379103","49452-3791-03","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"49452379104","49452-3791-04",,"J7644",,1/1/2002,11/15/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,11/15/2004,,,,,,
"49452379104","49452-3791-04","KO","J7644","KO",1/1/2002,11/15/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.,E.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,11/15/2004,,,,,,
"49452384501","49452-3845-01",,"J1835",,1/1/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","BO","NA","GM",50,"MG",20,1/1/2003,,,,,,,
"49452384502","49452-3845-02",,"J1835",,1/1/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","BO","NA","GM",50,"MG",20,1/1/2003,,,,,,,
"49452384503","49452-3845-03",,"J1835",,1/1/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","BO","NA","GM",50,"MG",20,1/1/2003,,,,,,,
"49452384504","49452-3845-04",,"J1835",,1/1/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","BO","NA","GM",50,"MG",20,1/1/2003,,,,,,,
"49452385001","49452-3850-01",,"J7659",,1/1/2002,11/15/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452385001","49452-3850-01","KO","J7659","KO",1/1/2002,11/15/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452385002","49452-3850-02",,"J7659",,1/1/2002,11/15/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452385002","49452-3850-02","KO","J7659","KO",1/1/2002,11/15/2004,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452385003","49452-3850-03",,"J7659",,1/1/2002,1/1/2003,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452385003","49452-3850-03","KO","J7659","KO",1/1/2002,1/1/2003,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452388501","49452-3885-01",,"J1840",,1/29/2002,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,11/15/2004,,1/29/2002,1/1/2003,2,,,
"49452388502","49452-3885-02",,"J1840",,1/29/2002,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,11/15/2004,,1/29/2002,1/1/2003,2,,,
"49452388503","49452-3885-03",,"J1840",,1/29/2002,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,11/15/2004,,1/29/2002,1/1/2003,2,,,
"49452391901","49452-3919-01",,"J1885",,1/1/2003,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (U.S.P.)",1,"EA","BO","NA","GM",15,"MG",66.66666,1/1/2003,,,,,,,
"49452391902","49452-3919-02",,"J1885",,1/1/2003,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (U.S.P.)",1,"EA","BO","NA","GM",15,"MG",66.66666,1/1/2003,,,,,,,
"49452391903","49452-3919-03",,"J1885",,1/1/2003,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (U.S.P.)",1,"EA","BO","NA","GM",15,"MG",66.66666,1/1/2003,,,,,,,
"49452391905","49452-3919-05",,"J1885",,1/1/2003,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (U.S.P.)",1,"EA","BO","NA","GM",15,"MG",66.66666,1/1/2003,,,,,,,
"49452395601","49452-3956-01",,"J2060",,1/1/2002,1/16/2002,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","JR","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"49452395602","49452-3956-02",,"J2060",,1/1/2002,1/16/2002,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","JR","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"49452395603","49452-3956-03",,"J2060",,1/1/2002,1/16/2002,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","JR","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"49452395604","49452-3956-04",,"J2060",,1/1/2002,1/16/2002,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","JR","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"49452403601","49452-4036-01",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452403602","49452-4036-02",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452403604","49452-4036-04",,"J0640",,1/16/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/16/2002,,,,,,,
"49452405001","49452-4050-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"49452405001","49452-4050-01",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"49452405002","49452-4050-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"49452405002","49452-4050-02",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"49452405003","49452-4050-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"49452405003","49452-4050-03",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"49452414001","49452-4140-01",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","JR","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"49452414002","49452-4140-02",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","JR","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"49452414003","49452-4140-03",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","JR","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"49452414004","49452-4140-04",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","JR","NA","GM",2,"MG",500,1/1/2002,,,,,,,
"49452430001","49452-4300-01",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE HEPTAHYDRATE (U.S.P.,E.P.,B.P.,J.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"49452430002","49452-4300-02",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE HEPTAHYDRATE (U.S.P.,E.P.,B.P.,J.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"49452430003","49452-4300-03",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE HEPTAHYDRATE (U.S.P.,E.P.,B.P.,J.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"49452438001","49452-4380-01",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"49452438002","49452-4380-02",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"49452438003","49452-4380-03",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"49452438102","49452-4381-02",,"J2150",,1/1/2002,11/14/2004,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"49452438103","49452-4381-03",,"J2150",,1/1/2002,11/14/2004,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"49452438104","49452-4381-04",,"J2150",,1/1/2002,11/14/2004,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"49452441001","49452-4410-01",,"J3430",,1/1/2002,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","MENADIONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452441002","49452-4410-02",,"J3430",,1/1/2002,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","MENADIONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452455301","49452-4553-01",,"J1230",,1/31/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,1/31/2002,,,,,,,
"49452455302","49452-4553-02",,"J1230",,1/31/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,1/31/2002,,,,,,,
"49452455303","49452-4553-03",,"J1230",,11/15/2004,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,11/15/2004,,,,,,,
"49452455501","49452-4555-01",,"J7669",,1/1/2002,1/16/2002,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452455501","49452-4555-01","KO","J7669","KO",1/1/2002,1/16/2002,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452455502","49452-4555-02",,"J7669",,1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452455502","49452-4555-02",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"49452455502","49452-4555-02","KO","J7669","KO",1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452455502","49452-4555-02","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"49452455503","49452-4555-03",,"J7669",,1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452455503","49452-4555-03",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"49452455503","49452-4555-03","KO","J7669","KO",1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452455503","49452-4555-03","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"49452455505","49452-4555-05",,"J7669",,1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452455505","49452-4555-05",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"49452455505","49452-4555-05","KO","J7669","KO",1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452455505","49452-4555-05","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"49452460001","49452-4600-01",,"J8610",,1/1/2002,3/4/2002,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,1/1/2002,,,,,,,
"49452460002","49452-4600-02",,"J8610",,1/1/2002,3/4/2002,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,1/1/2002,,,,,,,
"49452460003","49452-4600-03",,"J8610",,1/1/2002,3/4/2002,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE",1,"EA","BO","NA","GM",2.5,"MG",400,1/1/2002,,,,,,,
"49452460101","49452-4601-01",,"J8610",,3/4/2002,1/1/2003,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,3/4/2002,,,,,,,
"49452460102","49452-4601-02",,"J8610",,3/4/2002,1/1/2003,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,3/4/2002,,,,,,,
"49452460103","49452-4601-03",,"J8610",,3/4/2002,1/1/2003,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE",1,"EA","BO","NA","GM",2.5,"MG",400,3/4/2002,,,,,,,
"49452460104","49452-4601-04",,"J8610",,3/4/2002,1/1/2003,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,3/4/2002,,,,,,,
"49452468601","49452-4686-01",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"49452468602","49452-4686-02",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"49452468603","49452-4686-03",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"49452468801","49452-4688-01",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"49452468802","49452-4688-02",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"49452468803","49452-4688-03",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"49452471501","49452-4715-01",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452471502","49452-4715-02",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452471503","49452-4715-03",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"49452472601","49452-4726-01",,"J3490",,3/19/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,3/19/2002,,,,,,,
"49452472602","49452-4726-02",,"J3490",,3/19/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,3/19/2002,,,,,,,
"49452472603","49452-4726-03",,"J3490",,3/19/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,3/19/2002,,,,,,,
"49452478501","49452-4785-01",,"J9290",,1/28/2002,11/15/2004,"MITOMYCIN, 20 MG","MITOMYCIN (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/28/2002,,,,,,,
"49452478502","49452-4785-02",,"J9290",,11/15/2004,,"MITOMYCIN, 20 MG","MITOMYCIN (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,11/15/2004,,,,,,,
"49452480001","49452-4800-01",,"J2300",,1/29/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/29/2002,,,,,,,
"49452480002","49452-4800-02",,"J2300",,1/29/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/29/2002,,,,,,,
"49452480003","49452-4800-03",,"J2300",,1/29/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/29/2002,,,,,,,
"49452483601","49452-4836-01",,"J2310",,4/16/2002,12/31/2004,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,4/16/2002,,,,,,,
"49452483602","49452-4836-02",,"J2310",,4/15/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,4/15/2002,,,,,,,
"49452483603","49452-4836-03",,"J2310",,4/16/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL DIHYDRATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,4/16/2002,,,,,,,
"49452483604","49452-4836-04",,"J2310",,4/16/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,4/16/2002,,,,,,,
"49452483803","49452-4838-03",,"J2321",,1/1/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2003,,,,,,,
"49452483804","49452-4838-04",,"J2321",,1/1/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2003,,,,,,,
"49452483805","49452-4838-05",,"J2321",,1/1/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2003,,,,,,,
"49452493601","49452-4936-01",,"J2360",,5/15/2002,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,5/15/2002,,,,,,,
"49452493602","49452-4936-02",,"J2360",,5/15/2002,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,5/15/2002,,,,,,,
"49452500001","49452-5000-01",,"J2440",,1/1/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"49452500002","49452-5000-02",,"J2440",,1/1/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"49452500003","49452-5000-03",,"J2440",,1/1/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"49452507301","49452-5073-01",,"J2515",,1/1/2002,1/8/2002,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","PENTOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452507302","49452-5073-02",,"J2515",,1/1/2002,1/8/2002,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","PENTOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452507303","49452-5073-03",,"J2515",,1/1/2002,1/8/2002,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","PENTOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452513001","49452-5130-01",,"J3310",,1/29/2002,1/1/2003,"INJECTION, PERPHENAZINE, UP TO 5 MG","PERPHENAZINE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/29/2002,,,,,,,
"49452513002","49452-5130-02",,"J3310",,1/29/2002,1/1/2003,"INJECTION, PERPHENAZINE, UP TO 5 MG","PERPHENAZINE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/29/2002,,,,,,,
"49452513003","49452-5130-03",,"J3310",,1/29/2002,1/1/2003,"INJECTION, PERPHENAZINE, UP TO 5 MG","PERPHENAZINE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/29/2002,,,,,,,
"49452520003","49452-5200-03",,"J2560",,1/1/2002,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",120,"MG",8.33333,1/1/2002,,,,,,,
"49452521701","49452-5217-01",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452521702","49452-5217-02",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452521703","49452-5217-03",,"J2760",,1/1/2002,1/17/2002,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452521704","49452-5217-04",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452521705","49452-5217-05",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452525201","49452-5252-01",,"J2760",,1/1/2002,1/17/2002,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452525202","49452-5252-02",,"J2760",,1/1/2002,1/17/2002,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452525204","49452-5252-04",,"J2760",,1/1/2002,1/17/2002,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452529001","49452-5290-01",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452529002","49452-5290-02",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452529003","49452-5290-03",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452534401","49452-5344-01",,"J1165",,3/7/2002,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,3/7/2002,,,,,,,
"49452534402","49452-5344-02",,"J1165",,3/7/2002,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,3/7/2002,,,,,,,
"49452534403","49452-5344-03",,"J1165",,3/7/2002,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,3/7/2002,,,,,,,
"49452539001","49452-5390-01",,"J3430",,1/1/2002,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","PHYTONADIONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452539002","49452-5390-02",,"J3430",,1/1/2002,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","PHYTONADIONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452539003","49452-5390-03",,"J3430",,1/1/2002,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","PHYTONADIONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452577001","49452-5770-01",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"49452577002","49452-5770-02",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"49452577003","49452-5770-03",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"49452578001","49452-5780-01",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"49452578002","49452-5780-02",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"49452578003","49452-5780-03",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"49452597101","49452-5971-01",,"J2730",,1/1/2003,,"INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM","PRALIDOXIME CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2003,,,,,,,
"49452597102","49452-5971-02",,"J2730",,1/1/2003,,"INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM","PRALIDOXIME CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2003,,,,,,,
"49452597103","49452-5971-03",,"J2730",,1/1/2003,,"INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM","PRALIDOXIME CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2003,,,,,,,
"49452598001","49452-5980-01",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452598002","49452-5980-02",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452598003","49452-5980-03",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452600001","49452-6000-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,ANH,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452600002","49452-6000-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,ANH,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452600003","49452-6000-03",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,ANH,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452603001","49452-6030-01",,"J2690",,1/1/2002,3/1/2002,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452603002","49452-6030-02",,"J2690",,1/1/2002,3/1/2002,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (USP)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452603003","49452-6030-03",,"J2690",,1/1/2002,3/1/2002,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (USP)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452603101","49452-6031-01",,"J2690",,3/1/2002,11/15/2004,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL",1,"EA","BO","NA","GM",1,"GM",1,3/1/2002,,,,,,,
"49452603102","49452-6031-02",,"J2690",,3/1/2002,11/15/2004,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (USP)",1,"EA","BO","NA","GM",1,"GM",1,3/1/2002,,,,,,,
"49452603103","49452-6031-03",,"J2690",,3/1/2002,11/15/2004,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (USP)",1,"EA","BO","NA","GM",1,"GM",1,3/1/2002,,,,,,,
"49452605201","49452-6052-01",,"J0780",,3/13/2002,1/1/2003,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,3/13/2002,,,,,,,
"49452605202","49452-6052-02",,"J0780",,3/26/2002,1/1/2003,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,3/26/2002,,,,,,,
"49452605301","49452-6053-01",,"Q0165",,2/13/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P., N.F.)",1,"EA","BO","NA","GM",10,"MG",100,2/13/2002,,,,,,,
"49452605302","49452-6053-02",,"Q0165",,2/13/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P., N.F.)",1,"EA","BO","NA","GM",10,"MG",100,2/13/2002,,,,,,,
"49452605303","49452-6053-03",,"Q0165",,2/13/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P., N.F.)",1,"EA","BO","NA","GM",10,"MG",100,2/13/2002,,,,,,,
"49452605305","49452-6053-05",,"Q0165",,4/1/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,4/1/2005,,,,,,,
"49452605904","49452-6059-04",,"Q0165",,2/13/2002,3/15/2008,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,2/13/2002,3/15/2008,,,,,,
"49452606001","49452-6060-01",,"J2675",,1/1/2002,11/15/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452606002","49452-6060-02",,"J2675",,1/1/2002,3/15/2008,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,3/15/2008,,,,,,
"49452606003","49452-6060-03",,"J2675",,1/1/2002,3/15/2008,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,3/15/2008,,,,,,
"49452606004","49452-6060-04",,"J2675",,1/1/2002,3/15/2008,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,3/15/2008,,,,,,
"49452606005","49452-6060-05",,"J2675",,1/1/2002,1/18/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452606006","49452-6060-06",,"J2675",,1/1/2002,3/15/2008,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,3/15/2008,,,,,,
"49452606101","49452-6061-01",,"J2675",,1/1/2002,11/15/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452606102","49452-6061-02",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,3/15/2007,,1/1/2002,,20,,,
"49452606103","49452-6061-03",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,3/15/2007,,1/1/2002,,20,,,
"49452606104","49452-6061-04",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,3/15/2007,,1/1/2002,,20,,,
"49452606105","49452-6061-05",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,3/15/2007,,1/1/2002,,20,,,
"49452607001","49452-6070-01",,"J2675",,1/1/2002,3/15/2008,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,3/15/2008,,,,,,
"49452607002","49452-6070-02",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452607003","49452-6070-03",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452607004","49452-6070-04",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452607005","49452-6070-05",,"J2675",,1/1/2002,1/18/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452607006","49452-6070-06",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452608001","49452-6080-01",,"J2675",,1/1/2002,11/15/2004,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452608002","49452-6080-02",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452608003","49452-6080-03",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452608004","49452-6080-04",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452608005","49452-6080-05",,"J2675",,1/1/2002,1/18/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE/U.S.P.)",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452608006","49452-6080-06",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE/U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452608701","49452-6087-01",,"J2550",,2/28/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,2/28/2002,,,,,,,
"49452608702","49452-6087-02",,"J2550",,2/28/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,2/28/2002,,,,,,,
"49452608704","49452-6087-04",,"J2550",,2/28/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,2/28/2002,,,,,,,
"49452608901","49452-6089-01",,"J1800",,2/5/2002,11/14/2004,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,2/5/2002,,,,,,,
"49452608902","49452-6089-02",,"J1800",,11/15/2004,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,11/15/2004,,,,,,,
"49452608903","49452-6089-03",,"J1800",,11/15/2004,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,11/15/2004,,,,,,,
"49452608904","49452-6089-04",,"J1800",,11/15/2004,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,11/15/2004,,,,,,,
"49452610901","49452-6109-01",,"J2720",,1/1/2003,,"INJECTION, PROTAMINE SULFATE, PER 10 MG","PROTAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2003,,,,,,,
"49452610902","49452-6109-02",,"J2720",,1/1/2003,,"INJECTION, PROTAMINE SULFATE, PER 10 MG","PROTAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2003,,,,,,,
"49452610903","49452-6109-03",,"J2720",,1/1/2003,,"INJECTION, PROTAMINE SULFATE, PER 10 MG","PROTAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2003,,,,,,,
"49452614001","49452-6140-01",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"49452614001","49452-6140-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452614002","49452-6140-02",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"49452614002","49452-6140-02",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452614003","49452-6140-03",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"49452614003","49452-6140-03",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452621201","49452-6212-01",,"J2780",,1/1/2002,3/15/2008,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,3/15/2008,,,,,,
"49452621204","49452-6212-04",,"J2780",,1/1/2002,3/15/2008,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,3/15/2008,,,,,,
"49452621205","49452-6212-05",,"J2780",,1/1/2002,3/15/2008,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,3/15/2008,,,,,,
"49452621206","49452-6212-06",,"J2780",,1/1/2002,3/15/2008,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,3/15/2008,,,,,,
"49452622204","49452-6222-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452622205","49452-6222-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452622206","49452-6222-06",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452627301","49452-6273-01",,"J2780",,1/1/2002,1/18/2002,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452627302","49452-6273-02",,"J2780",,1/1/2002,1/18/2002,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452627303","49452-6273-03",,"J2780",,1/1/2002,1/18/2002,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452627304","49452-6273-04",,"J2780",,1/1/2002,1/18/2002,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"49452732001","49452-7320-01",,"J3000",,1/1/2002,1/1/2003,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (B.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452732002","49452-7320-02",,"J3000",,1/1/2002,1/1/2003,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (B.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452732003","49452-7320-03",,"J3000",,1/1/2002,1/1/2003,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (B.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"49452739501","49452-7395-01",,"J0330",,1/1/2002,11/15/2004,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","SUCCINYLCHOLINE CHLORIDE DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452739502","49452-7395-02",,"J0330",,1/1/2002,11/15/2004,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","SUCCINYLCHOLINE CHLORIDE DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452739503","49452-7395-03",,"J0330",,1/1/2002,11/15/2004,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","SUCCINYLCHOLINE CHLORIDE DIHYDRATE (U.S.P., N.F.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"49452763101","49452-7631-01",,"J7681",,5/9/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/9/2002,,,,,,,
"49452763101","49452-7631-01","KO","J7681","KO",5/9/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/9/2002,,,,,,,
"49452763102","49452-7631-02",,"J7681",,5/9/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/9/2002,,,,,,,
"49452763102","49452-7631-02","KO","J7681","KO",5/9/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/9/2002,,,,,,,
"49452763105","49452-7631-05",,"J7681",,5/9/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/9/2002,,,,,,,
"49452763105","49452-7631-05","KO","J7681","KO",5/9/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,5/9/2002,,,,,,,
"49452764901","49452-7649-01",,"J3130",,1/1/2003,3/15/2008,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/1/2003,3/15/2008,,,,,,
"49452764902","49452-7649-02",,"J3130",,1/1/2003,3/15/2008,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/1/2003,3/15/2008,,,,,,
"49452764903","49452-7649-03",,"J3130",,1/1/2003,3/15/2008,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/1/2003,3/15/2008,,,,,,
"49452765001","49452-7650-01",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452765002","49452-7650-02",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452765003","49452-7650-03",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452765201","49452-7652-01",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452765202","49452-7652-02",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452765203","49452-7652-03",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452765301","49452-7653-01",,"J3140",,1/1/2003,11/15/2004,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2003,,,,,,,
"49452765302","49452-7653-02",,"J3140",,1/1/2003,11/15/2004,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2003,,,,,,,
"49452765303","49452-7653-03",,"J3140",,1/1/2003,11/15/2004,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2003,,,,,,,
"49452766001","49452-7660-01",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452766002","49452-7660-02",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452766003","49452-7660-03",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452767001","49452-7670-01",,"J3150",,1/1/2002,1/1/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452767002","49452-7670-02",,"J3150",,1/1/2002,1/1/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452767003","49452-7670-03",,"J3150",,1/1/2002,1/1/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"49452769901","49452-7699-01",,"J0120",,1/1/2002,1/1/2003,"INJECTION, TETRACYCLINE, UP TO 250 MG","TETRACYCLINE",1,"EA","NA","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"49452769902","49452-7699-02",,"J0120",,1/1/2002,1/1/2003,"INJECTION, TETRACYCLINE, UP TO 250 MG","TETRACYCLINE",1,"EA","NA","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"49452772001","49452-7720-01",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"49452772002","49452-7720-02",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"49452772003","49452-7720-03",,"J2810",,1/1/2002,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"49452782301","49452-7823-01",,"J7682",,11/15/2004,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,11/15/2004,,,,,,,
"49452782301","49452-7823-01",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"49452782301","49452-7823-01","KO","J7682","KO",11/15/2004,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,11/15/2004,,,,,,,
"49452782301","49452-7823-01","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"49452782302","49452-7823-02",,"J7682",,11/15/2004,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,11/15/2004,,,,,,,
"49452782302","49452-7823-02",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"49452782302","49452-7823-02","KO","J7682","KO",11/15/2004,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,11/15/2004,,,,,,,
"49452782302","49452-7823-02","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"49452789001","49452-7890-01",,"J7684",,1/1/2002,1/1/2003,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452789001","49452-7890-01","KO","J7684","KO",1/1/2002,1/1/2003,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452789002","49452-7890-02",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452789002","49452-7890-02","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452789003","49452-7890-03",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452789003","49452-7890-03","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452790001","49452-7900-01",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452790001","49452-7900-01","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452790002","49452-7900-02",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452790002","49452-7900-02","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452790003","49452-7900-03",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452790003","49452-7900-03","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452790004","49452-7900-04",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452790004","49452-7900-04","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452791001","49452-7910-01",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452791002","49452-7910-02",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452791003","49452-7910-03",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452791004","49452-7910-04",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"49452792401","49452-7924-01",,"J3250",,1/1/2003,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/1/2003,,,,,,,
"49452792402","49452-7924-02",,"J3250",,1/1/2003,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/1/2003,,,,,,,
"49452792403","49452-7924-03",,"J3250",,1/1/2003,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/1/2003,,,,,,,
"49452807001","49452-8070-01",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.,J.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"49452807002","49452-8070-02",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.,J.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"49452807003","49452-8070-03",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.,J.P.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"49452809501","49452-8095-01",,"J3370",,1/1/2002,1/1/2003,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"49452809502","49452-8095-02",,"J3370",,1/1/2002,1/1/2003,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2002,,,,,,,
"49452811201","49452-8112-01",,"J9360",,1/1/2002,1/1/2003,"INJECTION, VINBLASTINE SULFATE, 1 MG","VINBLASTINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452811202","49452-8112-02",,"J9360",,1/1/2002,1/1/2003,"INJECTION, VINBLASTINE SULFATE, 1 MG","VINBLASTINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452811203","49452-8112-03",,"J9360",,1/1/2002,1/1/2003,"INJECTION, VINBLASTINE SULFATE, 1 MG","VINBLASTINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452811401","49452-8114-01",,"J9370",,1/1/2002,1/1/2003,"VINCRISTINE SULFATE, 1 MG","VINCRISTINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452811402","49452-8114-02",,"J9370",,1/1/2002,1/1/2003,"VINCRISTINE SULFATE, 1 MG","VINCRISTINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452811404","49452-8114-04",,"J9370",,1/1/2002,1/1/2003,"VINCRISTINE SULFATE, 1 MG","VINCRISTINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"49452825301","49452-8253-01",,"J0592",,1/1/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",0.1,"MG",10000,1/1/2003,,,,,,,
"49452825301","49452-8253-01",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452825302","49452-8253-02",,"J0592",,1/1/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",0.1,"MG",10000,1/1/2003,,,,,,,
"49452825302","49452-8253-02",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452825303","49452-8253-03",,"J0592",,1/1/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",0.1,"MG",10000,1/1/2003,,,,,,,
"49452825303","49452-8253-03",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"49452825304","49452-8253-04",,"J0592",,1/1/2004,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,1/1/2004,,,,,,,
"49452880801","49452-8808-01",,"J2675",,1/1/2002,1/18/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452880802","49452-8808-02",,"J2675",,1/1/2002,1/18/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452880803","49452-8808-03",,"J2675",,1/1/2002,1/18/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452880804","49452-8808-04",,"J2675",,1/1/2002,1/18/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452880805","49452-8808-05",,"J2675",,1/1/2002,1/18/2002,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,YAM,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"49452920101","49452-9201-01",,"J1960",,11/14/2004,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,11/14/2004,,,,,,,
"49452920102","49452-9201-02",,"J1960",,1/1/2003,11/14/2004,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,1/1/2003,,,,,,,
"49452920103","49452-9201-03",,"J1960",,1/1/2003,11/14/2004,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,1/1/2003,,,,,,,
"49452920105","49452-9201-05",,"J1960",,11/15/2004,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,11/15/2004,,,,,,,
"49452920106","49452-9201-06",,"J1960",,11/15/2004,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,11/15/2004,,,,,,,
"49483006101","49483-0061-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ANTIHISTAMINE 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"49483006110","49483-0061-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ANTIHISTAMINE 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"49502010501","49502-0105-01",,"J7618",,1/1/2002,7/1/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (STERILE) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2002,,,,,,,
"49502018104","49502-0181-04",,"J7608",,1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"49502018104","49502-0181-04","KO","J7608","KO",1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"49502018110","49502-0181-10",,"J7608",,1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"49502018110","49502-0181-10","KO","J7608","KO",1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"49502018130","49502-0181-30",,"J7608",,1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"49502018130","49502-0181-30","KO","J7608","KO",1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"49502018200","49502-0182-00",,"J7608",,1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",100,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"49502018200","49502-0182-00","KO","J7608","KO",1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",100,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"49502018204","49502-0182-04",,"J7608",,1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"49502018204","49502-0182-04","KO","J7608","KO",1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"49502018210","49502-0182-10",,"J7608",,1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"49502018210","49502-0182-10","KO","J7608","KO",1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"49502018230","49502-0182-30",,"J7608",,1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"49502018230","49502-0182-30","KO","J7608","KO",1/1/2002,3/31/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"49502050120","49502-0501-20",,"A4216",,1/1/2004,12/31/2005,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (NEBU-SOL/MTR DOSE DSPNS) 0.9%",120,"ML","EA","IH","ML",10,"ML",0.1,1/1/2004,,,,,,,
"49502050120","49502-0501-20",,"A4218",,1/1/2006,,"STERILE SALINE OR WATER, METERED DOSE DISPENSER, 10 ML","SODIUM CHLORIDE (NEBU-SOL/MTR DOSE DSPNS) 0.9%",120,"ML","EA","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"49502060561","49502-0605-61","KO","J7606","KO",1/1/2009,,"FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS","PERFOROMIST 20 MCG/2 ML",2,"ML","PC","IH","ML",20,"MCG",0.5,1/1/2009,,,,,,,
"49502060561","49502-0605-61","KO","Q4099","KO",4/1/2008,12/31/2008,"FORMOTEROL FUMARATE, INH","PERFOROMIST 20 MCG/2 ML",2,"ML","PC","IH","ML",20,"MCG",0.5,4/1/2008,12/31/2008,,,,,,
"49502064015","49502-0640-15",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE 3%",15,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"49502064015","49502-0640-15",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE 3%",15,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"49502064115","49502-0641-15",,"J7699",,1/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","SODIUM CHLORIDE (PF) 10%",15,"ML","PC","IH","ML",1,"EA",1,1/1/2002,,,,,,,
"49502067230","49502-0672-30",,"J7616",,1/1/2005,12/31/2005,"ALBUTEROL, UP TO 5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME","DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",5,"MG",0.16666,1/1/2005,,,,,,,
"49502067230","49502-0672-30",,"J7620",,1/1/2006,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,1/1/2006,,,,,,,
"49502067231","49502-0672-31",,"J7616",,1/1/2005,12/31/2005,"ALBUTEROL, UP TO 5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME","DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",5,"MG",0.16666,1/1/2005,,,,,,,
"49502067231","49502-0672-31",,"J7620",,1/1/2006,1/29/2008,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,1/1/2006,,,,,,,
"49502067260","49502-0672-60",,"J7616",,1/1/2005,12/31/2005,"ALBUTEROL, UP TO 5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME","DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",5,"MG",0.16666,1/1/2005,,,,,,,
"49502067260","49502-0672-60",,"J7620",,1/1/2006,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,1/1/2006,,,,,,,
"49502067603","49502-0676-03",,"J7669",,1/1/2002,1/31/2004,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (SULFITE- FREE) 0.6%",2.5,"ML","PC","IH","ML",10,"MG",0.6,1/1/2002,,,,,,,
"49502067603","49502-0676-03","KO","J7669","KO",1/1/2002,1/31/2004,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (SULFITE- FREE) 0.6%",2.5,"ML","PC","IH","ML",10,"MG",0.6,1/1/2002,,,,,,,
"49502067624","49502-0676-24",,"J7669",,2/1/2004,6/3/2008,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (SULFITE- FREE) 0.6%",2.5,"ML","PC","IH","ML",10,"MG",0.6,2/1/2004,,,,,,,
"49502067624","49502-0676-24","KO","J7669","KO",2/1/2004,6/3/2008,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (SULFITE- FREE) 0.6%",2.5,"ML","PC","IH","ML",10,"MG",0.6,2/1/2004,,,,,,,
"49502067803","49502-0678-03",,"J7669",,1/1/2002,1/31/2004,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (SULFITE- FREE) 0.4%",2.5,"ML","PC","IH","ML",10,"MG",0.4,1/1/2002,,,,,,,
"49502067803","49502-0678-03","KO","J7669","KO",1/1/2002,1/31/2004,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (SULFITE- FREE) 0.4%",2.5,"ML","PC","IH","ML",10,"MG",0.4,1/1/2002,,,,,,,
"49502067824","49502-0678-24",,"J7669",,2/1/2004,6/3/2008,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (SULFITE- FREE) 0.4%",2.5,"ML","PC","IH","ML",10,"MG",0.4,2/1/2004,,,,,,,
"49502067824","49502-0678-24","KO","J7669","KO",2/1/2004,6/3/2008,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (SULFITE- FREE) 0.4%",2.5,"ML","PC","IH","ML",10,"MG",0.4,2/1/2004,,,,,,,
"49502068503","49502-0685-03",,"J7644",,1/1/2002,12/16/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","VL","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"49502068503","49502-0685-03","KO","J7644","KO",1/1/2002,12/16/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","VL","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"49502068524","49502-0685-24",,"J7644",,12/17/2003,4/19/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,12/17/2003,,,,,,,
"49502068524","49502-0685-24","KO","J7644","KO",12/17/2003,4/19/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,12/17/2003,,,,,,,
"49502068526","49502-0685-26",,"J7644",,4/20/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (2.5X25) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/20/2006,,,,,,,
"49502068526","49502-0685-26","KO","J7644","KO",4/20/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (2.5X25) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/20/2006,,,,,,,
"49502068529","49502-0685-29",,"J7644",,12/17/2003,7/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,12/17/2003,,,,,,,
"49502068529","49502-0685-29","KO","J7644","KO",12/17/2003,7/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,12/17/2003,,,,,,,
"49502068530","49502-0685-30",,"J7644",,1/1/2005,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (SINGLE-PAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2005,,,,,,,
"49502068530","49502-0685-30","KO","J7644","KO",1/1/2005,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (SINGLE-PAK) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2005,,,,,,,
"49502068531","49502-0685-31",,"J7644",,6/1/2005,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,6/1/2005,,,,,,,
"49502068531","49502-0685-31","KO","J7644","KO",6/1/2005,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,6/1/2005,,,,,,,
"49502068533","49502-0685-33",,"J7644",,1/1/2002,12/16/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","VL","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"49502068533","49502-0685-33","KO","J7644","KO",1/1/2002,12/16/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","VL","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"49502068560","49502-0685-60",,"J7644",,1/1/2002,1/31/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","VL","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"49502068560","49502-0685-60","KO","J7644","KO",1/1/2002,1/31/2004,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","VL","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"49502068561","49502-0685-61",,"J7644",,2/1/2004,5/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,2/1/2004,,,,,,,
"49502068561","49502-0685-61","KO","J7644","KO",2/1/2004,5/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,2/1/2004,,,,,,,
"49502068562","49502-0685-62",,"J7644",,6/1/2005,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,6/1/2005,,,,,,,
"49502068562","49502-0685-62","KO","J7644","KO",6/1/2005,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,6/1/2005,,,,,,,
"49502068902","49502-0689-02",,"J7631",,1/1/2002,2/29/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"49502068902","49502-0689-02","KO","J7631","KO",1/1/2002,2/29/2004,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"49502068912","49502-0689-12",,"J7631",,1/1/2002,12/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"49502068912","49502-0689-12","KO","J7631","KO",1/1/2002,12/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"49502068961","49502-0689-61",,"J7631",,3/1/2004,2/6/2008,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,3/1/2004,,,,,,,
"49502068961","49502-0689-61","KO","J7631","KO",3/1/2004,2/6/2008,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,3/1/2004,,,,,,,
"49502069203","49502-0692-03",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ACCUNEB (PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.21,1/1/2008,,,,,,,
"49502069203","49502-0692-03",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ACCUNEB (PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.21,4/1/2008,,,,,,,
"49502069203","49502-0692-03","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ACCUNEB (PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.21,1/1/2008,,,,,,,
"49502069203","49502-0692-03","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ACCUNEB (PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.21,4/1/2008,,,,,,,
"49502069303","49502-0693-03",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ACCUNEB (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"49502069303","49502-0693-03",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ACCUNEB (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"49502069303","49502-0693-03","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ACCUNEB (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"49502069303","49502-0693-03","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ACCUNEB (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"49502069703","49502-0697-03",,"J7619",,1/1/2002,12/31/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"49502069703","49502-0697-03","KO","J7619","KO",1/1/2002,12/31/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"49502069724","49502-0697-24",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49502069724","49502-0697-24",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49502069724","49502-0697-24","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49502069724","49502-0697-24","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49502069729","49502-0697-29",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49502069729","49502-0697-29",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49502069729","49502-0697-29","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49502069729","49502-0697-29","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49502069730","49502-0697-30",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (SINGLE-PAK) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49502069730","49502-0697-30",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (SINGLE-PAK) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49502069730","49502-0697-30","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (SINGLE-PAK) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49502069730","49502-0697-30","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (SINGLE-PAK) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49502069733","49502-0697-33",,"J7619",,1/1/2002,12/31/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"49502069733","49502-0697-33","KO","J7619","KO",1/1/2002,12/31/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"49502069760","49502-0697-60",,"J7619",,1/1/2002,2/29/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"49502069760","49502-0697-60","KO","J7619","KO",1/1/2002,2/29/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"49502069761","49502-0697-61",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49502069761","49502-0697-61",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49502069761","49502-0697-61","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49502069761","49502-0697-61","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (VIAL) 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49502081003","49502-0810-03",,"A4216",,1/1/2006,12/15/2006,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INHALATION (PF)",3,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"49502081003","49502-0810-03",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","WATER FOR INHALATION (PF)",3,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"49502081005","49502-0810-05",,"A4216",,1/1/2006,12/15/2006,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INHALATION (PF)",5,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"49502081005","49502-0810-05",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","WATER FOR INHALATION (PF)",5,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"49502082003","49502-0820-03",,"A4216",,1/1/2006,4/19/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (PF) 0.45%",3,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"49502082003","49502-0820-03",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (PF) 0.45%",3,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"49502082005","49502-0820-05",,"A4216",,1/1/2006,4/19/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (PF) 0.45%",5,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"49502082005","49502-0820-05",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (PF) 0.45%",5,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"49502083003","49502-0830-03",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE 0.9%",3,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"49502083003","49502-0830-03",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE 0.9%",3,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"49502083005","49502-0830-05",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE 0.9%",5,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"49502083005","49502-0830-05",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE 0.9%",5,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"49502083050","49502-0830-50",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (S.D.V.,PF) 0.9%",15,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"49502083050","49502-0830-50",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (S.D.V.,PF) 0.9%",15,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"49614014356","49614-0143-56",,"Q0163",,1/1/2002,9/1/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MEDI-SLEEP MAXIMUM STRENGTH (SOFTGEL) 50 MG",16,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"49614014662","49614-0146-62",,"Q0163",,10/13/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MEDICINE SHOPPE NITE TIME SLEEP (MINI-CAPLET) 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,10/13/2003,,,,,,,
"49614037926","49614-0379-26",,"Q0163",,1/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","THE MEDICINE SHOPPE MEDI-PHEDRYL (MAY CAUSE DROWSINESS,AF) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2004,,,,,,,
"49669161201","49669-1612-01",,"J1563",,1/1/2002,7/24/2003,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","VENOGLOBULIN-S 5% (2.5GM VIAL,W/ADMIN SET) 50 MG/ML",50,"ML","VL","IV","ML",1,"GM",0.05,1/1/2002,,,,,,,
"49669161301","49669-1613-01",,"J1563",,1/1/2002,7/24/2003,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","VENOGLOBULIN-S 5% (5 GM/VIAL,W/ADMIN SET) 50 MG/ML",100,"ML","VL","IV","ML",1,"GM",0.05,1/1/2002,,,,,,,
"49669161401","49669-1614-01",,"J1563",,1/1/2002,7/24/2003,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","VENOGLOBULIN-S 5% (10 GM/VIAL,W/ADMIN SET) 50 MG/ML",200,"ML","VL","IV","ML",1,"GM",0.05,1/1/2002,,,,,,,
"49669162201","49669-1622-01",,"J1563",,1/1/2002,7/24/2003,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","VENOGLOBULIN-S 10% (5 GM/VIAL,W/ADMIN SET) 100 MG/ML",50,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"49669162301","49669-1623-01",,"J1563",,1/1/2002,7/24/2003,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","VENOGLOBULIN-S 10% (10 GM/VIAL,W/ADMIN SET) 100 MG/ML",100,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"49669162401","49669-1624-01",,"J1563",,1/1/2002,7/24/2003,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","VENOGLOBULIN-S 10% (20 GM/VIAL,W/ADMIN SET) 100 MG/ML",200,"ML","VL","IV","ML",1,"GM",0.1,1/1/2002,,,,,,,
"49669320002","49669-3200-02",,"J7194",,1/1/2002,7/24/2003,"FACTOR IX, COMPLEX, PER I.U.","PROFILNINE SD (APPROX. 500 IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"49669320003","49669-3200-03",,"J7194",,1/1/2002,7/24/2003,"FACTOR IX, COMPLEX, PER I.U.","PROFILNINE SD (APPROX 1000-1500IU/VIAL) 1 IU",1250,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"49669360002","49669-3600-02",,"J7193",,1/1/2002,7/24/2003,"FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.","ALPHANINE SD (250-1500 FIX I.U/VIAL) 1 IU",850,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"49669460001","49669-4600-01",,"J3590",,1/1/2003,7/24/2003,"UNCLASSIFIED BIOLOGICS","ALPHANATE (250-500 FVIII IU/5ML) 1 IU",500,"IU","VL","IV","EA",1,"EA",1,1/1/2003,,,,,,,
"49669460002","49669-4600-02",,"J3590",,1/1/2003,6/21/2004,"UNCLASSIFIED BIOLOGICS","ALPHANATE (1000-1500 FVIII IU/10ML) 1 IU",1500,"IU","VL","IV","EA",1,"EA",1,1/1/2003,,,,,,,
"49669580001","49669-5800-01",,"J0256",,2/27/2003,2/12/2006,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","ARALAST (APPRX 500MG VIAL,PF) 1 MG",500,"MG","VL","IV","EA",10,"MG",0.1,2/27/2003,,,,,,,
"49669580002","49669-5800-02",,"J0256",,2/27/2003,2/12/2006,"INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG","ARALAST (APPRX 1000MG VIAL,PF) 1 MG",1000,"MG","VL","IV","EA",10,"MG",0.1,2/27/2003,,,,,,,
"49727072210","49727-0722-10",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITAMIN B12 (VIAL) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"49727072230","49727-0722-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITAMIN B12 (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"49884028901","49884-0289-01",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 20 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"49884029001","49884-0290-01",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"49884029004","49884-0290-04",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",250,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"49884029005","49884-0290-05",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"49884036826","49884-0368-26",,"J9218",,4/27/2006,1/22/2009,"LEUPROLIDE ACETATE, PER 1 MG","LEUPROLIDE ACETATE (14-DAY ADMINISTRATION) 5 MG/ML",2.8,"ML","BX","SC","EA",1,"MG",14,4/27/2006,1/22/2009,,,,,,
"49884049059","49884-0490-59",,"J7509",,1/1/2002,3/2/2007,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"49884054901","49884-0549-01",,"Q0164",,1/1/2002,3/2/2007,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"49884055001","49884-0550-01",,"Q0165",,1/1/2002,3/2/2007,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"49884056501","49884-0565-01",,"J8499",,1/1/2002,1/22/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,1/22/2009,,,,,,
"49884056601","49884-0566-01",,"J8499",,1/1/2002,1/22/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,1/22/2009,,,,,,
"49884056701","49884-0567-01",,"J8499",,1/1/2002,1/22/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,1/22/2009,,,,,,
"49884067314","49884-0673-14",,"J8515",,1/1/2006,,"CABERGOLINE, ORAL, 0.25 MG","CABERGOLINE 0.5 MG",8,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"49884067314","49884-0673-14",,"Q2001",,12/29/2005,12/31/2005,"ORAL, CABERGOLINE, 0.5 MG","CABERGOLINE 0.5 MG",8,"EA","BO","PO","EA",0.5,"MG",1,12/29/2005,,,,,,,
"49884072401","49884-0724-01",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"49884075305","49884-0753-05",,"J8999",,1/26/2006,9/12/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",500,"EA","BO","PO","EA",1,"EA",1,1/26/2006,9/12/2008,,,,,,
"49884075313","49884-0753-13",,"J8999",,1/26/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",180,"EA","BO","PO","EA",1,"EA",1,1/26/2006,,,,,,,
"49884090738","49884-0907-38",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG/ML",240,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"49884090761","49884-0907-61",,"J8999",,5/1/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG/ML",480,"ML","BO","PO","ML",1,"EA",1,5/1/2004,,,,,,,
"49884092202","49884-0922-02",,"J8999",,2/9/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MERCAPTOPURINE 50 MG",60,"EA","BO","PO","EA",1,"EA",1,2/9/2004,,,,,,,
"49884092204","49884-0922-04",,"J8999",,11/18/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MERCAPTOPURINE 50 MG",250,"EA","BO","PO","EA",1,"EA",1,11/18/2004,,,,,,,
"49999000300","49999-0003-00",,"Q0163",,8/12/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,8/12/2004,,,,,,,
"49999000306","49999-0003-06",,"Q0163",,7/11/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",6,"EA","BO","PO","EA",50,"MG",0.5,7/11/2002,,,,,,,
"49999000315","49999-0003-15",,"Q0163",,7/11/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","BO","PO","EA",50,"MG",0.5,7/11/2002,,,,,,,
"49999000320","49999-0003-20",,"Q0163",,2/24/2005,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,2/24/2005,,,,,,,
"49999000321","49999-0003-21",,"Q0163",,10/15/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",21,"EA","BO","PO","EA",50,"MG",0.5,10/15/2004,,,,,,,
"49999000324","49999-0003-24",,"Q0163",,8/8/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,8/8/2002,,,,,,,
"49999000330","49999-0003-30",,"Q0163",,7/11/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,7/11/2002,,,,,,,
"49999000340","49999-0003-40",,"Q0163",,8/8/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",40,"EA","BO","PO","EA",50,"MG",0.5,8/8/2002,,,,,,,
"49999000360","49999-0003-60",,"Q0163",,6/2/2005,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,6/2/2005,,,,,,,
"49999000800","49999-0008-00",,"J7506",,12/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,12/1/2003,,,,,,,
"49999000805","49999-0008-05",,"J7506",,5/16/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",5,"EA","NA","PO","EA",5,"MG",1,5/16/2008,,,,,,,
"49999000820","49999-0008-20",,"J7506",,7/16/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,7/16/2002,,,,,,,
"49999000830","49999-0008-30",,"J7506",,7/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,7/6/2004,,,,,,,
"49999000840","49999-0008-40",,"J7506",,1/27/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","BO","PO","EA",5,"MG",1,1/27/2006,,,,,,,
"49999000855","49999-0008-55",,"J7506",,8/28/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",55,"EA","BO","PO","EA",5,"MG",1,8/28/2002,,,,,,,
"49999002805","49999-0028-05",,"J7506",,3/13/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",5,"EA","BO","PO","EA",5,"MG",2,3/13/2008,,,,,,,
"49999002812","49999-0028-12",,"J7506",,7/16/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",12,"EA","BO","PO","EA",5,"MG",2,7/16/2002,,,,,,,
"49999002814","49999-0028-14",,"J7506",,1/27/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",14,"EA","BO","PO","EA",5,"MG",2,1/27/2006,,,,,,,
"49999002815","49999-0028-15",,"J7506",,7/11/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,7/11/2002,,,,,,,
"49999002820","49999-0028-20",,"J7506",,7/16/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,7/16/2002,,,,,,,
"49999002821","49999-0028-21",,"J7506",,8/8/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,8/8/2008,,,,,,,
"49999002828","49999-0028-28",,"J7506",,7/1/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",28,"EA","BO","PO","EA",5,"MG",2,7/1/2005,,,,,,,
"49999002830","49999-0028-30",,"J7506",,7/11/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,7/11/2002,,,,,,,
"49999002840","49999-0028-40",,"J7506",,7/16/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,7/16/2002,,,,,,,
"49999002848","49999-0028-48",,"J7506",,7/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",48,"EA","BO","PO","EA",5,"MG",2,7/6/2004,,,,,,,
"49999002850","49999-0028-50",,"J7506",,7/16/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",50,"EA","BO","PO","EA",5,"MG",2,7/16/2002,,,,,,,
"49999002860","49999-0028-60",,"J7506",,3/30/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,3/30/2005,,,,,,,
"49999002890","49999-0028-90",,"J7506",,3/30/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",90,"EA","BO","PO","EA",5,"MG",2,3/30/2005,,,,,,,
"49999003612","49999-0036-12",,"Q0178",,10/15/2004,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 100 MG",12,"EA","BO","PO","EA",50,"MG",2,10/15/2004,,,,,,,
"49999003660","49999-0036-60",,"Q0178",,7/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 100 MG",60,"EA","BO","PO","EA",50,"MG",2,7/1/2002,,,,,,,
"49999005906","49999-0059-06",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",6,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"49999005906","49999-0059-06",,"Q0181",,8/5/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",6,"EA","BO","PO","EA",1,"EA",1,8/5/2002,,,,,,,
"49999008600","49999-0086-00",,"J8499",,9/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,9/1/2006,,,,,,,
"49999008625","49999-0086-25",,"J8499",,7/29/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,7/29/2002,,,,,,,
"49999008630","49999-0086-30",,"J8499",,7/13/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,7/13/2005,,,,,,,
"49999008690","49999-0086-90",,"J8499",,7/13/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",90,"EA","BO","PO","EA",1,"EA",1,7/13/2005,,,,,,,
"49999009005","49999-0090-05",,"Q0170",,4/15/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",5,"EA","BO","PO","EA",25,"MG",1,4/15/2005,,,,,,,
"49999009010","49999-0090-10",,"Q0170",,6/5/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","BO","PO","EA",25,"MG",1,6/5/2002,,,,,,,
"49999009012","49999-0090-12",,"Q0170",,5/7/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",12,"EA","BO","PO","EA",25,"MG",1,5/7/2003,,,,,,,
"49999009015","49999-0090-15",,"Q0170",,12/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",15,"EA","BO","PO","EA",25,"MG",1,12/1/2003,,,,,,,
"49999009020","49999-0090-20",,"Q0170",,10/15/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",20,"EA","BO","PO","EA",25,"MG",1,10/15/2003,,,,,,,
"49999009030","49999-0090-30",,"Q0170",,4/15/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,4/15/2005,,,,,,,
"49999009060","49999-0090-60",,"Q0170",,2/10/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",60,"EA","BO","PO","EA",25,"MG",1,2/10/2004,,,,,,,
"49999009104","49999-0091-04",,"Q0163",,5/7/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",4,"EA","BO","PO","EA",50,"MG",1,5/7/2003,,,,,,,
"49999009115","49999-0091-15",,"Q0163",,3/26/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,3/26/2003,,,,,,,
"49999009120","49999-0091-20",,"Q0163",,9/3/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,9/3/2002,,,,,,,
"49999009130","49999-0091-30",,"Q0163",,5/7/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,5/7/2003,,,,,,,
"49999009160","49999-0091-60",,"Q0163",,5/7/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",60,"EA","BO","PO","EA",50,"MG",1,5/7/2003,,,,,,,
"49999009604","49999-0096-04",,"Q0144",,1/27/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,1/27/2006,,,,,,,
"49999009606","49999-0096-06",,"Q0144",,8/8/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,8/8/2002,,,,,,,
"49999011000","49999-0110-00",,"J7506",,7/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,7/6/2004,,,,,,,
"49999011006","49999-0110-06",,"J7506",,8/27/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",6,"EA","BO","PO","EA",5,"MG",4,8/27/2002,,,,,,,
"49999011007","49999-0110-07",,"J7506",,4/6/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",7,"EA","BO","PO","EA",5,"MG",4,4/6/2005,,,,,,,
"49999011010","49999-0110-10",,"J7506",,7/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,7/6/2004,,,,,,,
"49999011012","49999-0110-12",,"J7506",,7/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",12,"EA","BO","PO","EA",5,"MG",4,7/6/2004,,,,,,,
"49999011014","49999-0110-14",,"J7506",,7/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",14,"EA","BO","PO","EA",5,"MG",4,7/6/2004,,,,,,,
"49999011015","49999-0110-15",,"J7506",,3/27/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,3/27/2006,,,,,,,
"49999011018","49999-0110-18",,"J7506",,10/15/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","BO","PO","EA",5,"MG",4,10/15/2004,,,,,,,
"49999011020","49999-0110-20",,"J7506",,7/11/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,7/11/2002,,,,,,,
"49999011021","49999-0110-21",,"J7506",,2/24/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,2/24/2005,,,,,,,
"49999011030","49999-0110-30",,"J7506",,3/26/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,3/26/2003,,,,,,,
"49999015321","49999-0153-21",,"J7509",,9/3/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,9/3/2002,,,,,,,
"49999023135","49999-0231-35",,"J8499",,6/2/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",35,"EA","BO","PO","EA",1,"EA",1,6/2/2005,,,,,,,
"49999024704","49999-0247-04",,"Q0163",,5/7/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDRAMINE 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,5/7/2003,,,,,,,
"49999026015","49999-0260-15",,"Q0144",,7/1/2003,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,7/1/2003,,,,,,,
"49999026204","49999-0262-04",,"Q0170",,7/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,7/1/2003,,,,,,,
"49999029030","49999-0290-30",,"Q0170",,12/1/2003,1/1/2006,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","NA","PO","EA",25,"MG",1,12/1/2003,1/1/2006,,,,,,
"49999029810","49999-0298-10",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU 75 MG",10,"EA","BO","PO","EA",75,"MG",1,12/1/2004,,,,,,,
"49999032415","49999-0324-15",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",15,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"49999032420","49999-0324-20",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"49999033508","49999-0335-08",,"J7510",,2/10/2004,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,2/10/2004,,,,,,,
"49999033524","49999-0335-24",,"J7510",,5/10/2004,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,5/10/2004,,,,,,,
"49999033912","49999-0339-12",,"J8498",,9/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,9/1/2006,,,,,,,
"49999033912","49999-0339-12",,"K0416",,2/10/2004,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,2/10/2004,,,,,,,
"49999034012","49999-0340-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"49999034012","49999-0340-12",,"K0416",,2/10/2004,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"MG",25,2/10/2004,,,,,,,
"49999034425","49999-0344-25",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49999034425","49999-0344-25",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49999034425","49999-0344-25","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"49999034425","49999-0344-25","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"49999038024","49999-0380-24",,,,6/9/2004,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",24,"EA","DP","PO","EA",2.5,"MG",1,6/9/2004,,,,,,,
"49999038510","49999-0385-10",,"J8499",,6/9/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",10,"EA","BO","PO","EA",1,"EA",1,6/9/2004,,,,,,,
"49999038515","49999-0385-15",,"J8499",,6/9/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",15,"EA","BO","PO","EA",1,"EA",1,6/9/2004,,,,,,,
"49999038525","49999-0385-25",,"J8499",,6/9/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,6/9/2004,,,,,,,
"49999038540","49999-0385-40",,"J8499",,6/2/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","BO","PO","EA",1,"EA",1,6/2/2005,,,,,,,
"49999039021","49999-0390-21",,"J7506",,6/9/2004,,"PREDNISONE, ORAL, PER 5MG","STERAPRED 5 MG",21,"EA","DP","PO","EA",5,"MG",1,6/9/2004,,,,,,,
"49999041602","49999-0416-02",,"J1885",,7/6/2004,7/2/2009,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,7/6/2004,7/2/2009,,,,,,
"49999042505","49999-0425-05",,"J3590",,7/6/2004,,"UNCLASSIFIED BIOLOGICS","NABI-HB (S.D.V.,312 IU/ML)",5,"ML","VL","IM","ML",1,"EA",1,7/6/2004,,,,,,,
"49999043425","49999-0434-25",,"J1100",,4/25/2008,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (25X1ML) 4 MG/ML",1,"ML","VL","IJ","ML",1,"MG",4,4/25/2008,,,,,,,
"49999043703","49999-0437-03",,"J7506",,8/12/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",3,"EA","BO","PO","EA",5,"MG",10,8/12/2004,,,,,,,
"49999052510","49999-0525-10",,"J1200",,1/25/2008,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,1/25/2008,,,,,,,
"49999058215","49999-0582-15",,"Q0144",,1/27/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,1/27/2006,,,,,,,
"49999058601","49999-0586-01",,"J0696",,2/24/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,2/24/2005,,,,,,,
"49999058610","49999-0586-10",,"J0696",,2/24/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,2/24/2005,,,,,,,
"49999059430","49999-0594-30",,"Q0170",,6/6/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PHENERGAN 25 MG",30,"EA","BO","PO","EA",25,"MG",1,6/6/2005,,,,,,,
"49999059490","49999-0594-90",,"Q0170",,5/23/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PHENERGAN 25 MG",90,"EA","BO","PO","EA",25,"MG",1,5/23/2005,,,,,,,
"49999067150","49999-0671-50",,"J2001",,5/16/2008,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (1X50ML) 1%",50,"ML","NA","EP","ML",10,"MG",1,5/16/2008,,,,,,,
"49999078330","49999-0783-30",,"Q0179",,1/11/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN (CAPLET) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,1/11/2006,,,,,,,
"49999078606","49999-0786-06",,"Q0144",,1/11/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,1/11/2006,,,,,,,
"49999090220","49999-0902-20",,"Q0169",,1/11/2007,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 12.5 MG",20,"EA","BO","PO","EA",12.5,"MG",1,1/11/2007,,,,,,,
"49999092901","49999-0929-01",,"J7510",,4/20/2007,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,4/20/2007,,,,,,,
"49999093600","49999-0936-00",,"J7517",,12/21/2007,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT 250 MG",100,"EA","BO","PO","EA",250,"MG",1,12/21/2007,,,,,,,
"49999093630","49999-0936-30",,"J7517",,4/30/2007,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT 250 MG",30,"EA","BO","PO","EA",250,"MG",1,4/30/2007,,,,,,,
"49999093730","49999-0937-30",,"J7517",,4/30/2007,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","CELLCEPT 500 MG",30,"EA","BO","PO","EA",250,"MG",2,4/30/2007,,,,,,,
"49999098630","49999-0986-30",,"J8999",,6/14/2007,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","AROMASIN 25 MG",30,"EA","BO","PO","EA",1,"EA",1,6/14/2007,,,,,,,
"49999099310","49999-0993-10",,"J1815",,6/14/2007,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,6/14/2007,,,,,,,
"49999099410","49999-0994-10",,"J1815",,6/14/2007,,"INJECTION, INSULIN, PER 5 UNITS","LANTUS 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,6/14/2007,,,,,,,
"50111076728","50111-0767-28",,"Q0144",,7/6/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (USP,CHERRY) 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,7/6/2006,,,,,,,
"50111078710","50111-0787-10",,"Q0144",,12/15/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,12/15/2005,,,,,,,
"50111078752","50111-0787-52",,"Q0144",,8/10/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (5X10,FILM-COATED) 250 MG",50,"EA","BX","PO","EA",1,"GM",0.25,8/10/2006,,,,,,,
"50111078766","50111-0787-66",,"Q0144",,12/15/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (6X3,FILM-COATED) 250 MG",18,"EA","DP","PO","EA",1,"GM",0.25,12/15/2005,,,,,,,
"50111078810","50111-0788-10",,"Q0144",,12/15/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 500 MG",30,"EA","BO","PO","EA",1,"GM",0.5,12/15/2005,,,,,,,
"50111078852","50111-0788-52",,"Q0144",,8/10/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (5X10,FILM-COATED) 500 MG",50,"EA","BX","PO","EA",1,"GM",0.5,8/10/2006,,,,,,,
"50111078867","50111-0788-67",,"Q0144",,12/15/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (3X3,FILM-COATED) 500 MG",9,"EA","DP","PO","EA",1,"GM",0.5,12/15/2005,,,,,,,
"50111078910","50111-0789-10",,"Q0144",,12/15/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 600 MG",30,"EA","BO","PO","EA",1,"GM",0.6,12/15/2005,,,,,,,
"50111079120","50111-0791-20",,"Q0144",,7/6/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (USP,CHERRY) 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,7/6/2006,,,,,,,
"50111079222","50111-0792-22",,"Q0144",,7/6/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (USP,CHERRY) 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,7/6/2006,,,,,,,
"50111079320","50111-0793-20",,"Q0144",,7/6/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (USP,CHERRY) 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,7/6/2006,,,,,,,
"50111079478","50111-0794-78",,"J0456",,7/25/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN (USP) 500 MG",10,"EA","VL","IV","EA",500,"MG",1,7/25/2007,,,,,,,
"50111081942","50111-0819-42",,"Q0179",,11/27/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE 4 MG/5 ML",50,"ML","BO","PO","ML",8,"MG",0.1,11/27/2006,,,,,,,
"50111088542","50111-0885-42",,"J7502",,1/25/2002,12/22/2008,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE 100 MG/ML",50,"ML","BO","PO","ML",100,"MG",1,1/25/2002,12/22/2008,,,,,,
"50111090943","50111-0909-43",,"J7515",,1/1/2002,12/22/2008,"CYCLOSPORINE, ORAL, 25 MG","CYCLOSPORINE (SOFTGEL) 25 MG",30,"EA","BX","PO","EA",25,"MG",1,1/1/2002,12/22/2008,,,,,,
"50111092043","50111-0920-43",,"J7502",,1/1/2002,12/22/2008,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE (SOFTGEL) 100 MG",30,"EA","BX","PO","EA",100,"MG",1,1/1/2002,12/22/2008,,,,,,
"50111094543","50111-0945-43",,"Q0179",,12/26/2006,7/2/2008,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (3X10,STRAWBERRY) 4 MG",30,"EA","BX","PO","EA",8,"MG",0.5,12/26/2006,7/2/2008,,,,,,
"50111094643","50111-0946-43",,"Q0179",,12/26/2006,7/2/2008,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (STRAWBERRY) 8 MG",30,"EA","BX","PO","EA",8,"MG",1,12/26/2006,7/2/2008,,,,,,
"50111094669","50111-0946-69",,"Q0179",,12/26/2006,7/2/2008,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (STRAWBERRY) 8 MG",10,"EA","BX","PO","EA",8,"MG",1,12/26/2006,7/2/2008,,,,,,
"50111096576","50111-0965-76",,"J9045",,2/1/2005,12/22/2008,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (S.D.V.) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,2/1/2005,12/22/2008,,,,,,
"50111096676","50111-0966-76",,"J9045",,2/1/2005,12/22/2008,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (S.D.V.) 150 MG",1,"EA","VL","IV","EA",50,"MG",3,2/1/2005,12/22/2008,,,,,,
"50111096776","50111-0967-76",,"J9045",,2/1/2005,10/15/2009,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (S.D.V.) 450 MG",1,"EA","VL","IV","EA",50,"MG",9,2/1/2005,10/15/2009,,,,,,
"50242001564","50242-0015-64",,"J2940",,1/1/2002,10/15/2003,"INJECTION, SOMATREM, 1 MG","PROTROPIN (VIAL) 5 MG",1,"EA","VL","IJ","EA",1,"MG",5,1/1/2002,,,,,,,
"50242001665","50242-0016-65",,"J2940",,1/1/2002,10/30/2004,"INJECTION, SOMATREM, 1 MG","PROTROPIN (VIAL) 10 MG",1,"EA","VL","IJ","EA",1,"MG",10,1/1/2002,,,,,,,
"50242001821","50242-0018-21",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN (VIAL W/DILUENT) 10 MG",1,"EA","VL","SC","EA",1,"MG",10,1/1/2002,,,,,,,
"50242001902","50242-0019-02",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN (VIAL) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,1/1/2002,,,,,,,
"50242002020","50242-0020-20",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN (VIAL) 10 MG",1,"EA","VL","SC","EA",1,"MG",10,1/1/2002,,,,,,,
"50242002067","50242-0020-67",,"J2941",,1/1/2002,5/9/2002,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN (VIAL) 10 MG",1,"EA","VL","SC","EA",1,"MG",10,1/1/2002,,,,,,,
"50242002220","50242-0022-20",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN AQ (VIAL CARTON) 5 MG/ML",2,"ML","VL","SC","ML",1,"MG",5,1/1/2002,,,,,,,
"50242002608","50242-0026-08",,"J2941",,1/1/2002,5/9/2002,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN AQ (VIAL CARTON) 5 MG/ML",2,"ML","VL","SC","ML",1,"MG",5,1/1/2002,,,,,,,
"50242002849","50242-0028-49",,"J2940",,1/1/2002,10/15/2003,"INJECTION, SOMATREM, 1 MG","PROTROPIN (VIAL W/DILUENT) 5 MG",1,"EA","VL","IJ","EA",1,"MG",5,1/1/2002,,,,,,,
"50242003050","50242-0030-50",,"J2940",,1/1/2002,10/30/2004,"INJECTION, SOMATREM, 1 MG","PROTROPIN (VIAL W/DILUENT) 10 MG",1,"EA","VL","IJ","EA",1,"MG",10,1/1/2002,,,,,,,
"50242003235","50242-0032-35",,"J2941",,1/1/2002,6/23/2005,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN DEPOT (VIAL/DILUENT/3 NDLS,PF) 13.5 MG",1,"EA","BX","SC","EA",1,"MG",13.5,1/1/2002,,,,,,,
"50242003441","50242-0034-41",,"J2941",,1/1/2002,6/23/2005,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN DEPOT (VIAL/DILUENT/3 NDLS,PF) 18 MG",1,"EA","BX","SC","EA",1,"MG",18,1/1/2002,,,,,,,
"50242003450","50242-0034-50",,"J2941",,1/1/2002,5/9/2002,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN (VIAL W/DILUENT) 10 MG",1,"EA","VL","SC","EA",1,"MG",10,1/1/2002,,,,,,,
"50242003654","50242-0036-54",,"J2941",,1/1/2002,6/30/2005,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN DEPOT (VIAL/DILUENT/3 NDLS,PF) 22.5 MG",1,"EA","BX","SC","EA",1,"MG",22.5,1/1/2002,,,,,,,
"50242003861","50242-0038-61",,"J3100",,1/1/2002,12/31/2008,"INJECTION, TENECTEPLASE, 50MG","TNKASE (VIAL W/DILUENT,SRN,PADS) 50 MG",1,"EA","BX","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"50242003861","50242-0038-61",,"J3101",,1/1/2009,,"INJECTION, TENECTEPLASE, 1 MG","TNKASE (VIAL W/DILUENT,SRN,PADS) 50 MG",1,"EA","BX","IV","EA",1,"MG",50,1/1/2009,,,,,,,
"50242004062","50242-0040-62",,"J2357",,1/1/2005,,"INJECTION, OMALIZUMAB, 5 MG","XOLAIR 150 MG",1,"EA","VL","SC","EA",5,"MG",30,1/1/2005,,,,,,,
"50242004062","50242-0040-62",,"J3590",,6/20/2003,12/31/2004,"UNCLASSIFIED BIOLOGICS","XOLAIR 150 MG",1,"EA","VL","SC","EA",1,"EA",1,6/20/2003,,,,,,,
"50242004163","50242-0041-63",,"J2997",,1/18/2007,,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG","CATHFLO ACTIVASE (INNER) 2 MG",1,"EA","VL","IV","EA",1,"MG",2,1/18/2007,,,,,,,
"50242004164","50242-0041-64",,"J2997",,1/1/2002,,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG","CATHFLO ACTIVASE (VIAL) 2 MG",1,"EA","VL","IV","EA",1,"MG",2,1/1/2002,,,,,,,
"50242004165","50242-0041-65",,"J2997",,2/18/2003,3/8/2006,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG","CATHFLO ACTIVASE (NOVAPLUS,VIAL) 2 MG",1,"EA","VL","IV","EA",1,"MG",2,2/18/2003,,,,,,,
"50242004201","50242-0042-01",,"J7799",,10/29/2004,10/30/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","XOLAIR (PF) 75 MG",1,"EA","VL","SC","EA",1,"EA",1,10/29/2004,,,,,,,
"50242004314","50242-0043-14",,"J2941",,5/10/2002,,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN AQ PEN CARTRIDGE 5 MG/ML",2,"ML","CT","SC","ML",1,"MG",5,5/10/2002,,,,,,,
"50242004413","50242-0044-13",,"J2997",,1/1/2002,,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG","ACTIVASE (W/DILUENT) 50 MG",1,"EA","VL","IV","EA",1,"MG",50,1/1/2002,,,,,,,
"50242005121","50242-0051-21",,"J9310",,1/1/2002,,"INJECTION, RITUXIMAB, 100 MG","RITUXAN (S.D.V.,PF) 10 MG/ML",10,"ML","VL","IV","ML",100,"MG",0.1,1/1/2002,,,,,,,
"50242005306","50242-0053-06",,"J9310",,1/1/2002,,"INJECTION, RITUXIMAB, 100 MG","RITUXAN (S.D.V.,PF) 10 MG/ML",50,"ML","VL","IV","ML",100,"MG",0.1,1/1/2002,,,,,,,
"50242005801","50242-0058-01",,"J3490",,10/27/2003,6/8/2009,"UNCLASSIFIED DRUGS","RAPTIVA 125 MG",1,"EA","DP","SC","EA",1,"EA",1,10/27/2003,6/8/2009,,,,,,
"50242005804","50242-0058-04",,"J3490",,10/27/2003,6/8/2009,"UNCLASSIFIED DRUGS","RAPTIVA (4 DOSE PACK CARTON) 125 MG",1,"EA","DP","SC","EA",1,"EA",1,10/27/2003,6/8/2009,,,,,,
"50242006001","50242-0060-01",,"J9035",,1/1/2005,,"INJECTION, BEVACIZUMAB, 10 MG","AVASTIN (PF) 25 MG/ML",4,"ML","VL","IV","ML",10,"MG",2.5,1/1/2005,,,,,,,
"50242006001","50242-0060-01",,"J9999",,2/26/2004,12/31/2004,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","AVASTIN (PF) 25 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,2/26/2004,,,,,,,
"50242006001","50242-0060-01","QR","J9035","QR",1/28/2005,,"INJECTION, BEVACIZUMAB, 10 MG","AVASTIN (PF) 25 MG/ML",4,"ML","VL","IV","ML",10,"MG",2.5,1/28/2005,,,,,,,
"50242006002","50242-0060-02",,"J9999",,2/26/2004,10/7/2004,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","AVASTIN (PF) 25 MG/ML",16,"ML","VL","IV","ML",1,"EA",1,2/26/2004,,,,,,,
"50242006101","50242-0061-01",,"J9035",,1/1/2005,,"INJECTION, BEVACIZUMAB, 10 MG","AVASTIN (PF) 25 MG/ML",16,"ML","VL","IV","ML",10,"MG",2.5,1/1/2005,,,,,,,
"50242006101","50242-0061-01",,"J9999",,10/8/2004,12/31/2004,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","AVASTIN (PF) 25 MG/ML",16,"ML","VL","IV","ML",1,"EA",1,10/8/2004,,,,,,,
"50242006101","50242-0061-01","QR","J9035","QR",1/28/2005,,"INJECTION, BEVACIZUMAB, 10 MG","AVASTIN (PF) 25 MG/ML",16,"ML","VL","IV","ML",10,"MG",2.5,1/28/2005,,,,,,,
"50242007203","50242-0072-03",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN (VIAL W/DILUENT) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,1/1/2002,,,,,,,
"50242007301","50242-0073-01",,"J2941",,1/28/2008,,"INJECTION, SOMATROPIN, 1 MG","NUTROPIN AQ PEN (1X2ML) 10 MG/ML",2,"ML","CT","SC","ML",1,"MG",10,1/28/2008,,,,,,,
"50242008001","50242-0080-01",,"J2778",,1/1/2008,,"INJECTION, RANIBIZUMAB, 0.1 MG","LUCENTIS (INTRAVITREAL INJECTION) 0.5 MG/0.05 ML",0.05,"ML","VL","IO","ML",0.1,"MG",1,1/1/2008,,,,,,,
"50242008001","50242-0080-01",,"J3490",,6/30/2006,12/31/2007,"UNCLASSIFIED DRUGS","LUCENTIS (INTRAVITREAL INJECTION) 0.5 MG/0.05 ML",0.05,"ML","VL","IO","ML",1,"EA",1,6/30/2006,,,,,,,
"50242008527","50242-0085-27",,"J2997",,1/1/2002,,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG","ACTIVASE (W/DILUENT) 100 MG",1,"EA","VL","IV","EA",1,"MG",100,1/1/2002,,,,,,,
"50242010039","50242-0100-39",,"J7639",,1/1/2002,,"DORNASE ALFA, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","PULMOZYME (AMP,INNER NDC) 2.5 MG/2.5 ML",2.5,"ML","PC","IH","ML",1,"MG",1,1/1/2002,,,,,,,
"50242010039","50242-0100-39","KO","J7639","KO",1/1/2002,,"DORNASE ALFA, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","PULMOZYME (AMP,INNER NDC) 2.5 MG/2.5 ML",2.5,"ML","PC","IH","ML",1,"MG",1,1/1/2002,,,,,,,
"50242010040","50242-0100-40",,"J7639",,1/1/2002,,"DORNASE ALFA, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","PULMOZYME (AMP) 2.5 MG/2.5 ML",2.5,"ML","PC","IH","ML",1,"MG",1,1/1/2002,,,,,,,
"50242010040","50242-0100-40","KO","J7639","KO",1/1/2002,,"DORNASE ALFA, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","PULMOZYME (AMP) 2.5 MG/2.5 ML",2.5,"ML","PC","IH","ML",1,"MG",1,1/1/2002,,,,,,,
"50242013460","50242-0134-60",,"J9355",,1/1/2002,8/31/2003,"INJECTION, TRASTUZUMAB, 10 MG","HERCEPTIN (M.D.V.,W/DILUENT) 440 MG",1,"EA","VL","IV","EA",10,"MG",44,1/1/2002,,,,,,,
"50242013468","50242-0134-68",,"J9355",,9/1/2003,,"INJECTION, TRASTUZUMAB, 10 MG","HERCEPTIN (M.D.V.,W/DILUENT 20ML) 440 MG",1,"EA","VL","IV","EA",10,"MG",44,9/1/2003,,,,,,,
"50332013208","50332-0132-08",,"Q0163",,6/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HISTAPRIN (CAPLET) 25 MG",200,"EA","NA","PO","EA",50,"MG",0.5,6/1/2007,,,,,,,
"50383004004","50383-0040-04",,"J7510",,1/22/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (AF,SF,DYE-FREE) 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,1/22/2003,,,,,,,
"50383004224","50383-0042-24",,"J7510",,3/24/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,3/24/2003,,,,,,,
"50383004248","50383-0042-48",,"J7510",,3/17/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,3/17/2003,,,,,,,
"50383017708","50383-0177-08",,"J7510",,3/21/2005,11/12/2008,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (DYE-FREE,GRAPE) 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,3/21/2005,11/12/2008,,,,,,
"50383057816","50383-0578-16",,"Q0163",,1/1/2002,9/1/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLERGY RELIEF MEDICINE CHILDREN'S (AF) 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"50383074120","50383-0741-20",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"50383074120","50383-0741-20",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"50383074225","50383-0742-25",,"J7613",,1/1/2005,6/30/2007,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","BO","IH","ML",1,"MG",0.83,1/1/2005,,,,,,,
"50383074225","50383-0742-25",,"Q4094",,7/1/2007,7/31/2007,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","BO","IH","ML",1,"MG",0.83,7/1/2007,,,,,,,
"50383074225","50383-0742-25","KO","J7613","KO",1/1/2005,6/30/2007,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","BO","IH","ML",1,"MG",0.83,1/1/2005,,,,,,,
"50383074225","50383-0742-25","KO","Q4094","KO",7/1/2007,7/31/2007,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","BO","IH","ML",1,"MG",0.83,7/1/2007,,,,,,,
"50383080116","50383-0801-16",,"Q0170",,3/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (CHERRY) 6.25 MG/5 ML",473,"ML","BO","PO","ML",25,"MG",0.05,3/1/2004,,,,,,,
"50383080716","50383-0807-16",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 50 MG/5 ML",473,"ML","BO","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"50383081016","50383-0810-16",,"J8499",,6/13/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (BANANA) 200 MG/5 ML",473,"ML","BO","PO","ML",1,"EA",1,6/13/2005,,,,,,,
"50419000233","50419-0002-33",,"J2820",,10/23/2003,,"INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG","LEUKINE (VIAL) 250 MCG",1,"EA","VL","IV","EA",50,"MCG",5,10/23/2003,,,,,,,
"50419005030","50419-0050-30",,"J2820",,10/23/2003,,"INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG","LEUKINE (M.D.V.) 500 MCG/ML",1,"ML","VL","IV","ML",50,"MCG",10,5/19/2008,,10/23/2003,,10,,,
"50419015057","50419-0150-57",,"J1945",,1/1/2006,,"INJECTION, LEPIRUDIN, 50 MG","REFLUDAN (VIAL) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2006,,,,,,,
"50419015057","50419-0150-57",,"Q2021",,1/1/2002,12/31/2005,"INJECTION, LEPIRUDIN, 50 MG","REFLUDAN (VIAL) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"50419035510","50419-0355-10",,"J9010",,1/1/2003,9/30/2005,"INJECTION, ALEMTUZUMAB, 10 MG","CAMPATH (AMP) 10 MG/ML",3,"ML","AM","IV","ML",10,"MG",1,1/1/2003,,,,,,,
"50419035510","50419-0355-10",,"J9999",,1/1/2002,12/31/2002,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","CAMPATH (AMP) 10 MG/ML",3,"ML","AM","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"50419035512","50419-0355-12",,"J9999",,1/1/2002,4/1/2002,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","CAMPATH (AMP,3X4) 10 MG/ML",3,"ML","AM","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"50419035703","50419-0357-03",,"J9010",,1/28/2005,,"INJECTION, ALEMTUZUMAB, 10 MG","CAMPATH (CLEAR GLASS VIAL,PF) 30 MG/ML",1,"ML","VL","IV","ML",10,"MG",3,1/28/2005,,,,,,,
"50419042101","50419-0421-01",,"J7302",,1/1/2002,,"LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM, 52 MG","MIRENA 52 MG",1,"EA","BX","IU","EA",52,"MG",1,1/1/2002,,,,,,,
"50419051106","50419-0511-06",,"J9185",,1/1/2002,,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG","FLUDARA 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"50419052103","50419-0521-03",,"J1830",,1/2/2002,8/20/2002,"INJECTION INTERFERON BETA-1B, 0.25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR  USE WHEN DRUG IS SELF ADMINISTERED)","BETASERON (W/DEXTROSE) 0.3 MG",1,"EA","NA","SC","EA",0.25,"MG",1.2,1/2/2002,,,,,,,
"50419052115","50419-0521-15",,"J1830",,1/1/2002,8/20/2002,"INJECTION INTERFERON BETA-1B, 0.25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR  USE WHEN DRUG IS SELF ADMINISTERED)","BETASERON (W/DEXTROSE) 0.3 MG",1,"EA","VL","SC","EA",0.25,"MG",1.2,1/1/2002,,,,,,,
"50419052315","50419-0523-15",,"J1830",,4/2/2002,1/18/2004,"INJECTION INTERFERON BETA-1B, 0.25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR  USE WHEN DRUG IS SELF ADMINISTERED)","BETASERON (W/MANNITOL) 0.3 MG",1,"EA","VL","SC","EA",0.25,"MG",1.2,4/2/2002,,,,,,,
"50419052325","50419-0523-25",,"J1830",,1/2/2004,,"INJECTION INTERFERON BETA-1B, 0.25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR  USE WHEN DRUG IS SELF ADMINISTERED)","BETASERON (15 BLISTER UNITS,PF) 0.3 MG-0.54%",15,"EA","VL","MR","EA",0.25,"MG",18,1/2/2004,,,,,,,
"50419059501","50419-0595-01",,"J2820",,6/29/2007,1/23/2008,"INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG","LEUKINE 500 MCG/ML",1,"ML","VL","IV","ML",50,"MCG",10,6/29/2007,,,,,,,
"50419059505","50419-0595-05",,"J2820",,1/30/2006,1/23/2008,"INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG","LEUKINE (5X1ML, M.D.V.) 500 MCG/ML",1,"ML","VL","IV","ML",50,"MCG",10,1/30/2006,,,,,,,
"50419081001","50419-0810-01",,"J7308",,1/1/2002,9/1/2002,"AMINOLEVULINIC ACID HCL FOR TOPICAL ADMINISTRATION, 20%, SINGLE UNIT DOSAGE FORM (354 MG)","LEVULAN KERASTICK 20%",1,"EA","SK","TP","EA",354,"MG",1,1/1/2002,,,,,,,
"50419081006","50419-0810-06",,"J7308",,1/1/2002,9/1/2002,"AMINOLEVULINIC ACID HCL FOR TOPICAL ADMINISTRATION, 20%, SINGLE UNIT DOSAGE FORM (354 MG)","LEVULAN KERASTICK 20%",1,"EA","SK","TP","EA",354,"MG",1,1/1/2002,,,,,,,
"50458029801","50458-0298-01",,"J1835",,1/1/2002,10/12/2007,"INJECTION, ITRACONAZOLE, 50 MG","SPORANOX (AMP,0.9% NACL,INFUS SET) 10 MG/ML-0.9%",1,"EA","BX","IV","EA",50,"MG",5,1/1/2002,10/12/2007,,,,,,
"50458030611","50458-0306-11",,"J2794",,1/1/2005,,"INJECTION, RISPERIDONE, LONG ACTING, 0.5 MG","RISPERDAL CONSTA 25 MG",1,"EA","VL","IM","EA",0.5,"MG",50,1/1/2005,,,,,,,
"50458030611","50458-0306-11",,"J3490",,10/30/2003,12/31/2004,"UNCLASSIFIED DRUGS","RISPERDAL CONSTA 25 MG",1,"EA","VL","IM","EA",1,"EA",1,10/30/2003,,,,,,,
"50458030711","50458-0307-11",,"J2794",,1/1/2005,,"INJECTION, RISPERIDONE, LONG ACTING, 0.5 MG","RISPERDAL CONSTA 37.5 MG",1,"EA","VL","IM","EA",0.5,"MG",75,1/1/2005,,,,,,,
"50458030711","50458-0307-11",,"J3490",,10/30/2003,12/31/2004,"UNCLASSIFIED DRUGS","RISPERDAL CONSTA 37.5 MG",1,"EA","VL","IM","EA",1,"EA",1,10/30/2003,,,,,,,
"50458030811","50458-0308-11",,"J2794",,1/1/2005,,"INJECTION, RISPERIDONE, LONG ACTING, 0.5 MG","RISPERDAL CONSTA 50 MG",1,"EA","VL","IM","EA",0.5,"MG",100,1/1/2005,,,,,,,
"50458030811","50458-0308-11",,"J3490",,10/30/2003,12/31/2004,"UNCLASSIFIED DRUGS","RISPERDAL CONSTA 50 MG",1,"EA","VL","IM","EA",1,"EA",1,10/30/2003,,,,,,,
"50458030911","50458-0309-11",,"J2794",,4/23/2007,,"INJECTION, RISPERIDONE, LONG ACTING, 0.5 MG","RISPERDAL CONSTA 12.5 MG",1,"EA","VL","IM","EA",0.5,"MG",25,4/23/2007,,,,,,,
"50486007822","50486-0078-22",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","BRONCHO SALINE 0.9%",90,"ML","BO","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"50486007822","50486-0078-22",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","BRONCHO SALINE 0.9%",90,"ML","BO","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"50486007823","50486-0078-23",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","BRONCHO SALINE 0.9%",240,"ML","BO","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"50486007823","50486-0078-23",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","BRONCHO SALINE 0.9%",240,"ML","BO","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"50486061616","50486-0616-16",,"Q0163",,12/4/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEPINAL 50 MG",16,"EA","NA","PO","EA",50,"MG",1,12/4/2002,,,,,,,
"50486061632","50486-0616-32",,"Q0163",,12/4/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SLEEPINAL 50 MG",32,"EA","NA","PO","EA",50,"MG",1,12/4/2002,,,,,,,
"50580051224","50580-0512-24",,"Q0163",,1/1/2002,9/29/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SIMPLY ALLERGY (CAPLET) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"50580051248","50580-0512-48",,"Q0163",,1/1/2002,9/29/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SIMPLY ALLERGY (CAPLET) 25 MG",48,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"50580084310","50580-0843-10",,"Q0163",,3/26/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SIMPLY SLEEP (CAPLET) 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,3/26/2004,,,,,,,
"50580084313","50580-0843-13",,"Q0163",,4/8/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SIMPLY SLEEP (CAPLET) 25 MG",130,"EA","BO","PO","EA",50,"MG",0.5,4/8/2004,,,,,,,
"50580084324","50580-0843-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SIMPLY SLEEP (CAPLET) 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"50580084325","50580-0843-25",,"Q0163",,7/8/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SIMPLY SLEEP (2500X2,CAPLET) 25 MG",2500,"EA","PT","PO","EA",50,"MG",0.5,7/8/2002,,,,,,,
"50580084348","50580-0843-48",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SIMPLY SLEEP (CAPLET) 25 MG",48,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"50580084372","50580-0843-72",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SIMPLY SLEEP (CAPLET) 25 MG",72,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"50962045360","50962-0453-60",,"J8499",,1/1/2002,12/1/2002,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (5X10) 200 MG/5 ML",5,"ML","VL","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"50962065001","50962-0650-01",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (INHALATION) 0.9%",1,"ML","EA","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"50962065001","50962-0650-01",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (INHALATION) 0.9%",1,"ML","EA","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"51079002217","51079-0022-17",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",1,"EA","BX","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"51079002219","51079-0022-19",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (ROBOT READY 25X1) 20 MG",25,"EA","BX","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"51079002220","51079-0022-20",,"J7506",,1/1/2002,3/15/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 20 MG",100,"EA","BX","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"51079003217","51079-0032-17",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 5 MG",1,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"51079003219","51079-0032-19",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (ROBOT READY 25X1) 5 MG",25,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"51079003220","51079-0032-20",,"J7506",,1/1/2002,3/15/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 5 MG",100,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"51079003317","51079-0033-17",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 10 MG",1,"EA","BX","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"51079003319","51079-0033-19",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (ROBOT READY 25X1) 10 MG",25,"EA","BX","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"51079003320","51079-0033-20",,"J7506",,1/1/2002,3/15/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (10X10) 10 MG",100,"EA","BX","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"51079006601","51079-0066-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (USP) 50 MG",1,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"51079006619","51079-0066-19",,"Q0163",,1/1/2002,1/15/2008,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (ROBOT READY 25X1) 50 MG",25,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"51079006620","51079-0066-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (10X10) 50 MG",100,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"51079007701","51079-0077-01",,"Q0177",,11/26/2007,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (USP) 25 MG",1,"EA","NA","PO","EA",25,"MG",1,11/26/2007,,,,,,,
"51079007720","51079-0077-20",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (10X10) 25 MG",100,"EA","BX","PO","EA",25,"MG",1,11/26/2007,,1/1/2002,4/1/2002,1,,,
"51079007801","51079-0078-01",,"Q0178",,11/26/2007,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (USP) 50 MG",1,"EA","NA","PO","EA",50,"MG",1,11/26/2007,,,,,,,
"51079007820","51079-0078-20",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (10X10) 50 MG",100,"EA","BX","PO","EA",50,"MG",1,11/26/2007,,1/1/2002,4/1/2002,1,,,
"51079043401","51079-0434-01",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (USP) 20 MG",1,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079043420","51079-0434-20",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (10X10) 20 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079043501","51079-0435-01",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (USP) 40 MG",1,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079043519","51079-0435-19",,"J8999",,1/1/2002,6/2/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (ROBOT READY 25X1) 40 MG",25,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079043520","51079-0435-20",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (10X10) 40 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079047201","51079-0472-01",,"Q0166",,3/3/2008,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (FILM-COATED) 1 MG",1,"EA","BX","PO","EA",1,"MG",1,3/3/2008,,,,,,,
"51079047205","51079-0472-05",,"Q0166",,3/3/2008,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (2CARDSX10,FILM-COATED) 1 MG",20,"EA","BX","PO","EA",1,"MG",1,3/3/2008,,,,,,,
"51079048101","51079-0481-01",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (USP) 100 MG",1,"EA","BX","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"51079048120","51079-0481-20",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (10X10) 100 MG",100,"EA","BX","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"51079052401","51079-0524-01",,"Q0179",,7/9/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",1,"EA","BX","PO","EA",8,"MG",0.5,7/9/2007,,,,,,,
"51079052420","51079-0524-20",,"Q0179",,7/9/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (USP,10X10,FILM-COATED) 4 MG",100,"EA","BX","PO","EA",8,"MG",0.5,7/9/2007,,,,,,,
"51079052501","51079-0525-01",,"Q0179",,7/9/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",1,"EA","BX","PO","EA",8,"MG",1,7/9/2007,,,,,,,
"51079052520","51079-0525-20",,"Q0179",,7/9/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (USP,10X10,FILM-COATED) 8 MG",100,"EA","BX","PO","EA",8,"MG",1,7/9/2007,,,,,,,
"51079054101","51079-0541-01",,"Q0164",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (USP) 5 MG",1,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"51079054119","51079-0541-19",,"Q0164",,1/1/2002,10/15/2006,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (ROBOT READY 25X1) 5 MG",25,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"51079054120","51079-0541-20",,"Q0164",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (10X10) 5 MG",100,"EA","BX","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"51079054201","51079-0542-01",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (USP) 10 MG",1,"EA","BX","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"51079054219","51079-0542-19",,"Q0165",,1/1/2002,8/1/2006,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (ROBOT READY 25X1) 10 MG",25,"EA","BX","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"51079054220","51079-0542-20",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (10X10) 10 MG",100,"EA","BX","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"51079059101","51079-0591-01",,"Q0144",,6/25/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",1,"EA","BX","PO","EA",1,"GM",0.25,6/25/2007,,,,,,,
"51079059120","51079-0591-20",,"Q0144",,6/25/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (10X10,FILM-COATED) 250 MG",100,"EA","BX","PO","EA",1,"GM",0.25,6/25/2007,,,,,,,
"51079067001","51079-0670-01",,,,1/1/1994,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (USP) 2.5 MG",1,"EA","BX","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"51079067005","51079-0670-05",,,,1/1/1994,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (2X10) 2.5 MG",20,"EA","BX","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"51079067086","51079-0670-86",,,,11/9/1994,11/11/1996,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (DOSE PACK, 4X3) 2.5 MG",12,"EA","DP","PO","EA",2.5,"MG",1,11/9/1994,,,,,,,
"51079067087","51079-0670-87",,,,11/9/1994,11/11/1996,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (DOSE PACK, 4X4) 2.5 MG",16,"EA","DP","PO","EA",2.5,"MG",1,11/9/1994,,,,,,,
"51079067088","51079-0670-88",,,,11/9/1994,11/11/1996,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (DOSE PACK, 4X5) 2.5 MG",20,"EA","DP","PO","EA",2.5,"MG",1,11/9/1994,,,,,,,
"51079067089","51079-0670-89",,,,11/9/1994,11/11/1996,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM (DOSE PACK, 4X6) 2.5 MG",24,"EA","DP","PO","EA",2.5,"MG",1,11/9/1994,,,,,,,
"51079087601","51079-0876-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP) 200 MG",1,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079087620","51079-0876-20",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (10X10) 200 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079087701","51079-0877-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP) 400 MG",1,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079087720","51079-0877-20",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (10X10) 400 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079087801","51079-0878-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP) 800 MG",1,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079087820","51079-0878-20",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (10X10) 800 MG",100,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"51079089501","51079-0895-01",,"Q0170",,2/1/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",1,"EA","BX","PO","EA",25,"MG",1,2/1/2007,,,,,,,
"51079089520","51079-0895-20",,"Q0170",,3/14/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (10X10) 25 MG",100,"EA","BX","PO","EA",25,"MG",1,2/1/2007,,3/14/2005,5/24/2005,1,,,
"51079096101","51079-0961-01",,"J9265",,1/1/2002,10/15/2004,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (M.D.V.) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,,,,,,,
"51079096201","51079-0962-01",,"J9265",,1/1/2002,12/1/2005,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (M.D.V.) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,,,,,,,
"51079096301","51079-0963-01",,"J9265",,1/1/2002,12/1/2005,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (M.D.V.) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,,,,,,,
"51079096505","51079-0965-05",,,,10/29/2001,10/10/2008,"ETOPOSIDE, 50 MG, ORAL","ETOPOSIDE (BLISTERPACK, 2X10) 50 MG",20,"EA","BX","PO","EA",50,"MG",1,10/29/2001,10/10/2008,,,,,,
"51079096701","51079-0967-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (MINITAB,MINITAB) 25 MG",1,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"51079096717","51079-0967-17",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (MINITAB,MINITAB) 25 MG",1,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"51079096719","51079-0967-19",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (MINITAB) 25 MG",25,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"51079096720","51079-0967-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (10X10,MINITAB) 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"51079096798","51079-0967-98",,"Q0163",,1/1/2002,9/1/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (MINITAB; EM-SCRIPT,15X4) 25 MG",60,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"51285030102","51285-0301-02",,"J7509",,1/1/2002,2/12/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"51285030121","51285-0301-21",,"J7509",,1/1/2002,4/4/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"51285036601","51285-0366-01",,,,3/9/2006,,"METHOTREXATE, 5 MG","TREXALL (FILM-COATED) 5 MG",30,"EA","BO","PO","EA",5,"MG",1,3/9/2006,,,,,,,
"51285036701","51285-0367-01",,,,3/9/2006,,"METHOTREXATE, 7.5 MG","TREXALL (FILM-COATED) 7.5 MG",30,"EA","BO","PO","EA",7.5,"MG",1,3/9/2006,,,,,,,
"51285036801","51285-0368-01",,,,12/1/2005,,"METHOTREXATE, 10 MG","TREXALL (FILM-COATED) 10 MG",30,"EA","BO","PO","EA",10,"MG",1,12/1/2005,,,,,,,
"51285036901","51285-0369-01",,,,12/1/2005,,"METHOTREXATE, 15 MG","TREXALL (FILM-COATED) 15 MG",30,"EA","BO","PO","EA",15,"MG",1,12/1/2005,,,,,,,
"51285050902","51285-0509-02",,,,7/23/1999,11/10/2001,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,7/23/1999,,,,,,,
"51285052204","51285-0522-04",,"Q0165",,1/1/2002,7/10/2002,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",500,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"51432052203","51432-0522-03",,,,1/1/1994,1/1/1994,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"51479001103","51479-0011-03",,"J7629",,1/1/2002,5/31/2002,"BITOLTEROL MESYLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TORNALATE 0.2%",30,"ML","BO","IH","ML",1,"MG",2,1/1/2002,,,,,,,
"51479001103","51479-0011-03","KO","J7629","KO",1/1/2002,5/31/2002,"BITOLTEROL MESYLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TORNALATE 0.2%",30,"ML","BO","IH","ML",1,"MG",2,1/1/2002,,,,,,,
"51479001106","51479-0011-06",,"J7629",,1/1/2002,5/31/2002,"BITOLTEROL MESYLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TORNALATE 0.2%",60,"ML","BO","IH","ML",1,"MG",2,1/1/2002,,,,,,,
"51479001106","51479-0011-06","KO","J7629","KO",1/1/2002,5/31/2002,"BITOLTEROL MESYLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TORNALATE 0.2%",60,"ML","BO","IH","ML",1,"MG",2,1/1/2002,,,,,,,
"51479004005","51479-0040-05",,"J3490",,9/30/2005,1/1/2007,"UNCLASSIFIED DRUGS","AZACTAM (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",1,"EA",1,9/30/2005,,,,,,,
"51479004110","51479-0041-10",,"J3490",,9/30/2005,1/1/2007,"UNCLASSIFIED DRUGS","AZACTAM 1 GM",1,"EA","VL","IV","EA",1,"EA",1,9/30/2005,,,,,,,
"51479004115","51479-0041-15",,"J3490",,9/30/2005,,"UNCLASSIFIED DRUGS","AZACTAM (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,9/30/2005,,,,,,,
"51479004210","51479-0042-10",,"J3490",,9/30/2005,1/1/2007,"UNCLASSIFIED DRUGS","AZACTAM 2 GM",1,"EA","VL","IV","EA",1,"EA",1,9/30/2005,,,,,,,
"51479004215","51479-0042-15",,"J3490",,9/30/2005,,"UNCLASSIFIED DRUGS","AZACTAM (S.D.V.) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,9/30/2005,,,,,,,
"51479004801","51479-0048-01",,"J3490",,9/30/2005,,"UNCLASSIFIED DRUGS","AZACTAM (GALAXY P.C.,24X50ML) 1 GM/50 ML",50,"ML","PC","IV","ML",1,"EA",1,9/30/2005,,,,,,,
"51479004901","51479-0049-01",,"J3490",,9/30/2005,,"UNCLASSIFIED DRUGS","AZACTAM (GALAXY P.C.,24X50ML) 2 GM/50 ML",50,"ML","FC","IV","ML",1,"EA",1,9/30/2005,,,,,,,
"51479005005","51479-0050-05",,"J3490",,1/1/2002,5/6/2002,"UNCLASSIFIED DRUGS","AZACTAM (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"51479005110","51479-0051-10",,"J3490",,1/1/2002,5/6/2002,"UNCLASSIFIED DRUGS","AZACTAM (BOTTLE) 1 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"51479005115","51479-0051-15",,"J3490",,1/1/2002,5/6/2002,"UNCLASSIFIED DRUGS","AZACTAM (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"51479005210","51479-0052-10",,"J3490",,1/1/2002,5/6/2002,"UNCLASSIFIED DRUGS","AZACTAM (BOTTLE) 2 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"51479005230","51479-0052-30",,"J3490",,1/1/2002,5/6/2002,"UNCLASSIFIED DRUGS","AZACTAM (S.D.V.) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"51479005301","51479-0053-01",,"J0692",,11/8/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME 500 MG",1,"EA","NA","IJ","EA",500,"MG",1,11/8/2002,,,,,,,
"51479005310","51479-0053-10",,"J0692",,11/8/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,11/8/2002,,,,,,,
"51479005401","51479-0054-01",,"J0692",,11/8/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (P.B.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,11/8/2002,,,,,,,
"51479005402","51479-0054-02",,"J0692",,11/8/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (ADD-VANTAGE) 1 GM",1,"EA","NA","IJ","EA",500,"MG",2,11/8/2002,,,,,,,
"51479005403","51479-0054-03",,"J0692",,11/8/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,11/8/2002,,,,,,,
"51479005410","51479-0054-10",,"J0692",,1/1/2002,1/1/2007,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (P.B.) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"51479005420","51479-0054-20",,"J0692",,1/1/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (ADD-VANTAGE,ADD-VANTAGE) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"51479005430","51479-0054-30",,"J0692",,1/1/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"51479005501","51479-0055-01",,"J0692",,11/8/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (ADD-VANTAGE) 2 GM",1,"EA","NA","IJ","EA",500,"MG",4,11/8/2002,,,,,,,
"51479005502","51479-0055-02",,"J0692",,11/8/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (P.B.) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,11/8/2002,,,,,,,
"51479005503","51479-0055-03",,"J0692",,11/8/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,11/8/2002,,,,,,,
"51479005510","51479-0055-10",,"J0692",,1/1/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (ADD-VANTAGE) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"51479005520","51479-0055-20",,"J0692",,1/1/2002,1/1/2007,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (P.B.) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"51479005530","51479-0055-30",,"J0692",,1/1/2002,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","MAXIPIME (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"51552000501","51552-0005-01",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000503","51552-0005-03",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000504","51552-0005-04",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000505","51552-0005-05",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000507","51552-0005-07",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000510","51552-0005-10",,"J2675",,1/1/2002,8/31/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552000525","51552-0005-25",,"J2675",,1/1/2002,8/31/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552000601","51552-0006-01",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE,U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000603","51552-0006-03",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE,U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000604","51552-0006-04",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE,U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000605","51552-0006-05",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE,U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000607","51552-0006-07",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE,U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552000610","51552-0006-10",,"J2675",,1/1/2002,8/31/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE,U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552000625","51552-0006-25",,"J2675",,1/1/2002,8/31/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE,U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552002101","51552-0021-01",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"51552002102","51552-0021-02",,"J1700",,9/1/2003,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/1/2003,,,,,,,
"51552002103","51552-0021-03",,"J1700",,9/1/2003,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/1/2003,,,,,,,
"51552002104","51552-0021-04",,"J1700",,9/1/2003,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/1/2003,,,,,,,
"51552002105","51552-0021-05",,"J1700",,9/1/2003,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/1/2003,,,,,,,
"51552002110","51552-0021-10",,"J1700",,1/1/2002,8/31/2003,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"51552002125","51552-0021-25",,"J1700",,1/1/2002,8/31/2003,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"51552002199","51552-0021-99",,"J1700",,1/1/2002,8/31/2003,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"51552002401","51552-0024-01",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"51552002401","51552-0024-01",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"51552002402","51552-0024-02",,"J1094",,9/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552002403","51552-0024-03",,"J1094",,9/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552002404","51552-0024-04",,"J1094",,9/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552002405","51552-0024-05",,"J1094",,1/1/2003,8/31/2003,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"51552002405","51552-0024-05",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"51552002410","51552-0024-10",,"J1094",,1/1/2003,8/31/2003,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"51552002410","51552-0024-10",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE (U.S.P.)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"51552002425","51552-0024-25",,"J1094",,1/1/2003,8/31/2003,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"51552002425","51552-0024-25",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"51552002501","51552-0025-01",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552002501","51552-0025-01","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552002502","51552-0025-02",,"J7638",,9/1/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552002502","51552-0025-02","KO","J7638","KO",9/1/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552002503","51552-0025-03",,"J7638",,9/1/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552002503","51552-0025-03","KO","J7638","KO",9/1/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552002504","51552-0025-04",,"J7638",,9/1/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552002504","51552-0025-04","KO","J7638","KO",9/1/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552002505","51552-0025-05",,"J7638",,1/1/2002,8/31/2003,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552002505","51552-0025-05","KO","J7638","KO",1/1/2002,8/31/2003,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552002510","51552-0025-10",,"J7638",,1/1/2002,8/31/2003,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552002510","51552-0025-10","KO","J7638","KO",1/1/2002,8/31/2003,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552002525","51552-0025-25",,"J7638",,1/1/2002,8/31/2003,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552002525","51552-0025-25","KO","J7638","KO",1/1/2002,8/31/2003,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552002602","51552-0026-02",,"J7510",,9/1/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552002604","51552-0026-04",,"J7510",,9/1/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552002605","51552-0026-05",,"J7510",,9/1/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552002625","51552-0026-25",,"J7510",,1/1/2002,8/31/2003,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552002699","51552-0026-99",,"J7510",,1/1/2002,8/31/2003,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552002801","51552-0028-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552002802","51552-0028-02",,"J7506",,9/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552002804","51552-0028-04",,"J7506",,9/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552002805","51552-0028-05",,"J7506",,9/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552002825","51552-0028-25",,"J7506",,1/1/2002,8/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552002899","51552-0028-99",,"J7506",,1/1/2002,8/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552002901","51552-0029-01",,"J3140",,1/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552002902","51552-0029-02",,"J3140",,9/1/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552002904","51552-0029-04",,"J3140",,9/1/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552002905","51552-0029-05",,"J3140",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552002907","51552-0029-07",,"J3140",,9/1/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552002910","51552-0029-10",,"J3140",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552002925","51552-0029-25",,"J3140",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552003001","51552-0030-01",,"J3150",,1/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"51552003002","51552-0030-02",,"J3150",,9/1/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552003003","51552-0030-03",,"J3150",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"51552003004","51552-0030-04",,"J3150",,9/1/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552003005","51552-0030-05",,"J3150",,9/1/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552003006","51552-0030-06",,"J3150",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"51552003008","51552-0030-08",,"J3150",,9/1/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552003009","51552-0030-09",,"J3150",,9/1/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552003025","51552-0030-25",,"J3150",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"51552003099","51552-0030-99",,"J3150",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"51552003301","51552-0033-01",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552003301","51552-0033-01","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552003302","51552-0033-02",,"J7684",,9/1/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552003302","51552-0033-02","KO","J7684","KO",9/1/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552003303","51552-0033-03",,"J7684",,9/1/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552003303","51552-0033-03","KO","J7684","KO",9/1/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552003305","51552-0033-05",,"J7684",,9/1/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552003305","51552-0033-05","KO","J7684","KO",9/1/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552003310","51552-0033-10",,"J7684",,1/1/2002,8/31/2003,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552003310","51552-0033-10","KO","J7684","KO",1/1/2002,8/31/2003,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552003399","51552-0033-99",,"J7684",,1/1/2002,8/31/2003,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552003399","51552-0033-99","KO","J7684","KO",1/1/2002,8/31/2003,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552003803","51552-0038-03",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552003804","51552-0038-04",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552003805","51552-0038-05",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552003806","51552-0038-06",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552003810","51552-0038-10",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552003825","51552-0038-25",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552003850","51552-0038-50",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552003899","51552-0038-99",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552004201","51552-0042-01",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552004201","51552-0042-01","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552004401","51552-0044-01",,"J7619",,1/1/2002,8/31/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552004401","51552-0044-01","KO","J7619","KO",1/1/2002,8/31/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552004402","51552-0044-02",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004402","51552-0044-02",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004402","51552-0044-02","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004402","51552-0044-02","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004404","51552-0044-04",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004404","51552-0044-04",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004404","51552-0044-04","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004404","51552-0044-04","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004405","51552-0044-05",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004405","51552-0044-05",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004405","51552-0044-05","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004405","51552-0044-05","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004406","51552-0044-06",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004406","51552-0044-06",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004406","51552-0044-06","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004406","51552-0044-06","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004407","51552-0044-07",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004407","51552-0044-07",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004407","51552-0044-07","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552004407","51552-0044-07","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51552004410","51552-0044-10",,"J7619",,1/1/2002,9/1/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552004410","51552-0044-10","KO","J7619","KO",1/1/2002,9/1/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.,N.F.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552004425","51552-0044-25",,"J7619",,1/1/2002,8/31/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552004425","51552-0044-25","KO","J7619","KO",1/1/2002,8/31/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552005704","51552-0057-04",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.,N.F.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"51552005705","51552-0057-05",,"J3350",,1/1/2002,8/31/2003,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.,N.F.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"51552005706","51552-0057-06",,"J3350",,9/1/2003,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.,N.F.)",1,"EA","BO","NA","GM",40,"GM",0.025,9/1/2003,,,,,,,
"51552005708","51552-0057-08",,"J3350",,9/1/2003,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.,N.F.)",1,"EA","BO","NA","GM",40,"GM",0.025,9/1/2003,,,,,,,
"51552005716","51552-0057-16",,"J3350",,1/1/2002,8/31/2003,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.,N.F.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"51552006106","51552-0061-06",,"J3480",,9/1/2003,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,9/1/2003,,,,,,,
"51552006116","51552-0061-16",,"J3480",,1/1/2002,8/31/2003,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"51552006401","51552-0064-01",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552006401","51552-0064-01","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552006402","51552-0064-02",,"J7624",,9/1/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552006402","51552-0064-02","KO","J7624","KO",9/1/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552006405","51552-0064-05",,"J7624",,1/1/2002,8/31/2003,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552006405","51552-0064-05","KO","J7624","KO",1/1/2002,8/31/2003,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552007405","51552-0074-05",,"Q0165",,9/1/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007409","51552-0074-09",,"Q0165",,9/1/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007420","51552-0074-20",,"Q0165",,1/1/2002,8/31/2003,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552007499","51552-0074-99",,"Q0165",,1/1/2002,8/31/2003,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552007902","51552-0079-02",,"J7669",,9/1/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007902","51552-0079-02",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51552007902","51552-0079-02","KO","J7669","KO",9/1/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007902","51552-0079-02","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51552007904","51552-0079-04",,"J7669",,9/1/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007904","51552-0079-04",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51552007904","51552-0079-04","KO","J7669","KO",9/1/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007904","51552-0079-04","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51552007905","51552-0079-05",,"J7669",,9/1/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007905","51552-0079-05",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51552007905","51552-0079-05","KO","J7669","KO",9/1/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007905","51552-0079-05","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51552007907","51552-0079-07",,"J7669",,9/1/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007907","51552-0079-07",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51552007907","51552-0079-07","KO","J7669","KO",9/1/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552007907","51552-0079-07","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51552007910","51552-0079-10",,"J7669",,1/1/2002,8/31/2003,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552007910","51552-0079-10","KO","J7669","KO",1/1/2002,8/31/2003,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552007925","51552-0079-25",,"J7669",,1/1/2002,8/31/2003,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552007925","51552-0079-25","KO","J7669","KO",1/1/2002,8/31/2003,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552007999","51552-0079-99",,"J7669",,1/1/2002,8/31/2003,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552007999","51552-0079-99","KO","J7669","KO",1/1/2002,8/31/2003,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552010402","51552-0104-02",,"J1070",,9/1/2003,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552010405","51552-0104-05",,"J1070",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"51552010601","51552-0106-01",,"J2000",,1/1/2002,8/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"51552010604","51552-0106-04",,"J2000",,9/1/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",4,9/1/2003,,,,,,,
"51552010604","51552-0106-04",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"51552010605","51552-0106-05",,"J2000",,9/1/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"ML",4,9/1/2003,,,,,,,
"51552010605","51552-0106-05",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"51552010606","51552-0106-06",,"J2000",,9/1/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",4,9/1/2003,,,,,,,
"51552010606","51552-0106-06",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"51552010609","51552-0106-09",,"J2000",,9/1/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,9/1/2003,,,,,,,
"51552010609","51552-0106-09",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"51552010625","51552-0106-25",,"J2000",,1/1/2002,8/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"51552010699","51552-0106-99",,"J2000",,1/1/2002,8/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"51552012402","51552-0124-02",,"J1200",,9/1/2003,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552012404","51552-0124-04",,"J1200",,9/1/2003,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552012405","51552-0124-05",,"J1200",,9/1/2003,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552012406","51552-0124-06",,"J1200",,9/1/2003,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552012425","51552-0124-25",,"J1200",,1/1/2002,8/31/2003,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552012450","51552-0124-50",,"J1200",,1/1/2002,8/31/2003,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552012499","51552-0124-99",,"J1200",,1/1/2002,8/31/2003,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552013001","51552-0130-01",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.,N.F.)",1,"EA","NA","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552013002","51552-0130-02",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552013004","51552-0130-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552013006","51552-0130-06",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552013016","51552-0130-16",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.,N.F.)",1,"EA","NA","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552013901","51552-0139-01",,"J3230",,1/1/2002,8/31/2003,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552013904","51552-0139-04",,"J3230",,9/1/2003,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552013905","51552-0139-05",,"J3230",,9/1/2003,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552013907","51552-0139-07",,"J3230",,9/1/2003,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552013925","51552-0139-25",,"J3230",,1/1/2002,8/31/2003,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552013999","51552-0139-99",,"J3230",,1/1/2002,8/31/2003,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552014102","51552-0141-02",,"J1980",,9/1/2003,,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",0.25,"MG",4000,9/1/2003,,,,,,,
"51552014104","51552-0141-04",,"J1980",,9/1/2003,,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",0.25,"MG",4000,9/1/2003,,,,,,,
"51552014105","51552-0141-05",,"J1980",,1/1/2002,8/31/2003,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",0.25,"MG",4000,1/1/2002,,,,,,,
"51552014125","51552-0141-25",,"J1980",,1/1/2002,8/31/2003,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",0.25,"MG",4000,1/1/2002,,,,,,,
"51552014701","51552-0147-01",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552014702","51552-0147-02",,"J2550",,9/1/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552014704","51552-0147-04",,"J2550",,9/1/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.,N.F)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552014705","51552-0147-05",,"J2550",,9/1/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552014725","51552-0147-25",,"J2550",,1/1/2002,8/31/2003,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552014799","51552-0147-99",,"J2550",,1/1/2002,8/31/2003,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552014904","51552-0149-04",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"51552014904","51552-0149-04",,"J3490",,9/1/2003,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552014905","51552-0149-05",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"51552014905","51552-0149-05",,"J3490",,9/1/2003,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552014925","51552-0149-25",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552014999","51552-0149-99",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552015602","51552-0156-02",,"J7636",,9/1/2003,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552015602","51552-0156-02","KO","J7636","KO",9/1/2003,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552015604","51552-0156-04",,"J7636",,9/1/2003,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552015604","51552-0156-04","KO","J7636","KO",9/1/2003,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552015605","51552-0156-05",,"J7636",,1/1/2002,8/31/2003,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552015605","51552-0156-05","KO","J7636","KO",1/1/2002,8/31/2003,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552015625","51552-0156-25",,"J7636",,1/1/2002,8/31/2003,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552015625","51552-0156-25","KO","J7636","KO",1/1/2002,8/31/2003,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552017805","51552-0178-05",,"J0706",,9/1/2003,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552017806","51552-0178-06",,"J0706",,9/1/2003,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552017816","51552-0178-16",,"J0706",,1/1/2002,8/31/2003,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552017899","51552-0178-99",,"J0706",,1/1/2002,8/31/2003,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552018003","51552-0180-03",,"J2765",,9/1/2003,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552018004","51552-0180-04",,"J2765",,9/1/2003,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552018005","51552-0180-05",,"J2765",,9/1/2003,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552018010","51552-0180-10",,"J2765",,1/1/2002,8/31/2003,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552018025","51552-0180-25",,"J2765",,1/1/2002,8/31/2003,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552018099","51552-0180-99",,"J2765",,1/1/2002,8/31/2003,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL MONOHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552018801","51552-0188-01",,"J1330",,1/1/2002,,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"51552018805","51552-0188-05",,"J1330",,9/1/2003,,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.,N.F.)",1,"EA","VL","NA","GM",0.2,"MG",5000,9/1/2003,,,,,,,
"51552018807","51552-0188-07",,"J1330",,9/1/2003,,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",0.2,"MG",5000,9/1/2003,,,,,,,
"51552018810","51552-0188-10",,"J1330",,1/1/2002,8/31/2003,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"51552018899","51552-0188-99",,"J1330",,1/1/2002,8/31/2003,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"51552020101","51552-0201-01",,"J7608",,1/1/2002,8/31/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"51552020101","51552-0201-01","KO","J7608","KO",1/1/2002,8/31/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"51552020104","51552-0201-04",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"51552020104","51552-0201-04",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"51552020104","51552-0201-04","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"51552020105","51552-0201-05",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"51552020105","51552-0201-05",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"51552020105","51552-0201-05","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"51552020107","51552-0201-07",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"51552020107","51552-0201-07",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"51552020107","51552-0201-07","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"51552020125","51552-0201-25",,"J7608",,1/1/2002,8/31/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"51552020125","51552-0201-25","KO","J7608","KO",1/1/2002,8/31/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"51552020199","51552-0201-99",,"J7608",,1/1/2002,8/31/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"51552020199","51552-0201-99","KO","J7608","KO",1/1/2002,8/31/2003,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"51552023202","51552-0232-02",,"J7799",,9/1/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552023204","51552-0232-04",,"J7799",,9/1/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552023205","51552-0232-05",,"J7799",,9/1/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552023225","51552-0232-25",,"J7799",,1/1/2002,8/31/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.,N.F.)",1,"EA","JR","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552023299","51552-0232-99",,"J7799",,1/1/2002,8/31/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552023301","51552-0233-01",,"J1110",,1/1/2002,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552023302","51552-0233-02",,"J1110",,9/1/2003,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552023305","51552-0233-05",,"J1110",,1/1/2002,8/31/2003,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.,N.F.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552027801","51552-0278-01",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552027802","51552-0278-02",,"J3302",,9/1/2003,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552027803","51552-0278-03",,"J3302",,9/1/2003,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552027805","51552-0278-05",,"J3302",,1/1/2002,8/31/2003,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552027810","51552-0278-10",,"J3302",,1/1/2002,8/31/2003,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552030400","51552-0304-00",,"J0285",,1/1/2002,8/31/2003,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552030401","51552-0304-01",,"J0285",,9/1/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552030402","51552-0304-02",,"J0285",,9/1/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552030403","51552-0304-03",,"J0285",,9/1/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552030404","51552-0304-04",,"J0285",,9/1/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (1X25GM)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552030405","51552-0304-05",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,1/1/2002,8/31/2003,20,,,
"51552030406","51552-0304-06",,"J0285",,9/1/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (1X500GM)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552030407","51552-0304-07",,"J0285",,9/1/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552030409","51552-0304-09",,"J0285",,9/1/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552030410","51552-0304-10",,"J0285",,1/1/2002,8/31/2003,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552030450","51552-0304-50",,"J0285",,1/1/2002,8/31/2003,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B",1,"EA","JR","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552031305","51552-0313-05",,"J0280",,9/1/2003,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","JR","NA","GM",250,"MG",4,9/1/2003,,,,,,,
"51552031306","51552-0313-06",,"J0280",,9/1/2003,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,9/1/2003,,,,,,,
"51552031316","51552-0313-16",,"J0280",,1/1/2002,8/31/2003,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"51552031399","51552-0313-99",,"J0280",,1/1/2002,8/31/2003,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","VL","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"51552032405","51552-0324-05",,"J3480",,1/1/2002,8/31/2003,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"51552032406","51552-0324-06",,"J3480",,9/1/2003,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,9/1/2003,,,,,,,
"51552032408","51552-0324-08",,"J3480",,9/1/2003,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,9/1/2003,,,,,,,
"51552032409","51552-0324-09",,"J3480",,9/1/2003,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,9/1/2003,,,,,,,
"51552032416","51552-0324-16",,"J3480",,1/1/2002,8/31/2003,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"51552032425","51552-0324-25",,"J3480",,1/1/2002,8/31/2003,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,1/1/2002,,,,,,,
"51552038001","51552-0380-01",,"J2150",,9/1/2003,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",0.08,9/1/2003,,,,,,,
"51552038005","51552-0380-05",,"J2150",,9/1/2003,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",0.08,9/1/2003,,,,,,,
"51552038006","51552-0380-06",,"J2150",,9/1/2003,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",0.08,9/1/2003,,,,,,,
"51552038008","51552-0380-08",,"J2150",,9/1/2003,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,9/1/2003,,,,,,,
"51552038009","51552-0380-09",,"J2150",,9/1/2003,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,9/1/2003,,,,,,,
"51552038016","51552-0380-16",,"J2150",,1/1/2002,8/31/2003,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"51552038025","51552-0380-25",,"J2150",,1/1/2002,8/31/2003,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"51552038080","51552-0380-80",,"J2150",,1/1/2002,8/31/2003,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"51552038099","51552-0380-99",,"J2150",,1/1/2002,8/31/2003,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.,N.F.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2002,,,,,,,
"51552039301","51552-0393-01",,"J7644",,1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552039301","51552-0393-01",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552039301","51552-0393-01","KO","J7644","KO",1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552039301","51552-0393-01","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552039302","51552-0393-02",,"J7644",,9/1/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552039302","51552-0393-02",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552039302","51552-0393-02","KO","J7644","KO",9/1/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552039302","51552-0393-02","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552039304","51552-0393-04",,"J7644",,9/1/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552039304","51552-0393-04",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552039304","51552-0393-04","KO","J7644","KO",9/1/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552039304","51552-0393-04","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552039305","51552-0393-05",,"J7644",,9/1/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552039305","51552-0393-05",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552039305","51552-0393-05","KO","J7644","KO",9/1/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552039305","51552-0393-05","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552039325","51552-0393-25",,"J7644",,1/1/2002,8/31/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552039325","51552-0393-25","KO","J7644","KO",1/1/2002,8/31/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552039399","51552-0393-99",,"J7644",,1/1/2002,8/31/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552039399","51552-0393-99","KO","J7644","KO",1/1/2002,8/31/2003,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (B.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552039704","51552-0397-04",,"J2690",,9/1/2003,2/29/2008,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL",1,"EA","NA","NA","GM",1,"GM",1,9/1/2003,,,,,,,
"51552039705","51552-0397-05",,"J2690",,9/1/2003,2/29/2008,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL",1,"EA","VL","NA","GM",1,"GM",1,9/1/2003,,,,,,,
"51552039725","51552-0397-25",,"J2690",,1/1/2002,8/31/2003,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"51552039799","51552-0397-99",,"J2690",,1/1/2002,8/31/2003,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"51552041601","51552-0416-01",,"J2440",,1/1/2002,8/31/2003,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"51552041602","51552-0416-02",,"J2440",,9/1/2003,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,9/1/2003,,,,,,,
"51552041604","51552-0416-04",,"J2440",,9/1/2003,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,9/1/2003,,,,,,,
"51552041605","51552-0416-05",,"J2440",,9/1/2003,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,9/1/2003,,,,,,,
"51552041607","51552-0416-07",,"J2440",,9/1/2003,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,9/1/2003,,,,,,,
"51552041625","51552-0416-25",,"J2440",,1/1/2002,8/31/2003,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"51552041699","51552-0416-99",,"J2440",,1/1/2002,8/31/2003,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"51552042301","51552-0423-01",,"J7631",,1/1/2002,8/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552042301","51552-0423-01","KO","J7631","KO",1/1/2002,8/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552042302","51552-0423-02",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"51552042302","51552-0423-02",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"51552042302","51552-0423-02","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"51552042304","51552-0423-04",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"51552042304","51552-0423-04",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"51552042304","51552-0423-04","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"51552042305","51552-0423-05",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"51552042305","51552-0423-05",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"51552042305","51552-0423-05","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"51552042307","51552-0423-07",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"51552042307","51552-0423-07",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"51552042307","51552-0423-07","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"51552042325","51552-0423-25",,"J7631",,1/1/2002,8/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552042325","51552-0423-25","KO","J7631","KO",1/1/2002,8/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552042399","51552-0423-99",,"J7631",,1/1/2002,8/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552042399","51552-0423-99","KO","J7631","KO",1/1/2002,8/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"51552043001","51552-0430-01",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552043001","51552-0430-01","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552043002","51552-0430-02",,"J7638",,9/1/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552043002","51552-0430-02","KO","J7638","KO",9/1/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552043005","51552-0430-05",,"J7638",,1/1/2002,8/31/2003,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552043005","51552-0430-05","KO","J7638","KO",1/1/2002,8/31/2003,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552043505","51552-0435-05",,"J0600",,9/1/2003,,"INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG","EDETATE CALCIUM DISODIUM (U.S.P.,F.C.C.)",1,"EA","BO","NA","GM",1000,"MG",1,9/1/2003,,,,,,,
"51552043599","51552-0435-99",,"J0600",,1/1/2002,8/31/2003,"INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG","EDETATE CALCIUM DISODIUM (U.S.P.,F.C.C.)",1,"EA","BO","NA","GM",1000,"MG",1,1/1/2002,,,,,,,
"51552044501","51552-0445-01",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552044502","51552-0445-02",,"J1435",,9/1/2003,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552044504","51552-0445-04",,"J1435",,9/1/2003,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552044505","51552-0445-05",,"J1435",,1/1/2002,8/31/2003,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552044525","51552-0445-25",,"J1435",,1/1/2002,8/31/2003,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552044603","51552-0446-03",,"J7681",,9/1/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P., NF)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552044603","51552-0446-03","KO","J7681","KO",9/1/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P., NF)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552044604","51552-0446-04",,"J7681",,9/1/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552044604","51552-0446-04","KO","J7681","KO",9/1/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552044610","51552-0446-10",,"J7681",,1/1/2002,8/31/2003,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552044610","51552-0446-10","KO","J7681","KO",1/1/2002,8/31/2003,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552044625","51552-0446-25",,"J7681",,1/1/2002,8/31/2003,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552044625","51552-0446-25","KO","J7681","KO",1/1/2002,8/31/2003,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552046402","51552-0464-02",,"J1320",,9/1/2003,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (1X5GM)",1,"EA","BO","NA","GM",20,"MG",50,9/1/2003,,,,,,,
"51552046404","51552-0464-04",,"J1320",,9/1/2003,5/6/2008,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL",1,"EA","JR","NA","GM",20,"MG",50,9/1/2003,,,,,,,
"51552046405","51552-0464-05",,"J1320",,9/1/2003,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (1X100GM)",1,"EA","BO","NA","GM",20,"MG",50,9/1/2003,,,,,,,
"51552046406","51552-0464-06",,"J1320",,9/1/2003,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (1X500GM)",1,"EA","JR","NA","GM",20,"MG",50,9/1/2003,,,,,,,
"51552046425","51552-0464-25",,"J1320",,1/1/2002,8/31/2003,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"51552048001","51552-0480-01",,"J0735",,1/1/2002,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552048002","51552-0480-02",,"J0735",,9/1/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552048005","51552-0480-05",,"J0735",,1/1/2002,8/31/2003,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552048705","51552-0487-05",,"J2810",,9/1/2003,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2003,,,,,,,
"51552048799","51552-0487-99",,"J2810",,1/1/2002,8/31/2003,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,1/1/2002,,,,,,,
"51552049601","51552-0496-01",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552049602","51552-0496-02",,"J2760",,9/1/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552049604","51552-0496-04",,"J2760",,9/1/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552049605","51552-0496-05",,"J2760",,9/1/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552049609","51552-0496-09",,"J2760",,9/1/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552049610","51552-0496-10",,"J2760",,1/1/2002,8/31/2003,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552049620","51552-0496-20",,"J2760",,1/1/2002,8/31/2003,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552049650","51552-0496-50",,"J2760",,1/1/2002,8/31/2003,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552049801","51552-0498-01",,"J0270",,9/1/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","PROSTAGLANDIN E1 (1X1MG,USP)",1,"EA","BO","NA","GM",1.25,"MCG",800000,9/1/2003,,,,,,,
"51552049803","51552-0498-03",,"J0270",,9/1/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","PROSTAGLANDIN E1 (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,9/1/2003,,,,,,,
"51552049805","51552-0498-05",,"J0270",,9/1/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","PROSTAGLANDIN E1 (1X100MG,USP)",1,"EA","BO","NA","GM",1.25,"MCG",800000,9/1/2003,,,,,,,
"51552049809","51552-0498-09",,"J0270",,9/1/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","PROSTAGLANDIN E1 (1X5MG,USP)",1,"EA","BO","NA","GM",1.25,"MCG",800000,9/1/2003,,,,,,,
