"ndcdescription","ndc","oldnadacperunit","newnadacperunit","classificationforratesetting","percentchange","percentchangestr","primaryreason","startdate","enddate","effectivedate","year","month","day"
"EFFEXOR XR 75 MG CAPSULE","00008083303",11.28683,12.35237,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 75 MG CAPSULE","00008083320",11.28683,12.35237,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 75 MG CAPSULE","00008083321",11.28683,12.35237,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 75 MG CAPSULE","00008083322",11.28683,12.35237,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 150 MG CAPSULE","00008083602",12.25318,13.349,"B",8.94,"8.94%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 150 MG CAPSULE","00008083603",12.25318,13.349,"B",8.94,"8.94%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 150 MG CAPSULE","00008083620",12.25318,13.349,"B",8.94,"8.94%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 150 MG CAPSULE","00008083621",12.25318,13.349,"B",8.94,"8.94%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 150 MG CAPSULE","00008083622",12.25318,13.349,"B",8.94,"8.94%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 37.5 MG CAPSULE","00008083702",10.22723,11.19268,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 37.5 MG CAPSULE","00008083703",10.22723,11.19268,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 37.5 MG CAPSULE","00008083720",10.22723,11.19268,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 37.5 MG CAPSULE","00008083721",10.22723,11.19268,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EFFEXOR XR 37.5 MG CAPSULE","00008083722",10.22723,11.19268,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PROTONIX DR 40 MG TABLET","00008084181",11.40282,12.47925,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PROTONIX DR 20 MG TABLET","00008084381",11.42739,12.50614,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RAPAMUNE 1 MG/ML ORAL SOLN","00008103004",25.65718,27.19661,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RAPAMUNE 1 MG/ML ORAL SOLN","00008103006",25.65718,27.19661,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RAPAMUNE 0.5 MG TABLET","00008104005",13.01689,13.7979,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RAPAMUNE 0.5 MG TABLET","00008104010",13.01689,13.7979,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RAPAMUNE 1 MG TABLET","00008104105",25.7142,27.25705,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RAPAMUNE 1 MG TABLET","00008104110",25.7142,27.25705,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RAPAMUNE 2 MG TABLET","00008104205",51.2918,54.36931,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PRISTIQ ER 25 MG TABLET","00008121030",10.22063,11.18556,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PRISTIQ ER 50 MG TABLET","00008121101",10.20786,11.17157,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PRISTIQ ER 50 MG TABLET","00008121114",10.20786,11.17157,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PRISTIQ ER 50 MG TABLET","00008121130",10.20786,11.17157,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PRISTIQ ER 50 MG TABLET","00008121150",10.20786,11.17157,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PRISTIQ ER 100 MG TABLET","00008122201",10.20053,11.16355,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PRISTIQ ER 100 MG TABLET","00008122214",10.20053,11.16355,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PRISTIQ ER 100 MG TABLET","00008122230",10.20053,11.16355,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PRISTIQ ER 100 MG TABLET","00008122250",10.20053,11.16355,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SOLU-CORTEF 100 MG VIAL","00009001103",10.81788,11.78824,"B",8.97,"8.97%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CORTEF 5 MG TABLET","00009001201",0.79604,0.87114,"B",9.43,"9.43%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"HALCION 0.25 MG TABLET","00009001755",4.44277,4.86241,"B",9.45,"9.45%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"HALCION 0.25 MG TABLET","00009001758",4.44277,4.86241,"B",9.45,"9.45%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"MEDROL 2 MG TABLET","00009002001",1.29399,1.4161,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"XANAX 0.25 MG TABLET","00009002901",3.21482,3.51827,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"XANAX 0.25 MG TABLET","00009002902",3.21482,3.51827,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CORTEF 10 MG TABLET","00009003101",1.34137,1.46798,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SOLU-MEDROL 40 MG VIAL","00009003928",3.76514,3.95577,"B",5.06,"5.06%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SOLU-MEDROL 125 MG VIAL","00009004722",8.29051,8.70064,"B",4.95,"4.95%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"XANAX 0.5 MG TABLET","00009005501",3.9751,4.35031,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"XANAX 0.5 MG TABLET","00009005503",3.9751,4.35031,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"MEDROL 4 MG DOSEPAK","00009005604",2.49604,2.73154,"B",9.43,"9.43%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"XANAX XR 1 MG TABLET","00009005907",7.85457,8.59613,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"XANAX 1 MG TABLET","00009009001",5.32228,5.82471,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"XANAX 1 MG TABLET","00009009004",5.32228,5.82471,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"XANAX 2 MG TABLET","00009009401",9.12088,9.9818,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"COLESTID GRANULES PACKET","00009026001",5.50382,6.02339,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"COLESTID GRANULES PACKET","00009026004",5.50382,6.02339,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-ESTRADIOL 5 MG/ML VIAL","00009027101",17.66359,18.54642,"B",5,"5.