THE FOLLOWING ITEMS REMAIN ON CUSTOM PRICE LIST (CPL) UNTIL FURTHER NOTICE: |
ITEM |
NDC NUM |
DSCR |
TOP 250 |
SLOT |
DISC % |
1944602 |
00713050324 |
ANUCORT-HC HEM SUPP G/W 24@ |
Y |
A |
30% |
3490257 |
65862066330 |
ARIPIPRAZOLE TB 10MG AUR 30@ |
Y |
A |
30% |
3490265 |
65862066430 |
ARIPIPRAZOLE TB 15MG AUR 30@ |
Y |
A |
30% |
3490240 |
65862066530 |
ARIPIPRAZOLE TB 20MG AUR 30@ |
Y |
A |
30% |
3490232 |
65862066130 |
ARIPIPRAZOLE TB 2MG AUR 30@ |
Y |
A |
30% |
3490224 |
65862066630 |
ARIPIPRAZOLE TB 30MG AUR 30@ |
Y |
A |
30% |
3490273 |
65862066230 |
ARIPIPRAZOLE TB 5MG AUR 30@ |
Y |
A |
30% |
1290972 |
60505257908 |
ATORVAS FCT 20MG APX 1000@ |
Y |
A |
20% |
1290998 |
60505258008 |
ATORVAS FCT 40MG APX 1000@ |
Y |
AC |
20% |
2902526 |
60505084805 |
AZELAST N/SPR AP 0.15% 30ML@ |
N |
A |
30% |
3230968 |
64376065716 |
BROMPHEN MALEATEPSEDMQ/P473ML@ |
N |
A |
20% |
3478138 |
00781751687 |
BUDESO INH/SUSP.5MG/2ML SAN30@ |
Y |
A |
20% |
1338581 |
00378715501 |
BUDESON EC CAP 3MG MYLN 100@ |
Y |
A |
17% |
3225299 |
10370010150 |
BUPROP HCI ER 150MG XL PAR500@ |
Y |
A |
20% |
1215128 |
00185041505 |
BUPROPIO ER TAB 150MG SAN 500@ |
N |
A |
20% |
1760859 |
10370010203 |
BUPROPIO ER TAB 300MG PAR 30@ |
Y |
A |
30% |
2027407 |
23155011801 |
CALCITRIOL CAP .25MCG HERI100@ |
N |
A |
30% |
2130334 |
29033002012 |
CARBAMAZEP CP ER 200MG MYL120@ |
N |
A |
26% |
2041150 |
16714039302 |
CEFDINIR OS 250MG/5ML1CMLNSTR@ |
Y |
A |
30% |
2041143 |
16714039301 |
CEFDINIR OS 250MG/5ML60MLNSTR@ |
Y |
A |
25% |
2013357 |
16714039901 |
CEFPROZIL TAB 500MG 50 NSTR@ |
N |
A |
27% |
3408051 |
00093716501 |
CELECOXIB 100MG CAP TEVA 100 @ |
N |
A |
7% |
3408093 |
00093716601 |
CELECOXIB 200MG CAP TEVA 100 @ |
Y |
A |
18% |
2107753 |
68682040910 |
CHLORDIAZ+CLIN+BR5/2.5MGOCE1C@ |
Y |
A |
30% |
1940188 |
49884046565 |
CHOLESTYR O/S PWD 4GM PAR 60@ |
N |
A |
20% |
2031490 |
00093206406 |
CILOSTAZOL TAB 100MG TEVA 60@ |
N |
A |
30% |
1233568 |
16714065204 |
CIPROFLOX TAB 500MG 500NSTAR@ |
N |
A |
9% |
2044915 |
65862022660 |
CLARITH TAB 500MG AURO 60@ |
N |
A |
20% |
3442324 |
00472040030 |
CLOBETASOL CRM .05% ACT 30GM@ |
Y |
A |
17% |
1233378 |
00378087399 |
CLONIDINE TS/PTC0.3MG/DAYMYL4@ |
N |
A |
30% |
2049344 |
51991083801 |
CYPRO HCL TAB 4MG BRECK 100@ |
N |
A |
20% |
3459013 |
68462027601 |
DESMOPRES ACET TB.2MG GLEN100@ |
N |
A |
20% |
1739036 |
59762002901 |
DICLOF SOD 75MG/200MCG GRE 60@ |
N |
A |
20% |
1260397 |
00781501701 |
DICLOFEN POT TAB 50MG SAN 100@ |
N |
A |
30% |
2048783 |
00115148361 |
DICLOFEN SOD GEL 3% GPC 100G@ |
Y |
AC |
10% |
1168871 |
60505001606 |
DILTIAZEM XR CP 240MG APX 100@ |
N |
A |
20% |
3480696 |
65162075750 |
DIVALPRO SOD TB ER500MGAMN500@ |
Y |
A |
13% |
3480662 |
65162075510 |