"51552049810","51552-0498-10",,"J0270",,1/1/2002,8/31/2003,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","PROSTAGLANDIN E1 (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,1/1/2002,,,,,,,
"51552051901","51552-0519-01",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552051902","51552-0519-02",,"J1630",,9/1/2003,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552051905","51552-0519-05",,"J1630",,1/1/2002,8/31/2003,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"51552052605","51552-0526-05",,"J7799",,9/1/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE (U.S.P. ,N.F.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552052699","51552-0526-99",,"J7799",,1/1/2002,8/31/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE (U.S.P./N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552052902","51552-0529-02",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (U.S.P., N.F.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552052903","51552-0529-03",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (U.S.P., N.F.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552052905","51552-0529-05",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (U.S.P./N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552052910","51552-0529-10",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (U.S.P./N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552053204","51552-0532-04",,"J1165",,9/1/2003,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552053225","51552-0532-25",,"J1165",,1/1/2002,8/31/2003,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM",1,"EA","NA","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552056404","51552-0564-04",,"J3140",,9/1/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552056405","51552-0564-05",,"J3140",,9/1/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552056407","51552-0564-07",,"J3140",,9/1/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552056410","51552-0564-10",,"J3140",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552056425","51552-0564-25",,"J3140",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552056499","51552-0564-99",,"J3140",,1/1/2002,8/31/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552058804","51552-0588-04",,"J3520",,1/1/2002,8/31/2003,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"51552058806","51552-0588-06",,"J3520",,9/1/2003,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (U.S.P.)",1,"EA","BO","NA","GM",150,"MG",6.66666,9/1/2003,,,,,,,
"51552060302","51552-0603-02",,"J7509",,9/1/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",4,"MG",250,9/1/2003,,,,,,,
"51552060305","51552-0603-05",,"J7509",,1/1/2002,8/31/2003,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",4,"MG",250,1/1/2002,,,,,,,
"51552061101","51552-0611-01",,"J7641",,1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552061101","51552-0611-01","KO","J7641","KO",1/1/2002,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552061102","51552-0611-02",,"J7641",,9/1/2003,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552061102","51552-0611-02","KO","J7641","KO",9/1/2003,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552061105","51552-0611-05",,"J7641",,1/1/2002,8/31/2003,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552061105","51552-0611-05","KO","J7641","KO",1/1/2002,8/31/2003,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"51552061302","51552-0613-02",,"J0475",,9/1/2003,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (1X5GM)",1,"EA","JR","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552061304","51552-0613-04",,"J0475",,9/1/2003,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (1X25GM)",1,"EA","JR","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552061305","51552-0613-05",,"J0475",,9/1/2003,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (1X100GM)",1,"EA","JR","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552062002","51552-0620-02",,"J2780",,9/1/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/1/2003,,,,,,,
"51552062004","51552-0620-04",,"J2780",,9/1/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/1/2003,,,,,,,
"51552062005","51552-0620-05",,"J2780",,9/1/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/1/2003,,,,,,,
"51552062025","51552-0620-25",,"J2780",,1/1/2002,8/31/2003,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"51552062099","51552-0620-99",,"J2780",,1/1/2002,8/31/2003,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"51552062801","51552-0628-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552064301","51552-0643-01",,"J2675",,1/1/2002,8/31/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED,U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"51552064307","51552-0643-07",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MILLED,U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552065201","51552-0652-01",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (1X1GM)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552065201","51552-0652-01",,"J3490",,9/1/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (1X1GM)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552065202","51552-0652-02",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (1X5GM)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552065202","51552-0652-02",,"J3490",,9/1/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (1X5GM)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552065204","51552-0652-04",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51552065204","51552-0652-04",,"J3490",,9/1/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552065225","51552-0652-25",,"J3490",,1/1/2002,8/31/2003,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"51552066301","51552-0663-01",,"J7516",,1/1/2002,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A",1,"EA","BO","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"51552066302","51552-0663-02",,"J7516",,9/1/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORINE (1X5GM,USP)",1,"EA","BO","NA","GM",250,"MG",4,9/1/2003,,,,,,,
"51552066304","51552-0663-04",,"J7516",,9/1/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORINE (1X25GM,USP)",1,"EA","BO","NA","GM",250,"MG",4,9/1/2003,,,,,,,
"51552066306","51552-0663-06",,"J7516",,9/1/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORINE (1X500MG,USP)",1,"EA","BO","NA","GM",250,"MG",4,9/1/2003,,,,,,,
"51552066801","51552-0668-01",,"J7626",,1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","JR","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"51552066801","51552-0668-01",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"51552066801","51552-0668-01","KO","J7626","KO",1/1/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","JR","NA","GM",0.25,"MG",2000,1/1/2002,,,,,,,
"51552066801","51552-0668-01","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE (MICRONIZED)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"51552067101","51552-0671-01",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"51552067101","51552-0671-01",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"51552067102","51552-0671-02",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"51552067102","51552-0671-02",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"51552067103","51552-0671-03",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"51552067103","51552-0671-03",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"51552067104","51552-0671-04",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"51552067104","51552-0671-04",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"51552067105","51552-0671-05",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"51552067105","51552-0671-05",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"51552067106","51552-0671-06",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"51552067106","51552-0671-06",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"51552067405","51552-0674-05",,"J2010",,9/1/2003,,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","LINCOMYCIN HYDROCHLORIDE (USP,1X100GM)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552067407","51552-0674-07",,"J2010",,9/1/2003,,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","LINCOMYCIN HYDROCHLORIDE (USP,1X1000GM)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552067604","51552-0676-04",,"J1240",,9/1/2003,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (1X25GM,USP)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552067605","51552-0676-05",,"J1240",,9/1/2003,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (1X100GM,USP)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552067802","51552-0678-02",,"J2271",,9/1/2003,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (1X5GM,USP)",1,"EA","NA","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552067804","51552-0678-04",,"J2271",,9/1/2003,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (1X25GM,USP)",1,"EA","JR","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552067806","51552-0678-06",,"J2271",,9/1/2003,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (1X100GM,USP)",1,"EA","JR","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552068201","51552-0682-01",,"J1170",,9/1/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (1X1GM,USP)",1,"EA","BO","NA","GM",4,"MG",250,9/1/2003,,,,,,,
"51552068202","51552-0682-02",,"J1170",,9/1/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (1X5GM,USP)",1,"EA","BO","NA","GM",4,"MG",250,9/1/2003,,,,,,,
"51552068203","51552-0682-03",,"J1170",,9/1/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (1X10GM,USP)",1,"EA","BO","NA","GM",4,"MG",250,9/1/2003,,,,,,,
"51552068204","51552-0682-04",,"J1170",,9/1/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (1X25GM,USP)",1,"EA","BO","NA","GM",4,"MG",250,9/1/2003,,,,,,,
"51552068601","51552-0686-01",,"J2175",,9/1/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HYDROCHLORIDE (USP,1X1GM)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552068602","51552-0686-02",,"J2175",,9/1/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HYDROCHLORIDE (USP,1X5GM)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552068604","51552-0686-04",,"J2175",,9/1/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HYDROCHLORIDE (USP,1X25GM)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552068606","51552-0686-06",,"J2175",,9/1/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HYDROCHLORIDE (USP,1X100GM)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552068701","51552-0687-01",,"J3010",,9/1/2003,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (1X1GM,USP)",1,"EA","BO","NA","GM",0.1,"MG",10000,9/1/2003,,,,,,,
"51552068709","51552-0687-09",,"J3010",,9/1/2003,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (1X500MG,USP)",500,"ML","BO","NA","ML",0.1,"MG",10000,9/1/2003,,,,,,,
"51552068802","51552-0688-02",,"J0745",,9/1/2003,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (1X5GM,USP)",1,"EA","BO","NA","GM",30,"MG",33.33333,9/1/2003,,,,,,,
"51552068803","51552-0688-03",,"J0745",,9/1/2003,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (1X10GM,USP)",1,"EA","BO","NA","GM",30,"MG",33.33333,9/1/2003,,,,,,,
"51552068804","51552-0688-04",,"J0745",,9/1/2003,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (1X25GM,USP)",1,"EA","BO","NA","GM",30,"MG",33.33333,9/1/2003,,,,,,,
"51552068806","51552-0688-06",,"J0745",,9/1/2003,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (1X100GM,USP)",1,"EA","BO","NA","GM",30,"MG",33.33333,9/1/2003,,,,,,,
"51552070102","51552-0701-02",,"J2710",,9/1/2003,,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE",1,"EA","BO","NA","GM",0.5,"MG",2000,9/1/2003,,,,,,,
"51552071504","51552-0715-04",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","RIFAMPIN (USP,1X25GM)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552071505","51552-0715-05",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","RIFAMPIN (USP,1X100GM)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552071506","51552-0715-06",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","RIFAMPIN (USP,1X500GM)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552072801","51552-0728-01",,"J1230",,9/1/2003,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552072802","51552-0728-02",,"J1230",,9/1/2003,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552072804","51552-0728-04",,"J1230",,9/1/2004,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,9/1/2004,,,,,,,
"51552072901","51552-0729-01",,"J2060",,9/1/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (1X1GM,USP)",1,"EA","BO","NA","GM",2,"MG",500,9/1/2003,,,,,,,
"51552072902","51552-0729-02",,"J2060",,9/1/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (1X5GM,USP)",1,"EA","BO","NA","GM",2,"MG",500,9/1/2003,,,,,,,
"51552072904","51552-0729-04",,"J2060",,9/1/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (1X25GM,USP)",1,"EA","BO","NA","GM",2,"MG",500,9/1/2003,,,,,,,
"51552072905","51552-0729-05",,"J2060",,9/1/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (1X100GM,USP)",1,"EA","NA","NA","GM",2,"MG",500,9/1/2003,,,,,,,
"51552072909","51552-0729-09",,"J2060",,9/1/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (1X500MG,USP)",1,"EA","BO","NA","GM",2,"MG",500,9/1/2003,,,,,,,
"51552073301","51552-0733-01",,"J9190",,9/1/2003,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (1X1GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,9/1/2003,,,,,,,
"51552073301","51552-0733-01","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (1X1GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"51552073302","51552-0733-02",,"J9190",,9/1/2003,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (1X5GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,9/1/2003,,,,,,,
"51552073302","51552-0733-02","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (1X5GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"51552073304","51552-0733-04",,"J9190",,9/1/2003,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (1X25GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,9/1/2003,,,,,,,
"51552073304","51552-0733-04","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (1X25GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"51552073305","51552-0733-05",,"J9190",,9/1/2003,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (1X100GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,9/1/2003,,,,,,,
"51552073305","51552-0733-05","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (1X100GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"51552073701","51552-0737-01",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","NALTREXONE HYDROCHLORIDE (1X1GM,USP)",1,"EA","JR","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552073702","51552-0737-02",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","NALTREXONE HYDROCHLORIDE (1X5GM,USP)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552073804","51552-0738-04",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X25GM,USP,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552073805","51552-0738-05",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X100GM,USP,MICRONIZED)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552073806","51552-0738-06",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X500GM,USP,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552073807","51552-0738-07",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X1000GM,USP,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552074104","51552-0741-04",,"J0500",,9/1/2003,,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOMINE HYDROCHLORIDE (USP)",1,"EA","BO","NA","GM",20,"MG",50,9/1/2003,,,,,,,
"51552076305","51552-0763-05",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","6-AMINOCAPROIC ACID (1X100GM)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552076307","51552-0763-07",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","6-AMINOCAPROIC ACID (1X1000GM)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552076801","51552-0768-01",,"J7684",,9/1/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (1X1GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552076801","51552-0768-01","KO","J7684","KO",9/1/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (1X1GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552077501","51552-0775-01",,"J7699",,9/1/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMYCIN SULFATE (1X1GM,USP)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552077502","51552-0775-02",,"J7699",,9/1/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMYCIN SULFATE (1X5GM,USP)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552077504","51552-0775-04",,"J7699",,9/1/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMYCIN SULFATE (1X25GM,USP)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552077505","51552-0775-05",,"J7699",,9/1/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMYCIN SULFATE (1X100GM,USP)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552077902","51552-0779-02",,"J7501",,9/1/2003,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (1X5GM)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552077904","51552-0779-04",,"J7501",,9/1/2003,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (1X25GM)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552077905","51552-0779-05",,"J7501",,9/1/2003,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (1X100GM)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552078901","51552-0789-01",,"J7682",,9/1/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X1GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552078901","51552-0789-01",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X1GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51552078901","51552-0789-01","KO","J7682","KO",9/1/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X1GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552078901","51552-0789-01","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X1GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51552078902","51552-0789-02",,"J7682",,9/1/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X5GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552078902","51552-0789-02",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X5GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51552078902","51552-0789-02","KO","J7682","KO",9/1/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X5GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552078902","51552-0789-02","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X5GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51552078904","51552-0789-04",,"J7682",,9/1/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X25GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552078904","51552-0789-04",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X25GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51552078904","51552-0789-04","KO","J7682","KO",9/1/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X25GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552078904","51552-0789-04","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X25GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51552078905","51552-0789-05",,"J7682",,9/1/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X100GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552078905","51552-0789-05",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X100GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51552078905","51552-0789-05","KO","J7682","KO",9/1/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X100GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/1/2003,,,,,,,
"51552078905","51552-0789-05","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (1X100GM,USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51552080202","51552-0802-02",,"J0360",,9/1/2003,,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,9/1/2003,,,,,,,
"51552082901","51552-0829-01",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X1GM,USP)",1,"EA","NA","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552082903","51552-0829-03",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X10GM,USP)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552082904","51552-0829-04",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X25GM,USP)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552082905","51552-0829-05",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X100GM,USP)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552082906","51552-0829-06",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X500GM,USP)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552082907","51552-0829-07",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X1000GM,USP)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552082908","51552-0829-08",,"J2675",,9/1/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (1X5000GM,USP)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552083905","51552-0839-05",,"J2360",,9/1/2003,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,9/1/2003,,,,,,,
"51552087902","51552-0879-02",,"J0520",,9/1/2003,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (1X5GM,USP)",1,"EA","JR","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552087904","51552-0879-04",,"J0520",,9/1/2003,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (1X25GM,USP)",1,"EA","JR","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552088301","51552-0883-01",,"J7622",,9/1/2003,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (1X1GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552088301","51552-0883-01","KO","J7622","KO",9/1/2003,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (1X1GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552088302","51552-0883-02",,"J7622",,9/1/2003,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (1X5GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552088302","51552-0883-02","KO","J7622","KO",9/1/2003,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (1X5GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552088309","51552-0883-09",,"J7622",,9/1/2003,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (1X250MG,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552088309","51552-0883-09","KO","J7622","KO",9/1/2003,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (1X250MG,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552088801","51552-0888-01",,"J0970",,9/1/2003,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (1X1GM,USP)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2003,,,,,,,
"51552088802","51552-0888-02",,"J0970",,9/1/2003,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (1X5GM,USP)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2003,,,,,,,
"51552088804","51552-0888-04",,"J0970",,9/1/2003,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (1X25GM,USP)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2003,,,,,,,
"51552088902","51552-0889-02",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (1X10MG,USP)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552088903","51552-0889-03",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (1X50MG,USP)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552088904","51552-0889-04",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (1X100MG,USP)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552088909","51552-0889-09",,"J3490",,9/1/2003,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (1X500MG,USP)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2003,,,,,,,
"51552089402","51552-0894-02",,"J0945",,9/1/2003,,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (1X5GM,USP)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552089404","51552-0894-04",,"J0945",,9/1/2003,,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (1X25GM,USP)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552089405","51552-0894-05",,"J0945",,9/1/2003,,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (1X100GM,USP)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51552091004","51552-0910-04",,"J1800",,9/1/2003,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HYDROCHLORIDE (USP,1X25GM)",1,"EA","JR","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552091005","51552-0910-05",,"J1800",,9/1/2003,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HYDROCHLORIDE (USP,1X100GM)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552091301","51552-0913-01",,"J1840",,9/1/2003,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (1X1GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,9/1/2003,,,,,,,
"51552091302","51552-0913-02",,"J1840",,9/1/2003,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (1X5GM,USP)",1,"EA","BO","NA","GM",500,"MG",2,9/1/2003,,,,,,,
"51552092002","51552-0920-02",,"J1835",,9/1/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE (1X5GM)",1,"EA","JR","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552092004","51552-0920-04",,"J1835",,9/1/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE (1X25GM)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552092005","51552-0920-05",,"J1835",,9/1/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE (1X100GM)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552092006","51552-0920-06",,"J1835",,9/1/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE (1X500GM)",1,"EA","NA","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552094002","51552-0940-02",,"J1940",,9/1/2003,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,9/1/2003,,,,,,,
"51552095201","51552-0952-01",,"J0515",,9/1/2003,,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","BENZTROPINE MESYLATE (1X1GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552095802","51552-0958-02",,"J1030",,9/1/2003,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (USP,1X5GM,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2003,,,,,,,
"51552095804","51552-0958-04",,"J1030",,9/1/2003,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (USP,1X25GM,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2003,,,,,,,
"51552095805","51552-0958-05",,"J1030",,9/1/2003,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (USP,1X100GM,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2003,,,,,,,
"51552095806","51552-0958-06",,"J1030",,9/1/2003,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE (USP,1X500GM,MICRONIZED)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2003,,,,,,,
"51552097805","51552-0978-05",,"J3000",,9/1/2003,,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,9/1/2003,,,,,,,
"51552097904","51552-0979-04",,"Q0178",,9/1/2003,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552099101","51552-0991-01",,"J0760",,9/1/2003,,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (1X1GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552099902","51552-0999-02",,"J7636",,9/1/2003,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE (1X5GM)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552099904","51552-0999-04",,"J7636",,9/1/2003,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE (1X25GM)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552101805","51552-1018-05",,"J2800",,9/1/2003,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","METHOCARBAMOL (USP,1X100GM)",1,"EA","BO","NA","GM",10,"ML",1,9/1/2003,,,,,,,
"51552102502","51552-1025-02",,"J3360",,9/1/2003,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (1X5GM,USP)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552102504","51552-1025-04",,"J3360",,9/1/2003,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (1X25GM,USP)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552102505","51552-1025-05",,"J3360",,9/1/2003,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (1X100GM,USP)",1,"EA","BO","NA","GM",5,"MG",200,9/1/2003,,,,,,,
"51552103101","51552-1031-01",,"J1450",,9/1/2003,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (1X1GM)",1,"EA","JR","NA","GM",200,"MG",5,9/1/2003,,,,,,,
"51552103102","51552-1031-02",,"J1450",,9/1/2003,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (1X5GM)",1,"EA","JR","NA","GM",200,"MG",5,9/1/2003,,,,,,,
"51552103104","51552-1031-04",,"J1450",,9/1/2003,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (1X25GM)",1,"EA","JR","NA","GM",200,"MG",5,9/1/2003,,,,,,,
"51552103601","51552-1036-01",,"J3370",,9/1/2003,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HYDROCHLORIDE (1X1GM,USP)",1,"EA","JR","NA","GM",500,"MG",2,9/1/2003,,,,,,,
"51552103609","51552-1036-09",,"J3370",,9/1/2003,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HYDROCHLORIDE (1X250MG,USP)",1,"EA","JR","NA","GM",500,"MG",2,9/1/2003,,,,,,,
"51552104302","51552-1043-02",,"J2321",,9/1/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2003,,,,,,,
"51552104501","51552-1045-01",,"J3420",,9/1/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (1X1GM,USP)",1,"EA","BO","NA","GM",1000,"MCG",1000,9/1/2003,,,,,,,
"51552104509","51552-1045-09",,"J3420",,9/1/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (1X500MG,USP)",1,"EA","BO","NA","GM",1000,"MCG",1000,9/1/2003,,,,,,,
"51552105306","51552-1053-06",,"J1212",,9/1/2003,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYLSULFOXIDE",473,"ML","BO","NA","ML",50,"%",0.02,9/1/2003,,,,,,,
"51552105401","51552-1054-01",,"J8610",,9/1/2003,,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (USP,1X1GM)",1,"EA","BO","NA","GM",2.5,"MG",400,9/1/2003,,,,,,,
"51552105409","51552-1054-09",,"J8610",,9/1/2003,,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (USP,1X100MG)",1,"EA","BO","NA","GM",2.5,"MG",400,9/1/2003,,,,,,,
"51552106302","51552-1063-02",,"J3430",,9/1/2003,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","PHYTONADIONE (USP,1X5GM)",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2003,,,,,,,
"51552106902","51552-1069-02",,"J2460",,9/1/2003,,"INJECTION, OXYTETRACYCLINE HCL, UP TO 50 MG","OXYTETRACYCLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2003,,,,,,,
"51552107609","51552-1076-09",,"J9060",,9/1/2003,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/1/2003,,,,,,,
"51641003046","51641-0030-46",,"Q0163",,1/1/2002,8/4/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DPH 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"51641003064","51641-0030-64",,"Q0163",,1/1/2002,8/4/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DPH 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"51641003076","51641-0030-76",,"Q0163",,1/1/2002,8/4/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DPH 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"51641003094","51641-0030-94",,"Q0163",,1/1/2002,8/4/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DPH 12.5 MG/5 ML",1920,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"51655002024","51655-0020-24",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"51655002052","51655-0020-52",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"51655002053","51655-0020-53",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"51655002080","51655-0020-80",,"J7506",,6/22/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",8,"EA","NA","PO","EA",5,"MG",4,6/22/2005,,,,,,,
"51655008427","51655-0084-27",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",12,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"51655008453","51655-0084-53",,"Q0170",,6/22/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",10,"EA","NA","PO","EA",25,"MG",1,6/22/2005,,,,,,,
"51655008624","51655-0086-24",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"51655008627","51655-0086-27",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",12,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"51655008651","51655-0086-51",,"J7506",,6/22/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","NA","PO","EA",5,"MG",1,6/22/2005,,,,,,,
"51655008724","51655-0087-24",,"J7506",,1/1/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","NA","PO","EA",5,"MG",2,1/1/2005,,,,,,,
"51655008728","51655-0087-28",,"J7506",,6/22/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","NA","PO","EA",5,"MG",2,6/22/2005,,,,,,,
"51655008749","51655-0087-49",,"J7506",,6/22/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","NA","PO","EA",5,"MG",2,6/22/2005,,,,,,,
"51655008824","51655-0088-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"51655008852","51655-0088-52",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"51655009387","51655-0093-87",,"Q0164",,6/22/2005,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 5 MG",6,"EA","NA","PO","EA",5,"MG",1,6/22/2005,,,,,,,
"51655011324","51655-0113-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"51655011325","51655-0113-25",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"51655011327","51655-0113-27",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",12,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"51655011380","51655-0113-80",,"Q0163",,6/22/2005,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",8,"EA","NA","PO","EA",50,"MG",0.5,6/22/2005,,,,,,,
"51655013354","51655-0133-54",,"Q0163",,6/22/2005,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","NA","PO","EA",50,"MG",0.5,6/22/2005,,,,,,,
"51655029489","51655-0294-89",,"Q0165",,6/22/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",4,"EA","NA","PO","EA",10,"MG",1,6/22/2005,,,,,,,
"51655029651","51655-0296-51",,"J8499",,6/22/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","NA","PO","EA",1,"EA",1,6/22/2005,,,,,,,
"51655029654","51655-0296-54",,"J8499",,6/22/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",15,"EA","NA","PO","EA",1,"EA",1,6/22/2005,,,,,,,
"51655029676","51655-0296-76",,"J8499",,6/22/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","NA","PO","EA",1,"EA",1,6/22/2005,,,,,,,
"51655030051","51655-0300-51",,"J8499",,6/22/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",40,"EA","NA","PO","EA",1,"EA",1,6/22/2005,,,,,,,
"51655030054","51655-0300-54",,"J8499",,6/22/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","NA","PO","EA",1,"EA",1,6/22/2005,,,,,,,
"51655030076","51655-0300-76",,"J8499",,6/22/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","NA","PO","EA",1,"EA",1,6/22/2005,,,,,,,
"51655052353","51655-0523-53",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",10,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"51655053352","51655-0533-52",,"Q0177",,6/22/2005,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","NA","PO","EA",25,"MG",1,6/22/2005,,,,,,,
"51672409103","51672-4091-03",,"Q0179",,9/19/2008,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (1x50ML); (4MG/5ML)",50,"ML","PG","PO","EA",8,"MG",1,9/19/2008,,,,,,,
"51927100000","51927-1000-00",,"J2271",,9/8/2003,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.; CII)",1,"EA","JR","NA","GM",100,"MG",10,9/8/2003,,,,,,,
"51927100100","51927-1001-00",,"J7636",,9/8/2003,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927100100","51927-1001-00","KO","J7636","KO",9/8/2003,,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927100300","51927-1003-00",,"J1170",,9/8/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.; CII)",1,"EA","JR","NA","GM",4,"MG",250,9/8/2003,,,,,,,
"51927100500","51927-1005-00",,"J2060",,9/8/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.; CIV)",1,"EA","JR","NA","GM",2,"MG",500,9/8/2003,,,,,,,
"51927100700","51927-1007-00",,"J1960",,9/8/2003,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.; CII)",1,"EA","BO","NA","GM",2,"MG",500,9/8/2003,,,,,,,
"51927101200","51927-1012-00",,"J0592",,9/8/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (U.S.P.;CIII)",1,"EA","JR","NA","GM",0.1,"MG",10000,9/8/2003,,,,,,,
"51927101300","51927-1013-00",,"J0745",,9/8/2003,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.; CII)",1,"EA","BO","NA","GM",30,"MG",33.33333,9/8/2003,,,,,,,
"51927101400","51927-1014-00",,"J3360",,9/8/2003,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (U.S.P.; CIV)",1,"EA","JR","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927101700","51927-1017-00",,"J1230",,9/8/2003,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.; CII)",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927101800","51927-1018-00",,"J2175",,9/8/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.; CII)",1,"EA","BO","NA","GM",100,"MG",10,9/8/2003,,,,,,,
"51927101900","51927-1019-00",,"J3010",,9/8/2003,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","JR","NA","GM",0.1,"MG",10000,9/8/2003,,,,,,,
"51927102600","51927-1026-00",,"J3140",,9/8/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927102700","51927-1027-00",,"J3140",,9/8/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.; SOY; CIII)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927102900","51927-1029-00",,"J3150",,9/8/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE MICRONIZED (U.S.P., MICRONIZED)",1,"EA","JR","NA","GM",100,"MG",10,9/8/2003,,,,,,,
"51927104600","51927-1046-00",,"J2675",,9/8/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927107900","51927-1079-00",,"J1200",,9/8/2003,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927108000","51927-1080-00",,"J1240",,9/8/2003,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927108200","51927-1082-00",,"J2765",,9/8/2003,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927108500","51927-1085-00",,"J9190",,9/8/2003,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P., -5 FU)",1,"EA","JR","NA","GM",500,"MG",2,9/8/2003,,,,,,,
"51927108500","51927-1085-00","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P., -5 FU)",1,"EA","JR","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"51927109000","51927-1090-00",,"J3480",,12/4/2003,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (USP; GRANULAR)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,12/4/2003,,,,,,,
"51927109300","51927-1093-00",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (USP)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"51927109300","51927-1093-00",,"J3490",,12/4/2003,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (USP)",1,"EA","BO","NA","GM",1,"EA",1,12/4/2003,,,,,,,
"51927111000","51927-1110-00",,"J1700",,9/8/2003,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE MICRONIZED (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,9/8/2003,,,,,,,
"51927114800","51927-1148-00",,"J7510",,9/8/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE MICRONIZED (ANHYDROUS)",1,"EA","JR","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927119400","51927-1194-00",,"J3490",,9/8/2003,,"UNCLASSIFIED DRUGS","BENZOCAINE",1,"EA","JR","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927120200","51927-1202-00",,"J0706",,12/4/2003,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,12/4/2003,,,,,,,
"51927121300","51927-1213-00",,"J2000",,9/8/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","JR","NA","GM",50,"ML",4,9/8/2003,,,,,,,
"51927121300","51927-1213-00",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"51927122500","51927-1225-00",,"J7799",,9/8/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927124200","51927-1242-00",,"J3411",,1/1/2004,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HYDROCHLORIDE (USP)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"51927126900","51927-1269-00",,"J3350",,12/4/2003,,"INJECTION, UREA, UP TO 40 GM","UREA (USP)",1,"EA","BO","NA","GM",40,"GM",0.025,12/4/2003,,,,,,,
"51927131700","51927-1317-00",,"J3520",,12/4/2003,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (USP; DIHYDRATE)",1,"EA","BO","NA","GM",150,"MG",6.66666,12/4/2003,,,,,,,
"51927132500","51927-1325-00",,"J2650",,9/8/2003,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","JR","NA","GM",1,"ML",20,9/8/2003,,,,,,,
"51927132600","51927-1326-00",,"J7684",,9/8/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927132600","51927-1326-00","KO","J7684","KO",9/8/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927133200","51927-1332-00",,"J1030",,9/8/2003,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,9/8/2003,,,,,,,
"51927134700","51927-1347-00",,"J0500",,9/8/2003,,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOMINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,9/8/2003,,,,,,,
"51927137000","51927-1370-00",,"J7669",,9/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927137000","51927-1370-00",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51927137000","51927-1370-00","KO","J7669","KO",9/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927137000","51927-1370-00","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"51927140000","51927-1400-00",,"J3410",,9/8/2003,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,9/8/2003,,,,,,,
"51927143000","51927-1430-00",,"J7638",,9/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927143000","51927-1430-00","KO","J7638","KO",9/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927143300","51927-1433-00",,"J1630",,9/8/2003,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","JR","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927143500","51927-1435-00",,"J7506",,9/8/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE MICRONIZED (USP)",1,"EA","BO","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927144100","51927-1441-00",,"J9017",,12/4/2003,,"INJECTION, ARSENIC TRIOXIDE, 1 MG","ARSENIC TRIOXIDE (TECHNICAL)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2003,,,,,,,
"51927144400","51927-1444-00",,"J0280",,9/8/2003,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (U.S.P.; ANHYDROUS)",1,"EA","JR","NA","GM",250,"MG",4,9/8/2003,,,,,,,
"51927144900","51927-1449-00",,"J3490",,9/8/2003,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927145400","51927-1454-00",,"J7624",,9/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927145400","51927-1454-00","KO","J7624","KO",9/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927151000","51927-1510-00",,"J2810",,9/8/2003,,"INJECTION, THEOPHYLLINE, PER 40 MG","THEOPHYLLINE (USP, ANHYDROUS)",1,"EA","BO","NA","GM",40,"MG",25,9/8/2003,,,,,,,
"51927156500","51927-1565-00",,"J8610",,9/8/2003,,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,9/8/2003,,,,,,,
"51927157100","51927-1571-00",,"J1245",,9/8/2003,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927157300","51927-1573-00",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51927157300","51927-1573-00",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51927157300","51927-1573-00","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51927157300","51927-1573-00","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51927157500","51927-1575-00",,"J7643",,9/8/2003,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927157500","51927-1575-00","KO","J7643","KO",9/8/2003,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","GLYCOPYRROLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927159700","51927-1597-00",,"J3490",,12/4/2003,,"UNCLASSIFIED DRUGS","ETHANOLAMINE (MONOETHANOLAMINE)",1,"EA","BO","NA","GM",1,"EA",1,12/4/2003,,,,,,,
"51927160100","51927-1601-00",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"51927160100","51927-1601-00",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"51927160100","51927-1601-00","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"51927160300","51927-1603-00",,"J1320",,9/8/2003,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","JR","NA","GM",20,"MG",50,9/8/2003,,,,,,,
"51927160600","51927-1606-00",,"J1800",,9/8/2003,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927161000","51927-1610-00",,"J7699",,9/8/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927161200","51927-1612-00",,"J1212",,12/4/2003,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (USP)",1,"ML","BO","NA","ML",50,"%",0.02,12/4/2003,,,,,,,
"51927164100","51927-1641-00",,"J7622",,9/8/2003,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P. (ANHYDROUS))",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927164100","51927-1641-00","KO","J7622","KO",9/8/2003,,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE (U.S.P. (ANHYDROUS))",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927164800","51927-1648-00",,"J7644",,9/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927164800","51927-1648-00",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51927164800","51927-1648-00","KO","J7644","KO",9/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927164800","51927-1648-00","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51927165900","51927-1659-00",,"J1180",,9/8/2003,,"INJECTION, DYPHYLLINE, UP TO 500 MG","DYPHYLLINE",1,"EA","BO","NA","GM",500,"MG",2,9/8/2003,,,,,,,
"51927166200","51927-1662-00",,"J3420",,12/4/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (USP)",1,"EA","BO","NA","GM",1000,"MCG",1000,12/4/2003,,,,,,,
"51927168300","51927-1683-00",,"J3490",,9/8/2003,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927169800","51927-1698-00",,"J0970",,9/8/2003,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","JR","NA","GM",40,"MG",25,9/8/2003,,,,,,,
"51927170600","51927-1706-00",,"J1110",,9/8/2003,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927170900","51927-1709-00",,"J1435",,9/8/2003,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P. E-1)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927171500","51927-1715-00",,"J7799",,9/8/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE HCL (USP)",1,"EA","BO","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927172200","51927-1722-00",,"J3430",,12/4/2003,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","MENADIONE (USP)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2003,,,,,,,
"51927172600","51927-1726-00",,"J0285",,9/8/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.; ORAL GRADE)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927174200","51927-1742-00",,"J3370",,9/8/2003,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","JR","NA","GM",500,"MG",2,9/8/2003,,,,,,,
"51927174600","51927-1746-00",,"J1160",,9/8/2003,,"INJECTION, DIGOXIN, UP TO 0.5 MG","DIGOXIN (U.S.P.)",1,"EA","BO","NA","GM",0.5,"MG",2000,9/8/2003,,,,,,,
"51927177500","51927-1775-00",,"J2440",,9/8/2003,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",60,"MG",16.66666,9/8/2003,,,,,,,
"51927177600","51927-1776-00",,"J3490",,9/8/2003,,"UNCLASSIFIED DRUGS","AMINOCAPROIC ACID (USP (6))",1,"EA","BO","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927178100","51927-1781-00",,"J2150",,12/4/2003,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (USP)",1,"EA","BO","NA","GM",50,"ML",0.08,12/4/2003,,,,,,,
"51927178400","51927-1784-00",,"J1940",,9/8/2003,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,9/8/2003,,,,,,,
"51927178800","51927-1788-00",,"J3000",,9/8/2003,,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE",1,"EA","BO","NA","GM",1,"GM",1,9/8/2003,,,,,,,
"51927179400","51927-1794-00",,"J7641",,9/8/2003,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927179400","51927-1794-00","KO","J7641","KO",9/8/2003,,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927182900","51927-1829-00",,"J3490",,9/8/2003,,"UNCLASSIFIED DRUGS","CORTISONE ACETATE MICRONIZED (USP)",1,"EA","JR","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927183100","51927-1831-00",,"J1980",,9/8/2003,,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",0.25,"MG",4000,9/8/2003,,,,,,,
"51927183800","51927-1838-00",,"J1165",,9/8/2003,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927186500","51927-1865-00",,"J1955",,12/4/2003,,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE (USP)",1,"EA","BO","NA","GM",1,"GM",1,12/4/2003,,,,,,,
"51927189500","51927-1895-00",,"J0760",,9/8/2003,,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927192500","51927-1925-00",,"J3430",,9/8/2003,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","PHYTONADIONE (USP; VITAMIN K1)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927194000","51927-1940-00",,"J7659",,9/8/2003,12/31/2006,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927194000","51927-1940-00",,"J7660",,1/1/2007,,"ISOPROTERENOL HCL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51927194000","51927-1940-00","KO","J7659","KO",9/8/2003,12/31/2006,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927194000","51927-1940-00","KO","J7660","KO",1/1/2007,,"ISOPROTERENOL HCL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOPROTERENOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51927195000","51927-1950-00",,"J0945",,9/8/2003,,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927195100","51927-1951-00",,"J7624",,9/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927195100","51927-1951-00","KO","J7624","KO",9/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927195400","51927-1954-00",,"J3490",,9/8/2003,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927195600","51927-1956-00",,"J3490",,9/8/2003,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927197900","51927-1979-00",,"J0360",,9/8/2003,,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,9/8/2003,,,,,,,
"51927198100","51927-1981-00",,"J3250",,9/12/2003,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL",1,"EA","BO","NA","GM",200,"MG",5,9/12/2003,,,,,,,
"51927200700","51927-2007-00",,"J0475",,9/8/2003,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927205900","51927-2059-00",,"J0600",,12/4/2003,,"INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG","EDETATE CALCIUM DISODIUM (USP, HYDRATE)",1,"EA","BO","NA","GM",1000,"MG",1,12/4/2003,,,,,,,
"51927209700","51927-2097-00",,"J0520",,9/8/2003,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","JR","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927209900","51927-2099-00",,"J1330",,9/8/2003,,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE",1,"EA","JR","NA","GM",0.2,"MG",5000,9/8/2003,,,,,,,
"51927210100","51927-2101-00",,"J0770",,9/8/2003,,"INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG","COLISTIMETHATE SODIUM (USP)",1,"EA","BO","NA","GM",150,"MG",6.66666,9/8/2003,,,,,,,
"51927211600","51927-2116-00",,"J0151",,12/4/2003,12/31/2003,"INJECTION, ADENOSINE, 90 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE",1,"EA","BO","NA","GM",90,"MG",11.11111,12/4/2003,,,,,,,
"51927211600","51927-2116-00",,"J0152",,1/1/2004,,"INJECTION, ADENOSINE FOR DIAGNOSTIC USE, 30 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS; INSTEAD USE A9270)","ADENOSINE",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2004,,,,,,,
"51927211800","51927-2118-00",,"J2360",,9/8/2003,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (USP)",1,"EA","BO","NA","GM",60,"MG",16.66666,9/8/2003,,,,,,,
"51927213200","51927-2132-00",,"J0151",,12/4/2003,12/31/2003,"INJECTION, ADENOSINE, 90 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (TRIHYDRATE)",1,"EA","BO","NA","GM",90,"MG",11.11111,12/4/2003,,,,,,,
"51927213200","51927-2132-00",,"J0152",,1/1/2004,,"INJECTION, ADENOSINE FOR DIAGNOSTIC USE, 30 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS; INSTEAD USE A9270)","ADENOSINE (TRIHYDRATE)",1,"EA","BO","NA","GM",30,"MG",33.33333,1/1/2004,,,,,,,
"51927213400","51927-2134-00",,"Q0165",,9/8/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927214000","51927-2140-00",,"J2300",,9/8/2003,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927218200","51927-2182-00",,"J1790",,9/8/2003,,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (USP)",1,"EA","BO","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927219600","51927-2196-00",,"J0270",,9/8/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","JR","NA","GM",1.25,"MCG",800000,9/8/2003,,,,,,,
"51927220600","51927-2206-00",,"J0780",,9/8/2003,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (USP)",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927223100","51927-2231-00",,"J1094",,9/8/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927223400","51927-2234-00",,"J2680",,9/8/2003,,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/8/2003,,,,,,,
"51927225800","51927-2258-00",,"J7501",,9/8/2003,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (USP)",1,"EA","BO","NA","GM",100,"MG",10,9/8/2003,,,,,,,
"51927229800","51927-2298-00",,"J3475",,12/4/2003,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (ANHYDROUS REAGENT)",1,"EA","BO","NA","GM",500,"MG",2,12/4/2003,,,,,,,
"51927230000","51927-2300-00",,"J2730",,12/4/2003,,"INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM","PRALIDOXIME CHLORIDE",1,"EA","BO","NA","GM",1,"GM",1,12/4/2003,,,,,,,
"51927230300","51927-2303-00",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P., HEMIHYDRATE)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51927230300","51927-2303-00",,"J3490",,9/8/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P., HEMIHYDRATE)",1,"EA","BO","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927231600","51927-2316-00",,"Q0178",,9/8/2003,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927231900","51927-2319-00",,"J1265",,1/1/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL",1,"EA","BO","NA","GM",40,"MG",25,1/1/2006,,,,,,,
"51927231900","51927-2319-00",,"Q4076",,10/1/2003,12/31/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL",1,"EA","BO","NA","GM",40,"MG",25,10/1/2003,,,,,,,
"51927235100","51927-2351-00",,"J3310",,8/9/2003,,"INJECTION, PERPHENAZINE, UP TO 5 MG","PERPHENAZINE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,8/9/2003,,,,,,,
"51927236200","51927-2362-00",,"J9140",,9/8/2003,,"DACARBAZINE, 200 MG","DACARBAZINE (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,9/8/2003,,,,,,,
"51927237500","51927-2375-00",,"J7682",,9/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN (USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/8/2003,,,,,,,
"51927237500","51927-2375-00",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN (USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51927237500","51927-2375-00","KO","J7682","KO",9/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN (USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/8/2003,,,,,,,
"51927237500","51927-2375-00","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN (USP)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"51927237900","51927-2379-00",,"J0735",,9/8/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927244900","51927-2449-00",,"J0120",,9/8/2003,,"INJECTION, TETRACYCLINE, UP TO 250 MG","TETRACYCLINE (U.S.P.)",1,"EA","JR","NA","GM",250,"MG",4,9/8/2003,,,,,,,
"51927251900","51927-2519-00",,"J2800",,9/8/2003,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","METHOCARBAMOL (U.S.P.)",1,"EA","BO","NA","GM",10,"ML",1,9/8/2003,,,,,,,
"51927257500","51927-2575-00",,"J7684",,9/8/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (USP, NON-MICRONIZED)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927257500","51927-2575-00","KO","J7684","KO",9/8/2003,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE (USP, NON-MICRONIZED)",1,"EA","JR","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927259300","51927-2593-00",,"J2670",,9/8/2003,,"INJECTION, TOLAZOLINE HCL, UP TO 25 MG","TOLAZOLINE HCL",1,"EA","BO","NA","GM",25,"MG",40,9/8/2003,,,,,,,
"51927266900","51927-2669-00",,"J2760",,9/8/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927269200","51927-2692-00",,"J0640",,9/8/2003,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (USP; ANHYDROUS)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927270400","51927-2704-00",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"51927270400","51927-2704-00",,"J3490",,9/8/2003,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927270600","51927-2706-00",,"J1070",,9/8/2003,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.; CIII)",1,"EA","JR","NA","GM",100,"MG",10,9/8/2003,,,,,,,
"51927273200","51927-2732-00",,"J3475",,12/4/2003,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (USP; HEPTAHYDRATE)",1,"EA","BO","NA","GM",500,"MG",2,12/4/2003,,,,,,,
"51927274200","51927-2742-00",,"J1730",,9/8/2003,,"INJECTION, DIAZOXIDE, UP TO 300 MG","DIAZOXIDE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/8/2003,,,,,,,
"51927276200","51927-2762-00",,"J9340",,9/8/2003,,"INJECTION, THIOTEPA, 15 MG","TRIETHYLENETHIOPHOSPHORAMIDE/T",1,"EA","BO","NA","GM",15,"MG",66.66666,9/8/2003,,,,,,,
"51927276500","51927-2765-00",,"J7681",,9/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927276500","51927-2765-00","KO","J7681","KO",9/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927277200","51927-2772-00",,"J9181",,1/1/2009,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (U.S.P.) 1 GM",1,"EA","BO","NA","GM",10,"MG",100,1/1/2009,,,,,,,
"51927277200","51927-2772-00",,"J9182",,9/8/2003,12/31/2008,"ETOPOSIDE, 100 MG","ETOPOSIDE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/8/2003,,,,,,,
"51927277500","51927-2775-00",,"J1250",,9/8/2003,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,9/8/2003,,,,,,,
"51927283400","51927-2834-00",,"J7626",,9/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","JR","NA","GM",0.25,"MG",2000,9/8/2003,,,,,,,
"51927283400","51927-2834-00",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"51927283400","51927-2834-00","KO","J7626","KO",9/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","JR","NA","GM",0.25,"MG",2000,9/8/2003,,,,,,,
"51927283400","51927-2834-00","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"51927285900","51927-2859-00",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51927285900","51927-2859-00",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51927285900","51927-2859-00","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"51927285900","51927-2859-00","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51927289500","51927-2895-00",,"J1600",,9/8/2003,,"INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG","GOLD SODIUM THIOMALATE",1,"EA","BO","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927298600","51927-2986-00",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (U.S.P.; CIV)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2004,,,,,,,
"51927298600","51927-2986-00",,"J3490",,9/8/2003,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (U.S.P.; CIV)",1,"EA","BO","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927299400","51927-2994-00",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"51927299400","51927-2994-00",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"51927302300","51927-3023-00",,"J2780",,9/8/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,9/8/2003,,,,,,,
"51927309800","51927-3098-00",,"J3230",,9/8/2003,,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","CHLORPROMAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927311500","51927-3115-00",,"J2690",,9/8/2003,,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,9/8/2003,,,,,,,
"51927315800","51927-3158-00",,"J1840",,9/8/2003,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (U.S.P.)",1,"EA","JR","NA","GM",500,"MG",2,9/8/2003,,,,,,,
"51927316300","51927-3163-00",,"J1000",,9/8/2003,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","ESTRADIOL CYPIONATE (U.S.P.)",1,"EA","JR","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927317700","51927-3177-00",,"J2010",,9/8/2003,,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","LINCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/8/2003,,,,,,,
"51927319600","51927-3196-00",,"J7516",,9/8/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A (USP)",1,"EA","JR","NA","GM",250,"MG",4,9/8/2003,,,,,,,
"51927321300","51927-3213-00",,"J3490",,1/3/2005,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (U.S.P)",1,"EA","NA","NA","GM",1,"EA",1,1/3/2005,,,,,,,
"51927325600","51927-3256-00",,"J1457",,1/1/2005,,"INJECTION, GALLIUM NITRATE, 1 MG","GALLIUM NITRATE (HYDRATE (III))",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"51927325600","51927-3256-00",,"J3490",,12/4/2003,12/31/2004,"UNCLASSIFIED DRUGS","GALLIUM NITRATE (HYDRATE (III))",1,"EA","BO","NA","GM",1,"EA",1,12/4/2003,,,,,,,
"51927325800","51927-3258-00",,"J2460",,9/8/2003,,"INJECTION, OXYTETRACYCLINE HCL, UP TO 50 MG","OXYTETRACYCLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927328600","51927-3286-00",,"J1644",,9/8/2003,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (USP)",1,"EA","BO","NA","GM",1000,"U",160,9/8/2003,,,,,,,
"51927328700","51927-3287-00",,"J1212",,12/4/2003,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE",1,"ML","BO","NA","ML",50,"%",0.02,12/4/2003,,,,,,,
"51927330600","51927-3306-00",,"J1835",,9/8/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE MICRONIZED",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927333500","51927-3335-00",,"J2310",,9/8/2003,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL DIHYDRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/8/2003,,,,,,,
"51927337000","51927-3370-00",,"J3302",,9/8/2003,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","TRIAMCINOLONE DIACETATE (USP)",1,"EA","JR","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927340800","51927-3408-00",,"J3490",,9/8/2003,,"UNCLASSIFIED DRUGS","FAMOTIDINE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927342200","51927-3422-00",,"J0636",,9/8/2003,,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL IN ALMOND OIL (NF) 1 MCG/ML",1,"ML","BO","NA","ML",0.1,"MCG",10,9/8/2003,,,,,,,
"51927348400","51927-3484-00",,"J2725",,9/8/2003,,"INJECTION, PROTIRELIN, PER 250 MCG","PROTIRELIN",1,"EA","BO","NA","GM",250,"MCG",4000,9/8/2003,,,,,,,
"51927348900","51927-3489-00",,"Q0165",,9/8/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MESYLATE (BP)",1,"EA","BO","NA","GM",10,"MG",100,9/8/2003,,,,,,,
"51927351400","51927-3514-00",,"J2321",,9/8/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.; CIII)",1,"EA","BO","NA","GM",100,"MG",10,9/8/2003,,,,,,,
"51927353000","51927-3530-00",,"J2675",,9/8/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927353600","51927-3536-00",,"J0330",,9/8/2003,,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","SUCCINYLCHOLINE CHLORIDE (DIHYDRATE; BP)",1,"EA","BO","NA","GM",20,"MG",50,9/8/2003,,,,,,,
"51927354800","51927-3548-00",,"J3490",,9/8/2003,,"UNCLASSIFIED DRUGS","NALTREXONE",1,"EA","BO","NA","GM",1,"EA",1,9/8/2003,,,,,,,
"51927355200","51927-3552-00",,"J2930",,9/8/2003,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (BUFFERED)",1,"EA","BO","NA","GM",125,"MG",8,9/8/2003,,,,,,,
"51927355700","51927-3557-00",,"J7507",,1/1/2004,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2004,,,,,,,
"51927355700","51927-3557-00",,"J7508",,9/8/2003,12/31/2003,"TACROLIMUS, ORAL, PER 5 MG","TACROLIMUS",1,"EA","JR","NA","GM",5,"MG",200,9/8/2003,,,,,,,
"51927357200","51927-3572-00",,"J3250",,9/8/2003,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL",1,"EA","BO","NA","GM",200,"MG",5,9/8/2003,,,,,,,
"51927361300","51927-3613-00",,"J2515",,3/26/2004,,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","PENTOBARBITAL SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,3/26/2004,,,,,,,
"51927363400","51927-3634-00",,"J3490",,1/4/2008,,"UNCLASSIFIED DRUGS","CIPROFLOXACIN HYDROCHLORIDE (USP)",1,"EA","BO","NA","GM",1,"EA",1,1/4/2008,,,,,,,
"51927364200","51927-3642-00",,"J9290",,8/19/2004,,"MITOMYCIN, 20 MG","MITOMYCIN (USP)",1,"EA","BO","NA","GM",20,"MG",50,8/19/2004,,,,,,,
"51927364300","51927-3643-00",,"J7640",,1/1/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE (DIHYDRATE)",1,"EA","BO","NA","GM",12,"MCG",83333.33,1/1/2006,,,,,,,
"51927364300","51927-3643-00",,"J7699",,8/19/2004,12/31/2005,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORMOTEROL FUMARATE (DIHYDRATE)",1,"EA","BO","NA","GM",1,"EA",1,8/19/2004,,,,,,,
"51927364300","51927-3643-00","KO","J7640","KO",1/1/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE (DIHYDRATE)",1,"EA","BO","NA","GM",12,"MCG",83333.33,1/1/2006,,,,,,,
"51927374700","51927-3747-00",,"J1094",,3/11/2005,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE MICRONIZED (USP)",1,"EA","BO","NA","GM",1,"MG",1000,3/11/2005,,,,,,,
"51927376000","51927-3760-00",,"J0282",,1/4/2008,7/1/2008,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HYDROCHLORIDE",1,"EA","BO","NA","GM",30,"MG",33.33333,1/4/2008,,,,,,,
"51927901700","51927-9017-00",,"J2675",,9/8/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.; WETTABLE POWDER)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51927901800","51927-9018-00",,"J2550",,9/8/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,9/8/2003,,,,,,,
"51991018801","51991-0188-01",,"J7509",,3/10/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,3/10/2003,,,,,,,
"51991018821","51991-0188-21",,"J7509",,10/14/2002,9/1/2005,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (UNIT OF USE) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,10/14/2002,,,,,,,
"51991018831","51991-0188-31",,"J7509",,11/5/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (UNIT OF USE) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,11/5/2003,,,,,,,
"51991019601","51991-0196-01",,"Q0164",,10/23/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,10/23/2002,,,,,,,
"51991019701","51991-0197-01",,"Q0165",,10/23/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,10/23/2002,,,,,,,
"51991045801","51991-0458-01",,"J7506",,1/16/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.) 1 MG",100,"EA","BO","PO","EA",5,"MG",0.2,1/16/2006,,,,,,,
"51991045810","51991-0458-10",,"J7506",,1/16/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.) 1 MG",1000,"EA","BO","PO","EA",5,"MG",0.2,1/16/2006,,,,,,,
"51991046201","51991-0462-01",,"J7506",,4/13/2006,11/1/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",100,"EA","BO","PO","EA",5,"MG",4,4/13/2006,,,,,,,
"51991046205","51991-0462-05",,"J7506",,4/13/2006,11/1/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",500,"EA","BO","PO","EA",5,"MG",4,4/13/2006,,,,,,,
"51991062501","51991-0625-01",,"Q0173",,1/1/2002,1/8/2007,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"52152016602","52152-0166-02",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"52152018502","52152-0185-02",,"Q0173",,8/22/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 300 MG",100,"EA","BO","PO","EA",250,"MG",1.2,8/22/2003,,,,,,,
"52152053830","52152-0538-30",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,6/25/2007,,,,,,,
"52152053930","52152-0539-30",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"52297026867","52297-0268-67",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL 25 MG",48,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52297037926","52297-0379-26",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL CHILDREN'S (AF,CHERRY) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"52297046262","52297-0462-62",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52297052162","52297-0521-62",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52297094026","52297-0940-26",,"Q0163",,1/1/2002,1/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL CLEAR ALLERGY RELIEF (AF,SF,DYE-FREE) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"52297094134","52297-0941-34",,"Q0163",,1/1/2002,2/1/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL ALLERGY (AF,CHERRY) 12.5 MG/5 ML",236,"ML","EA","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"52297094810","52297-0948-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEDRYL ALLERGY 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52544015302","52544-0153-02",,"J3315",,12/30/2004,,"INJECTION, TRIPTORELIN PAMOATE, 3.75 MG","TRELSTAR DEPOT (SDV) 3.75 MG",1,"EA","VL","IM","EA",3.75,"MG",1,12/30/2004,,,,,,,
"52544015376","52544-0153-76",,"J3315",,4/1/2005,6/23/2008,"INJECTION, TRIPTORELIN PAMOATE, 3.75 MG","TRELSTAR DEPOT (SDV, CLIP N JECT) 3.75 MG",1,"EA","VL","IM","EA",3.75,"MG",1,4/1/2005,6/23/2008,,,,,,
"52544015402","52544-0154-02",,"J3315",,12/30/2004,,"INJECTION, TRIPTORELIN PAMOATE, 3.75 MG","TRELSTAR LA (SDV) 11.25 MG",1,"EA","VL","IM","EA",3.75,"MG",3,12/30/2004,,,,,,,
"52544015476","52544-0154-76",,"J3315",,4/1/2005,6/23/2008,"INJECTION, TRIPTORELIN PAMOATE, 3.75 MG","TRELSTAR LA (SDV, CLIP N JECT) 11.25 MG",1,"EA","VL","IM","EA",3.75,"MG",3,4/1/2005,6/23/2008,,,,,,
"52544033501","52544-0335-01",,"J8499",,1/1/2002,10/21/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52544033601","52544-0336-01",,"J8499",,1/1/2002,7/1/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52544052016","52544-0520-16",,"J7510",,1/1/2002,4/12/2004,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",473,"ML","BO","PO","ML",5,"MG",0.6,5/15/2003,,1/1/2002,10/1/2002,0.6,,,
"52544052038","52544-0520-38",,"J7510",,1/1/2002,10/1/2002,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",236,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"52544079001","52544-0790-01",,"J7509",,1/1/2002,8/15/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"52544079021","52544-0790-21",,"J7509",,1/1/2002,7/21/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"52544079701","52544-0797-01",,"J7506",,1/1/2002,10/1/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",100,"EA","BO","PO","EA",5,"MG",10,1/1/2002,,,,,,,
"52544080001","52544-0800-01",,"Q0177",,1/1/2002,10/1/2002,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"52544080005","52544-0800-05",,"Q0177",,1/1/2002,10/1/2002,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"52544080101","52544-0801-01",,"Q0178",,1/1/2002,7/16/2002,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"52544080105","52544-0801-05",,"Q0178",,1/1/2002,4/4/2002,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",500,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"52544083010","52544-0830-10",,"J7506",,1/1/2002,10/1/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"52544083110","52544-0831-10",,"J7506",,1/1/2002,10/1/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52544083201","52544-0832-01",,"J7506",,1/1/2002,10/1/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52544083205","52544-0832-05",,"J7506",,1/1/2002,10/1/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",500,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52544092226","52544-0922-26",,"J2916",,1/2/2003,,"INJECTION, SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE INJECTION, 12.5 MG","FERRLECIT (SINGLE USE AMP) 62.5 MG/5 ML",5,"ML","AM","IV","ML",12.5,"MG",1,1/2/2003,,,,,,,
"52604144501","52604-1445-01",,"J3490",,1/1/2002,1/9/2003,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (VIAL) 5 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"52604144601","52604-1446-01",,"J3490",,1/1/2002,1/8/2003,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (M.D.V.) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"52604144605","52604-1446-05",,"J3490",,1/1/2002,1/8/2003,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (M.D.V.,TRAYPACK) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"52604144805","52604-1448-05",,"J3490",,1/1/2002,1/8/2003,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (VIAL) 2.5 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"52604146501","52604-1465-01",,"J3490",,1/1/2002,1/9/2003,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (M.D.V. W/DILUENT) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"52637001010","52637-0010-10",,"J1940",,1/1/2002,8/27/2008,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (S.D.V.) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,8/27/2008,,,,,,
"52637012610","52637-0126-10",,"J0725",,1/1/2002,8/27/2008,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","CHORIONIC GONADOTROPIN (M.D.V.) 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,1/1/2002,8/27/2008,,,,,,
"52637028210","52637-0282-10",,"J3420",,1/1/2002,8/27/2008,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITAMIN B12 (M.D.V.) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,8/27/2008,,,,,,
"52637031230","52637-0312-30",,"J3420",,1/1/2002,8/27/2008,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITAMIN B12 (M.D.V.) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,8/27/2008,,,,,,
"52637031310","52637-0313-10",,"J1435",,1/1/2002,8/27/2008,"INJECTION, ESTRONE, PER 1 MG","ESTRO-A (M.D.V.) 2 MG/ML",10,"ML","VL","IM","ML",1,"MG",2,1/1/2002,8/27/2008,,,,,,
"52637032510","52637-0325-10",,"J2650",,1/1/2002,8/27/2008,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PRED-JECT-50 (M.D.V.) 50 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,8/27/2008,,,,,,
"52637033210","52637-0332-10",,"J1000",,1/1/2002,1/1/2006,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","ESTRO-L.A. (M.D.V.) 5 MG/ML",10,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"52637054005","52637-0540-05",,"J3301",,1/1/2002,2/27/2002,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","TRIAMCINOLONE ACETONIDE (M.D.V.) 40 MG/ML",5,"ML","VL","IJ","ML",10,"MG",4,1/1/2002,,,,,,,
"52637075605","52637-0756-05",,"J1030",,1/1/2002,1/29/2002,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","MED-JEC-40 (M.D.V.) 40 MG/ML",5,"ML","VL","IJ","ML",40,"MG",1,1/1/2002,,,,,,,
"52637092610","52637-0926-10",,"J0945",,1/1/2002,3/1/2003,"INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG","BROMPHENIRAMINE MALEATE (M.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"52735040241","52735-0402-41",,"Q0163",,6/18/2003,6/23/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLERGY RELIEF MEDICINE 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,6/18/2003,,,,,,,
"52735040401","52735-0404-01",,"Q0163",,6/18/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","FAMILY PHARMACY ALLERGY 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,6/18/2003,,,,,,,
"52735040405","52735-0404-05",,"Q0163",,6/18/2003,4/18/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","FAMILY PHARMACY ALLERGY 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,6/18/2003,,,,,,,
"52735042705","52735-0427-05",,"Q0163",,6/18/2003,6/16/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLERGY RELIEF MEDICINE 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,6/18/2003,,,,,,,
"52769026866","52769-0268-66",,"J1563",,1/1/2002,6/17/2003,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","PANGLOBULIN (IGIV) 6 GM",1,"EA","VL","IV","EA",1,"GM",6,1/1/2002,,,,,,,
"52769026972","52769-0269-72",,"J1563",,1/1/2002,6/8/2003,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","PANGLOBULIN (IGIV) 12 GM",1,"EA","VL","IV","EA",1,"GM",12,1/1/2002,,,,,,,
"52769041706","52769-0417-06",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","PANGLOBULIN NF (S.D.V.,PF,NANOFILTERED) 6 GM",1,"EA","VL","IV","EA",500,"MG",12,1/1/2006,,,,,,,
"52769041706","52769-0417-06",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","PANGLOBULIN NF (S.D.V.,PF,NANOFILTERED) 6 GM",1,"EA","VL","IV","EA",1,"GM",6,4/1/2005,,,,,,,
"52769041712","52769-0417-12",,"J1563",,9/1/2003,9/1/2003,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","PANGLOBULIN NF (S.D.V.,PF,NANOFILTERED) 12 GM",1,"EA","VL","IV","EA",1,"GM",12,9/1/2003,,,,,,,
"52769041812","52769-0418-12",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","PANGLOBULIN NF (S.D.V.,PF,NANOFILTERED) 12 GM",1,"EA","VL","IV","EA",500,"MG",24,1/1/2006,,,,,,,
"52769041812","52769-0418-12",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","PANGLOBULIN NF (S.D.V.,PF,NANOFILTERED) 12 GM",1,"EA","VL","IV","EA",1,"GM",12,4/1/2005,,,,,,,
"52769046001","52769-0460-01",,"J7190",,1/1/2002,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.","MONARC-M (APPROX 220-2000 IU/VIAL) 1 IU",1100,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"52769046402","52769-0464-02",,"J7192",,5/1/2004,12/31/2004,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","GENARC (APPROX. 250 IU/VIAL,LOW) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,5/1/2004,,,,,,,
"52769046405","52769-0464-05",,"J7192",,5/1/2004,12/31/2004,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","GENARC (APPROX. 500 IU/VIAL,MID) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,5/1/2004,,,,,,,
"52769046410","52769-0464-10",,"J7192",,5/1/2004,12/31/2004,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","GENARC (APPROX.1000 IU/VIAL) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,5/1/2004,,,,,,,
"52769047072","52769-0470-72",,"J1566",,1/1/2006,,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","POLYGAM (W/50 ML DILUENT) 2.5 MG",1,"EA","NA","IV","EA",500,"MG",0.005,1/1/2006,,,,,,,
"52769047072","52769-0470-72",,"Q9942",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 10 MG","POLYGAM (W/50 ML DILUENT) 2.5 MG",1,"EA","NA","IV","EA",10,"MG",0.25,4/1/2005,,,,,,,
"52769047172","52769-0471-72",,"J1563",,1/1/2002,3/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","POLYGAM S/D (S.D.V. W/DILUENT) 2.5 GM",1,"EA","VL","IV","EA",1,"GM",2.5,1/1/2002,,,,,,,
"52769047172","52769-0471-72",,"Q9941",,4/1/2005,6/30/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","POLYGAM S/D (S.D.V. W/DILUENT) 2.5 GM",1,"EA","VL","IV","EA",1,"GM",2.5,4/1/2005,,,,,,,
"52769047175","52769-0471-75",,"J1563",,1/1/2002,3/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","POLYGAM S/D (S.D.V. W/DILUENT) 5 GM",1,"EA","VL","IV","EA",1,"GM",5,1/1/2002,,,,,,,
"52769047175","52769-0471-75",,"Q9941",,4/1/2005,6/30/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","POLYGAM S/D (S.D.V. W/DILUENT) 5 GM",1,"EA","VL","IV","EA",1,"GM",5,4/1/2005,,,,,,,
"52769047180","52769-0471-80",,"J1563",,1/1/2002,3/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G","POLYGAM S/D (S.D.V. W/DILUENT) 10 GM",1,"EA","VL","IV","EA",1,"GM",10,1/1/2002,,,,,,,
"52769047180","52769-0471-80",,"Q9941",,4/1/2005,6/30/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","POLYGAM S/D (S.D.V. W/DILUENT) 10 GM",1,"EA","VL","IV","EA",1,"GM",10,4/1/2005,,,,,,,
"52959000710","52959-0007-10",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",10,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"52959000714","52959-0007-14",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"52959000715","52959-0007-15",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",15,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"52959000720","52959-0007-20",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"52959000730","52959-0007-30",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",30,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"52959004300","52959-0043-00",,"Q0163",,6/17/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,6/17/2003,,,,,,,
"52959004304","52959-0043-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",4,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52959004310","52959-0043-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",10,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52959004315","52959-0043-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52959004320","52959-0043-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52959004324","52959-0043-24",,"Q0163",,5/12/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,5/12/2003,,,,,,,
"52959004330","52959-0043-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52959004350","52959-0043-50",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",50,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52959004360","52959-0043-60",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"52959005306","52959-0053-06",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",6,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"52959005310","52959-0053-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",10,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"52959005312","52959-0053-12",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",12,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"52959005315","52959-0053-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"52959005320","52959-0053-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"52959005330","52959-0053-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"52959005352","52959-0053-52",,"Q0163",,1/24/2005,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",52,"EA","BO","PO","EA",50,"MG",1,1/24/2005,,,,,,,
"52959007900","52959-0079-00",,"J7500",,1/1/2002,,"AZATHIOPRINE, ORAL, 50 MG","IMURAN 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"52959010000","52959-0100-00",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"52959012303","52959-0123-03",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"52959012306","52959-0123-06",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",180,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"52959012600","52959-0126-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012605","52959-0126-05",,"J7506",,11/6/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",5,"EA","BO","PO","EA",5,"MG",2,11/6/2002,,,,,,,
"52959012607","52959-0126-07",,"J7506",,11/6/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",7,"EA","BO","PO","EA",5,"MG",2,11/6/2002,,,,,,,
"52959012610","52959-0126-10",,"J7506",,8/19/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",10,"EA","BO","PO","EA",5,"MG",2,8/19/2003,,,,,,,
"52959012612","52959-0126-12",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",12,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012615","52959-0126-15",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012618","52959-0126-18",,"J7506",,1/15/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",18,"EA","BO","PO","EA",5,"MG",2,1/15/2002,,,,,,,
"52959012620","52959-0126-20",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012621","52959-0126-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012625","52959-0126-25",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",25,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012630","52959-0126-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012637","52959-0126-37",,"J7506",,7/18/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",37,"EA","BO","PO","EA",5,"MG",2,7/18/2007,,,,,,,
"52959012640","52959-0126-40",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012642","52959-0126-42",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012644","52959-0126-44",,"J7506",,3/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",44,"EA","BO","PO","EA",5,"MG",2,3/1/2004,,,,,,,
"52959012645","52959-0126-45",,"J7506",,9/19/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",45,"EA","NA","PO","EA",5,"MG",2,9/19/2006,,,,,,,
"52959012650","52959-0126-50",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",50,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012660","52959-0126-60",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"52959012700","52959-0127-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012707","52959-0127-07",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",7,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012710","52959-0127-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012712","52959-0127-12",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",12,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012715","52959-0127-15",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012718","52959-0127-18",,"J7506",,6/18/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","BO","PO","EA",5,"MG",4,6/18/2008,,,,,,,
"52959012720","52959-0127-20",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012721","52959-0127-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012725","52959-0127-25",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",25,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012730","52959-0127-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012737","52959-0127-37",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",37,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959012742","52959-0127-42",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",42,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"52959013404","52959-0134-04",,"Q0170",,1/1/2002,12/2/2004,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (CHERRY) 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"52959013408","52959-0134-08",,"Q0170",,1/1/2002,12/2/2004,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (CHERRY) 6.25 MG/5 ML",240,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"52959015806","52959-0158-06",,"J7669",,1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","ALUPENT (VIAL) 0.6%",2.5,"ML","AM","IH","ML",10,"MG",0.6,1/1/2002,,,,,,,
"52959015806","52959-0158-06","KO","J7669","KO",1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","ALUPENT (VIAL) 0.6%",2.5,"ML","AM","IH","ML",10,"MG",0.6,1/1/2002,,,,,,,
"52959017906","52959-0179-06",,"J2360",,1/1/2002,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","NORFLEX 30 MG/ML",2,"ML","AM","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"52959022000","52959-0220-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"52959022010","52959-0220-10",,"J7506",,8/19/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,8/19/2003,,,,,,,
"52959022020","52959-0220-20",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"52959022021","52959-0220-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"52959022030","52959-0220-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"52959022036","52959-0220-36",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",36,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"52959022040","52959-0220-40",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"52959022060","52959-0220-60",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"52959022075","52959-0220-75",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",75,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"52959022610","52959-0226-10",,"Q0173",,1/1/2002,2/11/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 250 MG",10,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"52959022612","52959-0226-12",,"Q0173",,1/1/2002,2/11/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 250 MG",12,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"52959023712","52959-0237-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"52959023712","52959-0237-12",,"K0416",,3/14/2004,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,3/14/2004,,,,,,,
"52959024400","52959-0244-00",,,,10/2/2000,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,10/2/2000,,,,,,,
"52959029100","52959-0291-00",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"52959029100","52959-0291-00",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"52959031315","52959-0313-15",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,1/1/2002,,,,,,,
"52959033000","52959-0330-00",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959033025","52959-0330-25",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959033050","52959-0330-50",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959035506","52959-0355-06",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"52959035506","52959-0355-06",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",6,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"52959035512","52959-0355-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"52959035512","52959-0355-12",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"52959039115","52959-0391-15",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",15,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"52959039212","52959-0392-12",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"52959039221","52959-0392-21",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",21,"EA","DP","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"52959039228","52959-0392-28",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",28,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"52959043310","52959-0433-10",,"Q0177",,6/6/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,6/6/2002,,,,,,,
"52959043315","52959-0433-15",,"Q0177",,2/28/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",15,"EA","BO","PO","EA",25,"MG",1,2/28/2002,,,,,,,
"52959043320","52959-0433-20",,"Q0177",,12/27/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,12/27/2004,,,,,,,
"52959043330","52959-0433-30",,"Q0177",,10/17/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,10/17/2002,,,,,,,
"52959043340","52959-0433-40",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",40,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"52959043360","52959-0433-60",,"Q0177",,12/27/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,12/27/2004,,,,,,,
"52959047602","52959-0476-02",,"Q0165",,8/9/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",120,"EA","BO","PO","EA",10,"MG",1,8/9/2005,,,,,,,
"52959047610","52959-0476-10",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"52959047615","52959-0476-15",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",15,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"52959047620","52959-0476-20",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",20,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"52959047624","52959-0476-24",,"Q0165",,10/27/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",24,"EA","BO","PO","EA",10,"MG",1,10/27/2004,,,,,,,
"52959047630","52959-0476-30",,"Q0165",,11/22/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,11/22/2004,,,,,,,
"52959047660","52959-0476-60",,"Q0165",,11/22/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",60,"EA","BO","PO","EA",10,"MG",1,11/22/2004,,,,,,,
"52959047910","52959-0479-10",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",10,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"52959047912","52959-0479-12",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",12,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"52959047920","52959-0479-20",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",20,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"52959047930","52959-0479-30",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",30,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"52959049010","52959-0490-10",,"G9036",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","FLUMADINE 100 MG",10,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"52959049014","52959-0490-14",,"G9036",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","FLUMADINE 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"52959049020","52959-0490-20",,"G9036",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","FLUMADINE 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"52959050506","52959-0505-06",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX Z-PAK 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"52959051725","52959-0517-25",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959051730","52959-0517-30",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959051735","52959-0517-35",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",35,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054401","52959-0544-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054410","52959-0544-10",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",10,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054412","52959-0544-12",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",12,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054415","52959-0544-15",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054421","52959-0544-21",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",21,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054425","52959-0544-25",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054430","52959-0544-30",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054440","52959-0544-40",,"J8499",,8/24/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",40,"EA","BO","PO","EA",1,"EA",1,8/24/2007,,,,,,,
"52959054450","52959-0544-50",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054704","52959-0547-04",,"J8540",,5/16/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",4,"EA","BO","PO","EA",0.25,"MG",16,5/16/2007,,,,,,,
"52959054710","52959-0547-10",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",10,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"52959054710","52959-0547-10",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",10,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054711","52959-0547-11",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",11,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"52959054711","52959-0547-11",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",11,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054712","52959-0547-12",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",12,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"52959054712","52959-0547-12",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",12,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054716","52959-0547-16",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",16,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"52959054716","52959-0547-16",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",16,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054720","52959-0547-20",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",20,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"52959054720","52959-0547-20",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054730","52959-0547-30",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"52959054730","52959-0547-30",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959054750","52959-0547-50",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",50,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"52959054750","52959-0547-50",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"52959056101","52959-0561-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"52959056101","52959-0561-01",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"52959056104","52959-0561-04",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",4,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"52959056104","52959-0561-04",,"K0416",,4/4/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",4,"EA","BX","RC","EA",1,"MG",12.5,4/4/2003,,,,,,,
"52959056201","52959-0562-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",12,"EA","NA","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"52959056201","52959-0562-01",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",12,"EA","NA","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"52959056206","52959-0562-06",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",6,"EA","NA","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"52959056206","52959-0562-06",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",6,"EA","NA","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"52959062260","52959-0622-60",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"52959065001","52959-0650-01",,"J7506",,1/1/2002,9/25/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",200,"EA","NA","PO","EA",5,"MG",0.2,1/1/2002,,,,,,,
"52959065703","52959-0657-03",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"52959065706","52959-0657-06",,"Q0144",,1/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,1/1/2006,,,,,,,
"52959067830","52959-0678-30",,"J8499",,10/7/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,10/7/2003,,,,,,,
"52959074120","52959-0741-20",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"52959074120","52959-0741-20",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"52959074801","52959-0748-01",,"J8501",,8/22/2007,,"APREPITANT, ORAL, 5 MG","EMEND 40 MG",1,"EA","BO","PO","EA",5,"MG",8,8/22/2007,,,,,,,
"52959080110","52959-0801-10",,"G9035",,2/23/2005,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU 75 MG",10,"EA","BO","PO","EA",75,"MG",1,2/23/2005,,,,,,,
"52959080404","52959-0804-04",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"52959080408","52959-0804-08",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 6.25 MG/5 ML",240,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"52959081710","52959-0817-10",,"Q0173",,10/4/2005,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 300 MG",10,"EA","BO","PO","EA",250,"MG",1.2,10/4/2005,,,,,,,
"52959083306","52959-0833-06",,"Q0178",,10/14/2005,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",6,"EA","BO","PO","EA",50,"MG",1,10/14/2005,,,,,,,
"52959083320","52959-0833-20",,"Q0178",,10/14/2005,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",20,"EA","BO","PO","EA",50,"MG",1,10/14/2005,,,,,,,
"52959083806","52959-0838-06",,"Q0144",,11/22/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,11/22/2005,,,,,,,
"52959091430","52959-0914-30",,"Q0169",,11/26/2007,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 12.5 MG",30,"EA","BO","PO","EA",12.5,"MG",1,11/26/2007,,,,,,,
"52959092703","52959-0927-03",,"Q0144",,4/24/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 500 MG",3,"EA","BO","PO","EA",1,"GM",0.5,4/24/2008,,,,,,,
"52959092830","52959-0928-30",,"J8999",,5/15/2008,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 20 MG",30,"EA","NA","PO","EA",1,"EA",1,5/15/2008,,,,,,,
"52959093230","52959-0932-30",,"Q0144",,5/23/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (1X30ML,CHERRY) 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,5/23/2008,,,,,,,
"53014021604","53014-0216-04",,"J9357",,1/1/2002,6/30/2004,"INJECTION, VALRUBICIN, INTRAVESICAL, 200 MG","VALSTAR (SINGLE USE VIAL,PF) 40 MG/ML",5,"ML","VL","IL","ML",200,"MG",0.2,1/1/2002,,,,,,,
"53014021624","53014-0216-24",,"J9357",,1/1/2002,6/30/2004,"INJECTION, VALRUBICIN, INTRAVESICAL, 200 MG","VALSTAR (SINGLE USE VIAL,PF) 40 MG/ML",5,"ML","VL","IL","ML",200,"MG",0.2,1/1/2002,,,,,,,
"53014025001","53014-0250-01",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PEDIAPRED (SF,DYE-FREE,RASPBERRY) 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"53100012822","53100-0128-22",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 25 MG",16,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"53100012832","53100-0128-32",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 25 MG",32,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"53100012851","53100-0128-51",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 25 MG",72,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"53100012870","53100-0128-70",,"Q0163",,1/1/2002,3/11/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 50 MG",8,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"53100012875","53100-0128-75",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 50 MG",16,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"53100012880","53100-0128-80",,"Q0163",,1/1/2002,10/1/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 50 MG",32,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"53100128220","53100-1282-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 25 MG",16,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"53100128320","53100-1283-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 25 MG",32,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"53100128510","53100-1285-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 25 MG",72,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"53100128700","53100-1287-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 50 MG",8,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"53100128750","53100-1287-50",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 50 MG",16,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"53100128800","53100-1288-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SOMINEX 50 MG",32,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"53191016101","53191-0161-01",,"J3350",,1/1/2002,12/31/2008,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","CN","NA","GM",40,"GM",0.025,1/1/2002,12/31/2008,,,,,,
"53191016105","53191-0161-05",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P.)",1,"EA","JR","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"53265024312","53265-0243-12",,"K0416",,1/1/2002,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 2.5 MG",12,"EA","BX","RC","EA",1,"MG",2.5,1/1/2002,,,,,,,
"53265024412","53265-0244-12",,"K0416",,1/1/2002,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 5 MG",12,"EA","BX","RC","EA",1,"MG",5,1/1/2002,,,,,,,
"53265024512","53265-0245-12",,"K0416",,1/1/2002,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"53265030101","53265-0301-01",,"J2680",,1/1/2002,6/5/2002,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE 25 MG/ML",5,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"53265040510","53265-0405-10",,"Q0169",,7/1/2004,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 12.5 MG",100,"EA","BO","PO","EA",12.5,"MG",1,7/1/2004,,,,,,,
"53265040610","53265-0406-10",,"Q0170",,7/1/2004,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",100,"EA","BO","PO","EA",25,"MG",1,7/1/2004,,,,,,,
"53265040611","53265-0406-11",,"Q0170",,7/1/2004,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",1000,"EA","BO","PO","EA",25,"MG",1,7/1/2004,,,,,,,
"53265040710","53265-0407-10",,"Q0170",,7/1/2004,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 50 MG",100,"EA","BO","PO","EA",25,"MG",2,7/1/2004,,,,,,,
"53265044451","53265-0444-51",,"J1631",,1/1/2002,6/5/2002,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"53265044456","53265-0444-56",,"J1631",,1/1/2002,6/5/2002,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE 50 MG/ML",5,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"53265054451","53265-0544-51",,"J1631",,1/1/2002,6/5/2002,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE 100 MG/ML",1,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"53265054456","53265-0544-56",,"J1631",,1/1/2002,6/5/2002,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"53265076212","53265-0762-12",,"K0416",,4/11/2003,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,4/11/2003,,,,,,,
"53265076312","53265-0763-12",,"K0416",,4/11/2003,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"MG",25,4/11/2003,,,,,,,
"53265076412","53265-0764-12",,"K0416",,3/1/2003,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 50 MG",12,"EA","BX","RC","EA",1,"MG",50,3/1/2003,,,,,,,
"53298010106","53298-0101-06",,"A4216",,1/1/2004,1/7/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","HSA STERILE DILUENT (VIAL)",1.8,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"53298010106","53298-0101-06",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","HSA STERILE DILUENT (VIAL)",1.8,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"53409000306","53409-0003-06",,"J3140",,11/13/2002,2/1/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (BULK FOR COMPOUNDING)",1,"EA","NA","NA","GM",50,"MG",20,11/13/2002,,,,,,,
"53409000308","53409-0003-08",,"J3140",,11/13/2002,2/1/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (BULK FOR COMPOUNDING)",1,"EA","NA","NA","GM",50,"MG",20,11/13/2002,,,,,,,
"53409000315","53409-0003-15",,"J3140",,11/13/2002,2/1/2003,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (BULK FOR COMPOUNDING)",1,"EA","NA","NA","GM",50,"MG",20,11/13/2002,,,,,,,
"53409001306","53409-0013-06",,"J1070",,11/13/2002,2/1/2003,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (BULK FOR COMPOUNDING)",1,"EA","NA","NA","GM",100,"MG",10,11/13/2002,,,,,,,
"53409001308","53409-0013-08",,"J1070",,11/13/2002,2/1/2003,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (BULK FOR COMPOUNDING)",1,"EA","NA","NA","GM",100,"MG",10,11/13/2002,,,,,,,
"53409120007","53409-1200-07",,"J2675",,11/13/2002,2/1/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,11/13/2002,,,,,,,
"53409120008","53409-1200-08",,"J2675",,11/13/2002,2/1/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (MICRONIZED)",1,"EA","NA","NA","GM",50,"MG",20,11/13/2002,,,,,,,
"53409121008","53409-1210-08",,"J2675",,11/13/2002,2/1/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (WETTABLE,MICRONIZED)",1,"EA","NA","NA","GM",50,"MG",20,11/13/2002,,,,,,,
"53409122007","53409-1220-07",,"J2675",,11/13/2002,2/1/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (BULK FOR COMPOUNDING)",1,"EA","NA","NA","GM",50,"MG",20,11/13/2002,,,,,,,
"53409122008","53409-1220-08",,"J2675",,11/13/2002,2/1/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (USP)",1,"EA","NA","NA","GM",50,"MG",20,11/13/2002,,,,,,,
"53409130005","53409-1300-05",,"J1435",,11/13/2002,2/1/2003,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (BULK FOR COMPOUNDING)",1,"EA","NA","NA","GM",1,"MG",1000,11/13/2002,,,,,,,
"53409130006","53409-1300-06",,"J1435",,11/13/2002,2/1/2003,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (BULK FOR COMPOUNDING)",1,"EA","NA","NA","GM",1,"MG",1000,11/13/2002,,,,,,,
"53409130008","53409-1300-08",,"J1435",,11/13/2002,2/1/2003,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (BULK FOR COMPOUNDING)",1,"EA","NA","NA","GM",1,"MG",1000,11/13/2002,,,,,,,
"53489013801","53489-0138-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"53489013810","53489-0138-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"53489013901","53489-0139-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"53489013905","53489-0139-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",500,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"53489013910","53489-0139-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"53489014001","53489-0140-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"53489014005","53489-0140-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",500,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"53489014010","53489-0140-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",1000,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"53489029301","53489-0293-01",,"Q0173",,1/1/2002,4/22/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"53489037601","53489-0376-01",,"Q0173",,8/29/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 300 MG",100,"EA","BO","PO","EA",250,"MG",1.2,8/29/2003,,,,,,,
"53489037605","53489-0376-05",,"Q0173",,8/29/2003,8/9/2006,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 300 MG",500,"EA","BO","PO","EA",250,"MG",1.2,8/29/2003,,,,,,,
"53905006501","53905-0065-01",,"J7682",,1/1/2002,2/25/2008,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBI (S.D. AMP,4X14) 60 MG/ML",5,"ML","PC","IH","ML",300,"MG",0.2,1/1/2002,,,,,,,
"53905006501","53905-0065-01","KO","J7682","KO",1/1/2002,2/25/2008,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBI (S.D. AMP,4X14) 60 MG/ML",5,"ML","PC","IH","ML",300,"MG",0.2,1/1/2002,,,,,,,
"53905006504","53905-0065-04",,"J7682",,6/17/2005,8/27/2007,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBI (SINGLE DOSE AMP) 60 MG/ML",5,"ML","PC","IH","ML",300,"MG",0.2,6/17/2005,,,,,,,
"53905006504","53905-0065-04","KO","J7682","KO",6/17/2005,8/27/2007,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBI (SINGLE DOSE AMP) 60 MG/ML",5,"ML","PC","IH","ML",300,"MG",0.2,6/17/2005,,,,,,,
"53905033101","53905-0331-01",,"J9999",,1/1/2002,4/30/2003,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","DEPOCYT (S.D.V.) 10 MG/ML",5,"ML","VL","IN","ML",1,"EA",1,1/1/2002,,,,,,,
"53905099101","53905-0991-01",,"J9015",,1/1/2002,12/11/2007,"INJECTION, ALDESLEUKIN, PER SINGLE USE VIAL","PROLEUKIN (PF) 22 Million IU",1,"EA","VL","IV","EA",1,"VIAL",1,1/1/2002,,,,,,,
"54092018701","54092-0187-01",,"Q0173",,1/1/2002,2/8/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"54092054120","54092-0541-20",,"J3250",,1/1/2002,1/25/2002,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TIGAN (VIAL) 100 MG/ML",20,"ML","VL","IM","ML",200,"MG",0.5,1/1/2002,,,,,,,
"54092070001","54092-0700-01",,"J1743",,1/1/2008,,"INJECTION, IDURSULFASE, 1 MG","ELAPRASE (PF) 2 MG/ML",3,"ML","VL","IV","ML",1,"MG",2,1/1/2008,,,,,,,
"54092070001","54092-0700-01",,"J3490",,7/25/2006,12/31/2007,"UNCLASSIFIED DRUGS","ELAPRASE (PF) 2 MG/ML",3,"ML","VL","IV","ML",1,"EA",1,7/25/2006,,,,,,,
"54396032816","54396-0328-16",,"J3130",,1/1/2002,10/29/2007,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","DELATESTRYL (UNIMATIC) 200 MG/ML",1,"ML","SR","IM","ML",200,"MG",1,1/1/2002,,,,,,,
"54396032840","54396-0328-40",,"J3130",,1/1/2002,4/26/2009,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","DELATESTRYL (M.D.V.) 200 MG/ML",5,"ML","VL","IM","ML",200,"MG",1,1/1/2002,4/26/2009,,,,,,
"54482005301","54482-0053-01",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MATULANE 50 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54482014609","54482-0146-09",,"J1955",,1/1/2002,6/30/2004,"INJECTION, LEVOCARNITINE, PER 1 GM","CARNITOR (S.D. AMP) 200 MG/ML",5,"ML","AM","IV","ML",1,"GM",0.2,1/1/2002,,,,,,,
"54482014701","54482-0147-01",,"J1955",,1/1/2002,,"INJECTION, LEVOCARNITINE, PER 1 GM","CARNITOR (S.D.V.) 200 MG/ML",5,"ML","VL","IV","ML",1,"GM",0.2,1/1/2002,,,,,,,
"54569004800","54569-0048-00",,"J7631",,1/1/2002,1/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"54569004800","54569-0048-00","KO","J7631","KO",1/1/2002,1/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL (VIAL) 10 MG/ML",2,"ML","AM","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"54569008402","54569-0084-02",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54569008403","54569-0084-03",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",10,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54569009100","54569-0091-00",,"J8499",,1/1/2002,1/31/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569009101","54569-0091-01",,"J8499",,1/1/2002,1/31/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569009102","54569-0091-02",,"J8499",,1/1/2002,6/1/2002,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",35,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569023900","54569-0239-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54569023901","54569-0239-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54569023902","54569-0239-02",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54569023903","54569-0239-03",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54569023905","54569-0239-05",,"Q0163",,1/1/2002,1/31/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",21,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54569023906","54569-0239-06",,"Q0163",,1/1/2002,5/12/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",4,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54569023908","54569-0239-08",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",6,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54569024100","54569-0241-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54569024102","54569-0241-02",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54569024103","54569-0241-03",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54569024104","54569-0241-04",,"Q0163",,1/1/2002,1/16/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",6,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54569024105","54569-0241-05",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",10,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54569032200","54569-0322-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"54569032200","54569-0322-00",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569032203","54569-0322-03",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",20,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"54569032203","54569-0322-03",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569032205","54569-0322-05",,"Q0181",,1/1/2002,3/10/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",7,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569032402","54569-0324-02",,"J8540",,1/1/2006,1/18/2006,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",4,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54569032402","54569-0324-02",,"Q0181",,12/27/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",4,"EA","BO","PO","EA",1,"EA",1,12/27/2004,,,,,,,
"54569032404","54569-0324-04",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",6,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54569032404","54569-0324-04",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",6,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569032406","54569-0324-06",,"Q0181",,1/1/2002,6/10/2003,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",12,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569032407","54569-0324-07",,"Q0181",,1/1/2002,6/10/2003,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",8,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569032409","54569-0324-09",,"Q0181",,6/26/2002,6/10/2003,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",10,"EA","NA","PO","EA",1,"EA",1,6/26/2002,,,,,,,
"54569032700","54569-0327-00",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL (UNIT OF USE) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"54569033000","54569-0330-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569033001","54569-0330-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",50,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569033002","54569-0330-02",,"J7506",,1/1/2002,1/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",75,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569033003","54569-0330-03",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569033004","54569-0330-04",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569033005","54569-0330-05",,"J7506",,1/1/2002,1/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",36,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569033007","54569-0330-07",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569033008","54569-0330-08",,"J7506",,1/1/2002,1/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",6,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569033009","54569-0330-09",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",15,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569033100","54569-0331-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",10,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033101","54569-0331-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033102","54569-0331-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033103","54569-0331-03",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",24,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033104","54569-0331-04",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",50,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033105","54569-0331-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033106","54569-0331-06",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",12,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033107","54569-0331-07",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033108","54569-0331-08",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033109","54569-0331-09",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569033200","54569-0332-00",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",8,"EA","NA","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569033201","54569-0332-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569033202","54569-0332-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569033203","54569-0332-03",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569033204","54569-0332-04",,"J7506",,1/1/2002,1/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",50,"EA","NA","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569033205","54569-0332-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569033208","54569-0332-08",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",27,"EA","NA","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569033209","54569-0332-09",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569033300","54569-0333-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",8,"EA","BO","PO","EA",5,"MG",10,1/1/2002,,,,,,,
"54569033304","54569-0333-04",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",5,"EA","NA","PO","EA",5,"MG",10,1/1/2002,,,,,,,
"54569033601","54569-0336-01",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 2 MG",6,"EA","BO","PO","EA",0.25,"MG",8,1/1/2006,,,,,,,
"54569033601","54569-0336-01",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 2 MG",6,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569033603","54569-0336-03",,"Q0181",,1/1/2002,6/1/2002,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 2 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569035000","54569-0350-00",,"Q0164",,6/26/2002,10/16/2006,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 5 MG",3,"EA","NA","PO","EA",5,"MG",1,6/26/2002,,,,,,,
"54569035001","54569-0350-01",,"Q0164",,1/1/2002,1/31/2003,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",30,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569035002","54569-0350-02",,"Q0164",,1/1/2002,1/31/2003,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",20,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569035003","54569-0350-03",,"Q0164",,1/1/2002,6/10/2003,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",12,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569035005","54569-0350-05",,"Q0164",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",6,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569035100","54569-0351-00",,"Q0165",,1/1/2002,1/31/2003,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"54569035101","54569-0351-01",,"Q0165",,1/1/2002,10/16/2006,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"54569035200","54569-0352-00",,"Q0164",,1/1/2002,1/31/2003,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569035201","54569-0352-01",,"Q0164",,1/1/2002,1/31/2003,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569035202","54569-0352-02",,"Q0164",,1/1/2002,6/10/2003,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 5 MG",3,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569035203","54569-0352-03",,"Q0164",,1/1/2002,1/31/2003,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 5 MG",12,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569035300","54569-0353-00",,"K0416",,1/1/2002,1/31/2003,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569035301","54569-0353-01",,"J8498",,1/1/2006,10/16/2006,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569035301","54569-0353-01",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",6,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569035302","54569-0353-02",,"J8498",,1/1/2006,10/16/2006,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",3,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569035302","54569-0353-02",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",3,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569035500","54569-0355-00",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,12/7/2005,,1/1/2002,1/31/2003,1,,,
"54569035501","54569-0355-01",,"Q0165",,1/1/2002,6/10/2003,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",15,"EA","NA","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"54569035502","54569-0355-02",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"54569035503","54569-0355-03",,"Q0165",,1/1/2002,7/1/2002,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",4,"EA","NA","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"54569036100","54569-0361-00",,"J8498",,1/1/2006,1/20/2006,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",4,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569036100","54569-0361-00",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",4,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"54569036101","54569-0361-01",,"J8498",,1/1/2006,1/20/2006,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569036101","54569-0361-01",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"54569036102","54569-0361-02",,"J8498",,1/1/2006,1/20/2006,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569036102","54569-0361-02",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",6,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"54569036103","54569-0361-03",,"K0416",,1/1/2002,1/31/2003,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",1,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"54569036200","54569-0362-00",,"K0416",,1/1/2002,12/5/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",4,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569036201","54569-0362-01",,"K0416",,1/1/2002,12/5/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",12,"EA","BO","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569036202","54569-0362-02",,"K0416",,1/1/2002,12/5/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",6,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569036203","54569-0362-03",,"K0416",,1/1/2002,12/5/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",1,"EA","BX","RC","EA",1,"MG",25,12/27/2004,,1/1/2002,1/31/2003,25,,,
"54569036303","54569-0363-03",,"Q0173",,1/1/2002,2/12/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 250 MG",4,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"54569036304","54569-0363-04",,"Q0173",,1/1/2002,2/12/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 250 MG",8,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"54569036305","54569-0363-05",,"Q0173",,1/1/2002,2/12/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 250 MG",10,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"54569037800","54569-0378-00",,"J8999",,1/1/2002,6/10/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569103400","54569-1034-00",,"Q0181",,1/1/2002,11/20/2002,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG/5 ML",100,"ML","NA","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"54569103600","54569-1036-00",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"54569104600","54569-1046-00",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"54569133500","54569-1335-00",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PEDIAPRED 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"54569137700","54569-1377-00",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (VIAL) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,1/1/2002,,,,,,,
"54569138100","54569-1381-00",,"J3420",,1/1/2002,1/31/2003,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"54569138400","54569-1384-00",,"J1720",,1/1/2002,1/31/2003,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (ACT-O-VIAL) 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"54569138600","54569-1386-00",,"J0696",,1/1/2002,1/31/2003,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,1/1/2002,,,,,,,
"54569138700","54569-1387-00",,"J2010",,1/1/2002,,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","LINCOCIN (VIAL) 300 MG/ML",10,"ML","VL","IJ","ML",300,"MG",1,1/15/2004,,1/1/2002,1/31/2003,1,,,
"54569139400","54569-1394-00",,"J0970",,1/1/2002,6/10/2003,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","DELESTROGEN (VIAL) 40 MG/ML",5,"ML","VL","IM","ML",40,"MG",1,1/1/2002,,,,,,,
"54569140300","54569-1403-00",,"J7051",,1/1/2002,1/31/2003,"STERILE SALINE OR WATER, UP TO 5 CC","WATER FOR INHALATION (VIAL)",10,"ML","VL","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"54569140900","54569-1409-00",,"J0560",,1/1/2002,1/31/2003,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (TUBEX, 20GX1 1/4) 600000 U/ML",20,"ML","AM","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"54569140901","54569-1409-01",,"J0560",,1/1/2002,1/17/2007,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (TUBEX, 20GX1 1/4) 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"54569141100","54569-1411-00",,"J1080",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","DEPO-TESTOSTERONE (VIAL) 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,1/15/2004,,1/1/2002,,1,,,
"54569141300","54569-1413-00",,"J3360",,1/1/2002,1/31/2003,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"54569141400","54569-1414-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","MARCAINE HYDROCHLORIDE (M.D.V.) 0.5%",50,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569141500","54569-1415-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569141501","54569-1415-01",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569141600","54569-1416-00",,"J0592",,1/1/2003,1/31/2003,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENEX (AMP) 0.3 MG/ML",1,"ML","AM","IJ","ML",0.1,"MG",3.24,1/1/2003,,,,,,,
"54569141600","54569-1416-00",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENEX (AMP) 0.3 MG/ML",1,"ML","AM","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569141601","54569-1416-01",,"J0592",,1/1/2003,1/31/2003,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENEX (AMP) 0.3 MG/ML",1,"ML","AM","IJ","ML",0.1,"MG",3.24,1/1/2003,,,,,,,
"54569141601","54569-1416-01",,"J3490",,4/16/2002,12/31/2002,"UNCLASSIFIED DRUGS","BUPRENEX (AMP) 0.3 MG/ML",1,"ML","AM","IJ","ML",1,"EA",1,4/16/2002,,,,,,,
"54569142200","54569-1422-00",,"J0170",,1/1/2002,1/31/2003,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE (SRN, TUBEX) 1 MG/ML",1,"ML","SR","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54569146901","54569-1469-01",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",120,"EA","NA","PO","EA",5,"MG",0.2,1/1/2002,,,,,,,
"54569150200","54569-1502-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569152200","54569-1522-00",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (AMP) 0.9%",10,"ML","AM","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"54569152200","54569-1522-00",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (AMP) 0.9%",10,"ML","AM","IV","ML",0.9,"%",0.5,2/27/2003,,1/1/2002,1/31/2003,0.5,,,
"54569152300","54569-1523-00",,"J1160",,1/1/2002,1/31/2003,"INJECTION, DIGOXIN, UP TO 0.5 MG","LANOXIN (AMP) 0.25 MG/ML",2,"ML","AM","IV","ML",0.5,"MG",0.5,1/1/2002,,,,,,,
"54569152301","54569-1523-01",,"J1160",,2/19/2002,1/31/2003,"INJECTION, DIGOXIN, UP TO 0.5 MG","LANOXIN (AMP) 0.25 MG/ML",2,"ML","AM","IV","ML",0.5,"MG",0.5,2/19/2002,,,,,,,
"54569152400","54569-1524-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 2%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569152401","54569-1524-01",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL 2%",50,"ML","NA","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569152500","54569-1525-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 2%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569152900","54569-1529-00",,"J0290",,1/1/2002,11/16/2002,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 250 MG",1,"EA","VL","IJ","EA",500,"MG",0.5,1/1/2002,,,,,,,
"54569153000","54569-1530-00",,"J0290",,1/1/2002,1/31/2003,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"54569154500","54569-1545-00",,"J0530",,1/1/2002,1/31/2003,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS","BICILLIN C-R (TUBEX, 20GX1 1/4) 300000 U/ML-300000 U/ML",2,"ML","AM","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"54569154700","54569-1547-00",,"J0170",,1/1/2002,1/31/2003,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","ADRENALIN (VIAL) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54569155500","54569-1555-00",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (ACT-O-VIAL) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,5/23/2007,,1/1/2002,1/31/2003,1,,,
"54569155501","54569-1555-01",,"J2930",,6/5/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (ACT-O-VIAL) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,6/5/2002,,,,,,,
"54569157200","54569-1572-00",,"J0610",,1/1/2002,1/31/2003,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (AMP) 100 MG/ML",30,"ML","AM","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54569157300","54569-1573-00",,"J2310",,9/12/2002,1/31/2003,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NARCAN 0.4 MG/ML",1,"ML","AM","IJ","ML",1,"MG",0.4,9/12/2002,,,,,,,
"54569157400","54569-1574-00",,"J1200",,1/1/2002,1/31/2003,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL (AMP) 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"54569157500","54569-1575-00",,"J1100",,1/1/2002,1/31/2003,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DECADRON (M.D.V.) 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"54569157800","54569-1578-00",,"J0170",,1/1/2002,1/31/2003,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","ADRENALIN (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54569163001","54569-1630-01",,"J0702",,1/1/2002,3/10/2005,"INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG","CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML",5,"ML","VL","IJ","ML",3,"MG",2,1/15/2004,,1/1/2002,1/31/2003,2,,,
"54569163101","54569-1631-01",,"J2400",,1/1/2002,1/31/2003,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","NESACAINE (M.D.V.) 2%",30,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,,,,,,,
"54569166000","54569-1660-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","MARCAINE HYDROCHLORIDE (S.D.V.) 0.75%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569167300","54569-1673-00",,"J0170",,1/1/2002,1/31/2003,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE (SRN) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54569167301","54569-1673-01",,"J0170",,1/1/2002,1/31/2003,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE (SRN) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54569167501","54569-1675-01",,"A4712",,1/1/2002,1/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION BACTERIOSTATIC (M.D.V.)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54569174901","54569-1749-01",,"J3410",,1/1/2002,1/31/2003,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","VISTARIL IM 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"54569175400","54569-1754-00",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",12,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54569175401","54569-1754-01",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54569175405","54569-1754-05",,"Q0170",,12/7/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",60,"EA","BO","PO","EA",25,"MG",1,12/7/2007,,,,,,,
"54569175406","54569-1754-06",,"Q0170",,7/2/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",20,"EA","BO","PO","EA",25,"MG",1,7/2/2002,,,,,,,
"54569175408","54569-1754-08",,"Q0170",,11/12/2004,4/11/2008,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",2,"EA","BO","PO","EA",25,"MG",1,11/12/2004,4/11/2008,,,,,,
"54569175409","54569-1754-09",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54569179601","54569-1796-01",,"J3250",,1/1/2002,1/31/2003,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TIGAN (VIAL) 100 MG/ML",20,"ML","VL","IM","ML",200,"MG",0.5,1/1/2002,,,,,,,
"54569180201","54569-1802-01",,"J0696",,1/1/2002,1/31/2003,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (VIAL) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"54569181800","54569-1818-00",,,,9/27/1994,1/31/2003,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",60,"EA","NA","PO","EA",2.5,"MG",1,9/27/1994,,,,,,,
"54569181803","54569-1818-03",,,,10/25/1995,5/17/1999,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",18,"EA","NA","PO","EA",2.5,"MG",1,10/25/1995,,,,,,,
"54569181804","54569-1818-04",,,,10/20/2000,6/10/2003,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",12,"EA","NA","PO","EA",2.5,"MG",1,10/20/2000,,,,,,,
"54569181805","54569-1818-05",,,,10/20/2000,6/10/2003,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",16,"EA","NA","PO","EA",2.5,"MG",1,10/20/2000,,,,,,,
"54569181806","54569-1818-06",,,,10/20/2000,6/10/2003,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",20,"EA","NA","PO","EA",2.5,"MG",1,10/20/2000,,,,,,,
"54569181807","54569-1818-07",,,,10/20/2000,6/10/2003,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",28,"EA","NA","PO","EA",2.5,"MG",1,10/20/2000,,,,,,,
"54569181808","54569-1818-08",,,,10/20/2000,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",32,"EA","NA","PO","EA",2.5,"MG",1,10/20/2000,,,,,,,
"54569182701","54569-1827-01",,"J3301",,1/1/2002,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","KENALOG-10 (VIAL) 10 MG/ML",5,"ML","VL","IJ","ML",10,"MG",1,1/15/2004,,1/1/2002,1/31/2003,1,,,
"54569185001","54569-1850-01",,"J0530",,1/1/2002,1/31/2003,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS","BICILLIN C-R (SRN) 300000 U/ML-300000 U/ML",4,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"54569185900","54569-1859-00",,"J0540",,1/1/2002,1/31/2003,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN C-R 900/300 (TUBEX)",2,"ML","AM","IM","ML",1200000,"U",0.5,1/1/2002,,,,,,,
"54569187801","54569-1878-01",,"J0690",,1/1/2002,1/31/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","ANCEF (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"54569187901","54569-1879-01",,"J0780",,1/1/2002,1/31/2003,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","COMPAZINE (VIAL) 5 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"54569189401","54569-1894-01",,"J2360",,1/1/2002,1/31/2003,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","NORFLEX (AMP) 30 MG/ML",2,"ML","AM","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"54569190101","54569-1901-01",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (M.D.V.) 40 MG/ML",5,"ML","VL","IJ","ML",40,"MG",1,1/15/2004,,1/1/2002,1/31/2003,1,,,
"54569190301","54569-1903-01",,"J3070",,1/1/2002,1/31/2003,"INJECTION, PENTAZOCINE, 30 MG","TALWIN LACTATE 30 MG/ML",10,"ML","VL","IJ","ML",30,"MG",1,1/1/2002,,,,,,,
"54569190601","54569-1906-01",,"J2321",,1/1/2002,1/31/2003,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","DECA-DURABOLIN (M.D.V.) 100 MG/ML",2,"ML","VL","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"54569191701","54569-1917-01",,"J0560",,1/1/2002,1/31/2003,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (TUBEX) 600000 U/ML",1,"ML","AM","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"54569192400","54569-1924-00",,"J3410",,1/1/2002,1/31/2003,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (M.D.V.) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"54569198600","54569-1986-00",,"J0725",,1/1/2002,1/1/2003,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","PROFASI 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,1/1/2002,,,,,,,
"54569198900","54569-1989-00",,"J7618",,1/1/2002,1/31/2003,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","PROVENTIL 0.5%",20,"ML","VL","IH","ML",1,"MG",5,1/1/2002,,,,,,,
"54569199101","54569-1991-01",,"J7799",,1/1/2002,1/31/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (SRN) 50%",50,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"54569204400","54569-2044-00",,"J2250",,1/1/2002,5/23/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"54569204401","54569-2044-01",,"J2250",,1/1/2002,5/23/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"54569204600","54569-2046-00",,"J0500",,1/1/2002,1/31/2003,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","BENTYL (AMP) 10 MG/ML",2,"ML","AM","IM","ML",20,"MG",0.5,1/1/2002,,,,,,,
"54569206600","54569-2066-00",,"J7659",,3/1/2002,1/31/2003,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (AMP) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,3/1/2002,,,,,,,
"54569206600","54569-2066-00","KO","J7659","KO",3/1/2002,1/31/2003,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL (AMP) 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,3/1/2002,,,,,,,
"54569206601","54569-2066-01",,"J7659",,2/25/2002,1/31/2003,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,2/25/2002,,,,,,,
"54569206601","54569-2066-01","KO","J7659","KO",2/25/2002,1/31/2003,"ISOPROTERENOL HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISUPREL 0.2 MG/ML",5,"ML","AM","IV","ML",1,"MG",0.2,2/25/2002,,,,,,,
"54569207200","54569-2072-00",,"J2800",,1/1/2002,1/31/2003,"INJECTION, METHOCARBAMOL, UP TO 10 ML","ROBAXIN (S.D.V.) 100 MG/ML",10,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54569208900","54569-2089-00",,"J3230",,1/1/2002,1/31/2003,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG","THORAZINE (AMP) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"54569209100","54569-2091-00",,"J3490",,1/8/2002,1/31/2003,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (3 DOSE VIAL, TAX INCL) 10 MCG/ML",3,"ML","VL","IM","ML",1,"EA",1,1/8/2002,,,,,,,
"54569210100","54569-2101-00",,"J2300",,1/1/2002,1/31/2003,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (AMP,W/O SULFITE/PARABEN) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54569213000","54569-2130-00",,"J3420",,1/1/2002,1/31/2003,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (M.D.V.) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"54569213600","54569-2136-00",,"J2920",,1/1/2002,1/31/2003,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","SOLU-MEDROL (ACT-O-VIAL) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,1/1/2002,,,,,,,
"54569218400","54569-2184-00",,"J3303",,1/1/2002,1/31/2003,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN (VIAL) 20 MG/ML",5,"ML","VL","IJ","ML",5,"MG",4,1/1/2002,,,,,,,
"54569220000","54569-2200-00",,"J0560",,1/1/2002,1/31/2003,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (SRN) 600000 U/ML",4,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"54569220400","54569-2204-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (VIAL) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569221200","54569-2212-00",,"J2912",,1/1/2002,1/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (M.D.V.) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"54569221300","54569-2213-00",,"J1030",,1/1/2002,1/31/2003,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (S.D.V.) 40 MG/ML",1,"ML","VL","IJ","ML",40,"MG",1,1/1/2002,,,,,,,
"54569222200","54569-2222-00",,"A4712",,1/1/2002,1/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.)",5,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54569222201","54569-2222-01",,"A4712",,2/19/2002,1/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.)",5,"ML","VL","IV","ML",10,"ML",0.1,2/19/2002,,,,,,,
"54569223201","54569-2232-01",,"J1800",,2/11/2002,3/25/2003,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","INDERAL (AMP) 1 MG/ML",1,"ML","AM","IV","ML",1,"MG",1,2/11/2002,,,,,,,
"54569223600","54569-2236-00",,"J0460",,1/1/2002,1/31/2003,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (SRN, PREFILLED) 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,,,,,,,
"54569225700","54569-2257-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","BRETYLIUM TOSYLATE (S.D.V.) 50 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"54569226200","54569-2262-00",,"J1800",,1/9/2002,1/31/2003,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","INDERAL (AMP) 1 MG/ML",1,"ML","AM","IV","ML",1,"MG",1,1/9/2002,,,,,,,
"54569226201","54569-2262-01",,"J1800",,4/16/2002,1/31/2003,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","INDERAL (AMP) 1 MG/ML",1,"ML","AM","IV","ML",1,"MG",1,4/16/2002,,,,,,,
"54569226600","54569-2266-00",,"J2250",,1/1/2002,5/23/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (M.D.V.) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"54569226800","54569-2268-00",,"J1200",,1/1/2002,1/31/2003,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (TUBEX) 50 MG/ML",1,"ML","NA","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"54569227200","54569-2272-00",,"J2912",,1/1/2002,1/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (AMP) 0.9%",5,"ML","AM","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"54569230600","54569-2306-00",,"J1940",,1/1/2002,1/31/2003,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (S.D.V.) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"54569231600","54569-2316-00",,"J0530",,1/1/2002,1/31/2003,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS","BICILLIN C-R (M.D.V.) 150000 U/ML-150000 U/ML",10,"ML","VL","IM","ML",600000,"U",0.5,1/1/2002,,,,,,,
"54569231700","54569-2317-00",,"J3320",,1/1/2002,1/31/2003,"INJECTION, SPECTINOMYCIN DIHYDROCHLORIDE, UP TO 2 GM","TROBICIN (W/DILUENT) 2 GM",1,"EA","VL","IM","EA",2,"GM",1,1/1/2002,,,,,,,
"54569231800","54569-2318-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54569231800","54569-2318-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54569231900","54569-2319-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"54569231900","54569-2319-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"54569235302","54569-2353-02",,"Q0177",,1/1/2002,6/10/2003,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","NA","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54569235303","54569-2353-03",,"Q0177",,1/1/2002,1/31/2003,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",6,"EA","NA","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54569235305","54569-2353-05",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54569235400","54569-2354-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (SRN, 21G) 2%",5,"ML","SR","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569235600","54569-2356-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (S.D.V.) 1%",5,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569235601","54569-2356-01",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (S.D.V.,PF) 1%",5,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569236000","54569-2360-00",,"J2440",,7/2/2002,1/1/2003,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (VIAL) 30 MG/ML",10,"ML","VL","IJ","ML",60,"MG",0.5,7/2/2002,,,,,,,
"54569236200","54569-2362-00",,"J2210",,1/1/2002,1/31/2003,"INJECTION, METHYLERGONOVINE MALEATE, UP TO 0.2 MG","METHERGINE (AMP) 0.2 MG/ML",1,"ML","AM","IJ","ML",0.2,"MG",1,1/1/2002,,,,,,,
"54569236300","54569-2363-00",,"J3150",,1/1/2002,1/31/2003,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (M.D.V.) 100 MG/ML",10,"ML","VL","IM","ML",100,"MG",1,1/1/2002,,,,,,,
"54569238000","54569-2380-00",,"J2510",,1/1/2002,1/31/2003,"INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS","WYCILLIN (TUBEX, 21GX1 1/4) 600000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"54569241600","54569-2416-00",,"J0330",,1/9/2002,1/31/2003,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","ANECTINE (M.D.V.) 20 MG/ML",10,"ML","VL","IV","ML",20,"MG",1,1/9/2002,,,,,,,
"54569243100","54569-2431-00",,"J3490",,1/1/2002,12/21/2002,"UNCLASSIFIED DRUGS","THIAMINE HCL (S.D.V.) 100 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569248400","54569-2484-00",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN 1 GM",1,"EA","NA","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"54569255700","54569-2557-00",,"J1815",,6/4/2004,5/12/2006,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN L (VIAL) 100 U/ML",10,"ML","EA","SC","ML",5,"U",20,6/4/2004,,,,,,,
"54569257101","54569-2571-01",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",20,"EA","BO","PO","EA",50,"MG",1,9/1/2005,,1/1/2002,6/10/2003,1,,,
"54569257105","54569-2571-05",,"Q0178",,8/20/2003,3/10/2005,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",6,"EA","BO","PO","EA",50,"MG",1,8/20/2003,,,,,,,
"54569257600","54569-2576-00",,"J2910",,1/1/2002,1/31/2003,"INJECTION, AUROTHIOGLUCOSE, UP TO 50 MG","SOLGANAL (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"54569258000","54569-2580-00",,"J1000",,1/1/2002,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","DEPO-ESTRADIOL 5 MG/ML",5,"ML","VL","IM","ML",5,"MG",1,1/15/2004,,1/1/2002,1/31/2003,1,,,
"54569263000","54569-2630-00",,"J3490",,7/2/2002,1/31/2003,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (S.D.V.,TAX INCL) 10 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,7/2/2002,,,,,,,
"54569264600","54569-2646-00",,"J3355",,1/1/2006,,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 75 IU",1,"EA","NA","IM","EA",75,"IU",1,1/1/2006,,,,,,,
"54569264600","54569-2646-00",,"Q2018",,1/1/2002,12/31/2005,"INJECTION, UROFOLLITROPIN, 75 IU","METRODIN 75 IU",1,"EA","NA","IM","EA",75,"IU",1,1/1/2002,,,,,,,
"54569266000","54569-2660-00",,"J0725",,1/1/2002,10/22/2007,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","CHORIONIC GONADOTROPIN (W/DILUENT) 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,1/15/2004,,1/1/2002,1/31/2003,10,,,
"54569271300","54569-2713-00",,"J9217",,1/1/2002,1/31/2003,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT-PED 7.5 MG",1,"EA","BX","IM","EA",7.5,"MG",1,1/1/2002,,,,,,,
"54569272400","54569-2724-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D.V.) 2%",10,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569277500","54569-2775-00",,"J3360",,1/1/2002,1/31/2003,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (VIAL) 5 MG/ML",2,"ML","VL","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"54569278500","54569-2785-00",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",28,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569279000","54569-2790-00",,"J3490",,1/1/2002,6/28/2006,"UNCLASSIFIED DRUGS","ENGERIX-B (S.D.V.,TAX INCL,PF) 20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/22/2004,,1/1/2002,1/31/2003,1,,,
"54569291800","54569-2918-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54569291800","54569-2918-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54569291801","54569-2918-01",,"J1815",,1/1/2003,3/10/2005,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54569291801","54569-2918-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54569291802","54569-2918-02",,"J1815",,9/22/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 (10X10ML) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,9/22/2003,,,,,,,
"54569304000","54569-3040-00",,"J1100",,1/1/2002,1/31/2003,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 4 MG/ML",30,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"54569304001","54569-3040-01",,"J1100",,9/24/2002,2/1/2003,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 4 MG/ML",30,"ML","VL","IJ","ML",1,"MG",4,9/24/2002,,,,,,,
"54569304300","54569-3043-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569304301","54569-3043-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",12,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569304302","54569-3043-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",6,"EA","BO","PO","EA",5,"MG",4,11/17/2003,,1/1/2002,6/10/2003,4,,,
"54569304303","54569-3043-03",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",9,"EA","NA","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569304304","54569-3043-04",,"J7506",,1/1/2002,7/10/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",3,"EA","NA","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569304305","54569-3043-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",14,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569304306","54569-3043-06",,"J7506",,11/7/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",25,"EA","BO","PO","EA",5,"MG",4,11/7/2006,,,,,,,
"54569305600","54569-3056-00",,"J2590",,1/1/2002,1/31/2003,"INJECTION, OXYTOCIN, UP TO 10 UNITS","PITOCIN (AMP) 10 U/ML",1,"ML","AM","IV","ML",10,"U",1,1/1/2002,,,,,,,
"54569307500","54569-3075-00",,"J0170",,1/1/2002,1/31/2003,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54569307501","54569-3075-01",,"J0170",,2/11/2002,1/31/2003,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,2/11/2002,,,,,,,
"54569307800","54569-3078-00",,"A4216",,1/18/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE/RESPIRATORY THERAPY 0.9%",5,"ML","VL","IH","ML",10,"ML",0.1,1/18/2007,,,,,,,
"54569307800","54569-3078-00",,"J7051",,1/1/2002,1/31/2003,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE/RESPIRATORY THERAPY 0.9%",5,"ML","VL","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"54569308000","54569-3080-00",,"J2300",,1/1/2002,1/31/2003,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (M.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54569310900","54569-3109-00",,"J0595",,1/1/2004,11/10/2004,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"54569310900","54569-3109-00",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569311000","54569-3110-00",,"Q0181",,1/1/2002,9/13/2004,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (DOSE PACK) 0.75 MG",12,"EA","DP","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569313001","54569-3130-01",,"J0280",,1/1/2002,1/31/2003,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (S.D.V.) 25 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"54569313300","54569-3133-00",,"J1720",,1/1/2002,1/31/2003,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (ACT-O-VIAL) 250 MG",1,"EA","VL","IJ","EA",100,"MG",2.5,1/1/2002,,,,,,,
"54569313700","54569-3137-00",,"Q0136",,6/17/2002,1/31/2003,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S10,PF) 10000 U/ML",10,"ML","VL","IJ","ML",1000,"U",10,6/17/2002,,,,,,,
"54569314200","54569-3142-00",,"J3490",,1/1/2002,5/19/2006,"UNCLASSIFIED DRUGS","ENGERIX-B (S.D.V.,TAX INCL,PF) 20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/22/2004,,1/1/2002,1/31/2003,1,,,
"54569314900","54569-3149-00",,"J1580",,1/1/2002,1/31/2003,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (VIAL) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"54569315500","54569-3155-00",,"J2250",,1/1/2002,5/23/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (S.D.V.) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"54569320000","54569-3200-00",,"Q0163",,1/1/2002,1/31/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"54569320700","54569-3207-00",,"J0696",,1/1/2002,3/25/2003,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,1/1/2002,,,,,,,