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-MEDROL 40 MG/ML VIAL","00009028002",7.23541,7.81367,"B",7.99,"7.99%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-MEDROL 40 MG/ML VIAL","00009028003",7.15393,7.7261,"B",8,"8.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-MEDROL 80 MG/ML VIAL","00009030602",13.8608,14.96939,"B",8,"8.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"COLESTID 1 GM TABLET","00009045003",1.66709,1.82445,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LINCOCIN 300 MG/ML VIAL","00009055502",13.33631,14.59473,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-PROVERA 400 MG/ML VIAL","00009062601",174.82256,191.32406,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-PROVERA 150 MG/ML VIAL","00009074630",171.4781,187.62963,"B",9.42,"9.42%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CLEOCIN 75 MG/5 ML GRANULES","00009076004",1.09015,1.19307,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SOLU-CORTEF 100 MG VIAL","00009082501",8.01124,8.73258,"B",9,"9.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-MEDROL 40 MG/ML VIAL","00009307301",8.70606,9.29507,"B",6.77,"6.77%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-MEDROL 40 MG/ML VIAL","00009307322",8.70606,9.29507,"B",6.77,"6.77%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-MEDROL 80 MG/ML VIAL","00009347501",15.15128,16.36187,"B",7.99,"7.99%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-MEDROL 80 MG/ML VIAL","00009347522",15.15128,16.36187,"B",7.99,"7.99%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CAVERJECT 20 MCG VIAL","00009370105",79.91499,87.45977,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL 1 MG TABLET","00009454102",6.3199,6.91657,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL 2 MG TABLET","00009454402",6.24707,6.83685,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-SUBQ PROVERA 104 SYRINGE","00009470913",291.74773,319.28871,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GLYSET 25 MG TABLET","00009501201",2.26721,2.48119,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GLYSET 50 MG TABLET","00009501301",2.46479,2.69747,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GLYSET 100 MG TABLET","00009501401",2.88579,3.15821,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZYVOX 600 MG TABLET","00009513502",218.52819,239.15725,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZYVOX 600 MG TABLET","00009513503",218.52819,239.15725,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZYVOX 100 MG/5 ML SUSPENSION","00009513601",7.27199,7.95847,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZYVOX 600 MG TABLET","00009513802",218.52819,239.15725,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZYVOX 600 MG TABLET","00009513803",218.52819,239.15725,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL LA 2 MG CAPSULE","00009519001",10.86721,11.893,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL LA 2 MG CAPSULE","00009519002",10.86721,11.893,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL LA 2 MG CAPSULE","00009519003",10.86721,11.893,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL LA 2 MG CAPSULE","00009519004",10.86721,11.893,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL LA 4 MG CAPSULE","00009519101",10.78089,11.79852,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL LA 4 MG CAPSULE","00009519102",10.78089,11.79852,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL LA 4 MG CAPSULE","00009519103",10.78089,11.79852,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DETROL LA 4 MG CAPSULE","00009519104",10.78089,11.79852,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NICOTROL CARTRIDGE INHALER","00009540001",1.98523,2.17264,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NICOTROL NS 10 MG/ML SPRAY","00009540101",8.77727,9.60576,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DEPO-PROVERA 150 MG/ML SYRINGE","00009737611",161.35461,176.58971,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"AROMASIN 25 MG TABLET","00009766304",29.29242,32.05763,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CLEOCIN 100 MG VAGINAL OVULE","00009766701",47.02959,51.47059,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CAVERJECT 40 MCG VIAL","00009768601",104.45857,114.31946,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CAVERJECT 40 MCG VIAL","00009768604",104.45857,114.31946,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"AZULFIDINE ENTAB 500 MG","00013010201",1.58056,1.72975,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"AZULFIDINE ENTAB 500 MG","00013010220",1.58056,1.72975,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ESTRING 2 MG VAGINAL RING","00013215036",355.28642,388.82546,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"MYCOBUTIN 150 MG CAPSULE","00013530117",25.48494,27.89072,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"XALATAN 0.005% EYE DROPS","00013830304",65.09786,71.24245,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LOMOTIL 2.5-0.025 MG