DIVALPROEX SOD TB 250MGAMN100@ |
N |
A |
30% |
1266964 |
00143314250 |
DOXYCYC HYC CAP 100MG WEST 50@ |
Y |
A |
21% |
1493949 |
53489012002 |
DOXYCYC HYC FC TB 100MG MUT50@ |
Y |
A |
20% |
3260874 |
45802013275 |
FENOFIB TAB 145MG PER 90@ |
Y |
A |
19% |
1702620 |
00115552210 |
FENOFIBR TAB 160MG GPC 90@ |
Y |
A |
25% |
1733641 |
16714069211 |
FLUCONAZ TAB 150MG 12X1 NSTAR@ |
N |
A |
26% |
1732924 |
16714069301 |
FLUCONAZ TAB 200MG 30 NSTAR@ |
N |
A |
20% |
2243376 |
60432026415 |
FLUTICAS NAS SP 50MCGWOCK16GM@ |
Y |
A |
26% |
1265826 |
16714066202 |
GABAPENT CAP 300MG 500 NSTAR@ |
Y |
A |
30% |
1378876 |
16714033002 |
GABAPENT TAB 600MG 500 NSTAR@ |
Y |
A |
30% |
1661180 |
00378033401 |
HALOP TAB 10MG MYL 100@ |
N |
A |
30% |
1265867 |
51672129003 |
HYDROCORT+VL CR 0.2% TAR 60GM@ |
N |
A |
26% |
1195353 |
00378037301 |
HYDROXYCH TAB 200MG MYL 100@ |
Y |
A |
30% |
3221603 |
00487020160 |
IPRATRO/ALB 0.5/MG NEPH 3ML60@ |
Y |
A |
30% |
1890839 |
49884056411 |
LAMOTRIG ER TAB 200MG PAR 30@ |
Y |
A |
22% |
2231561 |
16714033101 |
LEFLUNOM TAB 20MG 30 NSTAR@ |
Y |
AC |
30% |
1770262 |
00378180910 |
LEVOTHYROX SOD 100MCG MYL1000@ |
Y |
A |
27% |
1769637 |
00378180510 |
LEVOTHYROX SOD 75MCG MYL 1000@ |
Y |
A |
25% |
1727460 |
00168020437 |
LIDOCA OINT 5% CRC FOUG1.25OZ@ |
Y |
AC |
30% |
2009702 |
00115146845 |
LIDOCA+PRILCRM2.5%/2.5%GPC30G@ |
N |
A |
30% |
1700525 |
51672300803 |
LIDOCAINE OINT 5% TARO 50GM@ |
Y |
A |
30% |
3478559 |
00378905593 |
LIDOCAINE PATCH 5% MYL 30@ |
Y |
A |
20% |
2590248 |
00603188016 |
LIDOCAINE PTCH 5%/700MG QP 30@ |
Y |
AC |
25% |
1936905 |
65862020390 |
LOSART POT TAB 100MG AURO 90@ |
N |
A |
30% |
1247956 |
59762453701 |
MEDROXYPR VL 150MG/ML GRE 1@ |
Y |
AC |
30% |
2048221 |
61442012710 |
MELOXICAM TAB 15MG CARL 1000@ |
N |
A |
30% |
1985316 |
64720032110 |
METAXAL TAB 800MG CORE 100@ |
Y |
A |
27% |
2237105 |
00591272060 |
METFORM ER TAB 1000MG WAT 60@ |
Y |
A |
30% |
2233849 |
00603448628 |
METHOCARB TAB 750MG Q/P 500@ |
N |
A |
20% |
1139781 |
00781502207 |
METHYLPRED TAB 4MG SAN 21@ |
Y |
A |
30% |
1779065 |
55111046801 |
METOPROL ER TAB 100MG DR/R100@ |
Y |
A |
30% |
1779073 |
55111046805 |
METOPROL ER TAB 100MG DR/R500@ |
Y |
A |
30% |
1779032 |
55111046605 |
METOPROL ER TAB 25MG DR/R 500@ |
Y |
A |
20% |
1779057 |
55111046705 |
METOPROL ER TAB 50MG DR/R 500@ |
Y |
A |
25% |
1247246 |
59762045001 |
MICRON COLESIPOL TB 1GMGRE120@ |
N |
A |
20% |
1204619 |
00093720756 |
MIRTAZAP TAB 30MG TEV 30@ |
N |
A |
30% |
2026144 |
55111072510 |
MONTELUKAS IR TB 10MG DR/R 1K@ |
Y |
A |
18% |
1410901 |
55111072590 |
MONTELUKAST IR 10MG DR/R 90@ |
Y |
A |
30% |
3297652 |
24208063110 |
NEOMY+POL B OTIC SOL B&L 10ML@ |
Y |
A |
30% |
2773836 |
24208063562 |
NEOMY+POL B OTIC SUS B&L 10ML@ |