"54569326000","54569-3260-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","MARCAINE HCL (M.D.V.) 0.25%",50,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569328200","54569-3282-00",,"J2560",,1/1/2002,1/31/2003,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM SOLUTION (TUBEX) 60 MG/ML",1,"ML","SR","IJ","ML",120,"MG",0.5,1/1/2002,,,,,,,
"54569330200","54569-3302-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569330201","54569-3302-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569330202","54569-3302-02",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",45,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569330205","54569-3302-05",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",54,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569330206","54569-3302-06",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",6,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569330207","54569-3302-07",,"J7506",,1/1/2002,1/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",4,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569330208","54569-3302-08",,"J7506",,1/11/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",18,"EA","NA","PO","EA",5,"MG",2,1/11/2002,,,,,,,
"54569330209","54569-3302-09",,"J7506",,6/11/2002,1/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",90,"EA","NA","PO","EA",5,"MG",2,6/11/2002,,,,,,,
"54569332700","54569-3327-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (S.D.V.) 4%",50,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569337700","54569-3377-00",,"J0702",,1/1/2002,12/21/2002,"INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG","CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML",5,"ML","VL","IJ","ML",3,"MG",2,1/1/2002,,,,,,,
"54569339900","54569-3399-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF (S.D. AMP) 1%",2,"ML","AM","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569340700","54569-3407-00",,"Q0173",,1/1/2002,8/25/2004,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",12,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"54569341300","54569-3413-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","DP","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569346700","54569-3467-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN 70/30 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54569346700","54569-3467-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN 70/30 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54569346701","54569-3467-01",,"J1815",,1/1/2003,6/10/2003,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN 70/30 (VIAL) 70 U/ML-30 U/ML",20,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54569346701","54569-3467-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN 70/30 (VIAL) 70 U/ML-30 U/ML",20,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54569347700","54569-3477-00",,"J0696",,1/1/2002,1/31/2003,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"54569347800","54569-3478-00",,"J0696",,1/1/2002,1/31/2003,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,1/1/2002,,,,,,,
"54569347900","54569-3479-00",,"J0696",,1/1/2002,1/31/2003,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,1/1/2002,,,,,,,
"54569350000","54569-3500-00",,"J2400",,1/1/2002,1/31/2003,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","NESACAINE (M.D.V.) 1%",30,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,,,,,,,
"54569350400","54569-3504-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",8,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54569350401","54569-3504-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",10,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54569351900","54569-3519-00",,"J7643",,1/1/2002,5/1/2006,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (MDV) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/15/2004,,1/1/2002,1/31/2003,0.2,,,
"54569351900","54569-3519-00","KO","J7643","KO",1/1/2002,5/1/2006,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (MDV) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,1/15/2004,,1/1/2002,1/31/2003,0.2,,,
"54569354800","54569-3548-00",,"J1200",,1/1/2002,1/31/2003,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL (STERI-VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"54569358800","54569-3588-00",,"J0460",,1/1/2002,1/31/2003,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (SRN,PREFILL,21GX1 1/2"") 0.1 MG/ML",5,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,,,,,,,
"54569358900","54569-3589-00",,"J0460",,2/12/2002,1/31/2003,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (S.D.V.) 0.4 MG/ML",1,"ML","AM","IJ","ML",0.3,"MG",1.33333,2/12/2002,,,,,,,
"54569359000","54569-3590-00",,"J1940",,1/1/2002,1/31/2003,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (AMP) 10 MG/ML",4,"ML","AM","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"54569359800","54569-3598-00",,"J2000",,4/23/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 1%",20,"ML","VL","EP","ML",50,"ML",0.02,4/23/2002,,,,,,,
"54569362600","54569-3626-00",,"J2250",,1/1/2002,5/23/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"54569362601","54569-3626-01",,"J2250",,1/1/2002,5/23/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"54569364400","54569-3644-00",,"J3490",,4/23/2002,1/31/2003,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (S.D.V.,TAX INCL.,PF) 10 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,4/23/2002,,,,,,,
"54569370100","54569-3701-00",,"J1055",,1/1/2002,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (VIAL) 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,1/15/2004,,1/1/2002,1/31/2003,1,,,
"54569370400","54569-3704-00",,"J3030",,1/1/2002,,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX (S.D.V.) 6 MG/0.5 ML",0.5,"ML","VL","SC","ML",6,"MG",2,1/1/2002,,,,,,,
"54569374500","54569-3745-00",,"J0150",,1/1/2002,1/31/2003,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOCARD (S.D.V.) 3 MG/ML",2,"ML","VL","IV","ML",6,"MG",0.5,1/1/2002,,,,,,,
"54569376500","54569-3765-00",,"J8999",,1/1/2002,6/13/2005,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569376501","54569-3765-01",,"J8999",,10/20/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",60,"EA","BO","PO","EA",1,"EA",1,10/20/2005,,,,,,,
"54569377300","54569-3773-00",,"G9036",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","FLUMADINE 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54569377601","54569-3776-01",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL 1%",5,"ML","NA","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569379800","54569-3798-00",,"J7506",,1/1/2002,11/20/2006,"PREDNISONE, ORAL, PER 5MG","STERAPRED DS (12 DAY UNI-PAK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569379900","54569-3799-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","STADOL (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569379901","54569-3799-01",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","STADOL (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569383300","54569-3833-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,1/26/2004,,1/1/2003,6/10/2003,20,,,
"54569383300","54569-3833-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"54569383301","54569-3833-01",,"J1815",,1/1/2003,6/10/2003,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"54569383301","54569-3833-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"54569383302","54569-3833-02",,"J1815",,9/22/2003,4/30/2008,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R (10X10ML) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,9/22/2003,4/30/2008,,,,,,
"54569383400","54569-3834-00",,"J1815",,1/1/2003,6/10/2003,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN L (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54569383400","54569-3834-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN L (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54569383500","54569-3835-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,9/22/2003,,1/1/2003,6/10/2003,20,,,
"54569383500","54569-3835-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54569383501","54569-3835-01",,"J1815",,1/1/2003,6/10/2003,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54569383501","54569-3835-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54569383502","54569-3835-02",,"J1815",,9/22/2003,4/11/2008,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N (10X10ML) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,9/22/2003,4/11/2008,,,,,,
"54569384700","54569-3847-00",,"J7506",,1/1/2002,11/20/2006,"PREDNISONE, ORAL, PER 5MG","STERAPRED DS (UNI-PAK) 10 MG",21,"EA","DP","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54569388200","54569-3882-00",,"J2550",,1/1/2002,1/31/2003,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN (AMP) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"54569389900","54569-3899-00",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"54569389900","54569-3899-00",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"54569389900","54569-3899-00","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"54569389900","54569-3899-00","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"54569390000","54569-3900-00",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"54569390000","54569-3900-00",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"54569391200","54569-3912-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (M.D.V.) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"54569391400","54569-3914-00",,"J2590",,1/1/2002,1/31/2003,"INJECTION, OXYTOCIN, UP TO 10 UNITS","PITOCIN 10 U/ML",25,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"54569391700","54569-3917-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 0.5%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569391800","54569-3918-00",,"J0670",,1/1/2002,1/31/2003,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","MEPIVACAINE HCL (M.D.V.) 1%",50,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54569392200","54569-3922-00",,"J2000",,1/1/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (SRN) 2%",50,"ML","SR","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569393400","54569-3934-00",,"J2920",,1/1/2002,1/31/2003,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","SOLU-MEDROL (ACT-O-VIAL 25 PACK) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,1/1/2002,,,,,,,
"54569394600","54569-3946-00",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (VIAL) 40 MG/ML",1,"ML","VL","IJ","ML",40,"MG",1,1/22/2004,,1/1/2002,1/31/2003,1,,,
"54569394700","54569-3947-00",,"J0460",,1/1/2002,1/31/2003,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (AMP) 0.4 MG/ML",25,"ML","AM","IJ","ML",0.3,"MG",1.33333,1/1/2002,,,,,,,
"54569395200","54569-3952-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","MARCAINE HCL (S.D.V.) 0.25%",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569395300","54569-3953-00",,"J1094",,1/1/2003,1/31/2003,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DALALONE D.P. (VIAL) 16 MG/ML",5,"ML","VL","IJ","ML",1,"MG",16,1/1/2003,,,,,,,
"54569395300","54569-3953-00",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DALALONE D.P. (VIAL) 16 MG/ML",5,"ML","VL","IJ","ML",8,"MG",2,1/1/2002,,,,,,,
"54569395501","54569-3955-01",,"J0780",,1/1/2002,1/31/2003,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (VIAL,DOSETTE) 5 MG/ML",2,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"54569395700","54569-3957-00",,"J1050",,1/1/2002,12/31/2002,"INJECTION, MEDROXYPROGESTERONE ACETATE, 100 MG","DEPO-PROVERA (VIAL) 400 MG/ML",10,"ML","VL","IM","ML",100,"MG",4,1/1/2002,,,,,,,
"54569395700","54569-3957-00",,"J1051",,1/1/2003,1/31/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG","DEPO-PROVERA (VIAL) 400 MG/ML",10,"ML","VL","IM","ML",50,"MG",8,1/1/2003,,,,,,,
"54569395800","54569-3958-00",,"J1050",,1/1/2002,12/31/2002,"INJECTION, MEDROXYPROGESTERONE ACETATE, 100 MG","DEPO-PROVERA (VIAL) 400 MG/ML",2.5,"ML","VL","IM","ML",100,"MG",4,1/1/2002,,,,,,,
"54569395800","54569-3958-00",,"J1051",,1/1/2003,1/31/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG","DEPO-PROVERA (VIAL) 400 MG/ML",2.5,"ML","VL","IM","ML",50,"MG",8,1/1/2003,,,,,,,
"54569395900","54569-3959-00",,"J7629",,1/1/2002,6/17/2002,"BITOLTEROL MESYLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TORNALATE 0.2%",30,"ML","BO","IH","ML",1,"MG",2,1/1/2002,,,,,,,
"54569395900","54569-3959-00","KO","J7629","KO",1/1/2002,6/17/2002,"BITOLTEROL MESYLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TORNALATE 0.2%",30,"ML","BO","IH","ML",1,"MG",2,1/1/2002,,,,,,,
"54569396501","54569-3965-01",,"J2370",,1/1/2002,1/31/2003,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (S.D.V.) 10 MG/ML",1,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54569396801","54569-3968-01",,"J3475",,1/1/2002,1/31/2003,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE 500 MG/ML",2,"ML","NA","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"54569401200","54569-4012-00",,"J7510",,1/1/2002,6/10/2003,"PREDNISOLONE ORAL, PER 5 MG","PRELONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"54569401201","54569-4012-01",,"J7510",,1/1/2002,1/31/2003,"PREDNISOLONE ORAL, PER 5 MG","PRELONE 15 MG/5 ML",60,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"54569401202","54569-4012-02",,"J7510",,1/1/2002,1/31/2003,"PREDNISOLONE ORAL, PER 5 MG","PRELONE 15 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"54569401203","54569-4012-03",,"J7510",,1/1/2002,6/10/2003,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (2X120 ML) 15 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"54569401204","54569-4012-04",,"J7510",,1/1/2002,1/31/2003,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (4X60 ML,CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"54569401700","54569-4017-00",,"J7506",,1/1/2002,1/31/2003,"PREDNISONE, ORAL, PER 5MG","DELTASONE 20 MG",9,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54569402600","54569-4026-00",,"J7506",,1/1/2002,1/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",42,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569402601","54569-4026-01",,"J7506",,1/1/2002,1/31/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",24,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569402604","54569-4026-04",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569402605","54569-4026-05",,"J7506",,1/1/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",55,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54569403700","54569-4037-00",,"A4216",,1/1/2006,5/8/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","BRONCHO SALINE 0.9%",240,"ML","BO","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"54569403700","54569-4037-00",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","BRONCHO SALINE 0.9%",240,"ML","BO","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"54569407300","54569-4073-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","DIPRIVAN (VIAL) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"54569410000","54569-4100-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (VIAL) 5 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"54569411200","54569-4112-00",,"J2300",,1/1/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HYDROCHLORIDE (10X1ML) 20 MG/ML",1,"ML","NA","IJ","ML",10,"MG",2,1/1/2002,,,,,,,
"54569416700","54569-4167-00",,"J3360",,1/1/2002,1/31/2003,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (VIAL) 5 MG/ML",2,"ML","VL","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"54569416800","54569-4168-00",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",5,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54569419200","54569-4192-00",,"J8499",,1/1/2002,1/31/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 400 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569419201","54569-4192-01",,"J8499",,1/1/2002,6/10/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 400 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569419700","54569-4197-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (AF) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"54569419800","54569-4198-00",,"J2405",,1/1/2002,1/31/2003,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ZOFRAN (S.D.V.) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,1/1/2002,,,,,,,
"54569419900","54569-4199-00",,"J1060",,1/1/2002,1/31/2003,"INJECTION, TESTOSTERONE CYPIONATE AND ESTRADIOL CYPIONATE, UP TO 1 ML","DEPO-TESTADIOL (VIAL) 2 MG/ML-50 MG/ML",10,"ML","VL","IM","ML",1,"ML",1,1/1/2002,,,,,,,
"54569421200","54569-4212-00",,"J2590",,1/1/2002,1/31/2003,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (M.D.V.) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"54569421300","54569-4213-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (TIPLOK,25GX5/8TAX,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"54569422300","54569-4223-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","DOPAMINE HCL 40 MG/ML",5,"ML","NA","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"54569422600","54569-4226-00",,"J7506",,4/26/2002,6/10/2003,"PREDNISONE, ORAL, PER 5MG","DELTASONE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,4/26/2002,,,,,,,
"54569422700","54569-4227-00",,"J7506",,2/20/2002,10/9/2006,"PREDNISONE, ORAL, PER 5MG","STERAPRED (6 DAY UNI-PAK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,2/20/2002,,,,,,,
"54569423000","54569-4230-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"54569423100","54569-4231-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"54569423200","54569-4232-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,1/1/2002,,,,,,,
"54569426500","54569-4265-00",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (M.D.V.) 40 MG/ML",10,"ML","VL","IJ","ML",40,"MG",1,1/15/2004,,1/1/2002,1/31/2003,1,,,
"54569429400","54569-4294-00",,"J0690",,1/1/2002,1/31/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"54569439000","54569-4390-00",,"J2300",,9/24/2002,1/31/2003,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (M.D.V.) 20 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2,9/24/2002,,,,,,,
"54569439500","54569-4395-00",,"J2790",,9/24/2002,1/12/2006,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","BAYRHO-D (SRN)",1,"ML","SR","IM","ML",300,"MCG",1,9/24/2002,,,,,,,
"54569439600","54569-4396-00",,"J2788",,1/1/2003,1/31/2003,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MCG (250 I.U.)","BAYRHO-D (SRN, PREFILLED, ~50 MCG)",5,"ML","SR","IM","ML",50,"MCG",0.2,1/1/2003,,,,,,,
"54569439600","54569-4396-00",,"J2790",,1/1/2002,12/31/2002,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG (1500 I.U.)","BAYRHO-D (SRN, PREFILLED, ~50 MCG)",5,"ML","SR","IM","ML",300,"MCG",0.03333,1/1/2002,,,,,,,
"54569439800","54569-4398-00",,"J1670",,1/1/2002,1/31/2003,"INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS","BAYTET (SRN) 250 U",1,"ML","SR","IM","ML",250,"U",1,1/1/2002,,,,,,,
"54569441700","54569-4417-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"54569442300","54569-4423-00",,"J0275",,1/1/2002,7/1/2002,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 125 MCG",6,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"54569442400","54569-4424-00",,"J0275",,1/1/2002,7/1/2002,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 250 MCG",6,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"54569442500","54569-4425-00",,"J0275",,1/1/2002,1/31/2003,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 500 MCG",6,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"54569442600","54569-4426-00",,"J0275",,1/1/2002,1/31/2003,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 1000 MCG",6,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"54569443100","54569-4431-00",,"J0690",,1/1/2002,3/25/2003,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"54569443300","54569-4433-00",,"J3490",,1/7/2002,12/31/2002,"UNCLASSIFIED DRUGS","AVONEX (S.D.V.) 33 MCG",1,"EA","VL","IM","EA",1,"EA",1,1/7/2002,,,,,,,
"54569443300","54569-4433-00",,"Q3025",,1/1/2003,3/24/2003,"INJECTION, INTERFERON BETA-1A, 11 MCG FOR INTRAMUSCULAR USE","AVONEX (S.D.V.) 33 MCG",1,"EA","VL","IM","EA",11,"MCG",12,1/1/2003,,,,,,,
"54569447400","54569-4474-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (VIAL) 2.5 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"54569448200","54569-4482-00",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569448201","54569-4482-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569448202","54569-4482-02",,"J8499",,1/1/2002,9/1/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569448203","54569-4482-03",,"J8499",,1/1/2002,9/1/2004,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",35,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569448204","54569-4482-04",,"J8499",,9/11/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","BO","PO","EA",1,"EA",1,1/1/2005,,9/11/2002,6/10/2003,1,,,
"54569448206","54569-4482-06",,"J8499",,4/26/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",21,"EA","BO","PO","EA",1,"EA",1,4/26/2005,,,,,,,
"54569449700","54569-4497-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX Z-PAK 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"54569451600","54569-4516-00",,"J7509",,5/8/2002,7/1/2002,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 8 MG",10,"EA","BO","PO","EA",4,"MG",2,5/8/2002,,,,,,,
"54569452200","54569-4522-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"54569452201","54569-4522-01",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",2,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"54569452202","54569-4522-02",,"Q0144",,8/26/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,1/5/2004,,8/26/2002,6/10/2003,0.25,,,
"54569452600","54569-4526-00",,"J9217",,5/8/2002,1/31/2003,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT (SRN,PREFIL,DUAL CHAMBER) 11.25 MG",1,"EA","SR","IM","EA",7.5,"MG",1.5,5/8/2002,,,,,,,
"54569452800","54569-4528-00",,"Q2018",,1/1/2002,7/1/2002,"INJECTION, UROFOLLITROPIN, 75 IU","FERTINEX 75 IU",1,"EA","VL","SC","EA",75,"IU",1,1/1/2002,,,,,,,
"54569454700","54569-4547-00",,"J1950",,1/1/2002,1/31/2003,"INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG","LUPRON DEPOT (SRN, PREFILL DUAL CHAMB) 3.75 MG",1,"EA","SR","IM","EA",3.75,"MG",1,1/1/2002,,,,,,,
"54569454900","54569-4549-00",,"J7631",,1/1/2002,1/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","VL","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"54569454900","54569-4549-00","KO","J7631","KO",1/1/2002,1/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","VL","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"54569456700","54569-4567-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX (SINGLE DOSE PACKETS) 1 GM/Packet",1,"EA","BX","PO","EA",1,"GM",1,1/1/2002,,,,,,,
"54569458000","54569-4580-00",,"J7509",,5/8/2002,1/31/2003,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 16 MG",21,"EA","BO","PO","EA",4,"MG",4,5/8/2002,,,,,,,
"54569458300","54569-4583-00",,"J1885",,5/8/2002,1/31/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","TORADOL IM (S.D.V.) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,5/8/2002,,,,,,,
"54569462000","54569-4620-00",,"J3130",,1/1/2002,1/31/2003,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","DELATESTRYL (UNIMATIC) 200 MG/ML",1,"ML","SR","IM","ML",200,"MG",1,1/1/2002,,,,,,,
"54569464800","54569-4648-00",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (25X5ML) 4 MG/ML",5,"ML","NA","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"54569466900","54569-4669-00",,"J3370",,1/1/2002,1/31/2003,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOLED 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"54569467700","54569-4677-00",,"J1956",,1/1/2002,1/31/2003,"INJECTION, LEVOFLOXACIN, 250 MG","LEVAQUIN (S.D.V.) 25 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"54569468100","54569-4681-00",,"J0456",,1/1/2002,1/31/2003,"INJECTION, AZITHROMYCIN, 500 MG","ZITHROMAX 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"54569469900","54569-4699-00",,"Q0169",,1/1/2002,1/31/2003,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PHENERGAN 12.5 MG",30,"EA","BO","PO","EA",12.5,"MG",1,1/1/2002,,,,,,,
"54569470200","54569-4702-00",,"J2760",,1/1/2002,1/31/2003,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (S.D.V.) 5 MG",1,"EA","VL","IJ","EA",5,"MG",1,1/1/2002,,,,,,,
"54569472000","54569-4720-00",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569472000","54569-4720-00",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569472001","54569-4720-01",,"K0416",,1/1/2002,1/31/2003,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",6,"EA","NA","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569472002","54569-4720-02",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",3,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569472002","54569-4720-02",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",3,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569472003","54569-4720-03",,"K0416",,1/1/2002,7/10/2002,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",1,"EA","NA","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54569472400","54569-4724-00",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",35,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569472800","54569-4728-00",,"J1100",,1/1/2002,1/31/2003,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (S.D.V.) 4 MG/ML",25,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"54569472900","54569-4729-00",,"J3490",,1/1/2002,3/14/2002,"UNCLASSIFIED DRUGS","ENGERIX-B (TIPLOK,23GX1,TAX,PF) 20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"54569473400","54569-4734-00",,"J1610",,1/1/2002,,"INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG","GLUCAGON EMERGENCY KIT 1 MG",1,"EA","VL","IJ","EA",1,"MG",1,1/1/2002,,,,,,,
"54569473800","54569-4738-00",,"J1570",,1/1/2002,1/31/2003,"INJECTION, GANCICLOVIR SODIUM, 500 MG","CYTOVENE IV (VIAL) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"54569473900","54569-4739-00",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","NABI-HB",5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"54569473900","54569-4739-00",,"J3590",,1/1/2003,,"UNCLASSIFIED BIOLOGICS","NABI-HB",5,"ML","VL","IM","ML",1,"EA",1,1/1/2003,,,,,,,
"54569474800","54569-4748-00",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"54569474800","54569-4748-00",,"J7614",,4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.021%",3,"ML","PC","IH","ML",0.5,"MG",0.42,4/1/2008,,,,,,,
"54569474800","54569-4748-00","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"54569474800","54569-4748-00","KO","J7614","KO",4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.021%",3,"ML","PC","IH","ML",0.5,"MG",0.42,4/1/2008,,,,,,,
"54569475100","54569-4751-00",,"J3490",,2/5/2004,11/13/2006,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,2/5/2004,,,,,,,
"54569475200","54569-4752-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (M.D.V.) 100 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54569476000","54569-4760-00",,"J0270",,1/1/2002,1/31/2003,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT (VIAL) 40 MCG",1,"EA","VL","IC","EA",1.25,"MCG",32,1/1/2002,,,,,,,
"54569476500","54569-4765-00",,"J8499",,1/1/2002,1/31/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",2,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569476501","54569-4765-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",14,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569476502","54569-4765-02",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569476503","54569-4765-03",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569476504","54569-4765-04",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569476505","54569-4765-05",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",45,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569476506","54569-4765-06",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54569476509","54569-4765-09",,"J8499",,6/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",45,"EA","BO","PO","EA",1,"EA",1,6/1/2006,,,,,,,
"54569476900","54569-4769-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","FLAGYL I.V. (S.D.V.) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"54569477100","54569-4771-00",,"J7320",,1/1/2002,1/31/2003,"HYLAN G-F 20, 16 MG, FOR INTRA ARTICULAR INJECTION","SYNVISC (3X2ML SRN, PREFILLED) 8 MG/ML",2,"ML","SR","IJ","ML",16,"MG",0.5,1/1/2002,,,,,,,
"54569477200","54569-4772-00",,"J7631",,1/1/2002,1/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","VL","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"54569477200","54569-4772-00","KO","J7631","KO",1/1/2002,1/31/2003,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (VIAL) 10 MG/ML",2,"ML","VL","IH","ML",10,"MG",1,1/1/2002,,,,,,,
"54569478200","54569-4782-00",,"J0670",,1/1/2002,3/25/2003,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE (M.D.V.) 1%",50,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54569478500","54569-4785-00",,"J9217",,1/1/2002,1/31/2003,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT (SRN PREFIL DUAL CHAMBER) 7.5 MG",1,"EA","BX","IM","EA",7.5,"MG",1,1/1/2002,,,,,,,
"54569480700","54569-4807-00",,"J7510",,1/1/2002,6/10/2003,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (SF,DYE-FREE,CHERRY) 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"54569481900","54569-4819-00",,"J2300",,1/1/2002,5/19/2006,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (AMP) 20 MG/ML",1,"ML","AM","IJ","ML",10,"MG",2,1/1/2002,,,,,,,
"54569482100","54569-4821-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V.) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"54569482400","54569-4824-00",,"J1440",,1/1/2002,1/31/2003,"INJECTION, FILGRASTIM (G-CSF), 300 MCG","NEUPOGEN (S.D.V.,PF) 300 MCG/ML",1,"ML","VL","IJ","ML",300,"MCG",1,1/1/2002,,,,,,,
"54569482700","54569-4827-00",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (2X120 ML) 15 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"54569482701","54569-4827-01",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (4X60 ML) 15 MG/5 ML",60,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"54569482702","54569-4827-02",,"J7510",,1/1/2002,10/16/2006,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"54569483800","54569-4838-00",,"J2770",,1/1/2002,1/31/2003,"INJECTION, QUINUPRISTIN/DALFOPRISTIN, 500 MG (150/350)","SYNERCID 350 MG-150 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"54569485900","54569-4859-00",,"J0670",,1/1/2002,1/31/2003,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE (M.D.V.) 2%",50,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54569487000","54569-4870-00",,"Q0180",,1/1/2002,1/31/2003,"DOLASETRON MESYLATE, 100  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","ANZEMET 100 MG",5,"EA","BX","PO","EA",100,"MG",1,1/1/2002,,,,,,,
"54569487100","54569-4871-00",,"Q0166",,1/1/2002,7/10/2002,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",6,"EA","PG","PO","EA",1,"MG",1,1/1/2002,,,,,,,
"54569487200","54569-4872-00",,"Q0179",,1/1/2002,7/10/2002,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",9,"EA","PG","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"54569487201","54569-4872-01",,"Q0179",,12/7/2005,4/30/2008,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",4,"EA","BO","PO","EA",8,"MG",1,12/7/2005,4/30/2008,,,,,,
"54569488800","54569-4888-00",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU (BLISTER PACK) 75 MG",10,"EA","BX","PO","EA",75,"MG",1,12/1/2004,,,,,,,
"54569490400","54569-4904-00",,"J1055",,1/1/2002,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA (SRN, PREFILLED) 150 MG/ML",1,"ML","SR","IM","ML",150,"MG",1,1/15/2004,,1/1/2002,1/31/2003,1,,,
"54569491000","54569-4910-00",,"J7644",,1/1/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"54569491000","54569-4910-00","KO","J7644","KO",1/1/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"54569493000","54569-4930-00",,"J2941",,1/1/2002,,"INJECTION, SOMATROPIN, 1 MG","SAIZEN (VIAL, W/DILUENT) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,1/1/2002,,,,,,,
"54569495400","54569-4954-00",,"J1885",,1/1/2002,1/31/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"54569495500","54569-4955-00",,"J1885",,1/1/2002,1/31/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"54569495700","54569-4957-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","GONAL-F (AMP) 75 IU",1,"EA","AM","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"54569498200","54569-4982-00",,"J9218",,1/1/2002,1/31/2003,"LEUPROLIDE ACETATE, PER 1 MG","LUPRON (2 WEEK ADMINISTRATION) 5 MG/ML",2.8,"ML","VL","SC","EA",1,"MG",14,1/1/2002,,,,,,,
"54569498300","54569-4983-00",,"J9250",,1/1/2002,2/9/2005,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (VIAL) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"54569511600","54569-5116-00",,"J2250",,1/1/2002,1/31/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL, FLIPTOP) 5 MG/ML",100,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"54569511601","54569-5116-01",,"J2250",,1/1/2002,1/31/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL, FLIPTOP) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"54569512800","54569-5128-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","AZACTAM (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"54569516200","54569-5162-00",,"J7626",,1/1/2002,6/10/2003,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES 0.25 MG/2 ML",2,"ML","EA","IH","ML",0.25,"MG",0.5,1/1/2002,,,,,,,
"54569516200","54569-5162-00","KO","J7626","KO",1/1/2002,6/10/2003,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES 0.25 MG/2 ML",2,"ML","EA","IH","ML",0.25,"MG",0.5,1/1/2002,,,,,,,
"54569516300","54569-5163-00",,"J7626",,1/1/2002,1/16/2004,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES 0.5 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",0.5,1/1/2002,,,,,,,
"54569516300","54569-5163-00","KO","J7626","KO",1/1/2002,1/16/2004,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES 0.5 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",0.5,1/1/2002,,,,,,,
"54569517100","54569-5171-00",,"J2765",,1/1/2002,1/31/2003,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (S.D.V.) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"54569517300","54569-5173-00",,"J3490",,1/1/2002,1/1/2003,"UNCLASSIFIED DRUGS","ACYCLOVIR SODIUM (VIAL) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"54569517700","54569-5177-00",,"J7500",,1/1/2002,3/25/2003,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",60,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54569518800","54569-5188-00",,"J1885",,1/1/2002,1/31/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (CARPUJECT) 30 MG/ML",1,"ML","NA","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"54569518900","54569-5189-00",,"J1885",,1/1/2002,1/31/2003,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (CARPUJECT) 30 MG/ML",2,"ML","NA","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"54569520400","54569-5204-00",,"J7510",,1/1/2002,4/30/2008,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,4/30/2008,,,,,,
"54569520401","54569-5204-01",,"J7510",,1/1/2002,4/11/2008,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,4/11/2008,,,,,,
"54569524600","54569-5246-00",,"J2000",,1/1/2002,3/25/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE-MPF 1%",10,"ML","NA","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54569524700","54569-5247-00",,"J2310",,1/1/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (VIAL, FLIPTOP) 0.4 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"54569525400","54569-5254-00",,"J7699",,1/1/2002,7/1/2002,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORADIL AEROLIZER (BLISTER PACK, 10X6) 0.012 MG",60,"EA","PK","IH","EA",1,"EA",1,1/1/2002,,,,,,,
"54569525500","54569-5255-00",,"J2250",,1/1/2002,1/31/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 1 MG/ML",100,"ML","NA","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"54569525501","54569-5255-01",,"J2250",,1/1/2002,1/31/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 1 MG/ML",10,"ML","NA","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"54569526000","54569-5260-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","DIPRIVAN (VIAL) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"54569526200","54569-5262-00",,"J9217",,6/4/2002,1/31/2003,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT-PED (SRN,PREFIL DUAL CHAMBER) 15 MG",1,"EA","CR","IM","EA",7.5,"MG",2,6/4/2002,,,,,,,
"54569526800","54569-5268-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","TWINRIX (S.D.V., TAX INCL) 720 EL U/ML-20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"54569527200","54569-5272-00",,"J1056",,1/1/2002,6/10/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE / ESTRADIOL CYPIONATE, 5MG / 25MG","LUNELLE MONTHLY CONTRACEPTIVE (S.D.V.) 5 MG/0.5 ML-25 MG/0.5 ML",0.5,"ML","VL","IM","ML",5,"MG",2,1/1/2002,,,,,,,
"54569527500","54569-5275-00",,"J1460",,1/1/2002,10/3/2006,"INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC","BAYGAM (S.D.V.,PF)",2,"ML","VL","IM","ML",1,"ML",1,1/1/2002,,,,,,,
"54569527600","54569-5276-00",,"J1460",,1/1/2002,1/31/2003,"INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC","BAYGAM (S.D.V.,PF)",10,"ML","VL","IM","ML",1,"ML",1,1/1/2002,,,,,,,
"54569528100","54569-5281-00",,"J3490",,1/1/2002,1/31/2003,"UNCLASSIFIED DRUGS","OVIDREL (VIAL W/DILUENT) 0.25 MG",1,"EA","VL","SC","EA",1,"EA",1,1/1/2002,,,,,,,
"54569529200","54569-5292-00",,"J3490",,1/1/2002,3/21/2002,"UNCLASSIFIED DRUGS","TWINRIX (TIPLOK,23""GX1"",TAX INCL) 720 EL U/ML-20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"54569530100","54569-5301-00",,"J1070",,1/9/2002,1/31/2003,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","DEPO-TESTOSTERONE (VIAL) 100 MG/ML",10,"ML","VL","IM","ML",100,"MG",1,1/9/2002,,,,,,,
"54569530900","54569-5309-00",,"J1260",,1/9/2002,1/31/2003,"INJECTION, DOLASETRON MESYLATE, 10 MG","ANZEMET (AMP) 20 MG/ML",0.625,"ML","AM","IV","ML",10,"MG",2,1/9/2002,,,,,,,
"54569531100","54569-5311-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (S.D.V.,TAX INCL.,PF) 10 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"54569531200","54569-5312-00",,"J2000",,2/6/2002,1/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL 2%",5,"ML","SR","IJ","ML",50,"ML",0.02,2/6/2002,,,,,,,
"54569531200","54569-5312-00",,"J2001",,11/8/2007,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL 2%",5,"ML","SR","IJ","ML",10,"MG",2,11/8/2007,,,,,,,
"54569531201","54569-5312-01",,"J2001",,11/8/2007,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (5X5ML) 2%",5,"ML","SR","IJ","ML",10,"MG",2,11/8/2007,,,,,,,
"54569531600","54569-5316-00",,"J9250",,2/12/2002,1/31/2003,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,2/12/2002,,,,,,,
"54569531800","54569-5318-00",,"J2710",,2/12/2002,1/31/2003,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",2,2/12/2002,,,,,,,
"54569532100","54569-5321-00",,"J1815",,1/1/2003,6/10/2003,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54569532100","54569-5321-00",,"J1820",,2/6/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML",10,"ML","VL","SC","ML",100,"U",1,2/6/2002,,,,,,,
"54569532500","54569-5325-00",,"J0715",,1/31/2002,11/16/2002,"INJECTION, CEFTIZOXIME SODIUM, PER 500 MG","CEFIZOX (S,D,V.,PF) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/31/2002,,,,,,,
"54569533500","54569-5335-00",,"J2322",,2/15/2002,1/31/2003,"INJECTION, NANDROLONE DECANOATE, UP TO 200 MG","DECA-DURABOLIN (VIAL) 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,2/15/2002,,,,,,,
"54569535100","54569-5351-00",,"J3360",,3/7/2002,1/10/2008,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,3/7/2002,1/10/2008,,,,,,
"54569540800","54569-5408-00",,"J3490",,7/18/2002,,"UNCLASSIFIED DRUGS","ENGERIX-B (TIP-LOK W/O NDL,TAX,PF) 20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,7/18/2002,,,,,,,
"54569541600","54569-5416-00",,"J3130",,7/29/2002,1/31/2003,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","DELATESTRYL (M.D.V.) 200 MG/ML",5,"ML","VL","IM","ML",200,"MG",1,7/29/2002,,,,,,,
"54569542700","54569-5427-00",,"J3490",,9/9/2002,11/30/2004,"UNCLASSIFIED DRUGS","REBETRON 1200 (M.D. PEN)",1,"EA","BX","MR","EA",1,"EA",1,9/9/2002,,,,,,,
"54569543200","54569-5432-00",,"J7699",,9/24/2002,6/10/2003,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML",3,"ML","VL","IH","ML",1,"EA",1,9/24/2002,,,,,,,
"54569543300","54569-5433-00",,"J1056",,9/24/2002,9/1/2003,"INJECTION, MEDROXYPROGESTERONE ACETATE / ESTRADIOL CYPIONATE, 5MG / 25MG","LUNELLE MONTHLY CONTRACEPTIVE (PREFILLED SRN) 5 MG/0.5 ML-25 MG/0.5 ML",0.5,"ML","SR","IM","ML",5,"MG",2,9/24/2002,,,,,,,
"54569544400","54569-5444-00",,"J3490",,9/13/2002,12/31/2002,"UNCLASSIFIED DRUGS","NABI-HB (S.D.V.,>312 IU/ML)",1,"ML","VL","IM","ML",1,"EA",1,9/13/2002,,,,,,,
"54569544400","54569-5444-00",,"J3590",,1/1/2003,1/31/2003,"UNCLASSIFIED BIOLOGICS","NABI-HB (S.D.V.,>312 IU/ML)",1,"ML","VL","IM","ML",1,"EA",1,1/1/2003,,,,,,,
"54569544500","54569-5445-00",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.042%",3,"ML","VL","IH","ML",1,"MG",0.84,1/1/2008,,,,,,,
"54569544500","54569-5445-00",,"J7614",,4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.042%",3,"ML","VL","IH","ML",0.5,"MG",0.84,4/1/2008,,,,,,,
"54569544500","54569-5445-00","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.042%",3,"ML","VL","IH","ML",1,"MG",0.84,1/1/2008,,,,,,,
"54569544500","54569-5445-00","KO","J7614","KO",4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.042%",3,"ML","VL","IH","ML",0.5,"MG",0.84,4/1/2008,,,,,,,
"54569544800","54569-5448-00",,"Q0144",,9/9/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX TRI-PAK 500 MG",1,"EA","DP","PO","EA",1,"GM",0.5,9/9/2002,,,,,,,
"54569546800","54569-5468-00",,"J2250",,11/4/2002,5/15/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (FLIPTOP VIAL,LATEX-FREE) 5 MG/ML",1,"ML","EA","IJ","ML",1,"MG",5,11/4/2002,,,,,,,
"54569549100","54569-5491-00",,"J3490",,1/17/2003,5/1/2003,"UNCLASSIFIED DRUGS","SYNAGIS (PF) 50 MG",1,"EA","VL","IM","EA",1,"EA",1,1/17/2003,,,,,,,
"54569549200","54569-5492-00",,"J3490",,1/17/2003,5/1/2003,"UNCLASSIFIED DRUGS","SYNAGIS (PF) 100 MG",1,"EA","VL","IM","EA",1,"EA",1,1/17/2003,,,,,,,
"54569552400","54569-5524-00",,"J0135",,1/1/2005,3/10/2005,"INJECTION, ADALIMUMAB, 20 MG","HUMIRA (PF,PREFILLED SYRINGE) 40 MG/0.8 ML",0.8,"ML","CR","MR","EA",20,"MG",4,1/1/2005,,,,,,,
"54569552400","54569-5524-00",,"J3590",,8/12/2003,12/31/2004,"UNCLASSIFIED BIOLOGICS","HUMIRA (PF,PREFILLED SYRINGE) 40 MG/0.8 ML",0.8,"ML","CR","MR","EA",1,"EA",1,8/12/2003,,,,,,,
"54569552700","54569-5527-00",,"J1055",,8/15/2003,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,8/15/2003,,,,,,,
"54569553300","54569-5533-00",,"J3420",,9/19/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (M.D.V.) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,9/19/2003,,,,,,,
"54569553500","54569-5535-00",,"J0285",,9/30/2003,3/10/2005,"INJECTION, AMPHOTERICIN B, 50 MG","FUNGIZONE INTRAVENOUS 50 MG",1,"EA","VL","IV","EA",50,"MG",1,9/30/2003,,,,,,,
"54569557800","54569-5578-00",,"J3490",,7/21/2004,,"UNCLASSIFIED DRUGS","TWINRIX (TIP-LOK SYRINGE) 720 EL U/ML-20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,7/21/2004,,,,,,,
"54569558900","54569-5589-00",,"Q0173",,8/26/2004,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 300 MG",12,"EA","BO","PO","EA",250,"MG",1.2,8/26/2004,,,,,,,
"54569558901","54569-5589-01",,"Q0173",,9/2/2005,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 300 MG",6,"EA","BO","PO","EA",250,"MG",1.2,9/2/2005,,,,,,,
"54569560500","54569-5605-00",,"J1815",,2/16/2006,,"INJECTION, INSULIN, PER 5 UNITS","LANTUS 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,2/16/2006,,,,,,,
"54569560700","54569-5607-00",,"J0460",,9/29/2004,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE 1 MG/ML",1,"ML","NA","IJ","ML",0.3,"MG",3.33333,9/29/2004,12/31/2009,,,,,,
"54569561000","54569-5610-00",,"J0150",,9/30/2004,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE 3 MG/ML",2,"ML","NA","IV","ML",6,"MG",0.5,9/30/2004,,,,,,,
"54569561500","54569-5615-00",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU (TUTTI FRUTTI) 12 MG/ML",25,"ML","BO","PO","ML",75,"MG",0.16,12/1/2004,,,,,,,
"54569562800","54569-5628-00",,"J3490",,11/10/2004,3/21/2007,"UNCLASSIFIED DRUGS","RECOMBIVAX HB PEDIATRIC/ADOLESCENT (S.D.V.,TAX INCL,PF) 5 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,11/10/2004,,,,,,,
"54569562900","54569-5629-00",,"J3490",,11/10/2004,,"UNCLASSIFIED DRUGS","RECOMBIVAX HB PEDIATRIC/ADOLESCENT (S.D.V.,TAX INCL,PF) 5 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,11/10/2004,,,,,,,
"54569563000","54569-5630-00",,"J3490",,11/10/2004,,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (S.D.V.,TAX INCL) 10 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,11/10/2004,,,,,,,
"54569563500","54569-5635-00",,"G9017",,12/6/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (RASPBERRY) 50 MG/5 ML",480,"ML","BO","PO","ML",100,"MG",0.1,12/6/2004,,,,,,,
"54569571200","54569-5712-00",,,,7/14/2005,2/27/2007,"CYCLOPHOSPHAMIDE, 25 MG, ORAL","CYCLOPHOSPHAMIDE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,7/14/2005,,,,,,,
"54569571300","54569-5713-00",,,,7/14/2005,2/27/2007,"CYCLOPHOSPHAMIDE, 50 MG, ORAL","CYCLOPHOSPHAMIDE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,7/14/2005,,,,,,,
"54569571500","54569-5715-00",,"J8999",,7/15/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,7/15/2005,,,,,,,
"54569571600","54569-5716-00",,"J8999",,7/15/2005,10/1/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",90,"EA","BO","PO","EA",1,"EA",1,7/15/2005,,,,,,,
"54569571700","54569-5717-00",,,,7/15/2005,2/27/2007,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",120,"EA","BO","PO","EA",500,"MG",1,7/15/2005,,,,,,,
"54569571700","54569-5717-00","QR","J8521","QR",7/15/2005,2/27/2007,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",120,"EA","BO","PO","EA",500,"MG",1,7/15/2005,,,,,,,
"54569571800","54569-5718-00",,,,7/20/2005,2/27/2007,"ETOPOSIDE, 50 MG, ORAL","ETOPOSIDE (SOFTGEL) 50 MG",20,"EA","BX","PO","EA",50,"MG",1,7/20/2005,,,,,,,
"54569572000","54569-5720-00",,"J0696",,7/26/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,7/26/2005,,,,,,,
"54569572100","54569-5721-00",,"J0696",,7/26/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,7/26/2005,,,,,,,
"54569572200","54569-5722-00",,"J0696",,7/26/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/26/2005,,,,,,,
"54569572300","54569-5723-00",,"J0696",,7/27/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,7/27/2005,,,,,,,
"54569572400","54569-5724-00",,"J0696",,7/27/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,7/27/2005,,,,,,,
"54569572500","54569-5725-00",,"J0696",,7/27/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/27/2005,,,,,,,
"54569572900","54569-5729-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",28,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54569572900","54569-5729-00",,"Q0181",,8/2/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",28,"EA","BO","PO","EA",1,"EA",1,8/2/2005,,,,,,,
"54569573100","54569-5731-00",,"J8999",,8/3/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","ARIMIDEX 1 MG",30,"EA","BO","PO","EA",1,"EA",1,8/3/2005,,,,,,,
"54569573200","54569-5732-00",,"J8999",,8/3/2005,4/11/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","AROMASIN 25 MG",30,"EA","BO","PO","EA",1,"EA",1,8/3/2005,4/11/2008,,,,,,
"54569574100","54569-5741-00",,"J8501",,10/24/2005,,"APREPITANT, ORAL, 5 MG","EMEND TRI-FOLD PACK",3,"EA","PG","PO","EA",5,"MG",19,10/24/2005,,,,,,,
"54569574200","54569-5742-00",,"J1650",,10/24/2005,4/30/2008,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 80 MG/0.8 ML",0.8,"ML","SR","SC","ML",10,"MG",10,10/24/2005,4/30/2008,,,,,,
"54569574201","54569-5742-01",,"J1650",,12/8/2005,2/27/2007,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (2X5 SINGLE DOSE SYRINGE) 80 MG/0.8 ML",0.8,"ML","SR","SC","ML",10,"MG",10,12/8/2005,,,,,,,
"54569574400","54569-5744-00",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569574400","54569-5744-00",,"K0416",,10/26/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,10/26/2005,,,,,,,
"54569574401","54569-5744-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 12.5 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569574401","54569-5744-01",,"K0416",,12/27/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 12.5 MG",6,"EA","BX","RC","EA",1,"MG",12.5,12/27/2005,,,,,,,
"54569574500","54569-5745-00",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569574500","54569-5745-00",,"K0416",,10/26/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"MG",25,10/26/2005,,,,,,,
"54569574501","54569-5745-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",4,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569574501","54569-5745-01",,"K0416",,12/5/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",4,"EA","BX","RC","EA",1,"MG",25,12/5/2005,,,,,,,
"54569574502","54569-5745-02",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54569574502","54569-5745-02",,"K0416",,12/5/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",6,"EA","BX","RC","EA",1,"MG",25,12/5/2005,,,,,,,
"54569574900","54569-5749-00",,"J7510",,11/4/2005,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,11/4/2005,,,,,,,
"54569575400","54569-5754-00",,"Q0144",,11/24/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,11/24/2005,,,,,,,
"54569575500","54569-5755-00",,"Q0144",,11/24/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,11/24/2005,,,,,,,
"54569575600","54569-5756-00",,"Q0144",,11/24/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",3,"EA","DP","PO","EA",1,"GM",0.5,11/24/2005,,,,,,,
"54569576400","54569-5764-00",,"J2792",,1/12/2006,,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","HYPERRHO S/D (FULL DOSE)",1,"ML","SR","IM","ML",100,"IU",15,1/12/2006,,,,,,,
"54569577100","54569-5771-00",,"Q0144",,2/14/2006,4/30/2008,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZMAX (60ML SINGLE-DOSE) 2 GM/60 ML",1,"EA","BO","PO","EA",1,"GM",2,2/14/2006,4/30/2008,,,,,,
"54569578100","54569-5781-00",,"J1324",,1/1/2007,,"INJECTION, ENFUVIRTIDE, 1 MG","FUZEON 90 MG",60,"EA","PG","SC","EA",1,"MG",90,1/1/2007,,,,,,,
"54569578100","54569-5781-00",,"J3490",,3/16/2006,12/31/2006,"UNCLASSIFIED DRUGS","FUZEON 90 MG",60,"EA","PG","SC","EA",1,"EA",1,3/16/2006,,,,,,,
"54569578900","54569-5789-00",,"Q0167",,4/26/2006,4/30/2008,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFT GEL) 2.5 MG",60,"EA","BO","PO","EA",2.5,"MG",1,4/26/2006,4/30/2008,,,,,,
"54569579500","54569-5795-00",,"J2300",,5/12/2006,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (10X1ML) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,5/12/2006,,,,,,,
"54569580400","54569-5804-00",,"Q0144",,6/30/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 600 MG",8,"EA","BO","PO","EA",1,"GM",0.6,6/30/2006,,,,,,,
"54569580600","54569-5806-00",,"Q0144",,7/24/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 1 GM/Packet",1,"EA","BX","PO","EA",1,"GM",1,7/24/2006,,,,,,,
"54569580700","54569-5807-00",,"Q0144",,7/24/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,7/24/2006,,,,,,,
"54569580800","54569-5808-00",,"Q0144",,7/24/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,7/24/2006,,,,,,,
"54569580900","54569-5809-00",,"Q0144",,7/24/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,7/24/2006,,,,,,,
"54569581000","54569-5810-00",,"Q0144",,7/25/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,7/25/2006,,,,,,,
"54569581500","54569-5815-00",,"J1200",,8/3/2006,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HYDROCHLORIDE (25X1ML) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,8/3/2006,,,,,,,
"54569582800","54569-5828-00",,"J1460",,9/26/2006,,"INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC","GAMASTAN S/D (SDV)",2,"ML","VL","IM","ML",1,"ML",1,9/26/2006,,,,,,,
"54569583600","54569-5836-00",,,,10/9/2006,4/11/2008,"TEMODAR, 5 MG, ORAL","TEMODAR 5 MG",5,"EA","BO","PO","EA",5,"MG",1,10/9/2006,4/11/2008,,,,,,
"54569583700","54569-5837-00",,,,10/9/2006,4/11/2008,"TEMODAR, 5 MG, ORAL","TEMODAR 5 MG",20,"EA","BO","PO","EA",5,"MG",1,10/9/2006,4/11/2008,,,,,,
"54569583800","54569-5838-00",,,,10/10/2006,4/11/2008,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",5,"EA","BO","PO","EA",20,"MG",1,10/10/2006,4/11/2008,,,,,,
"54569583900","54569-5839-00",,,,10/10/2006,4/11/2008,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",20,"EA","BO","PO","EA",20,"MG",1,10/10/2006,4/11/2008,,,,,,
"54569584000","54569-5840-00",,"J7506",,10/10/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,10/10/2006,,,,,,,
"54569584100","54569-5841-00",,"J7506",,10/10/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",48,"EA","BO","PO","EA",5,"MG",2,10/10/2006,,,,,,,
"54569584200","54569-5842-00",,,,10/10/2006,4/11/2008,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",5,"EA","BO","PO","EA",100,"MG",1,10/10/2006,4/11/2008,,,,,,
"54569584300","54569-5843-00",,,,10/10/2006,4/11/2008,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",20,"EA","BO","PO","EA",100,"MG",1,10/10/2006,4/11/2008,,,,,,
"54569584400","54569-5844-00",,,,10/11/2006,4/11/2008,"TEMODAR, 250 MG, ORAL","TEMODAR 250 MG",5,"EA","BO","PO","EA",250,"MG",1,10/11/2006,4/11/2008,,,,,,
"54569584500","54569-5845-00",,,,10/11/2006,4/11/2008,"TEMODAR, 250 MG, ORAL","TEMODAR 250 MG",20,"EA","BO","PO","EA",250,"MG",1,10/11/2006,4/11/2008,,,,,,
"54569585700","54569-5857-00",,"J8999",,11/6/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 20 MG",30,"EA","BO","PO","EA",1,"EA",1,11/6/2006,,,,,,,
"54569586200","54569-5862-00",,"J3490",,11/13/2006,,"UNCLASSIFIED DRUGS","PROPOFOL (SDV,5X20ML) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,11/13/2006,,,,,,,
"54569587300","54569-5873-00",,"Q0179",,1/12/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE 8 MG",4,"EA","BO","PO","EA",8,"MG",1,1/12/2007,,,,,,,
"54569587400","54569-5874-00",,"J2405",,1/12/2007,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (5X2ML,SDV) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,1/12/2007,,,,,,,
"54569587600","54569-5876-00",,"J0560",,1/17/2007,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (10X1ML) 600000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,1/17/2007,,,,,,,
"54569587700","54569-5877-00",,"J0560",,1/17/2007,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (10X2ML,1200M U) 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/17/2007,,,,,,,
"54569587701","54569-5877-01",,"J0560",,1/17/2007,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (1200M U) 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/17/2007,,,,,,,
"54569591000","54569-5910-00",,"J0278",,5/7/2007,3/13/2008,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (10X2ML) 250 MG/ML",2,"ML","VL","IJ","ML",100,"MG",2.5,5/7/2007,3/13/2008,,,,,,
"54569591100","54569-5911-00",,"J7506",,5/10/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (PACK) 5 MG",48,"EA","BO","PO","EA",5,"MG",1,5/10/2007,,,,,,,
"54569594600","54569-5946-00",,"J0170",,8/13/2007,6/10/2008,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","TWINJECT AUTO-INJECTOR (0.3MG) 1 MG/ML",0.3,"ML","SR","IJ","ML",1,"ML",1,8/13/2007,6/10/2008,,,,,,
"54569594900","54569-5949-00",,"J0170",,8/14/2007,6/10/2008,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","TWINJECT AUTO-INJECTOR (0.15MG) 1 MG/ML",0.15,"ML","SR","IJ","ML",1,"ML",1,8/14/2007,6/10/2008,,,,,,
"54569595700","54569-5957-00",,"J0540",,9/5/2007,12/31/2009,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN C-R (10X2ML)",2,"ML","SR","IM","ML",1200000,"U",0.5,9/5/2007,12/31/2009,,,,,,
"54569595800","54569-5958-00",,"J0540",,9/5/2007,12/31/2009,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN C-R 900/300 (10X2ML)",2,"ML","SR","IM","ML",1200000,"U",0.5,9/5/2007,12/31/2009,,,,,,
"54569644800","54569-6448-00",,"Q0144",,9/24/2002,1/11/2006,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX TRI-PAK 500 MG",3,"EA","NA","PO","EA",1,"GM",0.5,9/24/2002,,,,,,,
"54643100600","54643-1006-00",,"J1600",,10/1/2003,,"INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG","GOLD SODIUM THIOMALATE (M.D.V.) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,10/1/2003,,,,,,,
"54643100700","54643-1007-00",,"J1600",,10/1/2003,,"INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG","GOLD SODIUM THIOMALATE (M.D.V.) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,10/1/2003,,,,,,,
"54643104300","54643-1043-00",,"J3303",,12/19/2003,12/31/2004,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN 5 MG/ML",5,"ML","VL","IJ","ML",5,"MG",1,12/19/2003,,,,,,,
"54643105400","54643-1054-00",,"J3303",,3/15/2004,,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN (VIAL) 5 MG/ML",5,"ML","VL","IJ","ML",5,"MG",1,3/15/2004,,,,,,,
"54643105500","54643-1055-00",,"J3303",,3/15/2004,,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN (VIAL) 20 MG/ML",1,"ML","VL","IJ","ML",5,"MG",4,3/15/2004,,,,,,,
"54643105600","54643-1056-00",,"J3303",,3/15/2004,,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN (VIAL) 20 MG/ML",5,"ML","VL","IJ","ML",5,"MG",4,3/15/2004,,,,,,,
"54653034208","54653-0342-08",,"J1655",,4/1/2002,7/15/2002,"INJECTION, TINZAPARIN SODIUM, 1000 IU","INNOHEP (M.D.V.) 20000 IU/ML",2,"ML","VL","SC","ML",1000,"IU",20,4/1/2002,,,,,,,
"54653034253","54653-0342-53",,"J1655",,4/1/2002,7/15/2002,"INJECTION, TINZAPARIN SODIUM, 1000 IU","INNOHEP (M.D.V.) 20000 IU/ML",2,"ML","VL","SC","ML",1000,"IU",20,4/1/2002,,,,,,,
"54746000101","54746-0001-01",,"J9215",,1/1/2002,,"INJECTION, INTERFERON, ALFA-N3, (HUMAN LEUKOCYTE DERIVED), 250,000 IU","ALFERON N (M.D.V.) 5 Million IU/ML",1,"ML","VL","IJ","ML",250000,"IU",20,1/1/2002,,,,,,,
"54838013440","54838-0134-40",,"Q0163",,1/1/2002,6/30/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SILADRYL DAS (AF,SF,DYE-FREE) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"54838013540","54838-0135-40",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SILADRYL ALLERGY (AF,SF) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"54838013570","54838-0135-70",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SILADRYL ALLERGY 12.5 MG/5 ML",237,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"54838013580","54838-0135-80",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SILADRYL ALLERGY (AF,SF) 12.5 MG/5 ML",473,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"54838015440","54838-0154-40",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SILPHEN 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"54838015470","54838-0154-70",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SILPHEN 12.5 MG/5 ML",237,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"54838015480","54838-0154-80",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","SILPHEN 12.5 MG/5 ML",473,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"54838050980","54838-0509-80",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (U.S.P.,RASPBERRY) 50 MG/5 ML",480,"ML","BO","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"54868000400","54868-0004-00",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE (S.D.V.) 25 MG/ML",10,"ML","VL","IV","ML",250,"MG",0.1,1/1/2002,,,,,,,
"54868000600","54868-0006-00",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (SRN, 21GX1-1/2"") 0.1 MG/ML",10,"ML","SR","IJ","ML",0.3,"MG",0.33333,1/1/2002,12/31/2009,,,,,,
"54868000700","54868-0007-00",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL (VIAL) 50 MG/ML",10,"ML","AM","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"54868001500","54868-0015-00",,"J1265",,12/11/2006,,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HYDROCHLORIDE 80 MG/ML",125,"ML","NA","IV","ML",40,"MG",2,12/11/2006,,,,,,,
"54868002600","54868-0026-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54868002601","54868-0026-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54868002604","54868-0026-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54868002605","54868-0026-05",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",10,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54868002606","54868-0026-06",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"54868002607","54868-0026-07",,"Q0163",,6/29/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,6/29/2006,,,,,,,
"54868010200","54868-0102-00",,"J7120",,12/11/2006,,"RINGERS LACTATE INFUSION, UP TO 1000 CC","LACTATED RINGER'S (12X1000ML)",1000,"ML","PC","IV","ML",1000,"ML",0.001,12/11/2006,,,,,,,
"54868011001","54868-0110-01",,"J2250",,1/1/2002,5/23/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (S.D.V.) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"54868011002","54868-0110-02",,"J2250",,1/1/2002,5/23/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","VERSED (S.D.V.) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"54868011400","54868-0114-00",,"J2310",,1/1/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NARCAN (AMP) 0.4 MG/ML",1,"ML","AM","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"54868011500","54868-0115-00",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (TUBEX,22GX1 1/4"") 10 MG/ML",1,"ML","SR","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54868011600","54868-0116-00",,"A4216",,1/1/2004,9/30/2008,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE BACTERIOSTATIC (M.D.V.) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,9/30/2008,,,,,,
"54868011600","54868-0116-00",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE BACTERIOSTATIC (M.D.V.) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"54868016301","54868-0163-01",,"J8499",,1/1/2002,11/19/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868016302","54868-0163-02",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868016303","54868-0163-03",,"J8499",,1/1/2002,11/19/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868016304","54868-0163-04",,"J8499",,1/1/2002,11/19/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868016305","54868-0163-05",,"J8499",,1/1/2002,4/15/2002,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",120,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868016306","54868-0163-06",,"J8499",,1/1/2002,11/19/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",40,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868016901","54868-0169-01",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","VISTARIL 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54868017300","54868-0173-00",,"J9250",,3/26/2003,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (PF) 25 MG/ML",2,"ML","EA","IJ","ML",5,"MG",5,3/26/2003,,,,,,,
"54868017301","54868-0173-01",,"J9250",,4/6/2005,5/8/2008,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (PF) 25 MG/ML",20,"ML","VL","IJ","ML",5,"MG",5,4/6/2005,5/8/2008,,,,,,
"54868018300","54868-0183-00",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION BACTERIOSTATIC (VIAL)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"54868018300","54868-0183-00",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION BACTERIOSTATIC (VIAL)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54868018600","54868-0186-00",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"54868018600","54868-0186-00",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","STADOL (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54868020600","54868-0206-00",,"J0702",,1/1/2002,,"INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG","CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML",5,"ML","VL","IJ","ML",3,"MG",1,1/1/2002,,,,,,,
"54868021600","54868-0216-00",,"J1080",,9/20/2007,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","DEPO-TESTOSTERONE (VIAL) 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,9/20/2007,,,,,,,
"54868021800","54868-0218-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",20,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54868021800","54868-0218-00",,"Q0181",,6/30/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",20,"EA","BO","PO","EA",1,"EA",1,6/30/2005,,,,,,,
"54868021801","54868-0218-01",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",10,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54868021801","54868-0218-01",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",10,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868021803","54868-0218-03",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",3,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54868021803","54868-0218-03",,"Q0181",,7/7/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",3,"EA","BO","PO","EA",1,"EA",1,7/7/2005,,,,,,,
"54868021804","54868-0218-04",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54868021804","54868-0218-04",,"Q0181",,7/22/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",1,"EA",1,7/22/2005,,,,,,,
"54868021805","54868-0218-05",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",16,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54868021805","54868-0218-05",,"Q0181",,8/15/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",16,"EA","BO","PO","EA",1,"EA",1,8/15/2005,,,,,,,
"54868021806","54868-0218-06",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",100,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54868021806","54868-0218-06",,"Q0181",,8/15/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",100,"EA","BO","PO","EA",1,"EA",1,8/15/2005,,,,,,,
"54868021807","54868-0218-07",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",40,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"54868021807","54868-0218-07",,"Q0181",,12/16/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",40,"EA","BO","PO","EA",1,"EA",1,12/16/2005,,,,,,,
"54868021808","54868-0218-08",,"J8540",,9/11/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (USP) 4 MG",50,"EA","BO","PO","EA",0.25,"MG",16,9/11/2006,,,,,,,
"54868021809","54868-0218-09",,"J8540",,4/3/2008,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",5,"EA","BO","PO","EA",0.25,"MG",16,4/3/2008,,,,,,,
"54868023100","54868-0231-00",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (M.D.V.) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"54868023400","54868-0234-00",,"J3301",,1/1/2002,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","KENALOG-10 (VIAL) 10 MG/ML",5,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54868025801","54868-0258-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54868025802","54868-0258-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54868025803","54868-0258-03",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",50,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54868025804","54868-0258-04",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54868025805","54868-0258-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",36,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54868025806","54868-0258-06",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",55,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54868025808","54868-0258-08",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54868025809","54868-0258-09",,"J7506",,3/14/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",15,"EA","BO","PO","EA",5,"MG",1,3/14/2002,,,,,,,
"54868026100","54868-0261-00",,"J0780",,1/1/2002,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"54868026200","54868-0262-00",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (M.D.V.) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"54868026201","54868-0262-01",,"J2550",,9/29/2005,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (10X25ML,MDV) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,9/29/2005,,,,,,,
"54868028400","54868-0284-00",,"J3301",,1/1/2002,2/28/2002,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","TRIAMCINOLONE ACETONIDE (VIAL) 40 MG/ML",5,"ML","VL","IJ","ML",10,"MG",4,1/1/2002,,,,,,,
"54868029600","54868-0296-00",,"J7060",,1/1/2002,4/15/2002,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",1000,"ML","NA","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"54868029601","54868-0296-01",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"54868029602","54868-0296-02",,"J7060",,1/1/2002,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE 5%",250,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"54868029604","54868-0296-04",,"J7060",,12/12/2006,,"5% DEXTROSE/WATER (500 ML = 1 UNIT)","DEXTROSE (48X100ML) 5%",100,"ML","FC","IV","ML",500,"ML",0.002,12/12/2006,,,,,,,
"54868055400","54868-0554-00",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL (AMP) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"54868055900","54868-0559-00",,"J0690",,1/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"54868059700","54868-0597-00",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN (AMP) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"54868060100","54868-0601-00",,"K0416",,2/18/2003,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",6,"EA","BX","RC","EA",1,"MG",25,2/18/2003,,,,,,,
"54868060101","54868-0601-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",2,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868060101","54868-0601-01",,"K0416",,4/28/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",2,"EA","BX","RC","EA",1,"MG",25,4/28/2003,,,,,,,
"54868060102","54868-0601-02",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868060102","54868-0601-02",,"K0416",,7/8/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"MG",25,7/8/2003,,,,,,,
"54868060500","54868-0605-00",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (S.D.V.) 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"54868060800","54868-0608-00",,"J3250",,1/1/2002,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TRIMETHOBENZAMIDE HCL 100 MG/ML",2,"ML","VL","IM","ML",200,"MG",0.5,1/1/2002,,,,,,,
"54868061600","54868-0616-00",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (M.D.V.) 50 MG/ML",30,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"54868061700","54868-0617-00",,"J3360",,1/1/2002,9/1/2006,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"54868061701","54868-0617-01",,"J3360",,3/7/2002,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (M.D.V.,FLIPTOP) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,3/7/2002,,,,,,,
"54868061702","54868-0617-02",,"J3360",,4/3/2008,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (10X10ML,M.D.V) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,4/3/2008,,,,,,,
"54868062200","54868-0622-00",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868062200","54868-0622-00",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54868062202","54868-0622-02",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868062202","54868-0622-02",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",6,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54868071000","54868-0710-00",,"J7030",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC","SODIUM CHLORIDE 0.9%",1000,"ML","FC","IV","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"54868071001","54868-0710-01",,"J7040",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)","SODIUM CHLORIDE 0.9%",500,"ML","FC","IV","ML",500,"ML",0.002,1/1/2002,,,,,,,
"54868071002","54868-0710-02",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","SODIUM CHLORIDE (PF,LATEX-FREE) 0.9%",500,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"54868071002","54868-0710-02",,"A4323",,5/22/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SODIUM CHLORIDE (PF,LATEX-FREE) 0.9%",500,"ML","PC","IR","ML",1000,"ML",0.001,5/22/2003,,,,,,,
"54868071003","54868-0710-03",,"J7050",,12/12/2006,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (NORMAL SALINE,48X100ML) 0.9%",100,"ML","PC","IV","ML",250,"ML",0.004,12/12/2006,,,,,,,
"54868071004","54868-0710-04",,"J7030",,12/15/2006,,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC","SODIUM CHLORIDE (NORMAL SALINE,12X1000ML) 0.9%",1000,"ML","FC","IV","ML",1000,"ML",0.001,12/15/2006,,,,,,,
"54868071005","54868-0710-05",,"A4216",,12/15/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (NORMAL SALINE,48X50ML) 0.9%",50,"ML","FC","IV","ML",10,"ML",0.1,12/15/2006,,,,,,,
"54868071006","54868-0710-06",,"J7050",,1/2/2007,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (NORMAL SALINE,24X250ML) 0.9%",250,"ML","FC","IV","ML",250,"ML",0.004,1/2/2007,,,,,,,
"54868071600","54868-0716-00",,"J3360",,1/1/2002,,"INJECTION, DIAZEPAM, UP TO 5 MG","VALIUM (VIAL) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"54868072100","54868-0721-00",,"Q0169",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PHENERGAN 12.5 MG",12,"EA","BO","PO","EA",12.5,"MG",1,1/1/2002,,,,,,,
"54868073400","54868-0734-00",,"J3490",,8/27/2002,,"UNCLASSIFIED DRUGS","ENGERIX-B (S.D.V.,PF) 20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,8/27/2002,,,,,,,
"54868074000","54868-0740-00",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (M.D.V.) 0.4 MG/ML",20,"ML","VL","IJ","ML",0.3,"MG",1.33333,1/1/2002,12/31/2009,,,,,,
"54868074001","54868-0740-01",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (M.D.V.) 0.4 MG/ML",20,"ML","VL","IJ","ML",0.3,"MG",1.33333,1/1/2002,12/31/2009,,,,,,
"54868074800","54868-0748-00",,"J2310",,1/1/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (SRN,PREFILLED,MIN-I-JET) 0.4 MG/ML",1,"ML","SR","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"54868075300","54868-0753-00",,"J0560",,1/1/2002,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (TUBEX) 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"54868075301","54868-0753-01",,"J0560",,1/1/2002,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (TUBEX) 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"54868075600","54868-0756-00",,"J3250",,1/1/2002,,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TIGAN (VIAL) 100 MG/ML",20,"ML","VL","IM","ML",200,"MG",0.5,1/1/2002,,,,,,,
"54868076200","54868-0762-00",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITAMIN B12 (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"54868076201","54868-0762-01",,"J3420",,9/18/2003,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN 1000 MCG/ML",1,"ML","VL","IM","ML",1000,"MCG",1,9/18/2003,,,,,,,
"54868076700","54868-0767-00",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (VIAL) 2 MEQ/ML",10,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"54868076701","54868-0767-01",,"J3480",,3/16/2007,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE 2 MEQ/ML",250,"ML","VL","IV","ML",2,"MEQ",1,3/16/2007,,,,,,,
"54868076800","54868-0768-00",,"J2920",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","SOLU-MEDROL (S.D.V.) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,1/1/2002,,,,,,,
"54868077601","54868-0776-01",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"54868079600","54868-0796-00",,"J1070",,10/21/2004,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","DEPO-TESTOSTERONE 100 MG/ML",10,"ML","VL","IM","ML",100,"MG",1,10/21/2004,,,,,,,
"54868080000","54868-0800-00",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",60,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54868080001","54868-0800-01",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",10,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54868080002","54868-0800-02",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54868080003","54868-0800-03",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",30,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54868080004","54868-0800-04",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54868080007","54868-0800-07",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",15,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54868082100","54868-0821-00",,"J7510",,4/11/2007,,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED ODT 15 MG",48,"EA","BX","PO","EA",5,"MG",3,4/11/2007,,,,,,,
"54868083600","54868-0836-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54868083602","54868-0836-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54868083603","54868-0836-03",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",50,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54868083604","54868-0836-04",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54868083605","54868-0836-05",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54868083607","54868-0836-07",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54868083608","54868-0836-08",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54868085800","54868-0858-00",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL) 25 MG/ML",1,"ML","VL","IM","ML",25,"MG",1,1/1/2002,,,,,,,
"54868087100","54868-0871-00",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"54868087101","54868-0871-01",,"J1100",,7/21/2003,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (1X125ML) 4 MG/ML",125,"ML","NA","IJ","ML",1,"MG",4,7/21/2003,,,,,,,
"54868087106","54868-0871-06",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 4 MG/ML",30,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"54868090800","54868-0908-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",30,"EA","BO","PO","EA",5,"MG",10,1/1/2002,,,,,,,
"54868090801","54868-0908-01",,"J7506",,11/10/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",10,"EA","BO","PO","EA",5,"MG",10,11/10/2005,,,,,,,
"54868090802","54868-0908-02",,"J7506",,2/16/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",3,"EA","BO","PO","EA",5,"MG",10,2/16/2006,,,,,,,
"54868090803","54868-0908-03",,"J7506",,5/16/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 50 MG",50,"EA","BO","PO","EA",5,"MG",10,5/16/2006,,,,,,,
"54868090804","54868-0908-04",,"J7506",,2/6/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 50 MG",60,"EA","BO","PO","EA",5,"MG",10,2/6/2007,,,,,,,
"54868091600","54868-0916-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",30,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"54868091600","54868-0916-00",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868092101","54868-0921-01",,"J7500",,1/1/2002,,"AZATHIOPRINE, ORAL, 50 MG","IMURAN 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868092102","54868-0921-02",,"J7500",,1/1/2002,,"AZATHIOPRINE, ORAL, 50 MG","IMURAN 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868092104","54868-0921-04",,"J7500",,1/1/2002,,"AZATHIOPRINE, ORAL, 50 MG","IMURAN 50 MG",50,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868092301","54868-0923-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","DELTASONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54868093400","54868-0934-00",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,1/1/2002,,,,,,,
"54868093401","54868-0934-01",,"J0696",,6/11/2003,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN 250 MG",1,"EA","NA","IJ","EA",250,"MG",1,6/11/2003,,,,,,,
"54868094800","54868-0948-00",,"J7616",,9/19/2005,12/31/2005,"ALBUTEROL, UP TO 5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME","DUONEB 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",5,"MG",0.16666,9/19/2005,,,,,,,
"54868094800","54868-0948-00",,"J7620",,1/1/2006,,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME","DUONEB 3 MG/3 ML-0.5 MG/3 ML",3,"ML","PC","IH","ML",2.5,"MG",0.33333,1/1/2006,,,,,,,
"54868095400","54868-0954-00",,"J7510",,12/16/2003,,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED (DYE-FREE,GRAPE) 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,12/16/2003,,,,,,,
"54868105000","54868-1050-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868105001","54868-1050-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868105003","54868-1050-03",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868105004","54868-1050-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",40,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868105005","54868-1050-05",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868105006","54868-1050-06",,"Q0163",,4/15/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","NA","PO","EA",50,"MG",1,4/15/2002,,,,,,,
"54868108102","54868-1081-02",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",20,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"54868108200","54868-1082-00",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",15,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"54868108201","54868-1082-01",,"Q0165",,1/29/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,1/29/2004,,,,,,,
"54868108202","54868-1082-02",,"Q0165",,6/3/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",20,"EA","BO","PO","EA",10,"MG",1,6/3/2005,,,,,,,
"54868108203","54868-1082-03",,"Q0165",,8/24/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,8/24/2007,,,,,,,
"54868108204","54868-1082-04",,"Q0165",,2/10/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,2/10/2005,,,,,,,
"54868108205","54868-1082-05",,"Q0165",,6/9/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",60,"EA","BO","PO","EA",10,"MG",1,6/9/2005,,,,,,,
"54868108206","54868-1082-06",,"Q0165",,4/16/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",90,"EA","BO","PO","EA",10,"MG",1,4/16/2007,,,,,,,
"54868111901","54868-1119-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",100,"EA","BO","PO","EA",5,"MG",0.2,1/1/2002,,,,,,,
"54868111902","54868-1119-02",,"J7506",,12/9/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",90,"EA","BO","PO","EA",5,"MG",0.2,12/9/2002,,,,,,,
"54868111903","54868-1119-03",,"J7506",,12/9/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",30,"EA","BO","PO","EA",5,"MG",0.2,12/9/2002,,,,,,,
"54868111904","54868-1119-04",,"J7506",,6/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",15,"EA","BO","PO","EA",5,"MG",0.2,6/1/2004,,,,,,,
"54868111905","54868-1119-05",,"J7506",,10/5/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",60,"EA","BO","PO","EA",5,"MG",0.2,10/5/2004,,,,,,,
"54868112600","54868-1126-00",,"J8999",,8/11/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","LEUKERAN 2 MG",50,"EA","BO","PO","EA",1,"EA",1,8/11/2003,,,,,,,
"54868112601","54868-1126-01",,"J8999",,11/22/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","LEUKERAN 2 MG",30,"EA","BO","PO","EA",1,"EA",1,11/22/2005,,,,,,,
"54868112602","54868-1126-02",,"J8999",,11/22/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","LEUKERAN 2 MG",10,"EA","BO","PO","EA",1,"EA",1,11/22/2005,,,,,,,
"54868112603","54868-1126-03",,"J8999",,11/22/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","LEUKERAN 2 MG",25,"EA","BO","PO","EA",1,"EA",1,11/22/2005,,,,,,,
"54868112604","54868-1126-04",,"J8999",,5/23/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","LEUKERAN 2 MG",5,"EA","BO","PO","EA",1,"EA",1,5/23/2006,,,,,,,
"54868112605","54868-1126-05",,"J8999",,10/17/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","LEUKERAN 2 MG",100,"EA","BO","PO","EA",1,"EA",1,10/17/2006,,,,,,,
"54868113300","54868-1133-00",,"J2910",,1/1/2002,10/20/2004,"INJECTION, AUROTHIOGLUCOSE, UP TO 50 MG","SOLGANAL (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"54868118300","54868-1183-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54868118301","54868-1183-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54868118302","54868-1183-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",60,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54868118303","54868-1183-03",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54868118307","54868-1183-07",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"54868118308","54868-1183-08",,"J7506",,8/19/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,8/19/2003,,,,,,,
"54868118309","54868-1183-09",,"J7506",,8/15/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",25,"EA","BO","PO","EA",5,"MG",4,8/15/2005,,,,,,,
"54868122700","54868-1227-00",,"Q0163",,2/23/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE (AF) 12.5 MG/5 ML",473,"ML","BO","PO","ML",50,"MG",0.05,2/23/2006,,,,,,,
"54868122702","54868-1227-02",,"Q0163",,10/22/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GENAHIST (AF,SF,CHERRY) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,10/22/2002,,,,,,,
"54868128402","54868-1284-02",,"Q0164",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"54868132300","54868-1323-00",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54868132301","54868-1323-01",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54868132302","54868-1323-02",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",12,"EA","BO","PO","EA",25,"MG",1,7/2/2003,,1/1/2002,4/15/2002,1,,,
"54868132304","54868-1323-04",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",15,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54868132305","54868-1323-05",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",20,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54868132306","54868-1323-06",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54868132307","54868-1323-07",,"Q0170",,6/15/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",60,"EA","BO","PO","EA",25,"MG",1,6/15/2005,,,,,,,
"54868132308","54868-1323-08",,"Q0170",,9/21/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",50,"EA","BO","PO","EA",25,"MG",1,9/21/2005,,,,,,,
"54868136300","54868-1363-00",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","ADRENALIN (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54868136600","54868-1366-00",,"J8999",,4/6/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MATULANE 50 MG",100,"EA","BO","PO","EA",1,"EA",1,4/6/2006,,,,,,,
"54868136700","54868-1367-00",,"J8999",,8/8/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,8/8/2003,,,,,,,
"54868142901","54868-1429-01",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN N 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54868142901","54868-1429-01",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN N 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54868148501","54868-1485-01",,"Q0173",,1/1/2002,2/12/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 100 MG",15,"EA","BO","PO","EA",250,"MG",0.4,1/1/2002,,,,,,,
"54868161302","54868-1613-02",,"J8498",,9/11/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE (USP) 50 MG",6,"EA","BX","RC","EA",1,"EA",1,9/11/2006,,,,,,,
"54868162900","54868-1629-00",,"J8999",,10/3/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",100,"EA","BO","PO","EA",1,"EA",1,10/3/2005,,,,,,,
"54868162901","54868-1629-01",,"J8999",,10/3/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",14,"EA","BO","PO","EA",1,"EA",1,10/3/2005,,,,,,,
"54868162902","54868-1629-02",,"J8999",,7/6/2007,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",30,"EA","BO","PO","EA",1,"EA",1,7/6/2007,,,,,,,
"54868172000","54868-1720-00",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PEDIAPRED 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"54868172900","54868-1729-00",,"J1000",,1/1/2002,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","DEPO-ESTRADIOL (VIAL) 5 MG/ML",5,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"54868174400","54868-1744-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 1.5 MG",100,"EA","BO","PO","EA",0.25,"MG",6,1/1/2006,,,,,,,
"54868174400","54868-1744-00",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 1.5 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868179500","54868-1795-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54868179500","54868-1795-00",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (M.D.V.) 1%",50,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"54868179801","54868-1798-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (M.D.V.) 2%",10,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54868179801","54868-1798-01",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (M.D.V.) 2%",10,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"54868185400","54868-1854-00",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868185401","54868-1854-01",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868185403","54868-1854-03",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",60,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868185404","54868-1854-04",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",500,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"54868186700","54868-1867-00",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"54868193200","54868-1932-00",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868193200","54868-1932-00",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"54868193201","54868-1932-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",1,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868193201","54868-1932-01",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",1,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"54868193202","54868-1932-02",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868193202","54868-1932-02",,"K0416",,9/30/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",6,"EA","BX","RC","EA",1,"MG",12.5,9/30/2002,,,,,,,
"54868196300","54868-1963-00",,"Q0174",,2/11/2003,,"THIETHYLPERAZINE MALEATE, 10 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TORECAN 10 MG",15,"EA","BO","PO","EA",10,"MG",1,2/11/2003,,,,,,,
"54868196301","54868-1963-01",,"Q0174",,2/11/2003,,"THIETHYLPERAZINE MALEATE, 10 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TORECAN 10 MG",10,"EA","BO","PO","EA",10,"MG",1,2/11/2003,,,,,,,
"54868199400","54868-1994-00",,"J1040",,1/1/2002,4/16/2002,"INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG","METHYLPREDNISOLONE ACETATE 80 MG/ML",5,"ML","VL","IJ","ML",80,"MG",1,1/1/2002,,,,,,,
"54868204800","54868-2048-00",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (VIAL) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"54868204801","54868-2048-01",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (VIAL) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"54868206200","54868-2062-00",,"J2310",,1/1/2002,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HCL (AMP) 0.4 MG/ML",1,"ML","AM","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"54868206400","54868-2064-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 2%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54868206400","54868-2064-00",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (M.D.V.) 2%",50,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"54868206401","54868-2064-01",,"J2001",,6/23/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL 2%",1250,"ML","VL","IJ","ML",10,"MG",2,6/23/2006,,,,,,,
"54868206500","54868-2065-00",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54868206501","54868-2065-01",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54868208800","54868-2088-00",,"J2550",,9/29/2005,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL 50 MG/ML",25,"ML","AM","IJ","ML",50,"MG",1,9/29/2005,,,,,,,
"54868218400","54868-2184-00",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868218402","54868-2184-02",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 800 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868218403","54868-2184-03",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 800 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868218404","54868-2184-04",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 800 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868221900","54868-2219-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (3 DOSE VIAL,TAX INCL) 10 MCG/ML",3,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"54868221901","54868-2219-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RECOMBIVAX HB (S.D.V.,TAX INCL) 10 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"54868228901","54868-2289-01",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","BAYHEP B (S.D.V.,200 IU/ML)",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"54868228901","54868-2289-01",,"J3590",,1/1/2003,,"UNCLASSIFIED BIOLOGICS","BAYHEP B (S.D.V.,200 IU/ML)",1,"ML","VL","IM","ML",1,"EA",1,1/1/2003,,,,,,,
"54868229900","54868-2299-00",,"J1940",,9/29/2005,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (ABBOJECT) 10 MG/ML",250,"ML","VL","IJ","ML",20,"MG",0.5,9/29/2005,,,,,,,
"54868230200","54868-2302-00",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 50 MG",10,"EA","BO","PO","EA",25,"MG",2,1/1/2002,,,,,,,
"54868230202","54868-2302-02",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 50 MG",100,"EA","BO","PO","EA",25,"MG",2,1/1/2002,,,,,,,
"54868232001","54868-2320-01",,"J3360",,1/1/2002,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM 5 MG/ML",2,"ML","SR","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"54868232002","54868-2320-02",,"J3360",,1/1/2002,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (AMP) 5 MG/ML",2,"ML","AM","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"54868233100","54868-2331-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54868233100","54868-2331-00",,"J2001",,1/1/2004,12/31/2007,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"54868233101","54868-2331-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",30,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54868233101","54868-2331-01",,"J2001",,1/1/2004,12/31/2007,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (M.D.V.) 1%",30,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"54868234700","54868-2347-00",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 100 MG",100,"EA","BO","PO","EA",25,"MG",4,1/1/2002,,,,,,,
"54868236201","54868-2362-01",,"J1990",,1/1/2002,10/14/2004,"INJECTION, CHLORDIAZEPOXIDE HCL, UP TO 100 MG","LIBRIUM (DUPLEX AMP W/DILUENT) 100 MG",1,"EA","AM","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"54868238001","54868-2380-01",,"J1815",,7/16/2007,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,7/16/2007,,,,,,,
"54868240701","54868-2407-01",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","ATIVAN 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"54868242901","54868-2429-01",,"J0515",,1/1/2002,,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","COGENTIN (AMP) 1 MG/ML",2,"ML","AM","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"54868246400","54868-2464-00",,"Q0172",,1/1/2002,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54868246402","54868-2464-02",,"Q0172",,8/8/2007,,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",60,"EA","NA","PO","EA",25,"MG",1,8/8/2007,,,,,,,
"54868246600","54868-2466-00",,"J0560",,6/12/2006,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (10X4ML) 600000 U/ML",4,"ML","SR","IM","ML",600000,"U",1,6/12/2006,,,,,,,
"54868247200","54868-2472-00",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"54868247200","54868-2472-00",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"54868247200","54868-2472-00","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"54868247200","54868-2472-00","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"54868247201","54868-2472-01",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",3,"ML","PC","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"54868247201","54868-2472-01",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",3,"ML","PC","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"54868248801","54868-2488-01",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,1/1/2002,,,,,,,
"54868248901","54868-2489-01",,"J3411",,1/1/2004,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HCL 100 MG/ML",2,"ML","VL","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"54868248901","54868-2489-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","THIAMINE HCL 100 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54868252200","54868-2522-00",,"J1440",,1/1/2002,,"INJECTION, FILGRASTIM (G-CSF), 300 MCG","NEUPOGEN (S.D.V.,PF) 300 MCG/ML",1,"ML","VL","IJ","ML",300,"MCG",1,1/1/2002,,,,,,,
"54868252300","54868-2523-00",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (S.D.V.) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2006,,,,,,,
"54868252300","54868-2523-00",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (S.D.V.) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"54868252301","54868-2523-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (S.D.V.) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2006,,,,,,,
"54868252301","54868-2523-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (S.D.V.) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"54868252600","54868-2526-00",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK (VIAL,DOSETTE) 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"54868252700","54868-2527-00",,"A4216",,6/28/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (150X5ML) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,6/28/2007,,,,,,,
"54868252800","54868-2528-00",,"J2545",,1/1/2007,,"PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG","NEBUPENT (S.D.V.,PF) 300 MG",1,"EA","VL","IH","EA",300,"MG",1,1/1/2007,,,,,,,
"54868253000","54868-2530-00",,"J3070",,1/1/2002,,"INJECTION, PENTAZOCINE, 30 MG","TALWIN LACTATE (VIAL) 30 MG/ML",10,"ML","VL","IJ","ML",30,"MG",1,1/1/2002,,,,,,,
"54868265200","54868-2652-00",,"J3030",,1/1/2002,,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX (S.D.V.) 6 MG/0.5 ML",0.5,"ML","VL","SC","ML",6,"MG",2,1/1/2002,,,,,,,
"54868265201","54868-2652-01",,"J3030",,8/28/2006,,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX (SDV) 6 MG/0.5 ML",5,"ML","VL","SC","ML",6,"MG",2,8/28/2006,,,,,,,
"54868268401","54868-2684-01",,"Q0171",,2/1/2007,,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,2/1/2007,,,,,,,
"54868268600","54868-2686-00",,"Q0175",,1/1/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",30,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"54868268701","54868-2687-01",,"Q0176",,1/1/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",100,"EA","BO","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"54868268702","54868-2687-02",,"Q0176",,6/12/2007,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",60,"EA","BO","PO","EA",8,"MG",1,6/12/2007,,,,,,,
"54868269500","54868-2695-00",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (M.D.V.) 25 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"54868274600","54868-2746-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54868274600","54868-2746-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54868277700","54868-2777-00",,"J1817",,5/7/2007,,"INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS","NOVOLOG 100 U/ML",10,"ML","VL","SC","ML",50,"U",2,5/7/2007,,,,,,,
"54868282500","54868-2825-00",,"J1950",,3/10/2003,,"INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG","LUPRON DEPOT 3.75 MG",1,"EA","BX","IM","EA",3.75,"MG",1,3/10/2003,,,,,,,
"54868284400","54868-2844-00",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 50 MG",60,"EA","BO","PO","EA",25,"MG",2,1/1/2002,,,,,,,
"54868284401","54868-2844-01",,"Q0170",,4/21/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 50 MG",30,"EA","BO","PO","EA",25,"MG",2,4/21/2008,,,,,,,
"54868288900","54868-2889-00",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALDOL DECANOATE (AMP) 50 MG/ML",1,"ML","AM","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"54868288901","54868-2889-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALDOL DECANOATE (AMP) 50 MG/ML",1,"ML","AM","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"54868289200","54868-2892-00",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54868289202","54868-2892-02",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"54868289203","54868-2892-03",,"Q0177",,9/19/2005,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,9/19/2005,,,,,,,
"54868289204","54868-2892-04",,"Q0177",,10/11/2005,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",15,"EA","BO","PO","EA",25,"MG",1,10/11/2005,,,,,,,
"54868291300","54868-2913-00",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"54868291301","54868-2913-01",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",30,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"54868291302","54868-2913-02",,"J7509",,7/29/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",60,"EA","BO","PO","EA",4,"MG",1,7/29/2003,,,,,,,
"54868297300","54868-2973-00",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",15,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"54868297302","54868-2973-02",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"54868297303","54868-2973-03",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",30,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"54868297304","54868-2973-04",,"Q0173",,5/26/2004,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",10,"EA","BO","PO","EA",250,"MG",1,5/26/2004,,,,,,,
"54868300401","54868-3004-01",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",120,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868300402","54868-3004-02",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE 10 MG",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868300403","54868-3004-03",,"J8999",,2/2/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (USP) 10 MG",180,"EA","BO","PO","EA",1,"EA",1,2/2/2006,,,,,,,
"54868300404","54868-3004-04",,"J8999",,4/10/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (USP) 10 MG",100,"EA","BO","PO","EA",1,"EA",1,4/10/2006,,,,,,,
"54868300405","54868-3004-05",,"J8999",,4/13/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (USP) 10 MG",30,"EA","BO","PO","EA",1,"EA",1,4/13/2006,,,,,,,
"54868302500","54868-3025-00",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 400 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868305000","54868-3050-00",,"J1441",,8/14/2006,,"INJECTION, FILGRASTIM (G-CSF), 480 MCG","NEUPOGEN 480 MCG/0.8 ML",10,"ML","SR","IJ","ML",480,"MCG",1.25,8/14/2006,,,,,,,
"54868305300","54868-3053-00",,"J1200",,1/13/2006,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL 50 MG/ML",25,"ML","VL","IJ","ML",50,"MG",1,1/13/2006,,,,,,,
"54868308400","54868-3084-00",,"Q0167",,1/1/2002,,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 2.5 MG",60,"EA","BO","PO","EA",2.5,"MG",1,1/1/2002,,,,,,,
"54868308401","54868-3084-01",,"Q0167",,2/11/2004,,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL 2.5 MG",30,"EA","BO","PO","EA",2.5,"MG",1,2/11/2004,,,,,,,
"54868308402","54868-3084-02",,"Q0167",,1/27/2006,,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 2.5 MG",90,"EA","BO","PO","EA",2.5,"MG",1,1/27/2006,,,,,,,
"54868308900","54868-3089-00",,"J7799",,12/11/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (10X50ML) 50%",50,"ML","SR","IV","ML",1,"EA",1,12/11/2006,,,,,,,
"54868308901","54868-3089-01",,"J7799",,12/5/2007,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (1X1250ML) 50%",1250,"ML","GC","IV","ML",1,"EA",1,12/5/2007,,,,,,,
"54868309901","54868-3099-01",,"J8999",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGACE 40 MG/ML",240,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"54868311200","54868-3112-00",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868311200","54868-3112-00",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"54868311201","54868-3112-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868311201","54868-3112-01",,"K0416",,4/12/2004,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",6,"EA","BX","RC","EA",1,"MG",25,4/12/2004,,,,,,,
"54868313400","54868-3134-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","MARCAINE HCL (S.D.V.) 0.5%",30,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54868313401","54868-3134-01",,"J3490",,2/2/2007,,"UNCLASSIFIED DRUGS","MARCAINE HCL 0.5%",50,"ML","VL","IJ","ML",1,"EA",1,2/2/2007,,,,,,,
"54868313600","54868-3136-00",,"J2690",,2/18/2004,,"INJECTION, PROCAINAMIDE HCL, UP TO 1 GM","PROCAINAMIDE HCL (VIAL,FLIPTOP) 100 MG/ML",10,"ML","VL","IV","ML",1,"GM",0.1,2/18/2004,,,,,,,
"54868315700","54868-3157-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 2 MG",10,"EA","BO","PO","EA",0.25,"MG",8,1/1/2006,,,,,,,
"54868315700","54868-3157-00",,"Q0181",,6/21/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 2 MG",10,"EA","BO","PO","EA",1,"EA",1,6/21/2005,,,,,,,
"54868315701","54868-3157-01",,"J8540",,5/10/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (USP,GLUTEN-FREE) 2 MG",48,"EA","BO","PO","EA",0.25,"MG",8,5/10/2007,,,,,,,
"54868317900","54868-3179-00",,"J7669",,1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","ALUPENT (VIAL) 0.6%",2.5,"ML","VL","IH","ML",10,"MG",0.6,1/1/2002,,,,,,,
"54868317900","54868-3179-00","KO","J7669","KO",1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","ALUPENT (VIAL) 0.6%",2.5,"ML","VL","IH","ML",10,"MG",0.6,1/1/2002,,,,,,,
"54868318100","54868-3181-00",,"J3030",,1/1/2002,,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX (SRN) 6 MG/0.5 ML",2,"ML","BX","SC","ML",6,"MG",2,1/1/2002,,,,,,,
"54868318800","54868-3188-00",,"J2820",,5/23/2006,,"INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG","LEUKINE 500 MCG/ML",5,"ML","VL","IV","ML",50,"MCG",10,5/23/2006,,,,,,,
"54868318900","54868-3189-00",,"Q0168",,6/7/2005,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 5 MG",25,"EA","BO","PO","EA",5,"MG",1,6/7/2005,,,,,,,
"54868318901","54868-3189-01",,"Q0168",,1/30/2006,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/30/2006,,,,,,,
"54868318902","54868-3189-02",,"Q0168",,2/7/2006,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL 5 MG",60,"EA","BO","PO","EA",5,"MG",1,2/7/2006,,,,,,,
"54868318903","54868-3189-03",,"Q0168",,6/6/2006,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL 5 MG",15,"EA","NA","PO","EA",5,"MG",1,6/6/2006,,,,,,,
"54868321600","54868-3216-00",,"G9017",,2/23/2005,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (RASPBERRY) 50 MG/5 ML",473,"ML","BO","PO","ML",100,"MG",0.1,2/23/2005,,,,,,,
"54868322000","54868-3220-00",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"54868322100","54868-3221-00",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,1/1/2002,,,,,,,
"54868322101","54868-3221-01",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,1/1/2002,,,,,,,
"54868323001","54868-3230-01",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (UNI-AMP) 50 MG/ML",25,"ML","AM","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"54868323101","54868-3231-01",,"J7643",,1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"54868323101","54868-3231-01","KO","J7643","KO",1/1/2002,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (VIAL) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,1/1/2002,,,,,,,
"54868323400","54868-3234-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","STERAPRED DS (12 DAY UNI-PAK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"54868323600","54868-3236-00",,"J3490",,1/2/2003,,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC 10 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,1/2/2003,,,,,,,
"54868324400","54868-3244-00",,"Q0144",,6/8/2004,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX TRI-PAK 500 MG",3,"EA","DP","PO","EA",1,"GM",0.5,6/8/2004,,,,,,,
"54868327700","54868-3277-00",,"J1950",,1/1/2002,,"INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG","LUPRON DEPOT (S.D.V.) 3.75 MG",1,"EA","BX","IM","EA",3.75,"MG",1,1/1/2002,,,,,,,
"54868334100","54868-3341-00",,"J9214",,7/2/2003,,"INJECTION, INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS","INTRON A 50 Million IU",1,"EA","VL","IJ","EA",1,"MU",50,7/2/2003,,,,,,,
"54868334400","54868-3344-00",,"J3303",,1/1/2002,,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN (M.D.V.) 20 MG/ML",1,"ML","VL","IJ","ML",5,"MG",4,1/1/2002,,,,,,,
"54868334801","54868-3348-01",,"J1050",,1/1/2002,12/31/2002,"INJECTION, MEDROXYPROGESTERONE ACETATE, 100 MG","DEPO-PROVERA (VIAL) 400 MG/ML",2.5,"ML","VL","IM","ML",100,"MG",4,1/1/2002,,,,,,,
"54868334801","54868-3348-01",,"J1051",,1/1/2003,,"INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG","DEPO-PROVERA (VIAL) 400 MG/ML",2.5,"ML","VL","IM","ML",50,"MG",8,1/1/2003,,,,,,,
"54868334900","54868-3349-00",,"J0560",,1/1/2002,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (M.D.V.) 300000 U/ML",10,"ML","VL","IM","ML",600000,"U",0.5,1/1/2002,,,,,,,
"54868339200","54868-3392-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (VIAL) 0.5%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54868339200","54868-3392-00",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (VIAL) 0.5%",50,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2004,,,,,,,
"54868340700","54868-3407-00",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"54868340700","54868-3407-00",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"54868342900","54868-3429-00",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"54868342901","54868-3429-01",,"J0698",,1/1/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CLAFORAN (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"54868343700","54868-3437-00",,"J3490",,2/2/2007,,"UNCLASSIFIED DRUGS","MARCAINE 0.25%",50,"ML","VL","IJ","ML",1,"EA",1,2/2/2007,,,,,,,
"54868344100","54868-3441-00",,"G9036",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","FLUMADINE 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"54868345900","54868-3459-00",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL LACTATE (S.D.V.) 5 MG/ML",1,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"54868347100","54868-3471-00",,"J2300",,1/1/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (M.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54868347400","54868-3474-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54868347400","54868-3474-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",100,"U",1,1/1/2002,,,,,,,
"54868347900","54868-3479-00",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","VENTOLIN 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"54868347900","54868-3479-00",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","VENTOLIN 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"54868348000","54868-3480-00",,"J2540",,1/1/2002,12/8/2004,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PENICILLIN G POTASSIUM (VIAL) 5 Million U",1,"EA","VL","IV","EA",600000,"U",8.33333,1/1/2002,,,,,,,
"54868348100","54868-3481-00",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"54868350800","54868-3508-00",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN (1X3 DAILY PACK) 4 MG",3,"EA","BX","PO","EA",8,"MG",0.5,1/1/2002,,,,,,,
"54868350801","54868-3508-01",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,1/1/2002,,,,,,,
"54868350802","54868-3508-02",,"Q0179",,10/20/2003,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",10,"EA","BO","PO","EA",8,"MG",0.5,10/20/2003,,,,,,,
"54868350900","54868-3509-00",,"Q0179",,1/1/2002,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN (1X3 DAILY PACK) 8 MG",3,"EA","BX","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"54868350901","54868-3509-01",,"Q0179",,6/28/2005,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",15,"EA","BO","PO","EA",8,"MG",1,6/28/2005,,,,,,,
"54868350902","54868-3509-02",,"Q0179",,7/7/2005,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",10,"EA","BO","PO","EA",8,"MG",1,7/7/2005,,,,,,,
"54868350903","54868-3509-03",,"Q0179",,10/19/2005,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",20,"EA","BO","PO","EA",8,"MG",1,10/19/2005,,,,,,,
"54868355500","54868-3555-00",,"J7631",,3/24/2003,,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,3/24/2003,,,,,,,
"54868355500","54868-3555-00","KO","J7631","KO",3/24/2003,,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,3/24/2003,,,,,,,
"54868355900","54868-3559-00",,"J2175",,1/1/2002,9/30/2005,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL 50 MG/ML",30,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"54868356600","54868-3566-00",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"54868356601","54868-3566-01",,"J2060",,1/1/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (M.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,1/1/2002,,,,,,,
"54868356602","54868-3566-02",,"J2060",,1/10/2007,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM 2 MG/ML",25,"ML","VL","IJ","ML",2,"MG",1,1/10/2007,,,,,,,
"54868358300","54868-3583-00",,"J3490",,1/1/2002,9/30/2003,"UNCLASSIFIED DRUGS","DOPAMINE HCL (SRN) 40 MG/ML",10,"ML","SR","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"54868358300","54868-3583-00",,"Q4076",,10/1/2003,7/9/2005,"INJECTION, DOPAMINE HCL, 40 MG","DOPAMINE HCL (SRN) 40 MG/ML",10,"ML","SR","IV","ML",40,"MG",1,10/1/2003,,,,,,,
"54868359800","54868-3598-00",,"J1815",,6/30/2005,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,6/30/2005,,,,,,,
"54868360800","54868-3608-00",,"J2300",,1/1/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54868360801","54868-3608-01",,"J2300",,5/24/2007,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (10X1ML) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,5/24/2007,,,,,,,
"54868360900","54868-3609-00",,"J2300",,1/1/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (M.D.V.) 20 MG/ML",10,"ML","AM","IJ","ML",10,"MG",2,1/1/2002,,,,,,,
"54868361000","54868-3610-00",,"J2175",,1/1/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (M.D.V.) 100 MG/ML",20,"ML","VL","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"54868361100","54868-3611-00",,"J2175",,1/1/2002,9/30/2005,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (VIAL) 100 MG/ML",20,"ML","VL","IJ","ML",100,"MG",1,1/1/2002,,,,,,,
"54868361300","54868-3613-00",,"J1055",,1/1/2002,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (SRN,PREFILLED) 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,1/1/2002,,,,,,,
"54868361500","54868-3615-00",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEP-LOCK U/P (VIAL,DOSETTE,PF) 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"54868361800","54868-3618-00",,"J1080",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE (M.D.V.) 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,4/14/2005,,1/1/2002,11/8/2002,1,,,
"54868361801","54868-3618-01",,"J1080",,8/10/2007,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","TESTOSTERONE CYPIONATE 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,8/10/2007,,,,,,,
"54868361900","54868-3619-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN R 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"54868361900","54868-3619-00",,"J1820",,1/1/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMULIN R 100 U/ML",10,"ML","VL","IJ","ML",100,"U",1,1/1/2002,,,,,,,
"54868362300","54868-3623-00",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (W/DILUENT) 500 MG",1,"EA","VL","IJ","EA",125,"MG",4,1/1/2002,,,,,,,
"54868363700","54868-3637-00",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (ACT-O-VIAL) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,1/1/2002,,,,,,,
"54868363701","54868-3637-01",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL (ACT-O-VIAL) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,1/1/2002,,,,,,,
"54868364100","54868-3641-00",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (M.D.V.) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"54868364400","54868-3644-00",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (M.D.V.) 10 MG/ML",30,"ML","VL","IJ","ML",50,"MG",0.2,1/1/2002,,,,,,,
"54868364500","54868-3645-00",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (CARPUJECT) 10 MG/ML",2,"ML","SR","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"54868364800","54868-3648-00",,"Q0144",,11/16/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (TRI-PACK) 500 MG",3,"EA","DP","PO","EA",1,"GM",0.5,11/16/2005,,,,,,,
"54868367000","54868-3670-00",,"J3360",,1/1/2002,,"INJECTION, DIAZEPAM, UP TO 5 MG","VALIUM 5 MG/ML",2,"ML","AM","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"54868368200","54868-3682-00",,"J7649",,1/1/2002,10/29/2004,"ISOETHARINE HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOETHARINE HCL (W/DROPPER) 1%",30,"ML","BO","IH","ML",1,"MG",10,1/1/2002,,,,,,,
"54868368200","54868-3682-00","KO","J7649","KO",1/1/2002,10/29/2004,"ISOETHARINE HCL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ISOETHARINE HCL (W/DROPPER) 1%",30,"ML","BO","IH","ML",1,"MG",10,1/1/2002,,,,,,,
"54868368600","54868-3686-00",,"J2300",,1/1/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (AMP,W/O SULFITE/PARABEN) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54868368601","54868-3686-01",,"J2300",,1/1/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (AMP,W/O SULFITE/PARABEN) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54868369200","54868-3692-00",,"J0380",,1/1/2002,,"INJECTION, METARAMINOL BITARTRATE, PER 10 MG","ARAMINE 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54868369400","54868-3694-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (M.D.V.) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"54868369500","54868-3695-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLINDAMYCIN PHOSPHATE (S.D.V.) 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54868370300","54868-3703-00",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (18GX1-1/2"") 50%",50,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"54868372700","54868-3727-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (VIAL) 2.5 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"54868373800","54868-3738-00",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP) 0.05 MG/ML",2,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"54868373801","54868-3738-01",,"J3010",,1/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (AMP) 0.05 MG/ML",2,"ML","AM","IJ","ML",0.1,"MG",0.5,1/1/2002,,,,,,,
"54868382600","54868-3826-00",,,,12/4/2002,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE 2.5 MG",16,"EA","DP","PO","EA",2.5,"MG",1,12/4/2002,,,,,,,
"54868382601","54868-3826-01",,,,12/4/2002,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE 2.5 MG",12,"EA","DP","PO","EA",2.5,"MG",1,12/4/2002,,,,,,,
"54868382602","54868-3826-02",,,,12/9/2002,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE 2.5 MG",24,"EA","DP","PO","EA",2.5,"MG",1,12/9/2002,,,,,,,
"54868382603","54868-3826-03",,,,8/25/2003,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",20,"EA","BO","PO","EA",2.5,"MG",1,8/25/2003,,,,,,,
"54868382604","54868-3826-04",,,,8/25/2003,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",28,"EA","BO","PO","EA",2.5,"MG",1,8/25/2003,,,,,,,
"54868382605","54868-3826-05",,,,7/20/2004,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,7/20/2004,,,,,,,
"54868382606","54868-3826-06",,,,11/22/2004,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",50,"EA","BO","PO","EA",2.5,"MG",1,11/22/2004,,,,,,,
"54868382607","54868-3826-07",,,,11/4/2005,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE 2.5 MG",30,"EA","BO","PO","EA",2.5,"MG",1,11/4/2005,,,,,,,
"54868384300","54868-3843-00",,"J1885",,6/21/2002,8/6/2007,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","TORADOL IV/IM (TUBEX, 22GX1/2"") 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,6/21/2002,,,,,,,
"54868384700","54868-3847-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CEFOTAN (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"54868385100","54868-3851-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CEFOTAN (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2002,,,,,,,
"54868385901","54868-3859-01",,"J2560",,1/1/2002,,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG","PHENOBARBITAL SODIUM (TUBEX) 30 MG/ML",1,"ML","SR","IJ","ML",120,"MG",0.25,1/1/2002,,,,,,,
"54868387300","54868-3873-00",,"J1800",,12/11/2006,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL (S.D.V.,10X1ML) 1 MG/ML",1,"ML","VL","IV","ML",1,"MG",1,12/11/2006,,,,,,,
"54868388900","54868-3889-00",,"J2597",,1/1/2002,,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DDAVP (VIAL) 4 MCG/ML",10,"ML","VL","IJ","ML",1,"MCG",4,1/1/2002,,,,,,,
"54868389000","54868-3890-00",,"J1790",,1/1/2002,,"INJECTION, DROPERIDOL, UP TO 5 MG","DROPERIDOL (AMP) 2.5 MG/ML",1,"ML","AM","IJ","ML",5,"MG",0.5,1/1/2002,,,,,,,
"54868389300","54868-3893-00",,"J0460",,1/1/2002,12/31/2009,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (S.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",3.33333,1/1/2002,12/31/2009,,,,,,
"54868389400","54868-3894-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE (AMP) 2%",5,"ML","AM","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54868389400","54868-3894-00",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE (AMP) 2%",5,"ML","AM","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"54868389600","54868-3896-00",,"J1030",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL (M.D.V.) 40 MG/ML",10,"ML","VL","IJ","ML",40,"MG",1,1/1/2002,,,,,,,
"54868389601","54868-3896-01",,"J1030",,5/3/2005,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL 40 MG/ML",25,"ML","VL","IJ","ML",40,"MG",1,5/3/2005,,,,,,,
"54868389602","54868-3896-02",,"J1030",,2/2/2007,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO-MEDROL 40 MG/ML",5,"ML","VL","IJ","ML",40,"MG",1,2/2/2007,,,,,,,
"54868390500","54868-3905-00",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION",6000,"ML","FC","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"54868390500","54868-3905-00",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION",6000,"ML","FC","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54868391000","54868-3910-00",,"J0725",,5/2/2003,12/13/2005,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","PROFASI 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,5/2/2003,,,,,,,
"54868397500","54868-3975-00",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.)",5,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"54868397500","54868-3975-00",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.)",5,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54868397700","54868-3977-00",,"J1094",,1/1/2003,7/27/2005,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE ACETATE (VIAL) 8 MG/ML",5,"ML","VL","IJ","ML",1,"MG",8,1/1/2003,,,,,,,
"54868397700","54868-3977-00",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE ACETATE (VIAL) 8 MG/ML",5,"ML","VL","IJ","ML",8,"MG",1,1/1/2002,,,,,,,
"54868397900","54868-3979-00",,"J0740",,4/12/2006,,"INJECTION, CIDOFOVIR, 375 MG","VISTIDE 75 MG/ML",5,"ML","VL","IV","ML",375,"MG",0.2,4/12/2006,,,,,,,
"54868399600","54868-3996-00",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868399601","54868-3996-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868399602","54868-3996-02",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868399603","54868-3996-03",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868399604","54868-3996-04",,"J8499",,6/17/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,6/17/2004,,,,,,,
"54868399605","54868-3996-05",,"J8499",,8/6/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",60,"EA","BO","PO","EA",1,"EA",1,8/6/2007,,,,,,,
"54868399700","54868-3997-00",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868399701","54868-3997-01",,"J8499",,6/12/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,6/12/2003,,,,,,,
"54868399702","54868-3997-02",,"J8499",,9/25/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",20,"EA","BO","PO","EA",1,"EA",1,9/25/2003,,,,,,,
"54868399703","54868-3997-03",,"J8499",,10/20/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",10,"EA","BO","PO","EA",1,"EA",1,10/20/2003,,,,,,,
"54868399704","54868-3997-04",,"J8499",,11/3/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",40,"EA","BO","PO","EA",1,"EA",1,11/3/2003,,,,,,,
"54868399705","54868-3997-05",,"J8499",,8/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","BO","PO","EA",1,"EA",1,8/1/2005,,,,,,,
"54868399800","54868-3998-00",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868399801","54868-3998-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"54868399802","54868-3998-02",,"J8499",,3/5/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",15,"EA","BO","PO","EA",1,"EA",1,3/5/2003,,,,,,,
"54868399803","54868-3998-03",,"J8499",,12/8/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",20,"EA","BO","PO","EA",1,"EA",1,12/8/2003,,,,,,,
"54868399804","54868-3998-04",,"J8499",,1/28/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",40,"EA","BO","PO","EA",1,"EA",1,1/28/2004,,,,,,,
"54868399805","54868-3998-05",,"J8499",,6/9/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,6/9/2004,,,,,,,
"54868399806","54868-3998-06",,"J8499",,7/6/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",35,"EA","BO","PO","EA",1,"EA",1,7/6/2004,,,,,,,
"54868399807","54868-3998-07",,"J8499",,7/23/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",500,"EA","BO","PO","EA",1,"EA",1,7/23/2004,,,,,,,
"54868399808","54868-3998-08",,"J8499",,4/22/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",60,"EA","BO","PO","EA",1,"EA",1,4/22/2005,,,,,,,
"54868402100","54868-4021-00",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (AMP) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2002,,,,,,,
"54868404700","54868-4047-00",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"54868405000","54868-4050-00",,"J2271",,1/1/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE",1,"EA","JR","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"54868406100","54868-4061-00",,"J3360",,1/1/2002,7/21/2003,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (VIAL) 5 MG/ML",1,"ML","VL","IJ","ML",5,"MG",1,1/1/2002,,,,,,,
"54868407600","54868-4076-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,1/1/2002,,,,,,,
"54868407800","54868-4078-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"54868407801","54868-4078-01",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"54868407802","54868-4078-02",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,1/1/2002,,,,,,,
"54868408200","54868-4082-00",,"J7644",,1/1/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"54868408200","54868-4082-00","KO","J7644","KO",1/1/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"54868408201","54868-4082-01",,"J7644",,1/1/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"54868408201","54868-4082-01","KO","J7644","KO",1/1/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (VIAL) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"54868409500","54868-4095-00",,"J7506",,4/23/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (12 DAY DOSE PACK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,4/23/2002,,,,,,,
"54868409600","54868-4096-00",,"J7506",,11/27/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (6 DAY DOSEPAK) 5 MG",21,"EA","BX","PO","EA",5,"MG",1,11/27/2002,,,,,,,
"54868410000","54868-4100-00",,"J1055",,1/1/2002,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (SRN,PREFILLED) 150 MG/ML",1,"ML","SR","IM","ML",150,"MG",1,1/1/2002,,,,,,,
"54868410001","54868-4100-01",,"J1055",,2/11/2002,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO-PROVERA CONTRACEPTIVE (SRN,PREFILLED) 150 MG/ML",1,"ML","SR","IM","ML",150,"MG",1,2/11/2002,,,,,,,
"54868410300","54868-4103-00",,"J1580",,2/12/2003,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (FLIPTOP VIAL) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,2/12/2003,,,,,,,
"54868410600","54868-4106-00",,"J3260",,1/1/2002,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (M.D.V.) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"54868410900","54868-4109-00",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 100 MG",100,"EA","BO","PO","EA",50,"MG",2,1/1/2002,,,,,,,
"54868412100","54868-4121-00",,"J0725",,7/13/2007,,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","CHORIONIC GONADOTROP 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,7/13/2007,,,,,,,
"54868412300","54868-4123-00",,"J0585",,1/1/2002,,"INJECTION, ONABOTULINUMTOXINA, 1 UNIT","BOTOX 100 U",1,"EA","VL","IM","EA",1,"U",100,1/1/2002,,,,,,,
"54868413600","54868-4136-00",,"J2180",,1/1/2002,,"INJECTION, MEPERIDINE AND PROMETHAZINE HCL, UP TO 50 MG","MEPERGAN (TUBEX,22GX1 1/4"") 25 MG/ML-25 MG/ML",2,"ML","SR","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"54868413700","54868-4137-00",,"J0780",,1/1/2002,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (CARPUJECT) 5 MG/ML",2,"ML","SR","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"54868413800","54868-4138-00",,"Q0180",,2/10/2005,,"DOLASETRON MESYLATE, 100  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","ANZEMET 100 MG",5,"EA","BO","PO","EA",100,"MG",1,2/10/2005,,,,,,,
"54868413801","54868-4138-01",,"Q0180",,9/22/2005,,"DOLASETRON MESYLATE, 100  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","ANZEMET 100 MG",1,"EA","BO","PO","EA",100,"MG",1,9/22/2005,,,,,,,
"54868413900","54868-4139-00",,"Q0166",,6/3/2005,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",2,"EA","BO","PO","EA",1,"MG",1,6/3/2005,,,,,,,
"54868413901","54868-4139-01",,"Q0166",,6/28/2005,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",10,"EA","BO","PO","EA",1,"MG",1,6/28/2005,,,,,,,
"54868413902","54868-4139-02",,"Q0166",,9/7/2005,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",6,"EA","BO","PO","EA",1,"MG",1,9/7/2005,,,,,,,
"54868413903","54868-4139-03",,"Q0166",,10/14/2005,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",8,"EA","BO","PO","EA",1,"MG",1,10/14/2005,,,,,,,
"54868413904","54868-4139-04",,"Q0166",,9/22/2005,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",3,"EA","BO","PO","EA",1,"MG",1,9/22/2005,,,,,,,
"54868413905","54868-4139-05",,"Q0166",,1/5/2006,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",20,"EA","BO","PO","EA",1,"MG",1,1/5/2006,,,,,,,
"54868413906","54868-4139-06",,"Q0166",,6/7/2006,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","KYTRIL 1 MG",30,"EA","BO","PO","EA",1,"MG",1,6/7/2006,,,,,,,
"54868414200","54868-4142-00",,,,6/29/2005,,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",5,"EA","BO","PO","EA",20,"MG",1,6/29/2005,,,,,,,
"54868414201","54868-4142-01",,,,8/3/2006,,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",25,"EA","BO","PO","EA",20,"MG",1,8/3/2006,,,,,,,
"54868414202","54868-4142-02",,,,1/26/2006,,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",10,"EA","BO","PO","EA",20,"MG",1,1/26/2006,,,,,,,
"54868414203","54868-4142-03",,,,3/16/2006,,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",60,"EA","BO","PO","EA",20,"MG",1,3/16/2006,,,,,,,
"54868414204","54868-4142-04",,,,3/23/2006,,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",40,"EA","BO","PO","EA",20,"MG",1,3/23/2006,,,,,,,
"54868414205","54868-4142-05",,,,3/23/2006,,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",30,"EA","BO","PO","EA",20,"MG",1,3/23/2006,,,,,,,
"54868414206","54868-4142-06",,,,5/16/2006,,"TEMODAR, 20 MG, ORAL","TEMODAR 20 MG",20,"EA","BO","PO","EA",20,"MG",1,5/16/2006,,,,,,,
"54868414300","54868-4143-00",,,,2/10/2005,,"CAPECITABINE, 150 MG, ORAL","XELODA 150 MG",60,"EA","BO","PO","EA",150,"MG",1,2/10/2005,,,,,,,
"54868414300","54868-4143-00","QR","J8520","QR",2/10/2005,,"CAPECITABINE, ORAL, 150 MG","XELODA 150 MG",60,"EA","BO","PO","EA",150,"MG",1,2/10/2005,,,,,,,
"54868414301","54868-4143-01",,,,8/8/2007,,"CAPECITABINE, 150 MG, ORAL","XELODA 150 MG",120,"EA","BO","PO","EA",150,"MG",1,8/8/2007,,,,,,,
"54868414301","54868-4143-01","QR","J8520","QR",8/8/2007,,"CAPECITABINE, ORAL, 150 MG","XELODA 150 MG",120,"EA","BO","PO","EA",150,"MG",1,8/8/2007,,,,,,,
"54868414302","54868-4143-02",,,,10/19/2005,,"CAPECITABINE, 150 MG, ORAL","XELODA 150 MG",30,"EA","BO","PO","EA",150,"MG",1,10/19/2005,,,,,,,
"54868414302","54868-4143-02","QR","J8520","QR",10/19/2005,,"CAPECITABINE, ORAL, 150 MG","XELODA 150 MG",30,"EA","BO","PO","EA",150,"MG",1,10/19/2005,,,,,,,
"54868414303","54868-4143-03",,,,5/19/2006,,"CAPECITABINE, 150 MG, ORAL","XELODA 150 MG",28,"EA","BO","PO","EA",150,"MG",1,5/19/2006,,,,,,,
"54868414303","54868-4143-03","QR","J8520","QR",5/19/2006,,"CAPECITABINE, ORAL, 150 MG","XELODA 150 MG",28,"EA","BO","PO","EA",150,"MG",1,5/19/2006,,,,,,,
"54868415400","54868-4154-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE (S.D.V.) 150 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"54868416700","54868-4167-00",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (S.D.V.) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"54868416900","54868-4169-00",,"J3490",,3/2/2004,,"UNCLASSIFIED DRUGS","CLEOCIN PHOSPHATE (S.D.V.) 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,3/2/2004,,,,,,,
"54868418300","54868-4183-00",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX Z-PAK 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"54868418900","54868-4189-00",,"J2270",,1/1/2002,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (AMP,DOSETTE) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"54868419300","54868-4193-00",,"J1460",,1/1/2002,10/3/2006,"INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC","BAYGAM (S.D.V.,PF) 15%-18% (DF & C)",2,"ML","VL","IM","ML",1,"ML",1,1/1/2002,,,,,,,
"54868419400","54868-4194-00",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (VIAL) 5 GM",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"54868421900","54868-4219-00",,"J7322",,1/1/2008,12/31/2009,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC 8 MG/ML",2,"ML","NA","IJ","ML",1,"DOSE",0.5,1/1/2008,12/31/2009,,,,,,
"54868421900","54868-4219-00",,"Q4084",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC 8 MG/ML",2,"ML","NA","IJ","ML",1,"DOSE",0.5,1/1/2007,,,,,,,
"54868428700","54868-4287-00",,"J8999",,1/17/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 20 MG",30,"EA","BO","PO","EA",1,"EA",1,1/17/2005,,,,,,,
"54868428701","54868-4287-01",,"J8999",,1/17/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 20 MG",10,"EA","BO","PO","EA",1,"EA",1,1/17/2005,,,,,,,
"54868428702","54868-4287-02",,"J8999",,2/14/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 20 MG",100,"EA","BO","PO","EA",1,"EA",1,2/14/2005,,,,,,,
"54868428703","54868-4287-03",,"J8999",,9/22/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 20 MG",90,"EA","BO","PO","EA",1,"EA",1,9/22/2005,,,,,,,
"54868428704","54868-4287-04",,"J8999",,1/18/2008,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 20 MG",60,"EA","BO","PO","EA",1,"EA",1,1/18/2008,,,,,,,
"54868429600","54868-4296-00",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR IRRIGATION",500,"ML","VL","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"54868429600","54868-4296-00",,"A4319",,1/1/2002,12/31/2003,"STERILE WATER IRRIGATION SOLUTION, 1000 ML","WATER FOR IRRIGATION",500,"ML","VL","IR","ML",1000,"ML",0.001,1/1/2002,,,,,,,
"54868429800","54868-4298-00",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","XYLOCAINE 0.5%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"54868429800","54868-4298-00",,"J2001",,1/1/2004,12/31/2007,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE 0.5%",50,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2004,,,,,,,
"54868431100","54868-4311-00",,"A4217",,1/1/2004,,"STERILE WATER/SALINE, 500 ML","WATER FOR INJECTION",500,"ML","NA","IV","ML",500,"ML",0.002,1/1/2004,,,,,,,
"54868431100","54868-4311-00",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION",500,"ML","NA","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"54868431900","54868-4319-00",,"J1750",,1/1/2009,,"INJECTION, IRON DEXTRAN, 50 MG","INFED (2MLX10) 50 MG/ML",2,"ML","VL","IJ","ML",50,"MG",1,1/1/2009,,,,,,,
"54868431900","54868-4319-00",,"Q4098",,4/1/2008,12/31/2008,"INJECTION, IRON DEXTRAN, 50 MG","INFED (2MLX10) 50 MG/ML",2,"ML","VL","IJ","ML",50,"MG",1,4/1/2008,,,,,,,
"54868433900","54868-4339-00",,,,8/16/2005,,"MELPHALAN, 2 MG, ORAL","ALKERAN (FILM-COATED) 2 MG",4,"EA","BO","PO","EA",2,"MG",1,8/16/2005,,,,,,,
"54868433901","54868-4339-01",,,,11/22/2005,,"MELPHALAN, 2 MG, ORAL","ALKERAN 2 MG",50,"EA","BO","PO","EA",2,"MG",1,11/22/2005,,,,,,,
"54868433902","54868-4339-02",,,,2/3/2006,,"MELPHALAN, 2 MG, ORAL","ALKERAN 2 MG",24,"EA","BO","PO","EA",2,"MG",1,2/3/2006,,,,,,,
"54868433903","54868-4339-03",,,,4/3/2006,,"MELPHALAN, 2 MG, ORAL","ALKERAN 2 MG",28,"EA","BO","PO","EA",2,"MG",1,4/3/2006,,,,,,,
"54868433904","54868-4339-04",,,,2/5/2008,,"MELPHALAN, 2 MG, ORAL","ALKERAN 2 MG",32,"EA","BO","PO","EA",2,"MG",1,2/5/2008,,,,,,,
"54868437700","54868-4377-00",,"G9034",,12/1/2004,5/31/2005,"ZANAMIVIR, INHALATION POWDER ADMINISTERED THROUGH INHALER, BRAND, PER 10 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","RELENZA (5X4,W/DISKHALER) 5 MG/Actuation",20,"EA","IH","IH","EA",10,"MG",0.5,12/1/2004,,,,,,,
"54868438000","54868-4380-00",,"J0330",,1/1/2002,6/21/2005,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG","SUCCINYLCHOLINE CHLORIDE (VIAL) 20 MG/ML",10,"ML","VL","IV","ML",20,"MG",1,1/1/2002,,,,,,,
"54868438100","54868-4381-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54868438100","54868-4381-00",,"J1820",,6/14/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML",10,"ML","VL","SC","ML",100,"U",1,6/14/2002,,,,,,,
"54868440900","54868-4409-00",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"54868440900","54868-4409-00",,"J7614",,4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.021%",3,"ML","PC","IH","ML",0.5,"MG",0.42,4/1/2008,,,,,,,
"54868440900","54868-4409-00","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.021%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"54868440900","54868-4409-00","KO","J7614","KO",4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.021%",3,"ML","PC","IH","ML",0.5,"MG",0.42,4/1/2008,,,,,,,
"54868441900","54868-4419-00",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"54868441901","54868-4419-01",,"J1885",,10/17/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,10/17/2005,,,,,,,
"54868446400","54868-4464-00",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (PF) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"54868446400","54868-4464-00",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (PF) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"54868447600","54868-4476-00",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU 75 MG",10,"EA","BO","PO","EA",75,"MG",1,12/1/2004,,,,,,,
"54868448400","54868-4484-00",,"J3490",,1/1/2002,10/24/2003,"UNCLASSIFIED DRUGS","FLAGYL I.V. (S.D.V.) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"54868448800","54868-4488-00",,"J2540",,1/1/2002,,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS","PENICILLIN G POTASSIUM (VIAL,PHARMACY BOTTLE) 20 Million U",1,"EA","VL","IV","EA",600000,"U",33.33333,1/1/2002,,,,,,,
"54868450800","54868-4508-00",,"J1720",,1/1/2002,,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG","SOLU-CORTEF (ACT-O-VIAL) 1 GM",1,"EA","VL","IJ","EA",100,"MG",10,1/1/2002,,,,,,,
"54868450900","54868-4509-00",,"J2405",,1/1/2002,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ZOFRAN (S.D.V.) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,1/1/2002,,,,,,,
"54868452700","54868-4527-00",,"J0456",,1/1/2002,,"INJECTION, AZITHROMYCIN, 500 MG","ZITHROMAX (VIAL) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"54868454700","54868-4547-00",,"J0744",,1/1/2002,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPRO IV (VIAL) 10 MG/ML",40,"ML","VL","IV","ML",200,"MG",0.05,1/1/2002,,,,,,,
"54868457900","54868-4579-00",,"J3280",,1/1/2002,,"INJECTION, THIETHYLPERAZINE MALEATE, UP TO 10 MG","TORECAN (AMP) 5 MG/ML",2,"ML","AM","IM","ML",10,"MG",0.5,1/1/2002,,,,,,,
"54868458000","54868-4580-00",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,PF) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"54868458600","54868-4586-00",,"J3360",,1/23/2002,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (22GX1 1/4"",CARPUJECT) 5 MG/ML",2,"ML","SR","IJ","ML",5,"MG",1,1/23/2002,,,,,,,
"54868462600","54868-4626-00",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","LANTUS (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"54868462600","54868-4626-00",,"J1820",,6/14/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","LANTUS (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,6/14/2002,,,,,,,
"54868462800","54868-4628-00",,"J8999",,6/12/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",180,"EA","BO","PO","EA",1,"EA",1,6/12/2002,,,,,,,
"54868462900","54868-4629-00",,"J3490",,10/7/2003,,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,10/7/2003,,,,,,,
"54868464400","54868-4644-00",,"Q0144",,7/26/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,7/26/2002,,,,,,,
"54868464401","54868-4644-01",,"Q0144",,2/21/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,2/21/2005,,,,,,,
"54868464402","54868-4644-02",,"Q0144",,6/1/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,6/1/2005,,,,,,,
"54868465100","54868-4651-00",,"J0690",,9/15/2003,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL,PF) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,9/15/2003,,,,,,,
"54868466000","54868-4660-00",,"J1056",,9/17/2002,10/1/2004,"INJECTION, MEDROXYPROGESTERONE ACETATE / ESTRADIOL CYPIONATE, 5MG / 25MG","LUNELLE MONTHLY CONTRACEPTIVE (S.D.V.) 5 MG/0.5 ML-25 MG/0.5 ML",0.5,"ML","VL","IM","ML",5,"MG",2,9/17/2002,,,,,,,
"54868468400","54868-4684-00",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU (TUTTI FRUTTI) 12 MG/ML",25,"ML","BO","PO","ML",75,"MG",0.16,12/1/2004,,,,,,,
"54868468600","54868-4686-00",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHEGAN 25 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"54868468600","54868-4686-00",,"K0416",,9/30/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHEGAN 25 MG",6,"EA","BX","RC","EA",1,"MG",25,9/30/2002,,,,,,,
"54868468601","54868-4686-01",,"J8498",,4/26/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHEGAN 25 MG",12,"EA","NA","RC","EA",1,"EA",1,4/26/2006,,,,,,,
"54868471500","54868-4715-00",,"J1750",,1/1/2009,,"INJECTION, IRON DEXTRAN, 50 MG","IRON DEXTRAN 50 MG/ML",20,"ML","VL","IJ","ML",50,"MG",1,1/1/2009,,,,,,,
"54868471500","54868-4715-00",,"Q4098",,4/1/2008,12/31/2008,"INJECTION, IRON DEXTRAN, 50 MG","IRON DEXTRAN 50 MG/ML",20,"ML","VL","IJ","ML",50,"MG",1,4/1/2008,,,,,,,
"54868471600","54868-4716-00",,"J9250",,12/16/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (P.F.V.,PF) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,12/16/2002,,,,,,,
"54868472100","54868-4721-00",,"Q0164",,2/10/2003,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,2/10/2003,,,,,,,
"54868472101","54868-4721-01",,"Q0164",,4/8/2003,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",15,"EA","BO","PO","EA",5,"MG",1,4/8/2003,,,,,,,
"54868472102","54868-4721-02",,"Q0164",,6/9/2005,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,6/9/2005,,,,,,,
"54868472103","54868-4721-03",,"Q0164",,6/4/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,6/4/2007,,,,,,,
"54868474800","54868-4748-00",,"J7510",,2/28/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,2/28/2003,,,,,,,
"54868474900","54868-4749-00",,"J7510",,2/28/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,2/28/2003,,,,,,,
"54868474901","54868-4749-01",,"J7510",,5/25/2004,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,5/25/2004,,,,,,,
"54868475100","54868-4751-00",,"J2175",,3/11/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (CARPUJECT) 100 MG/ML",1,"ML","AM","IJ","ML",100,"MG",1,3/11/2003,,,,,,,
"54868475101","54868-4751-01",,"J2175",,7/3/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE 100 MG/ML",1,"ML","AM","IJ","ML",100,"MG",1,7/3/2003,,,,,,,
"54868475200","54868-4752-00",,"J2270",,3/11/2003,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE 10 MG/ML",1,"ML","VL","IJ","ML",10,"MG",1,3/11/2003,,,,,,,
"54868475201","54868-4752-01",,"J2270",,5/26/2004,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE 10 MG/ML",1,"ML","VL","IJ","ML",10,"MG",1,5/26/2004,,,,,,,
"54868477300","54868-4773-00",,"J8999",,4/10/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",30,"EA","BO","PO","EA",1,"EA",1,4/10/2003,,,,,,,
"54868477301","54868-4773-01",,"J8999",,8/6/2003,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",100,"EA","BO","PO","EA",1,"EA",1,8/6/2003,,,,,,,
"54868477302","54868-4773-02",,"J8999",,7/7/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",50,"EA","BO","PO","EA",1,"EA",1,7/7/2005,,,,,,,
"54868477303","54868-4773-03",,"J8999",,7/14/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",60,"EA","BO","PO","EA",1,"EA",1,7/14/2005,,,,,,,
"54868478100","54868-4781-00",,"J3490",,4/24/2003,,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (PEDIATRIC,PF) 10 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,4/24/2003,,,,,,,
"54868478200","54868-4782-00",,"J1438",,4/30/2003,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (PF) 25 MG",4,"EA","BX","SC","EA",25,"MG",1,4/30/2003,,,,,,,
"54868479400","54868-4794-00",,"K0416",,5/20/2003,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,5/20/2003,,,,,,,
"54868479402","54868-4794-02",,"J8498",,8/8/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE 12.5 MG",2,"EA","BX","RC","EA",1,"EA",1,8/8/2007,,,,,,,
"54868479600","54868-4796-00",,"J9250",,5/21/2003,11/30/2008,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (VIAL, L.P.P.) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,5/21/2003,11/30/2008,,,,,,
"54868480400","54868-4804-00",,"J2270",,5/30/2003,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (22G,SLIM PK,LATEX-FREE) 10 MG/ML",1,"ML","EA","IJ","ML",10,"MG",1,5/30/2003,,,,,,,
"54868480900","54868-4809-00",,"J9250",,6/3/2003,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (VIAL, L.P.P.) 25 MG/ML",10,"ML","EA","IJ","ML",5,"MG",5,6/3/2003,,,,,,,
"54868482200","54868-4822-00",,"J0135",,1/1/2005,,"INJECTION, ADALIMUMAB, 20 MG","HUMIRA (KIT,PF) 40 MG/0.8 ML",0.8,"ML","BX","MR","EA",20,"MG",4,1/1/2005,,,,,,,
"54868482200","54868-4822-00",,"J3590",,6/23/2003,12/31/2004,"UNCLASSIFIED BIOLOGICS","HUMIRA (KIT,PF) 40 MG/0.8 ML",0.8,"ML","BX","MR","EA",1,"EA",1,6/23/2003,,,,,,,
"54868489000","54868-4890-00",,"J0270",,8/28/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","CAVERJECT IMPULSE 20 MCG",1,"EA","BX","IC","EA",1.25,"MCG",16,8/28/2003,,,,,,,
"54868489300","54868-4893-00",,"J2322",,8/13/2003,8/18/2007,"INJECTION, NANDROLONE DECANOATE, UP TO 200 MG","NANDROLONE DECANOATE 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,8/13/2003,8/18/2007,,,,,,
"54868489301","54868-4893-01",,"J2322",,8/14/2003,8/18/2007,"INJECTION, NANDROLONE DECANOATE, UP TO 200 MG","NANDROLONE DECANOATE 200 MG/ML",1,"ML","VL","IM","ML",200,"MG",1,8/14/2003,8/18/2007,,,,,,
"54868492500","54868-4925-00",,"J2400",,9/25/2003,,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","NESACAINE (M.D.V.) 2%",30,"ML","VL","IJ","ML",30,"ML",0.03333,9/25/2003,,,,,,,
"54868495200","54868-4952-00",,"J7509",,10/30/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 2 MG",30,"EA","BO","PO","EA",4,"MG",0.5,10/30/2003,,,,,,,
"54868495201","54868-4952-01",,"J7509",,10/30/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 2 MG",10,"EA","BO","PO","EA",4,"MG",0.5,10/30/2003,,,,,,,
"54868497200","54868-4972-00",,"J7699",,1/8/2004,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORADIL AEROLIZER 0.012 MG",12,"EA","BX","IH","EA",1,"EA",1,1/8/2004,,,,,,,
"54868497201","54868-4972-01",,"J7699",,5/28/2004,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORADIL AEROLIZER 0.012 MG",60,"EA","BX","IH","EA",1,"EA",1,5/28/2004,,,,,,,
"54868499700","54868-4997-00",,"J0725",,2/18/2004,,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","PREGNYL (W/DILUENT) 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,2/18/2004,,,,,,,
"54868499800","54868-4998-00",,"J1940",,2/18/2004,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (VIAL,FLIPTOP,ABBOJECT) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,2/18/2004,,,,,,,
"54868500000","54868-5000-00",,"J8999",,2/19/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","ARIMIDEX 1 MG",30,"EA","BO","PO","EA",1,"EA",1,2/19/2004,,,,,,,
"54868500500","54868-5005-00",,,,1/18/2006,,"CYCLOPHOSPHAMIDE, 50 MG, ORAL","CYCLOPHOSPHAMIDE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/18/2006,,,,,,,
"54868500501","54868-5005-01",,,,4/13/2006,,"CYCLOPHOSPHAMIDE, 50 MG, ORAL","CYCLOPHOSPHAMIDE 50 MG",50,"EA","BO","PO","EA",50,"MG",1,4/13/2006,,,,,,,
"54868501600","54868-5016-00",,"J3130",,3/9/2004,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","DELATESTRYL 200 MG/ML",5,"ML","VL","IM","ML",200,"MG",1,3/9/2004,,,,,,,
"54868502000","54868-5020-00",,"J1440",,3/11/2004,,"INJECTION, FILGRASTIM (G-CSF), 300 MCG","NEUPOGEN (PF,SINGLEJECT) 300 MCG/0.5 ML",0.5,"ML","SR","IJ","ML",300,"MCG",2,3/11/2004,,,,,,,
"54868502600","54868-5026-00",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (AMP,PF) 0.9%",3,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"54868502600","54868-5026-00",,"J7051",,3/17/2004,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (AMP,PF) 0.9%",3,"ML","PC","IH","ML",5,"ML",0.2,3/17/2004,,,,,,,