TABLET","00025006131",2.30572,2.52335,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ALDACTONE 25 MG TABLET","00025100131",2.0634,2.25814,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ALDACTAZIDE 25-25 TABLET","00025101131",2.12846,2.32937,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ALDACTAZIDE 50-50 TABLET","00025102131",3.95116,4.32412,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DAYPRO 600 MG CAPLET","00025138131",6.3764,6.97827,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ARTHROTEC 50 MG-200 MCG TAB","00025141160",6.7085,7.34178,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ARTHROTEC 50 MG-200 MCG TAB","00025141190",6.7085,7.34178,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ARTHROTEC 75 MG-200 MCG TAB","00025142160",6.57326,7.19377,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"INSPRA 25 MG TABLET","00025171001",9.19718,10.06547,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"INSPRA 25 MG TABLET","00025171002",9.19718,10.06547,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"INSPRA 50 MG TABLET","00025172001",9.13646,9.99902,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"INSPRA 50 MG TABLET","00025172003",9.13646,9.99902,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CALAN SR 240 MG CAPLET","00025189131",7.10126,7.77155,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CALAN SR 240 MG CAPLET","00025189151",7.10126,7.77155,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NORPACE CR 150 MG CAPSULE","00025274231",3.79096,4.14878,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NORPACE CR 150 MG CAPSULE","00025274251",3.79096,4.14878,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GLUCOTROL XL 5 MG TABLET","00049017402",1.32487,1.44995,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GLUCOTROL XL 5 MG TABLET","00049017403",1.32487,1.44995,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GLUCOTROL XL 10 MG TABLET","00049017807",2.5864,2.83051,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GLUCOTROL XL 10 MG TABLET","00049017808",2.5864,2.83051,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RELPAX 20 MG TABLET","00049233045",49.74327,54.43853,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RELPAX 40 MG TABLET","00049234005",49.85376,54.55945,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"RELPAX 40 MG TABLET","00049234045",49.85376,54.55945,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CARDURA XL 4 MG TABLET","00049271030",4.2857,4.69035,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CARDURA 2 MG TABLET","00049276066",3.73174,4.08405,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CARDURA 4 MG TABLET","00049277066",3.95754,4.33113,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DIFLUCAN 150 MG TABLET","00049350079",48.83294,53.44229,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GEODON 20 MG CAPSULE","00049396041",15.77173,17.26058,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GEODON 20 MG CAPSULE","00049396060",15.77173,17.26058,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GEODON 40 MG CAPSULE","00049397060",15.46824,16.92845,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GEODON 60 MG CAPSULE","00049398041",18.82293,20.59982,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GEODON 60 MG CAPSULE","00049398060",18.82293,20.59982,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"GEODON 80 MG CAPSULE","00049399060",18.68636,20.45035,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZOLOFT 50 MG TABLET","00049490030",8.50008,9.3024,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZOLOFT 50 MG TABLET","00049490041",8.50008,9.3024,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZOLOFT 100 MG TABLET","00049491030",8.53231,9.33768,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZOLOFT 100 MG TABLET","00049491041",8.53231,9.33768,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZOLOFT 25 MG TABLET","00049496030",8.62141,9.43519,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TOVIAZ ER 4 MG TABLET","00069024230",9.01288,9.55357,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TOVIAZ ER 8 MG TABLET","00069024430",9.01269,9.55336,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"REVATIO 10 MG/ML ORAL SUSP","00069033621",58.74293,64.28826,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CHANTIX 0.5 MG TABLET","00069046856",5.87915,6.25771,"B",6.44,"6.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CHANTIX 1 MG CONT MONTH BOX","00069046903",5.91036,6.29093,"B",6.44,"6.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CHANTIX 1 MG CONT MONTH BOX","00069046911",5.91036,6.29093,"B",6.44,"6.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CHANTIX 1 MG CONT MONTH BOX","00069046912",5.91036,6.29093,"B",6.44,"6.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CHANTIX 1 MG TABLET","00069046956",5.91036,6.29093,"B",6.44,"6.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CHANTIX STARTING MONTH BOX","00069047102",6.24261,6.64457,"B",6.44,"6.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CHANTIX STARTING MONTH BOX","00069047103",6.24261,6.64457,"B",6.44,"6.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SUTENT 12.5 MG CAPSULE","00069055038",154.19731,160.3652,"B",4,"4.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SUTENT 25 MG CAPSULE","00069077038",311.34213,323.79582,"B",4,"4.