Update # 829, January 8, 2004
NEW ITEMS:
Geneva (Sandoz)
01/06/2004 Ampicillin TR 500mg capsule 100ea x 1. New Ndc # 00781-2145-01 will replace Ndc # 00003-0134-50
01/06/2004 Ampicillin TR 500mg capsule 50ea x 1. New Ndc # 00781-2145-05will replace Ndc # 00003-0134-6
PRICE CORRECTIONS:
AstraZeneca –
01/01/2004 Nexium 20mg capsule 30 ea x 1. Correct price $105.80.
01/01/2004 Nexium 20mg capsule 90 ea x 1. Correct price $318.00
01/01/2004 Nexium 20mg capsule 1000 ea x 1. Correct price $3536.31.
01/01/2004 Nexium 20mg capsule UD100 ea x 1. Correct price $353.36
01/01/2004 Nexium 40mg capsule 30 ea x 1. Correct price $105.80.
01/01/2004 Nexium 40mg capsule 90 ea x 1. Correct price $318.00.
01/01/2004 Nexium 40mg capsule 1000 ea x 1. Correct price $3536.31.
01/01/2004 Nexium 40mg capsule UD100 ea x 1. Correct price $353.36
PRICE DECREASE:
Roxane Laboratories -
01/12/2004 Calcitriol 1mcg/ml solution 15ml x 1.
PRICE INCREASE:
Aventis Pharmaceuticals –
(Floating WAC)
02/09/2004 Allegra 30mg tablet 100ea x 1.
02/09/2004 Allegra 60mg tablet 100ea x 1.
02/09/2004 Allegra 60mg tablet 500ea x 1.
02/09/2004 Allegra 60mg tablet UD100ea x 1.
02/09/2004 Allegra 180mg tablet 100ea x 1.
02/09/2004 Allegra 180mg tablet 500ea x 1.
02/09/2004 Amaryl 1mg tablet 100ea x 1.
02/09/2004 Amaryl 2mg tablet 100ea x 1.
02/09/2004 Amaryl 2mg tablet UD100ea x 1.
02/09/2004 Amaryl 4mg tablet 100ea x 1.
02/09/2004 Amaryl 4mg tablet UD100ea x 1.
02/09/2004 Azmacort inhaler 20gm x 1.
02/09/2004 DDAVP 0.1mg tablet 100ea x 1.
02/09/2004 DDAVP 0.2mg tablet 100ea x 1.
02/09/2004 DDAVP 0.01% Nasal spray 5ml x 1.
02/09/2004 Lantus 100u/ml vial 10ml x 1
02/09/2004 Rifamate capsule 60ea x 1.
02/09/2004 Rifater tablet 60ea x 1.
Bristol- Myers Squibb –
(Price subject to change without notification)
01/02/2004 Avalide 150-12.5mg tablet 30ea x 1.
01/02/2004 Avalide 150-12.5mg tablet 90ea x 1.
MMCAP Update #829 (1/8/04)
01/02/2004 Avalide 300-12.5mg tablet 30ea x 1.
01/02/2004 Avalide 300-12.5mg tablet 90ea x 1.
01/02/2004 Avapro 75mg tablet 30ea x 1.
01/02/2004 Avapro 75mg tablet 90ea x 1
01/02/2004 Avapro 150mg tablet 30ea x 1.
01/02/2004 Avapro 150mg tablet 90ea x 1.
01/02/2004 Avapro 150mg tablet UD100ea x 1.
01/02/2004 Avapro 300mg tablet 30ea x 1.
01/02/2004 Avapro 300mg tablet 90ea x 1
01/02/2004 Cefzil 250mg tablet 100ea x 1.
01/02/2004 Cefzil 125mg /5ml suspension 50ml x 1.
01/02/2004 Cefzil 125mg /5ml suspension 100ml x 1.
01/02/2004 Cefzil 250mg /5ml suspension 50ml x 1.
01/02/2004 Cefzil 250mg /5ml suspension 75ml x 1.