"54868503600","54868-5036-00",,"J3490",,3/31/2004,,"UNCLASSIFIED DRUGS","PEG-INTRON (PF,REDIPEN) 150 MCG",1,"EA","BX","MR","EA",1,"EA",1,3/31/2004,,,,,,,
"54868503601","54868-5036-01",,"J3490",,6/29/2006,,"UNCLASSIFIED DRUGS","PEG INTRON RP 150 MCG",4,"EA","BX","MR","EA",1,"EA",1,6/29/2006,,,,,,,
"54868507000","54868-5070-00",,"J1610",,5/24/2004,,"INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG","GLUCAGON EMERGENCY KIT 1 MG",1,"EA","BX","IJ","EA",1,"MG",1,5/24/2004,,,,,,,
"54868508900","54868-5089-00",,"Q0179",,6/9/2004,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN ODT 8 MG",2,"EA","BO","PO","EA",8,"MG",1,6/9/2004,,,,,,,
"54868508901","54868-5089-01",,"Q0179",,6/29/2005,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN ODT 8 MG",15,"EA","BO","PO","EA",8,"MG",1,6/29/2005,,,,,,,
"54868508902","54868-5089-02",,"Q0179",,9/28/2005,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN ODT 8 MG",10,"EA","BX","PO","EA",8,"MG",1,9/28/2005,,,,,,,
"54868508903","54868-5089-03",,"Q0179",,9/22/2005,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN ODT 8 MG",3,"EA","BO","PO","EA",8,"MG",1,9/22/2005,,,,,,,
"54868508904","54868-5089-04",,"Q0179",,12/20/2005,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN ODT 8 MG",20,"EA","BO","PO","EA",8,"MG",1,12/20/2005,,,,,,,
"54868508905","54868-5089-05",,"Q0179",,8/25/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN ODT 8 MG",30,"EA","BX","PO","EA",8,"MG",1,8/25/2006,,,,,,,
"54868510800","54868-5108-00",,"J1817",,7/15/2004,,"INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS","HUMALOG 100 U/ML",10,"ML","VL","SC","ML",50,"U",2,7/15/2004,,,,,,,
"54868511200","54868-5112-00",,"J1650",,7/28/2004,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 80 MG/0.8 ML",0.8,"ML","SR","SC","ML",10,"MG",10,7/28/2004,,,,,,,
"54868511201","54868-5112-01",,"J1650",,9/8/2004,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 80 MG/0.8 ML",0.8,"ML","SR","SC","ML",10,"MG",10,9/8/2004,,,,,,,
"54868513700","54868-5137-00",,"J1170",,8/13/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","DILAUDID (AMP) 4 MG/ML",10,"ML","AM","IJ","ML",4,"MG",1,8/13/2004,,,,,,,
"54868518100","54868-5181-00",,"Q0173",,11/18/2004,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 300 MG",100,"EA","BO","PO","EA",250,"MG",1.2,11/18/2004,,,,,,,
"54868520100","54868-5201-00",,"J1815",,12/28/2004,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLOG MIX 70/30 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,12/28/2004,,,,,,,
"54868521300","54868-5213-00",,"J7506",,1/25/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",48,"EA","DP","PO","EA",5,"MG",1,1/25/2005,,,,,,,
"54868521800","54868-5218-00",,,,2/10/2005,,"CYCLOPHOSPHAMIDE, 25 MG, ORAL","CYCLOPHOSPHAMIDE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,2/10/2005,,,,,,,
"54868521801","54868-5218-01",,,,12/22/2005,,"CYCLOPHOSPHAMIDE, 25 MG, ORAL","CYCLOPHOSPHAMIDE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,12/22/2005,,,,,,,
"54868521802","54868-5218-02",,,,12/22/2005,,"CYCLOPHOSPHAMIDE, 25 MG, ORAL","CYCLOPHOSPHAMIDE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,12/22/2005,,,,,,,
"54868522900","54868-5229-00",,"J2505",,2/23/2006,,"INJECTION, PEGFILGRASTIM, 6 MG","NEULASTA (PF) 6 MG/0.6 ML",0.6,"ML","SR","SC","ML",6,"MG",1.66666,2/23/2006,,,,,,,
"54868523000","54868-5230-00",,"J7506",,2/25/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 10 MG",21,"EA","BO","PO","EA",5,"MG",2,2/25/2005,,,,,,,
"54868523100","54868-5231-00",,"J8501",,6/29/2005,,"APREPITANT, ORAL, 5 MG","EMEND 80 MG",5,"EA","BO","PO","EA",5,"MG",16,6/29/2005,,,,,,,
"54868523101","54868-5231-01",,"J8501",,8/3/2006,,"APREPITANT, ORAL, 5 MG","EMEND 80 MG",6,"EA","BX","PO","EA",5,"MG",16,8/3/2006,,,,,,,
"54868523102","54868-5231-02",,"J8501",,3/4/2008,,"APREPITANT, ORAL, 5 MG","EMEND 80 MG",2,"EA","DP","PO","EA",5,"MG",16,3/4/2008,,,,,,,
"54868524200","54868-5242-00",,"J7510",,3/3/2005,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (DYE-FREE,GRAPE) 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,3/3/2005,,,,,,,
"54868525700","54868-5257-00",,"J1055",,3/30/2005,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","MEDROXYPROGESTERONE ACETATE 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,3/30/2005,,,,,,,
"54868526000","54868-5260-00",,,,6/28/2005,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",30,"EA","BO","PO","EA",500,"MG",1,6/28/2005,,,,,,,
"54868526000","54868-5260-00","QR","J8521","QR",6/28/2005,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",30,"EA","BO","PO","EA",500,"MG",1,6/28/2005,,,,,,,
"54868526001","54868-5260-01",,,,6/29/2005,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",60,"EA","BO","PO","EA",500,"MG",1,6/29/2005,,,,,,,
"54868526001","54868-5260-01","QR","J8521","QR",6/29/2005,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",60,"EA","BO","PO","EA",500,"MG",1,6/29/2005,,,,,,,
"54868526002","54868-5260-02",,,,6/29/2005,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",120,"EA","BO","PO","EA",500,"MG",1,6/29/2005,,,,,,,
"54868526002","54868-5260-02","QR","J8521","QR",6/29/2005,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",120,"EA","BO","PO","EA",500,"MG",1,6/29/2005,,,,,,,
"54868526003","54868-5260-03",,,,10/7/2005,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",90,"EA","BO","PO","EA",500,"MG",1,10/7/2005,,,,,,,
"54868526003","54868-5260-03","QR","J8521","QR",10/7/2005,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",90,"EA","BO","PO","EA",500,"MG",1,10/7/2005,,,,,,,
"54868526004","54868-5260-04",,,,1/12/2006,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",14,"EA","BO","PO","EA",500,"MG",1,1/12/2006,,,,,,,
"54868526004","54868-5260-04","QR","J8521","QR",1/12/2006,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",14,"EA","BO","PO","EA",500,"MG",1,1/12/2006,,,,,,,
"54868526005","54868-5260-05",,,,1/12/2006,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",28,"EA","BO","PO","EA",500,"MG",1,1/12/2006,,,,,,,
"54868526005","54868-5260-05","QR","J8521","QR",1/12/2006,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",28,"EA","BO","PO","EA",500,"MG",1,1/12/2006,,,,,,,
"54868526006","54868-5260-06",,,,1/11/2006,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",42,"EA","BO","PO","EA",500,"MG",1,1/11/2006,,,,,,,
"54868526006","54868-5260-06","QR","J8521","QR",1/11/2006,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",42,"EA","BO","PO","EA",500,"MG",1,1/11/2006,,,,,,,
"54868526007","54868-5260-07",,,,1/12/2006,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",70,"EA","BO","PO","EA",500,"MG",1,1/12/2006,,,,,,,
"54868526007","54868-5260-07","QR","J8521","QR",1/12/2006,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",70,"EA","BO","PO","EA",500,"MG",1,1/12/2006,,,,,,,
"54868526008","54868-5260-08",,,,1/20/2006,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",80,"EA","BO","PO","EA",500,"MG",1,1/20/2006,,,,,,,
"54868526008","54868-5260-08","QR","J8521","QR",1/20/2006,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",80,"EA","BO","PO","EA",500,"MG",1,1/20/2006,,,,,,,
"54868526009","54868-5260-09",,,,8/16/2006,,"CAPECITABINE, 500 MG, ORAL","XELODA 500 MG",20,"EA","BO","PO","EA",500,"MG",1,8/16/2006,,,,,,,
"54868526009","54868-5260-09","QR","J8521","QR",8/16/2006,,"CAPECITABINE, ORAL, 500 MG","XELODA 500 MG",20,"EA","BO","PO","EA",500,"MG",1,8/16/2006,,,,,,,
"54868526100","54868-5261-00",,"J8999",,6/29/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","AROMASIN 25 MG",30,"EA","BO","PO","EA",1,"EA",1,6/29/2005,,,,,,,
"54868528200","54868-5282-00",,"J8999",,5/23/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MERCAPTOPURINE 50 MG",60,"EA","BO","PO","EA",1,"EA",1,5/23/2005,,,,,,,
"54868528201","54868-5282-01",,"J8999",,5/23/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MERCAPTOPURINE 50 MG",25,"EA","BO","PO","EA",1,"EA",1,5/23/2005,,,,,,,
"54868531000","54868-5310-00",,"J7500",,5/23/2005,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,5/23/2005,,,,,,,
"54868531001","54868-5310-01",,"J7500",,5/23/2005,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",120,"EA","BO","PO","EA",50,"MG",1,5/23/2005,,,,,,,
"54868531002","54868-5310-02",,"J7500",,9/22/2005,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,9/22/2005,,,,,,,
"54868531003","54868-5310-03",,"J7500",,2/23/2006,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE (USP) 50 MG",60,"EA","BO","PO","EA",50,"MG",1,2/23/2006,,,,,,,
"54868531004","54868-5310-04",,"J7500",,2/28/2006,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE (USP) 50 MG",90,"EA","BO","PO","EA",50,"MG",1,2/28/2006,,,,,,,
"54868531900","54868-5319-00",,"J1170",,5/31/2005,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (25X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",4,"MG",0.5,5/31/2005,,,,,,,
"54868532500","54868-5325-00",,"J8501",,6/24/2005,,"APREPITANT, ORAL, 5 MG","EMEND (COMBO PACK 1 125MG/2 80MG)",3,"EA","PG","PO","EA",5,"MG",19,6/24/2005,,,,,,,
"54868532700","54868-5327-00",,"J1815",,6/9/2005,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLOG MIX 70/30 (PREFILLED SYRINGE) 70 U/ML-30 U/ML",3,"ML","SR","SC","ML",5,"U",20,6/9/2005,,,,,,,
"54868533400","54868-5334-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXPAK 1.5 MG",51,"EA","DP","PO","EA",0.25,"MG",6,1/1/2006,,,,,,,
"54868533400","54868-5334-00",,"Q0181",,6/13/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXPAK 1.5 MG",51,"EA","DP","PO","EA",1,"EA",1,6/13/2005,,,,,,,
"54868533401","54868-5334-01",,"J8540",,8/31/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXPAK 1.5 MG",35,"EA","NA","PO","EA",0.25,"MG",6,8/31/2007,,,,,,,
"54868534800","54868-5348-00",,,,10/20/2005,,"TEMODAR, 5 MG, ORAL","TEMODAR 5 MG",25,"EA","NA","PO","EA",5,"MG",1,10/20/2005,,,,,,,
"54868534801","54868-5348-01",,,,4/13/2006,,"TEMODAR, 5 MG, ORAL","TEMODAR 5 MG",5,"EA","BO","PO","EA",5,"MG",1,4/13/2006,,,,,,,
"54868535000","54868-5350-00",,,,10/31/2007,,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",15,"EA","BO","PO","EA",100,"MG",1,10/31/2007,,,,,,,
"54868535001","54868-5350-01",,,,10/20/2005,,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",25,"EA","BO","PO","EA",100,"MG",1,10/20/2005,,,,,,,
"54868535002","54868-5350-02",,,,11/22/2005,,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",5,"EA","BO","PO","EA",100,"MG",1,11/22/2005,,,,,,,
"54868535003","54868-5350-03",,,,2/8/2006,,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",10,"EA","BO","PO","EA",100,"MG",1,2/8/2006,,,,,,,
"54868535004","54868-5350-04",,,,3/23/2006,,"TEMODAR, 100 MG, ORAL","TEMODAR 100 MG",30,"EA","BO","PO","EA",100,"MG",1,3/23/2006,,,,,,,
"54868535400","54868-5354-00",,,,4/13/2006,,"TEMODAR, 250 MG, ORAL","TEMODAR 250 MG",5,"EA","BO","PO","EA",250,"MG",1,4/13/2006,,,,,,,
"54868535500","54868-5355-00",,,,12/20/2005,,"ETOPOSIDE, 50 MG, ORAL","ETOPOSIDE 50 MG",20,"EA","BX","PO","EA",50,"MG",1,12/20/2005,,,,,,,
"54868535501","54868-5355-01",,,,1/30/2006,,"ETOPOSIDE, 50 MG, ORAL","ETOPOSIDE 50 MG",7,"EA","NA","PO","EA",50,"MG",1,1/30/2006,,,,,,,
"54868535502","54868-5355-02",,,,1/30/2006,,"ETOPOSIDE, 50 MG, ORAL","ETOPOSIDE 50 MG",1,"EA","BO","PO","EA",50,"MG",1,1/30/2006,,,,,,,
"54868538900","54868-5389-00",,"J8999",,9/1/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG/ML",240,"ML","BO","PO","ML",1,"EA",1,9/1/2005,,,,,,,
"54868538901","54868-5389-01",,"J8999",,12/14/2005,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG/ML",480,"ML","BO","PO","ML",1,"EA",1,12/14/2005,,,,,,,
"54868540400","54868-5404-00",,"Q0144",,9/2/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZMAX (CHERRY-BANANA) 2 GM/60 ML",1,"EA","BO","PO","EA",1,"GM",2,9/2/2005,,,,,,,
"54868540600","54868-5406-00",,"J3110",,9/6/2005,,"INJECTION, TERIPARATIDE, 10 MCG","FORTEO (RDNA ORIGIN) 250 MCG/ML",3,"ML","SR","SC","ML",10,"MCG",25,9/6/2005,,,,,,,
"54868542800","54868-5428-00",,"J0881",,8/10/2007,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP 0.2 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",500,8/10/2007,,,,,,,
"54868542900","54868-5429-00",,"J0881",,3/20/2008,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (1X0.6ML, PREFILLED,PF) 0.3 MG/0.6 ML",0.6,"ML","SR","IJ","ML",1,"MCG",500,3/20/2008,,,,,,,
"54868544000","54868-5440-00",,"J1650",,9/29/2005,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 40 MG/0.4 ML",0.4,"ML","SR","SC","ML",10,"MG",10,9/29/2005,,,,,,,
"54868544001","54868-5440-01",,"J1650",,11/1/2005,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 40 MG/0.4 ML",0.4,"ML","SR","SC","ML",10,"MG",10,11/1/2005,,,,,,,
"54868544400","54868-5444-00",,"J1438",,3/18/2008,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (4X0.98ML,PF) 50 MG/ML",0.98,"ML","SR","SC","ML",25,"MG",2,3/18/2008,,,,,,,
"54868545900","54868-5459-00",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.84,1/1/2008,,,,,,,
"54868545900","54868-5459-00",,"J7614",,4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.042%",3,"ML","PC","IH","ML",0.5,"MG",0.84,4/1/2008,,,,,,,
"54868545900","54868-5459-00","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.84,1/1/2008,,,,,,,
"54868545900","54868-5459-00","KO","J7614","KO",4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.042%",3,"ML","PC","IH","ML",0.5,"MG",0.84,4/1/2008,,,,,,,
"54868547100","54868-5471-00",,"Q0144",,11/16/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (PAK) 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,11/16/2005,,,,,,,
"54868547800","54868-5478-00",,"Q0144",,11/23/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,11/23/2005,,,,,,,
"54868547801","54868-5478-01",,"Q0144",,12/13/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,12/13/2005,,,,,,,
"54868547802","54868-5478-02",,"Q0144",,2/7/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",10,"EA","BO","PO","EA",1,"GM",0.25,2/7/2006,,,,,,,
"54868548700","54868-5487-00",,"Q0144",,12/13/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",6,"EA","BO","PO","EA",1,"GM",0.5,12/13/2005,,,,,,,
"54868548701","54868-5487-01",,"Q0144",,8/10/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",60,"EA","BO","PO","EA",1,"GM",0.5,8/10/2007,,,,,,,
"54868550100","54868-5501-00",,"J1652",,1/11/2006,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA 7.5 MG/0.6 ML",0.6,"ML","SR","SC","ML",0.5,"MG",25,1/11/2006,,,,,,,
"54868550101","54868-5501-01",,"J1652",,1/11/2006,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA 7.5 MG/0.6 ML",0.6,"ML","SR","SC","ML",0.5,"MG",25,1/11/2006,,,,,,,
"54868550102","54868-5501-02",,"J1652",,11/13/2006,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA 7.5 MG/0.6 ML",0.6,"ML","SR","SC","ML",0.5,"MG",25,11/13/2006,,,,,,,
"54868551100","54868-5511-00",,"J3535",,10/21/2008,,"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER","IPRATROPIUM BROMIDE (0.017 MG/ACTUATION)",12.9,"GM","PC","IH","GM",1,"MG",0.017,10/21/2008,,,,,,,
"54868552200","54868-5522-00",,"J7502",,2/10/2006,,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE 100 MG",30,"EA","BO","PO","EA",100,"MG",1,2/10/2006,,,,,,,
"54868553300","54868-5533-00",,"J0696",,2/17/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,2/17/2006,,,,,,,
"54868555100","54868-5551-00",,"J0150",,3/16/2006,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE 3 MG/ML",2,"ML","VL","IV","ML",6,"MG",0.5,3/16/2006,,,,,,,
"54868555500","54868-5555-00",,"J2321",,4/11/2006,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DEC 100 MG/ML",20,"ML","VL","IM","ML",100,"MG",1,4/11/2006,,,,,,,
"54868556800","54868-5568-00",,"J9217",,4/12/2006,,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG","LUPRON DEPOT 30 MG",1,"EA","BX","IM","EA",7.5,"MG",4,4/12/2006,,,,,,,
"54868556900","54868-5569-00",,"J2355",,4/13/2006,,"INJECTION, OPRELVEKIN, 5 MG","NEUMEGA 5 MG",1,"EA","VL","SC","EA",5,"MG",1,4/13/2006,,,,,,,
"54868558700","54868-5587-00",,"J1650",,5/17/2006,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 60 MG/0.6 ML",0.6,"ML","SR","SC","ML",10,"MG",10,5/17/2006,,,,,,,
"54868558701","54868-5587-01",,"J1650",,9/25/2007,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 60 MG/0.6 ML",6,"ML","SR","SC","ML",10,"MG",10,9/25/2007,,,,,,,
"54868558900","54868-5589-00",,"J0696",,5/12/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,5/12/2006,,,,,,,
"54868559600","54868-5596-00",,"J9015",,5/22/2006,,"INJECTION, ALDESLEUKIN, PER SINGLE USE VIAL","PROLEUKIN 22 Million IU",1,"EA","VL","IV","EA",1,"VIAL",1,5/22/2006,,,,,,,
"54868560100","54868-5601-00",,"J2941",,5/22/2006,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK 0.2 MG",7,"EA","CT","SC","EA",1,"MG",0.2,5/22/2006,,,,,,,
"54868561200","54868-5612-00",,"J0770",,6/12/2006,,"INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG","COLISTIMETHATE 150 MG",1,"EA","VL","IJ","EA",150,"MG",1,6/12/2006,,,,,,,
"54868562100","54868-5621-00",,"J7626",,7/17/2007,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES 0.5 MG/2 ML",60,"ML","PC","IH","ML",0.25,"MG",0.5,7/17/2007,,,,,,,
"54868562100","54868-5621-00","KO","J7626","KO",7/17/2007,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES 0.5 MG/2 ML",60,"ML","PC","IH","ML",0.25,"MG",0.5,7/17/2007,,,,,,,
"54868563400","54868-5634-00",,"J2941",,6/30/2006,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK 0.4 MG",7,"EA","CT","SC","EA",1,"MG",0.4,6/30/2006,,,,,,,
"54868564700","54868-5647-00",,"Q0144",,8/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,8/1/2006,,,,,,,
"54868564800","54868-5648-00",,"Q0144",,8/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,8/1/2006,,,,,,,
"54868564801","54868-5648-01",,"Q0144",,8/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",23,"ML","BO","PO","ML",1,"GM",0.04,8/1/2006,,,,,,,
"54868564802","54868-5648-02",,"Q0144",,8/3/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,8/3/2006,,,,,,,
"54868565200","54868-5652-00",,"J1652",,8/4/2006,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA 5 MG/0.4 ML",10,"ML","SR","SC","ML",0.5,"MG",25,8/4/2006,,,,,,,
"54868567000","54868-5670-00",,"J7608",,8/10/2007,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",30,"ML","VL","IH","ML",1,"GM",0.2,8/10/2007,,,,,,,
"54868567000","54868-5670-00","KO","J7608","KO",8/10/2007,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE 20%",30,"ML","VL","IH","ML",1,"GM",0.2,8/10/2007,,,,,,,
"54868567001","54868-5670-01",,"J7608",,8/10/2007,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (3X30ML) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,8/10/2007,,,,,,,
"54868567001","54868-5670-01","KO","J7608","KO",8/10/2007,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (3X30ML) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,8/10/2007,,,,,,,
"54868567301","54868-5673-01",,"J0885",,3/24/2008,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (M.D.V,1X4ML) 20000 U/ML",4,"ML","VL","IJ","ML",1000,"U",20,3/24/2008,,,,,,,
"54868570900","54868-5709-00",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL (30X3ML) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"54868570900","54868-5709-00",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (30X3ML) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"54868570900","54868-5709-00","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL (30X3ML) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"54868570900","54868-5709-00","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL (30X3ML) 0.042%",3,"ML","PC","IH","ML",1,"MG",0.42,4/1/2008,,,,,,,
"54868571100","54868-5711-00",,"J2250",,12/27/2006,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM (10X2ML) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,12/27/2006,,,,,,,
"54868571400","54868-5714-00",,"A4216",,12/11/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (20X25ML) 0.9%",20,"ML","VL","IV","ML",10,"ML",0.1,12/11/2006,,,,,,,
"54868571600","54868-5716-00",,"J2370",,12/11/2006,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HYDROCHLORIDE (SDV,25X1ML) 10 MG/ML",1,"ML","VL","IJ","ML",1,"ML",1,12/11/2006,,,,,,,
"54868571700","54868-5717-00",,"J1250",,12/11/2006,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,12/11/2006,,,,,,,
"54868571701","54868-5717-01",,"J1250",,1/2/2007,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE (10X40ML) 12.5 MG/ML",40,"ML","VL","IV","ML",250,"MG",0.05,1/2/2007,,,,,,,
"54868571702","54868-5717-02",,"J1250",,6/28/2007,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE 12.5 MG/ML",200,"ML","VL","IV","ML",250,"MG",0.05,6/28/2007,,,,,,,
"54868571900","54868-5719-00",,"J2001",,12/11/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE (10X5ML) 2%",5,"ML","SR","IV","ML",10,"MG",2,12/11/2006,,,,,,,
"54868572200","54868-5722-00",,"J0282",,12/11/2006,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE (SDV,10X3ML) 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,12/11/2006,,,,,,,
"54868572400","54868-5724-00",,"J3475",,12/12/2006,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNES SULF (25X10ML) 500 MG/ML",10,"ML","SR","IJ","ML",500,"MG",1,12/12/2006,,,,,,,
"54868572500","54868-5725-00",,"J0170",,12/11/2006,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE (10X10ML) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,12/11/2006,,,,,,,
"54868572700","54868-5727-00",,"J7799",,12/12/2006,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","DEXTROSE (12X1000ML) 10%",1000,"ML","FC","IV","ML",1,"EA",1,12/12/2006,,,,,,,
"54868573800","54868-5738-00",,"Q0179",,12/29/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE 8 MG",10,"EA","BO","PO","EA",8,"MG",1,12/29/2006,,,,,,,
"54868574100","54868-5741-00",,"Q0173",,1/5/2007,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE 300 MG",100,"EA","BO","PO","EA",250,"MG",1.2,1/5/2007,,,,,,,
"54868574500","54868-5745-00",,"J2270",,1/10/2007,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULF (10X1ML) 4 MG/ML",1,"ML","CR","IJ","ML",10,"MG",0.4,1/10/2007,,,,,,,
"54868574900","54868-5749-00",,"Q0179",,1/16/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON ODT 8 MG",10,"EA","BX","PO","EA",8,"MG",1,1/16/2007,,,,,,,
"54868574901","54868-5749-01",,"Q0179",,10/18/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON ODT 8 MG",15,"EA","BO","PO","EA",8,"MG",1,10/18/2007,,,,,,,
"54868575200","54868-5752-00",,"J0285",,1/25/2007,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/25/2007,,,,,,,
"54868576000","54868-5760-00",,"J2941",,8/17/2007,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN MINIQUICK 0.8 MG",1,"EA","CT","SC","EA",1,"MG",0.8,8/17/2007,,,,,,,
"54868576500","54868-5765-00",,"J1815",,4/4/2007,,"INJECTION, INSULIN, PER 5 UNITS","LANTUS 100 U/ML",15,"ML","CT","SC","ML",5,"U",20,4/4/2007,,,,,,,
"54868577400","54868-5774-00",,"J7626",,6/1/2007,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES 0.25 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",0.5,6/1/2007,,,,,,,
"54868577400","54868-5774-00","KO","J7626","KO",6/1/2007,,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","PULMICORT RESPULES 0.25 MG/2 ML",2,"ML","PC","IH","ML",0.25,"MG",0.5,6/1/2007,,,,,,,
"54868577500","54868-5775-00",,"J2780",,6/6/2007,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","ZANTAC 25 MG/ML",40,"ML","VL","IJ","ML",25,"MG",1,6/6/2007,,,,,,,
"54868580100","54868-5801-00",,"Q0179",,7/30/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,7/30/2007,,,,,,,
"54868580101","54868-5801-01",,"Q0179",,10/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON 4 MG",15,"EA","BO","PO","EA",8,"MG",0.5,10/25/2007,,,,,,,
"54868580200","54868-5802-00",,"J0885",,8/13/2007,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (SDV,1MLX4) 40000 U/ML",1,"ML","VL","IJ","ML",1000,"U",40,8/13/2007,,,,,,,
"54868580800","54868-5808-00",,"J2175",,8/21/2007,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","DEMEROL HYDROCHLORIDE (1MLX10) 50 MG/ML",1,"ML","SR","IJ","ML",100,"MG",0.5,8/21/2007,,,,,,,
"54868582300","54868-5823-00",,"J1740",,10/16/2007,,"INJECTION, IBANDRONATE SODIUM, 1 MG","BONIVA (PFS) 1 MG/ML",1,"EA","BX","IV","EA",1,"MG",1,10/16/2007,,,,,,,
"54868582400","54868-5824-00",,"J1815",,10/16/2007,,"INJECTION, INSULIN, PER 5 UNITS","INSULIN HUMULIN 50/50 50 U/ML-50 U/ML",10,"ML","VL","SC","ML",5,"U",20,10/16/2007,,,,,,,
"54868582500","54868-5825-00",,"J0152",,10/18/2007,,"INJECTION, ADENOSINE FOR DIAGNOSTIC USE, 30 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS; INSTEAD USE A9270)","ADENOSCAN 3 MG/ML",30,"ML","VL","IV","ML",30,"MG",0.1,10/18/2007,,,,,,,
"54868582501","54868-5825-01",,"J0152",,10/18/2007,,"INJECTION, ADENOSINE FOR DIAGNOSTIC USE, 30 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS; INSTEAD USE A9270)","ADENOSCAN 3 MG/ML",20,"ML","VL","IV","ML",30,"MG",0.1,10/18/2007,,,,,,,
"54868583500","54868-5835-00",,"J1650",,11/29/2007,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (10X1ML) 100 MG/ML",1,"ML","SR","IJ","ML",10,"MG",10,11/29/2007,,,,,,,
"54868583600","54868-5836-00",,"J1817",,12/3/2007,,"INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS","INSULIN-HUMALOG (1X15ML) 100 U/ML",15,"ML","CT","SC","ML",50,"U",2,12/3/2007,,,,,,,
"54868583700","54868-5837-00",,"J1650",,12/4/2007,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (8X0.8ML) 120 MG/0.8 ML",0.8,"ML","SR","IJ","ML",10,"MG",15,12/4/2007,,,,,,,
"54868586700","54868-5867-00",,"J0881",,3/20/2008,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (1X1ML, PREFILLED,PF) 0.5 MG/ML",1,"ML","SR","IJ","ML",1,"MCG",500,3/20/2008,,,,,,,
"54868588700","54868-5887-00",,"Q0179",,5/12/2008,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (STRAWBERRY) 4 MG",10,"EA","BX","PO","EA",8,"MG",0.5,5/12/2008,,,,,,,
"54868588800","54868-5888-00",,"J2405",,5/9/2008,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (1X10ML) 2 MG/ML",10,"ML","NA","IJ","ML",1,"MG",2,5/9/2008,,,,,,,
"54868589900","54868-5899-00",,"J1815",,5/12/2008,,"INJECTION, INSULIN, PER 5 UNITS","HUMALOG PEN (1X15ML) 100 U/ML",15,"ML","CT","SC","ML",5,"U",20,5/12/2008,,,,,,,
"54868662401","54868-6624-01",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"54888108203","54888-1082-03",,"Q0165",,10/20/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","NA","PO","EA",10,"MG",1,10/20/2004,,,,,,,
"55045112400","55045-1124-00",,"Q0163",,5/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,5/1/2004,,,,,,,
"55045112401","55045-1124-01",,"Q0163",,12/6/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",3,"EA","BO","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045112402","55045-1124-02",,"Q0163",,12/6/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",60,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045112403","55045-1124-03",,"Q0163",,12/6/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",90,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045112404","55045-1124-04",,"Q0163",,12/6/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",120,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045112405","55045-1124-05",,"Q0163",,1/1/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,1/1/2003,,,,,,,
"55045112406","55045-1124-06",,"Q0163",,12/6/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",6,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045112407","55045-1124-07",,"Q0163",,12/6/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045112408","55045-1124-08",,"Q0163",,1/1/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2003,,,,,,,
"55045112409","55045-1124-09",,"Q0163",,12/6/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",50,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045112500","55045-1125-00",,"Q0163",,12/6/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",120,"EA","NA","PO","EA",50,"MG",0.5,12/6/2004,,,,,,,
"55045112501","55045-1125-01",,"Q0163",,7/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,7/1/2004,,,,,,,
"55045112502","55045-1125-02",,"Q0163",,2/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",6,"EA","NA","PO","EA",50,"MG",0.5,2/1/2004,,,,,,,
"55045112503","55045-1125-03",,"Q0163",,12/6/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",90,"EA","NA","PO","EA",50,"MG",0.5,12/6/2004,,,,,,,
"55045112504","55045-1125-04",,"Q0163",,1/1/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",12,"EA","BO","PO","EA",50,"MG",0.5,1/1/2003,,,,,,,
"55045112505","55045-1125-05",,"Q0163",,1/2/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","NA","PO","EA",50,"MG",0.5,1/2/2004,,,,,,,
"55045112506","55045-1125-06",,"Q0163",,1/1/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,1/1/2003,,,,,,,
"55045112508","55045-1125-08",,"Q0163",,1/1/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,1/1/2003,,,,,,,
"55045112509","55045-1125-09",,"Q0163",,2/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","NA","PO","EA",50,"MG",0.5,2/1/2004,,,,,,,
"55045112602","55045-1126-02",,"Q0165",,4/1/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,4/1/2005,,,,,,,
"55045112603","55045-1126-03",,"Q0165",,7/1/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",5,"EA","BO","PO","EA",10,"MG",1,7/1/2003,,,,,,,
"55045112604","55045-1126-04",,"Q0165",,1/1/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",12,"EA","BO","PO","EA",10,"MG",1,1/1/2003,,,,,,,
"55045112606","55045-1126-06",,"Q0165",,11/10/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",60,"EA","BO","PO","EA",10,"MG",1,11/10/2005,,,,,,,
"55045112607","55045-1126-07",,"Q0165",,7/1/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",20,"EA","BO","PO","EA",10,"MG",1,7/1/2005,,,,,,,
"55045112608","55045-1126-08",,"Q0165",,7/1/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,7/1/2003,,,,,,,
"55045125202","55045-1252-02",,"Q0163",,1/1/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (AF) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2003,,,,,,,
"55045125909","55045-1259-09",,"J7509",,1/1/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSEPAK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2003,,,,,,,
"55045126000","55045-1260-00",,"J7506",,12/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSEPACK) 5 MG",48,"EA","DP","PO","EA",5,"MG",1,12/6/2004,,,,,,,
"55045126009","55045-1260-09",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSEPACK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,1/1/2003,,,,,,,
"55045129702","55045-1297-02",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55045129703","55045-1297-03",,"G9033",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE 100 MG",10,"EA","NA","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55045129705","55045-1297-05",,"G9017",,12/6/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",50,"EA","BO","PO","EA",100,"MG",1,12/6/2004,,,,,,,
"55045130801","55045-1308-01",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",100,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"55045130801","55045-1308-01",,"Q0181",,12/6/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",100,"EA","BO","PO","EA",1,"EA",1,12/6/2004,,,,,,,
"55045130802","55045-1308-02",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",60,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"55045130802","55045-1308-02",,"Q0181",,12/6/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",60,"EA","BO","PO","EA",1,"EA",1,12/6/2004,,,,,,,
"55045130803","55045-1308-03",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",90,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"55045130803","55045-1308-03",,"Q0181",,12/6/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",90,"EA","BO","PO","EA",1,"EA",1,12/6/2004,,,,,,,
"55045130806","55045-1308-06",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",6,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"55045130806","55045-1308-06",,"Q0181",,3/1/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",6,"EA","BO","PO","EA",1,"EA",1,3/1/2004,,,,,,,
"55045130807","55045-1308-07",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",20,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"55045130807","55045-1308-07",,"Q0181",,12/6/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",20,"EA","BO","PO","EA",1,"EA",1,12/6/2004,,,,,,,
"55045130808","55045-1308-08",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",30,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"55045130808","55045-1308-08",,"Q0181",,12/6/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",30,"EA","BO","PO","EA",1,"EA",1,12/6/2004,,,,,,,
"55045130809","55045-1308-09",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",36,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"55045130809","55045-1308-09",,"Q0181",,1/1/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",36,"EA","BO","PO","EA",1,"EA",1,1/1/2004,,,,,,,
"55045144401","55045-1444-01",,"J7506",,12/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",35,"EA","NA","PO","EA",5,"MG",4,12/6/2004,,,,,,,
"55045144402","55045-1444-02",,"J7506",,5/1/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",42,"EA","BO","PO","EA",5,"MG",4,5/1/2005,,,,,,,
"55045144403","55045-1444-03",,"J7506",,1/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","BO","PO","EA",5,"MG",4,1/1/2004,,,,,,,
"55045144404","55045-1444-04",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",12,"EA","BO","PO","EA",5,"MG",4,1/1/2003,,,,,,,
"55045144407","55045-1444-07",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,1/1/2003,,,,,,,
"55045144408","55045-1444-08",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,1/1/2003,,,,,,,
"55045148001","55045-1480-01",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2003,,,,,,,
"55045148002","55045-1480-02",,"J7506",,12/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","NA","PO","EA",5,"MG",1,12/6/2004,,,,,,,
"55045148005","55045-1480-05",,"J7506",,12/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",15,"EA","NA","PO","EA",5,"MG",1,12/6/2004,,,,,,,
"55045148006","55045-1480-06",,"J7506",,12/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","NA","PO","EA",5,"MG",1,12/6/2004,,,,,,,
"55045148007","55045-1480-07",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,1/1/2003,,,,,,,
"55045148008","55045-1480-08",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2003,,,,,,,
"55045148009","55045-1480-09",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","BO","PO","EA",5,"MG",1,1/1/2003,,,,,,,
"55045153301","55045-1533-01",,"J7506",,5/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","NA","PO","EA",5,"MG",2,5/1/2004,,,,,,,
"55045153303","55045-1533-03",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,1/1/2003,,,,,,,
"55045153306","55045-1533-06",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","BO","PO","EA",5,"MG",2,1/1/2003,,,,,,,
"55045153307","55045-1533-07",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,1/1/2003,,,,,,,
"55045153308","55045-1533-08",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,1/1/2003,,,,,,,
"55045153309","55045-1533-09",,"J7506",,1/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,1/1/2003,,,,,,,
"55045159600","55045-1596-00",,"Q0170",,12/6/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",100,"EA","BO","PO","EA",25,"MG",1,12/6/2004,,,,,,,
"55045159601","55045-1596-01",,"Q0170",,12/6/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",120,"EA","BO","PO","EA",25,"MG",1,12/6/2004,,,,,,,
"55045159602","55045-1596-02",,"Q0170",,8/9/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",12,"EA","NA","PO","EA",25,"MG",1,8/9/2004,,,,,,,
"55045159603","55045-1596-03",,"Q0170",,1/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","BO","PO","EA",25,"MG",1,1/1/2003,,,,,,,
"55045159604","55045-1596-04",,"Q0170",,2/9/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",60,"EA","NA","PO","EA",25,"MG",1,2/9/2003,,,,,,,
"55045159605","55045-1596-05",,"Q0170",,1/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",15,"EA","BO","PO","EA",25,"MG",1,1/1/2003,,,,,,,
"55045159606","55045-1596-06",,"Q0170",,1/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",20,"EA","BO","PO","EA",25,"MG",1,1/1/2003,,,,,,,
"55045159608","55045-1596-08",,"Q0170",,1/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,5/23/2005,,1/1/2004,5/22/2005,1,,,
"55045159609","55045-1596-09",,"Q0170",,12/6/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",90,"EA","BO","PO","EA",25,"MG",1,12/6/2004,,,,,,,
"55045162803","55045-1628-03",,"Q0173",,1/1/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",10,"EA","BO","PO","EA",250,"MG",1,1/1/2003,,,,,,,
"55045164309","55045-1643-09",,"Q0170",,1/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (FRUIT,TROPICAL) 6.25 MG/5 ML",118,"ML","BO","PO","ML",25,"MG",0.05,1/1/2003,,,,,,,
"55045166100","55045-1661-00",,"Q0178",,12/6/2004,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045166101","55045-1661-01",,"Q0178",,12/6/2004,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",120,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045166102","55045-1661-02",,"Q0178",,12/6/2004,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",20,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045166103","55045-1661-03",,"Q0178",,9/1/2004,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",40,"EA","NA","PO","EA",50,"MG",1,9/1/2004,,,,,,,
"55045166106","55045-1661-06",,"Q0178",,9/1/2004,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",60,"EA","NA","PO","EA",50,"MG",1,9/1/2004,,,,,,,
"55045166108","55045-1661-08",,"Q0178",,6/1/2003,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,6/1/2003,,,,,,,
"55045166109","55045-1661-09",,"Q0178",,12/6/2004,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",90,"EA","NA","PO","EA",50,"MG",1,12/6/2004,,,,,,,
"55045169602","55045-1696-02",,"Q0164",,12/6/2004,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (FILM-COATED) 5 MG",10,"EA","NA","PO","EA",5,"MG",1,12/6/2004,,,,,,,
"55045174902","55045-1749-02",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",4,"EA","BO","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55045174902","55045-1749-02",,"K0416",,1/1/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",4,"EA","BO","RC","EA",1,"MG",25,1/1/2003,,,,,,,
"55045181103","55045-1811-03",,"J7509",,12/6/2004,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",40,"EA","NA","PO","EA",4,"MG",1,12/6/2004,,,,,,,
"55045181108","55045-1811-08",,"J7509",,12/6/2004,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",30,"EA","NA","PO","EA",4,"MG",1,12/6/2004,,,,,,,
"55045197005","55045-1970-05",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",8,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"55045197005","55045-1970-05",,"Q0181",,5/1/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",8,"EA","BO","PO","EA",1,"EA",1,5/1/2005,,,,,,,
"55045204307","55045-2043-07",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (3MLX25) 0.083%",3,"ML","NA","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"55045204307","55045-2043-07",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (3MLX25) 0.083%",3,"ML","NA","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"55045204307","55045-2043-07","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (3MLX25) 0.083%",3,"ML","NA","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"55045204307","55045-2043-07","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (3MLX25) 0.083%",3,"ML","NA","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"55045213303","55045-2133-03",,"J3360",,3/24/2003,,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,3/24/2003,,,,,,,
"55045219502","55045-2195-02",,"Q0177",,12/6/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",120,"EA","NA","PO","EA",25,"MG",1,12/6/2004,,,,,,,
"55045219504","55045-2195-04",,"Q0177",,7/1/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",9,"EA","BO","PO","EA",25,"MG",1,7/1/2004,,,,,,,
"55045219505","55045-2195-05",,"Q0177",,3/24/2003,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",15,"EA","BO","PO","EA",25,"MG",1,3/24/2003,,,,,,,
"55045219506","55045-2195-06",,"Q0177",,12/6/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",60,"EA","NA","PO","EA",25,"MG",1,12/6/2004,,,,,,,
"55045219507","55045-2195-07",,"Q0177",,3/1/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","NA","PO","EA",25,"MG",1,3/1/2004,,,,,,,
"55045219508","55045-2195-08",,"Q0177",,2/1/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","NA","PO","EA",25,"MG",1,2/1/2004,,,,,,,
"55045219509","55045-2195-09",,"Q0177",,12/6/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",90,"EA","NA","PO","EA",25,"MG",1,12/6/2004,,,,,,,
"55045237205","55045-2372-05",,"Q0144",,1/19/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,1/19/2005,,,,,,,
"55045237305","55045-2373-05",,"Q0144",,1/19/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,1/19/2005,,,,,,,
"55045237306","55045-2373-06",,"Q0144",,1/1/2003,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,1/1/2003,,,,,,,
"55045237308","55045-2373-08",,"Q0144",,1/19/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,1/19/2005,,,,,,,
"55045240002","55045-2400-02",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55045240002","55045-2400-02",,"K0416",,5/1/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,5/1/2003,,,,,,,
"55045247002","55045-2470-02",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","NA","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"55045247002","55045-2470-02",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","NA","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"55045249206","55045-2492-06",,"Q0144",,7/3/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX Z-PAK 250 MG",6,"EA","BX","PO","EA",1,"GM",0.25,7/3/2006,,,,,,,
"55045253300","55045-2533-00",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","STADOL 2 MG/ML",10,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"55045253300","55045-2533-00",,"J3490",,3/24/2003,12/31/2003,"UNCLASSIFIED DRUGS","STADOL 2 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,3/24/2003,,,,,,,
"55045256500","55045-2565-00",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045256502","55045-2565-02",,"J8499",,12/6/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,12/6/2004,,,,,,,
"55045256504","55045-2565-04",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",50,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045256505","55045-2565-05",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",15,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045256508","55045-2565-08",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045257100","55045-2571-00",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045257102","55045-2571-02",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045257104","55045-2571-04",,"J8499",,1/1/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2003,,,,,,,
"55045257105","55045-2571-05",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",50,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045257106","55045-2571-06",,"J8499",,3/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","NA","PO","EA",1,"EA",1,3/1/2005,,,,,,,
"55045257108","55045-2571-08",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045264800","55045-2648-00",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045264802","55045-2648-02",,"J8499",,7/1/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",15,"EA","BO","PO","EA",1,"EA",1,7/1/2003,,,,,,,
"55045264803","55045-2648-03",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",25,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045264805","55045-2648-05",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",50,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045264806","55045-2648-06",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",60,"EA","NA","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"55045266502","55045-2665-02",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",12,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"55045266502","55045-2665-02",,"Q0181",,1/1/2003,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",12,"EA","BO","PO","EA",1,"EA",1,1/1/2003,,,,,,,
"55045275901","55045-2759-01",,"G9035",,1/1/2005,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU 75 MG",10,"EA","DP","PO","EA",75,"MG",1,1/1/2005,,,,,,,
"55045278106","55045-2781-06",,"Q0163",,7/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,7/1/2004,,,,,,,
"55045281508","55045-2815-08",,"Q0169",,2/23/2005,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 12.5 MG",30,"EA","NA","PO","EA",12.5,"MG",1,2/23/2005,,,,,,,
"55045285701","55045-2857-01",,"J2250",,12/1/2005,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HYDROCHLORIDE 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,12/1/2005,,,,,,,
"55045288500","55045-2885-00",,"J7510",,1/2/2006,,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED (10X20ML) 15 MG/5 ML",20,"ML","BO","PO","ML",5,"MG",0.6,1/2/2006,,,,,,,
"55045288508","55045-2885-08",,"J7510",,7/5/2006,,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,7/5/2006,,,,,,,
"55045288702","55045-2887-02",,"J2250",,8/27/2003,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (10X2ML) 1 MG/ML",2,"ML","EA","IJ","ML",1,"MG",1,8/27/2003,,,,,,,
"55045294206","55045-2942-06",,"Q0144",,1/1/2003,1/19/2005,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX Z-PAK (Z-PAK) 250 MG",18,"EA","NA","PO","EA",1,"GM",0.25,1/1/2003,,,,,,,
"55045296301","55045-2963-01",,"J7506",,12/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSEPACK) 10 MG",21,"EA","DP","PO","EA",5,"MG",2,12/6/2004,,,,,,,
"55045296302","55045-2963-02",,"J7506",,12/6/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSEPACK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,12/6/2004,,,,,,,
"55045296801","55045-2968-01",,"J0595",,1/1/2005,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (10X1ML) 2 MG/ML",1,"ML","NA","IJ","ML",1,"MG",2,1/1/2005,,,,,,,
"55045296802","55045-2968-02",,"J0595",,4/11/2006,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE 2 MG/ML",1,"ML","NA","IJ","ML",1,"MG",2,4/11/2006,,,,,,,
"55045301102","55045-3011-02",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",4,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55045301102","55045-3011-02",,"K0416",,3/1/2003,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",4,"EA","BX","RC","EA",1,"MG",25,3/1/2003,,,,,,,
"55045301103","55045-3011-03",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",12,"EA","NA","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55045301103","55045-3011-03",,"K0416",,5/1/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 25 MG",12,"EA","NA","RC","EA",1,"MG",25,5/1/2005,,,,,,,
"55045302902","55045-3029-02",,"J1080",,1/1/2003,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","DEPO-TESTOSTERONE 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,1/1/2003,,,,,,,
"55045320303","55045-3203-03",,"Q0173",,5/1/2005,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE 300 MG",10,"EA","NA","PO","EA",250,"MG",1.2,5/1/2005,,,,,,,
"55045321203","55045-3212-03",,"J1100",,7/1/2006,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE 4 MG/ML",30,"ML","NA","IJ","ML",1,"MG",4,7/1/2006,,,,,,,
"55045323101","55045-3231-01",,"J2001",,7/1/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HYDROCHLORIDE 1%",50,"ML","NA","IJ","ML",10,"MG",1,7/1/2006,,,,,,,
"55045323201","55045-3232-01",,"J0690",,9/1/2004,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 1 GM",1,"EA","NA","IJ","EA",500,"MG",2,9/1/2004,,,,,,,
"55045324202","55045-3242-02",,"J1030",,7/1/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO MEDROL 40 MG/ML",10,"ML","NA","IJ","ML",40,"MG",1,7/1/2006,,,,,,,
"55045324205","55045-3242-05",,"J1030",,7/1/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","DEPO MEDROL 40 MG/ML",5,"ML","NA","IJ","ML",40,"MG",1,7/1/2006,,,,,,,
"55045324301","55045-3243-01",,"J1040",,7/20/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG","DEPO MEDROL 80 MG/ML",1,"ML","VL","IJ","ML",80,"MG",1,7/20/2006,,,,,,,
"55045324801","55045-3248-01",,"J3301",,7/21/2006,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","KENALOG 40 40 MG/ML",1,"ML","VL","IJ","ML",10,"MG",4,7/21/2006,,,,,,,
"55045324905","55045-3249-05",,"J2001",,7/1/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HYDROCHLORIDE 2%",50,"ML","NA","IJ","ML",10,"MG",2,7/1/2006,,,,,,,
"55045325105","55045-3251-05",,"J3490",,7/1/2006,,"UNCLASSIFIED DRUGS","MARCAINE HYDROCHLORIDE 0.5%",50,"ML","NA","IJ","ML",1,"EA",1,7/1/2006,,,,,,,
"55045325202","55045-3252-02",,"J3490",,7/1/2006,,"UNCLASSIFIED DRUGS","MARCAINE HYDROCHLORIDE 0.25%",50,"ML","NA","IJ","ML",1,"EA",1,7/1/2006,,,,,,,
"55045328103","55045-3281-03",,"J7506",,12/20/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","NA","PO","EA",5,"MG",2,12/20/2004,,,,,,,
"55045328104","55045-3281-04",,"J7506",,2/11/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",18,"EA","NA","PO","EA",5,"MG",2,2/11/2005,,,,,,,
"55045329801","55045-3298-01",,"J1200",,1/1/2005,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BENADRYL 50 MG/ML",10,"ML","NA","IJ","ML",50,"MG",1,1/1/2005,,,,,,,
"55045333904","55045-3339-04",,"G9020",,3/21/2005,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","RIMANTADINE HCL 100 MG",14,"EA","NA","PO","EA",100,"MG",1,3/21/2005,,,,,,,
"55045344205","55045-3442-05",,"Q0144",,12/5/2005,12/5/2005,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","NA","PO","EA",1,"GM",0.25,12/5/2005,,,,,,,
"55045344206","55045-3442-06",,"Q0144",,12/5/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","NA","PO","EA",1,"GM",0.25,12/5/2005,,,,,,,
"55045347101","55045-3471-01",,"J7500",,3/1/2006,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,3/1/2006,,,,,,,
"55045350301","55045-3503-01",,"J0696",,6/28/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,6/28/2006,,,,,,,
"55045350501","55045-3505-01",,"J1055",,6/28/2006,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","DEPO PROVERA 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,6/28/2006,,,,,,,
"55045350601","55045-3506-01",,"J1815",,6/28/2006,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN R U-100 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,6/28/2006,,,,,,,
"55045350801","55045-3508-01",,"J1815",,6/30/2006,,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,6/30/2006,,,,,,,
"55045350901","55045-3509-01",,"J2930",,7/10/2006,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU MEDROL 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,7/10/2006,,,,,,,
"55045351101","55045-3511-01",,"J0696",,7/11/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/11/2006,,,,,,,
"55045351102","55045-3511-02",,"J0696",,7/14/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/14/2006,,,,,,,
"55045351201","55045-3512-01",,"J3030",,7/11/2006,,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX (5X0.5ML) 6 MG/0.5 ML",0.5,"ML","VL","SC","ML",6,"MG",2,7/11/2006,,,,,,,
"55045351301","55045-3513-01",,"J7509",,6/23/2006,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 8 MG",25,"EA","BO","PO","EA",4,"MG",2,6/23/2006,,,,,,,
"55045351401","55045-3514-01",,"J2550",,7/12/2006,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HYDROCHLORIDE (25X1ML) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,7/12/2006,,,,,,,
"55045351501","55045-3515-01",,"J2310",,7/12/2006,,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NALOXONE HYDROCHLORIDE 0.4 MG/ML",1,"ML","AM","IJ","ML",1,"MG",0.4,7/12/2006,,,,,,,
"55045351601","55045-3516-01",,"J0696",,7/12/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,7/12/2006,,,,,,,
"55045353201","55045-3532-01",,"J1956",,1/2/2007,,"INJECTION, LEVOFLOXACIN, 250 MG","LEVAQUIN 25 MG/ML",20,"ML","NA","IV","ML",250,"MG",0.1,1/2/2007,,,,,,,
"55045356501","55045-3565-01",,"J3250",,7/1/2006,7/31/2008,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TIGAN 100 MG/ML",20,"ML","NA","IM","ML",200,"MG",0.5,7/1/2006,,,,,,,
"55045368402","55045-3684-02",,"J0540",,11/15/2005,12/31/2009,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN CR 900/300 (10X2ML)",2,"ML","SR","IM","ML",1200000,"U",0.5,11/15/2005,12/31/2009,,,,,,
"55045368501","55045-3685-01",,"J1815",,11/15/2006,,"INJECTION, INSULIN, PER 5 UNITS","LANTUS 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,11/15/2006,,,,,,,
"55045369301","55045-3693-01",,"Q0144",,12/6/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",3,"EA","NA","PO","EA",1,"GM",0.5,12/6/2006,,,,,,,
"55045369603","55045-3696-03",,"J0170",,8/17/2006,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","ADRENALIN CHLORIDE 1 MG/ML",30,"ML","NA","IJ","ML",1,"ML",1,8/17/2006,,,,,,,
"55045369803","55045-3698-03",,"Q0144",,12/26/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,12/26/2006,,,,,,,
"55045371001","55045-3710-01",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (10MLX25) 0.9%",10,"ML","NA","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"55045371001","55045-3710-01",,"J2912",,7/24/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (10MLX25) 0.9%",10,"ML","NA","IJ","ML",0.9,"%",0.5,7/24/2006,,,,,,,
"55045372501","55045-3725-01",,"Q0144",,12/26/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,12/26/2006,,,,,,,
"55045372602","55045-3726-02",,"Q0144",,12/26/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,12/26/2006,,,,,,,
"55045372701","55045-3727-01",,"Q0144",,12/26/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,12/26/2006,,,,,,,
"55045372903","55045-3729-03",,"Q0179",,2/1/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,2/1/2007,,,,,,,
"55045377305","55045-3773-05",,"J3490",,4/6/2007,,"UNCLASSIFIED DRUGS","BACITRACIN 50000 U",1,"EA","NA","IM","EA",1,"EA",1,4/6/2007,,,,,,,
"55045381501","55045-3815-01",,"Q0179",,7/26/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON 8 MG",10,"EA","BX","PO","EA",8,"MG",1,7/26/2007,,,,,,,
"55045990303","55045-9903-03",,"J0170",,3/15/2003,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (SYRINGE,LATEX-FREE) 0.1 MG/ML",10,"ML","SR","IJ","ML",1,"ML",1,3/15/2003,,,,,,,
"55111015313","55111-0153-13",,"Q0179",,12/26/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (1X3,FILM-COATED) 4 MG",3,"EA","BX","PO","EA",8,"MG",0.5,12/26/2006,,,,,,,
"55111015330","55111-0153-30",,"Q0179",,12/26/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,12/26/2006,,,,,,,
"55111015413","55111-0154-13",,"Q0179",,12/26/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (1X3,FILM-COATED) 8 MG",3,"EA","BX","PO","EA",8,"MG",1,12/26/2006,,,,,,,
"55111015430","55111-0154-30",,"Q0179",,12/26/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,12/26/2006,,,,,,,
"55111015611","55111-0156-11",,"Q0179",,12/26/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (1X1,FILM-COATED) 24 MG",1,"EA","BX","PO","EA",8,"MG",3,12/26/2006,,,,,,,
"55289000610","55289-0006-10",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",10,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289000625","55289-0006-25",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289000635","55289-0006-35",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",35,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289000650","55289-0006-50",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289001210","55289-0012-10",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",10,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55289001214","55289-0012-14",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55289001220","55289-0012-20",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55289003304","55289-0033-04",,"Q0165",,1/1/2002,5/21/2003,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",4,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"55289003310","55289-0033-10",,"Q0165",,1/1/2002,5/21/2003,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"55289003397","55289-0033-97",,"Q0165",,1/1/2002,10/1/2002,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",25,"EA","BX","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"55289010001","55289-0100-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"55289010010","55289-0100-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",10,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"55289010015","55289-0100-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"55289010020","55289-0100-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"55289010030","55289-0100-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"55289010040","55289-0100-40",,"Q0163",,9/9/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",40,"EA","BO","PO","EA",50,"MG",1,9/9/2002,,,,,,,
"55289011902","55289-0119-02",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",2,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55289011902","55289-0119-02",,"K0416",,10/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",2,"EA","BX","RC","EA",1,"MG",25,10/1/2002,,,,,,,
"55289011906","55289-0119-06",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55289011906","55289-0119-06",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",6,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"55289019510","55289-0195-10",,"Q0178",,1/1/2002,12/23/2002,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",10,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"55289021920","55289-0219-20",,"Q0173",,1/1/2002,10/9/2006,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",20,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"55289022404","55289-0224-04",,"Q0165",,5/21/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",4,"EA","BO","PO","EA",10,"MG",1,5/21/2002,,,,,,,
"55289022406","55289-0224-06",,"Q0165",,3/7/2008,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,3/7/2008,,,,,,,
"55289022412","55289-0224-12",,"Q0165",,4/2/2008,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",12,"EA","BO","PO","EA",10,"MG",1,4/2/2008,,,,,,,
"55289022610","55289-0226-10",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"55289022615","55289-0226-15",,"Q0177",,3/6/2008,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",15,"EA","BO","PO","EA",25,"MG",1,3/6/2008,,,,,,,
"55289027310","55289-0273-10",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",10,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289027325","55289-0273-25",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289027330","55289-0273-30",,"J8499",,8/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,8/1/2006,,,,,,,
"55289027335","55289-0273-35",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",35,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289027350","55289-0273-50",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289027402","55289-0274-02",,"Q0144",,10/16/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",2,"EA","BO","PO","EA",1,"GM",0.5,10/16/2007,,,,,,,
"55289027403","55289-0274-03",,"Q0144",,4/2/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 500 MG",3,"EA","BO","PO","EA",1,"GM",0.5,4/2/2008,,,,,,,
"55289031004","55289-0310-04",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"55289031006","55289-0310-06",,"Q0144",,1/15/2004,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,1/15/2004,,,,,,,
"55289031014","55289-0310-14",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",14,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"55289033005","55289-0330-05",,"J7506",,4/25/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 50 MG",5,"EA","BO","PO","EA",5,"MG",10,4/25/2008,,,,,,,
"55289033007","55289-0330-07",,"J7506",,9/16/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",7,"EA","BO","PO","EA",5,"MG",10,9/16/2008,,,,,,,
"55289033010","55289-0330-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 50 MG",10,"EA","BO","PO","EA",5,"MG",10,1/1/2002,,,,,,,
"55289035205","55289-0352-05",,"J7506",,5/1/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",5,"EA","BO","PO","EA",5,"MG",4,5/1/2008,,,,,,,
"55289035207","55289-0352-07",,"J7506",,3/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",7,"EA","BO","PO","EA",5,"MG",4,3/1/2004,,,,,,,
"55289035209","55289-0352-09",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",9,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"55289035210","55289-0352-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"55289035212","55289-0352-12",,"J7506",,5/1/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",12,"EA","BO","PO","EA",5,"MG",4,5/1/2008,,,,,,,
"55289035214","55289-0352-14",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",14,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"55289035215","55289-0352-15",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"55289035220","55289-0352-20",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"55289035221","55289-0352-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"55289035230","55289-0352-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"55289035410","55289-0354-10",,"Q0178",,10/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",10,"EA","BO","PO","EA",50,"MG",1,10/1/2002,,,,,,,
"55289037301","55289-0373-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"55289037312","55289-0373-12",,"J7506",,12/13/2002,10/9/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",12,"EA","BO","PO","EA",5,"MG",1,12/13/2002,,,,,,,
"55289037330","55289-0373-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"55289037336","55289-0373-36",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",36,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"55289037342","55289-0373-42",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",42,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"55289037346","55289-0373-46",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",46,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"55289037355","55289-0373-55",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",50,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"55289037360","55289-0373-60",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"55289037372","55289-0373-72",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",72,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"55289041404","55289-0414-04",,"J8498",,1/1/2006,10/9/2006,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",4,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55289041404","55289-0414-04",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",4,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"55289041406","55289-0414-06",,"J8498",,1/1/2006,10/9/2006,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55289041406","55289-0414-06",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",6,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"55289041714","55289-0417-14",,"G9036",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","FLUMADINE 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55289042810","55289-0428-10",,"Q0173",,1/1/2002,6/29/2006,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 250 MG",10,"EA","BO","PO","EA",250,"MG",1,2/12/2002,,1/1/2002,2/11/2002,1,,,
"55289042817","55289-0428-17",,"Q0173",,1/1/2002,10/9/2006,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 250 MG",100,"EA","BX","PO","EA",250,"MG",1,2/12/2002,,1/1/2002,2/11/2002,1,,,
"55289043801","55289-0438-01",,"J7506",,1/1/2002,9/17/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55289043820","55289-0438-20",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55289043821","55289-0438-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55289043830","55289-0438-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55289043836","55289-0438-36",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",36,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55289043838","55289-0438-38",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",38,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55289043840","55289-0438-40",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55289043842","55289-0438-42",,"J7506",,3/18/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 10 MG",42,"EA","BO","PO","EA",5,"MG",2,3/18/2008,,,,,,,
"55289043850","55289-0438-50",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",50,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55289043860","55289-0438-60",,"J7506",,3/5/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,3/5/2002,,,,,,,
"55289046205","55289-0462-05",,"J8499",,1/15/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",5,"EA","BO","PO","EA",1,"EA",1,1/15/2004,,,,,,,
"55289046212","55289-0462-12",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",12,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289046215","55289-0462-15",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289046221","55289-0462-21",,"J8499",,8/17/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",21,"EA","BO","PO","EA",1,"EA",1,8/17/2006,,,,,,,
"55289046225","55289-0462-25",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289046230","55289-0462-30",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289046235","55289-0462-35",,"J8499",,4/21/2008,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP) 400 MG",35,"EA","BO","PO","EA",1,"EA",1,4/21/2008,,,,,,,
"55289046260","55289-0462-60",,"J8499",,3/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP) 400 MG",60,"EA","BO","PO","EA",1,"EA",1,3/1/2006,,,,,,,
"55289046415","55289-0464-15",,"Q0170",,12/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",15,"EA","BO","PO","EA",25,"MG",1,12/1/2003,,,,,,,
"55289046479","55289-0464-79",,"Q0170",,2/1/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",1,"EA","BO","PO","EA",25,"MG",1,5/24/2005,,2/1/2005,5/23/2005,1,,,
"55289047901","55289-0479-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"55289047910","55289-0479-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",10,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"55289047912","55289-0479-12",,"Q0163",,7/1/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",12,"EA","BO","PO","EA",50,"MG",0.5,7/1/2006,,,,,,,
"55289047915","55289-0479-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"55289047920","55289-0479-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"55289047924","55289-0479-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"55289047930","55289-0479-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"55289053104","55289-0531-04",,"Q0170",,2/26/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 50 MG",4,"EA","BO","PO","EA",25,"MG",2,2/26/2008,,,,,,,
"55289055903","55289-0559-03",,"Q0179",,4/25/2008,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP,STRAWBERRY) 4 MG",3,"EA","BO","PO","EA",8,"MG",0.5,4/25/2008,,,,,,,
"55289055905","55289-0559-05",,"Q0179",,6/3/2008,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP, STRAWBERRY 4 MG",5,"EA","BO","PO","EA",8,"MG",0.5,6/3/2008,,,,,,,
"55289055906","55289-0559-06",,"Q0179",,4/25/2008,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP,STRAWBERRY) 4 MG",6,"EA","BO","PO","EA",8,"MG",0.5,4/25/2008,,,,,,,
"55289056415","55289-0564-15",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 800 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289056420","55289-0564-20",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 800 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289056448","55289-0564-48",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 800 MG",48,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289056810","55289-0568-10",,"Q0164",,7/1/2005,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,7/1/2005,,,,,,,
"55289056812","55289-0568-12",,"Q0164",,10/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",12,"EA","BO","PO","EA",5,"MG",1,10/1/2002,,,,,,,
"55289056830","55289-0568-30",,"Q0164",,11/15/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,11/15/2007,,,,,,,
"55289058204","55289-0582-04",,"J8540",,10/1/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",4,"EA","BO","PO","EA",0.25,"MG",16,10/1/2007,,,,,,,
"55289058210","55289-0582-10",,"J8540",,4/10/2008,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",10,"EA","BO","PO","EA",0.25,"MG",16,4/10/2008,,,,,,,
"55289058530","55289-0585-30",,"J8999",,1/1/2002,11/14/2006,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289062910","55289-0629-10",,"J8499",,8/26/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",10,"EA","BO","PO","EA",1,"EA",1,8/26/2002,,,,,,,
"55289062930","55289-0629-30",,"J8499",,6/5/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,6/5/2007,,,,,,,
"55289062950","55289-0629-50",,"J8499",,4/23/2008,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP) 800 MG",50,"EA","BO","PO","EA",1,"EA",1,4/23/2008,,,,,,,
"55289064930","55289-0649-30",,"J7509",,10/15/2003,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",30,"EA","BO","PO","EA",4,"MG",1,10/15/2003,,,,,,,
"55289064998","55289-0649-98",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",120,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"55289069112","55289-0691-12",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 400 MG",12,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289069115","55289-0691-15",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 400 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289069125","55289-0691-25",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ZOVIRAX 400 MG",25,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55289083214","55289-0832-14",,"G9020",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","RIMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55289092430","55289-0924-30",,,,11/1/2005,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE 2.5 MG",30,"EA","BO","PO","EA",2.5,"MG",1,11/1/2005,,,,,,,
"55289092802","55289-0928-02",,"J8498",,3/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE (USP) 25 MG",2,"EA","BX","RC","EA",1,"EA",1,3/1/2006,,,,,,,
"55289092804","55289-0928-04",,"J8498",,5/9/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE 25 MG",4,"EA","BX","RC","EA",1,"EA",1,5/9/2006,,,,,,,
"55289092806","55289-0928-06",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE 25 MG",6,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55289092806","55289-0928-06",,"K0416",,11/1/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE 25 MG",6,"EA","BX","RC","EA",1,"MG",25,11/1/2005,,,,,,,
"55289092879","55289-0928-79",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE 25 MG",1,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55289092879","55289-0928-79",,"K0416",,11/1/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE 25 MG",1,"EA","BX","RC","EA",1,"MG",25,11/1/2005,,,,,,,
"55289094002","55289-0940-02",,"J8498",,3/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE (USP) 12.5 MG",2,"EA","BX","RC","EA",1,"EA",1,3/1/2006,,,,,,,
"55289094006","55289-0940-06",,"J8498",,5/9/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HYDROCHLORIDE 12.5 MG",6,"EA","BX","RC","EA",1,"EA",1,5/9/2006,,,,,,,
"55289094802","55289-0948-02",,"Q0169",,5/9/2006,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 12.5 MG",2,"EA","BO","PO","EA",12.5,"MG",1,5/9/2006,,,,,,,
"55289095306","55289-0953-06",,"Q0173",,5/9/2006,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE 300 MG",6,"EA","BO","PO","EA",250,"MG",1.2,5/9/2006,,,,,,,
"55289096404","55289-0964-04",,"Q0144",,11/1/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,11/1/2005,,,,,,,
"55289096414","55289-0964-14",,"Q0144",,2/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",14,"EA","BO","PO","EA",1,"GM",0.25,2/1/2006,,,,,,,
"55370020202","55370-0202-02",,"J3490",,1/1/2002,9/29/2005,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (VIAL) 150 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"55370020204","55370-0202-04",,"J3490",,1/1/2002,9/29/2005,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (VIAL) 150 MG/ML",8,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"55370055507","55370-0555-07",,"J8499",,1/1/2002,9/1/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55370055509","55370-0555-09",,"J8499",,1/1/2002,7/14/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",1000,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55370055607","55370-0556-07",,"J8499",,1/1/2002,7/14/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55370055608","55370-0556-08",,"J8499",,1/1/2002,7/14/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55370055707","55370-0557-07",,"J8499",,1/1/2002,9/1/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55370055709","55370-0557-09",,"J8499",,1/1/2002,7/14/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",1000,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"55390000310","55390-0003-10",,"J1800",,1/1/2002,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (S.D.V.) 1 MG/ML",1,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"55390000401","55390-0004-01",,"J1610",,1/1/2002,,"INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG","GLUCAGEN DIAGNOSTIC KIT (VIAL W/STERILE WATER) 1 MG",1,"EA","VL","IJ","EA",1,"MG",1,1/1/2002,,,,,,,
"55390000410","55390-0004-10",,"J1610",,1/1/2002,,"INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG","GLUCAGEN (VIAL) 1 MG",1,"EA","VL","IJ","EA",1,"MG",1,1/1/2002,,,,,,,
"55390000501","55390-0005-01",,"J9040",,3/10/2003,,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLEOMYCIN SULFATE (S.D.V.,USP) 15 U",1,"EA","VL","IJ","EA",15,"U",1,3/10/2003,,,,,,,
"55390000601","55390-0006-01",,"J9040",,3/10/2003,,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLEOMYCIN SULFATE (S.D.V.,USP) 30 U",1,"EA","VL","IJ","EA",15,"U",2,3/10/2003,,,,,,,
"55390000901","55390-0009-01",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (S.D.V.,PF) 10 MG/ML",50,"ML","VL","IJ","ML",50,"MG",0.2,1/1/2002,,,,,,,
"55390001201","55390-0012-01",,"J1450",,7/29/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE 200 MG/100 ML",100,"ML","VL","IV","ML",200,"MG",0.01,7/29/2004,,,,,,,
"55390001310","55390-0013-10",,"J1110",,9/3/2003,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (VIAL) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,9/3/2003,,,,,,,
"55390001402","55390-0014-02",,"J1190",,4/8/2005,,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG","DEXRAZOXANE 250 MG",1,"EA","VL","IV","EA",250,"MG",1,4/8/2005,,,,,,,
"55390001910","55390-0019-10",,"J2260",,5/31/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,5/31/2002,,,,,,,
"55390002010","55390-0020-10",,"J2260",,5/31/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,5/31/2002,,,,,,,
"55390002101","55390-0021-01",,"J2260",,5/31/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",5,"MG",0.2,5/31/2002,,,,,,,
"55390002601","55390-0026-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (BULK VIAL) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"55390002701","55390-0027-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.,PF) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"55390002810","55390-0028-10",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.,PF) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"55390002910","55390-0029-10",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (S.D.V.,PF) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"55390003010","55390-0030-10",,"J9340",,1/1/2002,,"INJECTION, THIOTEPA, 15 MG","THIOTEPA (S.D.V.) 15 MG",1,"EA","VL","IJ","EA",15,"MG",1,1/1/2002,,,,,,,
"55390003110","55390-0031-10",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"55390003210","55390-0032-10",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",4,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"55390003310","55390-0033-10",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",8,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"55390003410","55390-0034-10",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"55390004210","55390-0042-10",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","INAMRINONE LACTATE (S.D.V.) 5 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"55390004501","55390-0045-01",,"J9209",,2/24/2004,,"INJECTION, MESNA, 200 MG","MESNA (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,2/24/2004,,,,,,,
"55390004601","55390-0046-01",,"J1450",,7/29/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE 400 MG/200 ML",200,"ML","VL","IV","ML",200,"MG",0.01,7/29/2004,,,,,,,
"55390005110","55390-0051-10",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (VIAL) 50 MG",1,"EA","VL","IJ","EA",50,"MG",1,1/1/2002,,,,,,,
"55390005210","55390-0052-10",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (VIAL) 100 MG",1,"EA","VL","IJ","EA",50,"MG",2,1/1/2002,,,,,,,
"55390005301","55390-0053-01",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (VIAL) 200 MG",1,"EA","VL","IJ","EA",50,"MG",4,1/1/2002,,,,,,,
"55390005401","55390-0054-01",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (S.D.V.,PF) 350 MG",1,"EA","VL","IJ","EA",50,"MG",7,1/1/2002,,,,,,,
"55390005701","55390-0057-01",,"J0282",,10/25/2002,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (20ML MULTIPLE USE VIAL) 50 MG/ML",18,"ML","VL","IV","ML",30,"MG",1.66666,10/25/2002,,,,,,,
"55390005710","55390-0057-10",,"J0282",,12/1/2003,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (S.D.V.,PF) 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,12/1/2003,,,,,,,
"55390005810","55390-0058-10",,"J0282",,10/18/2002,11/30/2003,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (5ML AMPULE,PF) 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,10/18/2002,,,,,,,
"55390005910","55390-0059-10",,"J2360",,4/28/2003,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ORPHENADRINE CITRATE (S.D.V) 30 MG/ML",2,"ML","VL","IJ","ML",60,"MG",0.5,4/28/2003,,,,,,,
"55390006002","55390-0060-02",,"J1190",,4/8/2005,,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG","DEXRAZOXANE 500 MG",1,"EA","VL","IV","EA",250,"MG",2,4/8/2005,,,,,,,
"55390006610","55390-0066-10",,"J0500",,7/14/2003,,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","DICYCLOMINE HCL (U.S.P.) 10 MG/ML",2,"ML","VL","IM","ML",20,"MG",0.5,7/14/2003,,,,,,,
"55390006710","55390-0067-10",,"J0150",,6/16/2004,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (S.D.V.) 3 MG/ML",2,"ML","VL","IV","ML",6,"MG",0.5,6/16/2004,,,,,,,
"55390006801","55390-0068-01",,"J0150",,9/1/2004,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (S.D.V.) 3 MG/ML",4,"ML","VL","IV","ML",6,"MG",0.5,9/1/2004,,,,,,,
"55390006901","55390-0069-01",,"J9390",,2/3/2004,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (S.D.V.,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,2/3/2004,,,,,,,
"55390007001","55390-0070-01",,"J9390",,2/3/2004,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (S.D.V.,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,2/3/2004,,,,,,,
"55390007410","55390-0074-10",,"J2260",,5/31/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE NOVAPLUS (S.D.V.) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,5/31/2002,,,,,,,
"55390007510","55390-0075-10",,"J2260",,5/31/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE NOVAPLUS (S.D.V.) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,5/31/2002,,,,,,,
"55390007601","55390-0076-01",,"J2260",,5/31/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE NOVAPLUS (S.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",5,"MG",0.2,5/31/2002,,,,,,,
"55390007701","55390-0077-01",,"J0780",,7/22/2004,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (U.S.P., M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",10,"MG",0.5,7/22/2004,,,,,,,
"55390007710","55390-0077-10",,"J0780",,7/22/2004,,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG","PROCHLORPERAZINE EDISYLATE (U.S.P.,M.D.V.) 5 MG/ML",2,"ML","VL","IJ","ML",10,"MG",0.5,7/22/2004,,,,,,,
"55390008301","55390-0083-01",,"J9293",,4/11/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (USP,CONCENTRATE,PF) 2 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.4,4/11/2006,,,,,,,
"55390008401","55390-0084-01",,"J9293",,4/11/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (USP,CONCENTRATE,PF) 2 MG/ML",12.5,"ML","VL","IV","ML",5,"MG",0.4,4/11/2006,,,,,,,
"55390008501","55390-0085-01",,"J9293",,4/11/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (USP,CONCENTRATE,PF) 2 MG/ML",15,"ML","VL","IV","ML",5,"MG",0.4,4/11/2006,,,,,,,
"55390009010","55390-0090-10",,"J9140",,1/1/2002,,"DACARBAZINE, 200 MG","DACARBAZINE (S.D.V.) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,1/1/2002,,,,,,,
"55390009110","55390-0091-10",,"J9360",,1/1/2002,,"INJECTION, VINBLASTINE SULFATE, 1 MG","VINBLASTINE SULFATE (VIAL) 10 MG",1,"EA","VL","IV","EA",1,"MG",10,1/1/2002,,,,,,,
"55390009710","55390-0097-10",,"J0282",,3/5/2008,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","NOVAPLUS AMIODARONE HYDROCHLORIDE (10X3ML,S.D.V) 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,3/5/2008,,,,,,,
"55390009901","55390-0099-01",,"J9060",,10/1/2004,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN 1 MG/ML",200,"ML","VL","IV","ML",10,"MG",0.1,10/1/2004,,,,,,,
"55390010010","55390-0100-10",,"J0592",,6/3/2005,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE 0.3 MG/ML",1,"ML","VL","IJ","ML",0.1,"MG",3.24,6/3/2005,,,,,,,
"55390010110","55390-0101-10",,"J3105",,4/28/2004,,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG","TERBUTALINE SULFATE 1 MG/ML",2,"ML","VL","SC","ML",1,"MG",1,4/28/2004,,,,,,,
"55390010420","55390-0104-20",,"J3490",,6/23/2005,1/1/2008,"UNCLASSIFIED DRUGS","PROPOFOL 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,6/23/2005,1/1/2008,,,,,,
"55390010450","55390-0104-50",,"J3490",,6/23/2005,1/1/2008,"UNCLASSIFIED DRUGS","PROPOFOL 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,6/23/2005,1/1/2008,,,,,,
"55390010499","55390-0104-99",,"J3490",,6/23/2005,1/1/2008,"UNCLASSIFIED DRUGS","PROPOFOL 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,6/23/2005,1/1/2008,,,,,,
"55390010501","55390-0105-01",,"J0282",,9/7/2005,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (M.D.V.) 50 MG/ML",9,"ML","VL","IV","ML",30,"MG",1.66666,9/7/2005,,,,,,,
"55390010601","55390-0106-01",,"J9999",,9/1/2004,,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","ALLOPURINOL SODIUM (S.D.V.,PF) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,9/1/2004,,,,,,,
"55390010710","55390-0107-10",,"J2440",,1/1/2002,2/25/2008,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (M.D.V.) 30 MG/ML",10,"ML","VL","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"55390010801","55390-0108-01",,"J9150",,1/1/2002,,"INJECTION, DAUNORUBICIN, 10 MG","DAUNORUBICIN HCL (S.D.V.,PF) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"55390010810","55390-0108-10",,"J9150",,1/1/2002,,"INJECTION, DAUNORUBICIN, 10 MG","DAUNORUBICIN HCL (S.D.V.,PF) 5 MG/ML",4,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"55390010901","55390-0109-01",,"J3490",,4/8/2005,,"UNCLASSIFIED DRUGS","CLINDAMYCIN (USP) 150 MG/ML",60,"ML","VL","IJ","ML",1,"EA",1,4/8/2005,,,,,,,
"55390011250","55390-0112-50",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (M.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"55390011299","55390-0112-99",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (M.D.V.) 1 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"55390011301","55390-0113-01",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (S.D.V.) 5 MG",1,"EA","VL","IJ","EA",5,"MG",1,1/1/2002,,,,,,,
"55390011405","55390-0114-05",,"J9265",,1/1/2002,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (M.D.V.) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,,,,,,,
"55390011420","55390-0114-20",,"J9265",,1/1/2002,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (M.D.V.) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,,,,,,,
"55390011450","55390-0114-50",,"J9265",,1/1/2002,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (M.D.V.) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,1/1/2002,,,,,,,
"55390011501","55390-0115-01",,"J9065",,1/1/2002,,"INJECTION, CLADRIBINE, PER 1 MG","CLADRIBINE NOVAPLUS (S.D.V.,PF) 1 MG/ML",10,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"55390012101","55390-0121-01",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (MDV,USP) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"55390012110","55390-0121-10",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (SDV,USP,10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"55390012210","55390-0122-10",,"J7516",,1/1/2002,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORINE (S.D.V.) 50 MG/ML",5,"ML","VL","IV","ML",250,"MG",0.2,1/1/2002,,,,,,,
"55390012301","55390-0123-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (VIAL,30 ML) 600 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,,,,,,,
"55390012401","55390-0124-01",,"J9065",,1/1/2002,,"INJECTION, CLADRIBINE, PER 1 MG","CLADRIBINE (S.D.V.,PF) 1 MG/ML",10,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"55390012510","55390-0125-10",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,PF) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"55390012605","55390-0126-05",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,PF) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"55390012610","55390-0126-10",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,PF) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"55390012701","55390-0127-01",,"J2430",,1/1/2002,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (VIAL) 30 MG",1,"EA","VL","IV","EA",30,"MG",1,1/1/2002,,,,,,,
"55390012901","55390-0129-01",,"J2430",,1/1/2002,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (VIAL) 90 MG",1,"EA","VL","IV","EA",30,"MG",3,1/1/2002,,,,,,,
"55390013110","55390-0131-10",,"J9100",,1/1/2002,,"INJECTION, CYTARABINE, 100 MG","CYTARABINE (VIAL) 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"55390013210","55390-0132-10",,"J9110",,1/1/2002,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"55390013301","55390-0133-01",,"J9110",,1/1/2002,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"55390013401","55390-0134-01",,"J9110",,1/1/2002,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"55390013501","55390-0135-01",,"J9200",,1/1/2002,,"INJECTION, FLOXURIDINE, 500 MG","FLOXURIDINE (VIAL) 0.5 GM",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"55390013605","55390-0136-05",,"J1955",,1/1/2002,,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE (S.D.V.) 200 MG/ML",5,"ML","VL","IV","ML",1,"GM",0.2,1/1/2002,,,,,,,
"55390013702","55390-0137-02",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,PF) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"55390013705","55390-0137-05",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,PF) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"55390013801","55390-0138-01",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,PF) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"55390013802","55390-0138-02",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL,PF) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"55390014210","55390-0142-10",,"J9150",,1/1/2002,,"INJECTION, DAUNORUBICIN, 10 MG","DAUNORUBICIN HCL NOVAPLUS (S.D.V.,PF) 5 MG/ML",4,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"55390014301","55390-0143-01",,"J9260",,9/7/2005,,"METHOTREXATE SODIUM, 50 MG","METHOTREXATE SODIUM (S.D.V.,30ML VIAL,PF) 1 GM",1,"EA","VL","IJ","EA",50,"MG",20,9/7/2005,,,,,,,
"55390014701","55390-0147-01",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL LACTATE (M.D.V.) 5 MG/ML",10,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"55390014710","55390-0147-10",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL LACTATE (S.D.V.) 5 MG/ML",1,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"55390015001","55390-0150-01",,"J9045",,1/17/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/17/2006,,,,,,,
"55390015101","55390-0151-01",,"J9045",,1/17/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 150 MG",1,"EA","VL","IV","EA",50,"MG",3,1/17/2006,,,,,,,
"55390015201","55390-0152-01",,"J9045",,1/17/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 450 MG",1,"EA","VL","IV","EA",50,"MG",9,1/17/2006,,,,,,,
"55390015301","55390-0153-01",,"J9045",,10/15/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (S.D.V.,PF) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,10/15/2004,,,,,,,
"55390015401","55390-0154-01",,"J9045",,10/15/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (S.D.V.,PF) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,10/15/2004,,,,,,,
"55390015501","55390-0155-01",,"J9045",,10/15/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (S.D.V.,PF) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,10/15/2004,,,,,,,
"55390015601","55390-0156-01",,"J9045",,3/1/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV,PF) 10 MG/ML",60,"ML","VL","IV","ML",50,"MG",0.2,3/1/2006,,,,,,,
"55390015701","55390-0157-01",,"J2430",,1/1/2003,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (LYOPHILIZED) 30 MG",1,"EA","VL","IV","EA",30,"MG",1,1/1/2003,,,,,,,
"55390015901","55390-0159-01",,"J2430",,1/1/2003,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (LYOPHILIZED) 90 MG",1,"EA","VL","IV","EA",30,"MG",3,1/1/2003,,,,,,,
"55390016010","55390-0160-10",,"J2354",,5/4/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE 50 MCG/ML",1,"ML","VL","IJ","ML",25,"MCG",2,5/4/2005,,,,,,,
"55390016110","55390-0161-10",,"J2354",,4/4/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE 100 MCG/ML",1,"ML","VL","IJ","ML",25,"MCG",4,4/4/2005,,,,,,,
"55390016210","55390-0162-10",,"J2354",,4/4/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE 500 MCG/ML",1,"ML","VL","IJ","ML",25,"MCG",20,4/4/2005,,,,,,,
"55390016301","55390-0163-01",,"J2354",,5/25/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (MDV) 200 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",8,5/25/2005,,,,,,,
"55390016401","55390-0164-01",,"J2354",,5/25/2005,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (MDV) 1000 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",40,5/25/2005,,,,,,,
"55390016810","55390-0168-10",,"J2060",,9/13/2006,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (USP,SDV,1MLX10,PF) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,9/13/2006,,,,,,,
"55390016910","55390-0169-10",,"J2060",,9/13/2006,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (USP,SDV,1MLX10,PF) 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,9/13/2006,,,,,,,
"55390017010","55390-0170-10",,"J2060",,9/13/2006,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (USP,MDV,10MLX10) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,9/13/2006,,,,,,,
"55390017110","55390-0171-10",,"J2060",,9/13/2006,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (USP,MDV,10MLX10) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,9/13/2006,,,,,,,
"55390017510","55390-0175-10",,"Q2009",,8/6/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (SDV,USP,10X2ML) 75 MG/ML",20,"ML","VL","IJ","ML",50,"MG",1.5,8/6/2007,,,,,,,
"55390017610","55390-0176-10",,"Q2009",,8/6/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (SDV,USP,10X10ML) 75 MG/ML",100,"ML","VL","IJ","ML",50,"MG",1.5,8/6/2007,,,,,,,
"55390018301","55390-0183-01",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (S.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,1/1/2004,,,,,,,
"55390018301","55390-0183-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390018401","55390-0184-01",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"55390018401","55390-0184-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390018402","55390-0184-02",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"55390018402","55390-0184-02",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390018510","55390-0185-10",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"55390018510","55390-0185-10",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390018701","55390-0187-01",,"J9060",,10/1/2004,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN NOVAPLUS 1 MG/ML",200,"ML","VL","IV","ML",10,"MG",0.1,10/1/2004,,,,,,,
"55390019310","55390-0193-10",,"J3105",,11/19/2004,,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG","TERBUTALINE SULFATE NOVAPLUS 1 MG/ML",1,"ML","VL","SC","ML",1,"MG",1,11/19/2004,,,,,,,
"55390019701","55390-0197-01",,"J0744",,8/28/2006,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (USP,SDV) 10 MG/ML",20,"ML","VL","IV","ML",200,"MG",0.05,8/28/2006,,,,,,,
"55390019801","55390-0198-01",,"J0744",,8/28/2006,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (USP,SDV) 10 MG/ML",40,"ML","VL","IV","ML",200,"MG",0.05,8/28/2006,,,,,,,
"55390019901","55390-0199-01",,"J0744",,11/6/2006,,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG","CIPROFLOXACIN (PHARMACY BULK PACKAGE) 10 MG/ML",120,"ML","VL","IV","ML",200,"MG",0.05,11/6/2006,,,,,,,
"55390020401","55390-0204-01",,"J2430",,4/2/2002,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (S.D.V.,FLIPTOP) 3 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.1,4/2/2002,,,,,,,
"55390020701","55390-0207-01",,"J9178",,8/7/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SINGLE-DOSE,PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,8/7/2007,,,,,,,
"55390020801","55390-0208-01",,"J9178",,8/7/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SINGLE-DOSE,PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,8/7/2007,,,,,,,
"55390020910","55390-0209-10",,"J2920",,2/22/2007,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (SDV) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,2/22/2007,,,,,,,
"55390021010","55390-0210-10",,"J2930",,2/22/2007,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (SDV) 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,2/22/2007,,,,,,,
"55390021103","55390-0211-03",,"J7608",,1/1/2002,3/11/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL,PF) 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"55390021103","55390-0211-03","KO","J7608","KO",1/1/2002,3/11/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL,PF) 10%",10,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"55390021203","55390-0212-03",,"J7608",,1/1/2002,3/11/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL,PF) 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"55390021203","55390-0212-03","KO","J7608","KO",1/1/2002,3/11/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL,PF) 10%",30,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"55390021303","55390-0213-03",,"J7608",,1/1/2002,3/11/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL,PF) 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"55390021303","55390-0213-03","KO","J7608","KO",1/1/2002,3/11/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL,PF) 20%",10,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"55390021403","55390-0214-03",,"J7608",,1/1/2002,3/11/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL,PF) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"55390021403","55390-0214-03","KO","J7608","KO",1/1/2002,3/11/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL,PF) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"55390021501","55390-0215-01",,"J9211",,8/7/2007,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDARUBICIN HYDROCHLORIDE (SINGLE-DOSE,PF) 1 MG/ML",5,"ML","VL","IV","ML",5,"MG",0.2,8/7/2007,,,,,,,
"55390021601","55390-0216-01",,"J9211",,8/7/2007,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDARUBICIN HYDROCHLORIDE (SINGLE-DOSE,PF) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,8/7/2007,,,,,,,
"55390021701","55390-0217-01",,"J9211",,8/7/2007,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDARUBICIN HYDROCHLORIDE (SINGLE-DOSE,PF) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,8/7/2007,,,,,,,
"55390021801","55390-0218-01",,"J2930",,2/22/2007,8/1/2008,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (SDV) 500 MG",1,"EA","VL","IJ","EA",125,"MG",4,2/22/2007,8/1/2008,,,,,,
"55390021901","55390-0219-01",,"J2930",,2/22/2007,8/1/2008,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (SDV) 1 GM",1,"EA","VL","IJ","EA",125,"MG",8,2/22/2007,8/1/2008,,,,,,
"55390022001","55390-0220-01",,"J9045",,11/19/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN AMERINET CHOICE (M.D.V.,PF) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,11/19/2004,,,,,,,
"55390022101","55390-0221-01",,"J9045",,11/19/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN AMERINET CHOICE (M.D.V.,PF) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,11/19/2004,,,,,,,
"55390022201","55390-0222-01",,"J9045",,11/19/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN AMERINET CHOICE (M.D.V.,PF) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,11/19/2004,,,,,,,
"55390022302","55390-0223-02",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE PEDIATRIC NOVAPLUS (S.D.V.,PF) 50 MG/ML",2,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2006,,,,,,,
"55390022302","55390-0223-02",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE PEDIATRIC NOVAPLUS (S.D.V.,PF) 50 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390022402","55390-0224-02",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE NOVAPLUS (S.D.V.,PF) 250 MG/ML",2,"ML","VL","IJ","ML",100,"MG",2.5,1/1/2006,,,,,,,
"55390022402","55390-0224-02",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE NOVAPLUS (S.D.V.,PF) 250 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390022404","55390-0224-04",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE NOVAPLUS (PF) 250 MG/ML",4,"ML","VL","IJ","ML",100,"MG",2.5,1/1/2006,,,,,,,
"55390022404","55390-0224-04",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE NOVAPLUS (PF) 250 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390022502","55390-0225-02",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE PEDIATRIC (S.D.V.,PF) 50 MG/ML",2,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2006,,,,,,,
"55390022502","55390-0225-02",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE PEDIATRIC (S.D.V.,PF) 50 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390022602","55390-0226-02",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (S.D.V.,PF) 250 MG/ML",2,"ML","VL","IJ","ML",100,"MG",2.5,1/1/2006,,,,,,,
"55390022602","55390-0226-02",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (S.D.V.,PF) 250 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390022604","55390-0226-04",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (PF) 250 MG/ML",4,"ML","VL","IJ","ML",100,"MG",2.5,1/1/2006,,,,,,,
"55390022604","55390-0226-04",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (PF) 250 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390023110","55390-0231-10",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN (S.D.V.,PF) 10 MG",1,"EA","VL","IV","EA",10,"MG",1,1/1/2002,,,,,,,
"55390023210","55390-0232-10",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN (S.D.V.,PF) 20 MG",1,"EA","VL","IV","EA",10,"MG",2,1/1/2002,,,,,,,
"55390023301","55390-0233-01",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN (S.D.V.,PF) 50 MG",1,"EA","VL","IV","EA",10,"MG",5,1/1/2002,,,,,,,
"55390023510","55390-0235-10",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN (S.D.V.) 2 MG/ML",5,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"55390023610","55390-0236-10",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN (S.D.V.,PF) 2 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"55390023701","55390-0237-01",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN (S.D.V.) 2 MG/ML",25,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"55390023801","55390-0238-01",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","ADRIAMYCIN (M.D.V.) 2 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"55390024110","55390-0241-10",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL NOVAPLUS (S.D.V.,PF) 10 MG",1,"EA","VL","IV","EA",10,"MG",1,1/1/2002,,,,,,,
"55390024210","55390-0242-10",,"J9000",,1/1/2002,1/1/2004,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL NOVAPLUS (S.D.V.,PF) 20 MG",1,"EA","VL","IV","EA",10,"MG",2,1/1/2002,,,,,,,
"55390024301","55390-0243-01",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL NOVAPLUS (S.D.V.,PF) 50 MG",1,"EA","VL","IV","EA",10,"MG",5,1/1/2002,,,,,,,
"55390024401","55390-0244-01",,"J9268",,8/8/2007,,"INJECTION, PENTOSTATIN, 10 MG","PENTOSTATIN (SDV) 10 MG",1,"EA","VL","IV","EA",10,"MG",1,8/8/2007,,,,,,,
"55390024510","55390-0245-10",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL NOVAPLUS (S.D.V.,PF) 2 MG/ML",5,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"55390024610","55390-0246-10",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL NOVAPLUS (S.D.V.,PF) 2 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"55390024701","55390-0247-01",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL NOVAPLUS (S.D.V.,PF) 2 MG/ML",25,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"55390024801","55390-0248-01",,"J9000",,1/1/2002,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HCL NOVAPLUS (M.D.V.) 2 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"55390025010","55390-0250-10",,"J1626",,7/29/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (10X1ML,SDV) 0.1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",1,7/29/2008,,,,,,,
"55390025101","55390-0251-01",,"J9280",,1/1/2002,,"MITOMYCIN, 5 MG","MITOMYCIN (S.D.V.,PF) 5 MG",1,"EA","VL","IV","EA",5,"MG",1,1/1/2002,,,,,,,
"55390025201","55390-0252-01",,"J9290",,1/1/2002,,"MITOMYCIN, 20 MG","MITOMYCIN (S.D.V.,PF) 20 MG",1,"EA","VL","IV","EA",20,"MG",1,1/1/2002,,,,,,,
"55390025301","55390-0253-01",,"J9291",,1/1/2002,,"MITOMYCIN, 40 MG","MITOMYCIN (S.D.V.,PF) 40 MG",1,"EA","VL","IV","EA",40,"MG",1,1/1/2002,,,,,,,
"55390025801","55390-0258-01",,"J2930",,2/1/2008,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (USP,MDV,LYOPHILIZED) 500 MG",1,"EA","VL","IJ","EA",125,"MG",4,2/1/2008,,,,,,,
"55390025901","55390-0259-01",,"J2930",,2/1/2008,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (USP,MDV,LYOPHILIZED) 1 GM",1,"EA","VL","IJ","EA",125,"MG",8,2/1/2008,,,,,,,
"55390026310","55390-0263-10",,"J0895",,6/18/2007,,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE (USP) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,6/18/2007,,,,,,,
"55390026501","55390-0265-01",,"J0895",,6/18/2007,,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG","DEFEROXAMINE MESYLATE (USP) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,6/18/2007,,,,,,,
"55390026601","55390-0266-01",,"J9209",,9/21/2005,,"INJECTION, MESNA, 200 MG","MESNA AMERINET CHOICE (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,9/21/2005,,,,,,,
"55390026701","55390-0267-01",,"J9390",,9/21/2005,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE AMERINET CHOICE (S.D.V.,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,9/21/2005,,,,,,,
"55390026801","55390-0268-01",,"J9390",,9/21/2005,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE AMERINET CHOICE (S.D.V.,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,9/21/2005,,,,,,,
"55390028110","55390-0281-10",,"J9150",,1/1/2002,,"INJECTION, DAUNORUBICIN, 10 MG","CERUBIDINE (S.D.V.) 20 MG",1,"EA","VL","IV","EA",10,"MG",2,1/1/2002,,,,,,,
"55390029101","55390-0291-01",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V.) 20 MG/ML",5,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"55390029201","55390-0292-01",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V.) 20 MG/ML",25,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"55390029301","55390-0293-01",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V.) 20 MG/ML",50,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"55390030405","55390-0304-05",,"J9265",,12/4/2006,,"INJECTION, PACLITAXEL, 30 MG","NOVAPLUS PACLITAXEL (MDV,USP) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,12/4/2006,,,,,,,
"55390030420","55390-0304-20",,"J9265",,12/4/2006,,"INJECTION, PACLITAXEL, 30 MG","NOVAPLUS PACLITAXEL (MDV,USP) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,12/4/2006,,,,,,,
"55390030450","55390-0304-50",,"J9265",,12/4/2006,,"INJECTION, PACLITAXEL, 30 MG","NOVAPLUS PACLITAXEL (MULTIPLE-DOSE,USP) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,12/4/2006,,,,,,,
"55390030701","55390-0307-01",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","NOVAPLUS ONDANSETRON (MDV,USP) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"55390030710","55390-0307-10",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","NOVAPLUS ONDANSETRON (SDV,USP,10X2ML) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"55390030803","55390-0308-03",,"J0207",,4/8/2008,,"INJECTION, AMIFOSTINE, 500 MG","AMIFOSTINE (3X10ML,LYOPHILIZED) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,4/8/2008,,,,,,,
"55390031405","55390-0314-05",,"J9265",,1/14/2004,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL AMERINET CHOICE (M.D.V.) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,1/14/2004,,,,,,,
"55390031420","55390-0314-20",,"J9265",,1/14/2004,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL AMERINET CHOICE (M.D.V.) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,1/14/2004,,,,,,,
"55390031450","55390-0314-50",,"J9265",,1/14/2004,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL AMERINET CHOICE (M.D.V.) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,1/14/2004,,,,,,,
"55390033910","55390-0339-10",,"J9140",,3/5/2008,,"DACARBAZINE, 200 MG","NOVAPLUS DACARBAZINE (USP) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,3/5/2008,,,,,,,
"55390034701","55390-0347-01",,"J9209",,3/5/2008,,"INJECTION, MESNA, 200 MG","NOVAPLUS MESNA (1X10ML,M.D.V) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,3/5/2008,,,,,,,
"55390040320","55390-0403-20",,"J2400",,1/1/2002,,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","CHLOROPROCAINE HCL (S.D.V.,PF) 2%",20,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,,,,,,,
"55390040420","55390-0404-20",,"J2400",,1/1/2002,,"INJECTION, CHLOROPROCAINE HYDROCHLORIDE, PER 30 ML","CHLOROPROCAINE HCL (S.D.V.,PF) 3%",20,"ML","VL","IJ","ML",30,"ML",0.03333,1/1/2002,,,,,,,
"55390041201","55390-0412-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (S.D.V.) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"55390041205","55390-0412-05",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (M.D.V.) 50 MG/ML",5,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"55390041301","55390-0413-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (S.D.V.) 100 MG/ML",1,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"55390041305","55390-0413-05",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (M.D.V.) 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"55390041450","55390-0414-50",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN NOVAPLUS (M.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"55390041499","55390-0414-99",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN NOVAPLUS (M.D.V.) 1 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"55390042201","55390-0422-01",,"J1631",,1/1/2002,1/1/2006,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE NOVAPLUS (S.D.V.) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"55390042205","55390-0422-05",,"J1631",,1/1/2002,4/1/2006,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE NOVAPLUS (M.D.V.) 50 MG/ML",5,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"55390042301","55390-0423-01",,"J1631",,1/1/2002,4/1/2006,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE NOVAPLUS (S.D.V.) 100 MG/ML",1,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"55390042305","55390-0423-05",,"J1631",,1/1/2002,4/1/2006,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE NOVAPLUS (M.D.V.) 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"55390043501","55390-0435-01",,"J9200",,1/1/2002,11/1/2008,"INJECTION, FLOXURIDINE, 500 MG","FLOXURIDINE NOVAPLUS (VIAL) 0.5 GM",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,11/1/2008,,,,,,
"55390043605","55390-0436-05",,"J1955",,1/1/2002,11/1/2008,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE NOVAPLUS (S.D.V.) 200 MG/ML",5,"ML","VL","IV","ML",1,"GM",0.2,1/1/2002,11/1/2008,,,,,,
"55390044701","55390-0447-01",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL LACTATE NOVAPLUS (M.D.V.) 5 MG/ML",10,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"55390044710","55390-0447-10",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL LACTATE NOVAPLUS (S.D.V.) 5 MG/ML",1,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"55390045101","55390-0451-01",,"J9280",,1/1/2002,,"MITOMYCIN, 5 MG","MITOMYCIN NOVAPLUS (S.D.V.,PF) 5 MG",1,"EA","VL","IV","EA",5,"MG",1,1/1/2002,,,,,,,
"55390045201","55390-0452-01",,"J9290",,1/1/2002,,"MITOMYCIN, 20 MG","MITOMYCIN NOVAPLUS (S.D.V.,PF) 20 MG",1,"EA","VL","IV","EA",20,"MG",1,1/1/2002,,,,,,,
"55390045301","55390-0453-01",,"J9291",,1/1/2002,,"MITOMYCIN, 40 MG","MITOMYCIN NOVAPLUS (S.D.V.,PF) 40 MG",1,"EA","VL","IV","EA",40,"MG",1,1/1/2002,,,,,,,
"55390046001","55390-0460-01",,"J1120",,1/1/2002,,"INJECTION, ACETAZOLAMIDE SODIUM, UP TO 500 MG","ACETAZOLAMIDE SODIUM (S.D.V.,PF) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"55390046505","55390-0465-05",,"J2680",,1/1/2002,,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE (VIAL) 25 MG/ML",5,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"55390048001","55390-0480-01",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"55390048101","55390-0481-01",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"55390048102","55390-0481-02",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"55390048110","55390-0481-10",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (M.D.V.) 30 MG/ML",10,"ML","VL","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"55390049101","55390-0491-01",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE NOVAPLUS (M.D.V.) 20 MG/ML",5,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"55390049201","55390-0492-01",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE NOVAPLUS (M.D.V.) 20 MG/ML",25,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"55390049301","55390-0493-01",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE NOVAPLUS (M.D.V.) 20 MG/ML",50,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"55390050002","55390-0500-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUMETANIDE (S.D.V.) 0.25 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390050005","55390-0500-05",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUMETANIDE (S.D.V.) 0.25 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390050010","55390-0500-10",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BUMETANIDE (M.D.V.) 0.25 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"55390050102","55390-0501-02",,"J3490",,1/1/2002,11/1/2008,"UNCLASSIFIED DRUGS","BUMETANIDE NOVAPLUS (S.D.V.) 0.25 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,11/1/2008,,,,,,
"55390050105","55390-0501-05",,"J3490",,1/1/2002,11/1/2008,"UNCLASSIFIED DRUGS","BUMETANIDE NOVAPLUS (S.D.V.) 0.25 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,11/1/2008,,,,,,
"55390050110","55390-0501-10",,"J3490",,1/1/2002,11/1/2008,"UNCLASSIFIED DRUGS","BUMETANIDE NOVAPLUS (M.D.V.) 0.25 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,11/1/2008,,,,,,
"55390050310","55390-0503-10",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL NOVAPLUS (VIAL) 0.5 MG/ML",1,"ML","VL","IV","ML",1.25,"MCG",400,1/1/2002,,,,,,,
"55390050605","55390-0506-05",,"J0270",,1/1/2002,1/1/2005,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (AMP) 0.5 MG/ML",1,"ML","AM","IV","ML",1.25,"MCG",400,1/1/2002,,,,,,,
"55390050610","55390-0506-10",,"J0270",,1/1/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (VIAL) 0.5 MG/ML",1,"ML","VL","IV","ML",1.25,"MCG",400,1/1/2002,,,,,,,
"55390051405","55390-0514-05",,"J9265",,1/25/2005,5/1/2008,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL OTN (M.D.V.) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,1/25/2005,5/1/2008,,,,,,
"55390051420","55390-0514-20",,"J9265",,1/25/2005,5/1/2008,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL OTN (M.D.V.) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,1/25/2005,5/1/2008,,,,,,
"55390051450","55390-0514-50",,"J9265",,1/25/2005,5/1/2008,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL OTN (M.D.V.) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,1/25/2005,5/1/2008,,,,,,
"55390055501","55390-0555-01",,"J1245",,1/1/2002,4/1/2005,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (S.D.V.) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,4/1/2005,,,,,,
"55390055510","55390-0555-10",,"J1245",,1/1/2002,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (S.D.V.) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,2/1/2008,,1/1/2002,1/1/2005,0.5,,,
"55390055590","55390-0555-90",,"J1245",,4/8/2005,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,4/8/2005,,,,,,,
"55390056090","55390-0560-90",,"J1250",,1/1/2002,,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG","DOBUTAMINE HCL (S.D.V.,PF) 12.5 MG/ML",20,"ML","VL","IV","ML",250,"MG",0.05,1/1/2002,,,,,,,
"55390060020","55390-0600-20",,"J7501",,1/1/2002,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE SODIUM (PF) 100 MG",1,"EA","VL","IV","EA",100,"MG",1,1/1/2002,,,,,,,
"55390060401","55390-0604-01",,"J2430",,4/2/2002,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (SDV) 3 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.1,4/2/2002,,,,,,,
"55390060502","55390-0605-02",,"J0760",,1/1/2002,2/25/2008,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (S.D.V.,PF) 0.5 MG/ML",2,"ML","VL","IV","ML",1,"MG",0.5,1/1/2002,,,,,,,
"55390061210","55390-0612-10",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (PF) 500 MG",1,"EA","VL","IV","EA",5,"MG",100,1/1/2006,,,,,,,
"55390061210","55390-0612-10",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (PF) 500 MG",1,"EA","VL","IV","EA",5,"MG",100,10/1/2003,,,,,,,
"55390061320","55390-0613-20",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (PF) 1000 MG",1,"EA","VL","IV","EA",5,"MG",200,1/1/2006,,,,,,,
"55390061320","55390-0613-20",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (PF) 1000 MG",1,"EA","VL","IV","EA",5,"MG",200,10/1/2003,,,,,,,
"55390061601","55390-0616-01",,"J2780",,11/22/2004,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE (M.D.V.) 25 MG/ML",6,"ML","VL","IJ","ML",25,"MG",1,11/22/2004,,,,,,,
"55390061610","55390-0616-10",,"J2780",,11/22/2004,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE (S.D.V.) 25 MG/ML",2,"ML","VL","IJ","ML",25,"MG",1,11/22/2004,,,,,,,
"55390061801","55390-0618-01",,"J2780",,3/29/2006,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE (PHARMACY BULK PACKAGE) 25 MG/ML",40,"ML","VL","IJ","ML",25,"MG",1,3/29/2006,,,,,,,
"55390080510","55390-0805-10",,"J9150",,1/1/2002,,"INJECTION, DAUNORUBICIN, 10 MG","DAUNORUBICIN HCL NOVAPLUS (S.D.V.) 20 MG",1,"EA","VL","IV","EA",10,"MG",2,1/1/2002,,,,,,,
"55390080610","55390-0806-10",,"J9100",,1/1/2002,,"INJECTION, CYTARABINE, 100 MG","CYTARABINE NOVAPLUS (VIAL) 100 MG",1,"EA","VL","IJ","EA",100,"MG",1,1/1/2002,,,,,,,
"55390080710","55390-0807-10",,"J9110",,1/1/2002,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE NOVAPLUS (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"55390080801","55390-0808-01",,"J9110",,1/1/2002,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE NOVAPLUS (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"55390080901","55390-0809-01",,"J9110",,1/1/2002,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE NOVAPLUS (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"55390081810","55390-0818-10",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM NOVAPLUS (VIAL) 100 MG",1,"EA","VL","IJ","EA",50,"MG",2,1/1/2002,,,,,,,
"55390082401","55390-0824-01",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM NOVAPLUS (VIAL) 200 MG",1,"EA","VL","IJ","EA",50,"MG",4,1/1/2002,,,,,,,
"55390082501","55390-0825-01",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM NOVAPLUS (S.D.V.,PF) 350 MG",1,"EA","VL","IJ","EA",50,"MG",7,1/1/2002,,,,,,,
"55390082601","55390-0826-01",,"J0640",,1/1/2002,,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM NOVAPLUS (S.D.V.,PF) 10 MG/ML",50,"ML","VL","IJ","ML",50,"MG",0.2,1/1/2002,,,,,,,
"55513000201","55513-0002-01",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.025 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",25,9/11/2006,,,,,,,
"55513000204","55513-0002-04",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (4X1ML,PF) 0.025 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",25,9/11/2006,,,,,,,
"55513000301","55513-0003-01",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.04 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",40,9/11/2006,,,,,,,
"55513000304","55513-0003-04",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (1MLX4,PF) 0.04 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",40,9/11/2006,,,,,,,
"55513000401","55513-0004-01",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.06 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",60,9/11/2006,,,,,,,
"55513000404","55513-0004-04",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (1MLX4,PF) 0.06 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",60,9/11/2006,,,,,,,
"55513000501","55513-0005-01",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.1 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",100,9/11/2006,,,,,,,
"55513000504","55513-0005-04",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (1MLX4,PF) 0.1 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",100,9/11/2006,,,,,,,
"55513000601","55513-0006-01",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",200,9/11/2006,,,,,,,
"55513001001","55513-0010-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.025 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",25,2/8/2008,,1/1/2006,3/28/2006,25,,,
"55513001001","55513-0010-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.025 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",25,1/1/2004,,,,,,,
"55513001004","55513-0010-04",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.025 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",25,2/8/2008,,1/1/2006,3/28/2006,25,,,
"55513001004","55513-0010-04",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.025 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",25,1/1/2004,,,,,,,
"55513001101","55513-0011-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.04 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",40,2/8/2008,,1/1/2006,2/16/2006,40,,,
"55513001101","55513-0011-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.04 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",40,1/1/2004,,,,,,,
"55513001104","55513-0011-04",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.04 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",40,2/8/2008,,1/1/2006,2/16/2006,40,,,
"55513001104","55513-0011-04",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.04 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",40,1/1/2004,,,,,,,
"55513001201","55513-0012-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.06 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",60,2/8/2008,,1/1/2006,3/10/2006,60,,,
"55513001201","55513-0012-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.06 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",60,1/1/2004,,,,,,,
"55513001204","55513-0012-04",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.06 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",60,2/8/2008,,1/1/2006,3/10/2006,60,,,
"55513001204","55513-0012-04",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.06 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",60,1/1/2004,,,,,,,
"55513001301","55513-0013-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.1 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",100,2/8/2008,,1/1/2006,4/25/2006,100,,,
"55513001301","55513-0013-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.1 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",100,1/1/2004,,,,,,,
"55513001304","55513-0013-04",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.1 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",100,2/8/2008,,1/1/2006,4/25/2006,100,,,
"55513001304","55513-0013-04",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.1 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",100,1/1/2004,,,,,,,
"55513001401","55513-0014-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",200,2/8/2008,,1/1/2006,4/29/2006,200,,,
"55513001401","55513-0014-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",200,1/1/2004,,,,,,,
"55513001404","55513-0014-04",,"J0881",,2/8/2008,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",200,2/8/2008,,,,,,,
"55513001404","55513-0014-04",,"Q0137",,1/1/2004,12/13/2004,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",200,1/1/2004,,,,,,,
"55513001501","55513-0015-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.3 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",300,2/8/2008,,1/1/2006,4/7/2006,300,,,
"55513001501","55513-0015-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.3 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",300,1/1/2004,,,,,,,
"55513002101","55513-0021-01",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.04 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",100,8/14/2006,,,,,,,
"55513002104","55513-0021-04",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.04 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",100,8/14/2006,,,,,,,
"55513002301","55513-0023-01",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.06 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",200,8/14/2006,,,,,,,
"55513002304","55513-0023-04",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.06 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",200,8/14/2006,,,,,,,
"55513002501","55513-0025-01",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.1 MG/0.5 ML",0.5,"ML","SR","IJ","ML",1,"MCG",200,8/14/2006,,,,,,,
"55513002504","55513-0025-04",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.1 MG/0.5 ML",0.5,"ML","SR","IJ","ML",1,"MCG",200,8/14/2006,,,,,,,
"55513002701","55513-0027-01",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.15 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",500,9/11/2006,,,,,,,
"55513002704","55513-0027-04",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (0.3MLX4,PF) 0.15 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",500,9/11/2006,,,,,,,
"55513002801","55513-0028-01",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.2 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",500,8/14/2006,,,,,,,
"55513003201","55513-0032-01",,"J0881",,6/7/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (SINGLEJECT,G27,1/2"",PF) 0.5 MG/ML",1,"ML","SR","IJ","ML",1,"MCG",500,6/7/2006,,,,,,,
"55513003701","55513-0037-01",,"J0881",,2/8/2008,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.04 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",100,2/8/2008,,,,,,,
"55513003701","55513-0037-01",,"Q0137",,2/9/2004,11/30/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.04 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",100,2/9/2004,,,,,,,
"55513003704","55513-0037-04",,"J0881",,2/8/2008,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.04 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",100,2/8/2008,,,,,,,
"55513003704","55513-0037-04",,"Q0137",,2/9/2004,11/30/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.04 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",100,2/9/2004,,,,,,,
"55513003901","55513-0039-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.06 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",200,2/8/2008,,1/1/2006,2/6/2006,200,,,
"55513003901","55513-0039-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.06 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",200,1/1/2004,,,,,,,
"55513003904","55513-0039-04",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.06 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",200,2/8/2008,,1/1/2006,2/6/2006,200,,,
"55513003904","55513-0039-04",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.06 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",200,1/1/2004,,,,,,,
"55513004101","55513-0041-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.1 MG/0.5 ML",0.5,"ML","SR","IJ","ML",1,"MCG",200,2/8/2008,,1/1/2006,3/2/2006,200,,,
"55513004101","55513-0041-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.1 MG/0.5 ML",0.5,"ML","SR","IJ","ML",1,"MCG",200,1/1/2004,,,,,,,
"55513004104","55513-0041-04",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.1 MG/0.5 ML",0.5,"ML","SR","IJ","ML",1,"MCG",200,2/8/2008,,1/1/2006,3/2/2006,200,,,
"55513004104","55513-0041-04",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.1 MG/0.5 ML",0.5,"ML","SR","IJ","ML",1,"MCG",200,1/1/2004,,,,,,,
"55513004301","55513-0043-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,PFS) 0.15 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",500,2/8/2008,,1/1/2006,12/7/2006,500,,,
"55513004301","55513-0043-01",,"Q0137",,6/7/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (PF,PFS) 0.15 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",500,6/7/2004,,,,,,,
"55513004304","55513-0043-04",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,PFS) 0.15 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",500,2/8/2008,,1/1/2006,12/7/2006,500,,,
"55513004304","55513-0043-04",,"Q0137",,6/7/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (PF,PFS) 0.15 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",500,6/7/2004,,,,,,,
"55513004401","55513-0044-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.2 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",500,2/8/2008,,1/1/2006,2/21/2006,500,,,
"55513004401","55513-0044-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.2 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",500,1/1/2004,,,,,,,
"55513004601","55513-0046-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.3 MG/0.6 ML",0.6,"ML","SR","IJ","ML",1,"MCG",500,2/8/2008,,1/1/2006,4/7/2006,500,,,
"55513004601","55513-0046-01",,"Q0137",,1/1/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (PF,PREFILLED SYRINGE) 0.3 MG/0.6 ML",0.6,"ML","SR","IJ","ML",1,"MCG",500,1/1/2004,,,,,,,
"55513004801","55513-0048-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.5 MG/ML",1,"ML","SR","IJ","ML",1,"MCG",500,2/8/2008,,1/1/2006,2/21/2006,500,,,
"55513004801","55513-0048-01",,"Q0137",,2/9/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.5 MG/ML",1,"ML","SR","IJ","ML",1,"MCG",500,2/9/2004,,,,,,,
"55513005301","55513-0053-01",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.15 MG/0.75 ML",1,"ML","VL","IJ","ML",1,"MCG",200,9/11/2006,,,,,,,
"55513005304","55513-0053-04",,"J0881",,9/11/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (1MLX4,PF) 0.15 MG/0.75 ML",1,"ML","VL","IJ","ML",1,"MCG",200,9/11/2006,,,,,,,
"55513005401","55513-0054-01",,"J0881",,2/8/2008,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.15 MG/0.75 ML",0.75,"ML","VL","IJ","ML",1,"MCG",200,2/8/2008,,,,,,,
"55513005401","55513-0054-01",,"Q0137",,1/1/2004,12/17/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (S.D.V.,ALBUMIN SOL,PF) 0.15 MG/0.75 ML",0.75,"ML","VL","IJ","ML",1,"MCG",200,1/1/2004,,,,,,,
"55513005404","55513-0054-04",,"J0881",,2/8/2008,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (SDV,ALBUMIN SOLN,PF) 0.15 MG/0.75 ML",0.75,"ML","VL","IJ","ML",1,"MCG",200,2/8/2008,,,,,,,
"55513005404","55513-0054-04",,"Q0137",,1/1/2004,12/17/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (SDV,ALBUMIN SOLN,PF) 0.15 MG/0.75 ML",0.75,"ML","VL","IJ","ML",1,"MCG",200,1/1/2004,,,,,,,
"55513005701","55513-0057-01",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.025 MG/0.42 ML",0.42,"ML","SR","IJ","ML",1,"MCG",59.52381,8/14/2006,,,,,,,
"55513005704","55513-0057-04",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.025 MG/0.42 ML",0.42,"ML","SR","IJ","ML",1,"MCG",59.52381,8/14/2006,,,,,,,
"55513005801","55513-0058-01",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.025 MG/0.42 ML",1,"EA","SR","IJ","ML",1,"MCG",59.52381,2/8/2008,,1/1/2006,3/1/2006,59.52381,,,
"55513005801","55513-0058-01",,"Q0137",,2/9/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.025 MG/0.42 ML",1,"EA","SR","IJ","ML",1,"MCG",59.52381,2/9/2004,,,,,,,
"55513005804","55513-0058-04",,"J0881",,1/1/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.025 MG/0.42 ML",4,"EA","SR","IJ","ML",1,"MCG",59.52381,2/8/2008,,1/1/2006,3/1/2006,59.52381,,,
"55513005804","55513-0058-04",,"Q0137",,2/9/2004,12/31/2005,"INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE)","ARANESP (SINGLEJECT,PF) 0.025 MG/0.42 ML",4,"EA","SR","IJ","ML",1,"MCG",59.52381,2/9/2004,,,,,,,
"55513009001","55513-0090-01",,"J0881",,9/25/2006,2/28/2009,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.025 MG/0.42 ML",0.42,"ML","SR","IJ","ML",1,"MCG",59.52381,9/25/2006,2/28/2009,,,,,,
"55513009101","55513-0091-01",,"J0881",,9/25/2006,2/28/2009,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.04 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",100,9/25/2006,2/28/2009,,,,,,
"55513009201","55513-0092-01",,"J0881",,9/25/2006,2/28/2009,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.06 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",200,9/25/2006,2/28/2009,,,,,,
"55513009301","55513-0093-01",,"J0881",,9/25/2006,2/28/2009,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.1 MG/0.5 ML",0.5,"ML","SR","IJ","ML",1,"MCG",200,9/25/2006,2/28/2009,,,,,,
"55513009401","55513-0094-01",,"J0881",,9/25/2006,2/28/2009,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.15 MG/0.3 ML",0.3,"ML","SR","IJ","ML",1,"MCG",500,9/25/2006,2/28/2009,,,,,,
"55513009501","55513-0095-01",,"J0881",,9/25/2006,2/28/2009,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.2 MG/0.4 ML",0.4,"ML","SR","IJ","ML",1,"MCG",500,9/25/2006,2/28/2009,,,,,,
"55513009601","55513-0096-01",,"J0881",,9/25/2006,2/28/2009,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.3 MG/0.6 ML",0.6,"ML","SR","IJ","ML",1,"MCG",500,9/25/2006,2/28/2009,,,,,,
"55513009701","55513-0097-01",,"J0881",,9/25/2006,2/28/2009,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,STERILE) 0.5 MG/ML",1,"ML","SR","IJ","ML",1,"MCG",500,9/25/2006,2/28/2009,,,,,,
"55513011001","55513-0110-01",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF,STERILE) 0.3 MG/ML",1,"ML","VL","IJ","ML",1,"MCG",300,8/14/2006,,,,,,,
"55513011101","55513-0111-01",,"J0881",,8/14/2006,,"INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)","ARANESP (PF) 0.3 MG/0.6 ML",0.6,"ML","SR","IJ","ML",1,"MCG",500,8/14/2006,,,,,,,
"55513012601","55513-0126-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S2,PF) 2000 U/ML",1,"ML","VL","IJ","ML",1000,"U",2,1/1/2006,,,,,,,
"55513012601","55513-0126-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S2,PF) 2000 U/ML",1,"ML","VL","IJ","ML",1000,"U",2,1/1/2002,,,,,,,
"55513012610","55513-0126-10",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S2,PF) 2000 U/ML",1,"ML","VL","IJ","ML",1000,"U",2,1/1/2006,,,,,,,
"55513012610","55513-0126-10",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S2,PF) 2000 U/ML",1,"ML","VL","IJ","ML",1000,"U",2,1/1/2002,,,,,,,
"55513014401","55513-0144-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S10,PF) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2006,,,,,,,
"55513014401","55513-0144-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S10,PF) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"55513014410","55513-0144-10",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S10,PF) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2006,,,,,,,
"55513014410","55513-0144-10",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S10,PF) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"55513014801","55513-0148-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S4,PF) 4000 U/ML",1,"ML","VL","IJ","ML",1000,"U",4,1/1/2006,,,,,,,
"55513014801","55513-0148-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S4,PF) 4000 U/ML",1,"ML","VL","IJ","ML",1000,"U",4,1/1/2002,,,,,,,
"55513014810","55513-0148-10",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S4,PF) 4000 U/ML",1,"ML","VL","IJ","ML",1000,"U",4,1/1/2006,,,,,,,
"55513014810","55513-0148-10",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S4,PF) 4000 U/ML",1,"ML","VL","IJ","ML",1000,"U",4,1/1/2002,,,,,,,
"55513017701","55513-0177-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","KINERET (SRN,W/27G NDL,PF) 100 MG/0.67 ML",0.67,"ML","SR","SC","ML",1,"EA",1,1/1/2002,,,,,,,
"55513017707","55513-0177-07",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","KINERET (SRN,W/27G NDL,PF) 100 MG/0.67 ML",0.67,"ML","SR","SC","ML",1,"EA",1,9/1/2006,,1/1/2002,7/31/2004,1,,,
"55513017728","55513-0177-28",,"J3490",,2/23/2004,,"UNCLASSIFIED DRUGS","KINERET (SRN,W/27G NDL,PF) 100 MG/0.67 ML",0.67,"ML","SR","SC","ML",1,"EA",1,2/23/2004,,,,,,,
"55513019001","55513-0190-01",,"J2505",,1/1/2004,,"INJECTION, PEGFILGRASTIM, 6 MG","NEULASTA (SRN,PREFILLED,PF,4X0.6ML) 6 MG/0.6 ML",0.6,"ML","SR","SC","ML",6,"MG",1.66666,1/1/2004,,,,,,,
"55513019001","55513-0190-01",,"Q4053",,7/1/2003,12/31/2003,"INJECTION, PEGFILGRASTIM, 1 MG","NEULASTA (SRN,PREFILLED,PF,4X0.6ML) 6 MG/0.6 ML",0.6,"ML","SR","SC","ML",1,"MG",10,7/1/2003,,,,,,,
"55513020901","55513-0209-01",,"J1441",,1/1/2002,,"INJECTION, FILGRASTIM (G-CSF), 480 MCG","NEUPOGEN (26GX5/8"",PF,SINGLEJECT) 480 MCG/0.8 ML",0.8,"ML","SR","IJ","ML",480,"MCG",1.25,1/1/2002,,,,,,,
"55513020910","55513-0209-10",,"J1441",,1/1/2002,,"INJECTION, FILGRASTIM (G-CSF), 480 MCG","NEUPOGEN (26GX5/8"",10X0.8ML,PF,SINGLEJECT) 480 MCG/0.8 ML",0.8,"ML","SR","IJ","ML",480,"MCG",1.25,1/1/2002,,,,,,,
"55513026701","55513-0267-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S3,PF) 3000 U/ML",1,"ML","VL","IJ","ML",1000,"U",3,1/1/2006,,,,,,,
"55513026701","55513-0267-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S3,PF) 3000 U/ML",1,"ML","VL","IJ","ML",1000,"U",3,1/1/2002,,,,,,,
"55513026710","55513-0267-10",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S3,PF) 3000 U/ML",1,"ML","VL","IJ","ML",1000,"U",3,1/1/2006,,,,,,,
"55513026710","55513-0267-10",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S3,PF) 3000 U/ML",1,"ML","VL","IJ","ML",1000,"U",3,1/1/2002,,,,,,,
"55513028301","55513-0283-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (M.D.V.,M10) 10000 U/ML",2,"ML","VL","IJ","ML",1000,"U",10,1/1/2006,,,,,,,
"55513028301","55513-0283-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (M.D.V.,M10) 10000 U/ML",2,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"55513028310","55513-0283-10",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (M.D.V.,M10) 10000 U/ML",2,"ML","VL","IJ","ML",1000,"U",10,1/1/2006,,,,,,,
"55513028310","55513-0283-10",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (M.D.V.,M10) 10000 U/ML",2,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"55513047801","55513-0478-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (M.D.V.,M20) 20000 U/ML",1,"ML","VL","IJ","ML",1000,"U",20,1/1/2006,,,,,,,
"55513047801","55513-0478-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (M.D.V.,M20) 20000 U/ML",1,"ML","VL","IJ","ML",1000,"U",20,1/1/2002,,,,,,,
"55513047810","55513-0478-10",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (M.D.V.,M20) 20000 U/ML",1,"ML","VL","IJ","ML",1000,"U",20,1/1/2006,,,,,,,
"55513047810","55513-0478-10",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (M.D.V.,M20) 20000 U/ML",1,"ML","VL","IJ","ML",1000,"U",20,1/1/2002,,,,,,,
"55513052001","55513-0520-01",,"J2425",,1/1/2006,,"INJECTION, PALIFERMIN, 50 MICROGRAMS","KEPIVANCE (PF) 6.25 MG",1,"EA","VL","IV","EA",50,"MCG",125,1/1/2006,,,,,,,
"55513052001","55513-0520-01",,"J3490",,1/24/2005,12/31/2005,"UNCLASSIFIED DRUGS","KEPIVANCE (PF) 6.25 MG",1,"EA","VL","IV","EA",1,"EA",1,1/24/2005,,,,,,,
"55513052006","55513-0520-06",,"J2425",,1/1/2006,,"INJECTION, PALIFERMIN, 50 MICROGRAMS","KEPIVANCE (PF) 6.25 MG",1,"EA","VL","IV","EA",50,"MCG",125,1/1/2006,,,,,,,
"55513052006","55513-0520-06",,"J3490",,1/24/2005,12/31/2005,"UNCLASSIFIED DRUGS","KEPIVANCE (PF) 6.25 MG",1,"EA","VL","IV","EA",1,"EA",1,1/24/2005,,,,,,,
"55513053001","55513-0530-01",,"J1440",,1/1/2002,,"INJECTION, FILGRASTIM (G-CSF), 300 MCG","NEUPOGEN (S.D.V.,PF) 300 MCG/ML",1,"ML","VL","IJ","ML",300,"MCG",1,1/1/2002,,,,,,,
"55513053010","55513-0530-10",,"J1440",,1/1/2002,,"INJECTION, FILGRASTIM (G-CSF), 300 MCG","NEUPOGEN (S.D.V.,1MLX10,PF) 300 MCG/ML",1,"ML","VL","IJ","ML",300,"MCG",1,1/1/2002,,,,,,,
"55513054601","55513-0546-01",,"J1441",,1/1/2002,,"INJECTION, FILGRASTIM (G-CSF), 480 MCG","NEUPOGEN (S.D.V.,PF) 480 MCG/1.6 ML",1.6,"ML","VL","IJ","ML",480,"MCG",0.625,1/1/2002,,,,,,,
"55513054610","55513-0546-10",,"J1441",,1/1/2002,,"INJECTION, FILGRASTIM (G-CSF), 480 MCG","NEUPOGEN (S.D.V.,1.6MLX10,PF) 480 MCG/1.6 ML",1.6,"ML","VL","IJ","ML",480,"MCG",0.625,1/1/2002,,,,,,,
"55513055401","55513-0554-01",,"J9212",,1/1/2002,4/17/2003,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (9MCG,S.D.V.,PF) 30 MCG/ML",0.3,"ML","VL","SC","ML",1,"MCG",30,1/1/2002,,,,,,,
"55513055406","55513-0554-06",,"J9212",,1/1/2002,4/17/2003,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (6X9MCG,S.D.V.,PF) 30 MCG/ML",0.3,"ML","VL","SC","ML",1,"MCG",30,1/1/2002,,,,,,,
"55513056201","55513-0562-01",,"J9212",,1/1/2002,10/31/2002,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (15 MCG,S.D.V.,PF) 30 MCG/ML",0.5,"ML","VL","SC","ML",1,"MCG",30,1/1/2002,,,,,,,
"55513056206","55513-0562-06",,"J9212",,1/1/2002,10/31/2002,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (6X15MCG,S.D.V.,PF) 30 MCG/ML",0.5,"ML","VL","SC","ML",1,"MCG",30,1/1/2002,,,,,,,
"55513082301","55513-0823-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S40,PF) 40000 U/ML",1,"ML","VL","IJ","ML",1000,"U",40,1/1/2006,,,,,,,
"55513082301","55513-0823-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S40,PF) 40000 U/ML",1,"ML","VL","IJ","ML",1000,"U",40,1/1/2002,,,,,,,
"55513082310","55513-0823-10",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","EPOGEN (S.D.V.,S40,PF) 40000 U/ML",1,"ML","VL","IJ","ML",1000,"U",40,1/1/2006,,,,,,,
"55513082310","55513-0823-10",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","EPOGEN (S.D.V.,S40,PF) 40000 U/ML",1,"ML","VL","IJ","ML",1000,"U",40,1/1/2002,,,,,,,
"55513092401","55513-0924-01",,"J1440",,1/1/2002,,"INJECTION, FILGRASTIM (G-CSF), 300 MCG","NEUPOGEN (26GX5/8"",SINGLE USE) 300 MCG/0.5 ML",0.5,"ML","SR","IJ","ML",300,"MCG",2,1/1/2002,,,,,,,
"55513092410","55513-0924-10",,"J1440",,1/1/2002,,"INJECTION, FILGRASTIM (G-CSF), 300 MCG","NEUPOGEN ((26GX5/8""),0.5MLX10,PF) 300 MCG/0.5 ML",0.5,"ML","SR","IJ","ML",300,"MCG",2,1/1/2002,,,,,,,
"55513095401","55513-0954-01",,"J3490",,10/10/2006,12/31/2007,"UNCLASSIFIED DRUGS","VECTIBIX 20 MG/ML",5,"ML","VL","IV","ML",1,"EA",1,10/10/2006,,,,,,,
"55513095401","55513-0954-01",,"J9303",,1/1/2008,,"INJECTION, PANITUMUMAB, 10 MG","VECTIBIX 20 MG/ML",5,"ML","VL","IV","ML",10,"MG",2,1/1/2008,,,,,,,
"55513095501","55513-0955-01",,"J3490",,10/10/2006,12/31/2007,"UNCLASSIFIED DRUGS","VECTIBIX 20 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,10/10/2006,,,,,,,
"55513095501","55513-0955-01",,"J9303",,1/1/2008,,"INJECTION, PANITUMUMAB, 10 MG","VECTIBIX 20 MG/ML",10,"ML","VL","IV","ML",10,"MG",2,1/1/2008,,,,,,,
"55513095601","55513-0956-01",,"J3490",,10/10/2006,12/31/2007,"UNCLASSIFIED DRUGS","VECTIBIX 20 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,10/10/2006,,,,,,,
"55513095601","55513-0956-01",,"J9303",,1/1/2008,,"INJECTION, PANITUMUMAB, 10 MG","VECTIBIX 20 MG/ML",20,"ML","VL","IV","ML",10,"MG",2,1/1/2008,,,,,,,
"55553004110","55553-0041-10",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRAGYN 5 (VIAL) 5 MG/ML",10,"ML","EA","IM","ML",1,"MG",5,1/1/2002,,,,,,,
"55553004205","55553-0042-05",,"J3302",,1/1/2002,,"INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG","CLINACORT (VIAL) 40 MG/ML",5,"ML","VL","IJ","ML",5,"MG",8,1/1/2002,,,,,,,
"55553005550","55553-0055-50",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","ANESTACAINE (VIAL) 1%",50,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"55553005550","55553-0055-50",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","ANESTACAINE (VIAL) 1%",50,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"55553005650","55553-0056-50",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","ANESTACAINE (VIAL) 2%",50,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"55553005650","55553-0056-50",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","ANESTACAINE (VIAL) 2%",50,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"55553009110","55553-0091-10",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITA #12 (VIAL) 1000 MCG/ML",10,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"55553009130","55553-0091-30",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","VITA #12 (VIAL) 1000 MCG/ML",30,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"55553009205","55553-0092-05",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","CORTASTAT LA (VIAL) 8 MG/ML",5,"ML","VL","IJ","ML",1,"MG",8,1/1/2003,,,,,,,
"55553009205","55553-0092-05",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","CORTASTAT LA (VIAL) 8 MG/ML",5,"ML","VL","IJ","ML",8,"MG",1,1/1/2002,,,,,,,
"55553012910","55553-0129-10",,"J2360",,1/1/2002,,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG","ANTIFLEX (AMP) 30 MG/ML",10,"ML","AM","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"55553017110","55553-0171-10",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","RESTALL (VIAL) 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"55553024910","55553-0249-10",,"J2650",,1/1/2002,9/25/2006,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDACORT 50 (VIAL) 50 MG/ML",10,"ML","EA","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"55553066110","55553-0661-10",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","CORTASTAT 10 (VIAL) 10 MG/ML",10,"ML","VL","IJ","ML",1,"MG",10,1/1/2002,,,,,,,
"55553080705","55553-0807-05",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","CORTASTAT (VIAL) 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"55553082710","55553-0827-10",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","BANARIL (VIAL) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,1/1/2002,,,,,,,
"55553090810","55553-0908-10",,"J2010",,1/1/2002,1/25/2002,"INJECTION, LINCOMYCIN HCL, UP TO 300 MG","BACTRAMYCIN (VIAL) 300 MG/ML",10,"ML","VL","IJ","ML",300,"MG",1,1/1/2002,,,,,,,
"55566008105","55566-0081-05",,"J2725",,1/1/2002,5/1/2002,"INJECTION, PROTIRELIN, PER 250 MCG","THYREL TRH (AMP) 500 MCG/ML",1,"ML","AM","IV","ML",250,"MCG",2,1/1/2002,,,,,,,
"55566030201","55566-0302-01",,"J0795",,1/1/2006,,"INJECTION, CORTICORELIN OVINE TRIFLUTATE, 1 MICROGRAM","ACTHREL (S.D.V.) 0.1 MG",1,"EA","VL","IV","EA",1,"MCG",100,1/1/2006,,,,,,,
"55566030201","55566-0302-01",,"Q2005",,1/1/2002,12/31/2005,"INJECTION, CORTICORELIN OVINE TRIFLUTATE, PER DOSE","ACTHREL (S.D.V.) 0.1 MG",1,"EA","VL","IV","EA",1,"DOSE",1,1/1/2002,,,,,,,
"55566150101","55566-1501-01",,"J0725",,1/1/2002,,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","NOVAREL (M.D.V.) 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,1/1/2002,,,,,,,
"55566410001","55566-4100-01",,"J7323",,1/1/2008,,"HYALURONAN OR DERIVATIVE, EUFLEXXA, FOR INTRA-ARTICULAR INJECTION, PER DOSE","EUFLEXXA (3 SYRINGES X 2ML) 10 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,,,,,,,
"55566410001","55566-4100-01",,"Q4085",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, EUFLEXXA, FOR INTRA-ARTICULAR INJECTION, PER DOSE","EUFLEXXA (3 SYRINGES X 2ML) 10 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2007,,,,,,,
"55566503001","55566-5030-01",,"J2597",,1/1/2002,,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DESMOPRESSIN ACETATE (AMP,PF) 4 MCG/ML",1,"ML","AM","IJ","ML",1,"MCG",4,1/1/2002,,,,,,,
"55566504001","55566-5040-01",,"J2597",,1/1/2002,,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG","DESMOPRESSIN ACETATE (M.D.V.) 4 MCG/ML",10,"ML","VL","IJ","ML",1,"MCG",4,1/1/2002,,,,,,,
"55566850502","55566-8505-02",,"J3355",,1/1/2006,,"INJECTION, UROFOLLITROPIN, 75 IU","BRAVELLE (S.D.V. W/DILUENT) 75 IU",1,"EA","VL","IJ","EA",75,"IU",1,1/1/2006,,,,,,,
"55566850502","55566-8505-02",,"Q2018",,5/14/2002,12/31/2005,"INJECTION, UROFOLLITROPIN, 75 IU","BRAVELLE (S.D.V. W/DILUENT) 75 IU",1,"EA","VL","IJ","EA",75,"IU",1,5/14/2002,,,,,,,
"55566850506","55566-8505-06",,"J3355",,1/1/2006,,"INJECTION, UROFOLLITROPIN, 75 IU","BRAVELLE (SDV W/Q-CAP) 75 IU",1,"EA","VL","IJ","EA",75,"IU",1,1/1/2006,,,,,,,
"55566850506","55566-8505-06",,"Q2018",,1/3/2005,12/31/2005,"INJECTION, UROFOLLITROPIN, 75 IU","BRAVELLE (SDV W/Q-CAP) 75 IU",1,"EA","VL","IJ","EA",75,"IU",1,1/3/2005,,,,,,,
"55592050001","55592-0500-01",,"J3490",,10/12/2004,12/31/2005,"UNCLASSIFIED DRUGS","VANTAS 50 MG",1,"EA","BX","SC","EA",1,"EA",1,10/12/2004,,,,,,,
"55592050001","55592-0500-01",,"J9225",,1/1/2006,7/25/2007,"HISTRELIN IMPLANT, 50 MG","VANTAS 50 MG",1,"EA","BX","SC","EA",50,"MG",1,1/1/2006,,,,,,,
"55688010602","55688-0106-02",,"J7191",,1/1/2002,6/20/2005,"FACTOR VIII (ANTIHEMOPHILIC FACTOR (PORCINE)), PER I.U.","HYATE:C (APPR. 400-700 U/VIAL) 1 U",1,"EA","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"55887003315","55887-0033-15",,"Q0144",,4/1/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (1X15ML,CHERRY) 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,4/1/2008,,,,,,,
"55887007803","55887-0078-03",,"Q0179",,4/1/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON 4 MG",3,"EA","BO","PO","EA",8,"MG",0.5,4/1/2007,,,,,,,
"55887008106","55887-0081-06",,"Q0173",,4/1/2007,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HYDROCHLORIDE 300 MG",6,"EA","BO","PO","EA",250,"MG",1.2,4/1/2007,,,,,,,
"55887016530","55887-0165-30",,"J8540",,4/1/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",30,"EA","NA","PO","EA",0.25,"MG",2,4/1/2007,,,,,,,
"55887016560","55887-0165-60",,"J8540",,4/1/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",60,"EA","NA","PO","EA",0.25,"MG",2,4/1/2007,,,,,,,
"55887016590","55887-0165-90",,"J8540",,4/1/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",90,"EA","NA","PO","EA",0.25,"MG",2,4/1/2007,,,,,,,
"55887022012","55887-0220-12",,"J8498",,4/1/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,4/1/2007,,,,,,,
"55887024615","55887-0246-15",,"J8499",,4/1/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,4/1/2007,,,,,,,
"55887024621","55887-0246-21",,"J8499",,2/1/2005,5/1/2007,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",21,"EA","BO","PO","EA",1,"EA",1,2/1/2005,,,,,,,
"55887024625","55887-0246-25",,"J8499",,2/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,2/1/2005,,,,,,,
"55887024630","55887-0246-30",,"J8499",,2/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,2/1/2005,,,,,,,
"55887024640","55887-0246-40",,"J8499",,4/1/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",40,"EA","BO","PO","EA",1,"EA",1,4/1/2007,,,,,,,
"55887024650","55887-0246-50",,"J8499",,2/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",50,"EA","BO","PO","EA",1,"EA",1,2/1/2005,,,,,,,
"55887024660","55887-0246-60",,"J8499",,3/23/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","NA","PO","EA",1,"EA",1,3/23/2007,,,,,,,
"55887031130","55887-0311-30",,"Q0144",,1/1/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 200 MG/5 ML",30,"ML","NA","PO","ML",1,"GM",0.04,1/1/2007,,,,,,,
"55887033224","55887-0332-24",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (24X3ML) 0.63 MG/3 ML",3,"ML","NA","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"55887033224","55887-0332-24",,"J7614",,4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (24X3ML) 0.63 MG/3 ML",3,"ML","NA","IH","ML",0.5,"MG",0.42,4/1/2008,,,,,,,
"55887033224","55887-0332-24","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (24X3ML) 0.63 MG/3 ML",3,"ML","NA","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"55887033224","55887-0332-24","KO","J7614","KO",4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (24X3ML) 0.63 MG/3 ML",3,"ML","NA","IH","ML",0.5,"MG",0.42,4/1/2008,,,,,,,
"55887033230","55887-0332-30",,"Q0144",,11/1/2004,7/1/2006,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 600 MG",30,"EA","BO","PO","EA",1,"GM",0.6,11/1/2004,,,,,,,
"55887033303","55887-0333-03",,"Q0144",,11/1/2004,7/1/2006,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 500 MG",3,"EA","BO","PO","EA",1,"GM",0.5,11/1/2004,,,,,,,
"55887033310","55887-0333-10",,"Q0144",,11/1/2004,7/1/2006,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 500 MG",10,"EA","BO","PO","EA",1,"GM",0.5,11/1/2004,,,,,,,
"55887037308","55887-0373-08",,"J7510",,4/1/2004,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",8,"ML","BO","PO","ML",5,"MG",0.6,4/1/2004,,,,,,,
"55887037712","55887-0377-12",,"J8540",,3/23/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",12,"EA","NA","PO","EA",0.25,"MG",16,3/23/2007,,,,,,,
"55887037730","55887-0377-30",,"J8540",,1/1/2006,7/1/2006,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"55887037730","55887-0377-30",,"Q0181",,4/1/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",1,"EA",1,4/1/2004,,,,,,,