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NORVASC 2.5 MG TABLET","00069152068",5.00113,5.47324,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NORVASC 5 MG TABLET","00069153041",5.00871,5.48153,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NORVASC 5 MG TABLET","00069153068",5.00871,5.48153,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NORVASC 5 MG TABLET","00069153072",5.00871,5.48153,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NORVASC 10 MG TABLET","00069154041",6.85079,7.4975,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NORVASC 10 MG TABLET","00069154068",6.85079,7.4975,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CADUET 5 MG-10 MG TABLET","00069215030",11.33408,12.40413,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CADUET 10 MG-10 MG TABLET","00069216030",11.33051,12.40022,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CADUET 5 MG-20 MG TABLET","00069217030",15.61614,17.0903,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CADUET 10 MG-20 MG TABLET","00069218030",15.67903,17.15913,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CADUET 5 MG-40 MG TABLET","00069219030",15.7541,17.24128,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CADUET 10 MG-40 MG TABLET","00069225030",15.80909,17.30146,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CADUET 5 MG-80 MG TABLET","00069226030",15.98982,17.49926,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CADUET 10 MG-80 MG TABLET","00069227030",15.86079,17.35805,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PROCARDIA XL 30 MG TABLET","00069265066",5.05185,5.52875,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PROCARDIA XL 30 MG TABLET","00069265072",5.05185,5.52875,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PROCARDIA XL 60 MG TABLET","00069266066",8.66627,9.48436,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"PROCARDIA XL 60 MG TABLET","00069266072",8.66627,9.48436,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZITHROMAX 250 MG TABLET","00069306030",27.44831,30.03971,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZITHROMAX 250 MG Z-PAK TABLET","00069306075",27.44831,30.03971,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ZITHROMAX 250 MG TABLET","00069306086",27.44831,30.03971,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"REVATIO 20 MG TABLET","00069419068",38.97326,42.65233,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"VIAGRA 25 MG TABLET","00069420030",52.52672,59.30266,"B",12.9,"12.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"VIAGRA 50 MG TABLET","00069421030",52.02248,58.73338,"B",12.9,"12.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"VIAGRA 50 MG TABLET","00069421032",52.02248,58.73338,"B",12.9,"12.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"VIAGRA 50 MG TABLET","00069421033",52.02248,58.73338,"B",12.9,"12.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"VIAGRA 50 MG TABLET","00069421066",52.02248,58.73338,"B",12.9,"12.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"VIAGRA 100 MG TABLET","00069422030",52.3457,59.09829,"B",12.9,"12.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"VIAGRA 100 MG TABLET","00069422032",52.3457,59.09829,"B",12.9,"12.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"VIAGRA 100 MG TABLET","00069422033",52.3457,59.09829,"B",12.9,"12.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"VIAGRA 100 MG TABLET","00069422066",52.3457,59.09829,"B",12.9,"12.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TIKOSYN 125 MCG CAPSULE","00069580043",8.23217,9.00929,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TIKOSYN 125 MCG CAPSULE","00069580060",8.23217,9.00929,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TIKOSYN 125 MCG CAPSULE","00069580061",8.23217,9.00929,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TIKOSYN 250 MCG CAPSULE","00069581043",8.27355,9.05457,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TIKOSYN 250 MCG CAPSULE","00069581060",8.27355,9.05457,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TIKOSYN 250 MCG CAPSULE","00069581061",8.27355,9.05457,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TIKOSYN 500 MCG CAPSULE","00069582043",8.31827,9.10351,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TIKOSYN 500 MCG CAPSULE","00069582060",8.31827,9.10351,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"TIKOSYN 500 MCG CAPSULE","00069582061",8.31827,9.10351,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DILANTIN 50 MG INFATAB","00071000724",0.92583,1.01319,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DILANTIN 50 MG INFATAB","00071000740",0.92583,1.01319,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 10 MG TABLET","00071015523",7.99244,8.74693,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 10 MG TABLET","00071015540",7.99244,8.74693,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 20 MG TABLET","00071015623",11.40819,12.48513,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 20 MG TABLET","00071015640",11.40819,12.48513,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 40 MG TABLET","00071015723",11.57129,12.66363,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 40 MG TABLET","00071015740",11.57129,12.66363,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 40 MG TABLET","00071015773",11.57129,12.66363,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 80 MG TABLET","00071015823",11.23879,12.29973,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 80 MG