01/02/2004 Cefzil 250mg /5ml suspension 100ml x 1.
01/02/2004 Cefzil 500mg tablet 100ea x 1.
01/02/2004 Cefzil 500mg tablet 500ea x 1.
(Pricing for Alternate Care Pricing)
01/02/2004 Coumadin 1mg tablet UD100ea x 1.
01/02/2004 Coumadin 2mg tablet UD100ea x 1.
01/02/2004 Coumadin 2.5mg tablet UD100ea x 1.
01/02/2004 Coumadin 3mg tablet UD100ea x 1.
01/02/2004 Coumadin 4mg tablet UD100ea x 1.
01/02/2004 Coumadin 5mg tablet UD100ea x 1.
01/02/2004 Coumadin 6mg tablet UD100ea x 1.
01/02/2004 Coumadin 7.5mg tablet UD100ea x 1.
01/02/2004 Coumadin 10mg tablet UD100ea x 1.
01/02/2004 Glucophage 500mg tablet 100ea x 1.
01/02/2004 Glucophage 500mg tablet 500ea x 1.
01/02/2004 Glucophage 850mg tablet 100ea x 1.
01/02/2004 Glucophage XR 500mg tablet SA100ea x 1.
01/02/2004 Glucovance 1.25/250mg tablet 100ea x 1.
01/02/2004 Glucovance 2.5/500mg tablet 100ea x 1.
01/02/2004 Glucovance5/500mg tablet 100ea x 1.
01/02/2004 Monopril 10mg tablet 90ea x 1.
01/02/2004 Monopril 10mg tablet 1000ea x 1.
01/02/2004 Monopril 20mg tablet 90ea x 1.
01/02/2004 Monopril 20mg tablet 1000ea x 1.
01/02/2004 Monopril 40mg tablet 90ea x 1.
01/02/2004 Plavix 75mg tablet 30ea x 1.
01/02/2004 Plavix 75mg tablet 90ea x 1.
01/02/2004 Plavix 75mg tablet 500ea x 1.
01/02/2004 Plavix 75mg tablet UD100ea x 1.
01/02/2004 Pravachol 10mg tablet 90ea x 1.
01/02/2004 Pravachol 20mg tablet 90ea x 1.
01/02/2004 Pravachol 20mg tablet 1000ea x 1.
01/02/2004 Pravachol 20mg tablet UD100ea x 1.
01/02/2004 Pravachol 40mg tablet 90ea x 1.
01/02/2004 Serzone 50mg tablet 60ea x 1.
01/02/2004 Serzone 100mg tablet 60ea x 1.
01/02/2004 Serzone 150mg tablet 60ea x 1.
01/02/2004 Serzone 200mg tablet 60ea x 1.
01/02/2004 Serzone 250mg tablet 60ea x 1.
01/02/2004 Tequin 200mg tablet 30ea x 1.
01/02/2004 Tequin 200mg tablet UD100ea x 1.
01/02/2004 Tequin 400mg tablet 50ea x 1.
01/02/2004 Tequin 400mg tablet UD100ea x 1.
2
MMCAP Update #829 (1/8/04)
Novartis Pharmaceuticals –
(15% off Ex-Factory price. Subject to change without notice.)
01/05/2004 Clozaril 25mg tablet 100ea x 1.
01/05/2004 Clozaril 25mg tablet UD100ea x 1.
01/05/2004 Clozaril 100mg tablet 100ea x 1.
01/05/2004 Clozaril 100mg tablet UD100ea x 1.
(2% off Ex-Factory price. Subject to change without notice.)
01/05/2004 Diovan 40mg tablet 30ea x 1.
01/05/2004 Diovan 40mg tablet UD100ea x 1.
01/05/2004 Diovan 80mg tablet 100ea x 1.
01/05/2004 Diovan 80mg tablet UD100ea x 1.
01/05/2004 Diovan 160mg tablet 100ea x 1.
01/05/2004 Diovan 160mg tablet UD100ea x 1.