"55887038220","55887-0382-20",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"55887038220","55887-0382-20",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"55887039530","55887-0395-30",,"Q0164",,4/1/2004,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (FILM-COATED) 5 MG",30,"EA","BO","PO","EA",5,"MG",1,4/1/2004,,,,,,,
"55887039560","55887-0395-60",,"Q0164",,4/1/2004,7/1/2006,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (FILM-COATED) 5 MG",60,"EA","BO","PO","EA",5,"MG",1,4/1/2004,,,,,,,
"55887039590","55887-0395-90",,"Q0164",,4/1/2004,7/1/2006,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (FILM-COATED) 5 MG",90,"EA","BO","PO","EA",5,"MG",1,4/1/2004,,,,,,,
"55887042230","55887-0422-30",,"Q0177",,4/1/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,4/1/2004,,,,,,,
"55887042260","55887-0422-60",,"Q0177",,3/23/2007,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",60,"EA","NA","PO","EA",25,"MG",1,3/23/2007,,,,,,,
"55887054425","55887-0544-25",,"J7509",,9/1/2003,7/1/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 8 MG",25,"EA","BO","PO","EA",4,"MG",2,9/1/2003,,,,,,,
"55887055450","55887-0554-50",,"J7509",,5/31/2003,7/1/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","MEDROL 16 MG",50,"EA","BO","PO","EA",4,"MG",4,5/31/2003,,,,,,,
"55887056112","55887-0561-12",,"K0416",,4/1/2004,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,4/1/2004,,,,,,,
"55887061912","55887-0619-12",,"Q0165",,4/1/2004,7/1/2006,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (FILM-COATED) 10 MG",12,"EA","BO","PO","EA",10,"MG",1,4/1/2004,,,,,,,
"55887061930","55887-0619-30",,"Q0165",,4/1/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (FILM-COATED) 10 MG",30,"EA","BO","PO","EA",10,"MG",1,4/1/2004,,,,,,,
"55887062103","55887-0621-03",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE 25 MG",3,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"55887062112","55887-0621-12",,"J8498",,4/1/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"EA",1,4/1/2007,,,,,,,
"55887062112","55887-0621-12",,"K0416",,4/1/2004,5/23/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"MG",25,4/1/2004,,,,,,,
"55887064315","55887-0643-15",,"J7506",,4/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,4/1/2004,,,,,,,
"55887064321","55887-0643-21",,"J7506",,1/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","DP","PO","EA",5,"MG",2,1/1/2006,,,,,,,
"55887064330","55887-0643-30",,"J7506",,4/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,4/1/2004,,,,,,,
"55887064340","55887-0643-40",,"J7506",,1/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,1/1/2006,,,,,,,
"55887064342","55887-0643-42",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","BO","PO","EA",5,"MG",2,4/1/2007,,,,,,,
"55887064350","55887-0643-50",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",50,"EA","BO","PO","EA",5,"MG",2,4/1/2007,,,,,,,
"55887064360","55887-0643-60",,"J7506",,4/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,6/1/2007,,4/1/2004,,2,,,
"55887064390","55887-0643-90",,"J7506",,4/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",90,"EA","BO","PO","EA",5,"MG",2,6/1/2007,,4/1/2004,7/1/2006,2,,,
"55887064414","55887-0644-14",,"G9020",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","RIMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55887064428","55887-0644-28",,"G9020",,12/1/2004,5/31/2005,"RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","RIMANTADINE HCL 100 MG",28,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55887067504","55887-0675-04",,"Q0170",,4/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (FRUIT,TROPICAL) 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,6/1/2007,,4/1/2004,5/1/2007,0.05,,,
"55887069621","55887-0696-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 10 MG",21,"EA","DP","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55887069648","55887-0696-48",,"J7506",,1/1/2002,7/1/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 10 MG",48,"EA","DP","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"55887075510","55887-0755-10",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU 75 MG",10,"EA","BO","PO","EA",75,"MG",1,12/1/2004,,,,,,,
"55887076710","55887-0767-10",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",10,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55887076714","55887-0767-14",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55887076720","55887-0767-20",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55887076730","55887-0767-30",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",30,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"55887077001","55887-0770-01",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","NA","PO","EA",5,"MG",1,1/1/2007,,,,,,,
"55887077015","55887-0770-15",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",15,"EA","BO","PO","EA",5,"MG",1,4/1/2007,,,,,,,
"55887077020","55887-0770-20",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,4/1/2007,,,,,,,
"55887077021","55887-0770-21",,"J7506",,6/30/2003,5/1/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSE PACK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,6/30/2003,,,,,,,
"55887077030","55887-0770-30",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,4/1/2007,,,,,,,
"55887077039","55887-0770-39",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",39,"EA","BO","PO","EA",5,"MG",1,4/1/2007,,,,,,,
"55887077050","55887-0770-50",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",50,"EA","BO","PO","EA",5,"MG",1,4/1/2007,,,,,,,
"55887077060","55887-0770-60",,"J7506",,4/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,4/1/2007,,,,,,,
"55887078506","55887-0785-06",,"Q0144",,6/1/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,6/1/2007,,,,,,,
"55887079618","55887-0796-18",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","NA","PO","EA",5,"MG",4,1/1/2007,,,,,,,
"55887079620","55887-0796-20",,"J7506",,1/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/1/2006,,,,,,,
"55887079621","55887-0796-21",,"J7506",,4/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,4/1/2004,,,,,,,
"55887079630","55887-0796-30",,"J7506",,4/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,4/1/2004,,,,,,,
"55887079690","55887-0796-90",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",90,"EA","NA","PO","EA",5,"MG",4,1/1/2007,,,,,,,
"55887085325","55887-0853-25",,"J8499",,4/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",25,"EA","BO","PO","EA",1,"EA",1,4/1/2004,,,,,,,
"55887085330","55887-0853-30",,"J8499",,4/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,4/1/2004,,,,,,,
"55887085335","55887-0853-35",,"J8499",,4/1/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",35,"EA","NA","PO","EA",1,"EA",1,4/1/2007,,,,,,,
"55887085350","55887-0853-50",,"J8499",,4/1/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",50,"EA","BO","PO","EA",1,"EA",1,4/1/2007,,,,,,,
"55887085360","55887-0853-60",,"J8499",,4/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",60,"EA","BO","PO","EA",1,"EA",1,4/1/2004,,,,,,,
"55887085390","55887-0853-90",,"J8499",,4/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",90,"EA","BO","PO","EA",1,"EA",1,4/1/2004,,,,,,,
"55887088520","55887-0885-20",,"Q0163",,1/1/2002,5/1/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"55887088528","55887-0885-28",,"Q0163",,4/1/2004,7/1/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",28,"EA","BO","PO","EA",50,"MG",1,4/1/2004,,,,,,,
"55887088530","55887-0885-30",,"Q0163",,4/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,4/1/2004,,,,,,,
"55887093306","55887-0933-06",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"55887093610","55887-0936-10",,"Q0170",,7/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","BO","PO","EA",25,"MG",1,7/1/2003,,,,,,,
"55887093612","55887-0936-12",,"Q0170",,7/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",12,"EA","BO","PO","EA",25,"MG",1,7/1/2003,,,,,,,
"55887093615","55887-0936-15",,"Q0170",,4/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",15,"EA","BO","PO","EA",25,"MG",1,4/1/2004,,,,,,,
"55887093620","55887-0936-20",,"Q0170",,7/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",20,"EA","BO","PO","EA",25,"MG",1,7/1/2003,,,,,,,
"55887093625","55887-0936-25",,"Q0170",,1/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",25,"EA","BO","PO","EA",25,"MG",1,1/1/2006,,,,,,,
"55887093628","55887-0936-28",,"Q0170",,7/1/2003,5/1/2007,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",28,"EA","BO","PO","EA",25,"MG",1,7/1/2003,,,,,,,
"55887093630","55887-0936-30",,"Q0170",,7/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,7/1/2003,,,,,,,
"55887093660","55887-0936-60",,"Q0170",,1/1/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",60,"EA","BO","PO","EA",25,"MG",1,1/1/2005,,,,,,,
"55887093690","55887-0936-90",,"Q0170",,1/1/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",90,"EA","BO","PO","EA",25,"MG",1,1/1/2005,,,,,,,
"55887095321","55887-0953-21",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPRED DP 4 MG",21,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"55887097320","55887-0973-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"55887097328","55887-0973-28",,"Q0163",,4/1/2004,5/1/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",28,"EA","BO","PO","EA",50,"MG",0.5,4/1/2004,,,,,,,
"55887097330","55887-0973-30",,"Q0163",,4/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,4/1/2004,,,,,,,
"55887097730","55887-0977-30",,"J8499",,4/1/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,4/1/2007,,,,,,,
"55887097740","55887-0977-40",,"J8499",,11/29/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","BO","PO","EA",1,"EA",1,11/29/2005,,,,,,,
"55966011501","55966-0115-01",,"Q0163",,1/1/2002,8/28/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPLETE ALLERGY RELIEF 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"55966099805","55966-0998-05",,"Q0163",,1/1/2002,8/28/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NIGHT TIME SLEEP-AID (CAPLET) 25 MG",16,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"57394024024","57394-0240-24",,"Q0163",,1/1/2002,12/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NITE-TIME SLEEP AID (12X24) 25 MG",12,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"57394024040","57394-0240-40",,"Q0163",,1/1/2002,12/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NITE-TIME SLEEP AID (12X48) 25 MG",12,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"57394026224","57394-0262-24",,"Q0163",,1/1/2002,12/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HAYFEVER & ALLERGY RELIEF (12X24) 25 MG",12,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"57394026252","57394-0262-52",,"Q0163",,1/1/2002,12/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HAYFEVER & ALLERGY RELIEF 25 MG",600,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"57394033424","57394-0334-24",,"Q0163",,1/1/2002,12/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HAYFEVER & ALLERGY RELIEF (12X24) 25 MG",12,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"57394033452","57394-0334-52",,"Q0163",,1/1/2002,12/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HAYFEVER & ALLERGY RELIEF (12X100) 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"57665000101","57665-0001-01",,"J2504",,1/1/2006,,"INJECTION, PEGADEMASE BOVINE, 25 IU","ADAGEN (VIAL) 250 U/ML",1.5,"ML","VL","IM","ML",25,"IU",10,1/1/2006,,,,,,,
"57665000101","57665-0001-01",,"Q2012",,1/1/2002,12/31/2005,"INJECTION, PEGADEMASE BOVINE, 25 IU","ADAGEN (VIAL) 250 U/ML",1.5,"ML","VL","IM","ML",25,"IU",10,1/1/2002,,,,,,,
"57665000202","57665-0002-02",,"J9266",,4/1/2002,,"INJECTION, PEGASPARGASE, PER SINGLE DOSE VIAL","ONCASPAR (S.D.V.,PF) 750 IU/ML",5,"ML","VL","IJ","ML",1,"VIAL",0.2,4/1/2002,,,,,,,
"57665010141","57665-0101-41",,"J0287",,1/1/2004,,"INJECTION, AMPHOTERICIN B LIPID COMPLEX, 10 MG","ABELCET (W/FILTER NEEDLE) 5 MG/ML",20,"ML","VL","IV","ML",10,"MG",0.5,11/15/2004,,1/1/2004,1/1/2004,0.5,,,
"57665033101","57665-0331-01",,"J9098",,1/1/2004,,"INJECTION, CYTARABINE LIPOSOME, 10 MG","DEPOCYT (S.D.V.) 10 MG/ML",5,"ML","VL","IN","ML",10,"MG",1,1/1/2004,,,,,,,
"57665033101","57665-0331-01",,"J9999",,5/1/2003,12/31/2003,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","DEPOCYT (S.D.V.) 10 MG/ML",5,"ML","VL","IN","ML",1,"EA",1,5/1/2003,,,,,,,
"57844052206","57844-0522-06",,"J8999",,5/14/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","PURINETHOL 50 MG",60,"EA","BO","PO","EA",1,"EA",1,5/14/2004,,,,,,,
"57844052207","57844-0522-07",,"J8999",,9/11/2003,5/13/2004,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","PURINETHOL 50 MG",25,"EA","BO","PO","EA",1,"EA",1,9/11/2003,,,,,,,
"57844071319","57844-0713-19",,"J2941",,1/18/2005,,"INJECTION, SOMATROPIN, 1 MG","TEV-TROPIN (VIAL W/DILUENT) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,1/18/2005,,,,,,,
"57844071341","57844-0713-41",,"J2941",,1/18/2005,8/1/2007,"INJECTION, SOMATROPIN, 1 MG","TEV-TROPIN (VIAL W/DILUENT) 5 MG",1,"EA","VL","SC","EA",1,"MG",5,1/18/2005,,,,,,,
"57866021501","57866-0215-01",,"Q0170",,2/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",12,"EA","BO","PO","EA",25,"MG",1,2/1/2004,,,,,,,
"57866044607","57866-0446-07",,"Q0144",,4/15/2002,1/1/2008,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",18,"EA","BX","PO","EA",1,"GM",0.25,4/15/2002,1/1/2008,,,,,,
"57866313601","57866-3136-01",,"Q0144",,5/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",3,"EA","BO","PO","EA",1,"GM",0.5,5/1/2006,,,,,,,
"57866359401","57866-3594-01",,"Q0163",,4/15/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,4/15/2002,,,,,,,
"57866359402","57866-3594-02",,"Q0163",,4/15/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",12,"EA","BO","PO","EA",50,"MG",0.5,4/15/2002,,,,,,,
"57866359405","57866-3594-05",,"Q0163",,4/15/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",90,"EA","BO","PO","EA",50,"MG",0.5,4/15/2002,,,,,,,
"57866359406","57866-3594-06",,"Q0163",,4/15/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,4/15/2002,,,,,,,
"57866376201","57866-3762-01",,"Q0163",,4/15/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,4/15/2002,,,,,,,
"57866376202","57866-3762-02",,"Q0163",,4/15/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,4/15/2002,,,,,,,
"57866376204","57866-3762-04",,"Q0163",,4/15/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",90,"EA","BO","PO","EA",50,"MG",1,4/15/2002,,,,,,,
"57866376205","57866-3762-05",,"Q0163",,3/22/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,3/22/2006,,,,,,,
"57866389301","57866-3893-01",,"Q0177",,4/15/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,4/15/2002,,,,,,,
"57866389302","57866-3893-02",,"Q0177",,4/15/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,4/15/2002,,,,,,,
"57866389303","57866-3893-03",,"Q0177",,4/15/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",90,"EA","BO","PO","EA",25,"MG",1,4/15/2002,,,,,,,
"57866389401","57866-3894-01",,"Q0178",,4/15/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,4/15/2002,,,,,,,
"57866389402","57866-3894-02",,"Q0178",,4/15/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",60,"EA","BO","PO","EA",50,"MG",1,4/15/2002,,,,,,,
"57866389403","57866-3894-03",,"Q0178",,4/15/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",90,"EA","BO","PO","EA",50,"MG",1,4/15/2002,,,,,,,
"57866403701","57866-4037-01",,"J7509",,4/15/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,4/15/2002,,,,,,,
"57866413201","57866-4132-01",,"Q0175",,4/15/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",30,"EA","BO","PO","EA",4,"MG",1,4/15/2002,,,,,,,
"57866413202","57866-4132-02",,"Q0175",,4/15/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",60,"EA","BO","PO","EA",4,"MG",1,4/15/2002,,,,,,,
"57866413203","57866-4132-03",,"Q0175",,4/15/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",90,"EA","BO","PO","EA",4,"MG",1,4/15/2002,,,,,,,
"57866413301","57866-4133-01",,"Q0176",,4/15/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",30,"EA","BO","PO","EA",8,"MG",1,4/15/2002,,,,,,,
"57866413302","57866-4133-02",,"Q0176",,4/15/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",60,"EA","BO","PO","EA",8,"MG",1,4/15/2002,,,,,,,
"57866413303","57866-4133-03",,"Q0176",,4/15/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",90,"EA","BO","PO","EA",8,"MG",1,4/15/2002,,,,,,,
"57866432401","57866-4324-01",,"J7506",,4/15/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,4/15/2002,,,,,,,
"57866432404","57866-4324-04",,"J7506",,4/15/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,4/15/2002,,,,,,,
"57866432405","57866-4324-05",,"J7506",,10/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",50,"EA","BO","PO","EA",5,"MG",1,10/1/2003,,,,,,,
"57866432501","57866-4325-01",,"J7506",,4/15/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,4/15/2002,,,,,,,
"57866432502","57866-4325-02",,"J7506",,4/15/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,4/15/2002,,,,,,,
"57866432503","57866-4325-03",,"J7506",,4/15/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,4/15/2002,,,,,,,
"57866432507","57866-4325-07",,"J7506",,11/1/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",90,"EA","BO","PO","EA",5,"MG",2,11/1/2005,,,,,,,
"57866432508","57866-4325-08",,"J7506",,1/2/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,1/2/2006,,,,,,,
"57866432601","57866-4326-01",,"J7506",,10/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,10/1/2003,,,,,,,
"57866432602","57866-4326-02",,"J7506",,4/15/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,4/15/2002,,,,,,,
"57866432604","57866-4326-04",,"J7506",,4/15/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,4/15/2002,,,,,,,
"57866432605","57866-4326-05",,"J7506",,10/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,10/1/2003,,,,,,,
"57866432607","57866-4326-07",,"J7506",,10/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",5,"EA","BO","PO","EA",5,"MG",4,10/1/2003,,,,,,,
"57866432608","57866-4326-08",,"J7506",,11/1/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","BO","PO","EA",5,"MG",4,11/1/2005,,,,,,,
"57866432701","57866-4327-01",,"J7510",,4/15/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG",90,"EA","BO","PO","EA",5,"MG",1,4/15/2002,,,,,,,
"57866432702","57866-4327-02",,"J7506",,10/1/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,10/1/2003,,,,,,,
"57866432803","57866-4328-03",,"Q0170",,10/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,10/1/2003,,,,,,,
"57866435601","57866-4356-01",,"Q0144",,3/28/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,3/28/2006,,,,,,,
"57866437901","57866-4379-01",,"Q0170",,11/1/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,11/1/2005,,,,,,,
"57866437902","57866-4379-02",,"Q0170",,4/15/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",12,"EA","BO","PO","EA",25,"MG",1,4/15/2002,,,,,,,
"57866437904","57866-4379-04",,"Q0170",,4/15/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","BO","PO","EA",25,"MG",1,4/15/2002,,,,,,,
"57866437906","57866-4379-06",,"Q0170",,1/2/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",5,"EA","BO","PO","EA",25,"MG",1,1/2/2006,,,,,,,
"57866437907","57866-4379-07",,"Q0170",,1/2/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,1/2/2006,,,,,,,
"57866437908","57866-4379-08",,"Q0170",,4/11/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",90,"EA","BO","PO","EA",25,"MG",1,4/11/2006,,,,,,,
"57866443601","57866-4436-01",,"J8999",,4/15/2002,1/1/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","HYDROXYUREA 500 MG",30,"EA","BO","PO","EA",1,"EA",1,4/15/2002,1/1/2008,,,,,,
"57866482201","57866-4822-01",,"J8999",,4/15/2002,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 20 MG",30,"EA","BO","PO","EA",1,"EA",1,4/15/2002,,,,,,,
"57866629801","57866-6298-01",,"Q0165",,4/15/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,4/15/2002,,,,,,,
"57866629901","57866-6299-01",,"Q0164",,4/15/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,4/15/2002,,,,,,,
"57866629902","57866-6299-02",,"Q0164",,10/1/2003,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,10/1/2003,,,,,,,
"57866661501","57866-6615-01",,"J8999",,4/15/2002,9/1/2006,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",60,"EA","BO","PO","EA",1,"EA",1,4/15/2002,,,,,,,
"57866661801","57866-6618-01",,"J8999",,4/15/2002,9/1/2006,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 20 MG",60,"EA","BO","PO","EA",1,"EA",1,4/15/2002,,,,,,,
"57866695002","57866-6950-02",,"J8499",,4/15/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,4/15/2002,,,,,,,
"57866695003","57866-6950-03",,"J8499",,4/15/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",50,"EA","BO","PO","EA",1,"EA",1,4/15/2002,,,,,,,
"57866710001","57866-7100-01",,"J7509",,1/22/2008,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 8 MG",25,"EA","BO","PO","EA",4,"MG",2,1/22/2008,,,,,,,
"57866800201","57866-8002-01",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU 75 MG",10,"EA","BO","PO","EA",75,"MG",1,12/1/2004,,,,,,,
"57866902101","57866-9021-01",,"J7500",,4/15/2002,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,4/15/2002,,,,,,,
"57884052207","57884-0522-07",,"J8999",,9/10/2003,9/10/2003,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","PURINETHOL 50 MG",25,"EA","BO","PO","EA",1,"EA",1,9/10/2003,,,,,,,
"57894003001","57894-0030-01",,"J1745",,1/1/2002,,"INJECTION INFLIXIMAB, 10 MG","REMICADE (S.D.V.,PF) 100 MG",1,"EA","VL","IV","EA",10,"MG",10,1/1/2002,,,,,,,
"57894004001","57894-0040-01",,"J2993",,1/1/2002,11/29/2005,"INJECTION, RETEPLASE, 18.1 MG","RETAVASE (2X18.1 MG VIALS,PF) 10.4 U",2,"EA","BX","IV","EA",18.1,"MG",2,1/1/2002,,,,,,,
"57894004002","57894-0040-02",,"J2993",,1/1/2002,11/29/2005,"INJECTION, RETEPLASE, 18.1 MG","RETAVASE (1X18.1 MG VIALS,PF) 10.4 U",1,"EA","BX","IV","EA",18.1,"MG",1,1/1/2002,,,,,,,
"57896035101","57896-0351-01",,"Q0163",,1/1/2002,7/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GERIDRYL 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"57896035201","57896-0352-01",,"Q0163",,1/1/2002,7/31/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GERIDRYL (CAPLET) 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"57896078101","57896-0781-01",,"Q0163",,8/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GERIDRYL 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,8/1/2002,,,,,,,
"57896078201","57896-0782-01",,"Q0163",,8/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","GERIDRYL (CAPLET) 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,8/1/2002,,,,,,,
"58016008400","58016-0084-00",,"Q0179",,2/1/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",100,"EA","BO","PO","EA",8,"MG",1,2/1/2006,,,,,,,
"58016008410","58016-0084-10",,"Q0179",,2/1/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",10,"EA","BO","PO","EA",8,"MG",1,2/1/2006,,,,,,,
"58016008430","58016-0084-30",,"Q0179",,2/1/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",30,"EA","BO","PO","EA",8,"MG",1,2/1/2006,,,,,,,
"58016008460","58016-0084-60",,"Q0179",,2/1/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",60,"EA","BO","PO","EA",8,"MG",1,2/1/2006,,,,,,,
"58016008490","58016-0084-90",,"Q0179",,2/1/2006,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 8 MG",90,"EA","BO","PO","EA",8,"MG",1,2/1/2006,,,,,,,
"58016008600","58016-0086-00",,"Q0144",,2/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",100,"EA","BO","PO","EA",1,"GM",0.25,2/1/2006,,,,,,,
"58016008630","58016-0086-30",,"Q0144",,2/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,2/1/2006,,,,,,,
"58016008660","58016-0086-60",,"Q0144",,2/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",60,"EA","BO","PO","EA",1,"GM",0.25,2/1/2006,,,,,,,
"58016008690","58016-0086-90",,"Q0144",,2/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",90,"EA","BO","PO","EA",1,"GM",0.25,2/1/2006,,,,,,,
"58016011100","58016-0111-00",,"J8499",,9/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,9/1/2006,,,,,,,
"58016011115","58016-0111-15",,"J8499",,9/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",15,"EA","BO","PO","EA",1,"EA",1,9/1/2006,,,,,,,
"58016011120","58016-0111-20",,"J8499",,9/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",20,"EA","BO","PO","EA",1,"EA",1,9/1/2006,,,,,,,
"58016011125","58016-0111-25",,"J8499",,9/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,9/1/2006,,,,,,,
"58016011130","58016-0111-30",,"J8499",,9/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,9/1/2006,,,,,,,
"58016011160","58016-0111-60",,"J8499",,9/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",60,"EA","BO","PO","EA",1,"EA",1,9/1/2006,,,,,,,
"58016011190","58016-0111-90",,"J8499",,9/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",90,"EA","BO","PO","EA",1,"EA",1,9/1/2006,,,,,,,
"58016011200","58016-0112-00",,"J8499",,5/31/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,5/31/2005,,,,,,,
"58016011220","58016-0112-20",,"J8499",,5/31/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",20,"EA","BO","PO","EA",1,"EA",1,5/31/2005,,,,,,,
"58016011230","58016-0112-30",,"J8499",,5/31/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,5/31/2005,,,,,,,
"58016011260","58016-0112-60",,"J8499",,8/9/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","BO","PO","EA",1,"EA",1,8/9/2002,,,,,,,
"58016011290","58016-0112-90",,"J8499",,5/31/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",90,"EA","BO","PO","EA",1,"EA",1,5/31/2005,,,,,,,
"58016012612","58016-0126-12",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",12,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016015300","58016-0153-00",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"58016015310","58016-0153-10",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",10,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"58016015314","58016-0153-14",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"58016015315","58016-0153-15",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",15,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"58016015320","58016-0153-20",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"58016015330","58016-0153-30",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",30,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"58016017000","58016-0170-00",,"J8999",,2/1/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",100,"EA","BO","PO","EA",1,"EA",1,2/1/2006,,,,,,,
"58016017030","58016-0170-30",,"J8999",,2/1/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",30,"EA","BO","PO","EA",1,"EA",1,2/1/2006,,,,,,,
"58016017060","58016-0170-60",,"J8999",,2/1/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",60,"EA","BO","PO","EA",1,"EA",1,2/1/2006,,,,,,,
"58016017090","58016-0170-90",,"J8999",,2/1/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",90,"EA","BO","PO","EA",1,"EA",1,2/1/2006,,,,,,,
"58016017099","58016-0170-99",,"J8999",,2/1/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","FLUTAMIDE 125 MG",180,"EA","BO","PO","EA",1,"EA",1,2/1/2006,,,,,,,
"58016021600","58016-0216-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016021610","58016-0216-10",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",10,"EA","NA","PO","EA",5,"MG",2,1/1/2007,,,,,,,
"58016021612","58016-0216-12",,"J7506",,3/22/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",12,"EA","BO","PO","EA",5,"MG",2,3/22/2002,,,,,,,
"58016021614","58016-0216-14",,"J7506",,3/22/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",14,"EA","BO","PO","EA",5,"MG",2,3/22/2002,,,,,,,
"58016021615","58016-0216-15",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016021620","58016-0216-20",,"J7506",,3/22/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,3/22/2002,,,,,,,
"58016021621","58016-0216-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016021622","58016-0216-22",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",22,"EA","NA","PO","EA",5,"MG",2,1/1/2007,,,,,,,
"58016021624","58016-0216-24",,"J7506",,3/22/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",24,"EA","BO","PO","EA",5,"MG",2,3/22/2002,,,,,,,
"58016021628","58016-0216-28",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",28,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016021630","58016-0216-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016021632","58016-0216-32",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",32,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016021640","58016-0216-40",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016021642","58016-0216-42",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","NA","PO","EA",5,"MG",2,1/1/2007,,,,,,,
"58016021650","58016-0216-50",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",50,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016021660","58016-0216-60",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58016021684","58016-0216-84",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",84,"EA","NA","PO","EA",5,"MG",2,1/1/2007,,,,,,,
"58016021690","58016-0216-90",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",90,"EA","BO","PO","EA",5,"MG",2,1/1/2007,,,,,,,
"58016021700","58016-0217-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"58016021705","58016-0217-05",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",5,"EA","NA","PO","EA",5,"MG",4,1/1/2007,,,,,,,
"58016021707","58016-0217-07",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",7,"EA","NA","PO","EA",5,"MG",4,1/1/2007,,,,,,,
"58016021710","58016-0217-10",,"J7506",,3/21/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,3/21/2002,,,,,,,
"58016021712","58016-0217-12",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",12,"EA","NA","PO","EA",5,"MG",4,1/1/2007,,,,,,,
"58016021715","58016-0217-15",,"J7506",,3/21/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,3/21/2002,,,,,,,
"58016021716","58016-0217-16",,"J7506",,3/21/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",16,"EA","BO","PO","EA",5,"MG",4,3/21/2002,,,,,,,
"58016021718","58016-0217-18",,"J7506",,3/21/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","BO","PO","EA",5,"MG",4,3/21/2002,,,,,,,
"58016021720","58016-0217-20",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"58016021721","58016-0217-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"58016021722","58016-0217-22",,"J7506",,3/21/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",22,"EA","BO","PO","EA",5,"MG",4,3/21/2002,,,,,,,
"58016021723","58016-0217-23",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",23,"EA","NA","PO","EA",5,"MG",4,1/1/2007,,,,,,,
"58016021724","58016-0217-24",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",24,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"58016021728","58016-0217-28",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",28,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"58016021730","58016-0217-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"58016021740","58016-0217-40",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",40,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"58016021760","58016-0217-60",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",60,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"58016021800","58016-0218-00",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"58016021820","58016-0218-20",,"J7506",,3/22/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,3/22/2002,,,,,,,
"58016021821","58016-0218-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"58016021824","58016-0218-24",,"J7506",,3/22/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",24,"EA","BO","PO","EA",5,"MG",1,3/22/2002,,,,,,,
"58016021830","58016-0218-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"58016021833","58016-0218-33",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",33,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"58016021836","58016-0218-36",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",36,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"58016021840","58016-0218-40",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"58016021850","58016-0218-50",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",50,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"58016021855","58016-0218-55",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",55,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"58016021860","58016-0218-60",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"58016021869","58016-0218-69",,"J7506",,1/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",69,"EA","NA","PO","EA",5,"MG",1,1/1/2007,,,,,,,
"58016021890","58016-0218-90",,"J7506",,5/31/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",90,"EA","BO","PO","EA",5,"MG",1,5/31/2005,,,,,,,
"58016025900","58016-0259-00",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016025902","58016-0259-02",,"Q0177",,1/1/2007,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",120,"EA","NA","PO","EA",25,"MG",1,1/1/2007,,,,,,,
"58016025910","58016-0259-10",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016025920","58016-0259-20",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016025930","58016-0259-30",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016025950","58016-0259-50",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",50,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016025960","58016-0259-60",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016025990","58016-0259-90",,"Q0177",,1/1/2007,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",90,"EA","NA","PO","EA",25,"MG",1,1/1/2007,,,,,,,
"58016028300","58016-0283-00",,"Q0169",,8/1/2004,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 12.5 MG",100,"EA","BO","PO","EA",12.5,"MG",1,8/1/2004,,,,,,,
"58016028302","58016-0283-02",,"Q0169",,8/1/2004,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 12.5 MG",120,"EA","BO","PO","EA",12.5,"MG",1,8/1/2004,,,,,,,
"58016028330","58016-0283-30",,"Q0169",,8/1/2004,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 12.5 MG",30,"EA","BO","PO","EA",12.5,"MG",1,8/1/2004,,,,,,,
"58016028360","58016-0283-60",,"Q0169",,8/1/2004,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 12.5 MG",60,"EA","BO","PO","EA",12.5,"MG",1,8/1/2004,,,,,,,
"58016028390","58016-0283-90",,"Q0169",,8/1/2004,5/23/2005,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 12.5 MG",90,"EA","BO","PO","EA",12.5,"MG",1,8/1/2004,,,,,,,
"58016029000","58016-0290-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",100,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"58016029000","58016-0290-00",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016029002","58016-0290-02",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",120,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"58016029002","58016-0290-02",,"Q0181",,9/15/2003,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",120,"EA","BO","PO","EA",1,"EA",1,9/15/2003,,,,,,,
"58016029003","58016-0290-03",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",150,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"58016029003","58016-0290-03",,"Q0181",,9/15/2003,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",150,"EA","BO","PO","EA",1,"EA",1,9/15/2003,,,,,,,
"58016029012","58016-0290-12",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",12,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"58016029012","58016-0290-12",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",12,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016029015","58016-0290-15",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",15,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"58016029015","58016-0290-15",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016029020","58016-0290-20",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",20,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"58016029020","58016-0290-20",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016029030","58016-0290-30",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",30,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"58016029030","58016-0290-30",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016029073","58016-0290-73",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",300,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"58016029073","58016-0290-73",,"Q0181",,9/15/2003,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",300,"EA","BO","PO","EA",1,"EA",1,9/15/2003,,,,,,,
"58016029089","58016-0290-89",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",200,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"58016029089","58016-0290-89",,"Q0181",,9/15/2003,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG",200,"EA","BO","PO","EA",1,"EA",1,9/15/2003,,,,,,,
"58016029160","58016-0291-60",,"J8540",,1/1/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG",60,"EA","BO","PO","EA",0.25,"MG",2,1/1/2007,,,,,,,
"58016029300","58016-0293-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",100,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"58016029300","58016-0293-00",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016029306","58016-0293-06",,"J8540",,1/1/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",6,"EA","NA","PO","EA",0.25,"MG",3,1/1/2007,,,,,,,
"58016029312","58016-0293-12",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"58016029312","58016-0293-12",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016029315","58016-0293-15",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",15,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"58016029315","58016-0293-15",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016029320","58016-0293-20",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",20,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"58016029320","58016-0293-20",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016029330","58016-0293-30",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",30,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"58016029330","58016-0293-30",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016032600","58016-0326-00",,"Q0164",,3/1/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,3/1/2007,,,,,,,
"58016032612","58016-0326-12",,"Q0164",,9/15/2003,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",12,"EA","BO","PO","EA",5,"MG",1,9/15/2003,,,,,,,
"58016032630","58016-0326-30",,"Q0164",,3/1/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,3/1/2007,,,,,,,
"58016032660","58016-0326-60",,"Q0164",,3/1/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,3/1/2007,,,,,,,
"58016032690","58016-0326-90",,"Q0164",,3/1/2007,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",90,"EA","BO","PO","EA",5,"MG",1,3/1/2007,,,,,,,
"58016035020","58016-0350-20",,"J8540",,1/1/2006,12/31/2006,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.5 MG/5 ML",100,"ML","BO","PO","ML",0.25,"MG",0.4,1/1/2006,,,,,,,
"58016035020","58016-0350-20",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.5 MG/5 ML",100,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"58016039100","58016-0391-00",,"Q0144",,1/15/2004,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",100,"EA","BO","PO","EA",1,"GM",0.25,1/15/2004,,,,,,,
"58016039101","58016-0391-01",,"Q0144",,4/3/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX Z-PAK 250 MG",6,"EA","BX","PO","EA",1,"GM",0.25,4/3/2002,,,,,,,
"58016039106","58016-0391-06",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"58016039110","58016-0391-10",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",10,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"58016039115","58016-0391-15",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",15,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"58016039118","58016-0391-18",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",18,"EA","BX","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"58016039120","58016-0391-20",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",20,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"58016039128","58016-0391-28",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",28,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"58016039130","58016-0391-30",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"58016039160","58016-0391-60",,"Q0144",,1/15/2004,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",60,"EA","BO","PO","EA",1,"GM",0.25,1/15/2004,,,,,,,
"58016039190","58016-0391-90",,"Q0144",,1/15/2004,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",90,"EA","BO","PO","EA",1,"GM",0.25,1/15/2004,,,,,,,
"58016040800","58016-0408-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040806","58016-0408-06",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",6,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040809","58016-0408-09",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",9,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040810","58016-0408-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",10,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040812","58016-0408-12",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",12,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040814","58016-0408-14",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",14,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040815","58016-0408-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040820","58016-0408-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040821","58016-0408-21",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",21,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040824","58016-0408-24",,"Q0163",,1/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,1/1/2007,,,,,,,
"58016040825","58016-0408-25",,"Q0163",,1/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",25,"EA","NA","PO","EA",50,"MG",0.5,1/1/2007,,,,,,,
"58016040828","58016-0408-28",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",28,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040830","58016-0408-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040840","58016-0408-40",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",40,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040860","58016-0408-60",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58016040900","58016-0409-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016040910","58016-0409-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",10,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016040912","58016-0409-12",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",12,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016040915","58016-0409-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016040920","58016-0409-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016040921","58016-0409-21",,"Q0163",,1/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",21,"EA","BO","PO","EA",50,"MG",1,1/1/2007,,,,,,,
"58016040924","58016-0409-24",,"Q0163",,3/26/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",24,"EA","BO","PO","EA",50,"MG",1,3/26/2002,,,,,,,
"58016040930","58016-0409-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016040940","58016-0409-40",,"Q0163",,1/1/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",40,"EA","NA","PO","EA",50,"MG",1,1/1/2007,,,,,,,
"58016040960","58016-0409-60",,"Q0163",,8/1/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",60,"EA","BO","PO","EA",50,"MG",1,8/1/2006,,,,,,,
"58016040990","58016-0409-90",,"Q0163",,8/1/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",90,"EA","BO","PO","EA",50,"MG",1,8/1/2006,,,,,,,
"58016042400","58016-0424-00",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",100,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016042402","58016-0424-02",,"Q0170",,9/15/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",120,"EA","BO","PO","EA",25,"MG",1,9/15/2003,,,,,,,
"58016042403","58016-0424-03",,"Q0170",,9/15/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",150,"EA","BO","PO","EA",25,"MG",1,9/15/2003,,,,,,,
"58016042410","58016-0424-10",,"Q0170",,3/26/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","BO","PO","EA",25,"MG",1,3/26/2002,,,,,,,
"58016042412","58016-0424-12",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",12,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016042415","58016-0424-15",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",15,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016042420","58016-0424-20",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",20,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016042430","58016-0424-30",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016042440","58016-0424-40",,"Q0170",,1/1/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",40,"EA","NA","PO","EA",25,"MG",1,1/1/2007,,,,,,,
"58016042448","58016-0424-48",,"Q0170",,1/1/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",48,"EA","NA","PO","EA",25,"MG",1,1/1/2007,,,,,,,
"58016042450","58016-0424-50",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",50,"EA","BO","PO","EA",25,"MG",1,1/1/2002,,,,,,,
"58016042460","58016-0424-60",,"Q0170",,7/13/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",60,"EA","BO","PO","EA",25,"MG",1,7/13/2003,,,,,,,
"58016042473","58016-0424-73",,"Q0170",,9/15/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",300,"EA","BO","PO","EA",25,"MG",1,9/15/2003,,,,,,,
"58016042489","58016-0424-89",,"Q0170",,9/15/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",200,"EA","BO","PO","EA",25,"MG",1,9/15/2003,,,,,,,
"58016042490","58016-0424-90",,"Q0170",,9/15/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",90,"EA","BO","PO","EA",25,"MG",1,9/15/2003,,,,,,,
"58016046410","58016-0464-10",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",10,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016046415","58016-0464-15",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",15,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016046420","58016-0464-20",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016046430","58016-0464-30",,"Q0178",,1/1/2002,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58016060301","58016-0603-01",,"A4216",,1/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE 0.9%",3,"ML","EA","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"58016060301","58016-0603-01",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE 0.9%",3,"ML","EA","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"58016062700","58016-0627-00",,"J8499",,1/29/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/29/2002,,,,,,,
"58016062720","58016-0627-20",,"J8499",,1/29/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",20,"EA","BO","PO","EA",1,"EA",1,1/29/2002,,,,,,,
"58016062730","58016-0627-30",,"J8499",,1/29/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,1/29/2002,,,,,,,
"58016062760","58016-0627-60",,"J8499",,1/29/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",60,"EA","BO","PO","EA",1,"EA",1,1/29/2002,,,,,,,
"58016062790","58016-0627-90",,"J8499",,1/29/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",90,"EA","BO","PO","EA",1,"EA",1,1/29/2002,,,,,,,
"58016065760","58016-0657-60",,"J8999",,1/1/2002,9/1/2006,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016067312","58016-0673-12",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PRELONE 15 MG/5 ML",60,"ML","EA","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"58016067324","58016-0673-24",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PRELONE 15 MG/5 ML",120,"ML","EA","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"58016067348","58016-0673-48",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PRELONE 15 MG/5 ML",240,"ML","EA","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"58016070600","58016-0706-00",,"Q0165",,9/23/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,9/23/2004,,,,,,,
"58016070602","58016-0706-02",,"Q0165",,9/23/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",120,"EA","BO","PO","EA",10,"MG",1,9/23/2004,,,,,,,
"58016070603","58016-0706-03",,"Q0165",,9/23/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",150,"EA","BO","PO","EA",10,"MG",1,9/23/2004,,,,,,,
"58016070608","58016-0706-08",,"Q0165",,1/1/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",8,"EA","NA","PO","EA",10,"MG",1,1/1/2007,,,,,,,
"58016070630","58016-0706-30",,"Q0165",,9/23/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,9/23/2004,,,,,,,
"58016070660","58016-0706-60",,"Q0165",,9/23/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",60,"EA","BO","PO","EA",10,"MG",1,9/23/2004,,,,,,,
"58016070690","58016-0706-90",,"Q0165",,9/23/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",90,"EA","BO","PO","EA",10,"MG",1,9/23/2004,,,,,,,
"58016078100","58016-0781-00",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",100,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078100","58016-0781-00",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078108","58016-0781-08",,"J8540",,1/1/2007,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",8,"EA","NA","PO","EA",0.25,"MG",16,1/1/2007,,,,,,,
"58016078110","58016-0781-10",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",10,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078110","58016-0781-10",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",10,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078112","58016-0781-12",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",12,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078112","58016-0781-12",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",12,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078114","58016-0781-14",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",14,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078114","58016-0781-14",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",14,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078115","58016-0781-15",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",15,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078115","58016-0781-15",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",15,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078120","58016-0781-20",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",20,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078120","58016-0781-20",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",20,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078121","58016-0781-21",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",21,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078121","58016-0781-21",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",21,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078124","58016-0781-24",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",24,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078124","58016-0781-24",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",24,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078128","58016-0781-28",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",28,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078128","58016-0781-28",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",28,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078130","58016-0781-30",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078130","58016-0781-30",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078140","58016-0781-40",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",40,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078140","58016-0781-40",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",40,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016078150","58016-0781-50",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",50,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58016078150","58016-0781-50",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58016082600","58016-0826-00",,"Q0179",,1/15/2004,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",100,"EA","BO","PO","EA",8,"MG",0.5,1/15/2004,,,,,,,
"58016082630","58016-0826-30",,"Q0179",,1/15/2004,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,1/15/2004,,,,,,,
"58016082660","58016-0826-60",,"Q0179",,1/15/2004,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",60,"EA","BO","PO","EA",8,"MG",0.5,1/15/2004,,,,,,,
"58016082690","58016-0826-90",,"Q0179",,1/15/2004,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",90,"EA","BO","PO","EA",8,"MG",0.5,1/15/2004,,,,,,,
"58016095100","58016-0951-00",,"Q0168",,4/1/2004,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 5 MG",100,"EA","BO","PO","EA",5,"MG",1,4/1/2004,,,,,,,
"58016095130","58016-0951-30",,"Q0168",,4/1/2004,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 5 MG",30,"EA","BO","PO","EA",5,"MG",1,4/1/2004,,,,,,,
"58016095160","58016-0951-60",,"Q0168",,4/1/2004,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 5 MG",60,"EA","BO","PO","EA",5,"MG",1,4/1/2004,,,,,,,
"58016095190","58016-0951-90",,"Q0168",,4/1/2004,,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 5 MG",90,"EA","BO","PO","EA",5,"MG",1,4/1/2004,,,,,,,
"58016097300","58016-0973-00",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"58016097302","58016-0973-02",,"Q0173",,9/15/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",120,"EA","BO","PO","EA",250,"MG",1,9/15/2003,,,,,,,
"58016097303","58016-0973-03",,"Q0173",,9/15/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",150,"EA","BO","PO","EA",250,"MG",1,9/15/2003,,,,,,,
"58016097308","58016-0973-08",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",8,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"58016097310","58016-0973-10",,"Q0173",,9/15/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",10,"EA","BO","PO","EA",250,"MG",1,9/15/2003,,,,,,,
"58016097312","58016-0973-12",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",12,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"58016097315","58016-0973-15",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",15,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"58016097320","58016-0973-20",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",20,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"58016097324","58016-0973-24",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",24,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"58016097330","58016-0973-30",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",30,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"58016097350","58016-0973-50",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",50,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"58016097360","58016-0973-60",,"Q0173",,9/15/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",60,"EA","BO","PO","EA",250,"MG",1,9/15/2003,,,,,,,
"58016097373","58016-0973-73",,"Q0173",,9/15/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",300,"EA","BO","PO","EA",250,"MG",1,9/15/2003,,,,,,,
"58016097389","58016-0973-89",,"Q0173",,9/15/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",200,"EA","BO","PO","EA",250,"MG",1,9/15/2003,,,,,,,
"58016097390","58016-0973-90",,"Q0173",,9/15/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",90,"EA","BO","PO","EA",250,"MG",1,9/15/2003,,,,,,,
"58016200101","58016-2001-01",,"J7509",,10/1/2006,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,10/1/2006,,,,,,,
"58016200401","58016-2004-01",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"58016301803","58016-3018-03",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"58016301803","58016-3018-03",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"58016306601","58016-3066-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"58016306601","58016-3066-01",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 12.5 MG",12,"EA","BX","RC","EA",1,"MG",12.5,1/1/2002,,,,,,,
"58016306701","58016-3067-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"58016306701","58016-3067-01",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"58016322201","58016-3222-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPAZINE 5 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"58016322201","58016-3222-01",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 5 MG",12,"EA","BX","RC","EA",1,"MG",5,1/1/2002,,,,,,,
"58016400801","58016-4008-01",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 6.25 MG/5 ML",120,"ML","NA","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"58016414401","58016-4144-01",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PEDIAPRED 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"58016471901","58016-4719-01",,"J7509",,2/16/2005,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 8 MG",25,"EA","BO","PO","EA",4,"MG",2,2/16/2005,,,,,,,
"58016477001","58016-4770-01",,"J2300",,2/1/2006,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (10X1ML AMPS) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,2/1/2006,,,,,,,
"58016477101","58016-4771-01",,"J2941",,2/1/2006,,"INJECTION, SOMATROPIN, 1 MG","GENOTROPIN 13.8 MG",1,"EA","CT","SC","EA",1,"MG",13.8,2/1/2006,,,,,,,
"58016478601","58016-4786-01",,"J0696",,2/1/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,2/1/2006,,,,,,,
"58016478801","58016-4788-01",,"J1815",,2/1/2006,,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN N 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,2/1/2006,,,,,,,
"58016479001","58016-4790-01",,"J0696",,2/1/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,2/1/2006,,,,,,,
"58016481101","58016-4811-01",,"J2765",,2/1/2006,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","REGLAN (25X2ML) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,2/1/2006,,,,,,,
"58016481401","58016-4814-01",,"Q0144",,12/20/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,12/20/2005,,,,,,,
"58016483201","58016-4832-01",,"J7506",,2/1/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","DP","PO","EA",5,"MG",1,2/1/2006,,,,,,,
"58016483401","58016-4834-01",,"J0696",,2/1/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,2/1/2006,,,,,,,
"58016483801","58016-4838-01",,"A4216",,2/1/2006,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","BRONCHO SALINE 0.9% AEROSAL 0.9%",240,"ML","BO","IH","ML",10,"ML",0.1,2/1/2006,,,,,,,
"58016484001","58016-4840-01",,"J2001",,2/1/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE (SDA) 1%",5,"ML","AM","EP","ML",10,"MG",1,2/1/2006,,,,,,,
"58016484301","58016-4843-01",,"J7510",,2/1/2006,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,2/1/2006,,,,,,,
"58016484901","58016-4849-01",,"J7644",,2/1/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM (2.5MLX25) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,2/1/2006,,,,,,,
"58016484901","58016-4849-01","KO","J7644","KO",2/1/2006,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM (2.5MLX25) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,2/1/2006,,,,,,,
"58016485501","58016-4855-01",,"J3303",,2/1/2006,,"INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG","ARISTOSPAN 20 MG/ML",5,"ML","VL","IJ","ML",5,"MG",4,2/1/2006,,,,,,,
"58016486801","58016-4868-01",,"J0595",,3/15/2006,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (10X1ML) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,3/15/2006,,,,,,,
"58016487201","58016-4872-01",,"J1650",,4/1/2006,,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 40 MG/0.4 ML",0.4,"ML","SR","SC","ML",10,"MG",10,4/1/2006,,,,,,,
"58016489301","58016-4893-01",,"J1040",,6/1/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG","METHYLPREDNISOLONE ACETATE 80 MG/ML",1,"ML","VL","IJ","ML",80,"MG",1,6/1/2006,,,,,,,
"58016489701","58016-4897-01",,"J2920",,7/1/2006,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","SOLU-MEDROL (SDV) 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,7/1/2006,,,,,,,
"58016499501","58016-4995-01",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (10MLX100) 0.9%",10,"ML","SR","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"58016499501","58016-4995-01",,"J2912",,7/1/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (10MLX100) 0.9%",10,"ML","SR","IJ","ML",0.9,"%",0.5,7/1/2006,,,,,,,
"58016500901","58016-5009-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"58016500901","58016-5009-01",,"K0416",,1/1/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROMETHAZINE HCL 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2005,,,,,,,
"58016640401","58016-6404-01",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","NA","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"58016640401","58016-6404-01",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","NA","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"58016650601","58016-6506-01",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"58016650601","58016-6506-01",,"K0416",,1/1/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,1/1/2002,,,,,,,
"58016919101","58016-9191-01",,"J0702",,1/1/2002,,"INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG","CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML",5,"ML","VL","IJ","ML",3,"MG",1,1/1/2002,,,,,,,
"58016929901","58016-9299-01",,"J3410",,1/1/2002,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL 50 MG/ML",10,"ML","VL","IM","ML",25,"MG",2,1/1/2002,,,,,,,
"58016933101","58016-9331-01",,"J2001",,8/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (M.D.V.) 1%",50,"ML","VL","EP","ML",10,"MG",1,8/1/2004,,,,,,,
"58016934301","58016-9343-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","MARCAINE HCL (M.D.V.) 0.5%",50,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"58016938401","58016-9384-01",,"J2300",,1/1/2002,,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NALBUPHINE HCL (M.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"58016941301","58016-9413-01",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (SDV) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"58016943801","58016-9438-01",,"J0696",,2/22/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,2/22/2002,,,,,,,
"58016945201","58016-9452-01",,"J2930",,1/1/2002,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","SOLU-MEDROL 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,1/1/2002,,,,,,,
"58016945301","58016-9453-01",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,1/1/2002,,,,,,,
"58016946401","58016-9464-01",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"58016946401","58016-9464-01",,"A4712",,1/3/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION",50,"ML","VL","IV","ML",10,"ML",0.1,1/3/2002,,,,,,,
"58016955101","58016-9551-01",,"J0696",,1/1/2002,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","ROCEPHIN 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,1/1/2002,,,,,,,
"58063045701","58063-0457-01",,"J1436",,1/1/2002,10/4/2004,"INJECTION, ETIDRONATE DISODIUM, PER 300 MG","DIDRONEL I.V. (AMP) 50 MG/ML",6,"ML","AM","IV","ML",300,"MG",0.16666,1/1/2002,,,,,,,
"58063060050","58063-0600-50",,"J0894",,1/1/2007,,"INJECTION, DECITABINE, 1 MG","DACOGEN 50 MG",1,"EA","VL","IV","EA",1,"MG",50,1/1/2007,,,,,,,
"58063060050","58063-0600-50",,"J3490",,5/22/2006,12/31/2006,"UNCLASSIFIED DRUGS","DACOGEN 50 MG",1,"EA","VL","IV","EA",1,"EA",1,5/22/2006,,,,,,,
"58063079725","58063-0797-25",,"J2469",,1/1/2005,4/26/2009,"INJECTION, PALONOSETRON HCL, 25 MCG","ALOXI (S.D.V.,PF) 0.05 MG/ML",5,"ML","VL","IV","ML",25,"MCG",2,1/1/2005,4/26/2009,,,,,,
"58063079725","58063-0797-25",,"K0415",,8/6/2003,12/31/2004,"PRESCRIPTION ANTIEMETIC DRUG, ORAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","ALOXI (S.D.V.,PF) 0.05 MG/ML",5,"ML","VL","IV","ML",1,"MG",0.05,8/6/2003,,,,,,,
"58063079737","58063-0797-37",,"J2469",,7/2/2008,3/31/2009,"INJECTION, PALONOSETRON HCL, 25 MCG","ALOXI (Single-Use, 1.5ml 5s) 0.05 MG/ML",1.5,"ML","VL","IV","ML",25,"MCG",2,7/2/2008,3/31/2009,,,,,,
"58063097909","58063-0979-09",,"J8999",,1/1/2002,4/1/2002,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MYLOCEL (UNIT OF USE,CAPLET) 1 GM",60,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"58160081511","58160-0815-11",,"J3490",,8/6/2007,,"UNCLASSIFIED DRUGS","TWINRIX (TAX INCLUDED,1MLX10,PF) 720 EL U/ML-20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,8/6/2007,,,,,,,
"58160081546","58160-0815-46",,"J3490",,6/25/2007,,"UNCLASSIFIED DRUGS","TWINRIX (TPLOK,SNGLE DSE,TAXINCL) 720 EL U/ML-20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,6/25/2007,,,,,,,
"58160082011","58160-0820-11",,"J3490",,2/1/2007,,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (10X0.5ML,SDV,TAXINCL,PF) 10 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,2/1/2007,,,,,,,
"58160082046","58160-0820-46",,"J3490",,2/1/2007,,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (0.5X5,SD,TIPLOK,TAXINCL) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,2/1/2007,,,,,,,
"58160082111","58160-0821-11",,"J3490",,2/1/2007,,"UNCLASSIFIED DRUGS","ENGERIX-B (SDV,TAXINCL,PF) 20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,2/1/2007,,,,,,,
"58160082146","58160-0821-46",,"J3490",,3/28/2007,,"UNCLASSIFIED DRUGS","ENGERIX-B (5X1ML,PF) 20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,3/28/2007,,,,,,,
"58160085001","58160-0850-01",,"J3490",,1/1/2002,9/30/2005,"UNCLASSIFIED DRUGS","TWINRIX (S.D.V.,TAX INCL) 720 EL U/ML-20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085011","58160-0850-11",,"J3490",,1/1/2002,8/5/2007,"UNCLASSIFIED DRUGS","TWINRIX (S.D.V.,TAX INCL) 720 EL U/ML-20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085035","58160-0850-35",,"J3490",,1/1/2002,6/10/2002,"UNCLASSIFIED DRUGS","TWINRIX (TIPLOK,23GX1"",TAX INCL) 720 EL U/ML-20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085046","58160-0850-46",,"J3490",,3/20/2002,6/24/2007,"UNCLASSIFIED DRUGS","TWINRIX (TIPLOK W/O NDL,TAX INCL) 720 EL U/ML-20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,3/20/2002,,,,,,,
"58160085601","58160-0856-01",,"J3490",,1/1/2002,5/3/2006,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (S.D.V.,TAX INCL,PF) 10 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,5/3/2006,,,,,,
"58160085611","58160-0856-11",,"J3490",,1/1/2002,1/31/2007,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (S.D.V.,TAX INCL,PF) 10 MCG/0.5 ML",0.5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085626","58160-0856-26",,"J3490",,1/1/2002,6/10/2002,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (TIP-LOK,23GX1,TX INC,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085627","58160-0856-27",,"J3490",,1/1/2002,6/10/2002,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (TIP-LOK,25GX5/8,TAX,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085635","58160-0856-35",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (TIPLOK,23GX1,TAX INC,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085636","58160-0856-36",,"J3490",,1/1/2002,6/10/2002,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (TIP-LOK,25GX5/8,TAX,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085646","58160-0856-46",,"J3490",,1/17/2002,1/31/2007,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (TIP-LOK W/O NDL,TAX,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/17/2002,,,,,,,
"58160085650","58160-0856-50",,"J3490",,1/17/2002,12/9/2005,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC (TIP-LOK W/O NDL,TAX,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/17/2002,,,,,,,
"58160085656","58160-0856-56",,"J3490",,5/10/2002,5/11/2004,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC W/SAFETYGLIDE (TIP-LOK,23GX1.TX INC,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,5/10/2002,,,,,,,
"58160085657","58160-0856-57",,"J3490",,1/1/2002,3/16/2004,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC W/SAFETYGLIDE (TIP-LOK,25GX5/8,TAX,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085658","58160-0856-58",,"J3490",,1/1/2002,5/11/2004,"UNCLASSIFIED DRUGS","ENGERIX-B PEDIATRIC W/SAFETYGLIDE (TIP-LOK,23GX1.TX INC,PF) 10 MCG/0.5 ML",0.5,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085701","58160-0857-01",,"J3490",,1/1/2002,5/24/2006,"UNCLASSIFIED DRUGS","ENGERIX-B (S.D.V.,TAX INCL,PF) 20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085711","58160-0857-11",,"J3490",,3/30/2006,1/31/2007,"UNCLASSIFIED DRUGS","ENGERIX-B (TAX INCLUDED,SDV,PF) 20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,3/30/2006,,,,,,,
"58160085716","58160-0857-16",,"J3490",,1/1/2002,4/6/2006,"UNCLASSIFIED DRUGS","ENGERIX-B (S.D.V.,TAX INCL,PF) 20 MCG/ML",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085726","58160-0857-26",,"J3490",,1/1/2002,6/10/2002,"UNCLASSIFIED DRUGS","ENGERIX-B (TIPLOK,23GX1,TAX INC,PF) 20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085735","58160-0857-35",,"J3490",,1/1/2002,6/10/2002,"UNCLASSIFIED DRUGS","ENGERIX-B (TIPLOK,23GX1,TAX INC,PF) 20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"58160085746","58160-0857-46",,"J3490",,2/1/2002,3/27/2007,"UNCLASSIFIED DRUGS","ENGERIX-B (TIP-LOK W/O NDL,TAX,PF) 20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,2/1/2002,,,,,,,
"58160085750","58160-0857-50",,"J3490",,2/1/2002,11/7/2005,"UNCLASSIFIED DRUGS","ENGERIX-B (TIP-LOK W/O NDL,TAX,PF) 20 MCG/ML",1,"ML","SR","IM","ML",1,"EA",1,2/1/2002,,,,,,,
"58177003704","58177-0037-04",,"Q0173",,1/1/2002,3/9/2004,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"58177036322","58177-0363-22",,"Q0179",,6/27/2007,2/18/2009,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP,10X3,STRAWBERRY) 4 MG",30,"EA","BX","PO","EA",8,"MG",0.5,6/27/2007,2/18/2009,,,,,,
"58177036422","58177-0364-22",,"Q0179",,6/27/2007,2/18/2009,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP,3X10,STRAWBERRY) 8 MG",30,"EA","BX","PO","EA",8,"MG",1,6/27/2007,2/18/2009,,,,,,
"58177036456","58177-0364-56",,"Q0179",,6/27/2007,2/18/2009,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP,STRAWBERRY) 8 MG",10,"EA","BX","PO","EA",8,"MG",1,6/27/2007,2/18/2009,,,,,,
"58177091005","58177-0910-05",,"J7510",,4/16/2002,2/18/2009,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,4/16/2002,2/18/2009,,,,,,
"58177091007","58177-0910-07",,"J7510",,4/16/2002,2/18/2009,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,4/16/2002,2/18/2009,,,,,,
"58177091203","58177-0912-03",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 5 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.2,1/1/2002,,,,,,,
"58177093205","58177-0932-05",,"J7510",,5/25/2005,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (DYE-FREE,GRAPE) 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,5/25/2005,,,,,,,
"58178001701","58178-0017-01",,"J0207",,1/1/2002,,"INJECTION, AMIFOSTINE, 500 MG","ETHYOL (S.D.V.) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"58178001703","58178-0017-03",,"J0207",,1/1/2002,,"INJECTION, AMIFOSTINE, 500 MG","ETHYOL (S.D.V.,10MLX3) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"58178002010","58178-0020-10",,"J3305",,1/1/2002,1/31/2007,"INJECTION, TRIMETREXATE GLUCURONATE, PER 25 MG","NEUTREXIN (S.D.V.,2 TRAYS OF 25) 25 MG",1,"EA","VL","IV","EA",25,"MG",1,1/1/2002,,,,,,,
"58178002050","58178-0020-50",,"J3305",,1/1/2002,1/8/2004,"INJECTION, TRIMETREXATE GLUCURONATE, PER 25 MG","NEUTREXIN (S.D.V.) 25 MG",1,"EA","VL","IV","EA",25,"MG",1,1/1/2002,,,,,,,
"58178002101","58178-0021-01",,"J3305",,1/1/2002,1/31/2007,"INJECTION, TRIMETREXATE GLUCURONATE, PER 25 MG","NEUTREXIN (M.D.V.) 200 MG",1,"EA","VL","IV","EA",25,"MG",8,1/1/2002,,,,,,,
"58281056001","58281-0560-01",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","LIORESAL INTRATHECAL REFILL KIT (1X20 ML AMP) 0.5 MG/ML",20,"ML","BX","IN","EA",10,"MG",1,1/1/2002,,,,,,,
"58281056002","58281-0560-02",,"J0475",,4/2/2004,,"INJECTION, BACLOFEN, 10 MG","LIORESAL INTRATHECAL REFILL KIT (2X20ML AMP) 0.5 MG/ML",20,"ML","BX","MR","EA",10,"MG",2,4/2/2004,,,,,,,
"58281056102","58281-0561-02",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","LIORESAL INTRATHECAL REFILL KIT (2X5 ML AMP) 2 MG/ML",5,"ML","BX","IN","EA",10,"MG",2,1/1/2002,,,,,,,
"58281056104","58281-0561-04",,"J0475",,1/1/2002,10/20/2003,"INJECTION, BACLOFEN, 10 MG","LIORESAL INTRATHECAL REFILL KIT (4X5 ML AMP) 2 MG/ML",5,"ML","AM","IN","EA",10,"MG",4,1/1/2002,,,,,,,
"58281056201","58281-0562-01",,"J0476",,1/1/2002,,"INJECTION, BACLOFEN, 50 MCG FOR INTRATHECAL TRIAL","LIORESAL INTRATHECAL SCREENING KIT (1X1 ML AMP) 0.05 MG/ML",1,"ML","AM","IN","EA",50,"MCG",1,1/1/2002,,,,,,,
"58281056301","58281-0563-01",,"J0475",,10/21/2003,,"INJECTION, BACLOFEN, 10 MG","LIORESAL INTRATHECAL REFILL KIT (1X20ML AMP) 2 MG/ML",20,"ML","BX","MR","EA",10,"MG",4,10/21/2003,,,,,,,
"58281056302","58281-0563-02",,"J0475",,4/2/2004,,"INJECTION, BACLOFEN, 10 MG","LIORESAL INTRATHECAL REFILL KIT (2X20ML AMP) 2 MG/ML",20,"ML","BX","MR","EA",10,"MG",8,4/2/2004,,,,,,,
"58298052502","58298-0525-02",,"J3010",,4/3/2006,5/1/2008,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (USP)",1,"EA","NA","NA","GM",0.1,"MG",10000,4/3/2006,5/1/2008,,,,,,
"58298052505","58298-0525-05",,"J3010",,4/3/2006,5/1/2008,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (USP)",1,"EA","NA","NA","GM",0.1,"MG",10000,4/3/2006,5/1/2008,,,,,,
"58298053402","58298-0534-02",,"J1170",,4/3/2006,5/1/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (USP)",1,"EA","NA","NA","GM",4,"MG",250,4/3/2006,5/1/2008,,,,,,
"58298053403","58298-0534-03",,"J1170",,4/3/2006,5/1/2008,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (USP)",1,"EA","BO","NA","GM",4,"MG",250,4/3/2006,5/1/2008,,,,,,
"58298054325","58298-0543-25",,"J2175",,4/3/2006,5/1/2008,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HYDROCHLORIDE (USP)",1,"EA","NA","NA","GM",100,"MG",10,4/3/2006,5/1/2008,,,,,,
"58298054501","58298-0545-01",,"J2271",,4/3/2006,5/1/2008,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (USP)",1,"EA","BO","NA","GM",100,"MG",10,4/3/2006,5/1/2008,,,,,,
"58298054502","58298-0545-02",,"J2271",,4/3/2006,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (USP)",1,"EA","NA","NA","GM",100,"MG",10,4/3/2006,,,,,,,
"58394000101","58394-0001-01",,"J7195",,1/1/2002,,"FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","BENEFIX (S.D.V.,W/DILUENT,1000IU) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"58394000106","58394-0001-06",,"J7195",,6/28/2007,,"FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","BENEFIX (1000IU,PF) 1 IU",1,"EA","VL","IV","EA",1,"IU",1,6/28/2007,,,,,,,
"58394000201","58394-0002-01",,"J7195",,1/1/2002,,"FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","BENEFIX (S.D.V.,W/DILUENT,500 IU) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"58394000206","58394-0002-06",,"J7195",,6/28/2007,,"FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","BENEFIX (500IU,PF) 1 IU",1,"EA","VL","IV","EA",1,"IU",1,6/28/2007,,,,,,,
"58394000301","58394-0003-01",,"J7195",,1/1/2002,,"FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","BENEFIX (S.D.V.,W/DILUENT,250 IU) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"58394000306","58394-0003-06",,"J7195",,6/28/2007,,"FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","BENEFIX (250IU,PF) 1 IU",1,"EA","VL","IV","EA",1,"IU",1,6/28/2007,,,,,,,
"58394000401","58394-0004-01",,"J2355",,1/1/2002,9/2/2009,"INJECTION, OPRELVEKIN, 5 MG","NEUMEGA (VIAL,PF) 5 MG",1,"EA","VL","SC","EA",5,"MG",1,1/1/2002,9/2/2009,,,,,,
"58394000402","58394-0004-02",,"J2355",,1/1/2002,6/15/2007,"INJECTION, OPRELVEKIN, 5 MG","NEUMEGA (VIAL,PF) 5 MG",1,"EA","VL","SC","EA",5,"MG",1,1/1/2002,,,,,,,
"58394000501","58394-0005-01",,"J7192",,1/1/2002,11/1/2004,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","REFACTO (APPROX 1000 IU/VIAL) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"58394000502","58394-0005-02",,"J7192",,11/2/2004,4/9/2009,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","REFACTO (APPROX 1000 IU/VIAL) 1 IU",1000,"IU","VL","IV","EA",1,"IU",1,11/2/2004,4/9/2009,,,,,,
"58394000504","58394-0005-04",,"J7192",,3/26/2008,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","REFACTO (1000IU,LYOPHILIZED) 1 IU",1,"EA","VL","IV","EA",1,"IU",1,3/26/2008,,,,,,,
"58394000601","58394-0006-01",,"J7192",,1/1/2002,11/1/2004,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","REFACTO (APPROX 500 IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"58394000602","58394-0006-02",,"J7192",,11/2/2004,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","REFACTO (APPROX 500 IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,11/2/2004,,,,,,,
"58394000701","58394-0007-01",,"J7192",,1/1/2002,11/1/2004,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","REFACTO (APPROX 250 IU/VIAL) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"58394000702","58394-0007-02",,"J7192",,11/2/2004,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","REFACTO (APPROX 250 IU/VIAL) 1 IU",250,"IU","VL","IV","EA",1,"IU",1,11/2/2004,,,,,,,
"58394000802","58394-0008-02",,"J7195",,6/28/2007,,"FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","BENEFIX (2000IU,PF) 1 IU",1,"EA","VL","IV","EA",1,"IU",1,6/28/2007,,,,,,,
"58394001101","58394-0011-01",,"J7192",,10/1/2002,11/1/2004,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","REFACTO (APPROX 2000 IU/VIAL) 1 IU",2000,"IU","VL","IV","EA",1,"IU",1,10/1/2002,,,,,,,
"58394001102","58394-0011-02",,"J7192",,11/2/2004,4/9/2009,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U.","REFACTO (APPROX 2000 IU/VIAL) 1 IU",2000,"IU","VL","IV","EA",1,"IU",1,11/2/2004,4/9/2009,,,,,,
"58394001104","58394-0011-04",,"J7192",,3/26/2008,,"FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED","REFACTO (2000IU,LYOPHILIZED) 1 IU",1,"EA","VL","IV","EA",1,"IU",1,3/26/2008,,,,,,,
"58406000233","58406-0002-33",,"J2820",,1/1/2002,10/22/2003,"INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG","LEUKINE (VIAL) 250 MCG",1,"EA","VL","IV","EA",50,"MCG",5,1/1/2002,,,,,,,
"58406005030","58406-0050-30",,"J2820",,1/1/2002,10/22/2003,"INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG","LEUKINE (M.D.V.) 500 MCG/ML",1,"ML","VL","IV","ML",50,"MCG",10,1/1/2002,,,,,,,
"58406042534","58406-0425-34",,"J1438",,1/1/2002,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (S.D. TRAY,PF) 25 MG",4,"EA","BX","SC","EA",25,"MG",1,1/1/2002,,,,,,,
"58406042541","58406-0425-41",,"J1438",,1/1/2002,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (S.D. TRAY,PF) 25 MG",1,"EA","BX","SC","EA",25,"MG",1,1/1/2002,,,,,,,
"58406043501","58406-0435-01",,"J1438",,11/17/2004,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (ACTUAL FILL 50MG/0.98ML) 50 MG/ML",0.98,"ML","SR","SC","ML",25,"MG",2,11/17/2004,,,,,,,
"58406043504","58406-0435-04",,"J1438",,11/17/2004,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (ACTUAL FILL 50MG/0.98ML) 50 MG/ML",0.98,"ML","SR","SC","ML",25,"MG",2,11/17/2004,,,,,,,
"58406044501","58406-0445-01",,"J1438",,7/17/2006,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (SURECLICK AUTOINJECTOR) 50 MG/ML",0.98,"ML","SR","SC","ML",25,"MG",2,7/17/2006,,,,,,,
"58406044504","58406-0445-04",,"J1438",,7/17/2006,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (SURECLICK AUTOINJECTOR) 50 MG/ML",0.98,"ML","SR","SC","ML",25,"MG",2,7/17/2006,,,,,,,
"58406045501","58406-0455-01",,"J1438",,4/30/2007,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (27G,1/2"",PF) 50 MG/ML",0.51,"ML","SR","SC","ML",25,"MG",2,4/30/2007,,,,,,,
"58406045504","58406-0455-04",,"J1438",,4/30/2007,,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ENBREL (4X0.51ML,27G,1/2"",PF) 50 MG/ML",0.51,"ML","SR","SC","ML",25,"MG",2,4/30/2007,,,,,,,
"58406064003","58406-0640-03",,"J9293",,1/1/2002,6/10/2003,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","NOVANTRONE (M.D.V.) 2 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.4,1/1/2002,,,,,,,
"58406064005","58406-0640-05",,"J9293",,1/1/2002,6/10/2003,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","NOVANTRONE (M.D.V.) 2 MG/ML",12.5,"ML","VL","IV","ML",5,"MG",0.4,1/1/2002,,,,,,,
"58406064007","58406-0640-07",,"J9293",,1/1/2002,6/10/2003,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","NOVANTRONE (M.D.V.) 2 MG/ML",15,"ML","VL","IV","ML",5,"MG",0.4,1/1/2002,,,,,,,
"58406066201","58406-0662-01",,"J9340",,1/1/2002,12/13/2002,"INJECTION, THIOTEPA, 15 MG","THIOPLEX (S.D.V.) 15 MG",1,"EA","VL","IJ","EA",15,"MG",1,1/1/2002,,,,,,,
"58406066236","58406-0662-36",,"J9340",,1/1/2002,12/13/2002,"INJECTION, THIOTEPA, 15 MG","THIOPLEX (S.D.V.) 15 MG",1,"EA","VL","IJ","EA",15,"MG",1,1/1/2002,,,,,,,
"58468004001","58468-0040-01",,"J0180",,1/1/2005,,"INJECTION, AGALSIDASE BETA, 1 MG","FABRAZYME (PF) 35 MG",1,"EA","VL","IV","EA",1,"MG",35,1/1/2005,,,,,,,
"58468004001","58468-0040-01",,"J3490",,5/2/2003,12/31/2004,"UNCLASSIFIED DRUGS","FABRAZYME (PF) 35 MG",1,"EA","VL","IV","EA",1,"EA",1,5/2/2003,,,,,,,
"58468004101","58468-0041-01",,"J0180",,1/1/2005,,"INJECTION, AGALSIDASE BETA, 1 MG","FABRAZYME (PF) 5 MG",1,"EA","VL","IV","EA",1,"MG",5,1/1/2005,,,,,,,
"58468004101","58468-0041-01",,"J3490",,5/14/2004,12/31/2004,"UNCLASSIFIED DRUGS","FABRAZYME (PF) 5 MG",1,"EA","VL","IV","EA",1,"EA",1,5/14/2004,,,,,,,
"58468007001","58468-0070-01",,"J1931",,1/1/2005,,"INJECTION, LARONIDASE, 0.1 MG","ALDURAZYME (PF) 0.58 MG/ML",5,"ML","VL","IV","ML",0.1,"MG",5.8,1/1/2005,,,,,,,
"58468007001","58468-0070-01",,"J3590",,5/12/2003,12/31/2004,"UNCLASSIFIED BIOLOGICS","ALDURAZYME (PF) 0.58 MG/ML",5,"ML","VL","IV","ML",1,"EA",1,5/12/2003,,,,,,,
"58468008001","58468-0080-01",,"J7511",,12/1/2005,,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, RABBIT, PARENTERAL, 25MG","THYMOGLOBULIN (VIAL,DILUENT) 25 MG",1,"EA","VL","IV","EA",25,"MG",1,12/1/2005,,,,,,,
"58468009001","58468-0090-01",,"J7322",,1/1/2008,12/31/2009,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC (3X2 ML SRN,PREFILLED) 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,12/31/2009,,,,,,
"58468009001","58468-0090-01",,"Q4084",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC (3X2 ML SRN,PREFILLED) 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2007,,,,,,,
"58468010001","58468-0100-01",,"J9027",,1/1/2006,,"INJECTION, CLOFARABINE, 1 MG","CLOLAR (SINGLE-USE VIAL,PF) 1 MG/ML",20,"ML","VL","IV","ML",1,"MG",1,1/1/2006,,,,,,,
"58468010002","58468-0100-02",,"J9027",,1/1/2006,,"INJECTION, CLOFARABINE, 1 MG","CLOLAR (SINGLE-USE VIAL,PF) 1 MG/ML",20,"ML","VL","IV","ML",1,"MG",1,1/1/2006,,,,,,,
"58468012201","58468-0122-01",,"J1270",,6/1/2006,,"INJECTION, DOXERCALCIFEROL, 1 MCG","HECTOROL (50X2ML) 2 MCG/ML",2,"ML","AM","IV","ML",1,"MCG",2,6/1/2006,,,,,,,
"58468015001","58468-0150-01",,"J0220",,1/1/2008,,"INJECTION, AGLUCOSIDASE ALFA, 10 MG","MYOZYME (PF) 50 MG",1,"EA","VL","IV","EA",10,"MG",5,1/1/2008,,,,,,,
"58468015001","58468-0150-01",,"J3490",,5/11/2006,12/31/2007,"UNCLASSIFIED DRUGS","MYOZYME (PF) 50 MG",1,"EA","VL","IV","EA",1,"EA",1,5/11/2006,,,,,,,
"58468021802","58468-0218-02",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",120,"EA","NA","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"58468021802","58468-0218-02",,"Q0181",,6/30/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",120,"EA","NA","PO","EA",1,"EA",1,6/30/2005,,,,,,,
"58468106001","58468-1060-01",,"J0205",,1/1/2002,,"INJECTION, ALGLUCERASE, PER 10 UNITS","CEREDASE 80 U/ML",5,"ML","VL","IV","ML",10,"U",8,1/1/2002,,,,,,,
"58468184904","58468-1849-04",,"J3240",,1/1/2002,,"INJECTION, THYROTROPIN ALPHA, 0.9 MG, PROVIDED IN 1.1 MG VIAL","THYROGEN (W/2 VIALS DILUENT) 1.1 MG",1,"EA","VL","IJ","EA",1.1,"MG",1,1/1/2002,,,,,,,
"58468198301","58468-1983-01",,"J1785",,1/1/2002,,"INJECTION, IMIGLUCERASE, PER UNIT","CEREZYME (VIAL) 200 U",1,"EA","VL","IV","EA",1,"U",200,1/1/2002,,,,,,,
"58468466301","58468-4663-01",,"J1785",,1/1/2002,,"INJECTION, IMIGLUCERASE, PER UNIT","CEREZYME (VIAL) 400 U",1,"EA","VL","IV","EA",1,"U",400,1/1/2002,,,,,,,
"58469039983","58469-0399-83",,,,1/1/1994,3/7/1994,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",30,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"58469399830","58469-3998-30",,,,1/1/1994,3/7/1994,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",30,"EA","NA","PO","EA",2.5,"MG",1,1/1/1994,,,,,,,
"58634002002","58634-0020-02",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL (AF) 12.5 MG/5 ML",60,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002004","58634-0020-04",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL (AF) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002008","58634-0020-08",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL (AF) 12.5 MG/5 ML",240,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002102","58634-0021-02",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL (SF) 12.5 MG/5 ML",60,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002104","58634-0021-04",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL (SF) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002108","58634-0021-08",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL (SF) 12.5 MG/5 ML",240,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002202","58634-0022-02",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL (AF,SF) 12.5 MG/5 ML",60,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002204","58634-0022-04",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL (AF,SF) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002208","58634-0022-08",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL (AF,SF) 12.5 MG/5 ML",240,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002302","58634-0023-02",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL ALLERGY MEDICATION (AF,SF,DYE-FREE) 12.5 MG/5 ML",60,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002304","58634-0023-04",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL ALLERGY MEDICATION (AF,SF,DYE-FREE) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002308","58634-0023-08",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL ALLERGY MEDICATION (AF,SF,DYE-FREE) 12.5 MG/5 ML",240,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58634002702","58634-0027-02",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL DYE-FREE MEDICATION (AF,SF,DYE-FREE) 6.25 MG/5 ML",60,"ML","BO","PO","ML",50,"MG",0.025,1/1/2002,,,,,,,
"58634002704","58634-0027-04",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL DYE-FREE MEDICATION (AF,SF,DYE-FREE) 6.25 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.025,1/1/2002,,,,,,,
"58634002708","58634-0027-08",,"Q0163",,1/1/2002,8/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","POLYDRYL DYE-FREE MEDICATION (AF,SF,DYE-FREE) 6.25 MG/5 ML",240,"ML","BO","PO","ML",50,"MG",0.025,1/1/2002,,,,,,,
"58768015015","58768-0150-15",,"J3395",,1/1/2002,12/31/2004,"INJECTION, VERTEPORFIN, 15MG","VISUDYNE 15 MG",1,"EA","VL","IV","EA",15,"MG",1,4/1/2004,,1/1/2002,,1,,,
"58768015015","58768-0150-15",,"J3396",,1/1/2005,10/17/2005,"INJECTION, VERTEPORFIN, 0.1 MG","VISUDYNE 15 MG",1,"EA","VL","IV","EA",0.1,"MG",150,1/1/2005,,,,,,,
"58768090235","58768-0902-35",,"J1452",,1/1/2002,3/31/2004,"INJECTION, FOMIVIRSEN SODIUM, INTRAOCULAR, 1.65 MG","VITRAVENE (SINGLE USE VIAL,PF) 6.6 MG/ML",0.25,"ML","VL","IO","ML",1.65,"MG",4,1/1/2002,,,,,,,
"58864010040","58864-0100-40",,"Q0163",,1/1/2002,9/10/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (REDI-SCRIPT) 50 MG",40,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58864016230","58864-0162-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (REDI-SCRIPT) 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58864016256","58864-0162-56",,"Q0163",,3/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (REDI-SCRIPT) 25 MG",56,"EA","BO","PO","EA",50,"MG",0.5,3/1/2004,,,,,,,
"58864016260","58864-0162-60",,"Q0163",,1/1/2002,8/11/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (REDI-SCRIPT) 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58864016301","58864-0163-01",,"Q0163",,7/9/2002,8/11/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,7/9/2002,,,,,,,
"58864016330","58864-0163-30",,"Q0163",,1/1/2002,10/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (REDI-SCRIPT) 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58864016360","58864-0163-60",,"Q0163",,1/1/2002,8/11/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (REDI-SCRIPT) 50 MG",60,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58864019125","58864-0191-25",,"J8499",,3/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (REDI-SCRIPT) 800 MG",25,"EA","BO","PO","EA",1,"EA",1,3/1/2004,,,,,,,
"58864019135","58864-0191-35",,"J8499",,3/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (REDI-SCRIPT) 800 MG",35,"EA","BO","PO","EA",1,"EA",1,3/1/2004,,,,,,,
"58864036220","58864-0362-20",,"J7506",,3/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,REDI-SCRIPT) 5 MG",20,"EA","BO","PO","EA",5,"MG",1,3/1/2004,,,,,,,
"58864036256","58864-0362-56",,"J7506",,3/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,REDI-SCRIPT) 5 MG",56,"EA","BO","PO","EA",5,"MG",1,3/1/2004,,,,,,,
"58864042315","58864-0423-15",,"J7506",,1/1/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,1/1/2005,,,,,,,
"58864042320","58864-0423-20",,"J7506",,6/1/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,6/1/2005,,,,,,,
"58864042330","58864-0423-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (REDI-SCRIPT) 10 MG",30,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"58864042340","58864-0423-40",,"J7506",,7/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (REDI-SCRIPT) 10 MG",40,"EA","BO","PO","EA",5,"MG",2,7/1/2004,,,,,,,
"58864042409","58864-0424-09",,"J7506",,1/1/2002,10/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (REDI-SCRIPT) 20 MG",9,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"58864042414","58864-0424-14",,"J7506",,3/2/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (REDI-SCRIPT) 20 MG",14,"EA","BO","PO","EA",5,"MG",4,3/2/2004,,,,,,,
"58864042420","58864-0424-20",,"J7506",,1/1/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (REDI-SCRIPT) 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/1/2005,,,,,,,
"58864042430","58864-0424-30",,"J7506",,3/2/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,3/2/2004,,,,,,,
"58864060201","58864-0602-01",,"J8499",,6/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (REDI-SCRIPT) 400 MG",100,"EA","BO","PO","EA",1,"EA",1,6/1/2004,,,,,,,
"58864060230","58864-0602-30",,"J8499",,3/2/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (REDI-SCRIPT) 400 MG",30,"EA","BO","PO","EA",1,"EA",1,3/2/2004,,,,,,,
"58864064442","58864-0644-42",,"Q0165",,3/1/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (REDI-SCRIPT) 10 MG",42,"EA","BO","PO","EA",10,"MG",1,3/1/2004,,,,,,,
"58864065504","58864-0655-04",,"Q0144",,7/1/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,7/1/2005,,,,,,,
"58864065506","58864-0655-06",,"Q0144",,9/10/2003,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX (REDI-SCRIPT) 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,9/10/2003,,,,,,,
"58864065514","58864-0655-14",,"Q0144",,2/1/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",14,"EA","BO","PO","EA",1,"GM",0.25,2/1/2005,,,,,,,
"58864065530","58864-0655-30",,"Q0144",,6/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,6/1/2006,,,,,,,
"58864070201","58864-0702-01",,"Q0164",,6/15/2006,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",15,"EA","BO","PO","EA",5,"MG",1,6/15/2006,,,,,,,
"58864070215","58864-0702-15",,"Q0164",,3/1/2004,10/27/2006,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (REDI-SCRIPT) 5 MG",15,"EA","BO","PO","EA",5,"MG",1,3/1/2004,,,,,,,
"58864076110","58864-0761-10",,"Q0170",,8/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (REDI-SCRIPT) 25 MG",10,"EA","BO","PO","EA",25,"MG",1,8/1/2004,,,,,,,
"58864076125","58864-0761-25",,"Q0170",,11/1/2004,6/13/2006,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",25,"EA","BO","PO","EA",25,"MG",1,11/1/2004,,,,,,,
"58864076130","58864-0761-30",,"Q0170",,5/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,5/1/2004,,,,,,,
"58864076142","58864-0761-42",,"Q0170",,8/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",42,"EA","BO","PO","EA",25,"MG",1,8/1/2004,,,,,,,
"58864079106","58864-0791-06",,"Q0144",,7/1/2004,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN DIHYDRATE 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,7/1/2004,,,,,,,
"58864079510","58864-0795-10",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",10,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"58864087635","58864-0876-35",,"J8499",,1/1/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",35,"EA","BO","PO","EA",1,"EA",1,1/1/2005,,,,,,,
"58914008052","58914-0080-52",,"J0500",,6/22/2004,,"INJECTION, DICYCLOMINE HCL, UP TO 20 MG","BENTYL (AMP) 10 MG/ML",2,"ML","AM","IM","ML",20,"MG",0.5,3/23/2007,,6/22/2004,11/14/2004,0.5,,,
"58914015575","58914-0155-75",,"J9600",,1/1/2002,,"INJECTION, PORFIMER SODIUM, 75 MG","PHOTOFRIN (VIAL) 75 MG",1,"EA","VL","IV","EA",75,"MG",1,1/1/2002,,,,,,,
"58948002473","58948-0024-73",,"Q0163",,1/1/2002,1/13/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NIGHTTIME SLEEP AID (MAX. STR.,LIQUIGEL) 50 MG",16,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"58948037926","58948-0379-26",,"Q0163",,1/1/2002,1/13/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ANTIHISTAMINE (AF,CHERRY) 12.5 MG/5 ML",120,"ML","EA","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"58948046262","58948-0462-62",,"Q0163",,1/1/2002,1/13/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ANTIHISTAMINE ALLERGY RELIEF 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58948047962","58948-0479-62",,"Q0163",,1/1/2002,1/13/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ANTIHISTAMINE ALLERGY RELIEF 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"58948047978","58948-0479-78",,"Q0163",,1/1/2002,1/13/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ANTIHISTAMINE ALLERGY RELIEF 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"59060183302","59060-1833-02",,"J1815",,1/1/2003,7/12/2005,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,1/1/2003,,,,,,,
"59060183302","59060-1833-02",,"J1820",,10/14/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",100,"U",1,10/14/2002,,,,,,,
"59060183402","59060-1834-02",,"J1815",,1/1/2003,7/12/2005,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"59060183402","59060-1834-02",,"J1820",,10/14/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN N (VIAL) 100 U/ML",10,"ML","VL","SC","ML",100,"U",1,10/14/2002,,,,,,,
"59060183702","59060-1837-02",,"J1815",,1/1/2003,7/12/2005,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/1/2003,,,,,,,
"59060183702","59060-1837-02",,"J1820",,10/14/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML",10,"ML","VL","SC","ML",100,"U",1,10/14/2002,,,,,,,
"59060231404","59060-2314-04",,"J1815",,12/19/2003,2/28/2006,"INJECTION, INSULIN, PER 5 UNITS","RELION NOVOLIN N INNOLET (SRN,PREFILLED,INNOLET) 100 U/ML",3,"ML","CT","SC","ML",5,"U",20,12/19/2003,2/28/2006,,,,,,
"59060231704","59060-2317-04",,"J1815",,12/19/2003,6/30/2006,"INJECTION, INSULIN, PER 5 UNITS","RELION NOVOLIN 70/30 INNOLET (SRN,PREFILLED,INNOLET) 70 U/ML-30 U/ML",3,"ML","CT","SC","ML",5,"U",20,12/19/2003,6/30/2006,,,,,,
"59075071010","59075-0710-10",,"J0587",,1/1/2002,1/27/2005,"BOTULINUM TOXIN TYPE B, PER 100 UNITS","MYOBLOC (PF) 2500 U/0.5 ML",0.5,"ML","VL","IM","ML",100,"U",50,1/1/2002,,,,,,,
"59075071110","59075-0711-10",,"J0587",,1/1/2002,1/27/2005,"BOTULINUM TOXIN TYPE B, PER 100 UNITS","MYOBLOC (PF) 5000 U/ML",1,"ML","VL","IM","ML",100,"U",50,1/1/2002,,,,,,,
"59075071210","59075-0712-10",,"J0587",,1/1/2002,6/29/2006,"BOTULINUM TOXIN TYPE B, PER 100 UNITS","MYOBLOC (PF) 5000 U/ML",2,"ML","VL","IM","ML",100,"U",50,8/1/2005,,1/1/2002,1/27/2005,50,,,
"59075072010","59075-0720-10",,"J2278",,1/1/2006,,"INJECTION, ZICONOTIDE, 1 MICROGRAM","PRIALT (PF) 100 MCG/ML",1,"ML","VL","IN","ML",1,"MCG",100,1/1/2006,,,,,,,
"59075072010","59075-0720-10",,"J3490",,12/28/2004,12/31/2005,"UNCLASSIFIED DRUGS","PRIALT (PF) 100 MCG/ML",1,"ML","VL","IN","ML",1,"EA",1,12/28/2004,,,,,,,
"59075072210","59075-0722-10",,"J2278",,1/1/2006,,"INJECTION, ZICONOTIDE, 1 MICROGRAM","PRIALT (PF) 100 MCG/ML",5,"ML","VL","IN","ML",1,"MCG",100,1/1/2006,,,,,,,
"59075072210","59075-0722-10",,"J3490",,12/28/2004,12/31/2005,"UNCLASSIFIED DRUGS","PRIALT (PF) 100 MCG/ML",5,"ML","VL","IN","ML",1,"EA",1,12/28/2004,,,,,,,
"59075072310","59075-0723-10",,"J2278",,1/1/2006,,"INJECTION, ZICONOTIDE, 1 MICROGRAM","PRIALT (PF) 25 MCG/ML",20,"ML","VL","IN","ML",1,"MCG",25,1/1/2006,,,,,,,
"59075072310","59075-0723-10",,"J3490",,12/28/2004,12/31/2005,"UNCLASSIFIED DRUGS","PRIALT (PF) 25 MCG/ML",20,"ML","VL","IN","ML",1,"EA",1,12/28/2004,,,,,,,
"59075073015","59075-0730-15",,"J2323",,1/1/2008,,"INJECTION, NATALIZUMAB, 1 MG","TYSABRI 20 MG/ML",15,"ML","VL","IV","ML",1,"MG",20,1/1/2008,,,,,,,
"59075073015","59075-0730-15",,"Q4079",,1/1/2005,12/31/2007,"INJECTION, NATALIZUMAB, 1 MG","TYSABRI 20 MG/ML",15,"ML","VL","IV","ML",1,"MG",20,6/12/2006,,1/1/2005,2/28/2005,20,,,
"59148001665","59148-0016-65",,"J0400",,1/1/2008,,"INJECTION, ARIPIPRAZOLE, INTRAMUSCULAR, 0.25 MG","ABILIFY (SDV) 9.75 MG/1.3 ML",1.3,"ML","VL","IM","ML",0.25,"MG",30,1/1/2008,,,,,,,
"59148001665","59148-0016-65",,"J3490",,12/8/2006,12/31/2007,"UNCLASSIFIED DRUGS","ABILIFY (SDV) 9.75 MG/1.3 ML",1.3,"ML","VL","IM","ML",1,"EA",1,12/8/2006,,,,,,,
"59196001024","59196-0010-24",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"59196001048","59196-0010-48",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"59196001224","59196-0012-24",,"J7510",,7/12/2002,9/15/2002,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,7/12/2002,,,,,,,
"59390006535","59390-0065-35",,"Q0163",,1/1/2002,9/30/2008,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALTARYL CHILDREN'S (AF,CHERRY) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,9/30/2008,,,,,,
"59390006546","59390-0065-46",,"Q0163",,1/1/2002,9/30/2008,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALTARYL 12.5 MG/5 ML",473,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,9/30/2008,,,,,,
"59390006547","59390-0065-47",,"Q0163",,1/1/2002,9/30/2008,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALTARYL 12.5 MG/5 ML",3785,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,9/30/2008,,,,,,
"59439045502","59439-0455-02",,"J7510",,1/1/2002,5/18/2004,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED (DYE-FREE,GRAPE) 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"59572030101","59572-0301-01",,"J9245",,3/15/2004,,"INJECTION, MELPHALAN HYDROCHLORIDE, 50 MG","ALKERAN IV 50 MG",1,"EA","VL","IV","EA",50,"MG",1,3/15/2004,,,,,,,
"59572030250","59572-0302-50",,,,4/22/2004,,"MELPHALAN, 2 MG, ORAL","ALKERAN (FILM-COATED) 2 MG",50,"EA","BO","PO","EA",2,"MG",1,4/22/2004,,,,,,,
"59618019933","59618-0199-33",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENYL ELIXIR 12.5 MG/5 ML",120,"ML","EA","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"59618020006","59618-0200-06",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENYL 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"59627000103","59627-0001-03",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","AVONEX (S.D.V.) 33 MCG",1,"EA","BX","IM","EA",1,"EA",1,1/1/2002,,,,,,,
"59627000103","59627-0001-03",,"Q3025",,1/1/2003,,"INJECTION, INTERFERON BETA-1A, 11 MCG FOR INTRAMUSCULAR USE","AVONEX (S.D.V.) 33 MCG",1,"EA","BX","IM","EA",11,"MCG",12,2/17/2004,,1/1/2003,8/3/2003,12,,,
"59627000205","59627-0002-05",,"J1825",,8/4/2003,,"INJECTION, INTERFERON BETA-1A, 33 MCG","AVONEX 30 MCG/0.5 ML",4,"EA","BX","MR","EA",33,"MCG",3.63636,8/4/2003,,,,,,,
"59627002001","59627-0020-01",,"J0215",,1/1/2004,1/1/2004,"INJECTION, ALEFACEPT, 0.5 MG","AMEVIVE (4 VIALS W/ADMIN. SET,PF) 7.5 MG",1,"EA","VL","IV","EA",0.5,"MG",60,1/1/2004,,,,,,,
"59627002001","59627-0020-01",,"J3590",,1/31/2003,12/31/2003,"UNCLASSIFIED BIOLOGICS","AMEVIVE (4 VIALS W/ADMIN. SET,PF) 7.5 MG",1,"EA","VL","IV","EA",1,"EA",1,1/31/2003,,,,,,,
"59627002002","59627-0020-02",,"J0215",,1/1/2004,1/1/2004,"INJECTION, ALEFACEPT, 0.5 MG","AMEVIVE (PF) 7.5 MG",1,"EA","VL","IV","EA",0.5,"MG",15,1/1/2004,,,,,,,
"59627002002","59627-0020-02",,"J3590",,1/31/2003,12/31/2003,"UNCLASSIFIED BIOLOGICS","AMEVIVE (PF) 7.5 MG",1,"EA","VL","IV","EA",1,"EA",1,1/31/2003,,,,,,,
"59627002103","59627-0021-03",,"J0215",,1/1/2004,2/27/2008,"INJECTION, ALEFACEPT, 0.5 MG","AMEVIVE (4 VIALS, SRN, W/DILUENT) 15 MG",1,"EA","VL","IM","EA",0.5,"MG",120,1/1/2004,,,,,,,
"59627002103","59627-0021-03",,"J3590",,1/31/2003,12/31/2003,"UNCLASSIFIED BIOLOGICS","AMEVIVE (4 VIALS, SRN, W/DILUENT) 15 MG",1,"EA","VL","IM","EA",1,"EA",1,1/31/2003,,,,,,,
"59627002104","59627-0021-04",,"J0215",,1/1/2004,12/30/2007,"INJECTION, ALEFACEPT, 0.5 MG","AMEVIVE (PF) 15 MG",1,"EA","VL","IM","EA",0.5,"MG",30,1/1/2004,,,,,,,
"59627002104","59627-0021-04",,"J3590",,1/31/2003,12/31/2003,"UNCLASSIFIED BIOLOGICS","AMEVIVE (PF) 15 MG",1,"EA","VL","IM","EA",1,"EA",1,1/31/2003,,,,,,,
"59676010101","59676-0101-01",,"J7505",,1/1/2002,,"MUROMONAB-CD3, PARENTERAL, 5 MG","ORTHOCLONE OKT 3 (AMP) 1 MG/ML",5,"ML","AM","IV","ML",5,"MG",0.2,1/1/2002,,,,,,,
"59676020101","59676-0201-01",,"J9065",,1/1/2002,,"INJECTION, CLADRIBINE, PER 1 MG","LEUSTATIN (S.D.V.) 1 MG/ML",10,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"59676030201","59676-0302-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (VIAL) 2000 U/ML",1,"ML","VL","IJ","ML",1000,"U",2,1/1/2006,,,,,,,
"59676030201","59676-0302-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (VIAL) 2000 U/ML",1,"ML","VL","IJ","ML",1000,"U",2,1/1/2002,,,,,,,
"59676030202","59676-0302-02",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (VOLUME PACK VIAL) 2000 U/ML",1,"ML","VL","IJ","ML",1000,"U",2,1/1/2006,,,,,,,
"59676030202","59676-0302-02",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (VOLUME PACK VIAL) 2000 U/ML",1,"ML","VL","IJ","ML",1000,"U",2,1/1/2002,,,,,,,
"59676030301","59676-0303-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (VIAL) 3000 U/ML",1,"ML","VL","IJ","ML",1000,"U",3,1/1/2006,,,,,,,
"59676030301","59676-0303-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (VIAL) 3000 U/ML",1,"ML","VL","IJ","ML",1000,"U",3,1/1/2002,,,,,,,
"59676030302","59676-0303-02",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (VOLUME PACK VIAL) 3000 U/ML",1,"ML","VL","IJ","ML",1000,"U",3,1/1/2006,,,,,,,
"59676030302","59676-0303-02",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (VOLUME PACK VIAL) 3000 U/ML",1,"ML","VL","IJ","ML",1000,"U",3,1/1/2002,,,,,,,
"59676030401","59676-0304-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (VIAL) 4000 U/ML",1,"ML","VL","IJ","ML",1000,"U",4,1/1/2006,,,,,,,
"59676030401","59676-0304-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (VIAL) 4000 U/ML",1,"ML","VL","IJ","ML",1000,"U",4,1/1/2002,,,,,,,
"59676030402","59676-0304-02",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (VOLUME PACK VIAL) 4000 U/ML",1,"ML","VL","IJ","ML",1000,"U",4,1/1/2006,,,,,,,
"59676030402","59676-0304-02",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (VOLUME PACK VIAL) 4000 U/ML",1,"ML","VL","IJ","ML",1000,"U",4,1/1/2002,,,,,,,
"59676031001","59676-0310-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (VIAL) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2006,,,,,,,
"59676031001","59676-0310-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (VIAL) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"59676031002","59676-0310-02",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (VOLUME PACK VIAL) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2006,,,,,,,
"59676031002","59676-0310-02",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (VOLUME PACK VIAL) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"59676031201","59676-0312-01",,"J0885",,1/1/2006,7/3/2008,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (M.D.V.) 10000 U/ML",2,"ML","VL","IJ","ML",1000,"U",10,1/1/2006,7/3/2008,,,,,,
"59676031201","59676-0312-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (M.D.V.) 10000 U/ML",2,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"59676031204","59676-0312-04",,"J0885",,1/18/2008,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (4X2ML,MDV) 10000 U/ML",2,"ML","VL","IJ","ML",1000,"U",10,1/18/2008,,,,,,,
"59676032001","59676-0320-01",,"J0885",,1/1/2006,7/3/2008,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (M.D.V.) 20000 U/ML",1,"ML","VL","IJ","ML",1000,"U",20,1/1/2006,7/3/2008,,,,,,
"59676032001","59676-0320-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (M.D.V.) 20000 U/ML",1,"ML","VL","IJ","ML",1000,"U",20,1/1/2002,,,,,,,
"59676032004","59676-0320-04",,"J0885",,10/15/2007,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (MULTIDOSE) 20000 U/ML",1,"ML","VL","IJ","ML",1000,"U",20,10/15/2007,,,,,,,
"59676034001","59676-0340-01",,"J0885",,1/1/2006,,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS","PROCRIT (PF) 40000 U/ML",1,"ML","VL","IJ","ML",1000,"U",40,1/1/2006,,,,,,,
"59676034001","59676-0340-01",,"Q0136",,1/1/2002,12/31/2005,"INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS","PROCRIT (PF) 40000 U/ML",1,"ML","VL","IJ","ML",1000,"U",40,1/1/2002,,,,,,,
"59676036001","59676-0360-01",,"J7324",,1/1/2008,,"HYALURONAN OR DERIVATIVE, ORTHOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","ORTHOVISC (PREFILLED SYRINGE) 15 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,,,,,,,
"59676036001","59676-0360-01",,"Q4086",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, ORTHOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","ORTHOVISC (PREFILLED SYRINGE) 15 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2007,,,,,,,
"59730420201","59730-4202-01",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","NABI-HB (S.D.V.,312 IU/ML)",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"59730420201","59730-4202-01",,"J3590",,1/1/2003,,"UNCLASSIFIED BIOLOGICS","NABI-HB (S.D.V.,312 IU/ML)",1,"ML","VL","IM","ML",1,"EA",1,1/1/2003,,,,,,,
"59730420301","59730-4203-01",,"J3490",,1/1/2002,12/31/2002,"UNCLASSIFIED DRUGS","NABI-HB (S.D.V.,312 IU/ML)",5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"59730420301","59730-4203-01",,"J3590",,1/1/2003,,"UNCLASSIFIED BIOLOGICS","NABI-HB (S.D.V.,312 IU/ML)",5,"ML","VL","IM","ML",1,"EA",1,1/1/2003,,,,,,,
"59730420401","59730-4204-01",,"J3590",,1/3/2005,9/30/2007,"UNCLASSIFIED BIOLOGICS","NABI-HB NOVAPLUS (312 IU/ML)",1,"ML","VL","IM","ML",1,"EA",1,1/3/2005,,,,,,,
"59730420501","59730-4205-01",,"J3590",,1/1/2004,9/30/2007,"UNCLASSIFIED BIOLOGICS","NABI-HB NOVAPLUS (312 IU/ML)",5,"ML","VL","IM","ML",1,"EA",1,1/1/2004,9/30/2007,,,,,,
"59730440201","59730-4402-01",,"J3490",,1/1/2002,6/24/2002,"UNCLASSIFIED DRUGS","NABI-HB (S.D.V.,312 IU/ML)",1,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"59730440301","59730-4403-01",,"J3490",,1/1/2002,6/24/2002,"UNCLASSIFIED DRUGS","NABI-HB (S.D.V.,312 IU/ML)",5,"ML","VL","IM","ML",1,"EA",1,1/1/2002,,,,,,,
"59730560101","59730-5601-01",,"J9999",,1/1/2002,1/8/2008,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","ALOPRIM (S.D.V.,PF) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/1/2002,1/8/2008,,,,,,
"59730605907","59730-6059-07",,"J7198",,1/1/2002,5/11/2004,"ANTI-INHIBITOR, PER I.U.","AUTOPLEX T (390-1050 FECU) 1 IU",1050,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"59741011904","59741-0119-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"59741011908","59741-0119-08",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",240,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"59741011916","59741-0119-16",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"59741011920","59741-0119-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",3840,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"59746000103","59746-0001-03",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"59746000106","59746-0001-06",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"59746000109","59746-0001-09",,"J7509",,1/1/2002,10/21/2005,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",500,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"59746000204","59746-0002-04",,"J7509",,9/24/2007,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (USP) 8 MG",25,"EA","BO","PO","EA",4,"MG",2,9/24/2007,,,,,,,
"59746000314","59746-0003-14",,"J7509",,7/20/2007,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (USP) 16 MG",50,"EA","BO","PO","EA",4,"MG",4,7/20/2007,,,,,,,
"59746000706","59746-0007-06",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"59746000710","59746-0007-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","NA","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"59746000806","59746-0008-06",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"59746000810","59746-0008-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","NA","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"59746001504","59746-0015-04",,"J7509",,7/20/2007,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (USP) 32 MG",25,"EA","BO","PO","EA",4,"MG",8,7/20/2007,,,,,,,
"59746011306","59746-0113-06",,"Q0164",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"59746011310","59746-0113-10",,"Q0164",,1/1/2002,10/22/2006,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"59746011506","59746-0115-06",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"59746011510","59746-0115-10",,"Q0165",,1/1/2002,10/22/2006,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",1000,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"59746017106","59746-0171-06",,"J7506",,10/21/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",100,"EA","BO","PO","EA",5,"MG",0.2,10/21/2005,,,,,,,
"59746017110","59746-0171-10",,"J7506",,10/21/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 1 MG",1000,"EA","BO","PO","EA",5,"MG",0.2,10/21/2005,,,,,,,
"59746017206","59746-0172-06",,"J7506",,8/3/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 5 MG",100,"EA","BO","PO","EA",5,"MG",1,8/3/2007,,,,,,,
"59746017210","59746-0172-10",,"J7506",,8/3/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,8/3/2007,,,,,,,
"59746017306","59746-0173-06",,"J7506",,8/3/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 10 MG",100,"EA","BO","PO","EA",5,"MG",2,8/3/2007,,,,,,,
"59746017309","59746-0173-09",,"J7506",,8/3/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 10 MG",500,"EA","BO","PO","EA",5,"MG",2,8/3/2007,,,,,,,
"59746017310","59746-0173-10",,"J7506",,8/3/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,8/3/2007,,,,,,,
"59746017506","59746-0175-06",,"J7506",,8/3/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",100,"EA","BO","PO","EA",5,"MG",4,8/3/2007,,,,,,,
"59746017509","59746-0175-09",,"J7506",,8/3/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",500,"EA","BO","PO","EA",5,"MG",4,8/3/2007,,,,,,,
"59746017510","59746-0175-10",,"J7506",,8/3/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",1000,"EA","BO","PO","EA",5,"MG",4,8/3/2007,,,,,,,
"59762010001","59762-0100-01",,"J8515",,1/1/2006,,"CABERGOLINE, ORAL, 0.25 MG","CABERGOLINE 0.5 MG",8,"EA","BO","PO","EA",0.25,"MG",2,1/1/2006,,,,,,,
"59762010001","59762-0100-01",,"Q2001",,12/30/2005,12/31/2005,"ORAL, CABERGOLINE, 0.5 MG","CABERGOLINE 0.5 MG",8,"EA","BO","PO","EA",0.5,"MG",1,12/30/2005,,,,,,,
"59762257601","59762-2576-01",,"J9211",,8/27/2007,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDARUBICIN HYDROCHLORIDE (PF) 1 MG/ML",5,"ML","VL","IV","ML",5,"MG",0.2,8/27/2007,,,,,,,
"59762258601","59762-2586-01",,"J9211",,8/27/2007,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDARUBICIN HYDROCHLORIDE (PF) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,8/27/2007,,,,,,,
"59762259601","59762-2596-01",,"J9211",,8/27/2007,,"INJECTION, IDARUBICIN HYDROCHLORIDE, 5 MG","IDARUBICIN HYDROCHLORIDE (PF) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,8/27/2007,,,,,,,
"59762305101","59762-3051-01",,"Q0144",,7/7/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 1 GM/Packet",10,"EA","BX","PO","EA",1,"GM",1,7/7/2006,,,,,,,
"59762305102","59762-3051-02",,"Q0144",,7/7/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 1 GM/Packet",3,"EA","BX","PO","EA",1,"GM",1,7/7/2006,,,,,,,
"59762306001","59762-3060-01",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",6,"EA","DP","PO","EA",1,"GM",0.25,11/14/2005,,,,,,,
"59762306002","59762-3060-02",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,11/14/2005,,,,,,,
"59762306003","59762-3060-03",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",50,"EA","BX","PO","EA",1,"GM",0.25,11/14/2005,,,,,,,
"59762307001","59762-3070-01",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 500 MG",3,"EA","DP","PO","EA",1,"GM",0.5,11/14/2005,,,,,,,
"59762307002","59762-3070-02",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 500 MG",30,"EA","BO","PO","EA",1,"GM",0.5,11/14/2005,,,,,,,
"59762308001","59762-3080-01",,"Q0144",,11/14/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 600 MG",30,"EA","BO","PO","EA",1,"GM",0.6,11/14/2005,,,,,,,
"59762311001","59762-3110-01",,"Q0144",,7/7/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (CHERRY) 100 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.02,7/7/2006,,,,,,,
"59762312001","59762-3120-01",,"Q0144",,7/7/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (CHERRY) 200 MG/5 ML",15,"ML","BO","PO","ML",1,"GM",0.04,7/7/2006,,,,,,,
"59762313001","59762-3130-01",,"Q0144",,7/7/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (CHERRY) 200 MG/5 ML",22.5,"ML","BO","PO","ML",1,"GM",0.04,7/7/2006,,,,,,,
"59762314001","59762-3140-01",,"Q0144",,7/7/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (CHERRY) 200 MG/5 ML",30,"ML","BO","PO","ML",1,"GM",0.04,7/7/2006,,,,,,,
"59762332701","59762-3327-01",,"J7509",,1/1/2002,5/15/2007,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (UNIT OF USE) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"59762332702","59762-3327-02",,"J7509",,1/1/2002,5/15/2007,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (UNIT OF USE) 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"59762453701","59762-4537-01",,"J1055",,9/27/2004,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","MEDROXYPROGESTERONE ACETATE 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,9/27/2004,,,,,,,
"59762453702","59762-4537-02",,"J1055",,9/27/2004,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","MEDROXYPROGESTERONE ACETATE 150 MG/ML",1,"ML","VL","IM","ML",150,"MG",1,9/27/2004,,,,,,,
"59762453801","59762-4538-01",,"J1055",,5/26/2006,,"INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG","MEDROXYPROGESTERONE ACETATE (PREFILLED SYRINGE,USP) 150 MG/ML",1,"ML","SR","IM","ML",150,"MG",1,5/26/2006,,,,,,,
"59762503402","59762-5034-02",,"J1450",,9/9/2004,12/22/2006,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE IV (VIAFLEX,SODIUM CHLORIDE) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,9/9/2004,,,,,,,
"59762503502","59762-5035-02",,"J1450",,9/9/2004,12/22/2006,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE IV (VIAFLEX,SODIUM CHLORIDE) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,9/9/2004,,,,,,,
"59762503602","59762-5036-02",,"J1450",,9/9/2004,12/22/2006,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE IV (VIAFLEX, DEXTROSE) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,9/9/2004,,,,,,,
"59762503702","59762-5037-02",,"J1450",,9/9/2004,12/22/2006,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE IV (VIAFLEX, DEXTROSE) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,9/9/2004,,,,,,,
"59762509101","59762-5091-01",,"J9178",,8/8/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SINGLE USE,PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,8/8/2007,,,,,,,
"59762509301","59762-5093-01",,"J9178",,8/8/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (SINGLE USE,PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,8/8/2007,,,,,,,
"59762752901","59762-7529-01",,"J9206",,2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SDV) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"59762752901","59762-7529-01","QR","J9206","QR",2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SDV) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"59762752902","59762-7529-02",,"J9206",,2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SDV) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"59762752902","59762-7529-02","QR","J9206","QR",2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SDV) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"59879011501","59879-0115-01",,"Q0173",,1/1/2002,12/31/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"59911587401","59911-5874-01",,,,3/12/1996,9/27/2001,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,3/12/1996,,,,,,,
"59911590001","59911-5900-01",,"J0295",,3/14/2002,12/14/2003,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM (BULK PACKAGE) 10 GM-5 GM",1,"EA","VL","IV","EA",1.5,"GM",10,3/14/2002,,,,,,,
"59911590102","59911-5901-02",,"J0295",,3/14/2002,12/14/2003,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM (VIAL) 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,3/14/2002,,,,,,,
"59911590202","59911-5902-02",,"J0295",,3/14/2002,12/14/2003,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM (VIAL) 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,3/14/2002,,,,,,,
"59911590502","59911-5905-02",,"J2260",,5/31/2002,12/14/2006,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.,PF) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,5/31/2002,,,,,,,
"59911590602","59911-5906-02",,"J2260",,5/31/2002,12/14/2006,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.,PF) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,5/31/2002,,,,,,,
"59911590702","59911-5907-02",,"J2260",,5/31/2002,12/14/2006,"INJECTION, MILRINONE LACTATE, 5 MG","DEXTROSE/MILRINONE LACTATE (S.D.V.,REDI-INFUSION,PF) 5%-20 MG/100 ML",100,"ML","FC","IV","ML",5,"MG",0.04,5/31/2002,,,,,,,
"59911590802","59911-5908-02",,"J2260",,9/26/2002,2/6/2004,"INJECTION, MILRINONE LACTATE, 5 MG","DEXTROSE/MILRINONE LACTATE 5%-20 MG/100 ML",100,"ML","FC","IV","ML",5,"MG",0.04,9/26/2002,,,,,,,
"59911591102","59911-5911-02",,"J2250",,1/1/2002,12/14/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (DOSETTE VIAL) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"59911591202","59911-5912-02",,"J2250",,1/1/2002,10/5/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"59911591302","59911-5913-02",,"J2250",,1/1/2002,10/5/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"59911591402","59911-5914-02",,"J2250",,1/1/2002,12/14/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (DOSETTE VIAL) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"59911591502","59911-5915-02",,"J2250",,1/1/2002,12/14/2006,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (DOSETTE VIAL) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"59911591602","59911-5916-02",,"J2250",,1/1/2002,10/5/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"59911595002","59911-5950-02",,"J3490",,1/1/2002,10/31/2003,"UNCLASSIFIED DRUGS","FAMOTIDINE (S.D.V.,PF) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"59911595004","59911-5950-04",,"J3490",,1/1/2002,10/31/2003,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (S.D.V.,PF) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"59911595102","59911-5951-02",,"J3490",,1/1/2002,10/31/2003,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"59911595104","59911-5951-04",,"J3490",,1/1/2002,10/31/2003,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (M.D.V.) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"59911595202","59911-5952-02",,"J3490",,1/1/2002,10/31/2003,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"59911595204","59911-5952-04",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","FAMOTIDINE NOVAPLUS (M.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"59911595801","59911-5958-01",,"J9390",,6/16/2003,12/30/2003,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (S.D.V.,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,6/16/2003,,,,,,,
"59911595901","59911-5959-01",,"J9390",,6/16/2003,12/30/2003,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (S.D.V.,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,6/16/2003,,,,,,,
"59911596302","59911-5963-02",,"J0694",,1/1/2002,11/30/2003,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"59911596402","59911-5964-02",,"J0694",,1/1/2002,11/30/2003,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"59911596502","59911-5965-02",,"J0694",,1/1/2002,11/30/2003,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",1,"GM",10,1/1/2002,,,,,,,
"59930150006","59930-1500-06",,"J7619",,1/1/2002,6/13/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"59930150006","59930-1500-06","KO","J7619","KO",1/1/2002,6/13/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"59930150008","59930-1500-08",,"J7619",,1/1/2002,6/13/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"59930150008","59930-1500-08","KO","J7619","KO",1/1/2002,6/13/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","PC","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"59930151504","59930-1515-04",,"J7618",,1/1/2002,6/13/2002,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (MDV) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2002,,,,,,,
"59930151701","59930-1517-01",,"J7613",,1/1/2005,1/1/2007,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2005,,,,,,,
"59930151701","59930-1517-01",,"J7619",,1/1/2002,12/31/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"59930151701","59930-1517-01","KO","J7613","KO",1/1/2005,1/1/2007,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2005,,,,,,,
"59930151701","59930-1517-01","KO","J7619","KO",1/1/2002,12/31/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"59930151702","59930-1517-02",,"J7613",,1/1/2005,1/1/2007,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2005,,,,,,,
"59930151702","59930-1517-02",,"J7619",,1/1/2002,12/31/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"59930151702","59930-1517-02","KO","J7613","KO",1/1/2005,1/1/2007,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2005,,,,,,,
"59930151702","59930-1517-02","KO","J7619","KO",1/1/2002,12/31/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2002,,,,,,,
"59930160001","59930-1600-01",,"Q0175",,1/1/2002,11/9/2003,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",100,"EA","BO","PO","EA",4,"MG",0.5,1/1/2002,,,,,,,
"59930160301","59930-1603-01",,"Q0175",,1/1/2002,10/16/2003,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"59930160501","59930-1605-01",,"Q0176",,1/1/2002,10/16/2003,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",100,"EA","BO","PO","EA",8,"MG",1,1/1/2002,,,,,,,
"59930160901","59930-1609-01",,"A4216",,1/1/2006,1/1/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (AMP,PF) 0.9%",3,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"59930160901","59930-1609-01",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (AMP,PF) 0.9%",3,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"59930160902","59930-1609-02",,"A4216",,1/1/2006,1/1/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (AMP,PF) 0.9%",5,"ML","PC","IH","ML",10,"ML",0.1,1/1/2006,,,,,,,
"59930160902","59930-1609-02",,"J7051",,1/1/2002,12/31/2005,"STERILE SALINE OR WATER, UP TO 5 CC","SODIUM CHLORIDE (AMP,PF) 0.9%",5,"ML","PC","IH","ML",5,"ML",0.2,1/1/2002,,,,,,,
"59930161001","59930-1610-01",,"Q0176",,1/1/2002,10/16/2003,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 16 MG",100,"EA","BO","PO","EA",8,"MG",2,1/1/2002,,,,,,,
"59930164702","59930-1647-02",,"J7611",,1/1/2005,1/1/2007,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE (MDV) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2005,,,,,,,
"59930164702","59930-1647-02",,"J7618",,1/1/2002,12/31/2004,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (MDV) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2002,,,,,,,
"60242020201","60242-0202-01",,"Q0163",,7/6/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,7/6/2007,,,,,,,
"60242020210","60242-0202-10",,"Q0163",,7/6/2007,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,7/6/2007,,,,,,,
"60346004515","60346-0045-15",,"Q0163",,5/30/2002,3/25/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","NA","PO","EA",50,"MG",1,5/30/2002,,,,,,,
"60346004520","60346-0045-20",,"Q0163",,5/30/2002,10/15/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","NA","PO","EA",50,"MG",1,5/30/2002,,,,,,,
"60346004530","60346-0045-30",,"Q0163",,5/30/2002,5/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","NA","PO","EA",50,"MG",1,5/30/2002,,,,,,,
"60346004544","60346-0045-44",,"Q0163",,5/30/2002,5/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",4,"EA","NA","PO","EA",50,"MG",1,5/30/2002,,,,,,,
"60346004560","60346-0045-60",,"Q0163",,5/30/2002,5/6/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",60,"EA","NA","PO","EA",50,"MG",1,5/30/2002,,,,,,,
"60346005815","60346-0058-15",,"J7506",,7/11/2002,1/1/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","NA","PO","EA",5,"MG",2,7/11/2002,,,,,,,
"60346005830","60346-0058-30",,"J7506",,7/15/2002,10/15/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","NA","PO","EA",5,"MG",2,7/15/2002,,,,,,,
"60346005840","60346-0058-40",,"J7506",,7/15/2002,10/15/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","NA","PO","EA",5,"MG",2,7/15/2002,,,,,,,
"60346005860","60346-0058-60",,"J7506",,7/15/2002,1/1/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","NA","PO","EA",5,"MG",2,7/15/2002,,,,,,,
"60346008510","60346-0085-10",,"Q0170",,7/11/2002,1/1/2006,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","NA","PO","EA",25,"MG",1,7/11/2002,,,,,,,
"60346009425","60346-0094-25",,"J7506",,7/15/2002,1/1/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",25,"EA","NA","PO","EA",5,"MG",4,7/15/2002,,,,,,,
"60346009430","60346-0094-30",,"J7506",,7/15/2002,3/25/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","NA","PO","EA",5,"MG",4,7/15/2002,,,,,,,
"60346049302","60346-0493-02",,"J8498",,1/1/2006,1/1/2006,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",1,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"60346049302","60346-0493-02",,"K0416",,6/18/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",1,"EA","BX","RC","EA",1,"MG",25,6/18/2002,,,,,,,
"60346049303","60346-0493-03",,"J8498",,1/1/2006,1/1/2006,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",3,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"60346049303","60346-0493-03",,"K0416",,6/18/2002,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","COMPAZINE 25 MG",3,"EA","BX","RC","EA",1,"MG",25,6/18/2002,,,,,,,
"60346051555","60346-0515-55",,"J7506",,7/11/2002,8/27/2002,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",55,"EA","NA","PO","EA",5,"MG",1,7/11/2002,,,,,,,
"60346055015","60346-0550-15",,"J8540",,1/1/2006,1/1/2006,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",15,"EA","NA","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"60346055015","60346-0550-15",,"Q0181",,6/18/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",15,"EA","NA","PO","EA",1,"EA",1,6/18/2002,,,,,,,
"60346055030","60346-0550-30",,"J8540",,1/1/2006,1/1/2006,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",30,"EA","NA","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"60346055030","60346-0550-30",,"Q0181",,6/18/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",30,"EA","NA","PO","EA",1,"EA",1,6/18/2002,,,,,,,
"60346058906","60346-0589-06",,"Q0163",,5/30/2002,1/1/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",6,"EA","NA","PO","EA",50,"MG",0.5,5/30/2002,,,,,,,
"60346058912","60346-0589-12",,"Q0163",,5/30/2002,1/1/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",12,"EA","NA","PO","EA",50,"MG",0.5,5/30/2002,,,,,,,
"60346058930","60346-0589-30",,"Q0163",,5/30/2002,1/1/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","NA","PO","EA",50,"MG",0.5,5/30/2002,,,,,,,
"60346058960","60346-0589-60",,"Q0163",,5/30/2002,6/1/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","NA","PO","EA",50,"MG",0.5,5/30/2002,,,,,,,
"60346086010","60346-0860-10",,"Q0165",,6/18/2002,1/1/2006,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPAZINE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,6/18/2002,,,,,,,
"60429015360","60429-0153-60",,"Q0175",,10/22/2002,,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE (UNIT OF USE) 4 MG",60,"EA","BO","PO","EA",4,"MG",1,10/22/2002,,,,,,,
"60429015460","60429-0154-60",,"Q0176",,10/22/2002,,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE (UNIT OF USE) 8 MG",60,"EA","BO","PO","EA",8,"MG",1,10/22/2002,,,,,,,
"60429071150","60429-0711-50",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (UNIT OF USE) 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"60429071350","60429-0713-50",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (UNIT OF USE) 800 MG",50,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"60432003304","60432-0033-04",,"Q0163",,1/1/2002,6/26/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEN AF (CHERRY) 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"60432003308","60432-0033-08",,"Q0163",,1/1/2002,6/27/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEN AF (CHERRY) 12.5 MG/5 ML",240,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"60432003316","60432-0033-16",,"Q0163",,1/1/2002,4/2/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEN AF (CHERRY) 12.5 MG/5 ML",480,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"60432003328","60432-0033-28",,"Q0163",,1/1/2002,12/16/2002,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHEN AF (CHERRY) 12.5 MG/5 ML",3840,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"60432008904","60432-0089-04",,"J7510",,7/18/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (AF,SF,DYE-FREE) 5 MG/5 ML",118,"ML","BO","PO","ML",5,"MG",0.2,7/18/2002,,,,,,,
"60432009316","60432-0093-16",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (RASPBERRY) 50 MG/5 ML",473,"ML","BO","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"60432012608","60432-0126-08",,"J8999",,11/17/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (LEMON-LIME) 40 MG/ML",240,"ML","BO","PO","ML",1,"EA",1,11/17/2004,,,,,,,
"60432012616","60432-0126-16",,"J8999",,12/1/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (LEMON-LIME) 40 MG/ML",480,"ML","BO","PO","ML",1,"EA",1,12/1/2006,,,,,,,
"60432013708","60432-0137-08",,"J7510",,8/16/2004,11/23/2005,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,8/16/2004,,,,,,,
"60432013716","60432-0137-16",,"J7510",,8/16/2004,7/22/2005,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE (CHERRY) 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,8/16/2004,,,,,,,
"60432014050","60432-0140-50",,"J7502",,9/28/2004,,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE 100 MG/ML",50,"ML","BO","PO","ML",100,"MG",1,9/28/2004,,,,,,,
"60432021208","60432-0212-08",,"J7510",,10/25/2004,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (DYE-FREE,GRAPE) 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,10/25/2004,,,,,,,
"60432046608","60432-0466-08",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (RASPBERRY) 0.5 MG/5 ML",240,"ML","BO","PO","ML",0.25,"MG",0.4,1/1/2006,,,,,,,
"60432046608","60432-0466-08",,"Q0181",,1/1/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (RASPBERRY) 0.5 MG/5 ML",240,"ML","BO","PO","ML",1,"EA",1,1/1/2002,,,,,,,
"60432060804","60432-0608-04",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (FRUIT,TROPICAL) 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"60432060816","60432-0608-16",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (FRUIT,TROPICAL) 6.25 MG/5 ML",480,"ML","BO","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"60432067601","60432-0676-01",,"J7668",,1/1/2002,5/21/2002,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE 5%",10,"ML","BO","IH","ML",10,"MG",5,1/1/2002,,,,,,,
"60432067630","60432-0676-30",,"J7668",,1/1/2002,5/21/2002,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE 5%",30,"ML","BO","IH","ML",10,"MG",5,1/1/2002,,,,,,,
"60492002101","60492-0021-01",,"J2792",,1/1/2002,3/24/2005,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (S.D.V.) 600 IU",1,"EA","VL","IV","EA",100,"IU",6,1/1/2002,,,,,,,
"60492002301","60492-0023-01",,"J2792",,1/1/2002,3/24/2005,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (S.D.V.) 1500 IU",1,"EA","VL","IV","EA",100,"IU",15,1/1/2002,,,,,,,
"60492002401","60492-0024-01",,"J2792",,1/1/2002,3/24/2005,"INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU","WINRHO SDF (VIAL) 5000 IU",1,"EA","VL","IV","EA",100,"IU",50,1/1/2002,,,,,,,
"60492005101","60492-0051-01",,"J1571",,1/1/2008,,"INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAMUSCULAR, 0.5 ML","HEPAGAM B (SDV,PF)",5,"ML","VL","IM","ML",0.5,"ML",2,1/1/2008,,,,,,,
"60492005101","60492-0051-01",,"Q4090",,7/1/2007,12/31/2007,"INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAMUSCULAR, 0.5 ML","HEPAGAM B (SDV,PF)",5,"ML","VL","IM","ML",0.5,"ML",2,7/1/2007,,,,,,,
"60492005102","60492-0051-02",,"J1573",,1/1/2008,,"INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAVENOUS, 0.5 ML","NOVAPLUS HEPAGAM B (>1560/5ML,PF)",5,"ML","VL","IJ","ML",0.5,"ML",2,1/1/2008,,,,,,,
"60492005102","60492-0051-02",,"J3590",,10/1/2007,12/31/2007,"UNCLASSIFIED BIOLOGICS","NOVAPLUS HEPAGAM B (>1560/5ML,PF)",5,"ML","VL","IJ","ML",1,"EA",1,10/1/2007,,,,,,,
"60492005201","60492-0052-01",,"J1571",,1/1/2008,,"INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAMUSCULAR, 0.5 ML","HEPAGAM B (SDV,PF)",1,"ML","VL","IM","ML",0.5,"ML",2,1/1/2008,,,,,,,
"60492005201","60492-0052-01",,"Q4090",,7/1/2007,12/31/2007,"INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAMUSCULAR, 0.5 ML","HEPAGAM B (SDV,PF)",1,"ML","VL","IM","ML",0.5,"ML",2,7/1/2007,,,,,,,
"60492005202","60492-0052-02",,"J1573",,1/1/2008,,"INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAVENOUS, 0.5 ML","NOVAPLUS HEPAGAM B (>312IU/ML,PF)",1,"ML","VL","IJ","ML",0.5,"ML",2,1/1/2008,,,,,,,
"60492005202","60492-0052-02",,"J3590",,10/1/2007,12/31/2007,"UNCLASSIFIED BIOLOGICS","NOVAPLUS HEPAGAM B (>312IU/ML,PF)",1,"ML","VL","IJ","ML",1,"EA",1,10/1/2007,,,,,,,
"60505004206","60505-0042-06",,"J8499",,3/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP) 200 MG",100,"EA","BO","PO","EA",1,"EA",1,3/1/2006,,,,,,,
"60505013300","60505-0133-00",,"J7515",,5/17/2002,,"CYCLOSPORINE, ORAL, 25 MG","CYCLOSPORINE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,5/17/2002,,,,,,,
"60505013400","60505-0134-00",,"J7502",,5/17/2002,,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE 100 MG",30,"EA","BO","PO","EA",100,"MG",1,5/17/2002,,,,,,,
"60505035401","60505-0354-01",,"J7502",,8/1/2005,,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE (U.S.P.) 100 MG/ML",50,"ML","BO","PO","ML",100,"MG",1,8/1/2005,,,,,,,
"60505036801","60505-0368-01",,"J8999",,6/23/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (USP,LEMON-LIME) 40 MG/ML",240,"ML","BO","PO","ML",1,"EA",1,6/23/2006,,,,,,,
"60505038105","60505-0381-05",,"Q0179",,3/10/2008,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (USP,1X50ML) 4 MG/5 ML",50,"ML","BO","PO","ML",8,"MG",0.1,3/10/2008,,,,,,,
"60505065800","60505-0658-00",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (VIAL) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,1/1/2004,,,,,,,
"60505065800","60505-0658-00",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (VIAL) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"60505065900","60505-0659-00",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (VIAL) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"60505065900","60505-0659-00",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (VIAL) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"60505065901","60505-0659-01",,"J3490",,1/1/2002,6/26/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (VIAL) 2 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"60505066000","60505-0660-00",,"J0595",,1/1/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"MG",2,1/1/2004,,,,,,,
"60505066000","60505-0660-00",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"60505066402","60505-0664-02",,"J2680",,1/1/2002,10/1/2008,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE (M.D.V.) 25 MG/ML",5,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,10/1/2008,,,,,,
"60505067905","60505-0679-05",,"J0696",,9/1/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (1X100ML,BULK PKG) 10 GM",1,"EA","VL","IV","EA",250,"MG",40,9/1/2005,,,,,,,
"60505067908","60505-0679-08",,"J0696",,9/1/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (1X100ML,PIGGYBACK) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,9/1/2005,,,,,,,
"60505067909","60505-0679-09",,"J0696",,9/1/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (1X100ML) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,9/1/2005,,,,,,,
"60505068002","60505-0680-02",,"J0690",,9/19/2005,9/20/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 10 GM",1,"EA","NA","IJ","EA",500,"MG",20,9/19/2005,,,,,,,
"60505068005","60505-0680-05",,"J0690",,9/19/2005,9/20/2005,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 10 GM",1,"EA","NA","IJ","EA",500,"MG",20,9/19/2005,,,,,,,
"60505068100","60505-0681-00",,"J0692",,6/19/2007,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME (USP) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,6/19/2007,,,,,,,
"60505068104","60505-0681-04",,"J0692",,6/19/2007,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME (USP) 2 GM",10,"EA","VL","IJ","EA",500,"MG",4,6/19/2007,,,,,,,
"60505069200","60505-0692-00",,"J1626",,8/14/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X1ML,SINGLE-USE) 1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",10,8/14/2008,,,,,,,
"60505069300","60505-0693-00",,"J1626",,8/14/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X4ML,MULTI-USE) 1 MG/ML",4,"ML","VL","IV","ML",100,"MCG",10,8/14/2008,,,,,,,
"60505070201","60505-0702-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (M.D.V.) 50 MG/ML",5,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"60505070301","60505-0703-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (M.D.V.) 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"60505070500","60505-0705-00",,"J1885",,2/28/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (SDV) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,2/28/2005,,,,,,,
"60505070600","60505-0706-00",,"J1885",,2/28/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (SDV) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,2/28/2005,,,,,,,
"60505070601","60505-0706-01",,"J1885",,2/28/2005,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,2/28/2005,,,,,,,
"60505071101","60505-0711-01",,"J2250",,1/1/2002,11/17/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"60505071102","60505-0711-02",,"J2250",,1/1/2002,12/9/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"60505071103","60505-0711-03",,"J2250",,1/1/2002,3/6/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"60505071201","60505-0712-01",,"J2250",,1/1/2002,11/17/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"60505071202","60505-0712-02",,"J2250",,1/1/2002,3/7/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"60505071203","60505-0712-03",,"J2250",,1/1/2002,6/18/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"60505071204","60505-0712-04",,"J2250",,1/1/2002,5/21/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"60505071500","60505-0715-00",,"J1245",,8/1/2004,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,8/1/2004,,,,,,,
"60505071501","60505-0715-01",,"J1245",,8/1/2004,,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (10X10) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,8/1/2004,,,,,,,
"60505071800","60505-0718-00",,"J2260",,2/28/2005,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (PF) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,2/28/2005,,,,,,,
"60505071801","60505-0718-01",,"J2260",,2/28/2005,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (PF) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,2/28/2005,,,,,,,
"60505072200","60505-0722-00",,"J0282",,6/1/2003,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (SDV) 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,6/1/2003,,,,,,,
"60505072201","60505-0722-01",,"J0282",,12/20/2005,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (SDS,10X3ML) 50 MG/ML",3,"ML","SR","IV","ML",30,"MG",1.66666,12/20/2005,,,,,,,
"60505072501","60505-0725-01",,"J1885",,11/1/2004,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE 15 MG/ML",1,"ML","SR","IJ","ML",15,"MG",1,11/1/2004,,,,,,,
"60505072601","60505-0726-01",,"J1885",,11/1/2004,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE 30 MG/ML",1,"ML","SR","IJ","ML",15,"MG",2,11/1/2004,,,,,,,
"60505072602","60505-0726-02",,"J1885",,11/1/2004,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE 30 MG/ML",2,"ML","SR","IJ","ML",15,"MG",2,11/1/2004,,,,,,,
"60505072703","60505-0727-03",,"J1630",,1/24/2005,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (PF) 5 MG/ML",1,"ML","SR","IM","ML",5,"MG",1,1/24/2005,,,,,,,
"60505073301","60505-0733-01",,"J1450",,5/25/2005,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (FLEXBAG) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,5/25/2005,,,,,,,
"60505073302","60505-0733-02",,"J1450",,5/25/2005,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (FLEXBAG) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,5/25/2005,,,,,,,
"60505073401","60505-0734-01",,"J1450",,5/25/2005,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (FLEXBAG,DEXTROSE) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,5/25/2005,,,,,,,
"60505073402","60505-0734-02",,"J1450",,5/25/2005,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (FLEXBAG,DEXTROSE) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,5/25/2005,,,,,,,
"60505074401","60505-0744-01",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (5X2ML,SDV,USP) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"60505074406","60505-0744-06",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (MDV,USP) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"60505074605","60505-0746-05",,"J1165",,10/24/2007,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","FOSPHENYTOIN SODIUM (25X2ML) 50 MG/ML",2,"ML","VL","IV","ML",50,"MG",1,10/24/2007,,,,,,,
"60505074804","60505-0748-04",,"J0690",,9/19/2005,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,9/19/2005,,,,,,,
"60505074805","60505-0748-05",,"J0690",,9/19/2005,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,9/19/2005,,,,,,,
"60505074904","60505-0749-04",,"J0690",,9/19/2005,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,9/19/2005,,,,,,,
"60505074905","60505-0749-05",,"J0690",,9/16/2005,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,9/16/2005,,,,,,,
"60505075000","60505-0750-00",,"J0696",,8/2/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (1X10ML) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,8/2/2005,,,,,,,
"60505075004","60505-0750-04",,"J0696",,8/2/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (10X10ML) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,8/2/2005,,,,,,,
"60505075100","60505-0751-00",,"J0696",,8/2/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (1X10ML) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,8/2/2005,,,,,,,
"60505075104","60505-0751-04",,"J0696",,8/2/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (10X10ML) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,8/2/2005,,,,,,,
"60505075200","60505-0752-00",,"J0696",,8/2/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (1X20ML) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,8/2/2005,,,,,,,
"60505075204","60505-0752-04",,"J0696",,8/2/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (10X20ML) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,8/2/2005,,,,,,,
"60505075300","60505-0753-00",,"J0696",,8/2/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (1X20ML) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,8/2/2005,,,,,,,
"60505075304","60505-0753-04",,"J0696",,8/2/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (10X20ML) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,8/2/2005,,,,,,,
"60505075905","60505-0759-05",,"J0694",,1/23/2006,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/23/2006,,,,,,,
"60505076005","60505-0760-05",,"J0694",,1/23/2006,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN 2 GM",1,"EA","VL","IV","EA",1,"GM",2,1/23/2006,,,,,,,
"60505076104","60505-0761-04",,"J0694",,2/13/2006,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN (BULK PACKAGE) 10 GM",1,"EA","VL","IV","EA",1,"GM",10,2/13/2006,,,,,,,
"60505076402","60505-0764-02",,"J1626",,12/31/2007,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (5X1ML,SINGLE-USE,PF) 0.1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",1,12/31/2007,,,,,,,
"60505076504","60505-0765-04",,"J1165",,10/24/2007,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","FOSPHENYTOIN SODIUM (10X10ML) 50 MG/ML",10,"ML","VL","IV","ML",50,"MG",1,10/24/2007,,,,,,,
"60505076900","60505-0769-00",,"J0690",,6/13/2006,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN 10 GM",1,"EA","VL","IV","EA",500,"MG",20,6/13/2006,,,,,,,
"60505080201","60505-0802-01",,"J7631",,5/31/2002,,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (AMP) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,5/31/2002,,,,,,,
"60505080201","60505-0802-01","KO","J7631","KO",5/31/2002,,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (AMP) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,5/31/2002,,,,,,,
"60505080202","60505-0802-02",,"J7631",,5/31/2002,7/2/2002,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (AMP) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,5/31/2002,,,,,,,
"60505080202","60505-0802-02","KO","J7631","KO",5/31/2002,7/2/2002,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (AMP) 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,5/31/2002,,,,,,,
"60505080601","60505-0806-01",,"J7644",,1/1/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (AMP) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"60505080601","60505-0806-01","KO","J7644","KO",1/1/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (AMP) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,,,,,,,
"60505080701","60505-0807-01",,"J7669",,1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (AMP) 0.4%",2.5,"ML","PC","IH","ML",10,"MG",0.4,1/1/2002,,,,,,,
"60505080701","60505-0807-01","KO","J7669","KO",1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (AMP) 0.4%",2.5,"ML","PC","IH","ML",10,"MG",0.4,1/1/2002,,,,,,,
"60505080801","60505-0808-01",,"J7669",,1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (AMP) 0.6%",2.5,"ML","PC","IH","ML",10,"MG",0.6,1/1/2002,,,,,,,
"60505080801","60505-0808-01","KO","J7669","KO",1/1/2002,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (AMP) 0.6%",2.5,"ML","PC","IH","ML",10,"MG",0.6,1/1/2002,,,,,,,
"60505083400","60505-0834-00",,"J0692",,6/19/2007,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME (USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,6/19/2007,,,,,,,
"60505083404","60505-0834-04",,"J0692",,6/19/2007,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME (USP) 1 GM",10,"EA","VL","IJ","EA",500,"MG",2,6/19/2007,,,,,,,
"60505530601","60505-5306-01",,"J8499",,3/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP) 400 MG",100,"EA","BO","PO","EA",1,"EA",1,3/1/2006,,,,,,,
"60505530608","60505-5306-08",,"J8499",,5/21/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",1000,"EA","BO","PO","EA",1,"EA",1,5/21/2007,,,,,,,
"60505530701","60505-5307-01",,"J8499",,3/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR (USP) 800 MG",100,"EA","BO","PO","EA",1,"EA",1,3/1/2006,,,,,,,
"60505530705","60505-5307-05",,"J8499",,5/21/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",500,"EA","BO","PO","EA",1,"EA",1,5/21/2007,,,,,,,
"60505602002","60505-6020-02",,"J1631",,1/30/2008,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","NOVAPLUS HALOPERIDOL DECANOATE (1X5ML,MDV) 50 MG/ML",5,"ML","VL","IM","ML",50,"MG",1,1/30/2008,,,,,,,
"60505602102","60505-6021-02",,"J1631",,12/14/2007,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","NOVAPLUS HALOPERIDOL DECANOATE (1X5ML,MDV) 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,12/14/2007,,,,,,,
"60505602505","60505-6025-05",,"J0694",,2/27/2008,,"INJECTION, CEFOXITIN SODIUM, 1 GM","NOVAPLUS CEFOXITIN (USP) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,2/27/2008,,,,,,,
"60505602605","60505-6026-05",,"J0694",,2/27/2008,,"INJECTION, CEFOXITIN SODIUM, 1 GM","NOVAPLUS CEFOXITIN (USP) 2 GM",1,"EA","VL","IV","EA",1,"GM",2,2/27/2008,,,,,,,
"60505603004","60505-6030-04",,"J0692",,4/11/2008,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME (USP) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,4/11/2008,,,,,,,
"60505603104","60505-6031-04",,"J0692",,4/11/2008,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME (USP) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,4/11/2008,,,,,,,