TABLET","00071015873",11.23879,12.29973,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LIPITOR 80 MG TABLET","00071015892",11.23879,12.29973,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NARDIL 15 MG TABLET","00071035060",1.95116,2.13535,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DILANTIN 100 MG CAPSULE","00071036924",0.99236,1.08607,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DILANTIN 100 MG CAPSULE","00071036932",0.99236,1.08607,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DILANTIN 100 MG CAPSULE","00071036940",0.99236,1.08607,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NEURONTIN 800 MG TABLET","00071040124",9.73395,10.65284,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NITROSTAT 0.3 MG TABLET SL","00071041724",0.46027,0.5037,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NITROSTAT 0.4 MG TABLET SL","00071041813",0.8615,0.9428,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NITROSTAT 0.4 MG TABLET SL","00071041824",0.8615,0.9428,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NITROSTAT 0.6 MG TABLET SL","00071041924",0.45609,0.49913,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NEURONTIN 600 MG TABLET","00071051324",8.13808,8.90631,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CELONTIN 300 MG KAPSEAL","00071052524",3.42917,3.75288,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ACCUPRIL 10 MG TABLET","00071053023",3.92254,4.29279,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ACCUPRIL 10 MG TABLET","00071053040",3.92254,4.29279,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ACCUPRIL 20 MG TABLET","00071053223",3.94612,4.3186,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ACCUPRIL 20 MG TABLET","00071053240",3.94612,4.3186,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ACCUPRIL 40 MG TABLET","00071053523",3.945,4.31737,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NEURONTIN 100 MG CAPSULE","00071080324",1.73455,1.89827,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NEURONTIN 300 MG CAPSULE","00071080524",4.26531,4.668,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NEURONTIN 300 MG CAPSULE","00071080540",4.26531,4.668,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NEURONTIN 400 MG CAPSULE","00071080624",5.16134,5.64857,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NEURONTIN 400 MG CAPSULE","00071080640",5.16134,5.64857,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 25 MG CAPSULE","00071101268",6.04883,6.61984,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 50 MG CAPSULE","00071101341",6.05096,6.62217,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 50 MG CAPSULE","00071101368",6.05096,6.62217,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 75 MG CAPSULE","00071101441",6.06281,6.63514,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 75 MG CAPSULE","00071101468",6.06281,6.63514,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 100 MG CAPSULE","00071101541",6.04465,6.61526,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 100 MG CAPSULE","00071101568",6.04465,6.61526,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 150 MG CAPSULE","00071101641",6.05188,6.62318,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 150 MG CAPSULE","00071101668",6.05188,6.62318,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 200 MG CAPSULE","00071101768",6.04523,6.6159,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 300 MG CAPSULE","00071101868",6.05271,6.62409,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LYRICA 225 MG CAPSULE","00071101968",6.04784,6.61876,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"NEURONTIN 250 MG/5 ML SOLN","00071201223",0.69292,0.75833,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DILANTIN 125 MG/5 ML SUSP","00071221420",0.5314,0.58159,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DILANTIN 30 MG CAPSULE","00071374066",0.85564,0.93645,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","00093731601",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","00115164601",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"XULANE PATCH","00378334016",31.57596,34.03817,"G",7.8,"7.80%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"XULANE PATCH","00378334053",31.57596,34.03817,"G",7.8,"7.80%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"MARCAINE 0.5% VIAL","00409161050",0.08708,0.08921,"B",2.45,"2.45%","WAC Adjustment",5/31/2017,6/7/2017,4/1/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","00591246401",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"EVEKEO 5 MG TABLET","24338002010",5.57857,6.13085,"B",9.9,"9.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EVEKEO 10 MG TABLET","24338002110",5.55663,6.10673,"B",9.9,"9.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EVEKEO 5 MG TABLET","24338002210",5.57857,6.13085,"B",9.9,"9.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"EVEKEO 10 MG TABLET","24338002610",5.55663,6.10673,"B",9.9,"9.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"QUILLIVANT XR 25 MG/5 ML SUSP","24478019010",3.87433,4.10686,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"QUILLIVANT XR 25 MG/5 ML SUSP","24478020020",1.94823,2.06516,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"QUILLIVANT XR 25 MG/5 ML SUSP","24478020525",1.5605,1.65416,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"QUILLIVANT XR 25 MG/5 ML SUSP","24478021030",1.29965,1.37765,"B",6,"6.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"HORIZANT ER 600 MG TABLET","53451010101",11.30229,12.42121,"B",9.9,"9.