Y |
A |
30% |
2901643 |
68382020116 |
NIACIN ER TAB 500MG ZYD 90@ |
N |
A |
25% |
2123248 |
65162068988 |
NITROFURAN OS 25MG/5ML AMN8OZ@ |
N |
A |
20% |
3237708 |
16714043901 |
NITROFURANT CAP 100MG100 NSTR@ |
Y |
A |
20% |
1901420 |
45802021001 |
NITROGL SPR 400MCGPERR4.9GM60@ |
N |
A |
30% |
1990019 |
00168008130 |
NYSTATIN-TR CRM 30MG SND 30G@ |
Y |
A |
25% |
3418480 |
60505317007 |
OMEGA-3 ACD ETH 1000MG APX120@ |
Y |
A |
22% |
3260767 |
62175013643 |
OMEPRAZ DR CAP 40MG KRE 1000@ |
Y |
A |
30% |
1644996 |
00378200393 |
PAROXETIN ER TB 12.5MG MYL 30@ |
N |
A |
20% |
2116572 |
00472024260 |
PERMETHRIN CRM 5% W/W ACT60GM@ |
Y |
A |
25% |
1951854 |
51672411103 |
PHENYT SOD 100MG ER TAR 1000@ |
Y |
AC |
30% |
1991504 |
62175044231 |
POLYETH GLYCOL KRE 527GM@ |
Y |
A |
25% |
1488048 |
00781571010 |
POT CHL ER TAB 10MEQ SAN 1000@ |
Y |
AC |
20% |
1448109 |
00781572010 |
POT CHL ER TAB 20MEQ SAN 1000@ |
Y |
A |
25% |
1452101 |
00781152610 |
POT CHL SR TAB 750MG SAN 1000@ |
Y |
AC |
20% |
1872225 |
00245007111 |
POT CIT ER TAB 10MEQ U/S 100@ |
Y |
AC |
30% |
1413277 |
68462019805 |
PRAVAST SOD TAB 80MG GLEN 500@ |
N |
A |
17% |
1750272 |
55111023090 |
PRAVASTATIN TAB 20MG DR/R 90@ |
N |
A |
25% |
2738086 |
61314063710 |
PREDNISOL AC OPH 1% FAL 10ML@ |
Y |
A |
20% |
1304849 |
59746017310 |
PREDNISON TAB 10MG CAD 1000@ |
N |
A |
20% |
1108034 |
00603533828 |
PREDNISON TAB 10MG Q/P 500@ |
N |
A |
20% |
3299062 |
66993011560 |
PROPAFEN ER CAP 325MG PRAS60@ |
N |
A |
26% |
1397231 |
00228278111 |
PROPRAN ER CP 160MG ACTA 100@ |
N |
A |
30% |
2012227 |
00378718093 |
QUININE SULF CAP 324MG MYL 30@ |
N |
A |
20% |
2026599 |
00093729056 |
RALOXIFENE HCL TB 60MG TEVA30@ |
Y |
A |
30% |
3477080 |
00781730431 |
RIVASTIG PAT 4.6MG/24HR SAN30@ |
N |
A |
25% |
3477098 |
00781730931 |
RIVASTIG PAT 9.5MG/24HR SAN30@ |
Y |
A |
30% |
3477114 |
00781731331 |
RIVASTIG PAT13.3MG/24HR SAN30@ |
N |
A |
25% |
1120971 |
55111035360 |
RIVASTIGM CAP 3MG DR/R 60@ |
N |
A |
30% |
1231596 |
00093221005 |
SUCRALFATE TAB 1GM TEV 500@ |
N |
A |
26% |
1360627 |
65862049647 |
SULFAM+TRI OS CHRY AURO 473ML@ |
Y |
A |
20% |
2059830 |
55111069312 |
SUMATRIP PFS 6MG/0.5ML DR/R 2@ |
Y |
AC |
30% |
1988757 |
16729004201 |
TACROLIMUS CAP 1MG ACCO 100@ |
Y |
A |
22% |
2740041 |
65862059805 |
TAMSUL HYD CAP 0.4MG AURO500@ |
Y |
A |
20% |
1886647 |
25010081756 |
TIMOLOL GFS 0.5% OCEA 5ML@ |
Y |
A |
20% |
1101674 |
61314064705 |
TOBRAMYC+DEXAM OS FAL 5ML @ |
Y |
A |
20% |
3479466 |
13668019030 |
TOLTERODINE CAP ER 4MGTORR30@ |
Y |
A |
20% |
2044774 |
49884041301 |
URSODIOL TAB 500MG PAR 100@ |
N |
A |
30% |
2237881 |
55111025860 |
ZIPRASID CAP 60MG DR/R 60@ |
N |
A |
20% |
2237915 |
55111025960 |
ZIPRASID CAP 80MG DR/R 60@ |
N |
A |
20% |