"60553011110","60553-0111-10",,"J9017",,1/1/2002,7/14/2006,"INJECTION, ARSENIC TRIOXIDE, 1 MG","TRISENOX (AMP,10X10) 1 MG/ML",10,"ML","AM","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"60574210101","60574-2101-01",,"J1565",,1/1/2002,3/1/2004,"INJECTION, RESPIRATORY SYNCYTIAL VIRUS IMMUNE GLOBULIN, INTRAVENOUS, 50 MG","RESPIGAM (S.D.V.,PF)",50,"ML","VL","IV","ML",50,"MG",1,1/1/2002,,,,,,,
"60574310101","60574-3101-01",,"J0850",,1/1/2002,1/31/2007,"INJECTION, CYTOMEGALOVIRUS IMMUNE GLOBULIN INTRAVENOUS (HUMAN), PER VIAL","CYTOGAM (S.D.V.,PF)",50,"ML","VL","IV","ML",1,"EA",0.02,1/1/2002,,,,,,,
"60574411101","60574-4111-01",,"J3490",,1/1/2002,9/19/2006,"UNCLASSIFIED DRUGS","SYNAGIS (SINGLE USE VIAL,PF) 100 MG",1,"EA","VL","IM","EA",1,"EA",1,1/1/2002,,,,,,,
"60574411201","60574-4112-01",,"J3490",,1/1/2002,9/19/2006,"UNCLASSIFIED DRUGS","SYNAGIS (SINGLE USE VIAL,PF) 50 MG",1,"EA","VL","IM","EA",1,"EA",1,1/1/2002,,,,,,,
"60760000221","60760-0002-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,5/15/2009,,1/1/2002,9/26/2002,4,3/1/2006,9/1/2007,4
"60760013830","60760-0138-30",,"J7506",,1/1/2002,9/1/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,3/1/2006,,1/1/2002,9/26/2002,1,,,
"60760033030","60760-0330-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"60760063028","60760-0630-28",,"J7506",,1/1/2002,9/1/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",28,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"60760083020","60760-0830-20",,"Q0170",,6/1/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",20,"EA","BO","PO","EA",25,"MG",1,6/1/2005,,,,,,,
"60763204100","60763-2041-00",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"60763204104","60763-2041-04",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",400,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"60793001012","60793-0010-12",,"J7631",,12/15/2005,8/14/2008,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,12/15/2005,8/14/2008,,,,,,
"60793001012","60793-0010-12","KO","J7631","KO",12/15/2005,8/14/2008,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,12/15/2005,8/14/2008,,,,,,
"60793001060","60793-0010-60",,"J7631",,12/15/2005,8/14/2008,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,12/15/2005,8/14/2008,,,,,,
"60793001060","60793-0010-60","KO","J7631","KO",12/15/2005,8/14/2008,"CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","INTAL 10 MG/ML",2,"ML","PC","IH","ML",10,"MG",1,12/15/2005,8/14/2008,,,,,,
"60793013010","60793-0130-10",,"J2510",,9/14/2007,,"INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS","PENICILLIN G PROCAINE (21GX1&1/2,1MLX10) 600000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,9/14/2007,,,,,,,
"60793013110","60793-0131-10",,"J2510",,9/14/2007,,"INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS","PENICILLIN G PROCAINE (21GX1&1/4,2MLX10) 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,9/14/2007,,,,,,,
"60793022501","60793-0225-01",,"J2440",,1/1/2002,9/24/2003,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (SRN, PREFILLED) 30 MG/ML",2,"ML","SR","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"60793022510","60793-0225-10",,"J2440",,1/1/2002,9/24/2003,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (SRN, PREFILLED) 30 MG/ML",2,"ML","SR","IJ","ML",60,"MG",0.5,1/1/2002,,,,,,,
"60793040111","60793-0401-11",,"J0170",,1/1/2002,9/24/2003,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE HCL (M.D. STERI-VIAL) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"60793040571","60793-0405-71",,"J0720",,1/1/2002,9/24/2003,"INJECTION, CHLORAMPHENICOL SODIUM SUCCINATE, UP TO 1 GM","CHLORAMPHENICOL SODIUM SUCCINATE (STERI-VIAL) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/1/2002,,,,,,,
"60793041605","60793-0416-05",,"J2590",,1/1/2002,9/24/2003,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (STERI-VIAL) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"60793060010","60793-0600-10",,"J0540",,8/15/2007,12/31/2009,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN C-R (2MLX10,21GX1&1/2"")",2,"ML","SR","IM","ML",1200000,"U",0.5,8/15/2007,12/31/2009,,,,,,
"60793060110","60793-0601-10",,"J0540",,8/15/2007,12/31/2009,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN C-R (2MLX10,21GX1"",PEDIA)",2,"ML","SR","IM","ML",1200000,"U",0.5,8/15/2007,12/31/2009,,,,,,
"60793060210","60793-0602-10",,"J0540",,8/15/2007,12/31/2009,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN C-R 900/300 (2MLX10,21GX1"",PEDIA)",2,"ML","SR","IM","ML",1200000,"U",0.5,8/15/2007,12/31/2009,,,,,,
"60793070010","60793-0700-10",,"J0560",,11/21/2006,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (10X1ML) 600000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,11/21/2006,,,,,,,
"60793070110","60793-0701-10",,"J0560",,11/21/2006,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,11/21/2006,,,,,,,
"60793070210","60793-0702-10",,"J0560",,11/21/2006,,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A 600000 U/ML",4,"ML","SR","IM","ML",600000,"U",1,11/21/2006,,,,,,,
"60831308601","60831-3086-01",,"J9390",,12/19/2005,3/25/2007,"INJECTION, VINORELBINE TARTRATE, 10 MG","NAVELBINE (SDV,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,12/19/2005,,,,,,,
"60831308602","60831-3086-02",,"J9390",,12/19/2005,3/25/2007,"INJECTION, VINORELBINE TARTRATE, 10 MG","NAVELBINE (SDV,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,12/19/2005,,,,,,,
"60951063727","60951-0637-27",,"J3490",,1/1/2002,10/4/2002,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (M.D.V.) 150 MG/ML",8,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"60951063753","60951-0637-53",,"J3490",,1/1/2002,1/21/2002,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (VIAL) 150 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"60951063757","60951-0637-57",,"J3490",,1/1/2002,3/26/2002,"UNCLASSIFIED DRUGS","CIMETIDINE HCL (VIAL) 150 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"60977000101","60977-0001-01",,"J2550",,1/1/2004,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN (AMP) 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,1/1/2004,,,,,,,
"60977000103","60977-0001-03",,"J2550",,10/21/2004,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN (25X1ML,DOSETTE) 25 MG/ML",1,"ML","VL","IJ","ML",50,"MG",0.5,10/21/2004,,,,,,,
"60977000143","60977-0001-43",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN 25 MG/ML",1,"ML","AM","IJ","ML",50,"MG",0.5,5/5/2007,,,,,,,
"60977000144","60977-0001-44",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN 25 MG/ML",1,"ML","VL","IJ","ML",50,"MG",0.5,5/5/2007,,,,,,,
"60977000202","60977-0002-02",,"J2550",,1/1/2004,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN (AMP) 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,1/1/2004,,,,,,,
"60977000204","60977-0002-04",,"J2550",,10/21/2004,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN (1X25ML,DOSETTE) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,10/21/2004,,,,,,,
"60977000243","60977-0002-43",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN 50 MG/ML",1,"ML","AM","IJ","ML",50,"MG",1,5/5/2007,,,,,,,
"60977000244","60977-0002-44",,"J2550",,5/5/2007,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PHENERGAN 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,5/5/2007,,,,,,,
"60977001602","60977-0016-02",,"J2275",,1/15/2004,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","DURAMORPH (AMP,DOSETTE,PF) 0.5 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.05,1/15/2004,,,,,,,
"60977001673","60977-0016-73",,"J2275",,5/5/2007,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","DURAMORPH (PF) 0.5 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.05,5/5/2007,,,,,,,
"60977001701","60977-0017-01",,"J2275",,1/15/2004,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","DURAMORPH (AMP,DOSETTE,PF) 1 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.1,1/15/2004,,,,,,,
"60977001773","60977-0017-73",,"J2275",,5/5/2007,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","DURAMORPH (PF) 1 MG/ML",10,"ML","AM","IJ","ML",10,"MG",0.1,5/5/2007,,,,,,,
"60977011201","60977-0112-01",,"J2060",,2/13/2004,,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,2/13/2004,,,,,,,
"60977011202","60977-0112-02",,"J2060",,2/13/2004,,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (M.D.V.) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,2/13/2004,,,,,,,
"60977011271","60977-0112-71",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (MDV) 2 MG/ML",10,"ML","VL","IJ","ML",2,"MG",1,5/5/2007,,,,,,,
"60977011281","60977-0112-81",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (SDV) 2 MG/ML",1,"ML","VL","IJ","ML",2,"MG",1,5/5/2007,,,,,,,
"60977011301","60977-0113-01",,"J2060",,2/13/2004,,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (S.D.V.) 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,2/13/2004,,,,,,,
"60977011302","60977-0113-02",,"J2060",,2/13/2004,,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (M.D.V.) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,2/13/2004,,,,,,,
"60977011371","60977-0113-71",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","ATIVAN (MDV) 4 MG/ML",10,"ML","VL","IJ","ML",2,"MG",2,5/5/2007,,,,,,,
"60977011381","60977-0113-81",,"J2060",,5/5/2007,,"INJECTION, LORAZEPAM, 2 MG","ATIVAN 4 MG/ML",1,"ML","VL","IJ","ML",2,"MG",2,5/5/2007,,,,,,,
"60977011401","60977-0114-01",,"J2275",,1/1/2004,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","INFUMORPH 200 (AMP, DOSETTE,PF) 10 MG/ML",20,"ML","AM","IJ","ML",10,"MG",1,1/1/2004,,,,,,,
"60977011474","60977-0114-74",,"J2275",,5/5/2007,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","INFUMORPH 200 (PF) 10 MG/ML",1,"ML","NA","IJ","ML",10,"MG",1,5/5/2007,,,,,,,
"60977011501","60977-0115-01",,"J2275",,1/1/2004,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","INFUMORPH 500 (AMP, DOSETTE,PF) 25 MG/ML",20,"ML","AM","IJ","ML",10,"MG",2.5,1/1/2004,,,,,,,
"60977011574","60977-0115-74",,"J2275",,5/5/2007,,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","INFUMORPH 500 (PF) 25 MG/ML",1,"ML","NA","IJ","ML",10,"MG",2.5,5/5/2007,,,,,,,
"60977014101","60977-0141-01",,"J2730",,12/20/2004,,"INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM","PROTOPAM CHLORIDE (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,12/20/2004,,,,,,,
"60977014127","60977-0141-27",,"J2730",,5/5/2007,,"INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM","PROTOPAM CHLORIDE 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,5/5/2007,,,,,,,
"60977015001","60977-0150-01",,"J2800",,1/1/2004,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","ROBAXIN (S.D.V.) 100 MG/ML",10,"ML","VL","IJ","ML",10,"ML",0.1,1/1/2004,,,,,,,
"60977015071","60977-0150-71",,"J2800",,5/5/2007,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","ROBAXIN (SDV) 100 MG/ML",10,"ML","VL","IJ","ML",10,"ML",0.1,5/5/2007,,,,,,,
"60977015501","60977-0155-01",,"J7643",,2/13/2004,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (S.D.V.) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,2/13/2004,,,,,,,
"60977015501","60977-0155-01","KO","J7643","KO",2/13/2004,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (S.D.V.) 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,2/13/2004,,,,,,,
"60977015502","60977-0155-02",,"J7643",,2/13/2004,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (S.D.V) 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,2/13/2004,,,,,,,
"60977015502","60977-0155-02","KO","J7643","KO",2/13/2004,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (S.D.V) 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,2/13/2004,,,,,,,
"60977015503","60977-0155-03",,"J7643",,2/13/2004,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (M.D.V.) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,2/13/2004,,,,,,,
"60977015503","60977-0155-03","KO","J7643","KO",2/13/2004,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (M.D.V.) 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,2/13/2004,,,,,,,
"60977015504","60977-0155-04",,"J7643",,7/19/2004,3/1/2006,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,7/19/2004,,,,,,,
"60977015504","60977-0155-04","KO","J7643","KO",7/19/2004,3/1/2006,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,7/19/2004,,,,,,,
"60977015505","60977-0155-05",,"J7643",,2/13/2004,2/22/2006,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (M.D.V.) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,2/13/2004,,,,,,,
"60977015505","60977-0155-05","KO","J7643","KO",2/13/2004,2/22/2006,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (M.D.V.) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,2/13/2004,,,,,,,
"60977015506","60977-0155-06",,"J7643",,3/2/2006,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (10X20ML,MDV) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,3/2/2006,,,,,,,
"60977015506","60977-0155-06","KO","J7643","KO",3/2/2006,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (10X20ML,MDV) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,3/2/2006,,,,,,,
"60977015517","60977-0155-17",,"J7643",,5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"60977015517","60977-0155-17","KO","J7643","KO",5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL 0.2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"60977015554","60977-0155-54",,"J7643",,5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"60977015554","60977-0155-54","KO","J7643","KO",5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL 0.2 MG/ML",5,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"60977015563","60977-0155-63",,"J7643",,5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (MDV) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"60977015563","60977-0155-63","KO","J7643","KO",5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL (MDV) 0.2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"60977015581","60977-0155-81",,"J7643",,5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"60977015581","60977-0155-81","KO","J7643","KO",5/5/2007,,"GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ROBINUL 0.2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",0.2,5/5/2007,,,,,,,
"60977031903","60977-0319-03",,"J3470",,3/30/2006,12/31/2006,"INJECTION, HYALURONIDASE, UP TO 150 UNITS","HYLENEX (4X1ML VIALS,PF) 150 U/ML",1,"ML","VL","IJ","ML",150,"U",1,3/30/2006,,,,,,,
"60977031903","60977-0319-03",,"J3473",,1/1/2007,,"INJECTION, HYALURONIDASE, RECOMBINANT, 1 USP UNIT","HYLENEX (4X1ML VIALS,PF) 150 U/ML",1,"ML","VL","IJ","ML",1,"USP UNIT",150,1/1/2007,,,,,,,
"60977031944","60977-0319-44",,"J3473",,4/27/2007,,"INJECTION, HYALURONIDASE, RECOMBINANT, 1 USP UNIT","HYLENEX (PF) 150 U/ML",1,"ML","VL","IJ","ML",1,"USP UNIT",150,4/27/2007,,,,,,,
"60977045101","60977-0451-01",,"J2765",,1/1/2004,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","REGLAN (S.D.V.,PF) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,1/1/2004,,,,,,,
"60977045102","60977-0451-02",,"J2765",,1/1/2004,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","REGLAN (S.D.V.,PF) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,1/1/2004,,,,,,,
"60977045103","60977-0451-03",,"J2765",,1/1/2004,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","REGLAN (S.D.V.,PF) 5 MG/ML",30,"ML","VL","IV","ML",10,"MG",0.5,1/1/2004,,,,,,,
"60977045117","60977-0451-17",,"J2765",,5/5/2007,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","REGLAN (PF) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,5/5/2007,,,,,,,
"60977045171","60977-0451-71",,"J2765",,5/5/2007,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","REGLAN (PF) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,5/5/2007,,,,,,,
"60977045182","60977-0451-82",,"J2765",,5/5/2007,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","REGLAN (PF) 5 MG/ML",30,"ML","VL","IV","ML",10,"MG",0.5,5/5/2007,,,,,,,
"61073000501","61073-0005-01",,"Q0163",,1/1/2002,11/3/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"61073000510","61073-0005-10",,"Q0163",,1/1/2002,11/3/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"61073000601","61073-0006-01",,"Q0163",,1/1/2002,11/3/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"61073000610","61073-0006-10",,"Q0163",,1/1/2002,11/3/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"61073002604","61073-0026-04",,"Q0163",,9/19/2002,11/3/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (AF,SF,CHERRY) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,9/19/2002,,,,,,,
"61073002608","61073-0026-08",,"Q0163",,9/19/2002,11/3/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (AF,SF,CHERRY) 12.5 MG/5 ML",236,"ML","BO","PO","ML",50,"MG",0.05,9/19/2002,,,,,,,
"61379012001","61379-0120-01",,"J3245",,5/1/2004,5/2/2004,"INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG","AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML",100,"ML","PC","IV","ML",12.5,"MG",0.004,5/1/2004,,,,,,,
"61379012001","61379-0120-01",,"J3246",,10/1/2005,3/31/2008,"INJECTION, TIROFIBAN HCL, 0.25MG","AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML",100,"ML","PC","IV","ML",0.25,"MG",0.2,10/1/2005,,,,,,,
"61379012002","61379-0120-02",,"J3245",,5/1/2004,5/2/2004,"INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG","AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML",250,"ML","PC","IV","ML",12.5,"MG",0.004,5/1/2004,,,,,,,
"61379012002","61379-0120-02",,"J3246",,11/1/2005,3/31/2008,"INJECTION, TIROFIBAN HCL, 0.25MG","AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML",250,"ML","PC","IV","ML",0.25,"MG",0.2,11/1/2005,,,,,,,
"61379012005","61379-0120-05",,"J3245",,5/1/2004,12/31/2004,"INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG","AGGRASTAT (PF) 0.25 MG/ML",50,"ML","VL","IV","ML",12.5,"MG",0.02,5/1/2004,,,,,,,
"61379012005","61379-0120-05",,"J3246",,1/1/2005,4/1/2008,"INJECTION, TIROFIBAN HCL, 0.25MG","AGGRASTAT (PF) 0.25 MG/ML",50,"ML","VL","IV","ML",0.25,"MG",1,1/1/2005,,,,,,,
"61392001015","61392-0010-15",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",15,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001030","61392-0010-30",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",30,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001031","61392-0010-31",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",31,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001032","61392-0010-32",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",32,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001039","61392-0010-39",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (BLISTER PACK) 50 MG",30,"EA","BP","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001045","61392-0010-45",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",45,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001051","61392-0010-51",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",500,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001054","61392-0010-54",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",2000,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001056","61392-0010-56",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",3000,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001060","61392-0010-60",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",60,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001090","61392-0010-90",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",90,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392001091","61392-0010-91",,"Q0178",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",10000,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003930","61392-0039-30",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",30,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003931","61392-0039-31",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",31,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003932","61392-0039-32",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",32,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003939","61392-0039-39",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL (BLISTER PACK) 10 MG",30,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003945","61392-0039-45",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",45,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003951","61392-0039-51",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",500,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003954","61392-0039-54",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",2000,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003956","61392-0039-56",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",3000,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003960","61392-0039-60",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",60,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003990","61392-0039-90",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",90,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392003991","61392-0039-91",,"Q0171",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 10 MG",10000,"EA","NA","PO","EA",10,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004030","61392-0040-30",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",30,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004031","61392-0040-31",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",31,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004032","61392-0040-32",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",32,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004039","61392-0040-39",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL (BLISTER PACK) 25 MG",30,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004045","61392-0040-45",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",45,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004051","61392-0040-51",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",500,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004054","61392-0040-54",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",2000,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004056","61392-0040-56",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",3000,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004060","61392-0040-60",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",60,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004090","61392-0040-90",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",90,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392004091","61392-0040-91",,"Q0172",,1/1/2002,7/27/2006,"CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","CHLORPROMAZINE HCL 25 MG",10000,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008130","61392-0081-30",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",30,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008131","61392-0081-31",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",31,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008132","61392-0081-32",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",32,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008139","61392-0081-39",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE (BLISTER PACK) 4 MG",30,"EA","BP","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008145","61392-0081-45",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",45,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008151","61392-0081-51",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",500,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008154","61392-0081-54",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",2000,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008156","61392-0081-56",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",3000,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008160","61392-0081-60",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",60,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008190","61392-0081-90",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",90,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008191","61392-0081-91",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 4 MG",10000,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392008230","61392-0082-30",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",30,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008231","61392-0082-31",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",31,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008232","61392-0082-32",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",32,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008239","61392-0082-39",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE (BLISTER PACK) 2 MG",30,"EA","BP","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008245","61392-0082-45",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",45,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008251","61392-0082-51",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",500,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008254","61392-0082-54",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",2000,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008256","61392-0082-56",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",3000,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008260","61392-0082-60",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",60,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008290","61392-0082-90",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",90,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392008291","61392-0082-91",,"Q0175",,1/1/2002,7/27/2006,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 2 MG",10000,"EA","NA","PO","EA",4,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392010530","61392-0105-30",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",30,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392010531","61392-0105-31",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",31,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392010532","61392-0105-32",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",32,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392010539","61392-0105-39",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL (BLISTER PACK) 100 MG",30,"EA","PK","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392010545","61392-0105-45",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",45,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392010551","61392-0105-51",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",500,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392010554","61392-0105-54",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",2000,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392010560","61392-0105-60",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",60,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392010590","61392-0105-90",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",90,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392010591","61392-0105-91",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",10000,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"61392012330","61392-0123-30",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392012331","61392-0123-31",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",31,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392012332","61392-0123-32",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",32,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392012339","61392-0123-39",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (BLISTER PACK) 25 MG",30,"EA","BP","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392012345","61392-0123-45",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",45,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392012351","61392-0123-51",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392012354","61392-0123-54",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",2000,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392012360","61392-0123-60",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",60,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392012390","61392-0123-90",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",90,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392012391","61392-0123-91",,"Q0177",,1/1/2002,7/27/2006,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",10000,"EA","NA","PO","EA",25,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013630","61392-0136-30",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",30,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013631","61392-0136-31",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",31,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013632","61392-0136-32",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",32,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013639","61392-0136-39",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (BLISTER PACK) 4 MG",30,"EA","BP","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013645","61392-0136-45",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",45,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013651","61392-0136-51",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",500,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013654","61392-0136-54",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",2000,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013660","61392-0136-60",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",60,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013690","61392-0136-90",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",90,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392013691","61392-0136-91",,"J7509",,1/1/2002,7/27/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",10000,"EA","NA","PO","EA",4,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014230","61392-0142-30",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",30,"EA","NA","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014231","61392-0142-31",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",31,"EA","NA","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014232","61392-0142-32",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",32,"EA","NA","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014239","61392-0142-39",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE (BLISTER PACK) 8 MG",30,"EA","BP","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014245","61392-0142-45",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",45,"EA","NA","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014251","61392-0142-51",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",500,"EA","NA","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014254","61392-0142-54",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",2000,"EA","NA","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014260","61392-0142-60",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",60,"EA","NA","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014290","61392-0142-90",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",90,"EA","NA","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392014291","61392-0142-91",,"Q0176",,1/1/2002,7/27/2006,"PERPHENAZINE, 8MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PERPHENAZINE 8 MG",10000,"EA","NA","PO","EA",8,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022015","61392-0220-15",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022030","61392-0220-30",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022031","61392-0220-31",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",31,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022032","61392-0220-32",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",32,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022039","61392-0220-39",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (BLISTER PACK) 25 MG",30,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022045","61392-0220-45",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",45,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022051","61392-0220-51",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",500,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022054","61392-0220-54",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",2000,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022056","61392-0220-56",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",3000,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022060","61392-0220-60",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022090","61392-0220-90",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",90,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022091","61392-0220-91",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",10000,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,7/27/2006,,,,,,
"61392022330","61392-0223-30",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022331","61392-0223-31",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",31,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022332","61392-0223-32",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",32,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022339","61392-0223-39",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (BLISTER PACK) 50 MG",30,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022345","61392-0223-45",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",45,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022351","61392-0223-51",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",500,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022354","61392-0223-54",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",2000,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022356","61392-0223-56",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",3000,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022360","61392-0223-60",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",60,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022390","61392-0223-90",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",90,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392022391","61392-0223-91",,"Q0163",,1/1/2002,7/27/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",10000,"EA","NA","PO","EA",50,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040815","61392-0408-15",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",15,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040830","61392-0408-30",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040831","61392-0408-31",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",31,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040832","61392-0408-32",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",32,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040839","61392-0408-39",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (BLISTER PACK) 5 MG",30,"EA","BP","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040845","61392-0408-45",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",45,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040851","61392-0408-51",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",500,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040854","61392-0408-54",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",2000,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040856","61392-0408-56",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",3000,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040860","61392-0408-60",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040890","61392-0408-90",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",90,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392040891","61392-0408-91",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",10000,"EA","NA","PO","EA",5,"MG",1,1/1/2002,7/27/2006,,,,,,
"61392041715","61392-0417-15",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041730","61392-0417-30",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041731","61392-0417-31",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",31,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041732","61392-0417-32",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",32,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041739","61392-0417-39",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (BLISTER PACK) 10 MG",30,"EA","BP","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041745","61392-0417-45",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",45,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041751","61392-0417-51",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",500,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041754","61392-0417-54",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",2000,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041756","61392-0417-56",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",3000,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041760","61392-0417-60",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041790","61392-0417-90",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",90,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392041791","61392-0417-91",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",10000,"EA","NA","PO","EA",5,"MG",2,1/1/2002,7/27/2006,,,,,,
"61392076130","61392-0761-30",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","NA","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61392076131","61392-0761-31",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",31,"EA","NA","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61392076132","61392-0761-32",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",32,"EA","NA","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61392076139","61392-0761-39",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (BLISTER PACK) 20 MG",30,"EA","BP","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61392076145","61392-0761-45",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",45,"EA","NA","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61392076151","61392-0761-51",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",500,"EA","NA","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61392076154","61392-0761-54",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",2000,"EA","NA","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61392076160","61392-0761-60",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",60,"EA","NA","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61392076190","61392-0761-90",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",90,"EA","NA","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61392076191","61392-0761-91",,"J7506",,1/1/2002,7/27/2006,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10000,"EA","NA","PO","EA",5,"MG",4,1/1/2002,7/27/2006,,,,,,
"61553010702","61553-0107-02",,"J3010",,2/2/2004,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 0.5 MG/100 ML-0.9%",250,"ML","BG","IV","ML",0.1,"MG",0.05,2/2/2004,,,,,,,
"61553010972","61553-0109-72",,"J3010",,2/2/2004,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (SRN,12 ML) 0.5 MG/100 ML-0.9%",10,"ML","SR","IV","ML",0.1,"MG",0.05,2/2/2004,,,,,,,
"61553011148","61553-0111-48",,"J3010",,2/2/2004,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 1 MG/100 ML-0.9%",100,"ML","BG","IV","ML",0.1,"MG",0.1,2/2/2004,,,,,,,
"61553011248","61553-0112-48",,"J3010",,2/2/2004,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (IPUMP BAG) 1 MG/100 ML-0.9%",100,"ML","BG","IV","ML",0.1,"MG",0.1,2/2/2004,,,,,,,
"61553011302","61553-0113-02",,"J3010",,2/2/2004,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 1 MG/100 ML-0.9%",250,"ML","BG","IV","ML",0.1,"MG",0.1,2/2/2004,,,,,,,
"61553011402","61553-0114-02",,"J3010",,2/2/2004,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (IPUMP BAG) 1 MG/100 ML-0.9%",250,"ML","BG","IV","ML",0.1,"MG",0.1,2/2/2004,,,,,,,
"61553011648","61553-0116-48",,"J3010",,2/2/2004,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 2 MG/100 ML-0.9%",100,"ML","BG","IV","ML",0.1,"MG",0.2,2/2/2004,,,,,,,
"61553011841","61553-0118-41",,"J3010",,2/2/2004,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (INTRAVIA) 0.05 MG/ML",50,"ML","NA","IV","ML",0.1,"MG",0.5,2/2/2004,,,,,,,
"61553016141","61553-0161-41",,"J1170",,2/2/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (INTRAVIA) 10 MG/50 ML-0.9%",50,"ML","BG","IV","ML",4,"MG",0.05,2/2/2004,,,,,,,
"61553016267","61553-0162-67",,"J1170",,2/2/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (SRN,35 ML) 1 MG/5 ML-0.9%",25,"ML","SR","IV","ML",4,"MG",0.05,2/2/2004,,,,,,,
"61553016375","61553-0163-75",,"J1170",,2/2/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (SRN,60 ML) 1 MG/5 ML-0.9%",50,"ML","SR","IV","ML",4,"MG",0.05,2/2/2004,,,,,,,
"61553016541","61553-0165-41",,"J1170",,2/2/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (INTRAVIA) 50 MG/50 ML-0.9%",50,"ML","BG","IV","ML",4,"MG",0.25,2/2/2004,,,,,,,
"61553016667","61553-0166-67",,"J1170",,2/2/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (SRN,35 ML) 1 MG/ML-0.9%",25,"ML","SR","IV","ML",4,"MG",0.25,2/2/2004,,,,,,,
"61553016775","61553-0167-75",,"J1170",,2/2/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (SRN,50 ML) 1 MG/ML-0.9%",50,"ML","SR","IV","ML",4,"MG",0.25,2/2/2004,,,,,,,
"61553017041","61553-0170-41",,"J2175",,2/2/2004,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL/SODIUM CHLORIDE (INTRAVIA) 500 MG/50 ML-0.9%",50,"ML","BG","IV","ML",100,"MG",0.1,2/2/2004,,,,,,,
"61553017248","61553-0172-48",,"J2175",,2/2/2004,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL/SODIUM CHLORIDE (INTRAVIA) 1 GM/100 ML-0.9%",100,"ML","BG","IV","ML",100,"MG",0.1,2/2/2004,,,,,,,
"61553017348","61553-0173-48",,"J2175",,2/2/2004,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL/SODIUM CHLORIDE (IPUMP BAG) 1 GM/100 ML-0.9%",100,"ML","BG","IV","ML",100,"MG",0.1,2/2/2004,,,,,,,
"61553017741","61553-0177-41",,"J2270",,2/2/2004,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE/SODIUM CHLORIDE (INTRAVIA) 50 MG/50 ML-0.9%",50,"ML","BG","IV","ML",10,"MG",0.1,2/2/2004,,,,,,,
"61553017848","61553-0178-48",,"J2270",,2/2/2004,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE/SODIUM CHLORIDE (IPUMP BAG) 100 MG/100 ML-0.9%",100,"ML","BG","IV","ML",10,"MG",0.1,2/2/2004,,,,,,,
"61553017948","61553-0179-48",,"J2270",,2/2/2004,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE/SODIUM CHLORIDE (INTRAVIA) 100 MG/100 ML-0.9%",150,"ML","BG","IV","ML",10,"MG",0.1,2/2/2004,,,,,,,
"61553018102","61553-0181-02",,"J2270",,2/2/2004,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE/SODIUM CHLORIDE (INTRAVIA) 250 MG/250 ML-0.9%",250,"ML","BG","IV","ML",10,"MG",0.1,2/2/2004,,,,,,,
"61553018348","61553-0183-48",,"J2270",,2/2/2004,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (INTRAVIA) 5%-100 MG/100 ML",100,"ML","NA","IV","ML",10,"MG",0.1,2/2/2004,,,,,,,
"61553018502","61553-0185-02",,"J2270",,2/2/2004,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (INTRAVIA) 5%-100 MG/100 ML",250,"ML","NA","IV","ML",10,"MG",0.1,2/2/2004,,,,,,,
"61553018667","61553-0186-67",,"J2270",,2/2/2004,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (SRN,35 ML) 5%-2 MG/ML",25,"ML","NA","IV","ML",10,"MG",0.2,2/2/2004,,,,,,,
"61553018775","61553-0187-75",,"J2270",,2/2/2004,,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","DEXTROSE/MORPHINE SULFATE (SRN,60 ML) 5%-2 MG/ML",50,"ML","NA","IV","ML",10,"MG",0.2,2/2/2004,,,,,,,
"61553018948","61553-0189-48",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (INTRAVIA) 0.0625%-0.9%",100,"ML","BG","IV","ML",1,"EA",1,2/2/2004,,,,,,,
"61553019048","61553-0190-48",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (IPUMP BAG) 0.0625%-0.9%",100,"ML","BG","IV","ML",1,"EA",1,2/2/2004,,,,,,,
"61553019148","61553-0191-48",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (INTRAVIA) 0.125%-0.9%",100,"ML","BG","IV","ML",1,"EA",1,2/2/2004,,,,,,,
"61553019202","61553-0192-02",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (INTRAVIA) 0.125%-0.9%",250,"ML","BG","IV","ML",1,"EA",1,2/2/2004,,,,,,,
"61553019341","61553-0193-41",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (INTRAVIA) 0.25%-0.9%",50,"ML","BG","IV","ML",1,"EA",1,2/2/2004,,,,,,,
"61553019448","61553-0194-48",,"J3490",,2/2/2004,,"UNCLASSIFIED DRUGS","BUPIVACAINE/SODIUM CHLORIDE (IPUMP BAG) 0.125%-0.9%",100,"ML","BG","IV","ML",1,"EA",1,2/2/2004,,,,,,,
"61553022802","61553-0228-02",,"J3490",,11/21/2007,,"UNCLASSIFIED DRUGS","ROPIVACAINE HYDROCHLORIDE-SODIUM CHLORIDE 0.2%-0.9%",250,"ML","NA","EP","ML",1,"EA",1,11/21/2007,,,,,,,
"61553042104","61553-0421-04",,"J3475",,2/1/2005,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","DEXTROSE-MAGNESIUM SULFATE (6X1000ML, VIAFLEX BAG) 5%-20 GM",1000,"ML","NA","IV","ML",500,"MG",0.04,2/1/2005,,,,,,,
"61553042302","61553-0423-02",,"J3475",,7/11/2005,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE IN DEXTROSE (24X250ML) 5%-8 GM/100 ML",250,"ML","NA","IV","ML",500,"MG",0.16,7/11/2005,,,,,,,
"61553060248","61553-0602-48",,"J3010",,2/2/2004,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE/SODIUM CHLORIDE (INTRAVIA) 0.2 MG/100 ML-0.9%",100,"ML","BG","IV","ML",0.1,"MG",0.02,2/2/2004,,,,,,,
"61553062448","61553-0624-48",,"J1170",,2/2/2004,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL/SODIUM CHLORIDE (IPUMP BAG) 20 MG/100 ML-0.9%",100,"ML","BG","IV","ML",4,"MG",0.05,2/2/2004,,,,,,,
"61553064975","61553-0649-75",,"J2271",,3/3/2005,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (5X50ML,LATEX-FREE) 50 MG/ML",50,"ML","EA","IJ","ML",100,"MG",0.5,3/3/2005,,,,,,,
"61553065176","61553-0651-76",,"J2271",,3/3/2005,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (5X55ML) 50 MG/ML",55,"ML","EA","IJ","ML",100,"MG",0.5,3/3/2005,,,,,,,
"61553068176","61553-0681-76",,"J1170",,11/21/2007,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE-SODIUM CHLORIDE (5X60ML, BD SYRINGES) 0.2 MG/ML-0.9%",60,"ML","SR","IV","ML",4,"MG",0.05,11/21/2007,,,,,,,
"61553070168","61553-0701-68",,"J1170",,12/1/2006,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 0.1 MG/ML-0.9%",30,"ML","VL","IV","ML",4,"MG",0.025,12/1/2006,,,,,,,
"61553070268","61553-0702-68",,"J1170",,12/1/2006,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 0.2 MG/ML-0.9%",30,"ML","VL","IV","ML",4,"MG",0.05,12/1/2006,,,,,,,
"61553070468","61553-0704-68",,"J1170",,12/1/2006,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 0.4 MG/ML-0.9%",30,"ML","VL","IV","ML",4,"MG",0.1,12/1/2006,,,,,,,
"61553070568","61553-0705-68",,"J1170",,12/1/2006,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 0.5 MG/ML-0.9%",30,"ML","VL","IV","ML",4,"MG",0.125,12/1/2006,,,,,,,
"61553070668","61553-0706-68",,"J1170",,12/1/2006,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 0.6 MG/ML-0.9%",30,"ML","VL","IV","ML",4,"MG",0.15,12/1/2006,,,,,,,
"61553071068","61553-0710-68",,"J1170",,12/1/2006,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 1 MG/ML-0.9%",30,"ML","VL","IV","ML",4,"MG",0.25,12/1/2006,,,,,,,
"61553071268","61553-0712-68",,"J1170",,12/1/2006,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 1.2 MG/ML-0.9%",30,"ML","VL","IV","ML",4,"MG",0.3,12/1/2006,,,,,,,
"61553073068","61553-0730-68",,"J3010",,11/21/2007,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 25 MCG/ML-0.9%",30,"ML","VL","IV","ML",0.1,"MG",0.25,11/21/2007,,,,,,,
"61553073203","61553-0732-03",,"J2590",,2/6/2004,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN-SODIUM CHLORIDE (12X500ML, VIAFLEX BAG) 10 U-0.9%",500,"ML","NA","IV","ML",10,"U",1,2/6/2004,,,,,,,
"61553078068","61553-0780-68",,"J1170",,12/1/2006,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (10X30ML, PCA VIAL) 2 MG/ML",30,"ML","VL","IV","ML",4,"MG",0.5,12/1/2006,,,,,,,
"61553079168","61553-0791-68",,"J3010",,12/1/2006,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 10 MCG/ML-0.9%",30,"ML","VL","IV","ML",0.1,"MG",100,12/1/2006,,,,,,,
"61553079268","61553-0792-68",,"J3010",,12/1/2006,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 20 MCG/ML-0.9%",30,"ML","VL","IV","ML",0.1,"MG",200,12/1/2006,,,,,,,
"61553079368","61553-0793-68",,"J3010",,12/1/2006,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 30 MCG/ML-0.9%",30,"ML","VL","IV","ML",0.1,"MG",300,12/1/2006,,,,,,,
"61553079468","61553-0794-68",,"J3010",,12/1/2006,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 40 MCG/ML-0.9%",30,"ML","VL","IV","ML",0.1,"MG",400,12/1/2006,,,,,,,
"61553079568","61553-0795-68",,"J3010",,12/1/2006,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (10X30ML, PCA VIAL) 50 MCG/ML",30,"ML","VL","IV","ML",0.1,"MG",500,12/1/2006,,,,,,,
"61570005410","61570-0054-10",,"J3490",,1/1/2002,1/9/2003,"UNCLASSIFIED DRUGS","SEPTRA INFUSION (M.D.V.) 80 MG/ML-16 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"61570005510","61570-0055-10",,"J3490",,1/1/2002,1/9/2003,"UNCLASSIFIED DRUGS","SEPTRA INFUSION (M.D.V.) 80 MG/ML-16 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"61570007901","61570-0079-01",,"Q0173",,2/13/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 300 MG",100,"EA","BO","PO","EA",250,"MG",1.2,2/13/2002,,,,,,,
"61570007905","61570-0079-05",,"Q0173",,9/25/2002,3/4/2004,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 300 MG",12000,"EA","BO","PO","EA",250,"MG",1.2,9/25/2002,,,,,,,
"61570008510","61570-0085-10",,"J2510",,12/4/2002,9/13/2007,"INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS","PENICILLIN G PROCAINE (TUBEX, 21GX1 1/4) 600000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,12/4/2002,,,,,,,
"61570008610","61570-0086-10",,"J2510",,12/6/2002,9/13/2007,"INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS","PENICILLIN G PROCAINE (TUBEX, 21GX1 1/4) 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,12/6/2002,,,,,,,
"61570009501","61570-0095-01",,"J3490",,1/9/2003,7/30/2008,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (M.D.V.) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/9/2003,7/30/2008,,,,,,
"61570009525","61570-0095-25",,"J3490",,1/9/2003,9/30/2008,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (M.D.V.) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,1/9/2003,9/30/2008,,,,,,
"61570009625","61570-0096-25",,"J3490",,1/9/2003,3/30/2008,"UNCLASSIFIED DRUGS","BREVITAL SODIUM (VIAL) 2.5 GM",1,"EA","VL","IV","EA",1,"EA",1,1/9/2003,,,,,,,
"61570013910","61570-0139-10",,"J0530",,1/19/2002,8/22/2007,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS","BICILLIN C-R (TUBEX,21GX1"",PEDIATRIC) 300000 U/ML-300000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,1/19/2002,,,,,,,
"61570014010","61570-0140-10",,"J0530",,1/1/2002,8/14/2007,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS","BICILLIN C-R (TUBEX,21GX1 1/4"") 300000 U/ML-300000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"61570014110","61570-0141-10",,"J0540",,5/29/2002,8/14/2007,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN C-R (TUBEX,21GX1"",PEDIATRIC)",2,"ML","SR","IM","ML",1200000,"U",0.5,5/29/2002,,,,,,,
"61570014210","61570-0142-10",,"J0530",,1/1/2002,10/11/2007,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS","BICILLIN C-R (SRN) 300000 U/ML-300000 U/ML",4,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"61570014310","61570-0143-10",,"J0540",,1/1/2002,8/22/2007,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN C-R 900/300 PEDIATRIC (TUBEX,21GX1 1/4"")",2,"ML","SR","IM","ML",1200000,"U",0.5,1/1/2002,,,,,,,
"61570014410","61570-0144-10",,"J0540",,1/1/2002,8/14/2007,"INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS","BICILLIN C-R 900/300 PEDIATRIC (TUBEX,21GX1"")",2,"ML","SR","IM","ML",1200000,"U",0.5,1/1/2002,,,,,,,
"61570014610","61570-0146-10",,"J0560",,1/1/2002,11/20/2006,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (TUBEX,21GX1"",PEDIATRIC) 600000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"61570014710","61570-0147-10",,"J0560",,1/1/2002,11/20/2006,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (TUBEX,21GX1 1/4"") 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"61570014810","61570-0148-10",,"J0560",,1/1/2002,11/20/2006,"INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS","BICILLIN L-A (SRN) 600000 U/ML",4,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"61570014910","61570-0149-10",,"J2510",,1/10/2002,12/3/2002,"INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS","WYCILLIN (TUBEX, 21GX1 1/4) 600000 U/ML",1,"ML","SR","IM","ML",600000,"U",1,1/10/2002,,,,,,,
"61570015010","61570-0150-10",,"J2510",,1/1/2002,12/5/2002,"INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS","WYCILLIN (TUBEX, 21GX1 1/4) 600000 U/ML",2,"ML","SR","IM","ML",600000,"U",1,1/1/2002,,,,,,,
"61570018001","61570-0180-01",,"J1380",,10/24/2002,12/9/2007,"INJECTION, ESTRADIOL VALERATE, UP TO 10 MG","DELESTROGEN (VIAL) 10 MG/ML",5,"ML","VL","IM","ML",10,"MG",1,10/24/2002,,,,,,,
"61570018101","61570-0181-01",,"J1390",,8/29/2002,2/4/2008,"INJECTION, ESTRADIOL VALERATE, UP TO 20 MG","DELESTROGEN (VIAL) 20 MG/ML",5,"ML","VL","IM","ML",20,"MG",1,8/29/2002,,,,,,,
"61570018201","61570-0182-01",,"J0970",,10/24/2002,3/30/2008,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","DELESTROGEN (VIAL) 40 MG/ML",5,"ML","VL","IM","ML",40,"MG",1,10/24/2002,,,,,,,
"61570018601","61570-0186-01",,"Q0173",,1/1/2002,2/8/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 100 MG",100,"EA","BO","PO","EA",250,"MG",0.4,1/1/2002,,,,,,,
"61570018705","61570-0187-05",,"Q0173",,1/1/2002,2/8/2002,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TIGAN 250 MG",500,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"61570026010","61570-0260-10",,"J2770",,6/27/2003,,"INJECTION, QUINUPRISTIN/DALFOPRISTIN, 500 MG (150/350)","SYNERCID (PF) 350 MG-150 MG",1,"EA","VL","IV","EA",500,"MG",1,6/27/2003,,,,,,,
"61570026110","61570-0261-10",,"J2770",,9/9/2003,3/8/2005,"INJECTION, QUINUPRISTIN/DALFOPRISTIN, 500 MG (150/350)","SYNERCID 420 MG-180 MG",1,"EA","VL","IV","EA",500,"MG",1.2,9/9/2003,,,,,,,
"61570030141","61570-0301-41",,"J7699",,1/1/2002,3/8/2005,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ADRENALIN 1:100",7.5,"ML","BO","IH","ML",1,"EA",1,1/1/2002,,,,,,,
"61570040111","61570-0401-11",,"J0170",,9/7/2002,2/27/2008,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","ADRENALIN (VIAL) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,9/7/2002,,,,,,,
"61570040571","61570-0405-71",,"J0720",,1/1/2002,3/1/2006,"INJECTION, CHLORAMPHENICOL SODIUM SUCCINATE, UP TO 1 GM","CHLOROMYCETIN SODIUM SUCCINATE (VIAL) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,1/1/2002,,,,,,,
"61570041451","61570-0414-51",,"J0770",,1/1/2002,11/24/2008,"INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG","COLY-MYCIN M (PARENTERAL) 150 MG",1,"EA","VL","IJ","EA",150,"MG",1,1/1/2002,11/24/2008,,,,,,
"61570041601","61570-0416-01",,"J2590",,9/7/2002,8/4/2004,"INJECTION, OXYTOCIN, UP TO 10 UNITS","PITOCIN (AMP) 10 U/ML",1,"ML","AM","IV","ML",10,"U",1,9/7/2002,,,,,,,
"61570041603","61570-0416-03",,"J2590",,1/1/2002,4/2/2004,"INJECTION, OXYTOCIN, UP TO 10 UNITS","PITOCIN (SRN STERI-DOSE) 10 U/ML",1,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"61570041605","61570-0416-05",,"J2590",,1/1/2002,3/31/2008,"INJECTION, OXYTOCIN, UP TO 10 UNITS","PITOCIN (STERI-VIAL) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"61570041881","61570-0418-81",,"J0170",,1/1/2002,5/31/2008,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","ADRENALIN (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,1/1/2002,5/31/2008,,,,,,
"61570054002","61570-0540-02",,"J3250",,1/1/2002,4/24/2006,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TIGAN (AMP) 100 MG/ML",2,"ML","AM","IM","ML",200,"MG",0.5,1/1/2002,4/24/2006,,,,,,
"61570054120","61570-0541-20",,"J3250",,1/1/2002,7/31/2008,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TIGAN (VIAL) 100 MG/ML",20,"ML","VL","IM","ML",200,"MG",0.5,1/1/2002,7/31/2008,,,,,,
"61570054325","61570-0543-25",,"J3250",,4/25/2006,7/21/2008,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG","TIGAN (SDV,2X25) 100 MG/ML",2,"ML","VL","IM","ML",200,"MG",0.5,4/25/2006,7/21/2008,,,,,,
"61646030801","61646-0308-01",,"Q0173",,1/1/2002,9/23/2003,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",100,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"61703020107","61703-0201-07",,"J3490",,1/1/2002,5/24/2002,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (VIAL) 50 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"61703020204","61703-0202-04",,"J3490",,1/1/2002,5/24/2002,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (VIAL) 250 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"61703020207","61703-0202-07",,"J3490",,1/1/2002,5/24/2002,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (VIAL) 250 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"61703020208","61703-0202-08",,"J3490",,1/1/2002,5/24/2002,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (VIAL) 250 MG/ML",3,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"61703020304","61703-0203-04",,"J7608",,1/1/2002,5/24/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL) 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"61703020304","61703-0203-04","KO","J7608","KO",1/1/2002,5/24/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL) 10%",4,"ML","VL","IH","ML",1,"GM",0.1,1/1/2002,,,,,,,
"61703020331","61703-0203-31",,"J7608",,1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL) 10%",30,"ML","VL","IH","ML",1,"GM",0.1,4/1/2007,,1/1/2002,8/1/2006,0.1,,,
"61703020331","61703-0203-31","KO","J7608","KO",1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL) 10%",30,"ML","VL","IH","ML",1,"GM",0.1,4/1/2007,,1/1/2002,8/1/2006,0.1,,,
"61703020404","61703-0204-04",,"J7608",,1/1/2002,5/24/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL) 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"61703020404","61703-0204-04","KO","J7608","KO",1/1/2002,5/24/2002,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL) 20%",4,"ML","VL","IH","ML",1,"GM",0.2,1/1/2002,,,,,,,
"61703020431","61703-0204-31",,"J7608",,1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,4/1/2007,,1/1/2002,8/1/2006,0.2,,,
"61703020431","61703-0204-31","KO","J7608","KO",1/1/2002,,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (VIAL) 20%",30,"ML","VL","IH","ML",1,"GM",0.2,4/1/2007,,1/1/2002,8/1/2006,0.2,,,
"61703021007","61703-0210-07",,"J2765",,1/1/2002,9/5/2007,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (S.D.V.,PF) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,9/4/2007,9/5/2007,1/1/2002,8/1/2006,0.5,,,
"61703021011","61703-0210-11",,"J2765",,1/1/2002,9/5/2007,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (S.D.V.,PF) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,9/4/2007,9/5/2007,1/1/2002,8/1/2006,0.5,,,
"61703021021","61703-0210-21",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (S.D.V.,PF) 5 MG/ML",20,"ML","VL","IV","ML",10,"MG",0.5,9/4/2007,,1/1/2002,8/1/2006,0.5,,,
"61703021031","61703-0210-31",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (S.D.V.,PF) 5 MG/ML",30,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"61703021035","61703-0210-35",,"J2765",,5/1/2003,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE (150MG/30ML,PF) 5 MG/ML",30,"ML","VL","IV","ML",10,"MG",0.5,9/4/2007,,5/1/2003,8/1/2006,0.5,,,
"61703021975","61703-0219-75",,"J2270",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LUER LOCK SRN,RAPI-JECT) 1 MG/ML",30,"ML","SR","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"61703021980","61703-0219-80",,"J2270",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (UNIT OF USE,RAPI-JECT) 1 MG/ML",10,"ML","NA","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"61703021985","61703-0219-85",,"J2270",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL FOR S.P.A.R.) 1 MG/ML",30,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"61703022175","61703-0221-75",,"J2270",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (LUER LOCK SRN,RAPI-JECT) 5 MG/ML",30,"ML","SR","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"61703022185","61703-0221-85",,"J2270",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (VIAL FOR S.P.A.R.) 5 MG/ML",30,"ML","VL","IJ","ML",10,"MG",0.5,1/1/2002,,,,,,,
"61703022321","61703-0223-21",,"J2270",,1/1/2002,5/8/2007,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (S.D.V.) 25 MG/ML",20,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"61703022343","61703-0223-43",,"J2270",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (S.D.V.) 25 MG/ML",40,"ML","VL","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"61703022471","61703-0224-71",,"J2275",,1/1/2002,9/30/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,PF,RAPI-JECT) 25 MG/ML",4,"ML","SR","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"61703022472","61703-0224-72",,"J2275",,1/1/2002,9/30/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,PF,RAPI-JECT) 25 MG/ML",20,"ML","SR","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"61703022476","61703-0224-76",,"J2275",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,PF,RAPI-JECT) 25 MG/ML",50,"ML","SR","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"61703022480","61703-0224-80",,"J2275",,1/1/2002,9/30/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,PF,RAPI-JECT) 25 MG/ML",10,"ML","SR","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"61703022486","61703-0224-86",,"J2275",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,P.F,RAPI-JECT) 25 MG/ML",30,"ML","SR","IJ","ML",10,"MG",2.5,1/1/2002,,,,,,,
"61703022521","61703-0225-21",,"J2271",,1/1/2002,5/8/2007,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (S.D.V.) 50 MG/ML",20,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"61703022543","61703-0225-43",,"J2271",,1/1/2002,5/8/2007,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (S.D.V.) 50 MG/ML",40,"ML","VL","IJ","ML",100,"MG",0.5,1/1/2002,,,,,,,
"61703022672","61703-0226-72",,"J2275",,1/1/2002,9/30/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,PF,RAPI-JECT) 50 MG/ML",20,"ML","SR","IJ","ML",10,"MG",5,1/1/2002,,,,,,,
"61703022676","61703-0226-76",,"J2275",,1/1/2002,9/30/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,PF,RAPI-JECT) 50 MG/ML",50,"ML","SR","IJ","ML",10,"MG",5,1/1/2002,,,,,,,
"61703022680","61703-0226-80",,"J2275",,1/1/2002,9/30/2005,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,PF,RAPI-JECT) 50 MG/ML",10,"ML","SR","IJ","ML",10,"MG",5,1/1/2002,,,,,,,
"61703022686","61703-0226-86",,"J2275",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,PF,RAPI-JECT) 50 MG/ML",30,"ML","SR","IJ","ML",10,"MG",5,1/1/2002,,,,,,,
"61703023132","61703-0231-32",,"J2270",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE, UP TO 10 MG","MORPHINE SULFATE (S.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"61703023286","61703-0232-86",,"J2275",,1/1/2002,5/24/2002,"INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG","MORPHINE SULFATE (LUER LOCK,PF,RAPI-JECT) 10 MG/ML",30,"ML","SR","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"61703023429","61703-0234-29",,"J0636",,4/2/2004,,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL 1 MCG/ML",1,"ML","AM","IV","ML",0.1,"MCG",10,4/2/2004,,,,,,,
"61703023675","61703-0236-75",,"J2175",,1/1/2002,5/24/2002,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (S.D.V.,RAPI-JECT) 10 MG/ML",30,"ML","VL","IJ","ML",100,"MG",0.1,1/1/2002,,,,,,,
"61703023685","61703-0236-85",,"J2175",,1/1/2002,5/24/2002,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (S.D.V.) 10 MG/ML",30,"ML","VL","IJ","ML",100,"MG",0.1,1/1/2002,,,,,,,
"61703023807","61703-0238-07",,"J3490",,1/1/2002,5/24/2002,"UNCLASSIFIED DRUGS","FAMOTIDINE (S.D.V.,PF) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"61703023921","61703-0239-21",,"J3490",,1/1/2002,5/24/2002,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.,PF) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"61703023922","61703-0239-22",,"J3490",,1/1/2002,5/24/2002,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.,PF) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"61703023926","61703-0239-26",,"J3490",,1/1/2002,5/24/2002,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.,PF) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"61703024103","61703-0241-03",,"J0282",,2/12/2003,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",3,"ML","AM","IV","ML",30,"MG",1.66666,4/1/2007,,2/12/2003,8/1/2006,1.66666,,,
"61703024221","61703-0242-21",,"J2260",,9/23/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (PF,LATEX-FREE) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,9/4/2007,,9/23/2002,8/1/2006,0.2,,,
"61703024232","61703-0242-32",,"J2260",,9/23/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (PF,LATEX-FREE) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,9/4/2007,,9/23/2002,8/1/2006,0.2,,,
"61703024250","61703-0242-50",,"J2260",,9/23/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (PF,LATEX-FREE) 1 MG/ML",50,"ML","VL","IV","ML",5,"MG",0.2,9/4/2007,,9/23/2002,8/1/2006,0.2,,,
"61703024345","61703-0243-45",,"J1170",,5/15/2003,5/8/2007,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (S.D.V.) 10 MG/ML",1,"ML","VL","IJ","ML",4,"MG",2.5,5/15/2003,,,,,,,
"61703024350","61703-0243-50",,"J1170",,5/15/2003,5/8/2007,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL 10 MG/ML",50,"ML","VL","IJ","ML",4,"MG",2.5,5/15/2003,,,,,,,
"61703024353","61703-0243-53",,"J1170",,5/15/2003,5/8/2007,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (S.D.V.) 10 MG/ML",5,"ML","VL","IJ","ML",4,"MG",2.5,5/15/2003,,,,,,,
"61703024407","61703-0244-07",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (2MLX10,SDV,USP) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"61703024522","61703-0245-22",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (M.D.V.,USP) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"61703024615","61703-0246-15",,"J1170",,10/8/2003,5/8/2007,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL 2 MG/ML",1,"ML","VL","IJ","ML",4,"MG",0.5,10/8/2003,,,,,,,
"61703030346","61703-0303-46",,"J9110",,5/1/2003,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (1GM/50ML,PF) 20 MG/ML",50,"ML","VL","IJ","ML",500,"MG",0.04,5/1/2003,,,,,,,
"61703030350","61703-0303-50",,"J9110",,1/1/2002,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (BULK PACKAGE,PF) 20 MG/ML",50,"ML","VL","IJ","ML",500,"MG",0.04,1/1/2002,,,,,,,
"61703030425","61703-0304-25",,"J9110",,1/1/2002,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (M.D.V.) 20 MG/ML",25,"ML","VL","IJ","ML",500,"MG",0.04,1/1/2002,,,,,,,
"61703030436","61703-0304-36",,"J9110",,5/1/2003,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (500MG/25ML,PF) 20 MG/ML",25,"ML","VL","IJ","ML",500,"MG",0.04,5/1/2003,,,,,,,
"61703030509","61703-0305-09",,"J9100",,1/1/2002,4/30/2003,"INJECTION, CYTARABINE, 100 MG","CYTARABINE (S.D.V.,PF) 20 MG/ML",5,"ML","VL","IJ","ML",100,"MG",0.2,1/1/2002,,,,,,,
"61703030538","61703-0305-38",,"J9100",,5/1/2003,,"INJECTION, CYTARABINE, 100 MG","CYTARABINE (S.D.V. X 5,PF) 20 MG/ML",5,"ML","VL","IJ","ML",100,"MG",0.2,5/1/2003,,,,,,,
"61703030650","61703-0306-50",,"J9290",,1/1/2002,5/24/2002,"MITOMYCIN, 20 MG","MITOMYCIN 20 MG",1,"EA","VL","IV","EA",20,"MG",1,1/1/2002,,,,,,,
"61703030906","61703-0309-06",,"J9370",,1/1/2002,,"VINCRISTINE SULFATE, 1 MG","VINCRISTINE SULFATE (S.D.V.,PF) 1 MG/ML",1,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"61703030916","61703-0309-16",,"J9370",,1/1/2002,,"VINCRISTINE SULFATE, 1 MG","VINCRISTINE SULFATE (S.D.V.,PF) 1 MG/ML",2,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"61703031018","61703-0310-18",,"J9360",,1/1/2002,9/3/2003,"INJECTION, VINBLASTINE SULFATE, 1 MG","VINBLASTINE SULFATE (VIAL) 10 MG",1,"EA","VL","IV","EA",1,"MG",10,1/1/2002,,,,,,,
"61703031121","61703-0311-21",,"J0133",,1/1/2006,4/24/2006,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (VIAL) 25 MG/ML",20,"ML","VL","IV","ML",5,"MG",5,1/1/2006,4/24/2006,,,,,,
"61703031121","61703-0311-21",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (VIAL) 25 MG/ML",20,"ML","VL","IV","ML",5,"MG",5,10/1/2003,,,,,,,
"61703031143","61703-0311-43",,"J0133",,1/1/2006,4/24/2006,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (VIAL) 25 MG/ML",40,"ML","VL","IV","ML",5,"MG",5,1/1/2006,4/24/2006,,,,,,
"61703031143","61703-0311-43",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (VIAL) 25 MG/ML",40,"ML","VL","IV","ML",5,"MG",5,10/1/2003,,,,,,,
"61703031745","61703-0317-45",,"J0595",,6/25/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (S.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",1,"MG",1,6/25/2004,,,,,,,
"61703031845","61703-0318-45",,"J0595",,6/25/2004,,"INJECTION, BUTORPHANOL TARTRATE, 1 MG","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",1,"MG",2,6/25/2004,,,,,,,
"61703031922","61703-0319-22",,"J9110",,1/1/2002,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (S.D.V.,PF) 100 MG/ML",20,"ML","VL","IJ","ML",500,"MG",0.2,1/1/2002,,,,,,,
"61703032007","61703-0320-07",,"J2250",,1/1/2002,5/24/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"61703032032","61703-0320-32",,"J2250",,1/1/2002,5/24/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"61703032053","61703-0320-53",,"J2250",,1/1/2002,5/24/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"61703032107","61703-0321-07",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,4/1/2007,,1/1/2002,12/7/2006,5,,,
"61703032132","61703-0321-32",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,4/1/2007,,1/1/2002,12/7/2006,5,,,
"61703032142","61703-0321-42",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,4/1/2007,,1/1/2002,12/7/2006,5,,,
"61703032153","61703-0321-53",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (VIAL) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,4/1/2007,,1/1/2002,12/7/2006,5,,,
"61703032173","61703-0321-73",,"J2250",,1/1/2002,5/24/2002,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (SRN,RAPI-JECT) 5 MG/ML",2,"ML","SR","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"61703032322","61703-0323-22",,"J9040",,1/1/2002,,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLEOMYCIN SULFATE 30 U",1,"EA","VL","IJ","EA",15,"U",2,1/1/2002,,,,,,,
"61703032418","61703-0324-18",,"J2430",,12/15/2006,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (SDV) 3 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.1,12/15/2006,,,,,,,
"61703032439","61703-0324-39",,"J2430",,9/15/2005,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM 3 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.1,9/15/2005,,,,,,,
"61703032518","61703-0325-18",,"J2430",,1/27/2003,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (PF) 6 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.2,1/27/2003,,,,,,,
"61703032618","61703-0326-18",,"J2430",,9/15/2005,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM 9 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.3,9/15/2005,,,,,,,
"61703032722","61703-0327-22",,"J9140",,9/23/2002,,"DACARBAZINE, 200 MG","DACARBAZINE (SINGLE DOSE VIAL,PF) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,9/23/2002,,,,,,,
"61703032911","61703-0329-11",,"J0690",,1/1/2002,5/24/2002,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"61703033060","61703-0330-60",,"J0690",,1/1/2002,5/24/2002,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"61703033109","61703-0331-09",,"J9200",,9/23/2002,,"INJECTION, FLOXURIDINE, 500 MG","FUDR 0.5 GM",1,"EA","VL","IJ","EA",500,"MG",1,9/23/2002,,,,,,,
"61703033218","61703-0332-18",,"J9040",,1/1/2002,,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS","BLEOMYCIN SULFATE 15 U",1,"EA","VL","IJ","EA",15,"U",1,1/1/2002,,,,,,,
"61703033311","61703-0333-11",,"J0697",,1/1/2002,5/24/2002,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (VIAL,TRAYPACK) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"61703033433","61703-0334-33",,"J0697",,1/1/2002,5/24/2002,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (VIAL,TRAYPACK) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"61703033918","61703-0339-18",,"J9045",,4/14/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,4/14/2004,,,,,,,
"61703033922","61703-0339-22",,"J9045",,4/14/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,4/14/2004,,,,,,,
"61703033950","61703-0339-50",,"J9045",,4/14/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,4/14/2004,,,,,,,
"61703033956","61703-0339-56",,"J9045",,2/9/2005,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV) 10 MG/ML",60,"ML","VL","IV","ML",50,"MG",0.2,2/9/2005,,,,,,,
"61703034106","61703-0341-06",,"J9390",,9/7/2005,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (S.D.V.,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,9/7/2005,,,,,,,
"61703034109","61703-0341-09",,"J9390",,11/7/2005,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (S.D.V.,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,11/7/2005,,,,,,,
"61703034209","61703-0342-09",,"J9265",,4/21/2004,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (M.D.V.) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,4/21/2004,,,,,,,
"61703034222","61703-0342-22",,"J9265",,4/21/2004,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (M.D.V.) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,4/21/2004,,,,,,,
"61703034250","61703-0342-50",,"J9265",,4/21/2004,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (M.D.V.) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,4/21/2004,,,,,,,
"61703034318","61703-0343-18",,"J9293",,4/11/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (USP,CONCENTRATE,MDV,PF) 2 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.4,4/11/2006,,,,,,,
"61703034365","61703-0343-65",,"J9293",,4/11/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (USP,CONCENTRATE,MDV,PF) 2 MG/ML",12.5,"ML","VL","IV","ML",5,"MG",0.4,4/11/2006,,,,,,,
"61703034366","61703-0343-66",,"J9293",,4/11/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (USP,CONCENTRATE,MDV,PF) 2 MG/ML",15,"ML","VL","IV","ML",5,"MG",0.4,4/11/2006,,,,,,,
"61703034735","61703-0347-35",,"J9178",,11/6/2006,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (S.D.V.) 50 MG",1,"EA","VL","IV","EA",2,"MG",25,11/6/2006,,,,,,,
"61703034859","61703-0348-59",,"J9178",,11/6/2006,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE 200 MG",1,"EA","VL","IV","EA",2,"MG",100,11/6/2006,,,,,,,
"61703034909","61703-0349-09",,"J9206",,2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"61703034909","61703-0349-09","QR","J9206","QR",2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"61703034916","61703-0349-16",,"J9206",,2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"61703034916","61703-0349-16","QR","J9206","QR",2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"61703034936","61703-0349-36",,"J9206",,2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X25ML,SDV) 20 MG/ML",25,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"61703034936","61703-0349-36","QR","J9206","QR",2/27/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X25ML,SDV) 20 MG/ML",25,"ML","VL","IV","ML",20,"MG",1,2/27/2008,,,,,,,
"61703035038","61703-0350-38",,"J9250",,6/27/2005,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (MDV,5X2ML) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,6/27/2005,,,,,,,
"61703035618","61703-0356-18",,"J2430",,12/15/2006,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","NOVAPLUS PAMIDRONATE DISODIUM (SDV) 9 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.3,12/15/2006,,,,,,,
"61703035901","61703-0359-01",,"J9178",,4/10/2008,,"INJECTION, EPIRUBICIN HCL, 2 MG","NOVAPLUS EPIRUBICIN HYDROCHLORIDE (1X25ML,SINGLE USE,PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,4/10/2008,,,,,,,
"61703035902","61703-0359-02",,"J9178",,4/10/2008,,"INJECTION, EPIRUBICIN HCL, 2 MG","NOVAPLUS EPIRUBICIN HYDROCHLORIDE (1X100ML,SINGLE USE,PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,4/10/2008,,,,,,,
"61703035959","61703-0359-59",,"J9178",,8/8/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,8/8/2007,,,,,,,
"61703035991","61703-0359-91",,"J9178",,3/13/2008,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (1X75ML,SINGLE USE,PF) 2 MG/ML",75,"ML","VL","IV","ML",2,"MG",1,3/13/2008,,,,,,,
"61703035992","61703-0359-92",,"J9178",,3/13/2008,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (1X5ML,SINGLE USE,PF) 2 MG/ML",5,"ML","VL","IV","ML",2,"MG",1,3/13/2008,,,,,,,
"61703035993","61703-0359-93",,"J9178",,8/8/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,8/8/2007,,,,,,,
"61703036018","61703-0360-18",,"J9045",,6/28/2006,,"INJECTION, CARBOPLATIN, 50 MG","NOVAPLUS CARBOPLATIN (MDV) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,6/28/2006,,,,,,,
"61703036022","61703-0360-22",,"J9045",,6/28/2006,,"INJECTION, CARBOPLATIN, 50 MG","NOVAPLUS CARBOPLATIN (MDV) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,6/28/2006,,,,,,,
"61703036050","61703-0360-50",,"J9045",,6/28/2006,,"INJECTION, CARBOPLATIN, 50 MG","NOVAPLUS CARBOPLATIN (MDV) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,6/28/2006,,,,,,,
"61703040707","61703-0407-07",,"J9250",,1/1/2002,5/24/2002,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"61703040732","61703-0407-32",,"J9250",,1/1/2002,5/24/2002,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"61703040804","61703-0408-04",,"J9250",,1/1/2002,5/24/2002,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",4,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"61703040807","61703-0408-07",,"J9250",,1/1/2002,5/24/2002,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"61703040813","61703-0408-13",,"J9250",,1/1/2002,5/24/2002,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",8,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"61703040822","61703-0408-22",,"J9250",,4/9/2004,1/17/2005,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",20,"ML","VL","IJ","ML",5,"MG",5,4/9/2004,,,,,,,
"61703040832","61703-0408-32",,"J9250",,1/1/2002,5/24/2002,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"61703040841","61703-0408-41",,"J9250",,4/9/2004,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (SDV,PF) 25 MG/ML",40,"ML","VL","IJ","ML",5,"MG",5,6/27/2005,,4/9/2004,1/17/2005,5,,,
"61703040858","61703-0408-58",,"J9250",,4/9/2004,1/17/2005,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",8,"ML","VL","IJ","ML",5,"MG",5,4/9/2004,,,,,,,
"61703040932","61703-0409-32",,"J9190",,1/1/2002,1/17/2005,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (VIAL) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,4/9/2004,,1/1/2002,5/24/2002,0.1,,,
"61703040953","61703-0409-53",,"J9190",,4/9/2004,1/17/2005,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (VIAL) 50 MG/ML",5,"ML","VL","IV","ML",500,"MG",0.1,4/9/2004,,,,,,,
"61703040967","61703-0409-67",,"J9190",,4/9/2004,1/17/2005,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (VIAL) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,4/9/2004,,,,,,,
"61703041050","61703-0410-50",,"J0640",,1/1/2002,1/17/2005,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (S.D.V.,PF) 200 MG",1,"EA","VL","IJ","EA",50,"MG",4,4/9/2004,,1/1/2002,5/24/2002,4,,,
"61703041463","61703-0414-63",,"J1450",,6/9/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (PVC FLEXIBLE BAGS) 200 MG/100 ML",100,"ML","PC","IV","ML",200,"MG",0.01,6/9/2004,,,,,,,
"61703041464","61703-0414-64",,"J1450",,6/9/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (PVC FLEXIBLE BAGS) 400 MG/200 ML",200,"ML","PC","IV","ML",200,"MG",0.01,6/9/2004,,,,,,,
"61703041549","61703-0415-49",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON AND DEXTROSE (SINGLE-USE,6X50ML,PF) 32 MG/50 ML",50,"ML","NA","IV","ML",1,"MG",0.64,12/26/2006,,,,,,,
"61703042594","61703-0425-94",,"J1170",,3/7/2006,5/8/2007,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (USP,25X1ML UNIAMP,PF) 10 MG/ML",1,"ML","AM","IJ","ML",4,"MG",2.5,3/7/2006,,,,,,,
"61703042595","61703-0425-95",,"J1170",,3/7/2006,5/8/2007,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HYDROCHLORIDE (USP,SDA,10X5ML,PF) 10 MG/ML",5,"ML","AM","IJ","ML",4,"MG",2.5,3/7/2006,,,,,,,
"61772000201","61772-0002-01",,"J7310",,1/1/2002,7/25/2005,"GANCICLOVIR, 4.5 MG, LONG-ACTING IMPLANT","VITRASERT 4.5 MG",1,"EA","BX","IO","EA",4.5,"MG",1,1/1/2002,,,,,,,
"61787057804","61787-0578-04",,"Q0163",,1/1/2002,2/3/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","KOSHER CARE ALLERGY RELIEF 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"61799010131","61799-0101-31",,"J0286",,1/1/2002,12/31/2002,"INJECTION, AMPHOTERICIN B, ANY LIPID FORMULATION, 50 MG","ABELCET 5 MG/ML",10,"ML","VL","IV","ML",50,"MG",0.1,1/1/2002,,,,,,,
"61799010131","61799-0101-31",,"J0287",,1/1/2003,1/2/2003,"INJECTION, AMPHOTERICIN B LIPID COMPLEX, 10 MG","ABELCET 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,1/1/2003,,,,,,,
"61799010141","61799-0101-41",,"J0286",,1/1/2002,12/31/2002,"INJECTION, AMPHOTERICIN B, ANY LIPID FORMULATION, 50 MG","ABELCET 5 MG/ML",20,"ML","VL","IV","ML",50,"MG",0.1,1/1/2002,,,,,,,
"61799010141","61799-0101-41",,"J0287",,1/1/2003,11/14/2004,"INJECTION, AMPHOTERICIN B LIPID COMPLEX, 10 MG","ABELCET 5 MG/ML",20,"ML","VL","IV","ML",10,"MG",0.5,12/16/2003,,1/1/2003,12/15/2003,0.5,,,
"61953000301","61953-0003-01",,"J1572",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA 5% (0.5 GM/VIAL,PF) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"61953000301","61953-0003-01",,"Q4091",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA 5% (0.5 GM/VIAL,PF) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"61953000302","61953-0003-02",,"J1572",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA 5% (2.5 GM/VIAL,PF) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"61953000302","61953-0003-02",,"Q4091",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA 5% (2.5 GM/VIAL,PF) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"61953000303","61953-0003-03",,"J1572",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA 5% (5 GM/VIAL,PF) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"61953000303","61953-0003-03",,"Q4091",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA 5% (5 GM/VIAL,PF) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"61953000304","61953-0003-04",,"J1572",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA 5% (10 GM/VIAL,PF) 50 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"61953000304","61953-0003-04",,"Q4091",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA 5% (10 GM/VIAL,PF) 50 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"61953000401","61953-0004-01",,"J1572",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",10,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"61953000401","61953-0004-01",,"Q4091",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",10,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"61953000402","61953-0004-02",,"J1572",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",50,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"61953000402","61953-0004-02",,"Q4091",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",50,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"61953000403","61953-0004-03",,"J1572",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",100,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"61953000403","61953-0004-03",,"Q4091",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",100,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"61953000404","61953-0004-04",,"J1572",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",200,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"61953000404","61953-0004-04",,"Q4091",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",200,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"61953000405","61953-0004-05",,"J1572",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",400,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"61953000405","61953-0004-05",,"Q4091",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","FLEBOGAMMA (DIF,PF) 5 GM/100 ML",400,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"61958010101","61958-0101-01",,"J0740",,1/1/2002,,"INJECTION, CIDOFOVIR, 375 MG","VISTIDE (S.D.V.,PF) 75 MG/ML",5,"ML","VL","IV","ML",375,"MG",0.2,1/1/2002,,,,,,,
"61958030101","61958-0301-01",,"J9151",,1/1/2002,,"INJECTION, DAUNORUBICIN CITRATE, LIPOSOMAL FORMULATION, 10 MG","DAUNOXOME (S.D.V.,PF) 2 MG/ML",25,"ML","VL","IV","ML",10,"MG",0.2,1/1/2002,,,,,,,
"62033020410","62033-0204-10",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"62033020414","62033-0204-14",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",400,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"62053053425","62053-0534-25",,"J7511",,1/1/2002,11/30/2005,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, RABBIT, PARENTERAL, 25MG","THYMOGLOBULIN (VIAL,DILUENT) 25 MG",1,"EA","VL","IV","EA",25,"MG",1,1/1/2002,,,,,,,
"62086014550","62086-0145-50",,"J1212",,10/30/2003,6/30/2005,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE 50%",50,"ML","VL","IL","ML",50,"%",0.02,10/30/2003,,,,,,,
"62086014720","62086-0147-20",,"J3520",,10/30/2003,6/30/2005,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (S.D.V.) 150 MG/ML",20,"ML","VL","IV","ML",150,"MG",1,10/30/2003,,,,,,,
"62086015303","62086-0153-03",,"J0282",,10/30/2003,6/30/2005,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,10/30/2003,,,,,,,
"62086015410","62086-0154-10",,"J2550",,10/30/2003,6/30/2005,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (M.D.V.) 25 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.5,10/30/2003,,,,,,,
"62161000334","62161-0003-34",,"J1451",,1/1/2006,,"INJECTION, FOMEPIZOLE, 15 MG","ANTIZOL (PF) 1 GM/ML",1.5,"ML","VL","IV","ML",15,"MG",66.66666,1/1/2006,,,,,,,
"62161000334","62161-0003-34",,"Q2008",,1/1/2002,12/31/2005,"INJECTION, FOMEPIZOLE, 15 MG","ANTIZOL (PF) 1 GM/ML",1.5,"ML","VL","IV","ML",15,"MG",66.66666,1/1/2002,,,,,,,
"62161000538","62161-0005-38",,"J9999",,1/1/2002,6/9/2004,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","BUSULFEX (AMP) 6 MG/ML",10,"ML","AM","IV","ML",1,"EA",1,6/3/2003,,1/1/2002,6/2/2003,1,,,
"62161000710","62161-0007-10",,"Q2002",,1/1/2002,5/27/2003,"INJECTION, ELLIOTTS B SOLUTION, PER ML","ELLIOTS B (FOR INTRATHECAL USE,P.F)",10,"ML","AM","IV","ML",1,"ML",1,1/1/2002,,,,,,,
"62263041411","62263-0414-11",,"J0285",,9/7/2004,10/28/2008,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B",1,"EA","BO","NA","GM",50,"MG",20,9/7/2004,10/28/2008,,,,,,
"62269027524","62269-0275-24",,"Q0164",,1/1/2002,7/24/2002,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"62269027624","62269-0276-24",,"Q0165",,1/1/2002,7/24/2002,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,1/1/2002,,,,,,,
"62269035121","62269-0351-21",,"J7509",,1/1/2002,4/3/2003,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (UNIT OF USE) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"62269035124","62269-0351-24",,"J7509",,1/1/2002,4/3/2003,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"62541011001","62541-0110-01",,"J0275",,1/1/2002,,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 125 MCG",1,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"62541011006","62541-0110-06",,"J0275",,1/1/2002,,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 125 MCG",6,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"62541012001","62541-0120-01",,"J0275",,1/1/2002,,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 250 MCG",1,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"62541012006","62541-0120-06",,"J0275",,1/1/2002,,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 250 MCG",6,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"62541013001","62541-0130-01",,"J0275",,1/1/2002,,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 500 MCG",1,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"62541013006","62541-0130-06",,"J0275",,1/1/2002,,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 500 MCG",6,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"62541014001","62541-0140-01",,"J0275",,1/1/2002,,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 1000 MCG",1,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"62541014006","62541-0140-06",,"J0275",,1/1/2002,,"ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","MUSE 1000 MCG",6,"EA","BX","UR","EA",1,"EA",1,1/1/2002,,,,,,,
"62584078201","62584-0782-01",,,,4/3/1997,4/7/1998,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,4/3/1997,,,,,,,
"62584082721","62584-0827-21",,"J7502",,10/19/2006,,"CYCLOSPORINE, ORAL, 100 MG","CYCLOSPORINE (USP,3X10) 100 MG",30,"EA","BX","PO","EA",100,"MG",1,10/19/2006,,,,,,,
"62682102102","62682-1021-02",,"J8499",,4/30/2002,1/1/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","NA","PO","EA",1,"EA",1,4/30/2002,,,,,,,
"62701001001","62701-0010-01",,"J9280",,1/1/2002,1/1/2007,"MITOMYCIN, 5 MG","MITOMYCIN (VIAL) 5 MG",1,"EA","VL","IV","EA",5,"MG",1,1/1/2002,1/1/2007,,,,,,
"62701001101","62701-0011-01",,"J9290",,1/1/2002,,"MITOMYCIN, 20 MG","MITOMYCIN (VIAL) 20 MG",1,"EA","VL","IV","EA",20,"MG",1,1/1/2002,,,,,,,
"62701080001","62701-0800-01",,"J9268",,1/1/2002,8/15/2007,"INJECTION, PENTOSTATIN, 10 MG","NIPENT (S.D.V.) 10 MG",1,"EA","VL","IV","EA",10,"MG",1,1/1/2002,,,,,,,
"62701094036","62701-0940-36",,,,9/11/1996,12/23/1998,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",36,"EA","BO","PO","EA",2.5,"MG",1,9/11/1996,,,,,,,
"62701094099","62701-0940-99",,,,9/11/1996,12/23/1998,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,9/11/1996,,,,,,,
"62756013001","62756-0130-01",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,6/25/2007,,,,,,,
"62756013101","62756-0131-01",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"62756018101","62756-0181-01",,"J2405",,12/27/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (5X2ML,SDA,USP) 2 MG/ML",2,"ML","AM","IJ","ML",1,"MG",2,12/27/2006,,,,,,,
"62756018201","62756-0182-01",,"J2405",,12/27/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (MDV,USP) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,12/27/2006,,,,,,,
"62756024064","62756-0240-64",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON 4 MG",30,"EA","BX","PO","EA",8,"MG",0.5,6/25/2007,,,,,,,
"62756035664","62756-0356-64",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON 8 MG",30,"EA","BX","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"62756035666","62756-0356-66",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON 8 MG",10,"EA","BX","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"62756058140","62756-0581-40",,"J0207",,3/26/2008,,"INJECTION, AMIFOSTINE, 500 MG","AMIFOSTINE (USP) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,3/26/2008,,,,,,,
"62756058142","62756-0581-42",,"J0207",,3/26/2008,,"INJECTION, AMIFOSTINE, 500 MG","AMIFOSTINE (USP) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,3/26/2008,,,,,,,
"62794025513","62794-0255-13",,"J3490",,6/21/2004,12/14/2006,"UNCLASSIFIED DRUGS","APOKYN (CARTRIDGE) 10 MG/ML",3,"ML","CT","SC","ML",1,"EA",1,6/21/2004,,,,,,,
"62794025537","62794-0255-37",,"J3490",,6/21/2004,12/14/2006,"UNCLASSIFIED DRUGS","APOKYN (CARTRIDGE) 10 MG/ML",3,"ML","CT","SC","ML",1,"EA",1,6/21/2004,,,,,,,
"62794031131","62794-0311-31",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"62794031197","62794-0311-97",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"62794031331","62794-0313-31",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"62794031397","62794-0313-97",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"62794031531","62794-0315-31",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"62794031597","62794-0315-97",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"62794040131","62794-0401-31",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","ACYCLOVIR SODIUM (S.D.V.) 50 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"62794040197","62794-0401-97",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","ACYCLOVIR SODIUM (S.D.V.) 50 MG/ML",10,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"62794040331","62794-0403-31",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","ACYCLOVIR SODIUM (S.D.V.) 50 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"62794040397","62794-0403-97",,"J3490",,1/1/2002,6/30/2002,"UNCLASSIFIED DRUGS","ACYCLOVIR SODIUM (S.D.V.) 50 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"62856010110","62856-0101-10",,"J1645",,11/20/2006,,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (27GX1/2""W/NDLGUARD) 10000 IU/ML",1,"ML","SR","SC","ML",2500,"IU",4,11/20/2006,,,,,,,
"62856010201","62856-0102-01",,"J1645",,7/10/2006,,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (MDV) 10000 IU/ML",9.5,"ML","VL","SC","ML",2500,"IU",4,7/10/2006,,,,,,,
"62856012510","62856-0125-10",,"J1645",,8/25/2007,,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (SINGLE DOSE,PF) 12500 IU/0.5 ML",0.5,"ML","SR","SC","ML",2500,"IU",10,8/25/2007,,,,,,,
"62856015010","62856-0150-10",,"J1645",,8/25/2007,,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (SINGLE DOSE,PF) 15000 IU/0.6 ML",0.6,"ML","SR","SC","ML",2500,"IU",10.66666,8/25/2007,,,,,,,
"62856018010","62856-0180-10",,"J1645",,8/25/2007,,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (SINGLE DOSE,PF) 18000 IU/0.72 ML",0.72,"ML","SR","SC","ML",2500,"IU",10,8/25/2007,,,,,,,
"62856025010","62856-0250-10",,"J1645",,6/26/2007,,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (10X0.2ML,PF) 2500 IU/0.2 ML",0.2,"ML","SR","SC","ML",2500,"IU",5,6/26/2007,,,,,,,
"62856025101","62856-0251-01",,"J1645",,11/20/2006,,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (MDV) 25000 IU/ML",3.8,"ML","VL","SC","ML",2500,"IU",10,11/20/2006,,,,,,,
"62856050010","62856-0500-10",,"J1645",,10/10/2006,,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (27GX1/2"",10X0.2ML,PF) 5000 IU/0.2 ML",0.2,"ML","SR","SC","ML",2500,"IU",10,10/10/2006,,,,,,,
"62856060301","62856-0603-01",,"J9160",,1/17/2008,,"INJECTION, DENILEUKIN DIFTITOX, 300 MICROGRAMS","ONTAK (2ML,SINGLE USE) 150 MCG/ML",2,"ML","VL","IV","ML",300,"MCG",0.5,1/17/2008,,,,,,,
"62856075010","62856-0750-10",,"J1645",,2/6/2007,,"INJECTION, DALTEPARIN SODIUM, PER 2500 IU","FRAGMIN (PREFILLED) 7500 IU/0.3 ML",0.3,"ML","SR","SC","ML",2500,"IU",10,2/6/2007,,,,,,,
"62856079801","62856-0798-01",,"J2469",,4/1/2009,,"INJECTION, PALONOSETRON HCL, 25 MCG","ALOXI (SINGLE-USE) 0.05 MG/ML",1.5,"ML","EA","IV","ML",25,"MCG",2,4/1/2009,,,,,,,
"62927062104","62927-0621-04",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (BANANA) 25 MG/5 ML",120,"ML","EA","PO","ML",25,"MG",0.2,1/1/2002,,,,,,,
"62927062116","62927-0621-16",,"Q0177",,1/1/2002,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE (BANANA) 25 MG/5 ML",480,"ML","EA","PO","ML",25,"MG",0.2,1/1/2002,,,,,,,
"62991100301","62991-1003-01",,"J7608",,1/1/2002,11/1/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"62991100301","62991-1003-01","KO","J7608","KO",1/1/2002,11/1/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2002,,,,,,,
"62991100302","62991-1003-02",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"62991100302","62991-1003-02",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991100302","62991-1003-02","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"62991100303","62991-1003-03",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"62991100303","62991-1003-03",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991100303","62991-1003-03","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"62991100304","62991-1003-04",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"62991100304","62991-1003-04",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991100304","62991-1003-04","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"62991100305","62991-1003-05",,"J7608",,9/15/2003,12/31/2006,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,9/15/2003,,,,,,,
"62991100305","62991-1003-05",,"J7699",,1/1/2007,10/1/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991100305","62991-1003-05","KO","J7608","KO",9/15/2003,12/31/2006,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,9/15/2003,,,,,,,
"62991100401","62991-1004-01",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"62991100401","62991-1004-01",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"62991100402","62991-1004-02",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"62991100402","62991-1004-02",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"62991100403","62991-1004-03",,"J7799",,9/15/2003,9/30/2003,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/15/2003,,,,,,,
"62991100403","62991-1004-03",,"Q4075",,10/1/2003,11/1/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"62991100601","62991-1006-01",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991100601","62991-1006-01",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"62991100601","62991-1006-01","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991100601","62991-1006-01","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"62991100602","62991-1006-02",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991100602","62991-1006-02",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"62991100602","62991-1006-02","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991100602","62991-1006-02","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"62991100603","62991-1006-03",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991100603","62991-1006-03",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"62991100603","62991-1006-03","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991100603","62991-1006-03","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"62991100604","62991-1006-04",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991100604","62991-1006-04",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"62991100604","62991-1006-04","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991100604","62991-1006-04","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P., MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"62991101201","62991-1012-01",,"J7636",,1/1/2002,11/1/2005,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991101201","62991-1012-01","KO","J7636","KO",1/1/2002,11/1/2005,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991101202","62991-1012-02",,"J7636",,1/1/2002,11/1/2005,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991101202","62991-1012-02","KO","J7636","KO",1/1/2002,11/1/2005,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991101203","62991-1012-03",,"J7636",,1/1/2002,11/1/2005,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991101203","62991-1012-03","KO","J7636","KO",1/1/2002,11/1/2005,"ATROPINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","ATROPINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991101301","62991-1013-01",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991101302","62991-1013-02",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991101303","62991-1013-03",,"J0475",,1/1/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991101304","62991-1013-04",,"J0475",,9/15/2003,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/15/2003,,,,,,,
"62991102001","62991-1020-01",,"J7622",,1/1/2002,10/1/2007,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102001","62991-1020-01","KO","J7622","KO",1/1/2002,10/1/2007,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102002","62991-1020-02",,"J7622",,1/1/2002,10/1/2007,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102002","62991-1020-02","KO","J7622","KO",1/1/2002,10/1/2007,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102003","62991-1020-03",,"J7622",,9/15/2003,10/1/2007,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE MICRONIZED",1,"EA","NA","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991102003","62991-1020-03","KO","J7622","KO",9/15/2003,10/1/2007,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROPIONATE MICRONIZED",1,"EA","NA","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991102101","62991-1021-01",,"J3490",,1/1/2002,11/1/2005,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P./N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991102102","62991-1021-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P./N.F.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991102104","62991-1021-04",,"J3490",,9/15/2003,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/15/2003,,,,,,,
"62991102301","62991-1023-01",,"J7624",,1/1/2002,10/1/2007,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102301","62991-1023-01","KO","J7624","KO",1/1/2002,10/1/2007,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102302","62991-1023-02",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102302","62991-1023-02","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102303","62991-1023-03",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102303","62991-1023-03","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102401","62991-1024-01",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102401","62991-1024-01","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102402","62991-1024-02",,"J7624",,1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102402","62991-1024-02","KO","J7624","KO",1/1/2002,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991102404","62991-1024-04",,"J7624",,9/15/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P., 25)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991102404","62991-1024-04","KO","J7624","KO",9/15/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P., 25)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991102405","62991-1024-05",,"J7624",,9/15/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P., 25)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991102405","62991-1024-05","KO","J7624","KO",9/15/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P., 25)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991103801","62991-1038-01",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"62991103801","62991-1038-01",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991103801","62991-1038-01","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"62991103802","62991-1038-02",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"62991103802","62991-1038-02",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991103802","62991-1038-02","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"62991103803","62991-1038-03",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"62991103803","62991-1038-03",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991103803","62991-1038-03","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"62991103804","62991-1038-04",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"62991103804","62991-1038-04",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991103804","62991-1038-04","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"62991103901","62991-1039-01",,"J3420",,1/1/2002,10/1/2007,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,1/1/2002,,,,,,,
"62991103902","62991-1039-02",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,1/1/2002,,,,,,,
"62991103903","62991-1039-03",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (U.S.P.)",1,"EA","BO","NA","GM",1000,"MCG",1000,1/1/2002,,,,,,,
"62991104101","62991-1041-01",,"J7638",,1/1/2002,11/1/2005,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991104101","62991-1041-01","KO","J7638","KO",1/1/2002,11/1/2005,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991104102","62991-1041-02",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991104102","62991-1041-02","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991104103","62991-1041-03",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991104103","62991-1041-03","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991104104","62991-1041-04",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991104104","62991-1041-04","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991104105","62991-1041-05",,"J7638",,9/15/2003,11/1/2005,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991104105","62991-1041-05","KO","J7638","KO",9/15/2003,11/1/2005,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991104702","62991-1047-02",,"J1200",,1/1/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (U.S.P.)",1,"EA","VL","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"62991105101","62991-1051-01",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991105102","62991-1051-02",,"J1435",,1/1/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991105103","62991-1051-03",,"J1435",,9/15/2003,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991105104","62991-1051-04",,"J1435",,9/15/2003,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991107201","62991-1072-01",,"J7699",,9/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2002,,,,,,,
"62991107202","62991-1072-02",,"J7699",,9/1/2002,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2002,,,,,,,
"62991107203","62991-1072-03",,"J7699",,9/1/2002,10/1/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2002,,,,,,,
"62991107801","62991-1078-01",,"J1700",,1/1/2002,10/1/2007,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"62991107802","62991-1078-02",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"62991107803","62991-1078-03",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"62991107804","62991-1078-04",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"62991107805","62991-1078-05",,"J1700",,1/1/2002,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"62991108501","62991-1085-01",,"J7644",,1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991108501","62991-1085-01",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108501","62991-1085-01","KO","J7644","KO",1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991108501","62991-1085-01","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108502","62991-1085-02",,"J7644",,1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991108502","62991-1085-02",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108502","62991-1085-02","KO","J7644","KO",1/1/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991108502","62991-1085-02","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108503","62991-1085-03",,"J7644",,9/15/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991108503","62991-1085-03",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108503","62991-1085-03","KO","J7644","KO",9/15/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991108503","62991-1085-03","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108504","62991-1085-04",,"J7644",,9/15/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991108504","62991-1085-04",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108504","62991-1085-04","KO","J7644","KO",9/15/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991108504","62991-1085-04","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108505","62991-1085-05",,"J7644",,9/15/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991108505","62991-1085-05",,"J7645",,1/1/2007,10/1/2007,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108505","62991-1085-05","KO","J7644","KO",9/15/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991108505","62991-1085-05","KO","J7645","KO",1/1/2007,10/1/2007,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108506","62991-1085-06",,"J7644",,9/15/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991108506","62991-1085-06",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991108506","62991-1085-06","KO","J7644","KO",9/15/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991108506","62991-1085-06","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE MICRONIZED (PH. EUR)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991109501","62991-1095-01",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P., B.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"62991109501","62991-1095-01",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P., B.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"62991109502","62991-1095-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P., B.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"62991109502","62991-1095-02",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P., B.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"62991109503","62991-1095-03",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P., B.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"62991109503","62991-1095-03",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P., B.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"62991109504","62991-1095-04",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P., B.P.)",1,"EA","BO","NA","GM",50,"ML",4,1/1/2002,,,,,,,
"62991109504","62991-1095-04",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P., B.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"62991109506","62991-1095-06",,"J2001",,4/1/2008,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (USP)",1,"EA","BO","NA","GM",10,"MG",100,4/1/2008,,,,,,,
"62991109901","62991-1099-01",,"J7669",,1/1/2002,11/1/2005,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991109901","62991-1099-01","KO","J7669","KO",1/1/2002,11/1/2005,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991109902","62991-1099-02",,"J7669",,1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991109902","62991-1099-02",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"62991109902","62991-1099-02","KO","J7669","KO",1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991109902","62991-1099-02","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"62991109903","62991-1099-03",,"J7669",,1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991109903","62991-1099-03",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"62991109903","62991-1099-03","KO","J7669","KO",1/1/2002,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991109903","62991-1099-03","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"62991109904","62991-1099-04",,"J7669",,9/15/2003,11/1/2005,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/15/2003,,,,,,,
"62991109904","62991-1099-04","KO","J7669","KO",9/15/2003,11/1/2005,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/15/2003,,,,,,,
"62991110801","62991-1108-01",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"62991110802","62991-1108-02",,"J2760",,1/1/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"62991110803","62991-1108-03",,"J2760",,9/15/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/15/2003,,,,,,,
"62991110804","62991-1108-04",,"J2760",,9/15/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/15/2003,,,,,,,
"62991112201","62991-1122-01",,"Q0165",,1/1/2002,9/1/2004,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991112202","62991-1122-02",,"Q0165",,1/1/2002,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991112203","62991-1122-03",,"J2675",,9/15/2003,9/30/2007,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (YAM)",1,"EA","NA","NA","GM",50,"MG",20,9/15/2003,,,,,,,
"62991112204","62991-1122-04",,"Q0165",,9/15/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,9/15/2003,,,,,,,
"62991112205","62991-1122-05",,"J2675",,9/15/2003,9/30/2007,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (YAM)",1,"EA","NA","NA","GM",50,"MG",20,9/15/2003,,,,,,,
"62991112401","62991-1124-01",,"J2675",,1/1/2002,11/1/2005,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"62991112402","62991-1124-02",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"62991112403","62991-1124-03",,"J2675",,10/1/2007,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,10/1/2007,,,,,,,
"62991112405","62991-1124-05",,"J2675",,10/1/2007,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,10/1/2007,,,,,,,
"62991112501","62991-1125-01",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"62991112502","62991-1125-02",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"62991112504","62991-1125-04",,"J2550",,1/1/2002,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"62991112802","62991-1128-02",,"J0270",,9/15/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,9/15/2003,,,,,,,
"62991112806","62991-1128-06",,"J0270",,9/15/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,9/15/2003,,,,,,,
"62991112807","62991-1128-07",,"J0270",,9/15/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,9/15/2003,,,,,,,
"62991112808","62991-1128-08",,"J0270",,9/15/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,9/15/2003,,,,,,,
"62991113001","62991-1130-01",,"J3415",,1/1/2004,11/1/2005,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"62991113001","62991-1130-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991113002","62991-1130-02",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"62991113002","62991-1130-02",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991113003","62991-1130-03",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2004,,,,,,,
"62991113003","62991-1130-03",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991113201","62991-1132-01",,"J2780",,9/15/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/15/2003,,,,,,,
"62991113202","62991-1132-02",,"J2780",,9/15/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/15/2003,,,,,,,
"62991113203","62991-1132-03",,"J2780",,9/15/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/15/2003,,,,,,,
"62991113204","62991-1132-04",,"J2780",,9/15/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,9/15/2003,,,,,,,
"62991113301","62991-1133-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991113302","62991-1133-02",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991113303","62991-1133-03",,"J3490",,1/1/2002,10/1/2007,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991113304","62991-1133-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","RIFAMPIN (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991115201","62991-1152-01",,"J7681",,1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991115201","62991-1152-01","KO","J7681","KO",1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991115202","62991-1152-02",,"J7681",,1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991115202","62991-1152-02","KO","J7681","KO",1/1/2002,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991115601","62991-1156-01",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,BP,EP,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991115601","62991-1156-01","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,BP,EP,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991115602","62991-1156-02",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,BP,EP,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991115602","62991-1156-02","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,BP,EP,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991115603","62991-1156-03",,"J7684",,1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,BP,EP,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991115603","62991-1156-03","KO","J7684","KO",1/1/2002,,"TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TRIAMCINOLONE ACETONIDE (U.S.P.,BP,EP,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991117301","62991-1173-01",,"J0285",,1/1/2002,9/1/2004,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P., ORAL GRADE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2002,,,,,,,
"62991117302","62991-1173-02",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P., ORAL GRADE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2008,,1/1/2002,9/1/2004,20,,,
"62991117304","62991-1173-04",,"J0285",,1/1/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P., ORAL GRADE)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2008,,1/1/2002,9/1/2004,20,,,
"62991117305","62991-1173-05",,"J0285",,1/1/2008,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (USP)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2008,,,,,,,
"62991117901","62991-1179-01",,"J7626",,5/30/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.25,"MG",2000,5/30/2002,,,,,,,
"62991117901","62991-1179-01",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991117901","62991-1179-01","KO","J7626","KO",5/30/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.25,"MG",2000,5/30/2002,,,,,,,
"62991117901","62991-1179-01","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991117902","62991-1179-02",,"J7626",,5/30/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.25,"MG",2000,5/30/2002,,,,,,,
"62991117902","62991-1179-02",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991117902","62991-1179-02","KO","J7626","KO",5/30/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.25,"MG",2000,5/30/2002,,,,,,,
"62991117902","62991-1179-02","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991117903","62991-1179-03",,"J7626",,5/30/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.25,"MG",2000,5/30/2002,,,,,,,
"62991117903","62991-1179-03",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991117903","62991-1179-03","KO","J7626","KO",5/30/2002,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.25,"MG",2000,5/30/2002,,,,,,,
"62991117903","62991-1179-03","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991117905","62991-1179-05",,"J7626",,9/15/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.25,"MG",2000,9/15/2003,,,,,,,
"62991117905","62991-1179-05",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991117905","62991-1179-05","KO","J7626","KO",9/15/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.25,"MG",2000,9/15/2003,,,,,,,
"62991117905","62991-1179-05","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED (EP)",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991118901","62991-1189-01",,"J1110",,1/1/2002,9/1/2004,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991118902","62991-1189-02",,"J1110",,1/1/2002,9/1/2004,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","DIHYDROERGOTAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991120001","62991-1200-01",,"J8610",,1/1/2002,9/1/2004,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,1/1/2002,,,,,,,
"62991120002","62991-1200-02",,"J8610",,1/1/2002,9/1/2004,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,1/1/2002,,,,,,,
"62991120301","62991-1203-01",,"J2440",,1/1/2002,11/1/2005,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"62991120302","62991-1203-02",,"J2440",,1/1/2002,10/1/2007,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,1/1/2002,,,,,,,
"62991120304","62991-1203-04",,"J2440",,9/15/2003,10/1/2007,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,9/15/2003,,,,,,,
"62991120601","62991-1206-01",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"62991120602","62991-1206-02",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"62991122901","62991-1229-01",,"J0760",,1/1/2002,9/1/2004,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991122902","62991-1229-02",,"J0760",,1/1/2002,9/1/2004,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991122903","62991-1229-03",,"J0760",,1/1/2002,9/1/2004,"INJECTION, COLCHICINE, PER 1MG","COLCHICINE",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991123601","62991-1236-01",,"J1330",,1/1/2002,9/1/2003,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"62991123602","62991-1236-02",,"J1330",,1/1/2002,9/1/2003,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGONOVINE MALEATE (U.S.P.)",1,"EA","BO","NA","GM",0.2,"MG",5000,1/1/2002,,,,,,,
"62991125401","62991-1254-01",,"J1165",,9/15/2003,10/1/2007,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (BP)",1,"EA","BO","NA","GM",50,"MG",20,9/15/2003,,,,,,,
"62991125402","62991-1254-02",,"J1165",,9/15/2003,10/1/2007,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (BP)",1,"EA","BO","NA","GM",50,"MG",20,9/15/2003,,,,,,,
"62991125403","62991-1254-03",,"J1165",,9/15/2003,10/1/2007,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (BP)",1,"EA","BO","NA","GM",50,"MG",20,9/15/2003,,,,,,,
"62991125701","62991-1257-01",,"J7510",,1/1/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"62991125702","62991-1257-02",,"J7510",,9/15/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE ANHYDROUS (U.S.P., MICRO)",1,"EA","NA","NA","GM",5,"MG",200,9/15/2003,,,,,,,
"62991135101","62991-1351-01",,"J7682",,1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"62991135101","62991-1351-01",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135101","62991-1351-01","KO","J7682","KO",1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"62991135101","62991-1351-01","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135102","62991-1351-02",,"J7682",,1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"62991135102","62991-1351-02",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135102","62991-1351-02","KO","J7682","KO",1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"62991135102","62991-1351-02","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135103","62991-1351-03",,"J7682",,1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"62991135103","62991-1351-03",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135103","62991-1351-03","KO","J7682","KO",1/1/2002,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2002,,,,,,,
"62991135103","62991-1351-03","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135104","62991-1351-04",,"J7682",,9/15/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/15/2003,,,,,,,
"62991135104","62991-1351-04",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135104","62991-1351-04","KO","J7682","KO",9/15/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/15/2003,,,,,,,
"62991135104","62991-1351-04","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135105","62991-1351-05",,"J7682",,9/15/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/15/2003,,,,,,,
"62991135105","62991-1351-05",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135105","62991-1351-05","KO","J7682","KO",9/15/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,9/15/2003,,,,,,,
"62991135105","62991-1351-05","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"62991135201","62991-1352-01",,"J3490",,1/1/2007,,"UNCLASSIFIED DRUGS","HYALURONIC ACID",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991135201","62991-1352-01",,"J7317",,1/1/2003,12/31/2006,"SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION","HYALURONIC ACID",1,"EA","BO","NA","GM",20,"MG",40,1/1/2003,,,,,,,
"62991135202","62991-1352-02",,"J3490",,1/1/2007,,"UNCLASSIFIED DRUGS","HYALURONIC ACID",1,"EA","NA","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991135202","62991-1352-02",,"J7317",,1/1/2003,12/31/2006,"SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION","HYALURONIC ACID",1,"EA","NA","NA","GM",20,"MG",40,1/1/2003,,,,,,,
"62991135204","62991-1352-04",,"J3490",,1/1/2007,,"UNCLASSIFIED DRUGS","HYALURONIC ACID",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"62991135204","62991-1352-04",,"J7317",,9/15/2003,12/31/2006,"SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION","HYALURONIC ACID",1,"EA","BO","NA","GM",20,"MG",40,9/15/2003,,,,,,,
"62991138201","62991-1382-01",,"J3350",,1/1/2002,,"INJECTION, UREA, UP TO 40 GM","UREA (U.S.P./N.F.)",1,"EA","BO","NA","GM",40,"GM",0.025,1/1/2002,,,,,,,
"62991141201","62991-1412-01",,"J3150",,9/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2002,,,,,,,
"62991141202","62991-1412-02",,"J3150",,9/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2002,,,,,,,
"62991141203","62991-1412-03",,"J3150",,9/1/2002,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,9/1/2002,,,,,,,
"62991142201","62991-1422-01",,"J0735",,9/15/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991142202","62991-1422-02",,"J0735",,9/15/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991148601","62991-1486-01",,"J9190",,9/15/2003,11/1/2005,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,9/15/2003,,,,,,,
"62991148601","62991-1486-01","QR","J9190","QR",1/28/2005,11/1/2005,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"62991148602","62991-1486-02",,"J9190",,9/15/2003,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,9/15/2003,,,,,,,
"62991148602","62991-1486-02","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"62991148603","62991-1486-03",,"J9190",,9/15/2003,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,9/15/2003,,,,,,,
"62991148603","62991-1486-03","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"62991150901","62991-1509-01",,"J0706",,9/15/2003,10/1/2007,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,9/15/2003,,,,,,,
"62991150902","62991-1509-02",,"J0706",,9/15/2003,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATED (PURIFIED)",1,"EA","BO","NA","GM",5,"MG",200,9/15/2003,,,,,,,
"62991151301","62991-1513-01",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991151301","62991-1513-01",,"J3490",,9/15/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/15/2003,,,,,,,
"62991151302","62991-1513-02",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991151302","62991-1513-02",,"J3490",,9/15/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/15/2003,,,,,,,
"62991151303","62991-1513-03",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"62991151303","62991-1513-03",,"J3490",,9/15/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/15/2003,,,,,,,
"62991153002","62991-1530-02",,"J0520",,9/15/2003,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/15/2003,,,,,,,
"62991153003","62991-1530-03",,"J0520",,9/15/2003,,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG","BETHANECHOL CHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,9/15/2003,,,,,,,
"62991153301","62991-1533-01",,"J7516",,9/15/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORINE (U.S.P.,A)",1,"EA","BO","NA","GM",250,"MG",4,9/15/2003,,,,,,,
"62991153302","62991-1533-02",,"J7516",,9/15/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORINE (U.S.P.,A)",1,"EA","BO","NA","GM",250,"MG",4,9/15/2003,,,,,,,
"62991153305","62991-1533-05",,"J7516",,1/1/2008,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORINE (U.S.P.,A)",1,"EA","NA","NA","GM",250,"MG",4,1/1/2008,,,,,,,
"62991153601","62991-1536-01",,"J1212",,9/15/2003,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (DMSO, U.S.P.)",500,"ML","EA","NA","ML",50,"%",0.02,9/15/2003,,,,,,,
"62991153602","62991-1536-02",,"J1212",,9/15/2003,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE (DMSO, U.S.P.)",3840,"ML","EA","NA","ML",50,"%",0.02,9/15/2003,,,,,,,
"62991154901","62991-1549-01",,"J3480",,9/15/2003,10/1/2007,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.,GRANULAR)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,9/15/2003,,,,,,,
"62991154902","62991-1549-02",,"J3480",,9/15/2003,10/1/2007,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE (U.S.P.,GRANULAR)",1,"EA","BO","NA","GM",2,"MEQ",6.71141,9/15/2003,,,,,,,
"62991156801","62991-1568-01",,"J2150",,9/15/2003,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",0.08,1/1/2008,,9/15/2003,10/1/2007,0.08,,,
"62991158301","62991-1583-01",,"J0592",,9/15/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE",1,"EA","BO","NA","GM",0.1,"MG",10000,9/15/2003,,,,,,,
"62991158302","62991-1583-02",,"J0592",,9/15/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE",1,"EA","BO","NA","GM",0.1,"MG",10000,9/15/2003,,,,,,,
"62991158303","62991-1583-03",,"J0592",,9/15/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE",1,"EA","BO","NA","GM",0.1,"MG",10000,9/15/2003,,,,,,,
"62991159001","62991-1590-01",,"J7641",,9/15/2003,10/1/2007,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE MICRONIZED (U.S.P.,ANHYDROUS)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991159001","62991-1590-01","KO","J7641","KO",9/15/2003,10/1/2007,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE MICRONIZED (U.S.P.,ANHYDROUS)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991159002","62991-1590-02",,"J7641",,9/15/2003,10/1/2007,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE MICRONIZED (U.S.P.,ANHYDROUS)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991159002","62991-1590-02","KO","J7641","KO",9/15/2003,10/1/2007,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE MICRONIZED (U.S.P.,ANHYDROUS)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991159003","62991-1590-03",,"J7641",,9/15/2003,10/1/2007,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE MICRONIZED (U.S.P.,ANHYDROUS)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991159003","62991-1590-03","KO","J7641","KO",9/15/2003,10/1/2007,"FLUNISOLIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM","FLUNISOLIDE MICRONIZED (U.S.P.,ANHYDROUS)",1,"EA","BO","NA","GM",1,"MG",1000,9/15/2003,,,,,,,
"62991163501","62991-1635-01",,"J1030",,9/1/2002,11/1/2005,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2002,,,,,,,
"62991163502","62991-1635-02",,"J1030",,9/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2002,,,,,,,
"62991163503","62991-1635-03",,"J1030",,9/1/2002,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,9/1/2002,,,,,,,
"62991163504","62991-1635-04",,"J1030",,9/15/2003,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,9/15/2003,,,,,,,
"62991163505","62991-1635-05",,"J1030",,9/15/2003,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,9/15/2003,,,,,,,
"62991163506","62991-1635-06",,"J1030",,9/15/2003,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,9/15/2003,,,,,,,
"62991166202","62991-1662-02",,"J0970",,11/1/2005,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE",1,"EA","BO","NA","GM",40,"MG",25,11/1/2005,,,,,,,
"62991166203","62991-1662-03",,"J0970",,11/1/2005,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE",1,"EA","BO","NA","GM",40,"MG",25,11/1/2005,,,,,,,
"62991166204","62991-1662-04",,"J0970",,11/1/2005,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE",1,"EA","NA","NA","GM",40,"MG",25,11/1/2005,,,,,,,
"62991168201","62991-1682-01",,"J2060",,10/1/2002,7/2/2008,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM",1,"EA","BO","NA","GM",2,"MG",500,10/1/2002,,,,,,,
"62991168202","62991-1682-02",,"J2060",,10/1/2002,10/1/2007,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM",1,"EA","BO","NA","GM",2,"MG",500,10/1/2002,,,,,,,
"62991168501","62991-1685-01",,"J3490",,9/1/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2002,,,,,,,
"62991168502","62991-1685-02",,"J3490",,9/1/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2002,,,,,,,
"62991168503","62991-1685-03",,"J3490",,9/1/2002,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/1/2002,,,,,,,
"62991169201","62991-1692-01",,"J2650",,9/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE MICRONIZED",1,"EA","BO","NA","GM",1,"ML",20,9/1/2002,,,,,,,
"62991169202","62991-1692-02",,"J2650",,9/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE MICRONIZED",1,"EA","BO","NA","GM",1,"ML",20,9/1/2002,,,,,,,
"62991169203","62991-1692-03",,"J2650",,9/1/2002,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE MICRONIZED",1,"EA","BO","NA","GM",1,"ML",20,9/1/2002,,,,,,,
"62991170701","62991-1707-01",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"62991170702","62991-1707-02",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"62991170703","62991-1707-03",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"62991170704","62991-1707-04",,"J1070",,1/1/2002,9/1/2004,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"62991170705","62991-1707-05",,"J1070",,1/1/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2002,,,,,,,
"62991173801","62991-1738-01",,"J1800",,1/1/2002,9/1/2004,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991173802","62991-1738-02",,"J1800",,1/1/2002,9/1/2004,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991173803","62991-1738-03",,"J1800",,1/1/2002,9/1/2004,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991200201","62991-2002-01",,"J0278",,1/1/2006,10/1/2007,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"62991200201","62991-2002-01",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991200202","62991-2002-02",,"J0278",,1/1/2006,10/1/2007,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"62991200202","62991-2002-02",,"J3490",,1/1/2002,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991200203","62991-2002-03",,"J0278",,1/1/2006,10/1/2007,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"62991200203","62991-2002-03",,"J3490",,9/15/2003,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,9/15/2003,,,,,,,
"62991200301","62991-2003-01",,"J0280",,1/1/2002,10/1/2007,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"62991200302","62991-2003-02",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"62991200303","62991-2003-03",,"J0280",,1/1/2002,,"INJECTION, AMINOPHYLLIN, UP TO 250 MG","AMINOPHYLLINE ANHYDROUS (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,1/1/2002,,,,,,,
"62991200401","62991-2004-01",,"J1320",,1/1/2002,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"62991200402","62991-2004-02",,"J1320",,1/1/2002,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"62991200403","62991-2004-03",,"J1320",,1/1/2002,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2002,,,,,,,
"62991201201","62991-2012-01",,"J0515",,1/1/2002,9/1/2004,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","BENZTROPINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991202201","62991-2022-01",,"J7638",,1/1/2002,11/1/2005,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991202201","62991-2022-01","KO","J7638","KO",1/1/2002,11/1/2005,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991202202","62991-2022-02",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991202202","62991-2022-02","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991202203","62991-2022-03",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991202203","62991-2022-03","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991202204","62991-2022-04",,"J7638",,1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991202204","62991-2022-04","KO","J7638","KO",1/1/2002,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE (U.S.P.,MICRONIZED)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2002,,,,,,,
"62991202601","62991-2026-01",,"J3520",,1/1/2002,11/1/2005,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (U.S.P./N.F.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"62991202602","62991-2026-02",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (U.S.P./N.F.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"62991202603","62991-2026-03",,"J3520",,1/1/2002,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (U.S.P./N.F.)",1,"EA","BO","NA","GM",150,"MG",6.66666,1/1/2002,,,,,,,
"62991202604","62991-2026-04",,"J3520",,9/15/2003,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (DIHYDRATE)",1,"EA","BO","NA","GM",150,"MG",6.66666,9/15/2003,,,,,,,
"62991203101","62991-2031-01",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"62991203102","62991-2031-02",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"62991203103","62991-2031-03",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"62991203104","62991-2031-04",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2002,,,,,,,
"62991203501","62991-2035-01",,"J3410",,1/1/2002,10/1/2007,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P./N.F.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"62991203502","62991-2035-02",,"J3410",,1/1/2002,10/1/2007,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P./N.F.)",1,"EA","BO","NA","GM",25,"MG",40,1/1/2002,,,,,,,
"62991203601","62991-2036-01",,"J1980",,1/1/2002,9/1/2004,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",0.25,"MG",4000,1/1/2002,,,,,,,
"62991203602","62991-2036-02",,"J1980",,1/1/2002,9/1/2004,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",0.25,"MG",4000,1/1/2002,,,,,,,
"62991203603","62991-2036-03",,"J1980",,1/1/2002,9/1/2004,"INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG","HYOSCYAMINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",0.25,"MG",4000,1/1/2002,,,,,,,
"62991204201","62991-2042-01",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991204202","62991-2042-02",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991204203","62991-2042-03",,"J2765",,1/1/2002,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"62991204601","62991-2046-01",,"J7799",,1/1/2002,9/1/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991204602","62991-2046-02",,"J7799",,1/1/2002,9/1/2004,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","PHENYLEPHRINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"62991206802","62991-2068-02",,"J3411",,1/1/2004,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HYDROCHLORIDE (1X100GM, USP)",1,"EA","BO","NA","GM",100,"MG",10,10/1/2007,,1/1/2004,9/1/2004,10,,,
"62991206803","62991-2068-03",,"J3411",,1/1/2004,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HYDROCHLORIDE (1X500GM, USP)",1,"EA","BO","NA","GM",100,"MG",10,10/1/2007,,1/1/2004,9/1/2004,10,,,
"62991206804","62991-2068-04",,"J3411",,10/1/2007,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HYDROCHLORIDE (1X1000GM,USP)",1,"EA","NA","NA","GM",100,"MG",10,10/1/2007,,,,,,,
"62991215001","62991-2150-01",,"J3140",,9/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2002,,,,,,,
"62991215002","62991-2150-02",,"J3140",,9/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2002,,,,,,,
"62991215003","62991-2150-03",,"J3140",,9/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2002,,,,,,,
"62991215004","62991-2150-04",,"J3140",,9/1/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,9/1/2002,,,,,,,
"62991218401","62991-2184-01",,"J2675",,9/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,9/1/2002,,,,,,,
"62991218402","62991-2184-02",,"J2675",,9/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,9/1/2002,,,,,,,
"62991218403","62991-2184-03",,"J2675",,9/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,9/1/2002,,,,,,,
"62991218404","62991-2184-04",,"J2675",,9/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,9/1/2002,,,,,,,
"62991218602","62991-2186-02",,"J2321",,1/1/2008,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (USP, 1X1000GM)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2008,,,,,,,
"62991218603","62991-2186-03",,"J2321",,1/1/2008,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (USP)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2008,,,,,,,
"62991218604","62991-2186-04",,"J2321",,1/1/2008,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (USP)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2008,,,,,,,
"62991218605","62991-2186-05",,"J2321",,1/1/2008,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (USP)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2008,,,,,,,
"62991250101","62991-2501-01",,"J3490",,9/15/2003,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P., 24)",1,"EA","BO","NA","GM",1,"EA",1,9/15/2003,,,,,,,
"62991250102","62991-2501-02",,"J3490",,9/15/2003,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P., 24)",1,"EA","BO","NA","GM",1,"EA",1,9/15/2003,,,,,,,
"62991250402","62991-2504-02",,"J2675",,9/15/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (SOY, U.S.P. 23)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2008,,9/15/2003,10/1/2007,20,,,
"62991250403","62991-2504-03",,"J2675",,9/15/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (SOY, U.S.P. 23)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2008,,9/15/2003,10/1/2007,20,,,
"62991250404","62991-2504-04",,"J2675",,9/15/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (SOY, U.S.P. 23)",1,"EA","BO","NA","GM",50,"MG",20,1/1/2008,,9/15/2003,10/1/2007,20,,,
"62991251601","62991-2516-01",,"J7640",,1/1/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE",1,"EA","BO","NA","GM",12,"MCG",83333.33,1/1/2006,,,,,,,
"62991251601","62991-2516-01",,"J7699",,1/13/2003,12/31/2005,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORMOTEROL FUMARATE",1,"EA","BO","NA","GM",1,"EA",1,1/13/2003,,,,,,,
"62991251601","62991-2516-01","KO","J7640","KO",1/1/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE",1,"EA","BO","NA","GM",12,"MCG",83333.33,1/1/2006,,,,,,,
"62991251602","62991-2516-02",,"J7640",,1/1/2006,10/1/2007,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE",1,"EA","BO","NA","GM",12,"MCG",83333.33,1/1/2006,,,,,,,
"62991251602","62991-2516-02",,"J7699",,1/13/2003,12/31/2005,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORMOTEROL FUMARATE",1,"EA","BO","NA","GM",1,"EA",1,1/13/2003,,,,,,,
"62991251602","62991-2516-02","KO","J7640","KO",1/1/2006,10/1/2007,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE",1,"EA","BO","NA","GM",12,"MCG",83333.33,1/1/2006,,,,,,,
"62991251603","62991-2516-03",,"J7640",,1/1/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE",1,"EA","BO","NA","GM",12,"MCG",83333.33,1/1/2006,,,,,,,
"62991251603","62991-2516-03",,"J7699",,1/13/2003,12/31/2005,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORMOTEROL FUMARATE",1,"EA","BO","NA","GM",1,"EA",1,1/13/2003,,,,,,,
"62991251603","62991-2516-03","KO","J7640","KO",1/1/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE",1,"EA","BO","NA","GM",12,"MCG",83333.33,1/1/2006,,,,,,,
"62991252201","62991-2522-01",,"J3370",,9/15/2003,10/1/2007,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,9/15/2003,,,,,,,
"62991252202","62991-2522-02",,"J3370",,9/15/2003,10/1/2007,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,9/15/2003,,,,,,,
"62991252203","62991-2522-03",,"J3370",,9/15/2003,10/1/2007,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,9/15/2003,,,,,,,
"62991252204","62991-2522-04",,"J3370",,9/15/2003,10/1/2007,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,9/15/2003,,,,,,,
"62991254901","62991-2549-01",,"J7614",,1/1/2006,12/31/2006,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","LEVALBUTEROL HYDROCHLORIDE 100%",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991254901","62991-2549-01",,"J7615",,1/1/2007,,"LEVALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","LEVALBUTEROL HYDROCHLORIDE 100%",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2007,,,,,,,
"62991254901","62991-2549-01","KO","J7614","KO",1/1/2006,12/31/2006,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","LEVALBUTEROL HYDROCHLORIDE 100%",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991254901","62991-2549-01","KO","J7615","KO",1/1/2007,,"LEVALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","LEVALBUTEROL HYDROCHLORIDE 100%",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2007,,,,,,,
"62991254902","62991-2549-02",,"J7614",,1/1/2006,12/31/2006,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","LEVALBUTEROL HYDROCHLORIDE 100%",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991254902","62991-2549-02",,"J7615",,1/1/2007,,"LEVALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","LEVALBUTEROL HYDROCHLORIDE 100%",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2007,,,,,,,
"62991254902","62991-2549-02","KO","J7614","KO",1/1/2006,12/31/2006,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","LEVALBUTEROL HYDROCHLORIDE 100%",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"62991254902","62991-2549-02","KO","J7615","KO",1/1/2007,,"LEVALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","LEVALBUTEROL HYDROCHLORIDE 100%",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2007,,,,,,,
"62991256201","62991-2562-01",,"J1835",,11/1/2005,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","NA","NA","GM",50,"MG",20,11/1/2005,,,,,,,
"62991256202","62991-2562-02",,"J1835",,11/1/2005,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","NA","NA","GM",50,"MG",20,11/1/2005,,,,,,,
"62991256203","62991-2562-03",,"J1835",,11/1/2005,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","NA","NA","GM",50,"MG",20,11/1/2005,,,,,,,
"62991257701","62991-2577-01",,"J0456",,10/1/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN DIHYDRATE (1X1000GM,USP)",1,"EA","NA","NA","GM",500,"MG",2,10/1/2007,,,,,,,
"62991257702","62991-2577-02",,"J0456",,10/1/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN DIHYDRATE (1X100GM,USP)",1,"EA","NA","NA","GM",500,"MG",2,10/1/2007,,,,,,,
"62991257703","62991-2577-03",,"J0456",,10/1/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN DIHYDRATE (1X500GM,USP)",1,"EA","NA","NA","GM",500,"MG",2,10/1/2007,,,,,,,
"62991259901","62991-2599-01",,"J2405",,1/1/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON HYDROCHLORIDE (1X100GM)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2006,,,,,,,
"62991259902","62991-2599-02",,"J2405",,1/1/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON HYDROCHLORIDE (1X1000GM)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2006,,,,,,,
"62991266401","62991-2664-01",,"J7507",,10/1/2007,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS (1X100MG)",100,"ML","NA","NA","ML",1,"MG",1000,10/1/2007,,,,,,,
"62991266402","62991-2664-02",,"J7507",,10/1/2007,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS (1X500MG)",500,"ML","NA","NA","ML",1,"MG",1000,10/1/2007,,,,,,,
"62991266403","62991-2664-03",,"J7507",,10/1/2007,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS (1X1GM)",1,"EA","NA","NA","GM",1,"MG",1000,10/1/2007,,,,,,,
"62991266404","62991-2664-04",,"J7507",,10/1/2007,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS (1X5GM)",1,"EA","NA","NA","GM",1,"MG",1000,10/1/2007,,,,,,,
"62991270001","62991-2700-01",,"J3130",,1/1/2008,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE (USP, 1X1000GM)",1,"EA","BO","NA","GM",200,"MG",5,1/1/2008,,,,,,,
"62991270301","62991-2703-01",,"J0713",,1/1/2008,,"INJECTION, CEFTAZIDIME, PER 500 MG","CEFTAZIDIME (USP, 1X1000GM)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2008,,,,,,,
"62991270702","62991-2707-02",,"J1956",,1/1/2008,,"INJECTION, LEVOFLOXACIN, 250 MG","LEVOFLOXACIN",1,"EA","BO","NA","GM",250,"MG",4,1/1/2008,,,,,,,
"62991270703","62991-2707-03",,"J1956",,1/1/2008,,"INJECTION, LEVOFLOXACIN, 250 MG","LEVOFLOXACIN",1,"EA","BO","NA","GM",250,"MG",4,1/1/2008,,,,,,,
"63004479006","63004-4790-06",,"Q2007",,1/1/2002,10/17/2005,"INJECTION, ETHANOLAMINE OLEATE, 100 MG","ETHAMOLIN (AMP) 50 MG/ML",2,"ML","AM","IV","ML",100,"MG",0.5,1/1/2002,,,,,,,
"63004772902","63004-7729-02",,"J3490",,1/1/2002,10/17/2005,"UNCLASSIFIED DRUGS","GLOFIL-125 (VIAL)",4,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"63004773101","63004-7731-01",,"J0800",,1/1/2002,,"INJECTION, CORTICOTROPIN, UP TO 40 UNITS","H.P. ACTHAR (M.D.V.) 80 U/ML",5,"ML","VL","IJ","ML",40,"U",2,1/1/2002,,,,,,,
"63020004901","63020-0049-01",,"J9041",,1/1/2005,,"INJECTION, BORTEZOMIB, 0.1 MG","VELCADE (10ML SDV,LYOPHILIZED) 3.5 MG",1,"EA","VL","IV","EA",0.1,"MG",35,1/1/2005,,,,,,,
"63020004901","63020-0049-01",,"J9999",,5/14/2003,12/31/2004,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","VELCADE (10ML SDV,LYOPHILIZED) 3.5 MG",1,"EA","VL","IV","EA",1,"EA",1,5/14/2003,,,,,,,
"63275102504","63275-1025-04",,"J2271",,12/3/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,12/3/2002,,,,,,,
"63275110005","63275-1100-05",,"J2271",,12/3/2002,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,12/3/2002,,,,,,,
"63275120001","63275-1200-01",,"J1960",,12/3/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,12/3/2002,,,,,,,
"63275120002","63275-1200-02",,"J1960",,12/3/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,12/3/2002,,,,,,,
"63275120004","63275-1200-04",,"J1960",,12/3/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,12/3/2002,,,,,,,
"63275120007","63275-1200-07",,"J1960",,12/3/2002,,"INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG","LEVORPHANOL TARTRATE (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,12/3/2002,,,,,,,
"63275200101","63275-2001-01",,"J1170",,12/3/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","JR","NA","GM",4,"MG",250,12/3/2002,,,,,,,
"63275200502","63275-2005-02",,"J1170",,12/3/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,12/3/2002,,,,,,,
"63275201003","63275-2010-03",,"J1170",,12/3/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,12/3/2002,,,,,,,
"63275210005","63275-2100-05",,"J1170",,12/3/2002,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,12/3/2002,,,,,,,
"63275210009","63275-2100-09",,"J1170",,9/1/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,9/1/2003,,,,,,,
"63275510001","63275-5100-01",,"J3010",,12/3/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,12/3/2002,,,,,,,
"63275510002","63275-5100-02",,"J3010",,9/1/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,9/1/2002,,,,,,,
"63275510006","63275-5100-06",,"J3010",,12/3/2002,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,12/3/2002,,,,,,,
"63275620001","63275-6200-01",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2002,,,,,,,
"63275620006","63275-6200-06",,"J3490",,12/3/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,12/3/2002,,,,,,,