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"HORIZANT ER 300 MG TABLET","53451010301",11.23528,12.34758,"B",9.9,"9.90%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","55566506001",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"MITIGARE 0.6 MG CAPSULE","59467031801",5.48624,5.7441,"B",4.7,"4.70%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"MITIGARE 0.6 MG CAPSULE","59467031810",5.48624,5.7441,"B",4.7,"4.70%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","60687010911",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","60687010921",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"CYTOMEL 5 MCG TABLET","60793011501",1.53484,1.6797,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CYTOMEL 25 MCG TABLET","60793011601",2.01828,2.2088,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CYTOMEL 50 MCG TABLET","60793011701",3.0902,3.38194,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SKELAXIN 800 MG TABLET","60793013601",8.26449,9.04466,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SKELAXIN 800 MG TABLET","60793013605",8.26449,9.04466,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SONATA 10 MG CAPSULE","60793014601",8.8454,9.6805,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"FLECTOR 1.3% PATCH","60793041105",10.5047,11.24003,"B",7,"7.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"FLECTOR 1.3% PATCH","60793041130",10.5047,11.24003,"B",7,"7.00%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"BICILLIN L-A 1,200,000 UNITS","60793070110",63.88754,69.91853,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"BICILLIN L-A 2,400,000 UNITS","60793070210",64.71489,70.82398,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 25 MCG TABLET","60793085001",0.53023,0.58033,"B",9.45,"9.45%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 25 MCG TABLET","60793085010",0.53023,0.58033,"B",9.45,"9.45%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 50 MCG TABLET","60793085101",0.60213,0.65895,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 50 MCG TABLET","60793085110",0.60213,0.65895,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 75 MCG TABLET","60793085201",0.66351,0.72619,"B",9.45,"9.45%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 75 MCG TABLET","60793085210",0.66351,0.72619,"B",9.45,"9.45%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 88 MCG TABLET","60793085301",0.68381,0.74837,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 88 MCG TABLET","60793085310",0.68381,0.74837,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 100 MCG TABLET","60793085401",0.69327,0.7587,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 100 MCG TABLET","60793085410",0.69327,0.7587,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 112 MCG TABLET","60793085501",0.7865,0.86073,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 112 MCG TABLET","60793085510",0.7865,0.86073,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 125 MCG TABLET","60793085601",0.81407,0.89094,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 125 MCG TABLET","60793085610",0.81407,0.89094,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 137 MCG TABLET","60793085701",0.82026,0.89771,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 137 MCG TABLET","60793085710",0.82026,0.89771,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 150 MCG TABLET","60793085801",0.8236,0.90135,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 150 MCG TABLET","60793085810",0.8236,0.90135,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 175 MCG TABLET","60793085901",0.98574,1.0788,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 175 MCG TABLET","60793085910",0.98574,1.0788,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 200 MCG TABLET","60793086001",0.98123,1.07389,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"LEVOXYL 200 MCG TABLET","60793086010",0.98123,1.07389,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CORTISPORIN OINTMENT","61570003150",8.48326,9.28426,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"CORTISPORIN CREAM","61570003275",12.62314,13.81476,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"MENEST 0.3 MG TABLET","61570007201",1.43269,1.56792,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"MENEST 0.625 MG TABLET","61570007301",2.03068,2.22242,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"MENEST 1.25 MG TABLET","61570007401",2.75695,3.01715,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ALTACE 2.5 MG CAPSULE","61570011101",4.79611,5.24881,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ALTACE 5 MG CAPSULE","61570011201",5.08061,5.56027,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"ALTACE 10 MG CAPSULE","61570012001",5.87339,6.42784,"B",9.44,"9.44%","WAC Adjustment",5/31/2017,6/7/2017,6/1/2017,2017,6,7
"SENSORCAINE 0.5% VIAL","63323046757",0.08708,0.08921,"B",2.45,"2.45%","WAC Adjustment",5/31/2017,6/7/2017,4/1/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","68001023300",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","68084060611",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","68084060621",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","68462027501",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7
"DESMOPRESSIN ACETATE 0.1 MG TB","69918010101",0.68235,0.83652,"G",22.59,"22.59%","Help Desk",5/31/2017,6/7/2017,6/7/2017,2017,6,7