"63275620007","63275-6200-07",,"J3490",,12/3/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,12/3/2002,,,,,,,
"63275620009","63275-6200-09",,"J3490",,12/3/2002,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,12/3/2002,,,,,,,
"63275710004","63275-7100-04",,"J2175",,12/3/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,12/3/2002,,,,,,,
"63275710005","63275-7100-05",,"J2175",,12/3/2002,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,12/3/2002,,,,,,,
"63275810003","63275-8100-03",,"J0745",,12/3/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,12/3/2002,,,,,,,
"63275810004","63275-8100-04",,"J0745",,12/3/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,12/3/2002,,,,,,,
"63275810005","63275-8100-05",,"J0745",,12/3/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,12/3/2002,,,,,,,
"63275910004","63275-9100-04",,"J1230",,12/3/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,12/3/2002,,,,,,,
"63275910005","63275-9100-05",,"J1230",,12/3/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,12/3/2002,,,,,,,
"63275993602","63275-9936-02",,"J1320",,1/1/2007,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HYDROCHLORIDE (1X5GM, USP)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2007,,,,,,,
"63275993604","63275-9936-04",,"J1320",,1/1/2007,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HYDROCHLORIDE (1X25GM, USP)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2007,,,,,,,
"63275993605","63275-9936-05",,"J1320",,1/1/2007,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HYDROCHLORIDE (1X100GM, USP)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2007,,,,,,,
"63275993608","63275-9936-08",,"J1320",,1/1/2007,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HYDROCHLORIDE (1X500GM, USP)",1,"EA","BO","NA","GM",20,"MG",50,1/1/2007,,,,,,,
"63275995501","63275-9955-01",,"J2405",,1/27/2005,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON HCL",1,"EA","BO","NA","GM",1,"MG",1000,1/27/2005,,,,,,,
"63275995506","63275-9955-06",,"J2405",,1/27/2005,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON HCL",1,"EA","BO","NA","GM",1,"MG",1000,1/27/2005,,,,,,,
"63275995507","63275-9955-07",,"J2405",,1/27/2005,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON HCL",1,"EA","BO","NA","GM",1,"MG",1000,1/27/2005,,,,,,,
"63275995801","63275-9958-01",,"J7507",,9/1/2004,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2004,,,,,,,
"63275995802","63275-9958-02",,"J7507",,9/1/2004,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2004,,,,,,,
"63275995806","63275-9958-06",,"J7507",,9/1/2004,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2004,,,,,,,
"63275995807","63275-9958-07",,"J7507",,9/1/2004,,"TACROLIMUS, ORAL, PER 1 MG","TACROLIMUS",1,"EA","BO","NA","GM",1,"MG",1000,9/1/2004,,,,,,,
"63275996001","63275-9960-01",,"J1450",,5/1/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE",1,"EA","NA","NA","GM",200,"MG",5,5/1/2004,,,,,,,
"63275996002","63275-9960-02",,"J1450",,5/1/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE",1,"EA","BO","NA","GM",200,"MG",5,5/1/2004,,,,,,,
"63275996004","63275-9960-04",,"J1450",,5/1/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE",1,"EA","BO","NA","GM",200,"MG",5,5/1/2004,,,,,,,
"63275996005","63275-9960-05",,"J1450",,5/1/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE",1,"EA","BO","NA","GM",200,"MG",5,5/1/2004,,,,,,,
"63275996009","63275-9960-09",,"J1450",,5/1/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE",1,"EA","BO","NA","GM",200,"MG",5,5/1/2004,,,,,,,
"63275996302","63275-9963-02",,"J1835",,6/4/2004,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","BO","NA","GM",50,"MG",20,6/4/2004,,,,,,,
"63275996304","63275-9963-04",,"J1835",,6/4/2004,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","BO","NA","GM",50,"MG",20,6/4/2004,,,,,,,
"63275996305","63275-9963-05",,"J1835",,6/4/2004,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","BO","NA","GM",50,"MG",20,6/4/2004,,,,,,,
"63275996309","63275-9963-09",,"J1835",,6/4/2004,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE",1,"EA","BO","NA","GM",50,"MG",20,6/4/2004,,,,,,,
"63275996502","63275-9965-02",,"J0456",,1/1/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN DIHYDRATE (1X5GM, USP)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2007,,,,,,,
"63275996503","63275-9965-03",,"J0456",,1/1/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN DIHYDRATE (1X10GM, USP)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2007,,,,,,,
"63275996504","63275-9965-04",,"J0456",,1/1/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN DIHYDRATE (1X25GM, USP)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2007,,,,,,,
"63275996505","63275-9965-05",,"J0456",,1/1/2007,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN DIHYDRATE (1X100GM, USP)",1,"EA","BO","NA","GM",500,"MG",2,1/1/2007,,,,,,,
"63275997401","63275-9974-01",,"J0735",,1/1/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (BULK COMPOUND)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"63275997402","63275-9974-02",,"J0735",,1/1/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (BULK COMPOUND)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"63275997403","63275-9974-03",,"J0735",,1/1/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (BULK COMPOUND)",1,"EA","JR","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"63275997902","63275-9979-02",,"J2060",,12/4/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,12/4/2002,,,,,,,
"63275997904","63275-9979-04",,"J2060",,12/4/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,12/4/2002,,,,,,,
"63275997905","63275-9979-05",,"J2060",,12/4/2002,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,12/4/2002,,,,,,,
"63275998105","63275-9981-05",,"J2675",,12/4/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,12/4/2002,,,,,,,
"63275998108","63275-9981-08",,"J2675",,12/4/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,12/4/2002,,,,,,,
"63275998109","63275-9981-09",,"J2675",,12/4/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,12/4/2002,,,,,,,
"63275998204","63275-9982-04",,"J1070",,12/4/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,12/4/2002,,,,,,,
"63275998205","63275-9982-05",,"J1070",,12/4/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,12/4/2002,,,,,,,
"63275998209","63275-9982-09",,"J1070",,12/4/2002,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,12/4/2002,,,,,,,
"63275998304","63275-9983-04",,"J3140",,12/4/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED",1,"EA","JR","NA","GM",50,"MG",20,12/4/2002,,,,,,,
"63275998305","63275-9983-05",,"J3140",,12/4/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED",1,"EA","JR","NA","GM",50,"MG",20,12/4/2002,,,,,,,
"63275998308","63275-9983-08",,"J3140",,12/4/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED",1,"EA","JR","NA","GM",50,"MG",20,12/4/2002,,,,,,,
"63275998309","63275-9983-09",,"J3140",,12/4/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED",1,"EA","JR","NA","GM",50,"MG",20,12/4/2002,,,,,,,
"63275998601","63275-9986-01",,"J1435",,12/4/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275998602","63275-9986-02",,"J1435",,12/4/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275998604","63275-9986-04",,"J1435",,12/4/2002,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275998809","63275-9988-09",,"J0270",,12/4/2002,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","PROSTAGLANDIN E1 (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,12/4/2002,,,,,,,
"63275998901","63275-9989-01",,"J2760",,12/4/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,12/4/2002,,,,,,,
"63275998906","63275-9989-06",,"J2760",,12/4/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,12/4/2002,,,,,,,
"63275998907","63275-9989-07",,"J2760",,12/4/2002,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,12/4/2002,,,,,,,
"63275999002","63275-9990-02",,"J2440",,12/4/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,12/4/2002,,,,,,,
"63275999004","63275-9990-04",,"J2440",,12/4/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,12/4/2002,,,,,,,
"63275999005","63275-9990-05",,"J2440",,12/4/2002,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,12/4/2002,,,,,,,
"63275999104","63275-9991-04",,"J2000",,12/4/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL",1,"EA","BO","NA","GM",50,"ML",4,12/4/2002,,,,,,,
"63275999104","63275-9991-04",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"63275999105","63275-9991-05",,"J2000",,12/4/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL",1,"EA","BO","NA","GM",50,"ML",4,12/4/2002,,,,,,,
"63275999105","63275-9991-05",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"63275999108","63275-9991-08",,"J2000",,12/4/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL",1,"EA","BO","NA","GM",50,"ML",4,12/4/2002,,,,,,,
"63275999108","63275-9991-08",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"63275999202","63275-9992-02",,"J0475",,12/4/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,12/4/2002,,,,,,,
"63275999204","63275-9992-04",,"J0475",,12/4/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,12/4/2002,,,,,,,
"63275999205","63275-9992-05",,"J0475",,12/4/2002,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,12/4/2002,,,,,,,
"63275999801","63275-9998-01",,"J7644",,12/4/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275999801","63275-9998-01",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999801","63275-9998-01","KO","J7644","KO",12/4/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275999801","63275-9998-01","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999802","63275-9998-02",,"J7644",,12/4/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275999802","63275-9998-02",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999802","63275-9998-02","KO","J7644","KO",12/4/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275999802","63275-9998-02","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999804","63275-9998-04",,"J7644",,12/4/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275999804","63275-9998-04",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999804","63275-9998-04","KO","J7644","KO",12/4/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275999804","63275-9998-04","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999805","63275-9998-05",,"J7644",,12/4/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275999805","63275-9998-05",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999805","63275-9998-05","KO","J7644","KO",12/4/2002,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,12/4/2002,,,,,,,
"63275999805","63275-9998-05","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999904","63275-9999-04",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999904","63275-9999-04",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63275999904","63275-9999-04","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999904","63275-9999-04","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63275999905","63275-9999-05",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999905","63275-9999-05",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63275999905","63275-9999-05","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63275999905","63275-9999-05","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63304030310","63304-0303-10",,"J0300",,1/1/2002,1/11/2009,"INJECTION, AMOBARBITAL, UP TO 125 MG","AMYTAL SODIUM 0.5 GM",1,"EA","VL","IJ","EA",125,"MG",4,1/1/2002,1/11/2009,,,,,,
"63304030325","63304-0303-25",,"J0300",,1/1/2002,3/10/2006,"INJECTION, AMOBARBITAL, UP TO 125 MG","AMYTAL SODIUM 0.5 GM",1,"EA","VL","IJ","EA",125,"MG",4,1/1/2002,3/10/2006,,,,,,
"63304045830","63304-0458-30",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,6/25/2007,,,,,,,
"63304045930","63304-0459-30",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"63304050401","63304-0504-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"63304050501","63304-0505-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"63304059122","63304-0591-22",,"J7509",,6/12/2002,4/1/2004,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (DOSE PACK) 4 MG",21,"EA","DP","PO","EA",4,"MG",1,6/12/2002,,,,,,,
"63304065201","63304-0652-01",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"63304065205","63304-0652-05",,"J8499",,1/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",500,"EA","BO","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"63304074801","63304-0748-01",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE 30 MG",100,"EA","BO","IJ","EA",30,"MG",1,1/1/2002,,,,,,,
"63304074901","63304-0749-01",,"J0745",,1/1/2002,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE 60 MG",100,"EA","BO","IJ","EA",30,"MG",2,1/1/2002,,,,,,,
"63304094025","63304-0940-25",,"J0690",,12/7/2004,8/6/2008,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,12/7/2004,8/6/2008,,,,,,
"63304094110","63304-0941-10",,"J0690",,4/13/2005,8/6/2008,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,4/13/2005,8/6/2008,,,,,,
"63323001002","63323-0010-02",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (M.D.V.) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"63323001020","63323-0010-20",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE (M.D.V.) 40 MG/ML",20,"ML","VL","IJ","ML",80,"MG",0.5,1/1/2002,,,,,,,
"63323001115","63323-0011-15",,"J0720",,1/1/2002,,"INJECTION, CHLORAMPHENICOL SODIUM SUCCINATE, UP TO 1 GM","CHLORAMPHENICOL SODIUM SUCCINATE (VIAL,PF) 1 GM",1,"EA","VL","IV","GM",1,"GM",1,1/1/2002,,,,,,,
"63323001201","63323-0012-01",,"J2590",,1/1/2002,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (VIAL,P.C.) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"63323001210","63323-0012-10",,"J2590",,1/1/2002,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (M.D.V.) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"63323001212","63323-0012-12",,"J2590",,1/28/2008,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","NOVAPLUS OXYTOCIN (25X1ML,USP) 10 U/ML",1,"ML","VL","IJ","ML",10,"U",1,1/28/2008,,,,,,,
"63323001230","63323-0012-30",,"J2590",,9/24/2007,,"INJECTION, OXYTOCIN, UP TO 10 UNITS","OXYTOCIN (10X30ML,MDV) 10 U/ML",30,"ML","VL","IV","ML",10,"U",1,9/24/2007,,,,,,,
"63323001302","63323-0013-02",,"J3411",,1/1/2004,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HCL (M.D.V.) 100 MG/ML",2,"ML","VL","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"63323001302","63323-0013-02",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","THIAMINE HCL (M.D.V.) 100 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"63323001710","63323-0017-10",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPFLUSH-10 (S.D.V.,PF) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"63323002101","63323-0021-01",,"J3410",,1/1/2002,8/14/2009,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL) 25 MG/ML",1,"ML","VL","IM","ML",25,"MG",1,1/1/2002,8/14/2009,,,,,,
"63323002425","63323-0024-25",,"J2150",,1/1/2002,,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (FLIPOFF TOP,PF) 25%",50,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"63323002450","63323-0024-50",,"J2150",,1/1/2002,1/1/2002,"INJECTION, MANNITOL, 25% IN 50 ML","MANNITOL (S.D.V.,TEARTOP,PF) 25%",50,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"63323002510","63323-0025-10",,"J0725",,1/1/2002,,"INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS","CHORIONIC GONADOTROPIN (M.D.V. W/DILUENT) 10000 U",1,"EA","VL","IM","EA",1000,"USP Units",10,1/1/2002,,,,,,,
"63323003810","63323-0038-10",,"J1644",,1/1/2002,9/30/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",10,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"63323003830","63323-0038-30",,"J1644",,1/1/2002,9/30/2002,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",30,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"63323004401","63323-0044-01",,"J3420",,1/1/2002,,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP  TO 1000 MCG","CYANOCOBALAMIN (M.D.V.) 1000 MCG/ML",1,"ML","VL","IM","ML",1000,"MCG",1,1/1/2002,,,,,,,
"63323004710","63323-0047-10",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 5000 U/ML",10,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"63323005101","63323-0051-01",,"J3410",,1/1/2002,8/14/2009,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL) 50 MG/ML",1,"ML","VL","IM","ML",25,"MG",2,1/1/2002,8/14/2009,,,,,,
"63323005102","63323-0051-02",,"J3410",,1/1/2002,8/14/2009,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (VIAL) 50 MG/ML",2,"ML","VL","IM","ML",25,"MG",2,1/1/2002,8/14/2009,,,,,,
"63323006402","63323-0064-02",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (S.D.V.,P.C.) 500 MG/ML",2,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"63323006410","63323-0064-10",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (S.D.V.,P.C.,PF) 500 MG/ML",10,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"63323006420","63323-0064-20",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (S.D.V.) 500 MG/ML",20,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"63323006450","63323-0064-50",,"J3475",,1/1/2002,,"INJECTION, MAGNESIUM SULFATE, PER 500 MG","MAGNESIUM SULFATE (S.D.V.) 500 MG/ML",50,"ML","VL","IJ","ML",500,"MG",1,1/1/2002,,,,,,,
"63323008861","63323-0088-61",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE CONCENTRATE (MAXIVIAL,BULK PACK,PF) 23.4%",100,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"63323008863","63323-0088-63",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE CONCENTRATE (MAXIVIAL,BULK PACK,PF) 23.4%",200,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"63323010161","63323-0101-61",,"J9000",,8/6/2007,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HYDROCHLORIDE (USP,STERILE,MDV,PF) 2 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.2,8/6/2007,,,,,,,
"63323010351","63323-0103-51",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (M.D.V.,PF) 1 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"63323010364","63323-0103-64",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (M.D.V.,PF) 1 MG/ML",200,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"63323010365","63323-0103-65",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN (M.D.V.,PF) 1 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"63323010391","63323-0103-91",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN AMERINET CHOICE (M.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"63323010395","63323-0103-95",,"J9060",,1/1/2002,,"CISPLATIN, POWDER OR S0LUTION, PER 10 MG","CISPLATIN AMERINET CHOICE (M.D.V.) 1 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.1,1/1/2002,,,,,,,
"63323010405","63323-0104-05",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V.) 20 MG/ML",5,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"63323010425","63323-0104-25",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V.) 20 MG/ML",25,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"63323010450","63323-0104-50",,"J9181",,1/1/2002,,"INJECTION, ETOPOSIDE, 10 MG","ETOPOSIDE (M.D.V.) 20 MG/ML",50,"ML","VL","IV","ML",10,"MG",2,1/1/2002,,,,,,,
"63323010510","63323-0105-10",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (VIAL,PF) 500 MG",1,"EA","VL","IV","EA",5,"MG",100,1/1/2006,,,,,,,
"63323010510","63323-0105-10",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (VIAL,PF) 500 MG",1,"EA","VL","IV","EA",5,"MG",100,10/1/2003,,,,,,,
"63323011310","63323-0113-10",,"J7676",,1/1/2008,,"PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG","PENTAM (S.D.V.,PF) 300 MG",1,"EA","VL","IJ","EA",300,"MG",1,1/1/2008,,,,,,,
"63323011310","63323-0113-10",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","PENTAM (S.D.V.,PF) 300 MG",1,"EA","VL","IJ","EA",1,"EA",1,1/1/2007,,,,,,,
"63323011310","63323-0113-10","KO","J7676","KO",1/1/2008,,"PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG","PENTAM (S.D.V.,PF) 300 MG",1,"EA","VL","IJ","EA",300,"MG",1,1/1/2008,,,,,,,
"63323011710","63323-0117-10",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (S.D.V.,PF) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,1/1/2002,,,,,,,
"63323011710","63323-0117-10","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (S.D.V.,PF) 50 MG/ML",10,"ML","VL","IV","ML",500,"MG",0.1,1/28/2005,,,,,,,
"63323011720","63323-0117-20",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (S.D.V.,PF) 50 MG/ML",20,"ML","VL","IV","ML",500,"MG",0.1,1/1/2002,,,,,,,
"63323011720","63323-0117-20","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (S.D.V.,PF) 50 MG/ML",20,"ML","VL","IV","ML",500,"MG",0.1,1/28/2005,,,,,,,
"63323011751","63323-0117-51",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (BULK PACKAGE,PF) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,1/1/2002,,,,,,,
"63323011751","63323-0117-51","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (BULK PACKAGE,PF) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,1/28/2005,,,,,,,
"63323011761","63323-0117-61",,"J9190",,1/1/2002,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (BULK PACKAGE,PF) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,1/1/2002,,,,,,,
"63323011761","63323-0117-61","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","FLUOROURACIL (BULK PACKAGE,PF) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,1/28/2005,,,,,,,
"63323011908","63323-0119-08",,"J9150",,1/1/2002,,"INJECTION, DAUNORUBICIN, 10 MG","DAUNORUBICIN HCL (S.D.V.,PF) 20 MG",1,"EA","VL","IV","EA",10,"MG",2,1/1/2002,,,,,,,
"63323012020","63323-0120-20",,"J9110",,3/5/2004,,"INJECTION, CYTARABINE, 500 MG","CYTARABINE (S.D.V.,LATEX-FREE) 100 MG/ML",20,"ML","VL","IJ","ML",500,"MG",0.2,3/5/2004,,,,,,,
"63323012102","63323-0121-02",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"63323012104","63323-0121-04",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",4,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"63323012108","63323-0121-08",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",8,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"63323012110","63323-0121-10",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"63323012140","63323-0121-40",,"J9250",,3/8/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (VIAL,PF) 25 MG/ML",40,"ML","VL","IJ","ML",5,"MG",5,3/8/2002,,,,,,,
"63323012250","63323-0122-50",,"J9260",,1/1/2002,,"METHOTREXATE SODIUM, 50 MG","METHOTREXATE SODIUM (S.D.V.,PF) 1 GM",1,"EA","VL","IJ","EA",50,"MG",20,1/1/2002,,,,,,,
"63323012302","63323-0123-02",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (VIAL) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"63323012310","63323-0123-10",,"J9250",,1/1/2002,,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (VIAL) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"63323012404","63323-0124-04",,"J9150",,2/18/2004,,"INJECTION, DAUNORUBICIN, 10 MG","DAUNORUBICIN HCL (S.D.V.,PF,LATEX-FREE) 5 MG/ML",4,"ML","VL","IV","ML",10,"MG",0.5,2/18/2004,,,,,,,
"63323012710","63323-0127-10",,"J9130",,1/1/2002,,"DACARBAZINE, 100 MG","DACARBAZINE (S.D.V.) 100 MG",1,"EA","VL","IV","EA",100,"MG",1,1/1/2002,,,,,,,
"63323012812","63323-0128-12",,"J9140",,1/1/2002,11/21/2007,"DACARBAZINE, 200 MG","DACARBAZINE NOVA PLUS (S.D.V.) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,1/1/2002,,,,,,,
"63323012820","63323-0128-20",,"J9140",,1/1/2002,,"DACARBAZINE, 200 MG","DACARBAZINE (S.D.V.) 200 MG",1,"EA","VL","IV","EA",200,"MG",1,1/1/2002,,,,,,,
"63323013210","63323-0132-10",,"J9293",,3/17/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (USP,PF,LATEX-FREE) 2 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.4,3/17/2006,,,,,,,
"63323013212","63323-0132-12",,"J9293",,3/17/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (USP,PF,LATEX-FREE) 2 MG/ML",12.5,"ML","VL","IV","ML",5,"MG",0.4,3/17/2006,,,,,,,
"63323013215","63323-0132-15",,"J9293",,3/17/2006,,"INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG","MITOXANTRONE (USP,PF,LATEX-FREE) 2 MG/ML",15,"ML","VL","IV","ML",5,"MG",0.4,3/17/2006,,,,,,,
"63323013920","63323-0139-20",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (S.D.V.) 14.6%",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"63323013940","63323-0139-40",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE (S.D.V.) 14.6%",40,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"63323014010","63323-0140-10",,"J9065",,9/13/2004,,"INJECTION, CLADRIBINE, PER 1 MG","CLADRIBINE (S.D.V.,PF) 1 MG/ML",10,"ML","VL","IV","ML",1,"MG",1,9/13/2004,,,,,,,
"63323014210","63323-0142-10",,"J9208",,7/25/2002,,"INJECTION, IFOSFAMIDE, 1 GRAM","IFOSFAMIDE (S.D.V.) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,7/25/2002,,,,,,,
"63323014212","63323-0142-12",,"J9208",,11/18/2002,,"INJECTION, IFOSFAMIDE, 1 GRAM","IFOSFAMIDE (SDV) 1 GM",1,"EA","VL","IV","EA",1,"GM",1,11/18/2002,,,,,,,
"63323014507","63323-0145-07",,"J9200",,1/1/2002,,"INJECTION, FLOXURIDINE, 500 MG","FLOXURIDINE 0.5 GM",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"63323014801","63323-0148-01",,"J9390",,6/22/2005,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (USP,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,6/22/2005,,,,,,,
"63323014805","63323-0148-05",,"J9390",,6/22/2005,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE TARTRATE (USP,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,6/22/2005,,,,,,,
"63323015100","63323-0151-00",,"J9178",,12/7/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (1X100ML,PF) 2 MG/ML",100,"ML","VL","IV","ML",2,"MG",1,12/7/2007,,,,,,,
"63323015105","63323-0151-05",,"J9178",,12/7/2007,9/11/2009,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (1X5ML,PF) 2 MG/ML",5,"ML","VL","IV","ML",2,"MG",1,12/7/2007,9/11/2009,,,,,,
"63323015125","63323-0151-25",,"J9178",,12/7/2007,,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (1X25ML,PF) 2 MG/ML",25,"ML","VL","IV","ML",2,"MG",1,12/7/2007,,,,,,,
"63323015175","63323-0151-75",,"J9178",,12/7/2007,9/11/2009,"INJECTION, EPIRUBICIN HCL, 2 MG","EPIRUBICIN HYDROCHLORIDE (1X75ML,PF) 2 MG/ML",75,"ML","VL","IV","ML",2,"MG",1,12/7/2007,9/11/2009,,,,,,
"63323016101","63323-0161-01",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,1/1/2002,,,,,,,
"63323016201","63323-0162-01",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,1/1/2002,,,,,,,
"63323016202","63323-0162-02",,"J1885",,1/1/2002,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML",2,"ML","VL","IM","ML",15,"MG",2,1/1/2002,,,,,,,
"63323016501","63323-0165-01",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (VIAL) 4 MG/ML",1,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"63323016505","63323-0165-05",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 4 MG/ML",5,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"63323016530","63323-0165-30",,"J1100",,1/1/2002,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (M.D.V.) 4 MG/ML",30,"ML","VL","IJ","ML",1,"MG",4,1/1/2002,,,,,,,
"63323016610","63323-0166-10",,"J9045",,4/1/2004,12/11/2009,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 50 MG",1,"EA","VL","IV","EA",50,"MG",1,4/1/2004,12/11/2009,,,,,,
"63323016720","63323-0167-20",,"J9045",,4/1/2004,2/10/2006,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 150 MG",1,"EA","VL","IV","EA",50,"MG",3,4/1/2004,,,,,,,
"63323016721","63323-0167-21",,"J9045",,4/1/2004,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN 150 MG",1,"EA","VL","IV","EA",50,"MG",3,4/1/2004,,,,,,,
"63323016800","63323-0168-00",,"J9045",,4/1/2004,12/11/2009,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (STERILE) 450 MG",1,"EA","VL","IV","EA",50,"MG",9,4/1/2004,12/11/2009,,,,,,
"63323017245","63323-0172-45",,"J9045",,4/28/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (MDV,LATEX-FREE) 10 MG/ML",50,"ML","VL","IV","ML",50,"MG",0.2,4/28/2006,,,,,,,
"63323017260","63323-0172-60",,"J9045",,4/7/2006,,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (600MG/60ML,LATEX-FREE) 10 MG/ML",60,"ML","VL","IV","ML",50,"MG",0.2,4/7/2006,,,,,,,
"63323017302","63323-0173-02",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE PEDIATRIC (PEDIATRIC S.D.V.,PF) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"63323018001","63323-0180-01",,"J3415",,1/1/2004,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HCL (M.D.V.,AMBER) 100 MG/ML",1,"ML","VL","IJ","ML",100,"MG",1,1/1/2004,,,,,,,
"63323018001","63323-0180-01",,"J3490",,1/1/2002,12/31/2003,"UNCLASSIFIED DRUGS","PYRIDOXINE HCL (M.D.V.,AMBER) 100 MG/ML",1,"ML","VL","IJ","ML",1,"EA",1,1/1/2002,,,,,,,
"63323018500","63323-0185-00",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.,TEAR TOP)",100,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323018500","63323-0185-00",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.,TEAR TOP)",100,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323018505","63323-0185-05",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.)",5,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323018505","63323-0185-05",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.)",5,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323018510","63323-0185-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.,P.C.)",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323018510","63323-0185-10",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.,P.C.)",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323018520","63323-0185-20",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.,P.C.)",20,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323018520","63323-0185-20",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.,P.C.)",20,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323018550","63323-0185-50",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","WATER FOR INJECTION (S.D.V.,P.C.,PF)",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323018550","63323-0185-50",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","WATER FOR INJECTION (S.D.V.,P.C.,PF)",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323018600","63323-0186-00",,"J7050",,1/1/2002,,"INFUSION, NORMAL SALINE SOLUTION , 250 CC","SODIUM CHLORIDE (S.D.V.,TEAR TOP) 0.9%",100,"ML","VL","IV","ML",250,"ML",0.004,1/1/2002,,,,,,,
"63323018602","63323-0186-02",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (S.D.V.,P.C.) 0.9%",2,"ML","VL","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63323018602","63323-0186-02",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (S.D.V.,P.C.) 0.9%",2,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63323018610","63323-0186-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (S.D.V.,P.C.) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323018610","63323-0186-10",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (S.D.V.,P.C.) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63323018620","63323-0186-20",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (S.D.V.,P.C.) 0.9%",20,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323018620","63323-0186-20",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (S.D.V.,P.C.) 0.9%",20,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63323018730","63323-0187-30",,"J7799",,1/1/2002,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","SODIUM CHLORIDE CONCENTRATE (S.D.V.,PF) 23.4%",30,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"63323019002","63323-0190-02",,"J9185",,10/31/2007,12/2/2008,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG","FLUDARABINE PHOSPHATE (SINGLE-DOSE) 25 MG/ML",2,"ML","NA","IV","ML",50,"MG",0.5,10/31/2007,12/2/2008,,,,,,
"63323019020","63323-0190-20",,"J9280",,7/1/2004,4/2/2007,"MITOMYCIN, 5 MG","MITOMYCIN 5 MG",1,"EA","VL","IV","EA",5,"MG",1,7/1/2004,,,,,,,
"63323019120","63323-0191-20",,"J9280",,2/21/2002,6/30/2004,"MITOMYCIN, 5 MG","MITOMYCIN 5 MG",1,"EA","VL","IV","EA",5,"MG",1,2/21/2002,,,,,,,
"63323019140","63323-0191-40",,"J9290",,2/4/2002,4/2/2007,"MITOMYCIN, 20 MG","MITOMYCIN (VIAL) 20 MG",1,"EA","VL","IV","EA",20,"MG",1,2/4/2002,,,,,,,
"63323019302","63323-0193-02",,"J9206",,2/5/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SINGLE DOSE) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/5/2008,,,,,,,
"63323019302","63323-0193-02","QR","J9206","QR",2/5/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X2ML,SINGLE DOSE) 20 MG/ML",2,"ML","VL","IV","ML",20,"MG",1,2/5/2008,,,,,,,
"63323019305","63323-0193-05",,"J9206",,2/5/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SINGLE DOSE) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/5/2008,,,,,,,
"63323019305","63323-0193-05","QR","J9206","QR",2/5/2008,,"INJECTION, IRINOTECAN, 20 MG","IRINOTECAN HYDROCHLORIDE (1X5ML,SINGLE DOSE) 20 MG/ML",5,"ML","VL","IV","ML",20,"MG",1,2/5/2008,,,,,,,
"63323019606","63323-0196-06",,"J9185",,12/7/2007,,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG","FLUDARABINE PHOSPHATE (USP) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,12/7/2007,,,,,,,
"63323020102","63323-0201-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (S.D.V.,P.C.) 1%",2,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"63323020102","63323-0201-02",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (S.D.V.,P.C.) 1%",2,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"63323020110","63323-0201-10",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (M.D.V.) 1%",10,"ML","VL","EP","ML",50,"ML",0.02,1/1/2002,,,,,,,
"63323020110","63323-0201-10",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (M.D.V.) 1%",10,"ML","VL","EP","ML",10,"MG",1,1/1/2004,,,,,,,
"63323020202","63323-0202-02",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (S.D.V.) 2%",2,"ML","VL","IJ","ML",50,"ML",0.02,1/1/2002,,,,,,,
"63323020202","63323-0202-02",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (S.D.V.) 2%",2,"ML","VL","IJ","ML",10,"MG",2,1/1/2004,,,,,,,
"63323020805","63323-0208-05",,"J2000",,1/1/2002,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (S.D.V.,PF) 2%",5,"ML","VL","IV","ML",50,"ML",0.02,1/1/2002,,,,,,,
"63323020805","63323-0208-05",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (S.D.V.,PF) 2%",5,"ML","VL","IV","ML",10,"MG",2,1/1/2004,,,,,,,
"63323022110","63323-0221-10",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (VIAL,PF) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,1/1/2002,,,,,,,
"63323022905","63323-0229-05",,"J2720",,1/1/2002,,"INJECTION, PROTAMINE SULFATE, PER 10 MG","PROTAMINE SULFATE (S.D.V.) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,1/1/2002,,,,,,,
"63323022915","63323-0229-15",,"J2720",,1/7/2008,,"INJECTION, PROTAMINE SULFATE, PER 10 MG","NOVAPLUS PROTAMINE SULFATE (25X5ML,SDV,FLIPTOP,USP) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,1/7/2008,,,,,,,
"63323022930","63323-0229-30",,"J2720",,1/1/2002,,"INJECTION, PROTAMINE SULFATE, PER 10 MG","PROTAMINE SULFATE (S.D.V.) 10 MG/ML",25,"ML","VL","IV","ML",10,"MG",1,1/1/2002,,,,,,,
"63323022935","63323-0229-35",,"J2720",,1/7/2008,,"INJECTION, PROTAMINE SULFATE, PER 10 MG","NOVAPLUS PROTAMINE SULFATE (1X25ML,SDV,FLIPTOP,USP) 10 MG/ML",25,"ML","VL","IV","ML",10,"MG",1,1/7/2008,,,,,,,
"63323023401","63323-0234-01",,"J0460",,1/1/2002,12/31/2007,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (M.D.V.) 0.4 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",1.33333,1/1/2002,,,,,,,
"63323023420","63323-0234-20",,"J0460",,1/1/2002,12/31/2007,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (M.D.V.) 0.4 MG/ML",20,"ML","VL","IJ","ML",0.3,"MG",1.33333,1/1/2002,,,,,,,
"63323023610","63323-0236-10",,"J0690",,1/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL,PF) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"63323023710","63323-0237-10",,"J0690",,1/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"63323023765","63323-0237-65",,"J0690",,1/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (P.B.,PF) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"63323023861","63323-0238-61",,"J0690",,1/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (BULK PACKAGE,PF) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,1/1/2002,,,,,,,
"63323024301","63323-0243-01",,"J0460",,1/1/2002,4/19/2005,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (M.D.V.) 0.5 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",1.66666,1/1/2002,,,,,,,
"63323024601","63323-0246-01",,"J0460",,1/1/2002,12/31/2007,"INJECTION, ATROPINE SULFATE, UP TO 0.3 MG","ATROPINE SULFATE (M.D.V.) 1 MG/ML",1,"ML","VL","IJ","ML",0.3,"MG",3.33333,1/1/2002,,,,,,,
"63323024910","63323-0249-10",,"A4216",,1/1/2004,2/10/2006,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","STERILE WATER BACTERIOSTATIC (M.D.V.)",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323024910","63323-0249-10",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","STERILE WATER BACTERIOSTATIC (M.D.V.)",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323024930","63323-0249-30",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","STERILE WATER BACTERIOSTATIC (M.D.V.)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323024930","63323-0249-30",,"A4712",,1/1/2002,12/31/2003,"WATER, STERILE, FOR INJECTION, PER 10 ML","STERILE WATER BACTERIOSTATIC (M.D.V.)",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323025503","63323-0255-03",,"J2920",,9/22/2004,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG","METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG",1,"EA","VL","IJ","EA",40,"MG",1,9/22/2004,,,,,,,
"63323025803","63323-0258-03",,"J2930",,8/23/2004,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG",1,"EA","VL","IJ","EA",125,"MG",1,8/23/2004,,,,,,,
"63323025910","63323-0259-10",,"A4216",,1/1/2004,12/31/2007,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (M.D.V.) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323025910","63323-0259-10",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (M.D.V.) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63323025930","63323-0259-30",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (M.D.V.) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323025930","63323-0259-30",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (M.D.V.) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63323026110","63323-0261-10",,"J2675",,1/1/2002,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE IN SESAME OIL (M.D.V.) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"63323026201","63323-0262-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.,P.C.) 5000 U/ML",1,"ML","VL","IJ","ML",1000,"U",5,1/1/2002,,,,,,,
"63323026530","63323-0265-30",,"J2930",,10/27/2004,,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG","METHYLPREDNISOLONE SODIUM SUCCINATE (PF) 1 GM",1,"EA","VL","IJ","EA",125,"MG",8,10/27/2004,,,,,,,
"63323026920","63323-0269-20",,"J3490",,2/21/2008,,"UNCLASSIFIED DRUGS","DIPRIVAN (20X25ML) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,2/21/2008,,,,,,,
"63323026927","63323-0269-27",,"J3490",,1/15/2008,,"UNCLASSIFIED DRUGS","NOVAPLUS DIPRIVAN (25X20ML) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/15/2008,,,,,,,
"63323026950","63323-0269-50",,"J3490",,4/28/2008,,"UNCLASSIFIED DRUGS","DIPRIVAN (20X50ML) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,4/28/2008,,,,,,,
"63323026957","63323-0269-57",,"J3490",,3/5/2008,,"UNCLASSIFIED DRUGS","NOVAPLUS DIPRIVAN (20X50ML) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,3/5/2008,,,,,,,
"63323026965","63323-0269-65",,"J3490",,3/6/2008,,"UNCLASSIFIED DRUGS","DIPRIVAN (10X100ML) 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,3/6/2008,,,,,,,
"63323026967","63323-0269-67",,"J3490",,2/1/2008,,"UNCLASSIFIED DRUGS","NOVAPLUS DIPRIVAN (10X100ML, INFUSION) 10 MG/ML",100,"ML","VL","IV","ML",1,"EA",1,2/1/2008,,,,,,,
"63323027205","63323-0272-05",,"J2680",,1/1/2002,,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE (M.D.V.) 25 MG/ML",5,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"63323027255","63323-0272-55",,"J2680",,1/1/2002,7/15/2003,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG","FLUPHENAZINE DECANOATE (M.D.V.) 25 MG/ML",5,"ML","VL","IJ","ML",25,"MG",1,1/1/2002,,,,,,,
"63323027602","63323-0276-02",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (S.D.V.) 1000 U/ML",2,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"63323027810","63323-0278-10",,"J9360",,1/1/2002,,"INJECTION, VINBLASTINE SULFATE, 1 MG","VINBLASTINE SULFATE (M.D.V.) 1 MG/ML",10,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"63323028002","63323-0280-02",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (S.D.V.,AMBER) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"63323028004","63323-0280-04",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (S.D.V.,AMBER) 10 MG/ML",4,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"63323028010","63323-0280-10",,"J1940",,1/1/2002,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (S.D.V.,AMBER) 10 MG/ML",10,"ML","VL","IJ","ML",20,"MG",0.5,1/1/2002,,,,,,,
"63323028202","63323-0282-02",,"J3490",,5/11/2007,,"UNCLASSIFIED DRUGS","CLINDAMYCIN (SDV,USP,2MLX25) 150 MG/ML",2,"ML","VL","IJ","ML",1,"EA",1,5/11/2007,,,,,,,
"63323028204","63323-0282-04",,"J3490",,5/11/2007,,"UNCLASSIFIED DRUGS","CLINDAMYCIN (SDV,USP,4MLX25) 150 MG/ML",4,"ML","VL","IJ","ML",1,"EA",1,5/11/2007,,,,,,,
"63323028206","63323-0282-06",,"J3490",,5/11/2007,,"UNCLASSIFIED DRUGS","CLINDAMYCIN (SDV,USP,6MLX25) 150 MG/ML",6,"ML","VL","IJ","ML",1,"EA",1,5/11/2007,,,,,,,
"63323028260","63323-0282-60",,"J3490",,5/11/2007,,"UNCLASSIFIED DRUGS","CLINDAMYCIN (USP) 150 MG/ML",60,"ML","VL","IV","ML",1,"EA",1,5/11/2007,,,,,,,
"63323028420","63323-0284-20",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (VIAL,PF) 1 GM",1,"EA","VL","IV","EA",500,"MG",2,1/1/2002,,,,,,,
"63323029561","63323-0295-61",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (BULK PACKAGE,PF) 5 GM",1,"EA","VL","IV","GM",500,"MG",2,1/1/2002,,,,,,,
"63323030110","63323-0301-10",,"J0697",,1/1/2002,3/14/2002,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (VIAL,PF) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"63323030351","63323-0303-51",,"J7682",,6/21/2004,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF,LATEX-FREE) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,6/21/2004,,,,,,,
"63323030351","63323-0303-51",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF,LATEX-FREE) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2007,,,,,,,
"63323030351","63323-0303-51","KO","J7682","KO",6/21/2004,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF,LATEX-FREE) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,6/21/2004,,,,,,,
"63323030351","63323-0303-51","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (BULK VIAL,PF,LATEX-FREE) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2007,,,,,,,
"63323030355","63323-0303-55",,"J7682",,12/17/2004,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE NOVAPLUS (BULK PKG,50ML VIAL X 6) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,12/17/2004,,,,,,,
"63323030355","63323-0303-55",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE NOVAPLUS (BULK PKG,50ML VIAL X 6) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2007,,,,,,,
"63323030355","63323-0303-55","KO","J7682","KO",12/17/2004,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE NOVAPLUS (BULK PKG,50ML VIAL X 6) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,12/17/2004,,,,,,,
"63323030355","63323-0303-55","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE NOVAPLUS (BULK PKG,50ML VIAL X 6) 1.2 GM",1,"EA","VL","IV","EA",300,"MG",4,1/1/2007,,,,,,,
"63323030502","63323-0305-02",,"J3260",,4/5/2004,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (PEDIATRIC M.D.V.) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,4/5/2004,,,,,,,
"63323030602","63323-0306-02",,"J3260",,4/5/2004,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (M.D.V.,LATEX-FREE) 40 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.5,4/5/2004,,,,,,,
"63323030630","63323-0306-30",,"J3260",,4/5/2004,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (M.D.V.,LATEX-FREE) 40 MG/ML",30,"ML","VL","IJ","ML",80,"MG",0.5,4/5/2004,,,,,,,
"63323030751","63323-0307-51",,"J3260",,4/5/2004,,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG","TOBRAMYCIN SULFATE (PHARMACY BULK PACKAGE) 40 MG/ML",50,"ML","VL","IJ","ML",80,"MG",0.5,4/5/2004,,,,,,,
"63323030861","63323-0308-61",,"J1450",,7/8/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (GLASS BOTTLE) 200 MG/100 ML",100,"ML","VL","IV","ML",200,"MG",0.01,7/8/2004,,,,,,,
"63323030863","63323-0308-63",,"J1450",,7/8/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (GLASS BOTTLE) 400 MG/200 ML",200,"ML","VL","IV","ML",200,"MG",0.01,7/8/2004,,,,,,,
"63323031110","63323-0311-10",,"J0610",,1/1/2002,,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (S.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323031150","63323-0311-50",,"J0610",,1/1/2002,,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (S.D.V.) 100 MG/ML",50,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323031161","63323-0311-61",,"J0610",,1/1/2002,,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (MAXIVIAL,BULK PACK,PF) 100 MG/ML",100,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323031163","63323-0311-63",,"J0610",,1/1/2002,,"INJECTION, CALCIUM GLUCONATE, PER 10 ML","CALCIUM GLUCONATE (MAXIVIAL,BULK PACK) 100 MG/ML",200,"ML","VL","IV","ML",10,"ML",0.1,1/1/2002,,,,,,,
"63323031220","63323-0312-20",,"J0697",,1/1/2002,4/5/2002,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (VIAL,PF) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"63323031361","63323-0313-61",,"J0697",,1/1/2002,1/12/2003,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (BULK PACKAGE,PF) 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,1/1/2002,,,,,,,
"63323031461","63323-0314-61",,"J3370",,1/1/2002,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (BULK PACKAGE,PF) 10 GM",1,"EA","VL","IV","GM",500,"MG",2,1/1/2002,,,,,,,
"63323031701","63323-0317-01",,"J1626",,12/14/2007,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (10X1ML,S.D.V,PF) 0.1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",1,12/14/2007,,,,,,,
"63323031801","63323-0318-01",,"J1626",,6/25/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X1ML,SDV,PF) 1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",10,6/25/2008,,,,,,,
"63323031904","63323-0319-04",,"J1626",,6/25/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X4ML,MDV) 1 MG/ML",4,"ML","VL","IV","ML",100,"MCG",10,6/25/2008,,,,,,,
"63323032510","63323-0325-10",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (S.D.V.,PF) 50 MG/ML",10,"ML","VL","IV","ML",5,"MG",10,1/1/2006,,,,,,,
"63323032510","63323-0325-10",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (S.D.V.,PF) 50 MG/ML",10,"ML","VL","IV","ML",5,"MG",10,10/1/2003,,,,,,,
"63323032520","63323-0325-20",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (S.D.V.,PF) 50 MG/ML",20,"ML","VL","IV","ML",5,"MG",10,1/1/2006,,,,,,,
"63323032520","63323-0325-20",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR SODIUM (S.D.V.,PF) 50 MG/ML",20,"ML","VL","IV","ML",5,"MG",10,10/1/2003,,,,,,,
"63323032620","63323-0326-20",,"J0692",,3/17/2008,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME (USP,10X1GM) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,3/17/2008,,,,,,,
"63323032930","63323-0329-30",,"J3490",,4/23/2004,,"UNCLASSIFIED DRUGS","BACITRACIN (LATEX-FREE) 50000 U",1,"EA","VL","IM","EA",1,"EA",1,4/23/2004,,,,,,,
"63323033115","63323-0331-15",,"J0698",,1/29/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME SODIUM (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/29/2002,,,,,,,
"63323033215","63323-0332-15",,"J0698",,1/29/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME SODIUM (S.D.V.) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/29/2002,,,,,,,
"63323033361","63323-0333-61",,"J0698",,1/29/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME SODIUM (BULK PAKAGE) 10 GM",1,"EA","VL","IJ","EA",1,"GM",10,1/29/2002,,,,,,,
"63323033461","63323-0334-61",,"J0698",,1/29/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME SODIUM (BULK PACKAGE) 20 GM",1,"EA","VL","IJ","EA",1,"GM",20,1/29/2002,,,,,,,
"63323033510","63323-0335-10",,"J0698",,1/29/2002,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME SODIUM (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",1,"GM",0.5,1/29/2002,,,,,,,
"63323034050","63323-0340-50",,"J0692",,3/17/2008,,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG","CEFEPIME (USP,10X2GM) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,3/17/2008,,,,,,,
"63323034120","63323-0341-20",,"J0694",,1/1/2002,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (VIAL,PF) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"63323034165","63323-0341-65",,"J0694",,1/1/2002,1/1/2002,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (P.B.,P.F) 1 GM",1,"EA","GC","IJ","EA",1,"GM",1,1/1/2002,,,,,,,
"63323034220","63323-0342-20",,"J0694",,1/1/2002,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (VIAL,PF) 2 GM",1,"EA","VL","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"63323034265","63323-0342-65",,"J0694",,1/1/2002,1/1/2002,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (P.B.,PF) 2 GM",1,"EA","GC","IJ","EA",1,"GM",2,1/1/2002,,,,,,,
"63323034361","63323-0343-61",,"J0694",,1/1/2002,,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN SODIUM (BULK PACKAGE,PF) 10 GM",1,"EA","VL","IJ","EA",1,"GM",10,1/1/2002,,,,,,,
"63323034410","63323-0344-10",,"J0696",,2/16/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (S.D.V.) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,2/16/2006,,,,,,,
"63323034510","63323-0345-10",,"J0696",,2/16/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (S.D.V.) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,2/16/2006,,,,,,,
"63323034610","63323-0346-10",,"J0696",,2/16/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,2/16/2006,,,,,,,
"63323034720","63323-0347-20",,"J0696",,2/16/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (S.D.V.) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,2/16/2006,,,,,,,
"63323034861","63323-0348-61",,"J0696",,2/16/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (BULK PACKAGE,1X100ML) 10 GM",1,"EA","VL","IV","EA",250,"MG",40,2/16/2006,,,,,,,
"63323035210","63323-0352-10",,"J0697",,1/1/2002,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (VIAL,PF) 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,1/1/2002,,,,,,,
"63323035320","63323-0353-20",,"J0697",,1/1/2002,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (VIAL,PF) 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,1/1/2002,,,,,,,
"63323035461","63323-0354-61",,"J0697",,1/13/2003,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM (BULK PACKAGE,PF) 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,1/13/2003,,,,,,,
"63323035903","63323-0359-03",,"J1840",,1/3/2003,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE 1 GM/3 ML",3,"ML","VL","IJ","ML",500,"MG",0.666,1/3/2003,,,,,,,
"63323036501","63323-0365-01",,"J2354",,4/13/2006,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (SDV,1MLX10,PF) 50 MCG/ML",1,"ML","VL","IJ","ML",25,"MCG",2,4/13/2006,,,,,,,
"63323036601","63323-0366-01",,"J1240",,7/1/2004,,"INJECTION, DIMENHYDRINATE, UP TO 50 MG","DIMENHYDRINATE (VIAL) 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,7/1/2004,,,,,,,
"63323036820","63323-0368-20",,"J0295",,11/30/2005,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM 1 GM-0.5 GM",1,"EA","VL","IJ","EA",1.5,"GM",1,11/30/2005,,,,,,,
"63323036920","63323-0369-20",,"J0295",,11/30/2005,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN/SULBACTAM 2 GM-1 GM",1,"EA","VL","IJ","EA",1.5,"GM",2,11/30/2005,,,,,,,
"63323037062","63323-0370-62",,"J0295",,11/8/2006,,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM","AMPICILLIN AND SULBACTAM (USP,PHARMACY BULK PKG) 10 GM-5 GM",1,"EA","VL","IV","EA",1.5,"GM",10,11/8/2006,,,,,,,
"63323037302","63323-0373-02",,"J2405",,12/27/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (SDV,25X2ML,PF) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/27/2006,,,,,,,
"63323037420","63323-0374-20",,"J2405",,12/27/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (MDV) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,12/27/2006,,,,,,,
"63323037601","63323-0376-01",,"J2354",,4/13/2006,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (SDV,1MLX10,PF) 100 MCG/ML",1,"ML","VL","IJ","ML",25,"MCG",4,4/13/2006,,,,,,,
"63323037701","63323-0377-01",,"J2354",,4/13/2006,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (SDV,1MLX10,PF) 500 MCG/ML",1,"ML","VL","IJ","ML",25,"MCG",20,4/13/2006,,,,,,,
"63323037805","63323-0378-05",,"J2354",,5/12/2006,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (MDV) 200 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",8,5/12/2006,,,,,,,
"63323037905","63323-0379-05",,"J2354",,5/12/2006,,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG","OCTREOTIDE ACETATE (MDV) 1000 MCG/ML",5,"ML","VL","IJ","ML",25,"MCG",40,5/12/2006,,,,,,,
"63323038020","63323-0380-20",,"J3490",,1/12/2004,,"UNCLASSIFIED DRUGS","PIPERACILLIN (VIAL) 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/12/2004,,,,,,,
"63323038120","63323-0381-20",,"J3490",,1/12/2004,,"UNCLASSIFIED DRUGS","PIPERACILLIN (VIAL) 3 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/12/2004,,,,,,,
"63323038210","63323-0382-10",,"J2710",,1/1/2002,,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.,AMBER) 0.5 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",1,1/1/2002,,,,,,,
"63323038310","63323-0383-10",,"J2710",,1/1/2002,,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG","NEOSTIGMINE METHYLSULFATE (M.D.V.,AMBER) 1 MG/ML",10,"ML","VL","IJ","ML",0.5,"MG",2,1/1/2002,,,,,,,
"63323038510","63323-0385-10",,"J3490",,8/13/2007,,"UNCLASSIFIED DRUGS","CEFOTETAN 1 GM",1,"EA","VL","IJ","EA",1,"EA",1,8/13/2007,,,,,,,
"63323038620","63323-0386-20",,"J3490",,8/13/2007,,"UNCLASSIFIED DRUGS","CEFOTETAN 2 GM",1,"EA","VL","IJ","EA",1,"EA",1,8/13/2007,,,,,,,
"63323038710","63323-0387-10",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 250 MG",1,"EA","VL","IJ","EA",500,"MG",0.5,1/1/2002,,,,,,,
"63323038810","63323-0388-10",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,1/1/2002,,,,,,,
"63323038910","63323-0389-10",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,1/1/2002,,,,,,,
"63323039050","63323-0390-50",,"J3490",,1/12/2004,,"UNCLASSIFIED DRUGS","PIPERACILLIN (VIAL) 4 GM",1,"EA","VL","IJ","EA",1,"EA",1,1/12/2004,,,,,,,
"63323039306","63323-0393-06",,"J0770",,3/10/2008,,"INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG","COLISTIMETHATE (USP,LYOPHILIZED CAKE) 150 MG",1,"EA","VL","IJ","EA",150,"MG",1,3/10/2008,,,,,,,
"63323039810","63323-0398-10",,"J0456",,2/27/2006,,"INJECTION, AZITHROMYCIN, 500 MG","AZITHROMYCIN (10X10ML,LATEX-FREE) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,2/27/2006,,,,,,,
"63323039812","63323-0398-12",,"J0456",,2/27/2006,,"INJECTION, AZITHROMYCIN, 500 MG","NOVAPLUS AZITHROMYCIN (10X10ML) 500 MG",1,"EA","VL","IV","EA",500,"MG",1,2/27/2006,,,,,,,
"63323039923","63323-0399-23",,"J0290",,1/1/2002,,"INJECTION, AMPICILLIN SODIUM,  500 MG","AMPICILLIN SODIUM (VIAL) 2 GM",1,"EA","VL","IJ","EA",500,"MG",4,1/1/2002,,,,,,,
"63323040302","63323-0403-02",,"Q2009",,8/16/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (USP,25X2ML) 75 MG/ML",2,"ML","VL","IJ","ML",50,"MG",1.5,8/16/2007,,,,,,,
"63323040310","63323-0403-10",,"Q2009",,8/16/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (USP,10X10ML) 75 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1.5,8/16/2007,,,,,,,
"63323040703","63323-0407-03",,"J0706",,8/3/2007,,"INJECTION, CAFFEINE CITRATE, 5MG","CAFFEINE CITRATE (USP,SDV,PF) 20 MG/ML",3,"ML","VL","IV","ML",5,"MG",4,8/3/2007,,,,,,,
"63323041105","63323-0411-05",,"J2250",,1/1/2002,12/7/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"63323041110","63323-0411-10",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"63323041112","63323-0411-12",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 1 MG/ML",2,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"63323041125","63323-0411-25",,"J2250",,12/8/2003,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 1 MG/ML",5,"ML","VL","IJ","ML",1,"MG",1,12/8/2003,,,,,,,
"63323041201","63323-0412-01",,"J2250",,1/1/2002,1/7/2004,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"63323041202","63323-0412-02",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 5 MG/ML",2,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"63323041205","63323-0412-05",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 5 MG/ML",5,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"63323041210","63323-0412-10",,"J2250",,1/1/2002,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,1/1/2002,,,,,,,
"63323041225","63323-0412-25",,"J2250",,1/7/2004,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL (M.D.V.) 5 MG/ML",1,"ML","VL","IJ","ML",1,"MG",5,1/7/2004,,,,,,,
"63323044661","63323-0446-61",,"J0690",,1/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (BULK PACKAGE,PF) 20 GM",1,"EA","VL","IJ","EA",500,"MG",40,1/1/2002,,,,,,,
"63323046901","63323-0469-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (VIAL) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"63323046905","63323-0469-05",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (M.D.V.) 50 MG/ML",5,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"63323046951","63323-0469-51",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL AMERINET CHOICE (VIAL,FLIP-TOP) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,1/1/2002,,,,,,,
"63323047101","63323-0471-01",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (VIAL) 100 MG/ML",1,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"63323047105","63323-0471-05",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL DECANOATE (M.D.V.) 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"63323047151","63323-0471-51",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL AMERINET CHOICE (VIAL,FLIP-TOP) 100 MG/ML",1,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"63323047155","63323-0471-55",,"J1631",,1/1/2002,,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG","HALOPERIDOL AMERINET CHOICE (M.D.V.,FLIP-TOP) 100 MG/ML",5,"ML","VL","IM","ML",50,"MG",2,1/1/2002,,,,,,,
"63323047401","63323-0474-01",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL LACTATE (VIAL) 5 MG/ML",1,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"63323047410","63323-0474-10",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL LACTATE (M.D.V.) 5 MG/ML",10,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"63323047491","63323-0474-91",,"J1630",,1/1/2002,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL AMERINET CHOICE (VIAL) 5 MG/ML",1,"ML","VL","IM","ML",5,"MG",1,1/1/2002,,,,,,,
"63323050601","63323-0506-01",,"J1100",,5/30/2003,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE (LATEX-FREE) 10 MG/ML",1,"ML","VL","IJ","ML",1,"MG",10,5/30/2003,,,,,,,
"63323051302","63323-0513-02",,"J1580",,1/1/2002,,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG","GENTAMICIN SULFATE PEDIATRIC (PEDIATRIC M.D.V.,PF) 10 MG/ML",2,"ML","VL","IJ","ML",80,"MG",0.125,1/1/2002,,,,,,,
"63323051610","63323-0516-10",,"J1100",,8/23/2005,,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML",10,"ML","VL","IJ","ML",1,"MG",10,8/23/2005,,,,,,,
"63323054001","63323-0540-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.,P.C.) 1000 U/ML",1,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"63323054011","63323-0540-11",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",10,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"63323054031","63323-0540-31",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 1000 U/ML",30,"ML","VL","IJ","ML",1000,"U",1,1/1/2002,,,,,,,
"63323054201","63323-0542-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.,P.C.) 10000 U/ML",1,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"63323054207","63323-0542-07",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.) 10000 U/ML",5,"ML","VL","IJ","ML",1000,"U",10,1/1/2002,,,,,,,
"63323054401","63323-0544-01",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (M.D.V.,P.C.) 10 U/ML",1,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"63323054411","63323-0544-11",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (M.D.V.) 10 U/ML",10,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"63323054431","63323-0544-31",,"J1642",,1/1/2002,2/10/2006,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (M.D.V.) 10 U/ML",30,"ML","VL","IV","ML",10,"U",1,1/1/2002,,,,,,,
"63323054501","63323-0545-01",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (M.D.V.,P.C.) 100 U/ML",1,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"63323054505","63323-0545-05",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (M.D.V.) 100 U/ML",5,"ML","VL","IV","ML",10,"U",10,1/1/2002,,,,,,,
"63323060401","63323-0604-01",,"J1800",,1/1/2002,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (S.D.V.) 1 MG/ML",1,"ML","VL","IV","ML",1,"MG",1,1/1/2002,,,,,,,
"63323061302","63323-0613-02",,"J1245",,1/1/2002,5/18/2006,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (S.D.V.) 5 MG/ML",2,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"63323061310","63323-0613-10",,"J1245",,1/1/2002,5/18/2006,"INJECTION, DIPYRIDAMOLE, PER 10 MG","DIPYRIDAMOLE (S.D.V.) 5 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.5,1/1/2002,,,,,,,
"63323061401","63323-0614-01",,"J0360",,1/1/2002,,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","HYDRALAZINE HCL (S.D.V.) 20 MG/ML",1,"ML","VL","IJ","ML",20,"MG",1,1/1/2002,,,,,,,
"63323061455","63323-0614-55",,"J0360",,3/26/2007,,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG","NOVAPLUS HYDRALAZINE HYDROCHLORIDE (USP,SDV,LATEX-FREE) 20 MG/ML",1,"ML","VL","IJ","ML",20,"MG",1,3/26/2007,,,,,,,
"63323061603","63323-0616-03",,"J0282",,8/2/2002,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (S.D.V.) 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,8/2/2002,,,,,,,
"63323061609","63323-0616-09",,"J0282",,12/16/2003,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL (S.D.V.) 50 MG/ML",9,"ML","VL","IV","ML",30,"MG",1.66666,12/16/2003,,,,,,,
"63323061613","63323-0616-13",,"J0282",,1/6/2003,11/21/2007,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL NOVAPLUS (S.D.V.) 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,1/6/2003,,,,,,,
"63323061710","63323-0617-10",,"J2260",,5/14/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",10,"ML","VL","IV","ML",5,"MG",0.2,5/14/2002,,,,,,,
"63323061720","63323-0617-20",,"J2260",,5/14/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,5/14/2002,,,,,,,
"63323061750","63323-0617-50",,"J2260",,5/14/2002,,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.) 1 MG/ML",50,"ML","VL","IV","ML",5,"MG",0.2,5/14/2002,,,,,,,
"63323065102","63323-0651-02",,"J0150",,6/27/2005,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (PF) 3 MG/ML",2,"ML","VL","IV","ML",6,"MG",0.5,6/27/2005,,,,,,,
"63323065104","63323-0651-04",,"J0150",,6/27/2005,,"INJECTION, ADENOSINE FOR THERAPEUTIC USE,  6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)","ADENOSINE (PF) 3 MG/ML",4,"ML","VL","IV","ML",6,"MG",0.5,6/27/2005,,,,,,,
"63323066401","63323-0664-01",,"J1200",,6/12/2002,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL 50 MG/ML",1,"ML","VL","IJ","ML",50,"MG",1,6/12/2002,,,,,,,
"63323066501","63323-0665-01",,"J3105",,6/21/2004,,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG","TERBUTALINE SULFATE 1 MG/ML",1,"ML","VL","SC","ML",1,"MG",1,6/21/2004,,,,,,,
"63323071100","63323-0711-00",,"J0640",,1/1/2002,12/31/2006,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (S.D.V.,PF) 500 MG",1,"EA","VL","IJ","EA",50,"MG",10,1/1/2002,,,,,,,
"63323073101","63323-0731-01",,"J0636",,3/17/2003,,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL 1 MCG/ML",1,"ML","AM","IV","ML",0.1,"MCG",10,3/17/2003,,,,,,,
"63323073310","63323-0733-10",,"J9209",,1/1/2002,,"INJECTION, MESNA, 200 MG","MESNA (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,1/1/2002,,,,,,,
"63323073311","63323-0733-11",,"J9209",,1/1/2002,,"INJECTION, MESNA, 200 MG","MESNA (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,1/1/2002,,,,,,,
"63323073312","63323-0733-12",,"J9209",,1/1/2002,11/21/2007,"INJECTION, MESNA, 200 MG","MESNA NOVAPLUS (M.D.V.) 100 MG/ML",10,"ML","VL","IV","ML",200,"MG",0.5,1/1/2002,,,,,,,
"63323073410","63323-0734-10",,"J2430",,4/25/2002,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (S.D.V.) 3 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.1,4/25/2002,,,,,,,
"63323073435","63323-0734-35",,"J2430",,7/20/2004,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM OTN (S.D.V.,LATEX-FREE) 3 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.1,7/20/2004,,,,,,,
"63323073510","63323-0735-10",,"J2430",,4/25/2002,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM (S.D.V.) 9 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.3,4/25/2002,,,,,,,
"63323073535","63323-0735-35",,"J2430",,9/11/2003,,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG","PAMIDRONATE DISODIUM OTN (S.D.V.) 9 MG/ML",10,"ML","VL","IV","ML",30,"MG",0.3,9/11/2003,,,,,,,
"63323073804","63323-0738-04",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.) 10 MG/ML",4,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"63323073820","63323-0738-20",,"J3490",,1/1/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (M.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"63323073902","63323-0739-02",,"J3490",,1/1/2002,5/13/2002,"UNCLASSIFIED DRUGS","FAMOTIDINE (S.D.V.) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"63323073912","63323-0739-12",,"J3490",,5/14/2002,,"UNCLASSIFIED DRUGS","FAMOTIDINE (S.D.V.) 10 MG/ML",2,"ML","VL","IV","ML",1,"EA",1,5/14/2002,,,,,,,
"63323087715","63323-0877-15",,"J2545",,1/1/2007,,"PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG","NEBUPENT (S.D.V.,PF) 300 MG",1,"EA","VL","IH","EA",300,"MG",1,1/1/2007,,,,,,,
"63323088305","63323-0883-05",,"J9000",,8/6/2007,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HYDROCHLORIDE (USP,STERILE,SDV,PF) 2 MG/ML",5,"ML","VL","IV","ML",10,"MG",0.2,8/6/2007,,,,,,,
"63323088310","63323-0883-10",,"J9000",,8/6/2007,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HYDROCHLORIDE (USP,STERILE,SDV,PF) 2 MG/ML",10,"ML","VL","IV","ML",10,"MG",0.2,8/6/2007,,,,,,,
"63323088330","63323-0883-30",,"J9000",,8/6/2007,,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG","DOXORUBICIN HYDROCHLORIDE (USP,STERILE,SDV,PF) 2 MG/ML",25,"ML","VL","IV","ML",10,"MG",0.2,8/6/2007,,,,,,,
"63323091501","63323-0915-01",,"J1644",,1/1/2002,,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS","HEPARIN SODIUM (M.D.V.,P.C.) 20000 U/ML",1,"ML","VL","IJ","ML",1000,"U",20,1/1/2002,,,,,,,
"63323092410","63323-0924-10",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (M.D.V.,P.C.) 0.9%",10,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323092410","63323-0924-10",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (M.D.V.,P.C.) 0.9%",10,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63323092430","63323-0924-30",,"A4216",,1/1/2004,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE (M.D.V.,P.C.) 0.9%",30,"ML","VL","IV","ML",10,"ML",0.1,1/1/2004,,,,,,,
"63323092430","63323-0924-30",,"J2912",,1/1/2002,12/31/2003,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE (M.D.V.,P.C.) 0.9%",30,"ML","VL","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63323092905","63323-0929-05",,"J1642",,1/23/2002,7/9/2003,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","SMARTAMP HEPARIN LOCK FLUSH (AMP,PF) 10 U/ML",5,"ML","AM","IV","ML",10,"U",1,1/23/2002,,,,,,,
"63323096505","63323-0965-05",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE CONCENTRATE (S.D.V.,P.C.) 2 MEQ/ML",5,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"63323096510","63323-0965-10",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE CONCENTRATE (S.D.V.,P.C.) 2 MEQ/ML",10,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"63323096515","63323-0965-15",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE CONCENTRATE (S.D.V.,P.C.) 2 MEQ/ML",15,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"63323096520","63323-0965-20",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE CONCENTRATE (S.D.V.,P.C.) 2 MEQ/ML",20,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"63323096730","63323-0967-30",,"J3480",,1/1/2002,,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ","POTASSIUM CHLORIDE CONCENTRATE (M.D.V.,P.C.) 2 MEQ/ML",30,"ML","VL","IV","ML",2,"MEQ",1,1/1/2002,,,,,,,
"63370000525","63370-0005-25",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000525","63370-0005-25",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370000525","63370-0005-25","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000535","63370-0005-35",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000535","63370-0005-35",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370000535","63370-0005-35","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000545","63370-0005-45",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000545","63370-0005-45",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370000545","63370-0005-45","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000550","63370-0005-50",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000550","63370-0005-50",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370000550","63370-0005-50","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000555","63370-0005-55",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000555","63370-0005-55",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370000555","63370-0005-55","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000562","63370-0005-62",,"J7604",,1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000562","63370-0005-62",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370000562","63370-0005-62","KO","J7604","KO",1/1/2008,,"ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETYLCYSTEINE (U.S.P.)",1,"EA","BO","NA","GM",1,"GM",1,1/1/2008,,,,,,,
"63370000725","63370-0007-25",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"63370000725","63370-0007-25",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"63370000735","63370-0007-35",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"63370000735","63370-0007-35",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"63370000750","63370-0007-50",,"J0133",,1/1/2006,,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,1/1/2006,,,,,,,
"63370000750","63370-0007-50",,"Q4075",,10/1/2003,12/31/2005,"INJECTION, ACYCLOVIR, 5 MG","ACYCLOVIR (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,10/1/2003,,,,,,,
"63370001025","63370-0010-25",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370001025","63370-0010-25",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63370001025","63370-0010-25","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370001025","63370-0010-25","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63370001035","63370-0010-35",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370001035","63370-0010-35",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63370001035","63370-0010-35","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370001035","63370-0010-35","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63370001045","63370-0010-45",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370001045","63370-0010-45",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63370001045","63370-0010-45","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370001045","63370-0010-45","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63370001050","63370-0010-50",,"J7609",,1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370001050","63370-0010-50",,"J7613",,1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63370001050","63370-0010-50","KO","J7609","KO",1/1/2007,,"ALBUTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370001050","63370-0010-50","KO","J7613","KO",1/1/2005,12/31/2006,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2005,,,,,,,
"63370001615","63370-0016-15",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"63370001615","63370-0016-15",,"J3490",,7/8/2003,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370001625","63370-0016-25",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"63370001625","63370-0016-25",,"J3490",,7/8/2003,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370001635","63370-0016-35",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"63370001635","63370-0016-35",,"J3490",,7/8/2003,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370001650","63370-0016-50",,"J0278",,1/1/2006,,"INJECTION, AMIKACIN SULFATE, 100 MG","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,1/1/2006,,,,,,,
"63370001650","63370-0016-50",,"J3490",,7/8/2003,12/31/2005,"UNCLASSIFIED DRUGS","AMIKACIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370001815","63370-0018-15",,"J1320",,7/8/2003,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,7/8/2003,,,,,,,
"63370001825","63370-0018-25",,"J1320",,7/8/2003,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,7/8/2003,,,,,,,
"63370001835","63370-0018-35",,"J1320",,7/8/2003,,"INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG","AMITRIPTYLINE HCL (U.S.P.)",1,"EA","BO","NA","GM",20,"MG",50,7/8/2003,,,,,,,
"63370002010","63370-0020-10",,"J0285",,7/8/2003,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.,ORAL)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370002015","63370-0020-15",,"J0285",,9/4/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.,ORAL)",1,"EA","JR","NA","GM",50,"MG",20,9/4/2002,,,,,,,
"63370002025","63370-0020-25",,"J0285",,9/4/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.,ORAL)",1,"EA","BO","NA","GM",50,"MG",20,9/4/2002,,,,,,,
"63370002035","63370-0020-35",,"J0285",,9/4/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.,ORAL)",1,"EA","BO","NA","GM",50,"MG",20,9/4/2002,,,,,,,
"63370002050","63370-0020-50",,"J0285",,9/4/2002,,"INJECTION, AMPHOTERICIN B, 50 MG","AMPHOTERICIN B (U.S.P.,ORAL)",1,"EA","BO","NA","GM",50,"MG",20,9/4/2002,,,,,,,
"63370002206","63370-0022-06",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370002206","63370-0022-06",,"J3490",,12/19/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,12/19/2003,,,,,,,
"63370002209","63370-0022-09",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370002209","63370-0022-09",,"J3490",,12/19/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,12/19/2003,,,,,,,
"63370002215","63370-0022-15",,"J0364",,1/1/2007,,"INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370002215","63370-0022-15",,"J3490",,12/19/2003,12/31/2006,"UNCLASSIFIED DRUGS","APOMORPHINE HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,12/19/2003,,,,,,,
"63370002510","63370-0025-10",,"J7501",,7/8/2003,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370002515","63370-0025-15",,"J7501",,7/8/2003,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370002525","63370-0025-25",,"J7501",,7/8/2003,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370002535","63370-0025-35",,"J7501",,7/8/2003,,"AZATHIOPRINE, PARENTERAL, 100 MG","AZATHIOPRINE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370002615","63370-0026-15",,"J0475",,7/8/2003,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370002625","63370-0026-25",,"J0475",,7/8/2003,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370002635","63370-0026-35",,"J0475",,7/8/2003,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","JR","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370002645","63370-0026-45",,"J0475",,7/8/2003,,"INJECTION, BACLOFEN, 10 MG","BACLOFEN (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370002710","63370-0027-10",,"J7622",,7/8/2003,8/29/2003,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROP MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002710","63370-0027-10","KO","J7622","KO",7/8/2003,8/29/2003,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROP MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002715","63370-0027-15",,"J7622",,7/8/2003,8/29/2003,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROP MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002715","63370-0027-15","KO","J7622","KO",7/8/2003,8/29/2003,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROP MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002725","63370-0027-25",,"J7622",,7/8/2003,8/29/2003,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROP MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002725","63370-0027-25","KO","J7622","KO",7/8/2003,8/29/2003,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROP MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002735","63370-0027-35",,"J7622",,7/8/2003,8/29/2003,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROP MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002735","63370-0027-35","KO","J7622","KO",7/8/2003,8/29/2003,"BECLOMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT,  ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BECLOMETHASONE DIPROP MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002806","63370-0028-06",,"J7624",,7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002806","63370-0028-06","KO","J7624","KO",7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002810","63370-0028-10",,"J7624",,7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002810","63370-0028-10","KO","J7624","KO",7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002815","63370-0028-15",,"J7624",,7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002815","63370-0028-15","KO","J7624","KO",7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002825","63370-0028-25",,"J7624",,7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002825","63370-0028-25","KO","J7624","KO",7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002835","63370-0028-35",,"J7624",,7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370002835","63370-0028-35","KO","J7624","KO",7/8/2003,,"BETAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","BETAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370003125","63370-0031-25",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370003135","63370-0031-35",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370003145","63370-0031-45",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","BENZOCAINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370003210","63370-0032-10",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370003215","63370-0032-15",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370003225","63370-0032-25",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370003235","63370-0032-35",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","BETAMETHASONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370003435","63370-0034-35",,"J3490",,7/12/2004,,"UNCLASSIFIED DRUGS","CIPROFLOXACIN HCL (USP)",1,"EA","BO","NA","GM",1,"EA",1,7/12/2004,,,,,,,
"63370003445","63370-0034-45",,"J3490",,7/12/2004,,"UNCLASSIFIED DRUGS","CIPROFLOXACIN HCL (USP)",1,"EA","BO","NA","GM",1,"EA",1,7/12/2004,,,,,,,
"63370003450","63370-0034-50",,"J3490",,7/12/2004,,"UNCLASSIFIED DRUGS","CIPROFLOXACIN HCL (USP)",1,"EA","BO","NA","GM",1,"EA",1,7/12/2004,,,,,,,
"63370003509","63370-0035-09",,"J7626",,7/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.25,"MG",2000,7/8/2003,,,,,,,
"63370003509","63370-0035-09",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"63370003509","63370-0035-09","KO","J7626","KO",7/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.25,"MG",2000,7/8/2003,,,,,,,
"63370003509","63370-0035-09","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"63370003510","63370-0035-10",,"J7626",,7/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","JR","NA","GM",0.25,"MG",2000,7/8/2003,,,,,,,
"63370003510","63370-0035-10",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"63370003510","63370-0035-10","KO","J7626","KO",7/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","JR","NA","GM",0.25,"MG",2000,7/8/2003,,,,,,,
"63370003510","63370-0035-10","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","JR","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"63370003515","63370-0035-15",,"J7626",,7/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.25,"MG",2000,7/8/2003,,,,,,,
"63370003515","63370-0035-15",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"63370003515","63370-0035-15","KO","J7626","KO",7/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.25,"MG",2000,7/8/2003,,,,,,,
"63370003515","63370-0035-15","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"63370003525","63370-0035-25",,"J7626",,7/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.25,"MG",2000,7/8/2003,,,,,,,
"63370003525","63370-0035-25",,"J7627",,1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"63370003525","63370-0035-25","KO","J7626","KO",7/8/2003,12/31/2005,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.25,"MG",2000,7/8/2003,,,,,,,
"63370003525","63370-0035-25","KO","J7627","KO",1/1/2006,,"BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG","BUDESONIDE MICRONIZED",1,"EA","BO","NA","GM",0.5,"MG",2000,1/1/2006,,,,,,,
"63370005015","63370-0050-15",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005015","63370-0050-15",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370005015","63370-0050-15","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005025","63370-0050-25",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005025","63370-0050-25",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370005025","63370-0050-25","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005035","63370-0050-35",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005035","63370-0050-35",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370005035","63370-0050-35","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005045","63370-0050-45",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005045","63370-0050-45",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370005045","63370-0050-45","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005050","63370-0050-50",,"J7632",,1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005050","63370-0050-50",,"J7699",,1/1/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370005050","63370-0050-50","KO","J7632","KO",1/1/2008,,"CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","CROMOLYN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2008,,,,,,,
"63370005210","63370-0052-10",,"J0735",,7/8/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (USP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370005215","63370-0052-15",,"J0735",,7/8/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (USP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370005225","63370-0052-25",,"J0735",,7/8/2003,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","CLONIDINE HCL (USP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370005710","63370-0057-10",,"J7516",,7/8/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A (U.S.P.)",1,"EA","JR","NA","GM",250,"MG",4,7/8/2003,,,,,,,
"63370005715","63370-0057-15",,"J7516",,7/8/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,7/8/2003,,,,,,,
"63370005725","63370-0057-25",,"J7516",,7/8/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,7/8/2003,,,,,,,
"63370005735","63370-0057-35",,"J7516",,7/8/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,7/8/2003,,,,,,,
"63370005745","63370-0057-45",,"J7516",,12/19/2003,,"CYCLOSPORIN, PARENTERAL, 250 MG","CYCLOSPORIN A (U.S.P.)",1,"EA","BO","NA","GM",250,"MG",4,12/19/2003,,,,,,,
"63370006015","63370-0060-15",,"J1094",,7/8/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370006020","63370-0060-20",,"J1094",,1/1/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2003,,,,,,,
"63370006020","63370-0060-20",,"J1095",,1/1/2002,12/31/2002,"INJECTION, DEXAMETHASONE ACETATE, PER 8 MG","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",8,"MG",125,1/1/2002,,,,,,,
"63370006025","63370-0060-25",,"J1094",,7/8/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370006035","63370-0060-35",,"J1094",,7/8/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370006050","63370-0060-50",,"J1094",,7/8/2003,,"INJECTION, DEXAMETHASONE ACETATE, 1 MG","DEXAMETHASONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370006909","63370-0069-09",,"J7640",,10/24/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE DIHYDRATE (1X0.5GM)",1,"EA","NA","NA","GM",12,"MCG",83333.33,10/24/2006,,,,,,,
"63370006909","63370-0069-09","KO","J7640","KO",10/24/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE DIHYDRATE (1X0.5GM)",1,"EA","NA","NA","GM",12,"MCG",83333.33,10/24/2006,,,,,,,
"63370006910","63370-0069-10",,"J7640",,10/24/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE DIHYDRATE (1X1GM)",1,"EA","NA","NA","GM",12,"MCG",83333.33,10/24/2006,,,,,,,
"63370006910","63370-0069-10","KO","J7640","KO",10/24/2006,,"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS","FORMOTEROL FUMARATE DIHYDRATE (1X1GM)",1,"EA","NA","NA","GM",12,"MCG",83333.33,10/24/2006,,,,,,,
"63370007010","63370-0070-10",,"J7638",,7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007010","63370-0070-10","KO","J7638","KO",7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007015","63370-0070-15",,"J7638",,7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007015","63370-0070-15","KO","J7638","KO",7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007020","63370-0070-20",,"J7638",,7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007020","63370-0070-20","KO","J7638","KO",7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007025","63370-0070-25",,"J7638",,7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007025","63370-0070-25","KO","J7638","KO",7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007035","63370-0070-35",,"J7638",,7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007035","63370-0070-35","KO","J7638","KO",7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007045","63370-0070-45",,"J7638",,7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007045","63370-0070-45","KO","J7638","KO",7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007050","63370-0070-50",,"J7638",,7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007050","63370-0070-50","KO","J7638","KO",7/8/2003,,"DEXAMETHASONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370007125","63370-0071-25",,"J1200",,7/8/2003,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (USP)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370007135","63370-0071-35",,"J1200",,7/8/2003,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (USP)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370007145","63370-0071-45",,"J1200",,7/8/2003,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (USP)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370007150","63370-0071-50",,"J1200",,7/8/2003,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HCL (USP)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370008410","63370-0084-10",,"J1000",,7/8/2003,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","ESTRADIOL CYPIONATE (USP)",1,"EA","JR","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370008415","63370-0084-15",,"J1000",,7/8/2003,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","ESTRADIOL CYPIONATE (USP)",1,"EA","JR","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370008425","63370-0084-25",,"J1000",,7/8/2003,,"INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG","ESTRADIOL CYPIONATE (USP)",1,"EA","JR","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370008610","63370-0086-10",,"J0970",,7/8/2003,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,7/8/2003,,,,,,,
"63370008615","63370-0086-15",,"J0970",,7/8/2003,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,7/8/2003,,,,,,,
"63370008625","63370-0086-25",,"J0970",,7/8/2003,,"INJECTION, ESTRADIOL VALERATE, UP TO 40 MG","ESTRADIOL VALERATE (U.S.P.)",1,"EA","BO","NA","GM",40,"MG",25,7/8/2003,,,,,,,
"63370008807","63370-0088-07",,"J7799",,12/19/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,12/19/2003,,,,,,,
"63370008815","63370-0088-15",,"J7799",,12/19/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,12/19/2003,,,,,,,
"63370008825","63370-0088-25",,"J7799",,12/19/2003,,"NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME","EPINEPHRINE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,12/19/2003,,,,,,,
"63370008925","63370-0089-25",,"J1450",,7/12/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (USP)",1,"EA","BO","NA","GM",200,"MG",5,7/12/2004,,,,,,,
"63370008935","63370-0089-35",,"J1450",,7/12/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (USP)",1,"EA","BO","NA","GM",200,"MG",5,7/12/2004,,,,,,,
"63370008945","63370-0089-45",,"J1450",,7/12/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (USP)",1,"EA","BO","NA","GM",200,"MG",5,7/12/2004,,,,,,,
"63370008950","63370-0089-50",,"J1450",,7/12/2004,,"INJECTION FLUCONAZOLE, 200 MG","FLUCONAZOLE (USP)",1,"EA","BO","NA","GM",200,"MG",5,7/12/2004,,,,,,,
"63370009010","63370-0090-10",,"J1435",,7/8/2003,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (USP,1X1GM)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370009015","63370-0090-15",,"J1435",,7/8/2003,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (USP,1X5GM)",1,"EA","JR","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370009025","63370-0090-25",,"J1435",,7/8/2003,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (USP,1X25GM)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370009035","63370-0090-35",,"J1435",,7/8/2003,,"INJECTION, ESTRONE, PER 1 MG","ESTRONE (USP,1X100GM)",1,"EA","JR","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370009125","63370-0091-25",,"J3490",,7/12/2004,,"UNCLASSIFIED DRUGS","FAMOTIDINE (USP)",1,"EA","BO","NA","GM",1,"EA",1,7/12/2004,,,,,,,
"63370009135","63370-0091-35",,"J3490",,7/12/2004,,"UNCLASSIFIED DRUGS","FAMOTIDINE (USP)",1,"EA","BO","NA","GM",1,"EA",1,7/12/2004,,,,,,,
"63370009145","63370-0091-45",,"J3490",,7/12/2004,,"UNCLASSIFIED DRUGS","FAMOTIDINE (USP)",1,"EA","BO","NA","GM",1,"EA",1,7/12/2004,,,,,,,
"63370009515","63370-0095-15",,"J9190",,7/8/2003,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370009515","63370-0095-15","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"63370009525","63370-0095-25",,"J9190",,7/8/2003,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370009525","63370-0095-25","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"63370009535","63370-0095-35",,"J9190",,7/8/2003,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370009535","63370-0095-35","QR","J9190","QR",1/28/2005,,"INJECTION, FLUOROURACIL, 500 MG","5-FLUOROURACIL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,1/28/2005,,,,,,,
"63370009815","63370-0098-15",,"J7699",,7/8/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","JR","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370009825","63370-0098-25",,"J7699",,7/8/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370009835","63370-0098-35",,"J7699",,7/8/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370009850","63370-0098-50",,"J7699",,7/8/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370009855","63370-0098-55",,"J7699",,7/8/2003,,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","GENTAMICIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370010215","63370-0102-15",,"J1630",,7/8/2003,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.,BASE)",1,"EA","BO","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370010225","63370-0102-25",,"J1630",,7/8/2003,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.,BASE)",1,"EA","BO","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370010235","63370-0102-35",,"J1630",,7/8/2003,,"INJECTION, HALOPERIDOL, UP TO 5 MG","HALOPERIDOL (U.S.P.,BASE)",1,"EA","BO","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370010725","63370-0107-25",,"J3410",,7/8/2003,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,7/8/2003,,,,,,,
"63370010735","63370-0107-35",,"J3410",,7/8/2003,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,7/8/2003,,,,,,,
"63370010750","63370-0107-50",,"J3410",,7/8/2003,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,7/8/2003,,,,,,,
"63370010755","63370-0107-55",,"J3410",,7/8/2003,,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG","HYDROXYZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,7/8/2003,,,,,,,
"63370010815","63370-0108-15",,"J1700",,7/12/2004,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE MICRONIZED (USP)",1,"EA","BO","NA","GM",25,"MG",40,7/12/2004,,,,,,,
"63370010825","63370-0108-25",,"J1700",,7/12/2004,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE MICRONIZED (USP)",1,"EA","BO","NA","GM",25,"MG",40,7/12/2004,,,,,,,
"63370010835","63370-0108-35",,"J1700",,7/12/2004,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE MICRONIZED (USP)",1,"EA","BO","NA","GM",25,"MG",40,7/12/2004,,,,,,,
"63370010845","63370-0108-45",,"J1700",,7/12/2004,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE MICRONIZED (USP)",1,"EA","BO","NA","GM",25,"MG",40,7/12/2004,,,,,,,
"63370010850","63370-0108-50",,"J1700",,7/12/2004,,"INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG","HYDROCORTISONE ACETATE MICRONIZED (USP)",1,"EA","BO","NA","GM",25,"MG",40,7/12/2004,,,,,,,
"63370010910","63370-0109-10",,"J3490",,1/1/2007,,"UNCLASSIFIED DRUGS","SODIUM HYALURONATE (1X1GM)",1,"EA","NA","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370010910","63370-0109-10",,"J7317",,10/24/2006,12/31/2006,"SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION","SODIUM HYALURONATE (1X1GM)",1,"EA","NA","NA","GM",20,"MG",40,10/24/2006,,,,,,,
"63370010916","63370-0109-16",,"J3490",,1/1/2007,,"UNCLASSIFIED DRUGS","SODIUM HYALURONATE (1X0.2GM)",1,"EA","NA","NA","GM",1,"EA",1,1/1/2007,,,,,,,
"63370010916","63370-0109-16",,"J7317",,10/24/2006,12/31/2006,"SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION","SODIUM HYALURONATE (1X0.2GM)",1,"EA","NA","NA","GM",20,"MG",40,10/24/2006,,,,,,,
"63370012010","63370-0120-10",,"J7644",,7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012010","63370-0120-10",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012010","63370-0120-10","KO","J7644","KO",7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012010","63370-0120-10","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012015","63370-0120-15",,"J7644",,7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012015","63370-0120-15",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012015","63370-0120-15","KO","J7644","KO",7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012015","63370-0120-15","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012025","63370-0120-25",,"J7644",,7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012025","63370-0120-25",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012025","63370-0120-25","KO","J7644","KO",7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012025","63370-0120-25","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012035","63370-0120-35",,"J7644",,7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012035","63370-0120-35",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012035","63370-0120-35","KO","J7644","KO",7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012035","63370-0120-35","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012050","63370-0120-50",,"J7644",,7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012050","63370-0120-50",,"J7645",,1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012050","63370-0120-50","KO","J7644","KO",7/8/2003,12/31/2006,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370012050","63370-0120-50","KO","J7645","KO",1/1/2007,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (EP)",1,"EA","BO","NA","GM",1,"MG",1000,1/1/2007,,,,,,,
"63370012215","63370-0122-15",,"J1835",,7/8/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE MICRONIZED",1,"EA","JR","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370012225","63370-0122-25",,"J1835",,7/8/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370012235","63370-0122-35",,"J1835",,7/8/2003,,"INJECTION, ITRACONAZOLE, 50 MG","ITRACONAZOLE MICRONIZED",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370012420","63370-0124-20",,"J1840",,7/8/2003,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370012425","63370-0124-25",,"J1840",,7/8/2003,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370012435","63370-0124-35",,"J1840",,7/8/2003,,"INJECTION, KANAMYCIN SULFATE, UP TO 500 MG","KANAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370013810","63370-0138-10",,"J1030",,10/25/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRO (1X1GM,USP)",1,"EA","NA","NA","GM",40,"MG",25,10/25/2006,,,,,,,
"63370013815","63370-0138-15",,"J1030",,10/25/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRO (1X5GM,USP)",1,"EA","NA","NA","GM",40,"MG",25,10/25/2006,,,,,,,
"63370013825","63370-0138-25",,"J1030",,10/25/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRO (1X25GM,USP)",1,"EA","NA","NA","GM",40,"MG",25,10/25/2006,,,,,,,
"63370013835","63370-0138-35",,"J1030",,10/25/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRO (1X100GM,USP)",1,"EA","NA","NA","GM",40,"MG",25,10/25/2006,,,,,,,
"63370013850","63370-0138-50",,"J1030",,10/25/2006,,"INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG","METHYLPREDNISOLONE ACETATE MICRO (1X1000GM,USP)",1,"EA","NA","NA","GM",40,"MG",25,10/25/2006,,,,,,,
"63370014115","63370-0141-15",,"J2765",,7/8/2003,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P., MONOHYDRATE)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370014125","63370-0141-25",,"J2765",,7/8/2003,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P., MONOHYDRATE)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370014135","63370-0141-35",,"J2765",,7/8/2003,,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG","METOCLOPRAMIDE HCL (U.S.P., MONOHYDRATE)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370014335","63370-0143-35",,"J2800",,7/8/2003,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","METHOCARBAMOL (U.S.P.)",1,"EA","BO","NA","GM",10,"ML",1,7/8/2003,,,,,,,
"63370014345","63370-0143-45",,"J2800",,7/8/2003,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","METHOCARBAMOL (U.S.P.)",1,"EA","BO","NA","GM",10,"ML",1,7/8/2003,,,,,,,
"63370014350","63370-0143-50",,"J2800",,7/8/2003,,"INJECTION, METHOCARBAMOL, UP TO 10 ML","METHOCARBAMOL (U.S.P.)",1,"EA","BO","NA","GM",10,"ML",1,7/8/2003,,,,,,,
"63370014514","63370-0145-14",,"J2000",,12/19/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,12/19/2003,,,,,,,
"63370014514","63370-0145-14",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"63370014525","63370-0145-25",,"J2000",,7/8/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,7/8/2003,,,,,,,
"63370014525","63370-0145-25",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"63370014535","63370-0145-35",,"J2000",,7/8/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,7/8/2003,,,,,,,
"63370014535","63370-0145-35",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"63370014550","63370-0145-50",,"J2000",,7/8/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,7/8/2003,,,,,,,
"63370014550","63370-0145-50",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"63370014555","63370-0145-55",,"J2000",,7/8/2003,12/31/2003,"INJECTION, LIDOCAINE HCL, 50 CC","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"ML",4,7/8/2003,,,,,,,
"63370014555","63370-0145-55",,"J2001",,1/1/2004,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","LIDOCAINE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2004,,,,,,,
"63370015225","63370-0152-25",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370015235","63370-0152-35",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370015245","63370-0152-45",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","METRONIDAZOLE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370015320","63370-0153-20",,"J7669",,7/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370015320","63370-0153-20",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"63370015320","63370-0153-20","KO","J7669","KO",7/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370015320","63370-0153-20","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"63370015325","63370-0153-25",,"J7669",,7/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370015325","63370-0153-25",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"63370015325","63370-0153-25","KO","J7669","KO",7/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370015325","63370-0153-25","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"63370015335","63370-0153-35",,"J7669",,7/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370015335","63370-0153-35",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"63370015335","63370-0153-35","KO","J7669","KO",7/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370015335","63370-0153-35","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"63370015345","63370-0153-45",,"J7669",,7/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370015345","63370-0153-45",,"J7670",,1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"63370015345","63370-0153-45","KO","J7669","KO",7/8/2003,12/31/2006,"METAPROTERENOL SULFATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370015345","63370-0153-45","KO","J7670","KO",1/1/2007,,"METAPROTERENOL SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS","METAPROTERENOL SULFATE (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,1/1/2007,,,,,,,
"63370015410","63370-0154-10",,"J8610",,7/8/2003,,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,7/8/2003,,,,,,,
"63370015415","63370-0154-15",,"J8610",,7/8/2003,,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,7/8/2003,,,,,,,
"63370015425","63370-0154-25",,"J8610",,7/8/2003,,"METHOTREXATE; ORAL, 2.5 MG","METHOTREXATE (U.S.P.)",1,"EA","BO","NA","GM",2.5,"MG",400,7/8/2003,,,,,,,
"63370016515","63370-0165-15",,"J2440",,7/8/2003,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,7/8/2003,,,,,,,
"63370016525","63370-0165-25",,"J2440",,7/8/2003,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,7/8/2003,,,,,,,
"63370016535","63370-0165-35",,"J2440",,7/8/2003,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (U.S.P.)",1,"EA","BO","NA","GM",60,"MG",16.66666,7/8/2003,,,,,,,
"63370017006","63370-0170-06",,"J2760",,7/8/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370017009","63370-0170-09",,"J2760",,7/8/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370017010","63370-0170-10",,"J2760",,7/8/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370017015","63370-0170-15",,"J2760",,7/8/2003,,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG","PHENTOLAMINE MESYLATE (U.S.P.)",1,"EA","BO","NA","GM",5,"MG",200,7/8/2003,,,,,,,
"63370017625","63370-0176-25",,"J1165",,7/8/2003,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370017635","63370-0176-35",,"J1165",,7/8/2003,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370017645","63370-0176-45",,"J1165",,7/8/2003,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370017653","63370-0176-53",,"J1165",,7/8/2003,,"INJECTION, PHENYTOIN SODIUM, PER 50 MG","PHENYTOIN SODIUM (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370019415","63370-0194-15",,"J7506",,7/12/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE MICRONIZED (U.S.P)",1,"EA","BO","NA","GM",5,"MG",200,7/12/2004,,,,,,,
"63370019425","63370-0194-25",,"J7506",,7/12/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE MICRONIZED (U.S.P)",1,"EA","BO","NA","GM",5,"MG",200,7/12/2004,,,,,,,
"63370019435","63370-0194-35",,"J7506",,7/12/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE MICRONIZED (U.S.P)",1,"EA","BO","NA","GM",5,"MG",200,7/12/2004,,,,,,,
"63370019445","63370-0194-45",,"J7506",,7/12/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE MICRONIZED (U.S.P)",1,"EA","BO","NA","GM",5,"MG",200,7/12/2004,,,,,,,
"63370019450","63370-0194-50",,"J7506",,7/12/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE MICRONIZED (U.S.P)",1,"EA","BO","NA","GM",5,"MG",200,7/12/2004,,,,,,,
"63370019515","63370-0195-15",,"J2650",,7/8/2003,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"ML",20,7/8/2003,,,,,,,
"63370019525","63370-0195-25",,"J2650",,7/8/2003,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"ML",20,7/8/2003,,,,,,,
"63370019535","63370-0195-35",,"J2650",,7/8/2003,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"ML",20,7/8/2003,,,,,,,
"63370019550","63370-0195-50",,"J2650",,7/8/2003,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"ML",20,7/8/2003,,,,,,,
"63370019555","63370-0195-55",,"J2650",,7/8/2003,,"INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML","PREDNISOLONE ACETATE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",1,"ML",20,7/8/2003,,,,,,,
"63370019825","63370-0198-25",,"Q0165",,12/19/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (USP)",1,"EA","BO","NA","GM",10,"MG",100,12/19/2003,,,,,,,
"63370019835","63370-0198-35",,"Q0165",,12/19/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (USP)",1,"EA","BO","NA","GM",10,"MG",100,12/19/2003,,,,,,,
"63370019845","63370-0198-45",,"Q0165",,12/19/2003,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE (USP)",1,"EA","BO","NA","GM",10,"MG",100,12/19/2003,,,,,,,
"63370019935","63370-0199-35",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (USP,SOY)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370019945","63370-0199-45",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (USP,SOY)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370019950","63370-0199-50",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (USP,SOY)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370019955","63370-0199-55",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (USP,SOY)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370019962","63370-0199-62",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (USP,SOY)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370020035","63370-0200-35",,"J2675",,12/19/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (USP,YAM)",1,"EA","BO","NA","GM",50,"MG",20,12/19/2003,,,,,,,
"63370020045","63370-0200-45",,"J2675",,12/19/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (USP,YAM)",1,"EA","BO","NA","GM",50,"MG",20,12/19/2003,,,,,,,
"63370020050","63370-0200-50",,"J2675",,7/8/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (YAM)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370020055","63370-0200-55",,"J2675",,12/19/2003,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE (USP,YAM)",1,"EA","BO","NA","GM",50,"MG",20,12/19/2003,,,,,,,
"63370020062","63370-0200-62",,"J2675",,7/8/2003,7/8/2003,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (YAM)",1,"EA","NA","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370020235","63370-0202-35",,"J2675",,7/12/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE WETTABLE (U.S.P.,YAM)",1,"EA","BO","NA","GM",50,"MG",20,7/12/2004,,,,,,,
"63370020245","63370-0202-45",,"J2675",,7/12/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE WETTABLE (U.S.P.,YAM)",1,"EA","BO","NA","GM",50,"MG",20,7/12/2004,,,,,,,
"63370020250","63370-0202-50",,"J2675",,7/12/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE WETTABLE (U.S.P.,YAM)",1,"EA","BO","NA","GM",50,"MG",20,7/12/2004,,,,,,,
"63370020325","63370-0203-25",,"J2550",,7/8/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370020335","63370-0203-35",,"J2550",,7/8/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370020345","63370-0203-45",,"J2550",,7/8/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370020350","63370-0203-50",,"J2550",,7/8/2003,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,7/8/2003,,,,,,,
"63370020435","63370-0204-35",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (YAM)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370020445","63370-0204-45",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (YAM)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370020450","63370-0204-50",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (YAM)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370020455","63370-0204-55",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (YAM)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370020462","63370-0204-62",,"J2675",,2/25/2004,,"INJECTION, PROGESTERONE, PER 50 MG","PROGESTERONE MICRONIZED (YAM)",1,"EA","BO","NA","GM",50,"MG",20,2/25/2004,,,,,,,
"63370020525","63370-0205-25",,"J1800",,7/8/2003,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370020535","63370-0205-35",,"J1800",,7/8/2003,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370020545","63370-0205-45",,"J1800",,7/8/2003,,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HCL (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370021004","63370-0210-04",,"J0270",,7/8/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,7/8/2003,,,,,,,
"63370021006","63370-0210-06",,"J0270",,7/8/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,7/8/2003,,,,,,,
"63370021010","63370-0210-10",,"J0270",,7/8/2003,,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","ALPROSTADIL (U.S.P.)",1,"EA","BO","NA","GM",1.25,"MCG",800000,7/8/2003,,,,,,,
"63370021825","63370-0218-25",,"J2780",,7/8/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,7/8/2003,,,,,,,
"63370021835","63370-0218-35",,"J2780",,7/8/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","JR","NA","GM",25,"MG",40,7/8/2003,,,,,,,
"63370021845","63370-0218-45",,"J2780",,7/8/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,7/8/2003,,,,,,,
"63370021850","63370-0218-50",,"J2780",,7/8/2003,,"INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG","RANITIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",25,"MG",40,7/8/2003,,,,,,,
"63370023335","63370-0233-35",,"J3000",,7/8/2003,,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (U.S.P., NON-STERILE)",1,"EA","BO","NA","GM",1,"GM",1,7/8/2003,,,,,,,
"63370023350","63370-0233-50",,"J3000",,7/8/2003,,"INJECTION, STREPTOMYCIN, UP TO 1 GM","STREPTOMYCIN SULFATE (U.S.P., NON-STERILE)",1,"EA","BO","NA","GM",1,"GM",1,7/8/2003,,,,,,,
"63370025015","63370-0250-15",,"J7681",,7/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370025015","63370-0250-15","KO","J7681","KO",7/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370025020","63370-0250-20",,"J7681",,7/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370025020","63370-0250-20","KO","J7681","KO",7/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370025025","63370-0250-25",,"J7681",,7/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370025025","63370-0250-25","KO","J7681","KO",7/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370025035","63370-0250-35",,"J7681",,7/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370025035","63370-0250-35","KO","J7681","KO",7/8/2003,,"TERBUTALINE SULFATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","TERBUTALINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",1,"MG",1000,7/8/2003,,,,,,,
"63370027510","63370-0275-10",,"J7682",,7/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,7/8/2003,,,,,,,
"63370027510","63370-0275-10",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"63370027510","63370-0275-10","KO","J7682","KO",7/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,7/8/2003,,,,,,,
"63370027510","63370-0275-10","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"63370027515","63370-0275-15",,"J7682",,7/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,7/8/2003,,,,,,,
"63370027515","63370-0275-15",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"63370027515","63370-0275-15","KO","J7682","KO",7/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,7/8/2003,,,,,,,
"63370027515","63370-0275-15","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"63370027525","63370-0275-25",,"J7682",,7/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,7/8/2003,,,,,,,
"63370027525","63370-0275-25",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"63370027525","63370-0275-25","KO","J7682","KO",7/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,7/8/2003,,,,,,,
"63370027525","63370-0275-25","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"63370027535","63370-0275-35",,"J7682",,7/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,7/8/2003,,,,,,,
"63370027535","63370-0275-35",,"J7685",,1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"63370027535","63370-0275-35","KO","J7682","KO",7/8/2003,12/31/2006,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,7/8/2003,,,,,,,
"63370027535","63370-0275-35","KO","J7685","KO",1/1/2007,,"TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS","TOBRAMYCIN SULFATE (U.S.P.)",1,"EA","BO","NA","GM",300,"MG",3.33333,1/1/2007,,,,,,,
"63370030015","63370-0300-15",,"J3301",,7/8/2003,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","TRIAMCINOLONE ACETONIDE MICRONIZED",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370030020","63370-0300-20",,"J3301",,7/8/2003,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","TRIAMCINOLONE ACETONIDE MICRONIZED",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370030025","63370-0300-25",,"J3301",,7/8/2003,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","TRIAMCINOLONE ACETONIDE MICRONIZED",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370030035","63370-0300-35",,"J3301",,7/8/2003,,"INJECTION, TRIAMCINOLONE  ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG","TRIAMCINOLONE ACETONIDE MICRONIZED",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370035010","63370-0350-10",,"J3370",,7/8/2003,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370035015","63370-0350-15",,"J3370",,7/8/2003,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370035025","63370-0350-25",,"J3370",,7/8/2003,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370035035","63370-0350-35",,"J3370",,7/8/2003,,"INJECTION, VANCOMYCIN HCL, 500 MG","VANCOMYCIN HCL (U.S.P.)",1,"EA","BO","NA","GM",500,"MG",2,7/8/2003,,,,,,,
"63370041435","63370-0414-35",,"J1955",,10/24/2006,,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE (1X100GM,USP)",1,"EA","BO","NA","GM",1,"GM",1,10/24/2006,,,,,,,
"63370041445","63370-0414-45",,"J1955",,10/24/2006,,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE (1X500GM,USP)",1,"EA","BO","NA","GM",1,"GM",1,10/24/2006,,,,,,,
"63370041450","63370-0414-50",,"J1955",,10/24/2006,,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE (1X1000GM,USP)",1,"EA","BO","NA","GM",1,"GM",1,10/24/2006,,,,,,,
"63370041453","63370-0414-53",,"J1955",,10/24/2006,,"INJECTION, LEVOCARNITINE, PER 1 GM","LEVOCARNITINE (1X2500GM,USP)",1,"EA","NA","NA","GM",1,"GM",1,10/24/2006,,,,,,,
"63370043235","63370-0432-35",,"J3520",,10/24/2006,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (1X100GM,USP)",1,"EA","BO","NA","GM",150,"MG",6.66666,10/24/2006,,,,,,,
"63370043250","63370-0432-50",,"J3520",,10/24/2006,,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (1X1000GM,USP)",1,"EA","BO","NA","GM",150,"MG",6.66666,10/24/2006,,,,,,,
"63370046210","63370-0462-10",,"J3430",,10/25/2006,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","PHYTONADIONE (1X1GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,10/25/2006,,,,,,,
"63370046215","63370-0462-15",,"J3430",,10/25/2006,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","PHYTONADIONE (1X5GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,10/25/2006,,,,,,,
"63370046225","63370-0462-25",,"J3430",,10/25/2006,,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG","PHYTONADIONE (1X25GM,USP)",1,"EA","BO","NA","GM",1,"MG",1000,10/25/2006,,,,,,,
"63370047235","63370-0472-35",,"J3415",,10/26/2006,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HYDROCHLORIDE (1X100GM,USP)",1,"EA","BO","NA","GM",100,"MG",10,10/26/2006,,,,,,,
"63370047245","63370-0472-45",,"J3415",,10/26/2006,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HYDROCHLORIDE (1X500GM,USP)",1,"EA","BO","NA","GM",100,"MG",10,10/26/2006,,,,,,,
"63370047250","63370-0472-50",,"J3415",,10/26/2006,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HYDROCHLORIDE (1X1000GM,USP)",1,"EA","BO","NA","GM",100,"MG",10,10/26/2006,,,,,,,
"63370047253","63370-0472-53",,"J3415",,10/26/2006,,"INJECTION, PYRIDOXINE HCL, 100 MG","PYRIDOXINE HYDROCHLORIDE (1X25000GM,USP)",1,"EA","NA","NA","GM",100,"MG",10,10/26/2006,,,,,,,
"63370048535","63370-0485-35",,"J3411",,10/26/2006,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HYDROCHLORIDE (1X100GM,USP)",1,"EA","BO","NA","GM",100,"MG",10,10/26/2006,,,,,,,
"63370048545","63370-0485-45",,"J3411",,10/26/2006,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HYDROCHLORIDE (1X500GM,USP)",1,"EA","BO","NA","GM",100,"MG",10,10/26/2006,,,,,,,
"63370048550","63370-0485-50",,"J3411",,10/26/2006,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HYDROCHLORIDE (1X1000GM,USP)",1,"EA","BO","NA","GM",100,"MG",10,10/26/2006,,,,,,,
"63370048553","63370-0485-53",,"J3411",,10/26/2006,,"INJECTION, THIAMINE HCL, 100 MG","THIAMINE HYDROCHLORIDE (1X2500GM,USP)",1,"EA","NA","NA","GM",100,"MG",10,10/26/2006,,,,,,,
"63370090506","63370-0905-06",,"J0592",,7/8/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (USP)",1,"EA","JR","NA","GM",0.1,"MG",10000,7/8/2003,,,,,,,
"63370090509","63370-0905-09",,"J0592",,7/8/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (USP)",1,"EA","JR","NA","GM",0.1,"MG",10000,7/8/2003,,,,,,,
"63370090510","63370-0905-10",,"J0592",,7/8/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (USP)",1,"EA","JR","NA","GM",0.1,"MG",10000,7/8/2003,,,,,,,
"63370090515","63370-0905-15",,"J0592",,7/8/2003,,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG","BUPRENORPHINE HYDROCHLORIDE (USP)",1,"EA","JR","NA","GM",0.1,"MG",10000,7/8/2003,,,,,,,
"63370091015","63370-0910-15",,"J0745",,7/8/2003,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,7/8/2003,,,,,,,
"63370091025","63370-0910-25",,"J0745",,7/8/2003,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,7/8/2003,,,,,,,
"63370091035","63370-0910-35",,"J0745",,7/8/2003,,"INJECTION, CODEINE PHOSPHATE, PER 30 MG","CODEINE PHOSPHATE (U.S.P.)",1,"EA","BO","NA","GM",30,"MG",33.33333,7/8/2003,,,,,,,
"63370092006","63370-0920-06",,"J3010",,7/8/2003,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,7/8/2003,,,,,,,
"63370092009","63370-0920-09",,"J3010",,7/8/2003,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","JR","NA","GM",0.1,"MG",10000,7/8/2003,,,,,,,
"63370092010","63370-0920-10",,"J3010",,7/8/2003,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",0.1,"MG",10000,7/8/2003,,,,,,,
"63370092015","63370-0920-15",,"J3010",,7/8/2003,,"INJECTION, FENTANYL CITRATE, 0.1 MG","FENTANYL CITRATE (U.S.P.)",1,"EA","JR","NA","GM",0.1,"MG",10000,7/8/2003,,,,,,,
"63370093010","63370-0930-10",,"J1170",,7/8/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,7/8/2003,,,,,,,
"63370093015","63370-0930-15",,"J1170",,7/8/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,7/8/2003,,,,,,,
"63370093020","63370-0930-20",,"J1170",,7/8/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","BO","NA","GM",4,"MG",250,7/8/2003,,,,,,,
"63370093025","63370-0930-25",,"J1170",,7/8/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","JR","NA","GM",4,"MG",250,7/8/2003,,,,,,,
"63370093035","63370-0930-35",,"J1170",,7/8/2003,,"INJECTION, HYDROMORPHONE, UP TO 4 MG","HYDROMORPHONE HCL (U.S.P.)",1,"EA","JR","NA","GM",4,"MG",250,7/8/2003,,,,,,,
"63370093510","63370-0935-10",,"J2060",,7/8/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,7/8/2003,,,,,,,
"63370093515","63370-0935-15",,"J2060",,7/8/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,7/8/2003,,,,,,,
"63370093525","63370-0935-25",,"J2060",,7/8/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,7/8/2003,,,,,,,
"63370093535","63370-0935-35",,"J2060",,7/8/2003,,"INJECTION, LORAZEPAM, 2 MG","LORAZEPAM (U.S.P.)",1,"EA","BO","NA","GM",2,"MG",500,7/8/2003,,,,,,,
"63370093715","63370-0937-15",,"J2175",,7/8/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370093725","63370-0937-25",,"J2175",,7/8/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370093735","63370-0937-35",,"J2175",,7/8/2003,,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG","MEPERIDINE HCL (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370093915","63370-0939-15",,"J1230",,7/8/2003,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370093925","63370-0939-25",,"J1230",,7/8/2003,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370093935","63370-0939-35",,"J1230",,7/8/2003,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL (U.S.P.)",1,"EA","BO","NA","GM",10,"MG",100,7/8/2003,,,,,,,
"63370095025","63370-0950-25",,"J2271",,7/8/2003,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370095035","63370-0950-35",,"J2271",,7/8/2003,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370095045","63370-0950-45",,"J2271",,7/8/2003,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370095050","63370-0950-50",,"J2271",,7/8/2003,,"INJECTION, MORPHINE SULFATE, 100MG","MORPHINE SULFATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370095510","63370-0955-10",,"J2321",,7/8/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370095515","63370-0955-15",,"J2321",,7/8/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370095525","63370-0955-25",,"J2321",,7/8/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370095535","63370-0955-35",,"J2321",,7/8/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370095545","63370-0955-45",,"J2321",,7/8/2003,,"INJECTION, NANDROLONE DECANOATE, UP TO 100 MG","NANDROLONE DECANOATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370096804","63370-0968-04",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (U.S.P.)",1,"EA","NA","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370096806","63370-0968-06",,"J3490",,7/8/2003,,"UNCLASSIFIED DRUGS","SUFENTANIL CITRATE (U.S.P.)",1,"EA","BO","NA","GM",1,"EA",1,7/8/2003,,,,,,,
"63370097025","63370-0970-25",,"J3140",,1/31/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/31/2002,,,,,,,
"63370097035","63370-0970-35",,"J3140",,1/31/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","BO","NA","GM",50,"MG",20,1/31/2002,,,,,,,
"63370097045","63370-0970-45",,"J3140",,1/31/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,1/31/2002,,,,,,,
"63370097050","63370-0970-50",,"J3140",,1/31/2002,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (U.S.P.)",1,"EA","JR","NA","GM",50,"MG",20,1/31/2002,,,,,,,
"63370097125","63370-0971-25",,"J3140",,12/19/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (USP,YAM)",1,"EA","BO","NA","GM",50,"MG",20,12/19/2003,,,,,,,
"63370097135","63370-0971-35",,"J3140",,12/19/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (USP,YAM)",1,"EA","BO","NA","GM",50,"MG",20,12/19/2003,,,,,,,
"63370097145","63370-0971-45",,"J3140",,12/19/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (USP,YAM)",1,"EA","BO","NA","GM",50,"MG",20,12/19/2003,,,,,,,
"63370097150","63370-0971-50",,"J3140",,12/19/2003,,"INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG","TESTOSTERONE MICRONIZED (USP,YAM)",1,"EA","BO","NA","GM",50,"MG",20,12/19/2003,,,,,,,
"63370098025","63370-0980-25",,"J1070",,7/8/2003,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370098035","63370-0980-35",,"J1070",,7/8/2003,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370098050","63370-0980-50",,"J1070",,7/8/2003,,"INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG","TESTOSTERONE CYPIONATE (U.S.P.)",1,"EA","JR","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370098315","63370-0983-15",,"J3130",,1/19/2004,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/19/2004,,,,,,,
"63370098325","63370-0983-25",,"J3130",,1/19/2004,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/19/2004,,,,,,,
"63370098335","63370-0983-35",,"J3130",,1/19/2004,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/19/2004,,,,,,,
"63370098350","63370-0983-50",,"J3130",,1/19/2004,,"INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG","TESTOSTERONE ENANTHATE (U.S.P.)",1,"EA","BO","NA","GM",200,"MG",5,1/19/2004,,,,,,,
"63370098525","63370-0985-25",,"J3150",,7/8/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370098535","63370-0985-35",,"J3150",,7/8/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370098545","63370-0985-45",,"J3150",,7/8/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63370098550","63370-0985-50",,"J3150",,7/8/2003,,"INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG","TESTOSTERONE PROPIONATE (U.S.P.)",1,"EA","BO","NA","GM",100,"MG",10,7/8/2003,,,,,,,
"63402051124","63402-0511-24",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX PEDIATRIC 0.31 MG/3 ML",3,"ML","PC","IH","ML",1,"MG",0.20666,1/1/2008,,,,,,,
"63402051124","63402-0511-24",,"J7614",,4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX PEDIATRIC 0.31 MG/3 ML",3,"ML","PC","IH","ML",0.5,"MG",0.20666,4/1/2008,,,,,,,
"63402051124","63402-0511-24","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX PEDIATRIC 0.31 MG/3 ML",3,"ML","PC","IH","ML",1,"MG",0.20666,1/1/2008,,,,,,,
"63402051124","63402-0511-24","KO","J7614","KO",4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX PEDIATRIC 0.31 MG/3 ML",3,"ML","PC","IH","ML",0.5,"MG",0.20666,4/1/2008,,,,,,,
"63402051224","63402-0512-24",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.63 MG/3 ML",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"63402051224","63402-0512-24",,"J7614",,4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.63 MG/3 ML",3,"ML","PC","IH","ML",0.5,"MG",0.42,4/1/2008,,,,,,,
"63402051224","63402-0512-24","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 0.63 MG/3 ML",3,"ML","PC","IH","ML",1,"MG",0.42,1/1/2008,,,,,,,
"63402051224","63402-0512-24","KO","J7614","KO",4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 0.63 MG/3 ML",3,"ML","PC","IH","ML",0.5,"MG",0.42,4/1/2008,,,,,,,
"63402051324","63402-0513-24",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 1.25 MG/3 ML",3,"ML","PC","IH","ML",1,"MG",0.83333,1/1/2008,,,,,,,
"63402051324","63402-0513-24",,"J7614",,4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 1.25 MG/3 ML",3,"ML","PC","IH","ML",0.5,"MG",0.83333,4/1/2008,,,,,,,
"63402051324","63402-0513-24","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 1.25 MG/3 ML",3,"ML","PC","IH","ML",1,"MG",0.83333,1/1/2008,,,,,,,
"63402051324","63402-0513-24","KO","J7614","KO",4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG","XOPENEX (PF) 1.25 MG/3 ML",3,"ML","PC","IH","ML",0.5,"MG",0.83333,4/1/2008,,,,,,,
"63402051530","63402-0515-30",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","XOPENEX (PF) 1.25 MG/0.5 ML",0.5,"ML","PC","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"63402051530","63402-0515-30",,"J7612",,4/1/2008,,"LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 0.5 MG","XOPENEX (PF) 1.25 MG/0.5 ML",0.5,"ML","PC","IH","ML",0.5,"MG",5,4/1/2008,,,,,,,
"63402091130","63402-0911-30","KO","J7605","KO",1/1/2008,,"ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS","BROVANA 15 MCG/2 ML",2,"ML","PC","IH","ML",15,"MCG",0.5,1/1/2008,,,,,,,
"63402091130","63402-0911-30","KO","J7699","KO",4/4/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","BROVANA 15 MCG/2 ML",2,"ML","PC","IH","ML",1,"EA",1,4/4/2007,,,,,,,
"63402091164","63402-0911-64","KO","J7605","KO",1/1/2008,,"ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS","BROVANA (60X2ML) 15 MCG/2 ML",2,"ML","VL","IH","ML",15,"MCG",0.5,1/1/2008,,,,,,,
"63402091164","63402-0911-64","KO","J7699","KO",1/31/2007,12/31/2007,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","BROVANA (60X2ML) 15 MCG/2 ML",2,"ML","VL","IH","ML",1,"EA",1,1/31/2007,,,,,,,
"63459030042","63459-0300-42",,"J2315",,1/1/2007,5/1/2009,"INJECTION, NALTREXONE, DEPOT FORM, 1 MG","VIVITROL (W/DILUENT) 380 MG",1,"EA","VL","IM","EA",1,"MG",380,1/1/2007,5/1/2009,,,,,,
"63459030042","63459-0300-42",,"J3490",,6/12/2006,12/31/2006,"UNCLASSIFIED DRUGS","VIVITROL (W/DILUENT) 380 MG",1,"EA","VL","IM","EA",1,"EA",1,6/12/2006,,,,,,,
"63459039120","63459-0391-20",,"J3490",,3/31/2008,,"UNCLASSIFIED DRUGS","TREANDA",1,"EA","VL","IV","EA",1,"EA",1,3/31/2008,,,,,,,
"63459060010","63459-0600-10",,"J9017",,7/15/2006,,"INJECTION, ARSENIC TRIOXIDE, 1 MG","TRISENOX (10X10 AMP,PF) 1 MG/ML",10,"ML","AM","IV","ML",1,"MG",1,7/15/2006,,,,,,,
"63481010870","63481-0108-70",,"G9033",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","SYMMETREL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"63481020516","63481-0205-16",,"G9033",,12/1/2004,5/18/2005,"AMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","SYMMETREL 50 MG/5 ML",480,"ML","BO","PO","ML",100,"MG",0.1,12/1/2004,,,,,,,
"63481035810","63481-0358-10",,"J2310",,1/1/2002,5/21/2007,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NARCAN (AMP) 0.4 MG/ML",1,"ML","AM","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"63481035910","63481-0359-10",,"J2310",,1/1/2002,6/24/2003,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NARCAN (AMP) 0.02 MG/ML",2,"ML","AM","IJ","ML",1,"MG",0.02,1/1/2002,,,,,,,
"63481036505","63481-0365-05",,"J2310",,1/1/2002,1/6/2005,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NARCAN (M.D.V.) 0.4 MG/ML",10,"ML","VL","IJ","ML",1,"MG",0.4,1/1/2002,,,,,,,
"63481036805","63481-0368-05",,"J2310",,1/1/2002,1/6/2005,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NARCAN (M.D.V) 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"63481037710","63481-0377-10",,"J2310",,1/1/2002,2/16/2005,"INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG","NARCAN (AMP) 1 MG/ML",2,"ML","AM","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"63481043210","63481-0432-10",,"J2300",,1/1/2002,5/21/2007,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (AMP,W/O SULFITE/PARABEN) 10 MG/ML",1,"ML","AM","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"63481043310","63481-0433-10",,"J2300",,1/1/2002,5/21/2007,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (AMP,W/O SULFITE/PARABEN) 20 MG/ML",1,"ML","AM","IJ","ML",10,"MG",2,1/1/2002,,,,,,,
"63481044410","63481-0444-10",,"J2410",,1/1/2002,7/19/2007,"INJECTION, OXYMORPHONE HCL, UP TO 1 MG","NUMORPHAN HCL (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"MG",1,1/1/2002,,,,,,,
"63481044501","63481-0445-01",,"J2410",,1/1/2002,9/30/2005,"INJECTION, OXYMORPHONE HCL, UP TO 1 MG","NUMORPHAN HCL (VIAL) 1.5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1.5,1/1/2002,,,,,,,
"63481050805","63481-0508-05",,"J2300",,1/1/2002,9/16/2005,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (M.D.V.) 10 MG/ML",10,"ML","VL","IJ","ML",10,"MG",1,1/1/2002,,,,,,,
"63481050905","63481-0509-05",,"J2300",,1/1/2002,5/21/2007,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG","NUBAIN (M.D.V.) 20 MG/ML",10,"ML","VL","IJ","ML",10,"MG",2,1/1/2002,,,,,,,
"63481062410","63481-0624-10",,"J2410",,5/7/2007,,"INJECTION, OXYMORPHONE HCL, UP TO 1 MG","OPANA (1MLX10,PARABEN-FREE) 1 MG/ML",1,"ML","AM","IJ","ML",1,"MG",1,5/7/2007,,,,,,,
"63629126201","63629-1262-01",,"J8999",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","AROMASIN 25 MG",30,"EA","NA","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629133501","63629-1335-01",,"Q0165",,11/1/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",10,"EA","NA","PO","EA",10,"MG",1,11/1/2004,,,,,,,
"63629133502","63629-1335-02",,"Q0165",,11/1/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",30,"EA","NA","PO","EA",10,"MG",1,11/1/2004,,,,,,,
"63629133503","63629-1335-03",,"Q0165",,11/1/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",20,"EA","NA","PO","EA",10,"MG",1,11/1/2004,,,,,,,
"63629134301","63629-1343-01",,"Q0163",,11/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,11/1/2004,,,,,,,
"63629134302","63629-1343-02",,"Q0163",,11/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,11/1/2004,,,,,,,
"63629134303","63629-1343-03",,"Q0163",,11/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",42,"EA","BO","PO","EA",50,"MG",0.5,11/1/2004,,,,,,,
"63629134304","63629-1343-04",,"Q0163",,11/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,11/1/2004,,,,,,,
"63629134901","63629-1349-01",,"Q0163",,11/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 50 MG",15,"EA","BO","PO","EA",50,"MG",1,11/1/2004,,,,,,,
"63629134902","63629-1349-02",,"Q0163",,11/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 50 MG",20,"EA","BO","PO","EA",50,"MG",1,11/1/2004,,,,,,,
"63629134903","63629-1349-03",,"Q0163",,11/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,11/1/2004,,,,,,,
"63629147201","63629-1472-01",,,,11/1/2004,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE 2.5 MG",30,"EA","NA","PO","EA",2.5,"MG",1,11/1/2004,,,,,,,
"63629153301","63629-1533-01",,"Q0177",,11/1/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYYZINE PAMOATE 25 MG",20,"EA","NA","PO","EA",25,"MG",1,11/1/2004,,,,,,,
"63629153302","63629-1533-02",,"Q0177",,11/1/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYYZINE PAMOATE 25 MG",30,"EA","NA","PO","EA",25,"MG",1,11/1/2004,,,,,,,
"63629157901","63629-1579-01",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","NA","PO","EA",5,"MG",2,11/1/2004,,,,,,,
"63629157902","63629-1579-02",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","NA","PO","EA",5,"MG",2,11/1/2004,,,,,,,
"63629157903","63629-1579-03",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","NA","PO","EA",5,"MG",2,11/1/2004,,,,,,,
"63629158701","63629-1587-01",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","NA","PO","EA",5,"MG",4,11/1/2004,,,,,,,
"63629158702","63629-1587-02",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","NA","PO","EA",5,"MG",4,11/1/2004,,,,,,,
"63629158703","63629-1587-03",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",40,"EA","NA","PO","EA",5,"MG",4,11/1/2004,,,,,,,
"63629158704","63629-1587-04",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","NA","PO","EA",5,"MG",4,11/1/2004,,,,,,,
"63629159101","63629-1591-01",,"Q0169",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 12.5 MG",12,"EA","NA","PO","EA",12.5,"MG",1,11/1/2004,,,,,,,
"63629159102","63629-1591-02",,"Q0169",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 12.5 MG",4,"EA","NA","PO","EA",12.5,"MG",1,11/1/2004,,,,,,,
"63629159103","63629-1591-03",,"Q0169",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 12.5 MG",2,"EA","NA","PO","EA",12.5,"MG",1,11/1/2004,,,,,,,
"63629159104","63629-1591-04",,"Q0169",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 12.5 MG",30,"EA","NA","PO","EA",12.5,"MG",1,11/1/2004,,,,,,,
"63629160501","63629-1605-01",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","NA","PO","EA",5,"MG",1,11/1/2004,,,,,,,
"63629160502","63629-1605-02",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",78,"EA","NA","PO","EA",5,"MG",1,11/1/2004,,,,,,,
"63629160503","63629-1605-03",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",36,"EA","NA","PO","EA",5,"MG",1,11/1/2004,,,,,,,
"63629160504","63629-1605-04",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","NA","PO","EA",5,"MG",1,11/1/2004,,,,,,,
"63629160505","63629-1605-05",,"J7506",,11/1/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",15,"EA","NA","PO","EA",5,"MG",1,11/1/2004,,,,,,,
"63629167601","63629-1676-01",,"J8499",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629167602","63629-1676-02",,"J8499",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629167603","63629-1676-03",,"J8499",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",35,"EA","BO","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629167701","63629-1677-01",,"J8499",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",20,"EA","BO","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629167702","63629-1677-02",,"J8499",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",28,"EA","BO","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629167703","63629-1677-03",,"J8499",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629167801","63629-1678-01",,"J8499",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",25,"EA","BO","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629167802","63629-1678-02",,"J8499",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",35,"EA","BO","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629167803","63629-1678-03",,"J8499",,11/1/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,11/1/2004,,,,,,,
"63629174201","63629-1742-01",,"Q0170",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",15,"EA","NA","PO","EA",25,"MG",1,11/1/2004,,,,,,,
"63629174202","63629-1742-02",,"Q0170",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",30,"EA","NA","PO","EA",25,"MG",1,11/1/2004,,,,,,,
"63629174203","63629-1742-03",,"Q0170",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",10,"EA","NA","PO","EA",25,"MG",1,11/1/2004,,,,,,,
"63629174204","63629-1742-04",,"Q0170",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",20,"EA","NA","PO","EA",25,"MG",1,11/1/2004,,,,,,,
"63629184101","63629-1841-01",,"Q0164",,11/1/2004,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",20,"EA","NA","PO","EA",5,"MG",1,11/1/2004,,,,,,,
"63629185601","63629-1856-01",,"Q0177",,11/1/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYYZINE PAMOATE 25 MG",30,"EA","NA","PO","EA",25,"MG",1,11/1/2004,,,,,,,
"63629185602","63629-1856-02",,"Q0177",,11/1/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYYZINE PAMOATE 25 MG",60,"EA","NA","PO","EA",25,"MG",1,11/1/2004,,,,,,,
"63629186201","63629-1862-01",,"J7510",,11/1/2004,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",60,"ML","NA","PO","ML",5,"MG",0.6,11/1/2004,,,,,,,
"63629187001","63629-1870-01",,"Q0170",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 6.25 MG/5 ML",120,"ML","NA","PO","ML",25,"MG",0.05,11/1/2004,,,,,,,
"63629187002","63629-1870-02",,"Q0170",,11/1/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 6.25 MG/5 ML",240,"ML","NA","PO","ML",25,"MG",0.05,11/1/2004,,,,,,,
"63704000201","63704-0002-01",,"J1330",,1/1/2006,,"INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG","ERGOTRATE (AMP) 0.2 MG/ML",1,"ML","AM","IJ","ML",0.2,"MG",1,1/1/2006,,,,,,,
"63717080130","63717-0801-30",,"Q0166",,3/3/2008,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISOL (1X30ML,AMBER GLASS) 2 MG/10 ML",30,"ML","BO","PO","ML",1,"MG",0.2,3/3/2008,,,,,,,
"63739008201","63739-0082-01",,"Q0163",,1/1/2002,4/14/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (BLISTER PACK) 25 MG",750,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63739008203","63739-0082-03",,"Q0163",,1/1/2002,4/14/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (PUNCH CARD 25X30) 25 MG",25,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63739008301","63739-0083-01",,"Q0163",,1/1/2002,4/14/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (BLISTER PACK) 50 MG",750,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"63739008303","63739-0083-03",,"Q0163",,1/1/2002,4/14/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (PUNCH CARD 25X30) 50 MG",25,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"63739016110","63739-0161-10",,"J7509",,2/27/2007,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE (USP) 4 MG",100,"EA","BX","PO","EA",4,"MG",1,2/27/2007,,,,,,,
"63739016115","63739-0161-15",,"J7509",,8/4/2003,10/3/2008,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",150,"EA","BX","PO","EA",4,"MG",1,8/4/2003,10/3/2008,,,,,,
"63739016501","63739-0165-01",,"J8999",,1/1/2002,6/30/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (BLISTER PACK) 40 MG",25,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"63739016503","63739-0165-03",,"J8999",,1/1/2002,6/30/2007,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (PUNCH CARD 25X30) 40 MG",25,"EA","BX","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"63739016510","63739-0165-10",,"J8999",,2/27/2007,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (USP) 40 MG",100,"EA","BX","PO","EA",1,"EA",1,2/27/2007,,,,,,,
"63739016515","63739-0165-15",,"J8999",,6/9/2004,10/3/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG",150,"EA","BX","PO","EA",1,"EA",1,6/9/2004,10/3/2008,,,,,,
"63739020710","63739-0207-10",,"J7506",,3/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 5 MG",100,"EA","BX","PO","EA",5,"MG",1,3/1/2007,,,,,,,
"63739020715","63739-0207-15",,"J7506",,6/9/2004,10/3/2008,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",150,"EA","BX","PO","EA",5,"MG",1,6/9/2004,10/3/2008,,,,,,
"63739020810","63739-0208-10",,"J7506",,3/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 10 MG",100,"EA","BX","PO","EA",5,"MG",2,3/1/2007,,,,,,,
"63739020815","63739-0208-15",,"J7506",,6/9/2004,10/3/2008,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",150,"EA","BX","PO","EA",5,"MG",2,6/9/2004,10/3/2008,,,,,,
"63739020910","63739-0209-10",,"J7506",,3/1/2007,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (USP) 20 MG",100,"EA","BX","PO","EA",5,"MG",4,3/1/2007,,,,,,,
"63739020915","63739-0209-15",,"J7506",,6/9/2004,10/3/2008,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",150,"EA","BX","PO","EA",5,"MG",4,6/9/2004,10/3/2008,,,,,,
"63739021310","63739-0213-10",,"Q0170",,2/27/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",100,"EA","BX","PO","EA",25,"MG",1,2/27/2007,,,,,,,
"63739021315","63739-0213-15",,"Q0170",,3/1/2006,10/3/2008,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP) 25 MG",150,"EA","BX","PO","EA",25,"MG",1,3/1/2006,10/3/2008,,,,,,
"63739026910","63739-0269-10",,"J8999",,2/27/2007,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (USP) 10 MG",100,"EA","BX","PO","EA",1,"EA",1,2/27/2007,,,,,,,
"63739026915","63739-0269-15",,"J8999",,2/15/2005,10/3/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","TAMOXIFEN CITRATE (FILM COATED) 10 MG",150,"EA","BX","PO","EA",1,"EA",1,2/15/2005,10/3/2008,,,,,,
"63739031410","63739-0314-10",,"J8499",,2/27/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BX","PO","EA",1,"EA",1,2/27/2007,,,,,,,
"63739031415","63739-0314-15",,"J8499",,6/9/2004,10/3/2008,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",150,"EA","BX","PO","EA",1,"EA",1,6/9/2004,10/3/2008,,,,,,
"63739031510","63739-0315-10",,"J8499",,2/27/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BX","PO","EA",1,"EA",1,2/27/2007,,,,,,,
"63739031515","63739-0315-15",,"J8499",,6/9/2004,10/3/2008,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",150,"EA","BX","PO","EA",1,"EA",1,6/9/2004,10/3/2008,,,,,,
"63739031610","63739-0316-10",,"J8499",,2/27/2007,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BX","PO","EA",1,"EA",1,2/27/2007,,,,,,,
"63739031615","63739-0316-15",,"J8499",,6/9/2004,10/3/2008,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",150,"EA","BX","PO","EA",1,"EA",1,6/9/2004,10/3/2008,,,,,,
"63807010003","63807-0100-03",,"J2912",,1/1/2002,7/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (SRN,PF) 0.9%",2.5,"ML","SR","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010005","63807-0100-05",,"J2912",,1/1/2002,7/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (SRN,PF) 0.9%",5,"ML","SR","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010010","63807-0100-10",,"J2912",,1/1/2002,7/1/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (SRN,PF) 0.9%",10,"ML","SR","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010011","63807-0100-11",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (PF,LATEX-FREE) 0.9%",10,"ML","BX","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010011","63807-0100-11",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (PF,LATEX-FREE) 0.9%",10,"ML","BX","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010020","63807-0100-20",,"A4216",,4/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (30X10ML,PF) 0.9%",10,"ML","SR","IJ","ML",10,"ML",0.1,4/1/2007,,,,,,,
"63807010030","63807-0100-30",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (SRN,PF) 0.9%",2.5,"ML","SR","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010030","63807-0100-30",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (SRN,PF) 0.9%",2.5,"ML","SR","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010033","63807-0100-33",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (PF,LATEX-FREE) 0.9%",2.5,"ML","BX","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010033","63807-0100-33",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (PF,LATEX-FREE) 0.9%",2.5,"ML","BX","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010035","63807-0100-35",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (USP,10X3ML SYRINGE,PF) 0.9%",3,"ML","SR","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010035","63807-0100-35",,"J2912",,5/25/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (USP,10X3ML SYRINGE,PF) 0.9%",3,"ML","SR","IJ","ML",0.9,"%",0.5,5/25/2006,,,,,,,
"63807010050","63807-0100-50",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (SRN,PF) 0.9%",5,"ML","SR","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010050","63807-0100-50",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (SRN,PF) 0.9%",5,"ML","SR","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010051","63807-0100-51",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (PF,LATEX-FREE) 0.9%",5,"ML","BX","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010051","63807-0100-51",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (PF,LATEX-FREE) 0.9%",5,"ML","BX","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010055","63807-0100-55",,"A4216",,4/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (100X5ML,PF) 0.9%",5,"ML","SR","IJ","ML",10,"ML",0.1,4/1/2007,,,,,,,
"63807010056","63807-0100-56",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (PF,LATEX-FREE) 0.9%",5,"ML","BX","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010056","63807-0100-56",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (PF,LATEX-FREE) 0.9%",5,"ML","BX","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010075","63807-0100-75",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (SRN,PF) 0.9%",10,"ML","SR","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010075","63807-0100-75",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (SRN,PF) 0.9%",10,"ML","SR","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010092","63807-0100-92",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (2X10ML,PF,LATEX-FREE) 0.9%",10,"ML","SR","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010092","63807-0100-92",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (2X10ML,PF,LATEX-FREE) 0.9%",10,"ML","SR","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807010211","63807-0102-11",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SYREX (PF,LATEX-FREE) 0.9%",10,"ML","SR","IJ","ML",10,"ML",0.1,1/1/2007,,,,,,,
"63807010211","63807-0102-11",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SYREX (PF,LATEX-FREE) 0.9%",10,"ML","SR","IJ","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"63807030031","63807-0300-31",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LATEX-FREE) 1 U/ML",3,"ML","SR","IV","ML",10,"U",0.1,1/1/2007,,,,,,,
"63807030035","63807-0300-35",,"J1642",,4/12/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (USP,3MLX100,PF) 1 U/ML",3,"ML","SR","IV","ML",10,"U",0.1,4/12/2007,,,,,,,
"63807040031","63807-0400-31",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LATEX-FREE) 2 U/ML",5,"ML","SR","IV","ML",10,"U",0.2,1/1/2007,,,,,,,
"63807040035","63807-0400-35",,"J1642",,4/12/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (USP,3MLX100,PF) 2 U/ML",3,"ML","SR","IV","ML",10,"U",0.2,4/12/2007,,,,,,,
"63807050031","63807-0500-31",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LATEX-FREE) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,1/1/2007,,,,,,,
"63807050051","63807-0500-51",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LATEX-FREE) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,1/1/2007,,,,,,,
"63807060031","63807-0600-31",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LATEX-FREE) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2007,,,,,,,
"63807060051","63807-0600-51",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (LATEX-FREE) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2007,,,,,,,
"63807060055","63807-0600-55",,"J1642",,5/10/2005,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,5/10/2005,,,,,,,
"63868008701","63868-0087-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MEDIPHEDRYL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63868008724","63868-0087-24",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MEDIPHEDRYL 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63868050001","63868-0500-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MEDIPHEDRYL (MINITAB) 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63868061132","63868-0611-32",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","NIGHT TIME SLEEP AID 25 MG",32,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63868061232","63868-0612-32",,"Q0163",,4/1/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","QUALITY CHOICE SLEEP AID (SOFTGEL) 50 MG",32,"EA","BO","PO","EA",50,"MG",1,4/1/2006,,,,,,,
"63868075124","63868-0751-24",,"Q0163",,4/15/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLERGY RELIEF INTENSE STRENGTH (CAPLET) 50 MG",24,"EA","BX","PO","EA",50,"MG",1,4/15/2003,,,,,,,
"63868078924","63868-0789-24",,"Q0163",,11/1/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","QUALITY CHOICE REST SIMPLY (CAPLET) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,11/1/2003,,,,,,,
"63868082354","63868-0823-54",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ALLERGY CHILDREN'S (AF,CHERRY) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"63868099501","63868-0995-01",,"Q0163",,1/1/2003,11/10/2005,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPLETE ALLERGY MEDICINE 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,1/1/2003,,,,,,,
"63868099524","63868-0995-24",,"Q0163",,9/12/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","QUALITY CHOICE DYE-FREE ALLERGY MEDICINE (DYE-FREE,SOFTGEL) 25 MG",24,"EA","BX","PO","EA",50,"MG",0.5,9/12/2003,,,,,,,
"63874000501","63874-0005-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63874000502","63874-0005-02",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",1000,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63874000506","63874-0005-06",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",6,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000509","63874-0005-09",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",9,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000510","63874-0005-10",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",10,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000512","63874-0005-12",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",12,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000514","63874-0005-14",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",14,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000515","63874-0005-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63874000520","63874-0005-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","NA","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63874000521","63874-0005-21",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",21,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000524","63874-0005-24",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000525","63874-0005-25",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",25,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000528","63874-0005-28",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",28,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000530","63874-0005-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"63874000540","63874-0005-40",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",40,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000545","63874-0005-45",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",45,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000560","63874-0005-60",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000590","63874-0005-90",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",90,"EA","BO","PO","EA",50,"MG",0.5,5/10/2004,,,,,,,
"63874000601","63874-0006-01",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"63874000602","63874-0006-02",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"63874000607","63874-0006-07",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",7,"EA","BO","PO","EA",50,"MG",1,5/10/2004,,,,,,,
"63874000610","63874-0006-10",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",10,"EA","BO","PO","EA",50,"MG",1,5/10/2004,,,,,,,
"63874000612","63874-0006-12",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",12,"EA","BO","PO","EA",50,"MG",1,5/10/2004,,,,,,,
"63874000614","63874-0006-14",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",14,"EA","BO","PO","EA",50,"MG",1,5/10/2004,,,,,,,
"63874000615","63874-0006-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"63874000620","63874-0006-20",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"63874000625","63874-0006-25",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",25,"EA","BO","PO","EA",50,"MG",1,5/10/2004,,,,,,,
"63874000628","63874-0006-28",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",28,"EA","BO","PO","EA",50,"MG",1,5/10/2004,,,,,,,
"63874000630","63874-0006-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"63874000660","63874-0006-60",,"Q0163",,5/10/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",60,"EA","BO","PO","EA",50,"MG",1,5/10/2004,,,,,,,
"63874009810","63874-0098-10",,"G9035",,12/1/2004,5/31/2005,"OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","TAMIFLU (BLISTER PACK) 75 MG",10,"EA","BO","PO","EA",75,"MG",1,12/1/2004,,,,,,,
"63874022901","63874-0229-01",,"J3360",,4/4/2008,4/5/2008,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (1X10ML) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,4/4/2008,,,,,,,
"63874022910","63874-0229-10",,"J3360",,4/4/2008,4/5/2008,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM (5X10ML) 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,4/4/2008,,,,,,,
"63874024600","63874-0246-00",,"Q0144",,3/15/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX (Z-PACK) 250 MG",6,"EA","NA","PO","EA",1,"GM",0.25,3/15/2006,,,,,,,
"63874024604","63874-0246-04",,"Q0144",,3/15/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,3/15/2006,,,,,,,
"63874024606","63874-0246-06",,"Q0144",,3/15/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,3/15/2006,,,,,,,
"63874024610","63874-0246-10",,"Q0144",,3/15/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",10,"EA","BO","PO","EA",1,"GM",0.25,3/15/2006,,,,,,,
"63874024615","63874-0246-15",,"Q0144",,3/15/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",15,"EA","BO","PO","EA",1,"GM",0.25,3/15/2006,,,,,,,
"63874032701","63874-0327-01",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",100,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032702","63874-0327-02",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",1000,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032710","63874-0327-10",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",10,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032712","63874-0327-12",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",12,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032714","63874-0327-14",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",14,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032715","63874-0327-15",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032718","63874-0327-18",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",18,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032719","63874-0327-19",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",19,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032720","63874-0327-20",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032721","63874-0327-21",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032724","63874-0327-24",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",24,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032725","63874-0327-25",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",25,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032728","63874-0327-28",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",28,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032730","63874-0327-30",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032732","63874-0327-32",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",32,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032740","63874-0327-40",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032742","63874-0327-42",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032750","63874-0327-50",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",50,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874032760","63874-0327-60",,"J7506",,5/10/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,5/10/2004,,,,,,,
"63874037001","63874-0370-01",,"Q0170",,5/7/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",100,"EA","BO","PO","EA",25,"MG",1,5/7/2004,,,,,,,
"63874037008","63874-0370-08",,"Q0170",,5/7/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",8,"EA","BO","PO","EA",25,"MG",1,5/7/2004,,,,,,,
"63874037010","63874-0370-10",,"Q0170",,5/7/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","BO","PO","EA",25,"MG",1,5/7/2004,,,,,,,
"63874037012","63874-0370-12",,"Q0170",,5/7/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",12,"EA","BO","PO","EA",25,"MG",1,5/7/2004,,,,,,,
"63874037015","63874-0370-15",,"Q0170",,5/7/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",15,"EA","BO","PO","EA",25,"MG",1,5/7/2004,,,,,,,
"63874037020","63874-0370-20",,"Q0170",,5/7/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",20,"EA","BO","PO","EA",25,"MG",1,5/7/2004,,,,,,,
"63874037024","63874-0370-24",,"Q0170",,5/7/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",24,"EA","BO","PO","EA",25,"MG",1,5/7/2004,,,,,,,
"63874037030","63874-0370-30",,"Q0170",,5/7/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,5/7/2004,,,,,,,
"63874037040","63874-0370-40",,"Q0170",,5/7/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",40,"EA","BO","PO","EA",25,"MG",1,5/7/2004,,,,,,,
"63874037060","63874-0370-60",,"Q0170",,3/2/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",60,"EA","NA","PO","EA",25,"MG",1,3/2/2006,,,,,,,
"63874037301","63874-0373-01",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037302","63874-0373-02",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",1000,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037310","63874-0373-10",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037315","63874-0373-15",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",15,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037320","63874-0373-20",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037321","63874-0373-21",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037330","63874-0373-30",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037333","63874-0373-33",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",33,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037336","63874-0373-36",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",36,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037340","63874-0373-40",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037350","63874-0373-50",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",50,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874037360","63874-0373-60",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,1/15/2006,,,,,,,
"63874039201","63874-0392-01",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",100,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039202","63874-0392-02",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",1000,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039206","63874-0392-06",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",60,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039210","63874-0392-10",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039214","63874-0392-14",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",14,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039215","63874-0392-15",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039220","63874-0392-20",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039221","63874-0392-21",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",21,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039224","63874-0392-24",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",24,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039228","63874-0392-28",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",28,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039230","63874-0392-30",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874039240","63874-0392-40",,"J7506",,1/15/2006,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",40,"EA","BO","PO","EA",5,"MG",4,1/15/2006,,,,,,,
"63874040401","63874-0404-01",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040410","63874-0404-10",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",10,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040414","63874-0404-14",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",14,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040415","63874-0404-15",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",15,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040420","63874-0404-20",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",20,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040424","63874-0404-24",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",24,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040425","63874-0404-25",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040430","63874-0404-30",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040435","63874-0404-35",,"J8499",,1/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",35,"EA","BO","PO","EA",1,"EA",1,1/15/2006,,,,,,,
"63874040440","63874-0404-40",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040450","63874-0404-50",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040460","63874-0404-60",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",60,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874040501","63874-0405-01",,"J8499",,1/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,1/15/2006,,,,,,,
"63874040510","63874-0405-10",,"J8499",,1/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",10,"EA","BO","PO","EA",1,"EA",1,1/15/2006,,,,,,,
"63874040520","63874-0405-20",,"J8499",,1/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",20,"EA","BO","PO","EA",1,"EA",1,1/15/2006,,,,,,,
"63874040525","63874-0405-25",,"J8499",,1/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",25,"EA","BO","PO","EA",1,"EA",1,1/15/2006,,,,,,,
"63874040530","63874-0405-30",,"J8499",,1/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,1/15/2006,,,,,,,
"63874040535","63874-0405-35",,"J8499",,1/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",35,"EA","BO","PO","EA",1,"EA",1,1/15/2006,,,,,,,
"63874041321","63874-0413-21",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"63874044202","63874-0442-02",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",1000,"EA","NA","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044203","63874-0442-03",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",500,"EA","NA","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044204","63874-0442-04",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",120,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044205","63874-0442-05",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",5,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044209","63874-0442-09",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",9,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044210","63874-0442-10",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044214","63874-0442-14",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",14,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044215","63874-0442-15",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",15,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044220","63874-0442-20",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044225","63874-0442-25",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",25,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044228","63874-0442-28",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",28,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044230","63874-0442-30",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044240","63874-0442-40",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",40,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044245","63874-0442-45",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",45,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044260","63874-0442-60",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044290","63874-0442-90",,"Q0177",,5/11/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",90,"EA","BO","PO","EA",25,"MG",1,5/11/2004,,,,,,,
"63874044401","63874-0444-01",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (DOSE PAK) 0.75 MG",100,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"63874044401","63874-0444-01",,"Q0181",,5/7/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (DOSE PAK) 0.75 MG",100,"EA","BO","PO","EA",1,"EA",1,5/7/2004,,,,,,,
"63874044412","63874-0444-12",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (DOSE PAK) 0.75 MG",12,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"63874044412","63874-0444-12",,"Q0181",,5/7/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (DOSE PAK) 0.75 MG",12,"EA","BO","PO","EA",1,"EA",1,5/7/2004,,,,,,,
"63874044415","63874-0444-15",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (DOSE PAK) 0.75 MG",15,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"63874044415","63874-0444-15",,"Q0181",,5/7/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (DOSE PAK) 0.75 MG",15,"EA","BO","PO","EA",1,"EA",1,5/7/2004,,,,,,,
"63874044420","63874-0444-20",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (DOSE PAK) 0.75 MG",20,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"63874044420","63874-0444-20",,"Q0181",,5/7/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (DOSE PAK) 0.75 MG",20,"EA","BO","PO","EA",1,"EA",1,5/7/2004,,,,,,,
"63874044421","63874-0444-21",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (DOSE PAK) 0.75 MG",12,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"63874044421","63874-0444-21",,"Q0181",,5/7/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (DOSE PAK) 0.75 MG",12,"EA","BO","PO","EA",1,"EA",1,5/7/2004,,,,,,,
"63874044430","63874-0444-30",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE (DOSE PAK) 0.75 MG",30,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"63874044430","63874-0444-30",,"Q0181",,5/7/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE (DOSE PAK) 0.75 MG",30,"EA","BO","PO","EA",1,"EA",1,5/7/2004,,,,,,,
"63874049001","63874-0490-01",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874049006","63874-0490-06",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",6,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874049008","63874-0490-08",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",8,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874049010","63874-0490-10",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",10,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874049012","63874-0490-12",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",12,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874049015","63874-0490-15",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",15,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874049020","63874-0490-20",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",20,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874049028","63874-0490-28",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",28,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874049030","63874-0490-30",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874049060","63874-0490-60",,"Q0165",,5/10/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",60,"EA","BO","PO","EA",10,"MG",1,5/10/2004,,,,,,,
"63874050001","63874-0500-01",,"J8499",,3/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,3/15/2006,,,,,,,
"63874050015","63874-0500-15",,"J8499",,1/23/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,1/23/2002,,,,,,,
"63874050020","63874-0500-20",,"J8499",,3/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",20,"EA","BO","PO","EA",1,"EA",1,3/15/2006,,,,,,,
"63874050021","63874-0500-21",,"J8499",,3/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",21,"EA","BO","PO","EA",1,"EA",1,3/15/2006,,,,,,,
"63874050025","63874-0500-25",,"J8499",,3/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,3/15/2006,,,,,,,
"63874050030","63874-0500-30",,"J8499",,3/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,3/15/2006,,,,,,,
"63874050040","63874-0500-40",,"J8499",,3/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",40,"EA","BO","PO","EA",1,"EA",1,3/15/2006,,,,,,,
"63874050060","63874-0500-60",,"J8499",,3/15/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","NA","PO","EA",1,"EA",1,3/15/2006,,,,,,,
"63874052901","63874-0529-01",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",100,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"63874052910","63874-0529-10",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",10,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"63874052914","63874-0529-14",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"63874052920","63874-0529-20",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"63874052930","63874-0529-30",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",30,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"63874070820","63874-0708-20",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE 0.5%",20,"ML","NA","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"63874070820","63874-0708-20",,"J7611",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE 0.5%",20,"ML","NA","IH","ML",1,"MG",5,4/1/2008,,,,,,,
"63874071212","63874-0712-12",,"Q0170",,1/1/2002,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 6.25 MG/5 ML",120,"ML","NA","PO","ML",25,"MG",0.05,1/1/2002,,,,,,,
"63874075701","63874-0757-01",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075704","63874-0757-04",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",120,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075710","63874-0757-10",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",10,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075715","63874-0757-15",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",15,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075720","63874-0757-20",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075721","63874-0757-21",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",21,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075724","63874-0757-24",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",24,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075728","63874-0757-28",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",28,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075730","63874-0757-30",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075760","63874-0757-60",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",60,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874075790","63874-0757-90",,"Q0178",,1/15/2006,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",90,"EA","BO","PO","EA",50,"MG",1,1/15/2006,,,,,,,
"63874080612","63874-0806-12",,"J8498",,1/15/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","NA","RC","EA",1,"EA",1,1/15/2006,,,,,,,
"63874106101","63874-1061-01",,"J1080",,1/1/2008,,"INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG","DEPO-TESTOSTERONE 200 MG/ML",10,"ML","VL","IM","ML",200,"MG",1,1/1/2008,,,,,,,
"64019075085","64019-0750-85",,"J1230",,1/1/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"64019075088","64019-0750-88",,"J1230",,1/1/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL",1,"EA","BO","NA","GM",10,"MG",100,1/1/2002,,,,,,,
"64054090203","64054-0902-03",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE IV FLUSH SYRINGE (2X2ML,PF) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64054090302","64054-0903-02",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE IV FLUSH SYRINGE (3X3ML,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64054090306","64054-0903-06",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE IV FLUSH SYRINGE (3X3ML,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64054090502","64054-0905-02",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE IV FLUSH SYRINGE (5X5ML,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64054090506","64054-0905-06",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE IV FLUSH SYRINGE (5X5ML,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64054091002","64054-0910-02",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE IV FLUSH SYRINGE (10X10ML,PF) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64054100301","64054-1003-01",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (3X3ML,PF,LATEX-FREE) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/1/2007,,,,,,,
"64054100302","64054-1003-02",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (3X5ML,PF,LATEX-FREE) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/1/2007,,,,,,,
"64054300302","64054-3003-02",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (1X3ML,USP,PF,LATEX-FREE) 10 U/ML",3,"ML","BX","IV","ML",10,"U",1,1/1/2007,,,,,,,
"64054300502","64054-3005-02",,"J1642",,1/1/2007,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (1X5ML,USP,PF,LATEX-FREE) 10 U/ML",5,"ML","BX","IV","ML",10,"U",1,1/1/2007,,,,,,,
"64116001101","64116-0011-01",,"J9216",,1/1/2002,3/13/2006,"INJECTION, INTERFERON, GAMMA 1-B, 3 MILLION UNITS","ACTIMMUNE (VIAL) 2 Million IU/0.5 ML",0.5,"ML","VL","SC","ML",3,"MU",1.33333,1/1/2002,3/13/2006,,,,,,
"64116001112","64116-0011-12",,"J9216",,1/1/2002,,"INJECTION, INTERFERON, GAMMA 1-B, 3 MILLION UNITS","ACTIMMUNE (VIAL) 2 Million IU/0.5 ML",0.5,"ML","VL","SC","ML",3,"MU",1.33333,1/1/2002,,,,,,,
"64116002101","64116-0021-01",,"J0286",,1/1/2002,12/31/2002,"INJECTION, AMPHOTERICIN B, ANY LIPID FORMULATION, 50 MG","AMPHOTEC (S.D.V.) 100 MG",1,"EA","VL","IV","EA",50,"MG",2,1/1/2002,,,,,,,
"64116002101","64116-0021-01",,"J0288",,1/1/2003,8/13/2008,"INJECTION, AMPHOTERICIN B CHOLESTERYL SULFATE COMPLEX, 10 MG","AMPHOTEC (S.D.V.) 100 MG",1,"EA","VL","IV","EA",10,"MG",10,1/1/2003,8/13/2008,,,,,,
"64116002501","64116-0025-01",,"J0286",,1/1/2002,12/31/2002,"INJECTION, AMPHOTERICIN B, ANY LIPID FORMULATION, 50 MG","AMPHOTEC (S.D.V.) 50 MG",1,"EA","VL","IV","EA",50,"MG",1,1/1/2002,,,,,,,
"64116002501","64116-0025-01",,"J0288",,1/1/2003,5/1/2005,"INJECTION, AMPHOTERICIN B CHOLESTERYL SULFATE COMPLEX, 10 MG","AMPHOTEC (S.D.V.) 50 MG",1,"EA","VL","IV","EA",10,"MG",5,1/1/2003,,,,,,,
"64116003101","64116-0031-01",,"J9212",,4/18/2003,2/8/2006,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (15MCG,PF,SINGLEJECT) 30 MCG/ML",0.5,"ML","VL","SC","ML",1,"MCG",30,4/18/2003,,,,,,,
"64116003106","64116-0031-06",,"J9212",,4/18/2003,1/17/2008,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (PF,SINGLEJECT) 30 MCG/ML",0.5,"ML","VL","SC","ML",1,"MCG",30,4/18/2003,,,,,,,
"64116003124","64116-0031-24",,"J9212",,2/12/2004,2/8/2006,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (PF,SINGLEJECT) 30 MCG/ML",0.5,"ML","VL","SC","ML",1,"MCG",30,2/12/2004,,,,,,,
"64116003901","64116-0039-01",,"J9212",,4/18/2003,2/8/2006,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (9MCG,S.D.V.,PF) 30 MCG/ML",0.3,"ML","VL","SC","ML",1,"MCG",30,4/18/2003,,,,,,,
"64116003906","64116-0039-06",,"J9212",,4/18/2003,1/17/2008,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (6X9MCG,S.D.V.,PF) 30 MCG/ML",0.3,"ML","VL","SC","ML",1,"MCG",30,4/18/2003,,,,,,,
"64116003924","64116-0039-24",,"J9212",,2/12/2004,2/8/2006,"INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MICROGRAM","INFERGEN (24X9MCG,S.D.V.,PF) 30 MCG/ML",0.3,"ML","VL","SC","ML",1,"MCG",30,2/12/2004,,,,,,,
"64193022203","64193-0222-03",,"J7198",,8/20/2004,,"ANTI-INHIBITOR, PER I.U.","FEIBA-VH IMMUNO (400-650IU) 1 IU",650,"IU","VL","IV","EA",1,"IU",1,8/20/2004,,,,,,,
"64193022204","64193-0222-04",,"J7198",,1/1/2002,,"ANTI-INHIBITOR, PER I.U.","FEIBA-VH IMMUNO (651-1200IU) 1 IU",1200,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"64193022205","64193-0222-05",,"J7198",,2/1/2006,,"ANTI-INHIBITOR, PER I.U.","FEIBA-VH IMMUNO (1750-3250IU) 1 IU",3250,"IU","VL","IV","EA",1,"IU",1,2/1/2006,,,,,,,
"64193024402","64193-0244-02",,"J7194",,1/1/2002,,"FACTOR IX, COMPLEX, PER I.U.","BEBULIN VH (VAPOR HEATED) (200-1200 IU) 1 IU",1200,"IU","VL","IV","EA",1,"IU",1,1/1/2002,,,,,,,
"64193025050","64193-0250-50",,"J1566",,1/1/2006,5/31/2006,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG","IVEEGAM EN (IGIV,W/DILUENT,PF) 5 GM",1,"EA","VL","IV","EA",500,"MG",10,1/1/2006,5/31/2006,,,,,,
"64193025050","64193-0250-50",,"Q9941",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1 G","IVEEGAM EN (IGIV,W/DILUENT,PF) 5 GM",1,"EA","VL","IV","EA",1,"GM",5,4/1/2005,,,,,,,
"64253011111","64253-0111-11",,"J2912",,1/1/2002,7/31/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,3 ML W/LUER LOCK,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"64253011112","64253-0111-12",,"J2912",,1/1/2002,7/31/2002,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,3 ML W/LUER LOCK,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"64253011121","64253-0111-21",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9%",1,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64253011121","64253-0111-21",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9%",1,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"64253011122","64253-0111-22",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9%",2,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64253011122","64253-0111-22",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9%",2,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"64253011123","64253-0111-23",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64253011123","64253-0111-23",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"64253011125","64253-0111-25",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64253011125","64253-0111-25",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"64253011130","64253-0111-30",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN W/LUER LOCK,PF) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64253011130","64253-0111-30",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN W/LUER LOCK,PF) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"64253011133","64253-0111-33",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,12 ML W/LUER LOK,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64253011133","64253-0111-33",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,12 ML W/LUER LOK,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"64253011135","64253-0111-35",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","NORMAL SALINE FLUSH (SRN,12 ML W/LUER LOK,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"64253011135","64253-0111-35",,"J2912",,1/1/2002,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","NORMAL SALINE FLUSH (SRN,12 ML W/LUER LOK,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/1/2002,,,,,,,
"64253022211","64253-0222-11",,"J1642",,1/1/2002,7/31/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,3 ML W/LUER LOCK) 10 U/ML-0.9%",1,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"64253022212","64253-0222-12",,"J1642",,1/1/2002,7/31/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,3 ML W/LUER LOCK) 10 U/ML-0.9%",2,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"64253022221","64253-0222-21",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,6 ML W/LUER LOCK) 10 U/ML-0.9%",1,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"64253022222","64253-0222-22",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,6 ML W/LUER LOCK) 10 U/ML-0.9%",2,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"64253022223","64253-0222-23",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,6 ML W/LUER LOCK) 10 U/ML-0.9%",3,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"64253022225","64253-0222-25",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,6 ML W/LUER LOCK) 10 U/ML-0.9%",5,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"64253022230","64253-0222-30",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN W/LUER LOCK) 10 U/ML-0.9%",10,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"64253022233","64253-0222-33",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,12 ML W/LUER LOCK) 10 U/ML-0.9%",3,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"64253022235","64253-0222-35",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,12 ML W/LUER LOCK) 10 U/ML-0.9%",5,"ML","SR","IV","ML",10,"U",1,1/1/2002,,,,,,,
"64253033311","64253-0333-11",,"J1642",,1/1/2002,7/31/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,3 ML W/LUER LOCK) 100 U/ML-0.9%",1,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"64253033312","64253-0333-12",,"J1642",,1/1/2002,7/31/2002,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,3 ML W/LUER LOCK) 100 U/ML-0.9%",2,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"64253033321","64253-0333-21",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,6 ML W/LUER LOCK) 100 U/ML-0.9%",1,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"64253033322","64253-0333-22",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,6 ML W/LUER LOCK) 100 U/ML-0.9%",2,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"64253033323","64253-0333-23",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,6 ML W/LUER LOCK) 100 U/ML-0.9%",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"64253033325","64253-0333-25",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,6 ML W/LUER LOCK) 100 U/ML-0.9%",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"64253033330","64253-0333-30",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN W/LUER LOCK) 100 U/ML-0.9%",10,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"64253033333","64253-0333-33",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,12 ML W/LUER LOCK) 100 U/ML-0.9%",3,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"64253033335","64253-0333-35",,"J1642",,1/1/2002,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (SRN,12 ML W/LUER LOCK) 100 U/ML-0.9%",5,"ML","SR","IV","ML",10,"U",10,1/1/2002,,,,,,,
"64253044421","64253-0444-21",,"J1642",,10/10/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6ML PRE-FILLED SYRINGE) 1 U/ML",1,"ML","SR","IV","ML",10,"U",0.1,10/10/2003,,,,,,,
"64253044422","64253-0444-22",,"J1642",,10/10/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6ML PRE-FILLED SYRINGE) 1 U/ML",2,"ML","SR","IV","ML",10,"U",0.1,10/10/2003,,,,,,,
"64253044423","64253-0444-23",,"J1642",,10/10/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6ML PRE-FILLED SYRINGE) 1 U/ML",3,"ML","SR","IV","ML",10,"U",0.1,10/10/2003,,,,,,,
"64253044425","64253-0444-25",,"J1642",,10/10/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (6ML PRE-FILLED SYRINGE) 1 U/ML",5,"ML","SR","IV","ML",10,"U",0.1,10/10/2003,,,,,,,
"64253044430","64253-0444-30",,"J1642",,10/10/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12ML PRE-FILLED SYRINGE) 1 U/ML",10,"ML","SR","IV","ML",10,"U",0.1,10/10/2003,,,,,,,
"64253044433","64253-0444-33",,"J1642",,10/10/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12ML PRE-FILLED SYRINGE) 1 U/ML",3,"ML","SR","IV","ML",10,"U",0.1,10/10/2003,,,,,,,
"64253044435","64253-0444-35",,"J1642",,10/10/2003,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (12ML PRE-FILLED SYRINGE) 1 U/ML",5,"ML","SR","IV","ML",10,"U",0.1,10/10/2003,,,,,,,
"64281010006","64281-0100-06",,"J7674",,1/1/2005,,"METHACHOLINE CHLORIDE ADMINISTERED AS INHALATION SOLUTION THROUGH A NEBULIZER, PER 1 MG","PROVOCHOLINE 100 MG",1,"EA","VL","IH","EA",1,"MG",100,1/1/2005,,,,,,,
"64281010006","64281-0100-06",,"J7699",,1/1/2002,12/31/2004,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","PROVOCHOLINE 100 MG",1,"EA","VL","IH","EA",1,"EA",1,1/1/2002,,,,,,,
"64281010012","64281-0100-12",,"J7674",,1/1/2005,,"METHACHOLINE CHLORIDE ADMINISTERED AS INHALATION SOLUTION THROUGH A NEBULIZER, PER 1 MG","PROVOCHOLINE 100 MG",1,"EA","VL","IH","EA",1,"MG",100,1/1/2005,,,,,,,
"64281010012","64281-0100-12",,"J7699",,1/1/2002,12/31/2004,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","PROVOCHOLINE 100 MG",1,"EA","VL","IH","EA",1,"EA",1,1/1/2002,,,,,,,
"64365050301","64365-0503-01",,"J9160",,1/1/2002,1/16/2008,"INJECTION, DENILEUKIN DIFTITOX, 300 MICROGRAMS","ONTAK (SINGLE USE VIAL) 150 MCG/ML",2,"ML","VL","IV","ML",300,"MCG",0.5,1/1/2002,,,,,,,
"64370053201","64370-0532-01",,"J9390",,6/23/2008,,"INJECTION, VINORELBINE TARTRATE, 10 MG","NAVELBINE (1X1ML,SINGLE USE,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,6/23/2008,,,,,,,
"64370053202","64370-0532-02",,"J9390",,6/23/2008,,"INJECTION, VINORELBINE TARTRATE, 10 MG","NAVELBINE (1X5ML,SINGLE USE,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,6/23/2008,,,,,,,
"64370308601","64370-3086-01",,"J9390",,3/26/2007,6/22/2008,"INJECTION, VINORELBINE TARTRATE, 10 MG","NAVELBINE (SDV,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,3/26/2007,,,,,,,
"64370308602","64370-3086-02",,"J9390",,3/26/2007,6/22/2008,"INJECTION, VINORELBINE TARTRATE, 10 MG","NAVELBINE (SDV,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,3/26/2007,,,,,,,
"64523010001","64523-0100-01",,"J9218",,1/1/2002,1/1/2003,"LEUPROLIDE ACETATE, PER 1 MG","OAKLIDE 5 MG/ML",2.8,"ML","NA","SC","ML",1,"MG",5,1/1/2002,,,,,,,
"64679066102","64679-0661-02",,"J1626",,7/1/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X4ML) 1 MG/ML",4,"MG","VL","IV","ML",100,"MCG",10,7/1/2008,,,,,,,
"64679066103","64679-0661-03",,"J1626",,7/1/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X1ML) 1 MG/ML",1,"MG","VL","IV","ML",100,"MCG",10,7/1/2008,,,,,,,
"64679066201","64679-0662-01",,"J1626",,4/25/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (5X1ML,PF) 0.1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",1,4/25/2008,,,,,,,
"64679070101","64679-0701-01",,"J0696",,5/18/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,5/18/2007,,,,,,,
"64679070102","64679-0701-02",,"J0696",,5/18/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,5/18/2007,,,,,,,
"64679070103","64679-0701-03",,"J0696",,5/18/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,5/18/2007,,,,,,,
"64679070201","64679-0702-01",,"J0696",,5/18/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,5/18/2007,,,,,,,
"64679070202","64679-0702-02",,"J0696",,5/18/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,5/18/2007,,,,,,,
"64679070301","64679-0703-01",,"J0696",,5/18/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,5/18/2007,,,,,,,
"64679070302","64679-0703-02",,"J0696",,5/18/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,5/18/2007,,,,,,,
"64679072601","64679-0726-01",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (5X2ML,SDV,USP) 2 MG/ML",2,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"64679072701","64679-0727-01",,"J2405",,12/26/2006,,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG","ONDANSETRON (MDV,USP) 2 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2,12/26/2006,,,,,,,
"64679072901","64679-0729-01",,"Q2009",,7/25/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (SDV,USP,25X2ML) 75 MG/ML",2,"ML","VL","IJ","ML",50,"MG",1.5,7/25/2007,,,,,,,
"64679073001","64679-0730-01",,"Q2009",,7/25/2007,,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT","FOSPHENYTOIN SODIUM (SDV,USP,10X10ML) 75 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1.5,7/25/2007,,,,,,,
"64679075701","64679-0757-01",,"J1885",,4/12/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,SDV) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,4/12/2007,,,,,,,
"64679075702","64679-0757-02",,"J1885",,4/12/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,SDV) 15 MG/ML",1,"ML","VL","IJ","ML",15,"MG",1,4/12/2007,,,,,,,
"64679075801","64679-0758-01",,"J1885",,4/12/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,SDV) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,4/12/2007,,,,,,,
"64679075802","64679-0758-02",,"J1885",,4/12/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,SDV,25X2ML) 30 MG/ML",2,"ML","VL","IJ","ML",15,"MG",2,4/12/2007,,,,,,,
"64679075804","64679-0758-04",,"J1885",,4/12/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,SDV) 30 MG/ML",1,"ML","VL","IJ","ML",15,"MG",2,4/12/2007,,,,,,,
"64679075805","64679-0758-05",,"J1885",,4/12/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,S.D.V.) 30 MG/ML",2,"ML","VL","IJ","ML",15,"MG",2,4/12/2007,,,,,,,
"64679075806","64679-0758-06",,"J1885",,4/12/2007,,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","KETOROLAC TROMETHAMINE (USP,SDV,2X10ML) 30 MG/ML",2,"ML","VL","IJ","ML",15,"MG",2,4/12/2007,,,,,,,
"64679075901","64679-0759-01",,"J1940",,4/12/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (USP,SDV,25X2ML) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,4/12/2007,,,,,,,
"64679075902","64679-0759-02",,"J1940",,4/12/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (USP,SDV,4X25ML) 10 MG/ML",4,"ML","VL","IJ","ML",20,"MG",0.5,4/12/2007,,,,,,,
"64679075903","64679-0759-03",,"J1940",,4/12/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (USP,SDV,10X25ML) 10 MG/ML",10,"ML","VL","IJ","ML",20,"MG",0.5,4/12/2007,,,,,,,
"64679075904","64679-0759-04",,"J1940",,4/12/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (USP,SDV) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,4/12/2007,,,,,,,
"64679075905","64679-0759-05",,"J1940",,4/12/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (USP,SDV) 10 MG/ML",4,"ML","VL","IJ","ML",20,"MG",0.5,4/12/2007,,,,,,,
"64679075906","64679-0759-06",,"J1940",,4/12/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (USP,SDV) 10 MG/ML",10,"ML","VL","IJ","ML",20,"MG",0.5,4/12/2007,,,,,,,
"64679075907","64679-0759-07",,"J1940",,4/12/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (USP,SDV,10X2ML) 10 MG/ML",2,"ML","VL","IJ","ML",20,"MG",0.5,4/12/2007,,,,,,,
"64679075908","64679-0759-08",,"J1940",,4/12/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (USP,SDV,10X4ML) 10 MG/ML",4,"ML","VL","IJ","ML",20,"MG",0.5,4/12/2007,,,,,,,
"64679075909","64679-0759-09",,"J1940",,4/12/2007,,"INJECTION, FUROSEMIDE, UP TO 20 MG","FUROSEMIDE (USP,SDV,10X10ML) 10 MG/ML",10,"ML","VL","IJ","ML",20,"MG",0.5,4/12/2007,,,,,,,
"64679096101","64679-0961-01",,"Q0144",,2/11/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,2/11/2008,,,,,,,
"64679096104","64679-0961-04",,"Q0144",,2/14/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM-COATED) 250 MG",6,"EA","BX","PO","EA",1,"GM",0.25,2/14/2008,,,,,,,
"64679096105","64679-0961-05",,"Q0144",,2/11/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (3X6,FILM-COATED) 250 MG",18,"EA","DP","PO","EA",1,"GM",0.25,2/11/2008,,,,,,,
"64679096201","64679-0962-01",,"Q0144",,2/11/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM COATED) 600 MG",30,"EA","BO","PO","EA",1,"GM",0.6,2/11/2008,,,,,,,
"64679096401","64679-0964-01",,"Q0144",,2/11/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM COATED) 500 MG",30,"EA","BO","PO","EA",1,"GM",0.5,2/11/2008,,,,,,,
"64679096403","64679-0964-03",,"Q0144",,2/14/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (FILM COATED) 500 MG",3,"EA","BX","PO","EA",1,"GM",0.5,2/14/2008,,,,,,,
"64679096405","64679-0964-05",,"Q0144",,2/11/2008,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN (3X3,FILM COATED) 500 MG",9,"EA","DP","PO","EA",1,"GM",0.5,2/11/2008,,,,,,,
"64679098301","64679-0983-01",,"J0696",,5/26/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,5/26/2006,,,,,,,
"64679098302","64679-0983-02",,"J0696",,5/26/2006,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,5/26/2006,,,,,,,
"64679098601","64679-0986-01",,"J0698",,9/20/2006,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,9/20/2006,,,,,,,
"64679098602","64679-0986-02",,"J0698",,9/20/2006,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,9/20/2006,,,,,,,
"64679098603","64679-0986-03",,"J0698",,9/20/2006,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,9/20/2006,,,,,,,
"64679098604","64679-0986-04",,"J0698",,9/20/2006,,"INJECTION, CEFOTAXIME SODIUM, PER GM","CEFOTAXIME (USP) 1 GM",1,"EA","VL","IJ","EA",1,"GM",1,9/20/2006,,,,,,,
"64720019802","64720-0198-02",,"Q0166",,12/29/2007,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (FILM-COATED) 1 MG",20,"EA","BO","PO","EA",1,"MG",1,12/29/2007,,,,,,,
"64720019898","64720-0198-98",,"Q0166",,12/29/2007,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (FILM-COATED) 1 MG",2,"EA","DP","PO","EA",1,"MG",1,12/29/2007,,,,,,,
"64894082050","64894-0820-50",,"J1270",,1/1/2002,10/1/2002,"INJECTION, DOXERCALCIFEROL, 1 MCG","HECTOROL (AMP) 2 MCG/ML",1,"ML","AM","IV","ML",1,"MCG",2,1/1/2002,,,,,,,
"64894084050","64894-0840-50",,"J1270",,1/1/2002,5/31/2006,"INJECTION, DOXERCALCIFEROL, 1 MCG","HECTOROL (AMP) 2 MCG/ML",2,"ML","AM","IV","ML",1,"MCG",2,1/1/2002,,,,,,,
"64899009432","64899-0094-32",,"Q0163",,1/1/2002,6/1/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HEALTH CARE AMERICA SLEEP-EX (MAXIUMUM STRENGTH) 50 MG",32,"EA","BO","PO","EA",50,"MG",1,1/1/2002,6/1/2006,,,,,,
"64899009724","64899-0097-24",,"Q0163",,4/2/2002,6/1/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HEALTH CARE AMERICA ALLERGY RELIEF (CAPLET) 50 MG",24,"EA","BX","PO","EA",50,"MG",1,4/2/2002,,,,,,,
"64899052444","64899-0524-44",,"Q0163",,1/1/2002,6/1/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HEALTH CARE AMERICA TOTAL ALLERGY (AF,CHERRY) 12.5 MG/5 ML",118,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,6/1/2006,,,,,,
"64938000901","64938-0009-01",,"A4217",,1/1/2004,11/9/2006,"STERILE WATER/SALINE, 500 ML","SALJET (SINGLE DOSE,STERILE) 0.9%",30,"ML","PC","IR","ML",500,"ML",0.002,1/1/2004,,,,,,,
"64938000901","64938-0009-01",,"A4323",,11/1/2003,12/31/2003,"STERILE SALINE IRRIGATION SOLUTION, 1000 ML.","SALJET (SINGLE DOSE,STERILE) 0.9%",30,"ML","PC","IR","ML",1000,"ML",0.001,11/1/2003,,,,,,,
"65162008810","65162-0088-10",,"J8499",,9/1/2004,6/23/2005,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,9/1/2004,,,,,,,
"65162015610","65162-0156-10",,"Q0163",,9/1/2004,11/5/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE (CAPLET) 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,9/1/2004,11/5/2009,,,,,,
"65162015611","65162-0156-11",,"Q0163",,9/1/2004,11/5/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE (CAPLET) 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,9/1/2004,11/5/2009,,,,,,
"65162051610","65162-0516-10",,"Q0163",,9/1/2004,11/5/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,9/1/2004,11/5/2009,,,,,,
"65162051611","65162-0516-11",,"Q0163",,9/1/2004,11/5/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",1000,"EA","BO","PO","EA",50,"MG",0.5,9/1/2004,11/5/2009,,,,,,
"65162051810","65162-0518-10",,"Q0163",,9/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE (MAXIMUM STRENGTH) 50 MG",100,"EA","BO","PO","EA",50,"MG",1,9/1/2004,,,,,,,
"65162051811","65162-0518-11",,"Q0163",,9/1/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE (MAXIMUM STRENGTH) 50 MG",1000,"EA","BO","PO","EA",50,"MG",1,9/1/2004,,,,,,,
"65271000112","65271-0001-12",,"J7644",,1/1/2002,1/31/2005,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,1/31/2005,,,,,,
"65271000112","65271-0001-12","KO","J7644","KO",1/1/2002,1/31/2005,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,1/31/2005,,,,,,
"65271000125","65271-0001-25",,"J7644",,1/1/2002,1/31/2005,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,1/31/2005,,,,,,
"65271000125","65271-0001-25","KO","J7644","KO",1/1/2002,1/31/2005,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,1/31/2005,,,,,,
"65271000130","65271-0001-30",,"J7644",,1/1/2002,1/31/2005,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,1/31/2005,,,,,,
"65271000130","65271-0001-30","KO","J7644","KO",1/1/2002,1/31/2005,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,1/31/2005,,,,,,
"65271000160","65271-0001-60",,"J7644",,1/1/2002,1/31/2005,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,1/31/2005,,,,,,
"65271000160","65271-0001-60","KO","J7644","KO",1/1/2002,1/31/2005,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,1/1/2002,1/31/2005,,,,,,
"65293000101","65293-0001-01",,"J0583",,1/1/2004,,"INJECTION, BIVALIRUDIN, 1 MG","ANGIOMAX (VIAL,GLASS) 250 MG",1,"EA","VL","IV","EA",1,"MG",250,1/1/2004,,,,,,,
"65293000101","65293-0001-01",,"J3490",,6/25/2003,12/31/2003,"UNCLASSIFIED DRUGS","ANGIOMAX (VIAL,GLASS) 250 MG",1,"EA","VL","IV","EA",1,"EA",1,6/25/2003,,,,,,,
"65483055101","65483-0551-01",,"J7501",,1/1/2002,2/28/2004,"AZATHIOPRINE, PARENTERAL, 100 MG","IMURAN (VIAL) 100 MG",1,"EA","VL","IV","EA",100,"MG",1,1/1/2002,,,,,,,
"65483059010","65483-0590-10",,"J7500",,1/1/2002,,"AZATHIOPRINE, ORAL, 50 MG","IMURAN 50 MG",100,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"65580025101","65580-0251-01",,"J7510",,5/9/2002,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE SODIUM PHOSPHATE (DYE-FREE,RASPBERRY) 6.7 MG/5 ML",120,"ML","BO","PO","ML",5,"MG",0.268,5/9/2002,,,,,,,
"65649023141","65649-0231-41",,"J7500",,10/31/2003,,"AZATHIOPRINE, ORAL, 50 MG","AZASAN 75 MG",100,"EA","BO","PO","EA",50,"MG",1.5,10/31/2003,,,,,,,
"65649024141","65649-0241-41",,"J7500",,10/31/2003,,"AZATHIOPRINE, ORAL, 50 MG","AZASAN 100 MG",100,"EA","BO","PO","EA",50,"MG",2,10/31/2003,,,,,,,
"65847020525","65847-0205-25",,"J2324",,1/1/2003,12/31/2005,"INJECTION, NESIRITIDE, 0.25 MG","NATRECOR (S.D.V.) 1.5 MG",1,"EA","VL","IV","EA",0.25,"MG",6,1/1/2003,,,,,,,
"65847020525","65847-0205-25",,"J2325",,1/1/2006,,"INJECTION, NESIRITIDE, 0.1 MG","NATRECOR (S.D.V.) 1.5 MG",1,"EA","VL","IV","EA",0.1,"MG",15,1/1/2006,,,,,,,
"65862018703","65862-0187-03",,"Q0179",,10/31/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",3,"EA","BX","PO","EA",8,"MG",0.5,10/31/2007,,,,,,,
"65862018705","65862-0187-05",,"Q0179",,10/31/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",500,"EA","BO","PO","EA",8,"MG",0.5,10/31/2007,,,,,,,
"65862018730","65862-0187-30",,"Q0179",,10/31/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,10/31/2007,,,,,,,
"65862018803","65862-0188-03",,"Q0179",,10/31/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",3,"EA","BX","PO","EA",8,"MG",1,10/31/2007,,,,,,,
"65862018805","65862-0188-05",,"Q0179",,10/31/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",500,"EA","BO","PO","EA",8,"MG",1,10/31/2007,,,,,,,
"65862018830","65862-0188-30",,"Q0179",,10/31/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,10/31/2007,,,,,,,
"66105050701","66105-0507-01",,"Q0144",,8/22/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",10,"EA","BO","PO","EA",1,"GM",0.25,8/22/2006,,,,,,,
"66105050703","66105-0507-03",,"Q0144",,1/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,1/1/2006,,,,,,,
"66105050706","66105-0507-06",,"Q0144",,8/22/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",60,"EA","BO","PO","EA",1,"GM",0.25,8/22/2006,,,,,,,
"66105050709","66105-0507-09",,"Q0144",,8/22/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",90,"EA","BO","PO","EA",1,"GM",0.25,8/22/2006,,,,,,,
"66105050710","66105-0507-10",,"Q0144",,8/22/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",100,"EA","BO","PO","EA",1,"GM",0.25,8/22/2006,,,,,,,
"66105054910","66105-0549-10",,"J7507",,1/1/2006,,"TACROLIMUS, ORAL, PER 1 MG","PROGRAF 1 MG",100,"EA","NA","PO","EA",1,"MG",1,1/1/2006,,,,,,,
"66105065301","66105-0653-01",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",10,"EA","BO","PO","EA",1,"GM",0.5,9/13/2006,,,,,,,
"66105065303","66105-0653-03",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",30,"EA","BO","PO","EA",1,"GM",0.5,9/13/2006,,,,,,,
"66105065305","66105-0653-05",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",50,"EA","BO","PO","EA",1,"GM",0.5,9/13/2006,,,,,,,
"66105065306","66105-0653-06",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",60,"EA","BO","PO","EA",1,"GM",0.5,9/13/2006,,,,,,,
"66105065319","66105-0653-19",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",9,"EA","BO","PO","EA",1,"GM",0.5,9/13/2006,,,,,,,
"66105067001","66105-0670-01",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",10,"EA","BO","PO","EA",1,"GM",0.25,9/13/2006,,,,,,,
"66105067003","66105-0670-03",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",30,"EA","BO","PO","EA",1,"GM",0.25,9/13/2006,,,,,,,
"66105067005","66105-0670-05",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",50,"EA","BO","PO","EA",1,"GM",0.25,9/13/2006,,,,,,,
"66105067006","66105-0670-06",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",60,"EA","BO","PO","EA",1,"GM",0.25,9/13/2006,,,,,,,
"66105067018","66105-0670-18",,"Q0144",,9/13/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",18,"EA","BO","PO","EA",1,"GM",0.25,9/13/2006,,,,,,,
"66105083201","66105-0832-01",,"J8999",,9/13/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",10,"EA","BO","PO","EA",1,"EA",1,9/13/2006,,,,,,,
"66105083203","66105-0832-03",,"J8999",,9/13/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",30,"EA","BO","PO","EA",1,"EA",1,9/13/2006,,,,,,,
"66105083206","66105-0832-06",,"J8999",,9/13/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",60,"EA","BO","PO","EA",1,"EA",1,9/13/2006,,,,,,,
"66105083209","66105-0832-09",,"J8999",,9/13/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",90,"EA","BO","PO","EA",1,"EA",1,9/13/2006,,,,,,,
"66105083210","66105-0832-10",,"J8999",,9/13/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","NOLVADEX 10 MG",100,"EA","BO","PO","EA",1,"EA",1,9/13/2006,,,,,,,
"66116017482","66116-0174-82",,"J7510",,1/1/2002,3/7/2002,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",60,"ML","BO","PO","ML",5,"MG",0.6,1/1/2002,,,,,,,
"66116022620","66116-0226-20",,"Q0165",,1/10/2002,8/1/2003,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",20,"EA","BO","PO","EA",10,"MG",1,1/10/2002,,,,,,,
"66116024550","66116-0245-50",,"J8499",,1/8/2002,8/1/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",50,"EA","BO","PO","EA",1,"EA",1,1/8/2002,,,,,,,
"66116024650","66116-0246-50",,"J8499",,1/8/2002,8/1/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",50,"EA","BO","PO","EA",1,"EA",1,1/8/2002,,,,,,,
"66116027135","66116-0271-35",,"J8499",,3/18/2002,8/1/2003,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",35,"EA","BO","PO","EA",1,"EA",1,3/18/2002,,,,,,,
"66116028412","66116-0284-12",,"Q0170",,3/18/2002,8/1/2003,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",12,"EA","BO","PO","EA",25,"MG",1,3/18/2002,,,,,,,
"66116041005","66116-0410-05",,"J7506",,1/1/2002,8/1/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",5,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"66116041030","66116-0410-30",,"J7506",,1/7/2002,8/1/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,1/7/2002,,,,,,,
"66116042005","66116-0420-05",,"J7506",,1/1/2002,8/1/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",5,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"66116042015","66116-0420-15",,"J7506",,3/15/2002,8/1/2003,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,3/15/2002,,,,,,,
"66143751005","66143-7510-05",,"J1815",,1/1/2003,,"INJECTION, INSULIN, PER 5 UNITS","LISPRO-PFC (RDNA ORIGIN) 100 U/ML",3.15,"ML","EA","SC","ML",5,"U",20,1/1/2003,,,,,,,
"66143751005","66143-7510-05",,"J1820",,10/8/2002,12/31/2002,"INJECTION, INSULIN, UP TO 100 UNITS","LISPRO-PFC (RDNA ORIGIN) 100 U/ML",3.15,"ML","EA","SC","ML",100,"U",1,10/8/2002,,,,,,,
"66203230001","66203-2300-01",,"J1652",,1/1/2003,,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (SRN,PREFL,27GX1/2"",PF) 2.5 MG/0.5 ML",0.5,"ML","SR","SC","ML",0.5,"MG",10,1/1/2003,,,,,,,
"66203230002","66203-2300-02",,"J1652",,6/9/2004,6/2/2005,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG","ARIXTRA (SRN,PREFL,27GX1/2"",PF) 2.5 MG/0.5 ML",0.5,"ML","SR","SC","ML",0.5,"MG",10,6/9/2004,,,,,,,
"66220010730","66220-0107-30",,"J0132",,1/1/2006,,"INJECTION, ACETYLCYSTEINE, 100 MG","ACETADOTE (PF) 200 MG/ML",30,"ML","VL","IV","ML",100,"MG",2,1/1/2006,,,,,,,
"66220010730","66220-0107-30",,"J7608",,5/15/2004,12/31/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETADOTE (PF) 200 MG/ML",30,"ML","VL","IV","ML",1,"GM",0.2,5/15/2004,,,,,,,
"66220010730","66220-0107-30","KO","J7608","KO",5/15/2004,12/31/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETADOTE (PF) 200 MG/ML",30,"ML","VL","IV","ML",1,"GM",0.2,5/15/2004,,,,,,,
"66220010734","66220-0107-34",,"J0132",,1/1/2006,1/3/2006,"INJECTION, ACETYLCYSTEINE, 100 MG","ACETADOTE (PF) 200 MG/ML",30,"ML","VL","IV","ML",100,"MG",2,1/1/2006,,,,,,,
"66220010734","66220-0107-34",,"J7608",,5/15/2004,12/31/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETADOTE (PF) 200 MG/ML",30,"ML","VL","IV","ML",1,"GM",0.2,5/15/2004,,,,,,,
"66220010734","66220-0107-34","KO","J7608","KO",5/15/2004,12/31/2005,"ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM","ACETADOTE (PF) 200 MG/ML",30,"ML","VL","IV","ML",1,"GM",0.2,5/15/2004,,,,,,,
"66267000625","66267-0006-25",,"J8499",,4/8/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,4/8/2002,,,,,,,
"66267000640","66267-0006-40",,"J8499",,8/1/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","BO","PO","EA",1,"EA",1,8/1/2002,,,,,,,
"66267000650","66267-0006-50",,"J8499",,4/8/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",50,"EA","BO","PO","EA",1,"EA",1,4/8/2002,,,,,,,
"66267000715","66267-0007-15",,"J8499",,4/8/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,4/8/2002,,,,,,,
"66267000721","66267-0007-21",,"J8499",,4/8/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,4/8/2002,,,,,,,
"66267000725","66267-0007-25",,"J8499",,4/8/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,4/8/2002,,,,,,,
"66267000730","66267-0007-30",,"J8499",,4/8/2002,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,4/8/2002,,,,,,,
"66267006612","66267-0066-12",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"66267006612","66267-0066-12",,"Q0181",,4/8/2002,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",1,"EA",1,4/8/2002,,,,,,,
"66267008015","66267-0080-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"66267008020","66267-0080-20",,"Q0163",,4/5/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,4/5/2002,,,,,,,
"66267008030","66267-0080-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"66267008060","66267-0080-60",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"66267008115","66267-0081-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"66267008120","66267-0081-20",,"Q0163",,4/5/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,4/5/2002,,,,,,,
"66267008130","66267-0081-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"66267008160","66267-0081-60",,"Q0163",,9/4/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",60,"EA","BO","PO","EA",50,"MG",1,9/4/2002,,,,,,,
"66267017115","66267-0171-15",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"66267017120","66267-0171-20",,"J7506",,4/4/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,4/4/2002,,,,,,,
"66267017121","66267-0171-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"66267017130","66267-0171-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"66267017140","66267-0171-40",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",40,"EA","BO","PO","EA",5,"MG",2,1/1/2002,,,,,,,
"66267017142","66267-0171-42",,"J7506",,4/4/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","BO","PO","EA",5,"MG",2,4/4/2002,,,,,,,
"66267017210","66267-0172-10",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"66267017215","66267-0172-15",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"66267017220","66267-0172-20",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"66267017230","66267-0172-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,1/1/2002,,,,,,,
"66267017320","66267-0173-20",,"J7506",,4/4/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",20,"EA","BO","PO","EA",5,"MG",1,4/4/2002,,,,,,,
"66267017330","66267-0173-30",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"66267017340","66267-0173-40",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"66267017342","66267-0173-42",,"J7506",,3/24/2003,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",42,"EA","BO","PO","EA",5,"MG",1,3/24/2003,,,,,,,
"66267017360","66267-0173-60",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",60,"EA","BO","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"66267020810","66267-0208-10",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",10,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"66267020820","66267-0208-20",,"Q0173",,1/1/2002,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",20,"EA","BO","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"66267039930","66267-0399-30",,"J8499",,3/15/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,3/15/2005,,,,,,,
"66267092103","66267-0921-03",,"J7322",,1/1/2008,12/31/2009,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC (3X2ML SRN,PREFILLED) 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,12/31/2009,,,,,,
"66267092103","66267-0921-03",,"Q4084",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC (3X2ML SRN,PREFILLED) 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2007,,,,,,,
"66267092806","66267-0928-06",,"Q0144",,1/1/2002,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,1/1/2002,,,,,,,
"66267094821","66267-0948-21",,"J7506",,1/1/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (DOSEPACK) 5 MG",21,"EA","DP","PO","EA",5,"MG",1,1/1/2002,,,,,,,
"66267096121","66267-0961-21",,"J7509",,1/1/2002,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","BO","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"66267097704","66267-0977-04",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/1/2002,,,,,,,
"66288110001","66288-1100-01",,"J0690",,10/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 100 GM",1,"EA","FC","IJ","GM",500,"MG",2,10/1/2002,,,,,,,
"66288130001","66288-1300-01",,"J0690",,10/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM 300 GM",1,"EA","FC","IJ","GM",500,"MG",2,10/1/2002,,,,,,,
"66288207501","66288-2075-01",,"J0697",,10/1/2002,10/1/2006,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 75 GM",1,"EA","FC","IJ","GM",750,"MG",1.33333,10/1/2002,,,,,,,
"66288222501","66288-2225-01",,"J0697",,10/1/2002,10/1/2006,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 225 GM",1,"EA","FC","IJ","GM",750,"MG",1.33333,10/1/2002,,,,,,,
"66288320001","66288-3200-01",,"J3490",,10/1/2002,10/1/2006,"UNCLASSIFIED DRUGS","NAFCILLIN SODIUM 200 GM",1,"EA","FC","IJ","GM",1,"EA",1,10/1/2002,,,,,,,
"66288410001","66288-4100-01",,"J0694",,12/1/2004,10/1/2006,"INJECTION, CEFOXITIN SODIUM, 1 GM","CEFOXITIN 100 GM",1,"EA","FC","IV","GM",1,"GM",1,12/1/2004,,,,,,,
"66302010101","66302-0101-01",,"J3285",,1/1/2006,,"INJECTION, TREPROSTINIL, 1 MG","REMODULIN (M.D.V.) 1 MG/ML",20,"ML","VL","IJ","ML",1,"MG",1,1/1/2006,,,,,,,
"66302010101","66302-0101-01",,"Q4077",,10/1/2003,12/31/2005,"INJECTION, TREPROSTINIL, 1 MG","REMODULIN (M.D.V.) 1 MG/ML",20,"ML","VL","IJ","ML",1,"MG",1,10/1/2003,,,,,,,
"66302010201","66302-0102-01",,"J3285",,1/1/2006,,"INJECTION, TREPROSTINIL, 1 MG","REMODULIN (M.D.V.) 2.5 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2.5,1/1/2006,,,,,,,
"66302010201","66302-0102-01",,"Q4077",,10/1/2003,12/31/2005,"INJECTION, TREPROSTINIL, 1 MG","REMODULIN (M.D.V.) 2.5 MG/ML",20,"ML","VL","IJ","ML",1,"MG",2.5,10/1/2003,,,,,,,
"66302010501","66302-0105-01",,"J3285",,1/1/2006,,"INJECTION, TREPROSTINIL, 1 MG","REMODULIN (M.D.V.) 5 MG/ML",20,"ML","VL","IJ","ML",1,"MG",5,1/1/2006,,,,,,,
"66302010501","66302-0105-01",,"Q4077",,10/1/2003,12/31/2005,"INJECTION, TREPROSTINIL, 1 MG","REMODULIN (M.D.V.) 5 MG/ML",20,"ML","VL","IJ","ML",1,"MG",5,10/1/2003,,,,,,,
"66302011001","66302-0110-01",,"J3285",,1/1/2006,,"INJECTION, TREPROSTINIL, 1 MG","REMODULIN (M.D.V.) 10 MG/ML",20,"ML","VL","IJ","ML",1,"MG",10,1/1/2006,,,,,,,
"66302011001","66302-0110-01",,"Q4077",,10/1/2003,12/31/2005,"INJECTION, TREPROSTINIL, 1 MG","REMODULIN (M.D.V.) 10 MG/ML",20,"ML","VL","IJ","ML",1,"MG",10,10/1/2003,,,,,,,
"66312017014","66312-0170-14",,"J2001",,8/15/2006,,"INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG","XYLOCAINE DENTAL (1.8MLX100) 2%",1.8,"ML","NA","IJ","ML",10,"MG",2,8/15/2006,,,,,,,
"66312044014","66312-0440-14",,"J0670",,8/15/2006,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE DENTAL (1.8MLX100) 3%",1.8,"ML","NA","IJ","ML",10,"ML",0.1,8/15/2006,,,,,,,
"66312046014","66312-0460-14",,"J0670",,8/15/2006,,"INJECTION, MEPIVACAINE HYDROCHLORIDE, PER 10 ML","POLOCAINE DENTAL (1.8MLX100) 2%",1.8,"ML","NA","IJ","ML",10,"ML",0.1,8/15/2006,,,,,,,
"66336004506","66336-0045-06",,"Q0163",,10/22/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",6,"EA","BO","PO","EA",50,"MG",1,10/22/2004,,,,,,,
"66336004515","66336-0045-15",,"Q0163",,10/22/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,10/22/2004,,,,,,,
"66336004520","66336-0045-20",,"Q0163",,10/22/2004,9/10/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,10/22/2004,,,,,,,
"66336004530","66336-0045-30",,"Q0163",,11/23/2003,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,11/23/2003,,,,,,,
"66336004560","66336-0045-60",,"Q0163",,11/23/2003,12/17/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",60,"EA","BO","PO","EA",50,"MG",1,11/23/2003,,,,,,,
"66336004590","66336-0045-90",,"Q0163",,11/23/2003,9/10/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",90,"EA","BO","PO","EA",50,"MG",1,11/23/2003,,,,,,,
"66336005810","66336-0058-10",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",10,"EA","BO","PO","EA",5,"MG",2,10/22/2004,,,,,,,
"66336005812","66336-0058-12",,"J7506",,11/4/2005,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",12,"EA","BO","PO","EA",5,"MG",2,11/4/2005,,,,,,,
"66336005820","66336-0058-20",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",20,"EA","BO","PO","EA",5,"MG",2,10/22/2004,,,,,,,
"66336005821","66336-0058-21",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,10/22/2004,,,,,,,
"66336005830","66336-0058-30",,"J7506",,4/16/2002,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,4/16/2002,,,,,,,
"66336005860","66336-0058-60",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",60,"EA","BO","PO","EA",5,"MG",2,10/22/2004,,,,,,,
"66336007914","66336-0079-14",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"66336007920","66336-0079-20",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"66336008510","66336-0085-10",,"Q0170",,10/22/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",10,"EA","BO","PO","EA",25,"MG",1,10/22/2004,,,,,,,
"66336008512","66336-0085-12",,"Q0170",,10/22/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",12,"EA","BO","PO","EA",25,"MG",1,10/22/2004,,,,,,,
"66336008520","66336-0085-20",,"Q0170",,5/29/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,5/29/2008,,,,,,,
"66336008525","66336-0085-25",,"Q0170",,5/29/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",25,"EA","BO","PO","EA",25,"MG",1,5/29/2008,,,,,,,
"66336008530","66336-0085-30",,"Q0170",,10/22/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,10/22/2004,,,,,,,
"66336008560","66336-0085-60",,"Q0170",,5/29/2008,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,5/29/2008,,,,,,,
"66336009410","66336-0094-10",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","BO","PO","EA",5,"MG",4,10/22/2004,,,,,,,
"66336009418","66336-0094-18",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",18,"EA","BO","PO","EA",5,"MG",4,10/22/2004,,,,,,,
"66336009420","66336-0094-20",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,10/22/2004,,,,,,,
"66336009430","66336-0094-30",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,10/22/2004,,,,,,,
"66336015003","66336-0150-03",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",3,"EA","BO","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"66336015003","66336-0150-03",,"K0416",,8/3/2005,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",3,"EA","BO","RC","EA",1,"MG",25,8/3/2005,,,,,,,
"66336015006","66336-0150-06",,"J8498",,4/20/2007,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",6,"EA","BX","RC","EA",1,"EA",1,4/20/2007,,,,,,,
"66336020820","66336-0208-20",,"Q0177",,10/22/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",20,"EA","BO","PO","EA",25,"MG",1,10/22/2004,,,,,,,
"66336020830","66336-0208-30",,"Q0177",,10/22/2004,,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,10/22/2004,,,,,,,
"66336026803","66336-0268-03",,"Q0179",,3/17/2008,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",3,"EA","BO","PO","EA",8,"MG",1,3/17/2008,,,,,,,
"66336040005","66336-0400-05",,"Q0144",,12/3/2007,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 500 MG",5,"EA","BO","PO","EA",1,"GM",0.5,12/3/2007,,,,,,,
"66336043406","66336-0434-06",,"Q0164",,10/22/2004,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 5 MG",6,"EA","BO","PO","EA",5,"MG",1,10/22/2004,,,,,,,
"66336043410","66336-0434-10",,"Q0164",,8/18/2005,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,8/18/2005,,,,,,,
"66336046644","66336-0466-44",,"Q0144",,10/22/2004,12/17/2007,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,10/22/2004,,,,,,,
"66336047906","66336-0479-06",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",6,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"66336047906","66336-0479-06",,"Q0181",,10/22/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",6,"EA","BO","PO","EA",1,"EA",1,10/22/2004,,,,,,,
"66336047915","66336-0479-15",,"J8540",,1/1/2006,9/10/2006,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",15,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,,,,,,,
"66336047915","66336-0479-15",,"Q0181",,1/19/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",15,"EA","BO","PO","EA",1,"EA",1,1/19/2004,,,,,,,
"66336049212","66336-0492-12",,"K0416",,10/22/2004,11/14/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PHENERGAN 25 MG",12,"EA","NA","RC","EA",1,"MG",25,10/22/2004,,,,,,,
"66336051510","66336-0515-10",,"J7506",,10/22/2004,12/17/2007,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,10/22/2004,,,,,,,
"66336051521","66336-0515-21",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,10/22/2004,,,,,,,
"66336051530","66336-0515-30",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,10/22/2004,,,,,,,
"66336051540","66336-0515-40",,"J7506",,10/22/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",40,"EA","BO","PO","EA",5,"MG",1,10/22/2004,,,,,,,
"66336055012","66336-0550-12",,"J8540",,1/1/2006,,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,,,,,,,
"66336055012","66336-0550-12",,"Q0181",,11/20/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",1,"EA",1,11/20/2005,,,,,,,
"66336058915","66336-0589-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","BO","PO","EA",50,"MG",0.5,1/1/2002,,,,,,,
"66336058920","66336-0589-20",,"Q0163",,10/22/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,10/22/2004,,,,,,,
"66336058930","66336-0589-30",,"Q0163",,10/22/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,10/22/2004,,,,,,,
"66336058960","66336-0589-60",,"Q0163",,10/22/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,10/22/2004,,,,,,,
"66336060820","66336-0608-20",,"J7509",,1/1/2002,4/1/2006,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",20,"EA","NA","PO","EA",4,"MG",1,1/1/2002,,,,,,,
"66336062910","66336-0629-10",,"Q0173",,1/1/2002,9/10/2006,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",10,"EA","NA","PO","EA",250,"MG",1,1/1/2002,,,,,,,
"66336064225","66336-0642-25",,"J8499",,10/22/2004,12/17/2007,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,10/22/2004,,,,,,,
"66336064230","66336-0642-30",,"J8499",,6/22/2005,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,6/22/2005,,,,,,,
"66336064240","66336-0642-40",,"J8499",,10/22/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","BO","PO","EA",1,"EA",1,10/22/2004,,,,,,,
"66336064250","66336-0642-50",,"J8499",,1/7/2008,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",50,"EA","BO","PO","EA",1,"EA",1,1/7/2008,,,,,,,
"66336073510","66336-0735-10",,"J8499",,1/1/2002,9/10/2006,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",10,"EA","NA","PO","EA",1,"EA",1,1/1/2002,,,,,,,
"66336073515","66336-0735-15",,"J8499",,10/22/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,10/22/2004,,,,,,,
"66336073525","66336-0735-25",,"J8499",,10/22/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,10/22/2004,,,,,,,
"66336073540","66336-0735-40",,"J8499",,10/22/2004,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",40,"EA","BO","PO","EA",1,"EA",1,10/22/2004,,,,,,,
"66336079303","66336-0793-03",,"Q0179",,3/17/2008,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",3,"EA","BO","PO","EA",8,"MG",0.5,3/17/2008,,,,,,,
"66336086250","66336-0862-50",,"J8499",,5/1/2006,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","DISPENSEQUICK ACYCLOVIR 800 MG",50,"EA","BO","PO","EA",1,"EA",1,5/1/2006,,,,,,,
"66336092115","66336-0921-15",,"Q0165",,12/3/2007,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",15,"EA","BO","PO","EA",10,"MG",1,12/3/2007,,,,,,,
"66336092160","66336-0921-60",,"Q0165",,5/29/2008,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",60,"EA","BO","PO","EA",10,"MG",1,5/29/2008,,,,,,,
"66375010702","66375-0107-02",,"Q0163",,1/1/2002,12/29/2008,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (10X10) 25 MG",100,"EA","BX","PO","EA",50,"MG",0.5,1/1/2002,12/29/2008,,,,,,
"66375010802","66375-0108-02",,"Q0163",,1/1/2002,12/29/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL (10X10) 50 MG",100,"EA","BX","PO","EA",50,"MG",1,1/1/2002,12/29/2009,,,,,,
"66435030151","66435-0301-51",,"J0288",,11/1/2006,,"INJECTION, AMPHOTERICIN B CHOLESTERYL SULFATE COMPLEX, 10 MG","AMPHOTEC (SDV) 50 MG",1,"EA","VL","IV","EA",10,"MG",5,11/1/2006,,,,,,,
"66435030201","66435-0302-01",,"J0288",,8/14/2008,,"INJECTION, AMPHOTERICIN B CHOLESTERYL SULFATE COMPLEX, 10 MG","AMPHOTEC (SDV) 100 MG",1,"EA","VL","IV","MG",10,"MG",10,8/14/2008,,,,,,,
"66440015008","66440-0150-08",,"J7510",,10/2/2003,9/23/2007,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (CHERRY) 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,10/2/2003,,,,,,,
"66440015016","66440-0150-16",,"J7510",,10/2/2003,9/24/2007,"PREDNISOLONE ORAL, PER 5 MG","PRELONE (CHERRY) 15 MG/5 ML",480,"ML","BO","PO","ML",5,"MG",0.6,10/2/2003,,,,,,,
"66479002539","66479-0025-39",,"J3490",,1/1/2002,5/13/2005,"UNCLASSIFIED DRUGS","AMICAR (S.D.V.) 250 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,1/1/2002,,,,,,,
"66479013501","66479-0135-01",,"J9250",,1/1/2002,9/15/2005,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (VIAL, L.P.P.) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"66479013509","66479-0135-09",,"J9250",,1/1/2002,9/15/2005,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (VIAL, L.P.P.) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"66479013611","66479-0136-11",,"J9250",,1/1/2002,9/15/2005,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",2,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"66479013613","66479-0136-13",,"J9250",,1/1/2002,9/15/2005,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",4,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"66479013619","66479-0136-19",,"J9250",,1/1/2002,9/15/2005,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML",10,"ML","VL","IJ","ML",5,"MG",5,1/1/2002,,,,,,,
"66479013721","66479-0137-21",,"J9250",,1/1/2002,9/15/2005,"METHOTREXATE SODIUM, 5 MG","METHOTREXATE SODIUM (S.D.V.) 20 MG",1,"EA","VL","IJ","EA",5,"MG",4,1/1/2002,,,,,,,
"66479013929","66479-0139-29",,"J9260",,1/1/2002,9/15/2005,"METHOTREXATE SODIUM, 50 MG","METHOTREXATE SODIUM (S.D.V.) 1 GM",1,"EA","VL","IJ","EA",50,"MG",20,1/1/2002,,,,,,,
"66479024725","66479-0247-25",,"J0640",,1/1/2002,9/15/2005,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG","LEUCOVORIN CALCIUM (PF) 350 MG",1,"EA","VL","IJ","EA",50,"MG",7,1/1/2002,,,,,,,
"66479030110","66479-0301-10",,"J7500",,9/26/2006,5/20/2008,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE (USP) 50 MG",100,"EA","BO","PO","EA",50,"MG",1,9/26/2006,,,,,,,
"66479052001","66479-0520-01",,"J0735",,6/28/2006,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","DURACLON (SDV,PF) 0.1 MG/ML",10,"ML","VL","EP","ML",1,"MG",0.1,6/28/2006,,,,,,,
"66479052101","66479-0521-01",,"J0735",,6/14/2006,,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","DURACLON (SDV,PF) 0.5 MG/ML",10,"ML","VL","EP","ML",1,"MG",0.5,6/14/2006,,,,,,,
"66479053002","66479-0530-02",,"J1230",,1/9/2007,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HYDROCHLORIDE (USP,MDV) 10 MG/ML",20,"ML","VL","IJ","ML",10,"MG",1,1/9/2007,,,,,,,
"66490004101","66490-0041-01",,"J1110",,12/31/2002,,"INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG","D.H.E. 45 (AMP) 1 MG/ML",1,"ML","AM","IJ","ML",1,"MG",1,12/31/2002,,,,,,,
"66591022141","66591-0221-41",,"J7500",,7/16/2002,9/25/2006,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",100,"EA","BO","PO","EA",50,"MG",1,7/26/2005,,7/16/2002,7/25/2005,1,,,
"66591023141","66591-0231-41",,"J7500",,2/21/2003,11/1/2003,"AZATHIOPRINE, ORAL, 50 MG","AZASAN 75 MG",100,"EA","BO","PO","EA",50,"MG",1.5,2/21/2003,,,,,,,
"66591024141","66591-0241-41",,"J7500",,2/21/2003,11/1/2003,"AZATHIOPRINE, ORAL, 50 MG","AZASAN 100 MG",100,"EA","BO","PO","EA",50,"MG",2,2/21/2003,,,,,,,
"66591031512","66591-0315-12",,"J0636",,3/7/2003,7/31/2004,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL 1 MCG/ML",1,"ML","VL","IV","ML",0.1,"MCG",10,3/7/2003,,,,,,,
"66591032512","66591-0325-12",,"J0636",,3/7/2003,7/31/2004,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL 2 MCG/ML",1,"ML","VL","IV","ML",0.1,"MCG",20,3/7/2003,,,,,,,
"66591033512","66591-0335-12",,"J0636",,3/28/2003,1/16/2005,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL 1 MCG/ML",1,"ML","VL","IV","ML",0.1,"MCG",10,3/28/2003,,,,,,,
"66591034512","66591-0345-12",,"J0636",,3/28/2003,1/17/2005,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL 2 MCG/ML",1,"ML","VL","IV","ML",0.1,"MCG",20,3/28/2003,,,,,,,
"66591043411","66591-0434-11",,"J3105",,5/23/2003,9/4/2008,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG","BRETHINE (AMP) 1 MG/ML",1,"ML","VL","SC","ML",1,"MG",1,5/23/2003,,,,,,,
"66591043511","66591-0435-11",,"J3105",,9/21/2004,9/4/2008,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG","BRETHINE (VIALS) 1 MG/ML",1,"ML","VL","SC","ML",1,"MG",1,9/21/2004,,,,,,,
"66591081551","66591-0815-51",,"J1230",,12/12/2003,1/8/2007,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL 10 MG/ML",20,"ML","VL","IJ","ML",10,"MG",1,7/26/2005,,12/12/2003,7/25/2005,1,,,
"66591096541","66591-0965-41",,"J0735",,11/16/2005,6/27/2006,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","DURACLON (SDV) 0.1 MG/ML",10,"ML","VL","EP","ML",1,"MG",0.1,11/16/2005,,,,,,,
"66591097541","66591-0975-41",,"J0735",,9/23/2005,6/13/2006,"INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG","DURACLON (SDV,PF) 0.5 MG/ML",10,"ML","VL","EP","ML",1,"MG",0.5,9/23/2005,,,,,,,
"66657030105","66657-0301-05",,"J1457",,1/1/2005,,"INJECTION, GALLIUM NITRATE, 1 MG","GANITE (PF) 25 MG/ML",20,"ML","VL","IV","ML",1,"MG",25,1/1/2005,,,,,,,
"66657030105","66657-0301-05",,"J3490",,10/6/2003,12/31/2004,"UNCLASSIFIED DRUGS","GANITE (PF) 25 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,10/6/2003,,,,,,,
"66689068155","66689-0681-55",,"J1230",,2/1/2002,,"INJECTION, METHADONE HCL, UP TO 10 MG","METHADONE HCL",1,"EA","BO","NA","GM",10,"MG",100,2/1/2002,,,,,,,
"66733094823","66733-0948-23",,"J9055",,1/1/2005,,"INJECTION, CETUXIMAB, 10 MG","ERBITUX (PF) 2 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.2,1/1/2005,,,,,,,
"66733094823","66733-0948-23",,"J9999",,2/23/2004,12/31/2004,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","ERBITUX (PF) 2 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,2/23/2004,,,,,,,
"66733094823","66733-0948-23","QR","J9055","QR",1/28/2005,,"INJECTION, CETUXIMAB, 10 MG","ERBITUX (PF) 2 MG/ML",50,"ML","VL","IV","ML",10,"MG",0.2,1/28/2005,,,,,,,
"66733095823","66733-0958-23",,"J9055",,5/3/2007,,"INJECTION, CETUXIMAB, 10 MG","ERBITUX (PF) 2 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.2,5/3/2007,,,,,,,
"66733095823","66733-0958-23","QR","J9055","QR",5/3/2007,,"INJECTION, CETUXIMAB, 10 MG","ERBITUX (PF) 2 MG/ML",100,"ML","VL","IV","ML",10,"MG",0.2,5/3/2007,,,,,,,
"66758000119","66758-0001-19",,"J2250",,10/1/2002,10/13/2003,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",10,"ML","NA","IJ","ML",1,"MG",5,10/1/2002,,,,,,,
"66758001101","66758-0011-01",,"J1600",,6/11/2004,5/31/2006,"INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG","GOLD SODIUM THIOMALATE (S.D.V.) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,6/11/2004,,,,,,,
"66758001102","66758-0011-02",,"J1600",,6/11/2004,5/31/2006,"INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG","GOLD SODIUM THIOMALATE (S.D.V.) 50 MG/ML",1,"ML","VL","IM","ML",50,"MG",1,6/11/2004,5/31/2006,,,,,,
"66758001103","66758-0011-03",,"J1600",,6/11/2004,5/31/2006,"INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG","GOLD SODIUM THIOMALATE (M.D.V.) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,6/11/2004,5/31/2006,,,,,,
"66758001401","66758-0014-01",,"J2440",,2/20/2004,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (USP,S.D.V.) 30 MG/ML",2,"ML","VL","IJ","ML",60,"MG",0.5,2/20/2004,,,,,,,
"66758001402","66758-0014-02",,"J2440",,2/20/2004,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (USP,S.D.V.) 30 MG/ML",2,"ML","VL","IJ","ML",60,"MG",0.5,2/20/2004,,,,,,,
"66758001501","66758-0015-01",,"J2440",,2/20/2004,,"INJECTION, PAPAVERINE HCL, UP TO 60 MG","PAPAVERINE HYDROCHLORIDE (USP) 30 MG/ML",10,"ML","VL","IJ","ML",60,"MG",0.5,2/20/2004,,,,,,,
"66758001601","66758-0016-01",,"J2370",,1/8/2004,6/1/2009,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (USP, S.D.V.,PF) 10 MG/ML",1,"ML","VL","IJ","ML",1,"ML",1,1/8/2004,6/1/2009,,,,,,
"66758001602","66758-0016-02",,"J2370",,1/8/2004,6/1/2009,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (USP, S.D.V.,PF) 10 MG/ML",1,"ML","VL","IJ","ML",1,"ML",1,1/8/2004,6/1/2009,,,,,,
"66758001603","66758-0016-03",,"J2370",,6/8/2005,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (USP,PF) 10 MG/ML",5,"ML","VL","IJ","ML",1,"ML",1,6/8/2005,,,,,,,
"66758001604","66758-0016-04",,"J2370",,6/8/2005,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (USP,25X5ML,PF) 10 MG/ML",5,"ML","VL","IJ","ML",1,"ML",1,6/8/2005,,,,,,,
"66758001701","66758-0017-01",,"J2370",,1/8/2004,,"INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML","PHENYLEPHRINE HCL (USP, BULK PACKAGE,PF) 10 MG/ML",10,"ML","VL","IJ","ML",1,"ML",1,1/8/2004,,,,,,,
"66758001801","66758-0018-01",,"J2250",,10/2/2003,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,10/2/2003,,,,,,,
"66758001802","66758-0018-02",,"J2250",,10/2/2003,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 1 MG/ML",10,"ML","VL","IJ","ML",1,"MG",1,10/2/2003,,,,,,,
"66758001901","66758-0019-01",,"J2250",,10/2/2003,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,10/2/2003,,,,,,,
"66758001902","66758-0019-02",,"J2250",,10/2/2003,,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG","MIDAZOLAM HCL 5 MG/ML",10,"ML","VL","IJ","ML",1,"MG",5,10/2/2003,,,,,,,
"66758002001","66758-0020-01",,"J3360",,10/2/2003,3/9/2007,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,10/2/2003,,,,,,,
"66758002002","66758-0020-02",,"J3360",,10/2/2003,3/9/2007,"INJECTION, DIAZEPAM, UP TO 5 MG","DIAZEPAM 5 MG/ML",10,"ML","VL","IJ","ML",5,"MG",1,10/2/2003,,,,,,,
"66758002501","66758-0025-01",,"J3490",,12/18/2003,3/1/2007,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,12/18/2003,,,,,,,
"66758002502","66758-0025-02",,"J3490",,12/18/2003,3/1/2007,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V.) 10 MG/ML",20,"ML","VL","IV","ML",1,"EA",1,12/18/2003,,,,,,,
"66758002503","66758-0025-03",,"J3490",,12/18/2003,3/1/2007,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V.) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,12/18/2003,,,,,,,
"66758002504","66758-0025-04",,"J3490",,12/18/2003,3/1/2007,"UNCLASSIFIED DRUGS","PROPOFOL (S.D.V.) 10 MG/ML",50,"ML","VL","IV","ML",1,"EA",1,12/18/2003,,,,,,,
"66758002601","66758-0026-01",,"J2910",,11/15/2005,6/6/2006,"INJECTION, AUROTHIOGLUCOSE, UP TO 50 MG","AUROTHIOGLUCOSE (M.D.V.) 50 MG/ML",10,"ML","VL","IM","ML",50,"MG",1,11/15/2005,,,,,,,
"66758003501","66758-0035-01",,"J1626",,6/30/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X1ML,SINGLE-USE) 1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",10,6/30/2008,,,,,,,
"66758003601","66758-0036-01",,"J1626",,6/30/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (1X4ML,MULTI-USE) 1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",10,6/30/2008,,,,,,,
"66758003702","66758-0037-02",,"J1626",,6/30/2008,,"INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG","GRANISETRON HYDROCHLORIDE (5X1ML) 0.1 MG/ML",1,"ML","VL","IV","ML",100,"MCG",1,6/30/2008,,,,,,,
"66758004301","66758-0043-01",,"J9265",,1/11/2008,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (USP,1X5ML,MULTI-DOSE) 6 MG/ML",5,"ML","VL","IV","ML",30,"MG",0.2,1/11/2008,,,,,,,
"66758004302","66758-0043-02",,"J9265",,1/11/2008,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (USP,1X16.7ML,MULTI-DOSE) 6 MG/ML",16.7,"ML","VL","IV","ML",30,"MG",0.2,1/11/2008,,,,,,,
"66758004303","66758-0043-03",,"J9265",,1/11/2008,,"INJECTION, PACLITAXEL, 30 MG","PACLITAXEL (USP,1X50ML,MULTI-DOSE) 6 MG/ML",50,"ML","VL","IV","ML",30,"MG",0.2,1/11/2008,,,,,,,
"66758004501","66758-0045-01",,"J9390",,3/5/2008,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE (1X1ML,PF) 10 MG/ML",1,"ML","VL","IV","ML",10,"MG",1,3/5/2008,,,,,,,
"66758004502","66758-0045-02",,"J9390",,3/5/2008,,"INJECTION, VINORELBINE TARTRATE, 10 MG","VINORELBINE (1X5ML,PF) 10 MG/ML",5,"ML","VL","IV","ML",10,"MG",1,3/5/2008,,,,,,,
"66758004601","66758-0046-01",,"J9185",,10/12/2007,,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG","FLUDARABINE PHOSPHATE (SDV,PF) 25 MG/ML",2,"ML","VL","IV","ML",50,"MG",0.5,10/12/2007,,,,,,,
"66758050122","66758-0501-22",,"J1100",,10/1/2002,10/13/2003,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG","DEXAMETHASONE 4 MG/ML",30,"ML","VL","IJ","ML",1,"MG",4,10/1/2002,,,,,,,
"66758060119","66758-0601-19",,"J2550",,7/23/2003,5/31/2006,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (M.D.V.) 25 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.5,7/23/2003,5/31/2006,,,,,,
"66794000125","66794-0001-25",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"66794000125","66794-0001-25",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"66794000125","66794-0001-25","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"66794000125","66794-0001-25","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"66794000130","66794-0001-30",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"66794000130","66794-0001-30",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"66794000130","66794-0001-30","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"66794000130","66794-0001-30","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"66794000160","66794-0001-60",,"J7603",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"66794000160","66794-0001-60",,"J7613",,4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"66794000160","66794-0001-60","KO","J7603","KO",1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,1/1/2008,,,,,,,
"66794000160","66794-0001-60","KO","J7613","KO",4/1/2008,,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG","ALBUTEROL SULFATE (PF) 0.083%",3,"ML","VL","IH","ML",1,"MG",0.83,4/1/2008,,,,,,,
"66794000225","66794-0002-25",,"J7644",,4/15/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/15/2002,,,,,,,
"66794000225","66794-0002-25","KO","J7644","KO",4/15/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/15/2002,,,,,,,
"66794000230","66794-0002-30",,"J7644",,4/15/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/15/2002,,,,,,,
"66794000230","66794-0002-30","KO","J7644","KO",4/15/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/15/2002,,,,,,,
"66794000260","66794-0002-60",,"J7644",,4/15/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/15/2002,,,,,,,
"66794000260","66794-0002-60","KO","J7644","KO",4/15/2002,,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM","IPRATROPIUM BROMIDE (PF) 0.02%",2.5,"ML","PC","IH","ML",1,"MG",0.2,4/15/2002,,,,,,,
"66860000103","66860-0001-03",,"J0690",,7/10/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 500 MG",1,"EA","VL","IJ","EA",500,"MG",1,7/10/2002,,,,,,,
"66860000203","66860-0002-03",,"J0690",,7/10/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (VIAL) 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,7/10/2002,,,,,,,
"66860000302","66860-0003-02",,"J0690",,6/1/2002,,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN SODIUM (BULK PACKAGE) 10 GM",1,"EA","VL","IJ","EA",500,"MG",20,6/1/2002,,,,,,,
"66860002001","66860-0020-01",,"J0170",,1/1/2003,12/30/2007,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE 1:1000 (MDV,USP) 1 MG/ML",30,"ML","VL","IJ","ML",1,"ML",1,1/1/2003,12/30/2007,,,,,,
"66860002102","66860-0021-02",,"J0170",,1/1/2002,,"INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE","EPINEPHRINE 1:1000 (10X1ML AMPS,PF) 1 MG/ML",1,"ML","AM","IJ","ML",1,"ML",1,1/1/2002,,,,,,,
"66860003003","66860-0030-03",,"J0697",,6/1/2002,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 750 MG",1,"EA","VL","IJ","EA",750,"MG",1,6/1/2002,,,,,,,
"66860003103","66860-0031-03",,"J0697",,6/1/2002,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME SODIUM 1.5 GM",1,"EA","VL","IJ","EA",750,"MG",2,6/1/2002,,,,,,,
"66860003202","66860-0032-02",,"J0697",,1/1/2003,,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG","CEFUROXIME (PHARMACY BULK,USP) 7.5 GM",1,"EA","VL","IJ","EA",750,"MG",10,1/1/2003,,,,,,,
"66860009002","66860-0090-02",,"J1800",,1/1/2003,5/31/2007,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG","PROPRANOLOL HYDROCHLORIDE (1MLX10,USP) 1 MG/ML",1,"ML","VL","IV","ML",1,"MG",1,1/1/2003,5/31/2007,,,,,,
"66860009803","66860-0098-03",,"J2550",,3/26/2009,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (1X25) 25 MG/ML",1,"ML","EA","IJ","ML",50,"MG",0.5,3/26/2009,,,,,,,
"66860009903","66860-0099-03",,"J2550",,3/26/2009,,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL 50 MG/ML",1,"ML","EA","IJ","ML",50,"MG",1,3/26/2009,,,,,,,
"66860090203","66860-0902-03",,"J0690",,9/1/2005,11/30/2007,"INJECTION, CEFAZOLIN SODIUM, 500 MG","CEFAZOLIN AMERINET CHOICE 1 GM",1,"EA","VL","IJ","EA",500,"MG",2,9/1/2005,11/30/2007,,,,,,
"66993080502","66993-0805-02",,"Q0164",,2/14/2003,12/31/2008,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,2/14/2003,12/31/2008,,,,,,
"66993081002","66993-0810-02",,"Q0165",,2/14/2003,12/31/2008,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,2/14/2003,12/31/2008,,,,,,
"66993081005","66993-0810-05",,"Q0165",,2/14/2003,6/30/2007,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",1000,"EA","BO","PO","EA",10,"MG",1,2/14/2003,,,,,,,
"66993084002","66993-0840-02",,"J7509",,1/21/2003,12/31/2008,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,1/21/2003,12/31/2008,,,,,,
"66993084021","66993-0840-21",,"J7509",,1/21/2003,12/31/2008,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,1/21/2003,12/31/2008,,,,,,
"66993084225","66993-0842-25",,"J7509",,4/29/2004,12/31/2008,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 8 MG",25,"EA","BO","PO","EA",4,"MG",2,4/29/2004,12/31/2008,,,,,,
"67046012530","67046-0125-30",,"Q0163",,10/1/2002,8/1/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BX","PO","EA",50,"MG",0.5,10/1/2002,,,,,,,
"67046012630","67046-0126-30",,"Q0163",,10/1/2002,8/1/2004,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BX","PO","EA",50,"MG",1,10/1/2002,,,,,,,
"67046028130","67046-0281-30",,"Q0177",,10/1/2002,8/1/2004,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","NA","PO","EA",25,"MG",1,10/1/2002,,,,,,,
"67046028230","67046-0282-30",,"Q0178",,10/1/2002,8/1/2004,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",30,"EA","NA","PO","EA",50,"MG",1,10/1/2002,,,,,,,
"67046028260","67046-0282-60",,"Q0178",,10/1/2002,8/1/2004,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",60,"EA","NA","PO","EA",50,"MG",1,10/1/2002,,,,,,,
"67066000101","67066-0001-01",,"J3490",,10/9/2002,10/10/2005,"UNCLASSIFIED DRUGS","SECREFLO 16 MCG",1,"EA","VL","IV","EA",1,"EA",1,10/9/2002,,,,,,,
"67066000601","67066-0006-01",,"J2850",,1/1/2006,9/30/2008,"INJECTION, SECRETIN, SYNTHETIC, HUMAN, 1 MICROGRAM","SECREFLO 16 MCG",1,"EA","VL","IV","EA",1,"MCG",16,1/1/2006,9/30/2008,,,,,,
"67066000601","67066-0006-01",,"J3490",,10/11/2005,12/31/2005,"UNCLASSIFIED DRUGS","SECREFLO 16 MCG",1,"EA","VL","IV","EA",1,"EA",1,10/11/2005,,,,,,,
"67211010201","67211-0102-01",,"J3490",,5/19/2004,12/31/2005,"UNCLASSIFIED DRUGS","VIDAZA 100 MG",1,"EA","VL","SC","EA",1,"EA",1,5/19/2004,,,,,,,
"67211010201","67211-0102-01",,"J9025",,1/1/2006,4/30/2009,"INJECTION, AZACITIDINE, 1 MG","VIDAZA 100 MG",1,"EA","VL","SC","EA",1,"MG",100,1/1/2006,4/30/2009,,,,,,
"67211034208","67211-0342-08",,"J1655",,1/1/2002,,"INJECTION, TINZAPARIN SODIUM, 1000 IU","INNOHEP (M.D.V.) 20000 IU/ML",2,"ML","VL","SC","ML",1000,"IU",20,1/1/2002,,,,,,,
"67211034253","67211-0342-53",,"J1655",,1/1/2002,,"INJECTION, TINZAPARIN SODIUM, 1000 IU","INNOHEP (M.D.V.) 20000 IU/ML",2,"ML","VL","SC","ML",1000,"IU",20,1/1/2002,,,,,,,
"67253010010","67253-0100-10",,"J8499",,10/1/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",100,"EA","BO","PO","EA",1,"EA",1,10/1/2003,,,,,,,
"67253010011","67253-0100-11",,"J8499",,7/15/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",1000,"EA","BO","PO","EA",1,"EA",1,7/15/2003,,,,,,,
"67253010110","67253-0101-10",,"J8499",,10/1/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",100,"EA","BO","PO","EA",1,"EA",1,10/1/2003,,,,,,,
"67253010111","67253-0101-11",,"J8499",,7/15/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",1000,"EA","BO","PO","EA",1,"EA",1,7/15/2003,,,,,,,
"67253010210","67253-0102-10",,"J8499",,7/15/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",100,"EA","BO","PO","EA",1,"EA",1,7/15/2003,,,,,,,
"67253010250","67253-0102-50",,"J8499",,7/15/2003,,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",500,"EA","BO","PO","EA",1,"EA",1,7/15/2003,,,,,,,
"67253032010","67253-0320-10",,,,12/30/2005,,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE (USP) 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,10/29/2007,,12/30/2005,1/1/2007,1,,,
"67253036010","67253-0360-10",,"J7509",,10/17/2005,1/1/2007,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",100,"EA","BO","PO","EA",4,"MG",1,10/17/2005,,,,,,,
"67253036021","67253-0360-21",,"J7509",,10/17/2005,1/1/2007,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,10/17/2005,,,,,,,
"67253041712","67253-0417-12",,"Q0166",,5/15/2008,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (FILM-COATED) 1 MG",2,"EA","BO","PO","EA",1,"MG",1,5/15/2008,,,,,,,
"67253041722","67253-0417-22",,"Q0166",,5/15/2008,,"GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 24 HOUR DOSAGE REGIMEN","GRANISETRON HYDROCHLORIDE (2X10,FILM-COATED) 1 MG",20,"EA","BO","PO","EA",1,"MG",1,5/15/2008,,,,,,,
"67253058042","67253-0580-42",,,,7/1/2003,,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X2) 2.5 MG",8,"EA","DP","PO","EA",2.5,"MG",1,7/1/2003,,,,,,,
"67253058043","67253-0580-43",,,,7/1/2003,,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X3) 2.5 MG",12,"EA","DP","PO","EA",2.5,"MG",1,7/1/2003,,,,,,,
"67253058044","67253-0580-44",,,,7/1/2003,,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X4) 2.5 MG",16,"EA","DP","PO","EA",2.5,"MG",1,7/1/2003,,,,,,,
"67253058045","67253-0580-45",,,,7/1/2003,,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X5) 2.5 MG",20,"EA","DP","PO","EA",2.5,"MG",1,7/1/2003,,,,,,,
"67253058046","67253-0580-46",,,,7/1/2003,,"METHOTREXATE, 2.5 MG, ORAL","RHEUMATREX DOSE PACK (4X6) 2.5 MG",24,"EA","DP","PO","EA",2.5,"MG",1,7/1/2003,,,,,,,
"67286004001","67286-0040-01",,"J2993",,11/30/2005,3/9/2008,"INJECTION, RETEPLASE, 18.1 MG","RETAVASE (2X18.1 MG VIALS,PF) 10.4 U",2,"EA","BX","IV","EA",18.1,"MG",2,11/30/2005,,,,,,,
"67286004002","67286-0040-02",,"J2993",,11/30/2005,3/9/2008,"INJECTION, RETEPLASE, 18.1 MG","RETAVASE (1X18.1 MG VIALS,PF) 10.4 U",1,"EA","BX","IV","EA",18.1,"MG",1,11/30/2005,,,,,,,
"67286005308","67286-0053-08",,"J0594",,1/1/2007,8/22/2007,"INJECTION, BUSULFAN, 1 MG","BUSULFEX (AMP) 6 MG/ML",10,"ML","AM","IV","ML",1,"MG",6,1/1/2007,8/22/2007,,,,,,
"67286005308","67286-0053-08",,"J9999",,6/10/2004,12/31/2006,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","BUSULFEX (AMP) 6 MG/ML",10,"ML","AM","IV","ML",1,"EA",1,6/10/2004,,,,,,,
"67286005408","67286-0054-08",,"J0594",,7/30/2007,11/2/2008,"INJECTION, BUSULFAN, 1 MG","BUSULFEX (8X10ML) 6 MG/ML",10,"ML","VL","IV","ML",1,"MG",6,7/30/2007,11/2/2008,,,,,,
"67286040001","67286-0400-01",,"J2993",,3/10/2008,11/8/2009,"INJECTION, RETEPLASE, 18.1 MG","RETAVASE (2X18.1 MG VIALS,PF) 10.4 U",2,"EA","BX","IV","EA",18.1,"MG",2,3/10/2008,11/8/2009,,,,,,
"67286040002","67286-0400-02",,"J2993",,3/10/2008,11/8/2009,"INJECTION, RETEPLASE, 18.1 MG","RETAVASE (1X18.1 MG VIALS,PF) 10.4 U",1,"EA","BX","IV","EA",18.1,"MG",1,3/10/2008,11/8/2009,,,,,,
"67308010101","67308-0101-01",,"J7308",,1/1/2003,,"AMINOLEVULINIC ACID HCL FOR TOPICAL ADMINISTRATION, 20%, SINGLE UNIT DOSAGE FORM (354 MG)","LEVULAN KERASTICK 20%",1,"EA","SK","TP","EA",354,"MG",1,1/1/2003,,,,,,,
"67308010106","67308-0101-06",,"J7308",,1/1/2003,,"AMINOLEVULINIC ACID HCL FOR TOPICAL ADMINISTRATION, 20%, SINGLE UNIT DOSAGE FORM (354 MG)","LEVULAN KERASTICK 20%",1,"EA","SK","TP","EA",354,"MG",1,1/1/2003,,,,,,,
"67386041151","67386-0411-51",,"J9020",,11/16/2006,,"INJECTION, ASPARAGINASE, 10,000 UNITS","ELSPAR 10000 IU",1,"EA","VL","IJ","EA",10000,"U",1,11/16/2006,,,,,,,
"67386050152","67386-0501-52",,"J2515",,6/11/2003,,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","NEMBUTAL SODIUM 50 MG/ML",20,"ML","VL","IJ","ML",50,"MG",1,6/11/2003,,,,,,,
"67386050155","67386-0501-55",,"J2515",,6/11/2003,,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG","NEMBUTAL SODIUM (VIAL) 50 MG/ML",50,"ML","VL","IJ","ML",50,"MG",1,6/11/2003,,,,,,,
"67386061152","67386-0611-52",,"J0515",,1/21/2006,,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG","COGENTIN (5X2ML) 1 MG/ML",2,"ML","AM","IJ","ML",1,"MG",1,1/21/2006,,,,,,,
"67386070154","67386-0701-54",,"J1640",,1/1/2006,,"INJECTION, HEMIN, 1 MG","PANHEMATIN 313 MG",1,"EA","VL","IV","EA",1,"MG",313,1/1/2006,,,,,,,
"67386070154","67386-0701-54",,"Q2011",,3/18/2005,12/31/2005,"INJECTION, HEMIN, PER 1 MG","PANHEMATIN 313 MG",1,"EA","VL","IV","EA",1,"MG",313,3/18/2005,,,,,,,
"67386071155","67386-0711-55",,"J1205",,1/21/2006,,"INJECTION, CHLOROTHIAZIDE SODIUM, PER 500 MG","DIURIL SODIUM 0.5 GM",1,"EA","VL","IV","EA",500,"MG",1,1/21/2006,,,,,,,
"67386081155","67386-0811-55",,"J9120",,1/21/2006,,"INJECTION, DACTINOMYCIN, 0.5 MG","COSMEGEN 0.5 MG",1,"EA","VL","IV","EA",0.5,"MG",1,1/21/2006,,,,,,,
"67386091151","67386-0911-51",,"J9230",,1/21/2006,,"INJECTION, MECHLORETHAMINE HYDROCHLORIDE, (NITROGEN MUSTARD), 10 MG","MUSTARGEN 10 MG",1,"EA","VL","IV","EA",10,"MG",1,1/21/2006,,,,,,,
"67425000101","67425-0001-01",,"J3470",,1/28/2005,,"INJECTION, HYALURONIDASE, UP TO 150 UNITS","VITRASE (PF) 6200 U",1,"EA","NA","SC","EA",150,"U",41.33333,1/28/2005,,,,,,,
"67425000110","67425-0001-10",,"J3470",,1/28/2005,12/7/2006,"INJECTION, HYALURONIDASE, UP TO 150 UNITS","VITRASE (OVINE) 6200 U",1,"EA","NA","SC","EA",150,"U",41.33333,1/28/2005,,,,,,,
"67425000210","67425-0002-10",,"J3470",,1/28/2005,,"INJECTION, HYALURONIDASE, UP TO 150 UNITS","VITRASE (LYOPHILIZED,OVINE,SDV) 200 U/ML",1.2,"ML","VL","SC","ML",150,"U",1.33333,1/28/2005,,,,,,,
"67457012410","67457-0124-10",,"J1200",,5/1/2007,,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG","DIPHENHYDRAMINE HYDROCHLORIDE (MDV,USP) 50 MG/ML",10,"ML","VL","IJ","ML",50,"MG",1,5/1/2007,,,,,,,
"67457014550","67457-0145-50",,"J1212",,7/1/2005,8/1/2006,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","DIMETHYL SULFOXIDE 50%",50,"ML","VL","IL","ML",50,"%",0.02,7/1/2005,,,,,,,
"67457014720","67457-0147-20",,"J3520",,7/1/2005,4/18/2008,"EDETATE DISODIUM, PER 150 MG","EDETATE DISODIUM (S.D.V.) 150 MG/ML",20,"ML","VL","IV","ML",150,"MG",1,7/1/2005,,,,,,,
"67457015210","67457-0152-10",,"J2550",,7/1/2005,1/15/2009,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","PROMETHAZINE HCL (M.D.V.) 25 MG/ML",10,"ML","VL","IJ","ML",50,"MG",0.5,7/1/2005,1/15/2009,,,,,,
"67457015303","67457-0153-03",,"J0282",,7/1/2005,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HCL 50 MG/ML",3,"ML","VL","IV","ML",30,"MG",1.66666,7/1/2005,,,,,,,
"67457015309","67457-0153-09",,"J0282",,11/29/2005,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HYDROCHLORIDE (9X10ML) 50 MG/ML",9,"ML","VL","IV","ML",30,"MG",1.66666,11/29/2005,,,,,,,
"67457015318","67457-0153-18",,"J0282",,11/29/2005,,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG","AMIODARONE HYDROCHLORIDE 50 MG/ML",18,"ML","VL","IV","ML",30,"MG",1.66666,11/29/2005,,,,,,,
"67457016020","67457-0160-20",,"J2260",,10/30/2003,8/7/2007,"INJECTION, MILRINONE LACTATE, 5 MG","MILRINONE LACTATE (S.D.V.,PF,LATEX-FREE) 1 MG/ML",20,"ML","VL","IV","ML",5,"MG",0.2,10/30/2003,,,,,,,
"67457017750","67457-0177-50",,"J1212",,6/22/2007,,"INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML","RIMSO-50 (ODORLESS) 50%",50,"ML","VL","IL","ML",50,"%",0.02,6/22/2007,,,,,,,
"67467084301","67467-0843-01",,"J1568",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG","OCTAGAM (1GM/VIAL,S/D TREATED) 50 MG/ML",20,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"67467084301","67467-0843-01",,"Q4087",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","OCTAGAM (1GM/VIAL,S/D TREATED) 50 MG/ML",20,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"67467084302","67467-0843-02",,"J1568",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG","OCTAGAM (2.5GM/VIAL,S/D TREATED) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"67467084302","67467-0843-02",,"Q4087",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","OCTAGAM (2.5GM/VIAL,S/D TREATED) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"67467084303","67467-0843-03",,"J1568",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG","OCTAGAM (5GM/VIAL,S/D TREATED) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"67467084303","67467-0843-03",,"Q4087",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","OCTAGAM (5GM/VIAL,S/D TREATED) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"67467084304","67467-0843-04",,"J1568",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG","OCTAGAM (10GM/VIAL,S/D TREATED) 50 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"67467084304","67467-0843-04",,"Q4087",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","OCTAGAM (10GM/VIAL,S/D TREATED) 50 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"67467084305","67467-0843-05",,"J1568",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG","OCTAGAM (PF,SUCROSE-FREE) 50 MG/ML",500,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"67467084305","67467-0843-05",,"Q4087",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","OCTAGAM (PF,SUCROSE-FREE) 50 MG/ML",500,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"67817006112","67817-0061-12",,"J9045",,10/14/2004,2/15/2007,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",5,"ML","VL","IV","ML",50,"MG",0.2,10/14/2004,,,,,,,
"67817006312","67817-0063-12",,"J9045",,10/14/2004,2/15/2007,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",15,"ML","VL","IV","ML",50,"MG",0.2,10/14/2004,,,,,,,
"67817006612","67817-0066-12",,"J9045",,10/14/2004,2/15/2007,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",45,"ML","VL","IV","ML",50,"MG",0.2,10/14/2004,,,,,,,
"67817006712","67817-0067-12",,"J9045",,10/14/2004,2/15/2007,"INJECTION, CARBOPLATIN, 50 MG","CARBOPLATIN (M.D.V.) 10 MG/ML",60,"ML","VL","IV","ML",50,"MG",0.2,10/14/2004,,,,,,,
"67870010308","67870-0103-08",,"J7510",,6/1/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",236,"ML","BO","PO","ML",5,"MG",0.6,6/1/2003,,,,,,,
"67870010316","67870-0103-16",,"J7510",,6/1/2003,,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",473,"ML","BO","PO","ML",5,"MG",0.6,6/1/2003,,,,,,,
"67871000710","67871-0007-10",,"J9175",,1/1/2006,,"INJECTION, ELLIOTTS' B SOLUTION, 1 ML","ELLIOTTS B (FOR INTRATHECAL USE,PF)",10,"ML","AM","IN","ML",1,"ML",1,1/1/2006,,,,,,,
"67871000710","67871-0007-10",,"Q2002",,5/28/2003,12/31/2005,"INJECTION, ELLIOTTS B SOLUTION, PER ML","ELLIOTTS B (FOR INTRATHECAL USE,PF)",10,"ML","AM","IN","ML",1,"ML",1,5/28/2003,,,,,,,
"67871479006","67871-4790-06",,"J1430",,1/1/2006,,"INJECTION, ETHANOLAMINE OLEATE, 100 MG","ETHAMOLIN (10X2ML AMP) 50 MG/ML",2,"ML","AM","IV","ML",100,"MG",0.5,1/1/2006,,,,,,,
"67871479006","67871-4790-06",,"Q2007",,10/1/2005,12/31/2005,"INJECTION, ETHANOLAMINE OLEATE, 100 MG","ETHAMOLIN (10X2ML AMP) 50 MG/ML",2,"ML","AM","IV","ML",100,"MG",0.5,10/1/2005,,,,,,,
"67871772902","67871-7729-02",,"J3490",,10/1/2005,4/18/2008,"UNCLASSIFIED DRUGS","GLOFIL-125",4,"ML","VL","IV","ML",1,"EA",1,10/1/2005,4/18/2008,,,,,,
"67919001101","67919-0011-01",,"J0878",,1/1/2005,,"INJECTION, DAPTOMYCIN, 1 MG","CUBICIN (PF) 500 MG",1,"EA","VL","IV","EA",1,"MG",500,1/1/2005,,,,,,,
"67919001101","67919-0011-01",,"J9999",,9/12/2003,12/31/2004,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS","CUBICIN (PF) 500 MG",1,"EA","VL","IV","EA",1,"EA",1,9/12/2003,,,,,,,
"67979000101","67979-0001-01",,"J9357",,10/31/2007,,"INJECTION, VALRUBICIN, INTRAVESICAL, 200 MG","VALSTAR (4X5ML,PF) 40 MG/ML",5,"ML","VL","IL","ML",200,"MG",0.2,6/3/2009,,10/31/2007,3/3/2009,0.2,,,
"67979000102","67979-0001-02",,"J9357",,10/31/2007,,"INJECTION, VALRUBICIN, INTRAVESICAL, 200 MG","VALSTAR (24X5ML,PF) 40 MG/ML",5,"ML","VL","IL","ML",200,"MG",0.2,6/3/2009,,10/31/2007,3/3/2009,0.2,,,
"67979000201","67979-0002-01",,"J9225",,6/18/2007,12/31/2007,"HISTRELIN IMPLANT, 50 MG","SUPPRELIN LA 50 MG",1,"EA","BX","SC","EA",50,"MG",1,6/18/2007,,,,,,,
"67979000201","67979-0002-01",,"J9226",,1/1/2008,,"HISTRELIN IMPLANT (SUPPRELIN LA), 50 MG","SUPPRELIN LA 50 MG",1,"EA","BX","SC","EA",50,"MG",1,1/1/2008,,,,,,,
"67979050001","67979-0500-01",,"J9225",,7/25/2007,12/31/2007,"HISTRELIN IMPLANT, 50 MG","VANTAS 50 MG",1,"EA","BX","SC","EA",50,"MG",1,7/25/2007,,,,,,,
"67979050001","67979-0500-01",,"J9226",,1/1/2008,,"HISTRELIN IMPLANT (SUPPRELIN LA), 50 MG","VANTAS 50 MG",1,"EA","BX","SC","EA",50,"MG",1,1/1/2008,,,,,,,
"68084003585","68084-0035-85",,"J7506",,6/14/2004,1/17/2005,"PREDNISONE, ORAL, PER 5MG","PREDNISONE (15X30) 5 MG",15,"EA","NA","PO","EA",5,"MG",1,6/14/2004,,,,,,,
"68084015601","68084-0156-01",,"Q0170",,9/8/2006,2/22/2008,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE (USP,10X10) 50 MG",100,"EA","BX","PO","EA",25,"MG",2,9/8/2006,,,,,,,
"68084022901","68084-0229-01",,"J7500",,3/14/2008,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE 50 MG",100,"EA","BX","PO","EA",50,"MG",1,3/14/2008,,,,,,,
"68084024521","68084-0245-21",,"J8515",,6/3/2008,,"CABERGOLINE, ORAL, 0.25 MG","CABERGOLINE (3X10) 0.5 MG",30,"EA","BX","PO","EA",0.25,"MG",2,6/3/2008,,,,,,,
"68094051859","68094-0518-59",,"J8999",,7/1/2007,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (1X20ML,LEMON-LIME) 40 MG/ML",20,"ML","CP","PO","ML",1,"EA",1,7/1/2007,,,,,,,
"68094051861","68094-0518-61",,"J8999",,11/28/2006,3/1/2008,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (100X20ML,LEMON-LIME) 40 MG/ML",20,"ML","CP","PO","ML",1,"EA",1,11/28/2006,,,,,,,
"68094051862","68094-0518-62",,"J8999",,11/28/2006,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (30X20ML,LEMON-LIME) 40 MG/ML",20,"ML","CP","PO","ML",1,"EA",1,11/28/2006,,,,,,,
"68094052859","68094-0528-59",,"J8999",,7/1/2007,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (1X10ML,LEMON-LIME) 40 MG/ML",10,"ML","CP","PO","ML",1,"EA",1,7/1/2007,,,,,,,
"68094052861","68094-0528-61",,"J8999",,2/26/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE (10X10) 40 MG/ML",10,"ML","CP","PO","ML",1,"EA",1,2/26/2004,,,,,,,
"68094052862","68094-0528-62",,"J8999",,2/26/2004,,"PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS","MEGESTROL ACETATE 40 MG/ML",10,"ML","CP","PO","ML",1,"EA",1,2/26/2004,,,,,,,
"68115000510","68115-0005-10",,"J8499",,1/20/2005,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",10,"EA","BO","PO","EA",1,"EA",1,1/20/2005,4/1/2009,,,,,,
"68115000525","68115-0005-25",,"J8499",,4/19/2004,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",25,"EA","BO","PO","EA",1,"EA",1,4/19/2004,4/1/2009,,,,,,
"68115000530","68115-0005-30",,"J8499",,5/1/2005,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",30,"EA","BO","PO","EA",1,"EA",1,5/1/2005,4/1/2009,,,,,,
"68115000540","68115-0005-40",,"J8499",,1/20/2005,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 200 MG",40,"EA","BO","PO","EA",1,"EA",1,1/20/2005,4/1/2009,,,,,,
"68115000610","68115-0006-10",,"J8499",,1/20/2005,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",10,"EA","BO","PO","EA",1,"EA",1,1/20/2005,4/1/2009,,,,,,
"68115000615","68115-0006-15",,"J8499",,3/17/2004,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",15,"EA","BO","PO","EA",1,"EA",1,3/17/2004,4/1/2009,,,,,,
"68115000621","68115-0006-21",,"J8499",,1/20/2005,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",21,"EA","BO","PO","EA",1,"EA",1,1/20/2005,4/1/2009,,,,,,
"68115000625","68115-0006-25",,"J8499",,1/5/2004,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",25,"EA","BO","PO","EA",1,"EA",1,1/5/2004,4/1/2009,,,,,,
"68115000630","68115-0006-30",,"J8499",,3/17/2004,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",30,"EA","BO","PO","EA",1,"EA",1,3/17/2004,4/1/2009,,,,,,
"68115000660","68115-0006-60",,"J8499",,4/19/2004,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 400 MG",60,"EA","BO","PO","EA",1,"EA",1,4/19/2004,4/1/2009,,,,,,
"68115000730","68115-0007-30",,"J8499",,3/29/2004,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",30,"EA","BO","PO","EA",1,"EA",1,3/29/2004,4/1/2009,,,,,,
"68115000740","68115-0007-40",,"J8499",,5/1/2005,4/1/2009,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS","ACYCLOVIR 800 MG",40,"EA","BO","PO","EA",1,"EA",1,5/1/2005,4/1/2009,,,,,,
"68115001806","68115-0018-06",,"G9017",,5/1/2005,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",6,"EA","BO","PO","EA",100,"MG",1,5/1/2005,,,,,,,
"68115001814","68115-0018-14",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",14,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"68115001820","68115-0018-20",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",20,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"68115001830","68115-0018-30",,"G9017",,12/1/2004,5/31/2005,"AMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)","AMANTADINE HCL 100 MG",30,"EA","BO","PO","EA",100,"MG",1,12/1/2004,,,,,,,
"68115009612","68115-0096-12",,"J8540",,1/1/2006,4/1/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,4/1/2009,,,,,,
"68115009612","68115-0096-12",,"Q0181",,4/19/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",12,"EA","BO","PO","EA",1,"EA",1,4/19/2004,,,,,,,
"68115009614","68115-0096-14",,"J8540",,1/1/2006,4/1/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",14,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,4/1/2009,,,,,,
"68115009614","68115-0096-14",,"Q0181",,4/19/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",14,"EA","BO","PO","EA",1,"EA",1,4/19/2004,,,,,,,
"68115009630","68115-0096-30",,"J8540",,1/1/2006,4/1/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 0.75 MG",30,"EA","BO","PO","EA",0.25,"MG",3,1/1/2006,4/1/2009,,,,,,
"68115009630","68115-0096-30",,"Q0181",,5/1/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 0.75 MG",30,"EA","BO","PO","EA",1,"EA",1,5/1/2005,,,,,,,
"68115009704","68115-0097-04",,"J8540",,1/1/2006,4/1/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",4,"EA","NA","PO","EA",0.25,"MG",16,1/1/2006,4/1/2009,,,,,,
"68115009704","68115-0097-04",,"Q0181",,5/1/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",4,"EA","NA","PO","EA",1,"EA",1,5/1/2005,,,,,,,
"68115009715","68115-0097-15",,"J8540",,1/1/2006,4/1/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",15,"EA","NA","PO","EA",0.25,"MG",16,1/1/2006,4/1/2009,,,,,,
"68115009715","68115-0097-15",,"Q0181",,5/1/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",15,"EA","NA","PO","EA",1,"EA",1,5/1/2005,,,,,,,
"68115009720","68115-0097-20",,"J8540",,1/1/2006,4/1/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",20,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,4/1/2009,,,,,,
"68115009720","68115-0097-20",,"Q0181",,10/26/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",20,"EA","BO","PO","EA",1,"EA",1,10/26/2004,,,,,,,
"68115009730","68115-0097-30",,"J8540",,1/1/2006,4/1/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",0.25,"MG",16,1/1/2006,4/1/2009,,,,,,
"68115009730","68115-0097-30",,"Q0181",,6/8/2004,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 4 MG",30,"EA","BO","PO","EA",1,"EA",1,6/8/2004,,,,,,,
"68115011600","68115-0116-00",,"Q0163",,3/17/2004,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",100,"EA","BO","PO","EA",50,"MG",0.5,3/17/2004,4/1/2009,,,,,,
"68115011610","68115-0116-10",,"Q0163",,3/17/2004,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",10,"EA","BO","PO","EA",50,"MG",0.5,3/17/2004,4/1/2009,,,,,,
"68115011612","68115-0116-12",,"Q0163",,5/1/2005,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE 25 MG",12,"EA","NA","PO","EA",50,"MG",0.5,5/1/2005,4/1/2009,,,,,,
"68115011615","68115-0116-15",,"Q0163",,10/1/2003,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",15,"EA","BO","PO","EA",50,"MG",0.5,10/1/2003,4/1/2009,,,,,,
"68115011620","68115-0116-20",,"Q0163",,3/17/2004,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",20,"EA","BO","PO","EA",50,"MG",0.5,3/17/2004,4/1/2009,,,,,,
"68115011624","68115-0116-24",,"Q0163",,10/26/2004,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",24,"EA","BO","PO","EA",50,"MG",0.5,10/26/2004,4/1/2009,,,,,,
"68115011630","68115-0116-30",,"Q0163",,10/1/2003,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,10/1/2003,4/1/2009,,,,,,
"68115011660","68115-0116-60",,"Q0163",,3/17/2004,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 25 MG",60,"EA","BO","PO","EA",50,"MG",0.5,3/17/2004,4/1/2009,,,,,,
"68115011706","68115-0117-06",,"Q0163",,3/29/2004,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",6,"EA","BO","PO","EA",50,"MG",1,3/29/2004,4/1/2009,,,,,,
"68115011715","68115-0117-15",,"Q0163",,10/1/2003,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",15,"EA","BO","PO","EA",50,"MG",1,10/1/2003,4/1/2009,,,,,,
"68115011720","68115-0117-20",,"Q0163",,1/5/2004,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/5/2004,4/1/2009,,,,,,
"68115011730","68115-0117-30",,"Q0163",,10/1/2003,4/1/2009,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 50 MG",30,"EA","BO","PO","EA",50,"MG",1,10/1/2003,4/1/2009,,,,,,
"68115017700","68115-0177-00",,"Q0177",,5/5/2004,4/1/2009,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,5/5/2004,4/1/2009,,,,,,
"68115017730","68115-0177-30",,"Q0177",,3/17/2004,4/1/2009,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,3/17/2004,4/1/2009,,,,,,
"68115017760","68115-0177-60",,"Q0177",,10/1/2003,4/1/2009,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,10/1/2003,4/1/2009,,,,,,
"68115017820","68115-0178-20",,"Q0178",,1/5/2004,4/1/2009,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",20,"EA","BO","PO","EA",50,"MG",1,1/5/2004,4/1/2009,,,,,,
"68115028910","68115-0289-10",,"J7506",,9/28/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",10,"EA","BO","PO","EA",5,"MG",2,9/28/2004,,,,,,,
"68115028921","68115-0289-21",,"J7506",,10/26/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",21,"EA","BO","PO","EA",5,"MG",2,10/26/2004,,,,,,,
"68115028930","68115-0289-30",,"J7506",,5/5/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",30,"EA","BO","PO","EA",5,"MG",2,5/5/2004,,,,,,,
"68115028942","68115-0289-42",,"J7506",,1/5/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",42,"EA","BO","PO","EA",5,"MG",2,1/5/2004,,,,,,,
"68115029015","68115-0290-15",,"J7506",,1/5/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",15,"EA","BO","PO","EA",5,"MG",4,1/5/2004,,,,,,,
"68115029020","68115-0290-20",,"J7506",,9/28/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",20,"EA","BO","PO","EA",5,"MG",4,9/28/2004,,,,,,,
"68115029030","68115-0290-30",,"J7506",,10/26/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",30,"EA","BO","PO","EA",5,"MG",4,10/26/2004,,,,,,,
"68115029100","68115-0291-00",,"J7506",,6/8/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",100,"EA","BO","PO","EA",5,"MG",1,6/8/2004,,,,,,,
"68115029121","68115-0291-21",,"J7506",,10/26/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,10/26/2004,,,,,,,
"68115029130","68115-0291-30",,"J7506",,1/5/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",30,"EA","BO","PO","EA",5,"MG",1,1/5/2004,,,,,,,
"68115029800","68115-0298-00",,"Q0165",,7/27/2006,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",100,"EA","BO","PO","EA",10,"MG",1,7/27/2006,,,,,,,
"68115029804","68115-0298-04",,"Q0165",,7/27/2006,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",4,"EA","BO","PO","EA",10,"MG",1,7/27/2006,,,,,,,
"68115029812","68115-0298-12",,"Q0165",,5/11/2004,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",12,"EA","BO","PO","EA",10,"MG",1,5/11/2004,,,,,,,
"68115029815","68115-0298-15",,"Q0165",,7/27/2006,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",15,"EA","BO","PO","EA",10,"MG",1,7/27/2006,,,,,,,
"68115029830","68115-0298-30",,"Q0165",,7/27/2006,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",30,"EA","BO","PO","EA",10,"MG",1,7/27/2006,,,,,,,
"68115029860","68115-0298-60",,"Q0165",,7/1/2005,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 10 MG",60,"EA","BO","PO","EA",10,"MG",1,7/1/2005,,,,,,,
"68115029890","68115-0298-90",,"Q0165",,7/27/2006,,"PROCHLORPERAZINE MALEATE, 10  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE 10 MG",90,"EA","BO","PO","EA",10,"MG",1,7/27/2006,,,,,,,
"68115029912","68115-0299-12",,"J8498",,4/13/2006,8/1/2007,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,4/13/2006,,,,,,,
"68115030010","68115-0300-10",,"Q0164",,1/5/2004,,"PROCHLORPERAZINE MALEATE, 5  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROCHLORPERAZINE MALEATE 5 MG",10,"EA","BO","PO","EA",5,"MG",1,1/5/2004,,,,,,,
"68115030200","68115-0302-00",,"Q0170",,7/27/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,7/27/2006,,,,,,,
"68115030204","68115-0302-04",,"Q0170",,7/27/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",4,"EA","BO","PO","EA",25,"MG",1,7/27/2006,,,,,,,
"68115030210","68115-0302-10",,"Q0170",,10/26/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",10,"EA","BO","PO","EA",25,"MG",1,10/26/2004,,,,,,,
"68115030220","68115-0302-20",,"Q0170",,6/25/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",20,"EA","BO","PO","EA",25,"MG",1,6/25/2004,,,,,,,
"68115030230","68115-0302-30",,"Q0170",,10/1/2003,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",30,"EA","BO","PO","EA",25,"MG",1,10/1/2003,,,,,,,
"68115030260","68115-0302-60",,"Q0170",,11/10/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL 25 MG",60,"EA","BO","PO","EA",25,"MG",1,11/10/2004,,,,,,,
"68115030290","68115-0302-90",,"Q0170",,7/27/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE 25 MG",90,"EA","BO","PO","EA",25,"MG",1,7/27/2006,,,,,,,
"68115033920","68115-0339-20",,"Q0173",,10/1/2003,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 250 MG",20,"EA","BO","PO","EA",250,"MG",1,10/1/2003,,,,,,,
"68115036404","68115-0364-04",,"Q0144",,10/26/2004,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",4,"EA","BO","PO","EA",1,"GM",0.25,10/26/2004,,,,,,,
"68115036450","68115-0364-50",,"Q0144",,5/4/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",50,"EA","BO","PO","EA",1,"GM",0.25,5/4/2005,,,,,,,
"68115043510","68115-0435-10",,"J8540",,1/1/2006,4/1/2009,"DEXAMETHASONE, ORAL, 0.25 MG","DEXAMETHASONE 1.5 MG",10,"EA","BO","PO","EA",0.25,"MG",6,1/1/2006,4/1/2009,,,,,,
"68115043510","68115-0435-10",,"Q0181",,6/28/2005,12/31/2005,"UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR A IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DEXAMETHASONE 1.5 MG",10,"EA","BO","PO","EA",1,"EA",1,6/28/2005,,,,,,,
"68115053503","68115-0535-03",,"J7322",,1/1/2008,12/31/2009,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2008,12/31/2009,,,,,,
"68115053503","68115-0535-03",,"Q4084",,1/1/2007,12/31/2007,"HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE","SYNVISC 8 MG/ML",2,"ML","SR","IJ","ML",1,"DOSE",0.5,1/1/2007,,,,,,,
"68115054150","68115-0541-50",,"Q0144",,5/4/2005,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",50,"EA","BO","PO","EA",1,"GM",0.25,5/4/2005,,,,,,,
"68115058800","68115-0588-00",,"Q0173",,6/25/2004,,"TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","TRIMETHOBENZAMIDE HCL 300 MG",100,"EA","BO","PO","EA",250,"MG",1.2,6/25/2004,,,,,,,
"68115059804","68115-0598-04",,"Q0170",,10/26/2004,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HCL (FRUIT,TROPICAL) 6.25 MG/5 ML",120,"ML","BO","PO","ML",25,"MG",0.05,10/26/2004,,,,,,,
"68115063200","68115-0632-00",,,,4/19/2004,4/1/2009,"METHOTREXATE, 2.5 MG, ORAL","METHOTREXATE SODIUM 2.5 MG",100,"EA","BO","PO","EA",2.5,"MG",1,4/19/2004,4/1/2009,,,,,,
"68115065160","68115-0651-60",,"J7699",,4/19/2004,4/1/2009,"NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME","FORADIL AEROLIZER 0.012 MG",60,"EA","BO","IH","EA",1,"EA",1,4/19/2004,4/1/2009,,,,,,
"68115069112","68115-0691-12",,"J8498",,1/1/2006,,"ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"EA",1,1/1/2006,,,,,,,
"68115069112","68115-0691-12",,"K0416",,3/29/2004,12/31/2005,"PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED","PROCHLORPERAZINE 25 MG",12,"EA","BX","RC","EA",1,"MG",25,3/29/2004,,,,,,,
"68115069225","68115-0692-25",,"Q0168",,3/29/2004,4/1/2009,"DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","MARINOL (SOFTGEL) 5 MG",25,"EA","BX","PO","EA",5,"MG",1,3/29/2004,4/1/2009,,,,,,
"68115070905","68115-0709-05",,"J1815",,3/17/2004,4/1/2009,"INJECTION, INSULIN, PER 5 UNITS","NOVOLIN R PENFILL 100 U/ML",3,"ML","CT","IJ","ML",5,"U",20,3/17/2004,4/1/2009,,,,,,
"68115071120","68115-0711-20",,"J7602",,1/1/2008,3/31/2008,"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)","ALBUTEROL SULFATE (STERILE) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,1/1/2008,,,,,,,
"68115071120","68115-0711-20",,"J7611",,4/1/2008,4/1/2009,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG","ALBUTEROL SULFATE (STERILE) 0.5%",20,"ML","BO","IH","ML",1,"MG",5,4/1/2008,4/1/2009,,,,,,
"68115072810","68115-0728-10",,"J1815",,3/17/2004,4/1/2009,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN R (VIAL) 100 U/ML",10,"ML","VL","IJ","ML",5,"U",20,3/17/2004,4/1/2009,,,,,,
"68115072905","68115-0729-05",,"J1815",,3/17/2004,4/1/2009,"INJECTION, INSULIN, PER 5 UNITS","HUMULIN N PEN 100 U/ML",3,"ML","CT","SC","ML",5,"U",20,3/17/2004,4/1/2009,,,,,,
"68115074610","68115-0746-10",,"J1817",,2/12/2004,,"INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS","HUMALOG 100 U/ML",10,"ML","VL","SC","ML",50,"U",2,2/12/2004,,,,,,,
"68115074910","68115-0749-10",,"J1650",,3/17/2004,4/1/2009,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX 40 MG/0.4 ML",0.4,"ML","SR","SC","ML",10,"MG",10,3/17/2004,4/1/2009,,,,,,
"68115075030","68115-0750-30",,"J1595",,3/29/2004,4/1/2009,"INJECTION, GLATIRAMER ACETATE, 20 MG","COPAXONE (30 SRN,PREFILLED,PF) 20 MG/ML",1,"ML","DP","MR","EA",20,"MG",30,3/29/2004,4/1/2009,,,,,,
"68115077002","68115-0770-02",,"J3030",,1/20/2004,,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)","IMITREX (SRN,PREFILLED,UNIT/USE) 6 MG/0.5 ML",0.5,"ML","BX","SC","ML",6,"MG",2,1/20/2004,,,,,,,
"68115077410","68115-0774-10",,"J1650",,2/6/2004,4/1/2009,"INJECTION, ENOXAPARIN SODIUM, 10 MG","LOVENOX (SRN,PREFILLED) 60 MG/0.6 ML",0.6,"ML","SR","SC","ML",10,"MG",10,2/6/2004,4/1/2009,,,,,,
"68115080230","68115-0802-30",,"Q0179",,1/20/2004,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ZOFRAN 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,1/20/2004,,,,,,,
"68115083910","68115-0839-10",,"J1815",,1/20/2004,4/1/2009,"INJECTION, INSULIN, PER 5 UNITS","LANTUS 100 U/ML",10,"ML","VL","SC","ML",5,"U",20,1/20/2004,4/1/2009,,,,,,
"68115089808","68115-0898-08",,"J7510",,5/4/2004,8/1/2007,"PREDNISOLONE ORAL, PER 5 MG","PREDNISOLONE 15 MG/5 ML",240,"ML","BO","PO","ML",5,"MG",0.6,5/4/2004,,,,,,,
"68115093106","68115-0931-06",,"Q0144",,1/5/2004,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","ZITHROMAX 250 MG",6,"EA","BO","PO","EA",1,"GM",0.25,1/5/2004,,,,,,,
"68115094721","68115-0947-21",,"J7506",,5/4/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 5 MG",21,"EA","BO","PO","EA",5,"MG",1,5/4/2004,,,,,,,
"68115096021","68115-0960-21",,"J7509",,10/1/2003,4/1/2009,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","BO","PO","EA",4,"MG",1,10/1/2003,4/1/2009,,,,,,
"68115097604","68115-0976-04",,"Q0163",,1/20/2004,8/1/2007,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HCL 12.5 MG/5 ML",120,"ML","BO","PO","ML",50,"MG",0.05,1/20/2004,,,,,,,
"68135002001","68135-0020-01",,"J1458",,1/1/2007,,"INJECTION, GALSULFASE, 1 MG","NAGLAZYME (PF) 1 MG/ML",5,"ML","VL","IV","ML",1,"MG",1,1/1/2007,,,,,,,
"68135002001","68135-0020-01",,"J3490",,6/5/2005,12/31/2006,"UNCLASSIFIED DRUGS","NAGLAZYME (PF) 1 MG/ML",5,"ML","VL","IV","ML",1,"EA",1,6/5/2005,,,,,,,
"68135045502","68135-0455-02",,"J7510",,2/1/2005,,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED (DYE-FREE,GRAPE) 15 MG/5 ML",237,"ML","BO","PO","ML",5,"MG",0.6,2/1/2005,,,,,,,
"68135045503","68135-0455-03",,"J7510",,9/1/2005,,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED (20MLX10,DYE-FREE,GRAPE) 15 MG/5 ML",20,"ML","BO","PO","ML",5,"MG",0.6,9/1/2005,,,,,,,
"68158014951","68158-0149-51",,"J0128",,1/1/2005,,"INJECTION, ABARELIX, 10 MG","PLENAXIS (S.D.V.,PF) 100 MG-0.9%",1,"EA","VL","MR","EA",10,"MG",10,1/1/2005,,,,,,,
"68158014951","68158-0149-51",,"J3590",,1/25/2004,12/31/2004,"UNCLASSIFIED BIOLOGICS","PLENAXIS (S.D.V.,PF) 100 MG-0.9%",1,"EA","VL","MR","EA",1,"EA",1,1/25/2004,,,,,,,
"68180061101","68180-0611-01",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,7/20/2005,,,,,,,
"68180061110","68180-0611-10",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,7/20/2005,,,,,,,
"68180062201","68180-0622-01",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 500 MG",1,"EA","NA","IJ","EA",250,"MG",2,7/20/2005,,,,,,,
"68180062210","68180-0622-10",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 500 MG",1,"EA","NA","IJ","EA",250,"MG",2,7/20/2005,,,,,,,
"68180063301","68180-0633-01",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,7/20/2005,,,,,,,
"68180063310","68180-0633-10",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 1 GM",10,"EA","VL","IJ","EA",250,"MG",4,7/20/2005,,,,,,,
"68180064401","68180-0644-01",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 2 GM",1,"EA","NA","IJ","EA",250,"MG",8,7/20/2005,,,,,,,
"68180064410","68180-0644-10",,"J0696",,7/20/2005,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE 2 GM",1,"EA","NA","IJ","EA",250,"MG",8,7/20/2005,,,,,,,
"68188048002","68188-0480-02",,"J7510",,4/3/2007,11/7/2008,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED ODT (GRAPE) 10 MG",48,"EA","BX","PO","EA",5,"MG",2,4/3/2007,11/7/2008,,,,,,
"68188048202","68188-0482-02",,"J7510",,7/10/2006,11/7/2008,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED ODT (GRAPE) 15 MG",48,"EA","BX","PO","EA",5,"MG",3,7/10/2006,11/7/2008,,,,,,
"68188048402","68188-0484-02",,"J7510",,1/4/2008,11/20/2008,"PREDNISOLONE ORAL, PER 5 MG","ORAPRED ODT (GRAPE) 30 MG",48,"EA","BX","PO","EA",5,"MG",6,1/4/2008,11/20/2008,,,,,,
"68209084301","68209-0843-01",,"J1568",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG","OCTAGAM (1GM/1VIAL,S/D TREATED) 50 MG/ML",20,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"68209084301","68209-0843-01",,"Q4087",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","OCTAGAM (1GM/1VIAL,S/D TREATED) 50 MG/ML",20,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"68209084302","68209-0843-02",,"J1568",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG","OCTAGAM (PF,SUCROSE-FREE) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"68209084302","68209-0843-02",,"Q4087",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","OCTAGAM (PF,SUCROSE-FREE) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"68209084303","68209-0843-03",,"J1568",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG","OCTAGAM (PF,SUCROSE-FREE) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"68209084303","68209-0843-03",,"Q4087",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","OCTAGAM (PF,SUCROSE-FREE) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"68209084304","68209-0843-04",,"J1568",,1/1/2008,,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG","OCTAGAM (PF,SUCROSE-FREE) 50 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.1,1/1/2008,,,,,,,
"68209084304","68209-0843-04",,"Q4087",,7/1/2007,12/31/2007,"INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","OCTAGAM (PF,SUCROSE-FREE) 50 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.1,7/1/2007,,,,,,,
"68330000101","68330-0001-01",,"J0696",,9/15/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,9/15/2007,,,,,,,
"68330000110","68330-0001-10",,"J0696",,9/15/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 250 MG",1,"EA","VL","IJ","EA",250,"MG",1,9/15/2007,,,,,,,
"68330000201","68330-0002-01",,"J0696",,9/15/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,9/15/2007,,,,,,,
"68330000210","68330-0002-10",,"J0696",,9/15/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 500 MG",1,"EA","VL","IJ","EA",250,"MG",2,9/15/2007,,,,,,,
"68330000301","68330-0003-01",,"J0696",,9/15/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,9/15/2007,,,,,,,
"68330000310","68330-0003-10",,"J0696",,9/15/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 1 GM",1,"EA","VL","IJ","EA",250,"MG",4,9/15/2007,,,,,,,
"68330000401","68330-0004-01",,"J0696",,9/15/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,9/15/2007,,,,,,,
"68330000410","68330-0004-10",,"J0696",,9/15/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP) 2 GM",1,"EA","VL","IJ","EA",250,"MG",8,9/15/2007,,,,,,,
"68330000501","68330-0005-01",,"J0696",,11/5/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,PIGGYBACK) 1 GM",1,"EA","GC","IJ","EA",250,"MG",4,11/5/2007,,,,,,,
"68330000601","68330-0006-01",,"J0696",,11/5/2007,,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","CEFTRIAXONE (USP,PIGGYBACK) 2 GM",1,"EA","GC","IJ","EA",250,"MG",8,11/5/2007,,,,,,,
"68382000301","68382-0003-01",,"J7500",,5/1/2007,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE (USP) 50 MG",100,"EA","BO","PO","EA",50,"MG",1,5/1/2007,,,,,,,
"68382000305","68382-0003-05",,"J7500",,5/1/2007,,"AZATHIOPRINE, ORAL, 50 MG","AZATHIOPRINE (USP) 50 MG",500,"EA","BO","PO","EA",50,"MG",1,5/1/2007,,,,,,,
"68382004001","68382-0040-01",,"Q0169",,12/1/2005,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 12.5 MG",100,"EA","BO","PO","EA",12.5,"MG",1,12/1/2005,,,,,,,
"68382004010","68382-0040-10",,"Q0169",,2/27/2007,,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 12.5 MG",1000,"EA","BO","PO","EA",12.5,"MG",1,2/27/2007,,,,,,,
"68382004101","68382-0041-01",,"Q0170",,12/1/2005,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",100,"EA","BO","PO","EA",25,"MG",1,12/1/2005,,,,,,,
"68382004110","68382-0041-10",,"Q0170",,2/27/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",1000,"EA","BO","PO","EA",25,"MG",1,2/27/2007,,,,,,,
"68382013101","68382-0131-01",,"J7517",,5/4/2009,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","MYCOPHENOLATE MOFETIL, (FILM-COATED), 500MG",100,"EA","BO","PO","EA",250,"MG",2,5/4/2009,,,,,,,
"68382013105","68382-0131-05",,"J7517",,5/4/2009,,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG","MYCOPHENOLATE MOFETIL, (FILM-COATED), 500MG",500,"EA","BO","PO","EA",250,"MG",2,5/4/2009,,,,,,,
"68387017001","68387-0170-01",,"J7509",,3/26/2004,,"METHYLPREDNISOLONE ORAL, PER 4 MG","METHYLPREDNISOLONE 4 MG",21,"EA","DP","PO","EA",4,"MG",1,3/26/2004,,,,,,,
"68387024010","68387-0240-10",,"J7506",,5/29/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",10,"EA","DP","PO","EA",4,"MG",4,5/29/2008,,,,,,,
"68387024025","68387-0240-25",,"J7506",,3/26/2004,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 20 MG",25,"EA","BO","PO","EA",5,"MG",4,3/26/2004,,,,,,,
"68387024115","68387-0241-15",,"J7506",,7/23/2008,,"PREDNISONE, ORAL, PER 5MG","PREDNISONE 10 MG",15,"EA","BO","PO","EA",5,"MG",2,7/23/2008,,,,,,,
"68387046830","68387-0468-30",,"Q0178",,3/1/2007,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 50 MG",30,"EA","BO","PO","EA",50,"MG",1,3/1/2007,,,,,,,
"68387046930","68387-0469-30",,"Q0178",,3/1/2007,,"HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","HYDROXYZINE PAMOATE 100 MG",30,"EA","BO","PO","EA",50,"MG",2,3/1/2007,,,,,,,
"68387053612","68387-0536-12",,"Q0170",,3/8/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",12,"EA","BO","PO","EA",25,"MG",1,3/8/2006,,,,,,,
"68387053630","68387-0536-30",,"Q0170",,5/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",30,"EA","BO","PO","EA",25,"MG",1,5/1/2006,,,,,,,
"68387053660","68387-0536-60",,"Q0170",,5/4/2007,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",60,"EA","BO","PO","EA",25,"MG",1,5/4/2007,,,,,,,
"68387053690","68387-0536-90",,"Q0170",,5/1/2006,,"PROMETHAZINE HYDROCHLORIDE, 25  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","PROMETHAZINE HYDROCHLORIDE 25 MG",90,"EA","BO","PO","EA",25,"MG",1,5/1/2006,,,,,,,
"68387054130","68387-0541-30",,"Q0163",,5/1/2006,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","DIPHENHYDRAMINE HYDROCHLORIDE 25 MG",30,"EA","BO","PO","EA",50,"MG",0.5,5/1/2006,,,,,,,
"68387056506","68387-0565-06",,"Q0144",,5/1/2006,,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM","AZITHROMYCIN 250 MG",6,"EA","BX","PO","EA",1,"GM",0.25,5/1/2006,,,,,,,
"68462010530","68462-0105-30",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG",30,"EA","BO","PO","EA",8,"MG",0.5,6/25/2007,,,,,,,
"68462010630","68462-0106-30",,"Q0179",,6/25/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG",30,"EA","BO","PO","EA",8,"MG",1,6/25/2007,,,,,,,
"68462015713","68462-0157-13",,"Q0179",,6/27/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (STRAWBERRY) 4 MG",30,"EA","BX","PO","EA",8,"MG",0.5,6/27/2007,,,,,,,
"68462015811","68462-0158-11",,"Q0179",,6/27/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (STRAWBERRY) 8 MG",30,"EA","BX","PO","EA",8,"MG",1,6/27/2007,,,,,,,
"68462015813","68462-0158-13",,"Q0179",,6/27/2007,,"ONDANSETRON HYDROCHLORIDE 8  MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","ONDANSETRON (STRAWBERRY) 8 MG",10,"EA","BX","PO","EA",8,"MG",1,6/27/2007,,,,,,,
"68516161201","68516-1612-01",,"J1567",,1/1/2006,6/28/2007,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","VENOGLOBULIN-S 5% (2.5GM VIAL,W/ADMIN SET) 50 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.1,1/1/2006,,,,,,,
"68516161201","68516-1612-01",,"Q9943",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","VENOGLOBULIN-S 5% (2.5GM VIAL,W/ADMIN SET) 50 MG/ML",50,"ML","VL","IV","ML",1,"GM",0.05,4/1/2005,,,,,,,
"68516161301","68516-1613-01",,"J1567",,1/1/2006,6/28/2007,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","VENOGLOBULIN-S 5% (5 GM/VIAL,W/ADMIN SET) 50 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.1,1/1/2006,,,,,,,
"68516161301","68516-1613-01",,"Q9943",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","VENOGLOBULIN-S 5% (5 GM/VIAL,W/ADMIN SET) 50 MG/ML",100,"ML","VL","IV","ML",1,"GM",0.05,4/1/2005,,,,,,,
"68516161401","68516-1614-01",,"J1567",,1/1/2006,6/28/2007,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","VENOGLOBULIN-S 5% (10 GM/VIAL,W/ADMIN SET) 50 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.1,1/1/2006,,,,,,,
"68516161401","68516-1614-01",,"Q9943",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","VENOGLOBULIN-S 5% (10 GM/VIAL,W/ADMIN SET) 50 MG/ML",200,"ML","VL","IV","ML",1,"GM",0.05,4/1/2005,,,,,,,
"68516162201","68516-1622-01",,"J1567",,1/1/2006,6/28/2007,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","VENOGLOBULIN-S 10% (5 GM/VIAL,W/ADMIN SET) 100 MG/ML",50,"ML","VL","IV","ML",500,"MG",0.2,1/1/2006,,,,,,,
"68516162201","68516-1622-01",,"Q9943",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","VENOGLOBULIN-S 10% (5 GM/VIAL,W/ADMIN SET) 100 MG/ML",50,"ML","VL","IV","ML",1,"GM",0.1,4/1/2005,,,,,,,
"68516162301","68516-1623-01",,"J1567",,1/1/2006,6/28/2007,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","VENOGLOBULIN-S 10% (10 GM/VIAL,W/ADMIN SET) 100 MG/ML",100,"ML","VL","IV","ML",500,"MG",0.2,1/1/2006,,,,,,,
"68516162301","68516-1623-01",,"Q9943",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","VENOGLOBULIN-S 10% (10 GM/VIAL,W/ADMIN SET) 100 MG/ML",100,"ML","VL","IV","ML",1,"GM",0.1,4/1/2005,,,,,,,
"68516162401","68516-1624-01",,"J1567",,1/1/2006,6/28/2007,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG","VENOGLOBULIN-S 10% (20 GM/VIAL,W/ADMIN SET) 100 MG/ML",200,"ML","VL","IV","ML",500,"MG",0.2,1/1/2006,,,,,,,
"68516162401","68516-1624-01",,"Q9943",,4/1/2005,12/31/2005,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G","VENOGLOBULIN-S 10% (20 GM/VIAL,W/ADMIN SET) 100 MG/ML",200,"ML","VL","IV","ML",1,"GM",0.1,4/1/2005,,,,,,,
"68516320002","68516-3200-02",,"J7194",,7/25/2003,,"FACTOR IX, COMPLEX, PER I.U.","PROFILNINE SD (APPROX. 500 IU/VIAL) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,7/25/2003,,,,,,,
"68516320003","68516-3200-03",,"J7194",,7/25/2003,4/30/2009,"FACTOR IX, COMPLEX, PER I.U.","PROFILNINE SD (APPROX 1000-1500IU/VIAL) 1 IU",1250,"IU","VL","IV","EA",1,"IU",1,7/25/2003,4/30/2009,,,,,,
"68516360002","68516-3600-02",,"J7193",,7/25/2003,6/30/2008,"FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.","ALPHANINE SD (250-1500 FIX I.U/VIAL) 1 IU",850,"IU","VL","IV","EA",1,"IU",1,7/25/2003,6/30/2008,,,,,,
"68516460001","68516-4600-01",,"J7186",,1/1/2009,5/14/2009,"INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.","ALPHANATE (250-500 FVIII IU/5ML) 1 IU",500,"IU","VL","IV","IU",1,"IU",1,1/1/2009,5/14/2009,,,,,,
"68516460001","68516-4600-01",,"Q4096",,4/1/2008,12/31/2008,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR (NOT OTHERWISE SPECIFIED), PER I.U. VWF:RCO","ALPHANATE (250-500 FVIII IU/5ML) 1 IU",500,"IU","VL","IV","EA",1,"IU",1,4/1/2008,,,,,,,
"68516460002","68516-4600-02",,"J7186",,1/1/2009,5/29/2009,"INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.","ALPHANATE (1000-1500 FVIII IU/10ML) 1 IU",1500,"IU","VL","IV","IU",1,"IU",1,1/1/2009,5/29/2009,,,,,,
"68516460002","68516-4600-02",,"Q4096",,4/1/2008,12/31/2008,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR (NOT OTHERWISE SPECIFIED), PER I.U. VWF:RCO","ALPHANATE (1000-1500 FVIII IU/10ML) 1 IU",1500,"IU","VL","IV","EA",1,"IU",1,4/1/2008,,,,,,,
"68516460101","68516-4601-01",,"J7186",,1/1/2009,,"INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.","ALPHANATE (SINGLE DOSE,250IU/5ML) 1 IU-1 IU",250,"IU","VL","IV","IU",1,"IU",1,1/1/2009,,,,,,,
"68516460101","68516-4601-01",,"Q4096",,4/1/2008,12/31/2008,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR (NOT OTHERWISE SPECIFIED), PER I.U. VWF:RCO","ALPHANATE (SINGLE DOSE,250IU/5ML) 1 IU-1 IU",1,"EA","VL","IV","EA",1,"IU",1,4/1/2008,,,,,,,
"68516460201","68516-4602-01",,"J7186",,1/1/2009,,"INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.","ALPHANATE (SINGLE DOSE,500IU/5ML) 1 IU-1 IU",500,"IU","VL","IV","IU",1,"IU",1,1/1/2009,,,,,,,
"68516460201","68516-4602-01",,"Q4096",,4/1/2008,12/31/2008,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR (NOT OTHERWISE SPECIFIED), PER I.U. VWF:RCO","ALPHANATE (SINGLE DOSE,500IU/5ML) 1 IU-1 IU",1,"EA","VL","IV","EA",1,"IU",1,4/1/2008,,,,,,,
"68516460302","68516-4603-02",,"J7186",,1/1/2009,,"INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.","ALPHANATE (SINGLE DOSE,1000IU/10ML) 1 IU-1 IU",1000,"IU","VL","IV","IU",1,"IU",1,1/1/2009,,,,,,,
"68516460302","68516-4603-02",,"Q4096",,4/1/2008,12/31/2008,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR (NOT OTHERWISE SPECIFIED), PER I.U. VWF:RCO","ALPHANATE (SINGLE DOSE,1000IU/10ML) 1 IU-1 IU",1,"EA","VL","IV","EA",1,"IU",1,4/1/2008,,,,,,,
"68516460402","68516-4604-02",,"J7186",,1/1/2009,,"INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.","ALPHANATE (SINGLE DOSE,1500IU/10ML) 1 IU-1 IU",1500,"IU","VL","IV","IU",1,"IU",1,1/1/2009,,,,,,,
"68516460402","68516-4604-02",,"Q4096",,4/1/2008,12/31/2008,"INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR (NOT OTHERWISE SPECIFIED), PER I.U. VWF:RCO","ALPHANATE (SINGLE DOSE,1500IU/10ML) 1 IU-1 IU",1,"EA","VL","IV","EA",1,"IU",1,4/1/2008,,,,,,,
"68546031730","68546-0317-30",,"J1595",,4/28/2008,,"INJECTION, GLATIRAMER ACETATE, 20 MG","COPAXONE 20 MG/ML",1,"ML","DP","MR","EA",20,"MG",30,4/28/2008,,,,,,,
"68727020002","68727-0200-02",,"J1451",,11/9/2006,,"INJECTION, FOMEPIZOLE, 15 MG","ANTIZOL (4X1.5ML,PF) 1 GM/ML",1.5,"ML","VL","IV","ML",15,"MG",66.66666,11/9/2006,,,,,,,
"68782000101","68782-0001-01",,"J2503",,1/1/2006,,"INJECTION, PEGAPTANIB SODIUM, 0.3 MG","MACUGEN (PF) 0.3 MG/0.09 ML",0.09,"ML","SR","IO","ML",0.3,"MG",11.11111,1/1/2006,,,,,,,
"68782000101","68782-0001-01",,"J3490",,1/1/2005,12/31/2005,"UNCLASSIFIED DRUGS","MACUGEN (PF) 0.3 MG/0.09 ML",0.09,"ML","SR","IO","ML",1,"EA",1,1/1/2005,,,,,,,
"68817013450","68817-0134-50",,"J9264",,1/1/2006,,"INJECTION, PACLITAXEL PROTEIN-BOUND PARTICLES, 1 MG","ABRAXANE 100 MG",1,"EA","VL","IV","EA",1,"MG",100,1/1/2006,,,,,,,
"68817013450","68817-0134-50",,"J9265",,2/8/2005,12/31/2005,"INJECTION, PACLITAXEL, 30 MG","ABRAXANE 100 MG",1,"EA","VL","IV","EA",30,"MG",3.33333,2/8/2005,,,,,,,
"68830031980","68830-0319-80",,"J0636",,9/17/2003,,"INJECTION, CALCITRIOL, 0.1 MCG","CALCITRIOL 1 MCG/ML",1,"ML","NA","IV","ML",0.1,"MCG",10,9/17/2003,,,,,,,
"68883001003","68883-0010-03",,"J1642",,1/5/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (IN 6ML SD SYRINGE,PF) 10 U/ML",3,"ML","SR","IV","ML",10,"U",1,1/5/2006,,,,,,,
"68883001005","68883-0010-05",,"J1642",,1/5/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (IN 12ML SD SYRINGE,PF) 10 U/ML",5,"ML","SR","IV","ML",10,"U",1,1/5/2006,,,,,,,
"68883001006","68883-0010-06",,"J1642",,1/5/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (IN 3ML SD SYRINGE,PF) 10 U/ML",2.5,"ML","SR","IV","ML",10,"U",1,1/5/2006,,,,,,,
"68883010003","68883-0100-03",,"J1642",,1/5/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (IN 6ML SD SYRINGE,PF) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/5/2006,,,,,,,
"68883010004","68883-0100-04",,"J1642",,1/5/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (IN 12ML SD SYRINGE,PF) 100 U/ML",3,"ML","SR","IV","ML",10,"U",10,1/5/2006,,,,,,,
"68883010005","68883-0100-05",,"J1642",,1/5/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (IN 12ML SD SYRINGE,PF) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/5/2006,,,,,,,
"68883010006","68883-0100-06",,"J1642",,1/5/2006,,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS","HEPARIN LOCK FLUSH (IN 6ML SD SYRINGE,PF) 100 U/ML",5,"ML","SR","IV","ML",10,"U",10,1/5/2006,,,,,,,
"68883090001","68883-0900-01",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (IN 3ML SD SYRINGE,PF) 0.9%",2.5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"68883090001","68883-0900-01",,"J2912",,1/5/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (IN 3ML SD SYRINGE,PF) 0.9%",2.5,"ML","SR","IV","ML",0.9,"%",0.5,1/5/2006,,,,,,,
"68883090003","68883-0900-03",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (IN 6ML SD SYRINGE,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"68883090003","68883-0900-03",,"J2912",,1/5/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (IN 6ML SD SYRINGE,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/5/2006,,,,,,,
"68883090004","68883-0900-04",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (IN 6ML SD SYRINGE,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"68883090004","68883-0900-04",,"J2912",,1/5/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (IN 6ML SD SYRINGE,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/5/2006,,,,,,,
"68883090005","68883-0900-05",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (IN 12ML SD SYRINGE,PF) 0.9%",5,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"68883090005","68883-0900-05",,"J2912",,1/5/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (IN 12ML SD SYRINGE,PF) 0.9%",5,"ML","SR","IV","ML",0.9,"%",0.5,1/5/2006,,,,,,,
"68883090010","68883-0900-10",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (IN 12ML SD SYRINGE,PF) 0.9%",10,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"68883090010","68883-0900-10",,"J2912",,1/5/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (IN 12ML SD SYRINGE,PF) 0.9%",10,"ML","SR","IV","ML",0.9,"%",0.5,1/5/2006,,,,,,,
"68883090016","68883-0900-16",,"A4216",,1/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","SODIUM CHLORIDE FLUSH (IN 12ML SD SYRINGE,PF) 0.9%",3,"ML","SR","IV","ML",10,"ML",0.1,1/1/2007,,,,,,,
"68883090016","68883-0900-16",,"J2912",,1/5/2006,12/31/2006,"INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML","SODIUM CHLORIDE FLUSH (IN 12ML SD SYRINGE,PF) 0.9%",3,"ML","SR","IV","ML",0.9,"%",0.5,1/5/2006,,,,,,,
"74300000133","74300-0001-33",,"Q0163",,1/1/2002,12/21/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","UNISOM SLEEPGELS MAXIMUM STRENGTH (SOFTGEL) 50 MG",32,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"74300000610","74300-0006-10",,"Q0163",,1/1/2002,12/21/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","UNISOM SLEEPGELS MAXIMUM STRENGTH (SOFTGEL) 50 MG",8,"EA","PK","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"74300000611","74300-0006-11",,"Q0163",,1/1/2002,12/21/2006,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","UNISOM SLEEPGELS MAXIMUM STRENGTH (SOFTGEL) 50 MG",16,"EA","NA","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"74300001330","74300-0013-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","UNISOM SLEEPGELS MAXIMUM STRENGTH (SOFTGEL) 50 MG",32,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"74300006100","74300-0061-00",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","UNISOM SLEEPGELS MAXIMUM STRENGTH (SOFTGEL) 50 MG",8,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"74300006110","74300-0061-10",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","UNISOM SLEEPGELS MAXIMUM STRENGTH (SOFTGEL) 50 MG",16,"EA","BX","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"75137021203","75137-0212-03",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPOZ NIGHTTIME SLEEP AID 50 MG",12,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"75137021212","75137-0212-12",,"Q0163",,1/1/2002,9/1/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPOZ NIGHTTIME SLEEP AID 50 MG",24,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"75137021215","75137-0212-15",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPOZ NIGHTTIME SLEEP AID (GELCAPLET) 50 MG",16,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"75137212030","75137-2120-30",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPOZ NIGHTTIME SLEEP AID 50 MG",12,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"75137212120","75137-2121-20",,"Q0163",,1/1/2002,9/1/2003,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPOZ NIGHTTIME SLEEP AID 50 MG",24,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"75137212150","75137-2121-50",,"Q0163",,1/1/2002,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","COMPOZ NIGHTTIME SLEEP AID (GELCAPLET) 50 MG",16,"EA","BO","PO","EA",50,"MG",1,1/1/2002,,,,,,,
"82468011316","82468-0113-16",,"Q0163",,4/19/2004,,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN","FAMILY PHARMACY ALLERGY 25 MG",24,"EA","NA","PO","EA",50,"MG",0.5,4/19/2004,,,,,,,
"83490010760","83490-0107-60",,"A4216",,10/1/2007,,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML","HYPER-SAL (4MLX60,PF) 7%",4,"ML","PC","IH","ML",10,"ML",0.1,10/1/2007,,,,,,,
"88395006764","88395-0067-64",,"J1955",,9/3/2003,9/1/2008,"INJECTION, LEVOCARNITINE, PER 1 GM","L-CARNITINE",1,"EA","NA","PO","GM",1,"GM",1,9/3/2003,9/1/2008,,,,,,
"88395067640","88395-0676-40",,"J1955",,9/3/2003,,"INJECTION, LEVOCARNITINE, PER 1 GM","L-CARNITINE",1,"EA","BO","PO","GM",1,"GM",1,9/3/2003,,,,,,,