01/05/2004 Diovan 320mg tablet 100ea x 1.
01/05/2004 Diovan 320mg tablet UD100ea x 1.
01/05/2004 Diovan HCT 80/12.5mg tablet 100ea x 1.
01/05/2004 Diovan HCT 80/12.5mg tablet UD100ea x 1.
01/05/2004 Diovan HCT 160/12.5mg tablet 100ea x 1.
01/05/2004 Diovan HCT 160/12.5mg tablet UD100ea x 1.
01/05/2004 Diovan HCT 160/25mg tablet 100ea x 1.
01/05/2004 Diovan HCT 160/25mg tablet UD100ea x 1.
01/05/2004 Famvir 125mg tablet 30ea x 1.
01/05/2004 Famvir 250mg tablet 30ea x 1.
01/05/2004 Famvir 500mg tablet 30ea x 1.
01/05/2004 Famvir 500mg tablet UD50ea x 1.
01/05/2004 Lescol 20mg capsule 30ea x 1.
01/05/2004 Lescol 20mg capsule 100ea x 1.
01/05/2004 Lescol 40mg capsule 30ea x 1.
01/05/2004 Lescol 40mg capsule 100ea x 1.
01/05/2004 Lescol XL 80mg tablet 30ea x 1.
01/05/2004 Starlix 60mg tablet 100ea x 1.
01/05/2004 Starlix 120mg tablet 100ea x 1.
(Ex-Factory price subject to change without notice.)
01/05/2004 Tegretol 100mg tablet Chew 100ea x 1.
01/05/2004 Tegretol 100mg tablet Chew UD100ea x 1.
01/05/2004 Tegretol 100mg/5ml suspension 450ml x 1.
01/05/2004 Tegretol 200mg tablet 100ea x 1.
01/05/2004 Tegretol 200mg tablet 1000ea x 1.
01/05/2004 Tegretol 200mg tablet UD100ea x 1.
01/05/2004 Tegretol XR 100mg tablet SA100ea x 1.
01/05/2004 Tegretol XR 200mg tablet SA100ea x 1.
01/05/2004 Tegretol XR 400mg tablet SA100ea x 1.
Schering Corporation –
(9.5% off NDP)
01/05/2004 Peg-Intron 50mcg kit 1ea x 1.
01/05/2004 Peg-Intron 80mcg kit 1ea x 1.
01/05/2004 Peg-Intron 120mcg kit 1ea x 1.
01/05/2004 Peg-Intron 150mcg kit 1ea x 1.
Takeda Pharmaceuticals -
(2 % off WAC)
01/30/2004 Actos 15mg tablet 30ea x 1.
01/30/2004 Actos 15mg tablet 90ea x 1.
01/30/2004 Actos 15mg tablet 500ea x 1.
01/30/2004 Actos 30mg tablet 30ea x 1.
01/30/2004 Actos 30mg tablet 90ea x 1.
01/30/2004 Actos 30mg tablet 500ea x 1.
01/30/2004 Actos 45mg tablet 30ea x 1.
3
MMCAP Update #829 (1/8/04)
01/30/2004 Actos 45mg tablet 90ea x 1.
01/30/2004 Actos 45mg tablet 500ea x 1.
DISCONTINUED BY MANUFACTURER:
Bristol- Myers Squibb –
Monopril 20mg tablet UD100ea x 1.
Novartis Pharmaceuticals –
01/06/2004 Miacalcin 200U Nasal spray 4ml x 1.
UDL Laboratories –
02/01/2004 Clorazepate 3.75mg tablet UD100ea x 1.
02/01/2004 Clorazepate 15mg tablet UD100ea x 1.
ASSIGNMENT AGREEMENT:
Eisai, Inc. is now the vendor for Aciphex 20mg tablet EC. NDC# and prices have not changed.
REMOVED FROM CONTRACT:
Forest Pharmaceuticals -
12/31/2004 Celexa 10mg tablet 100ea x 1.
12/31/2004 Celexa 10mg/5ml solution 240ml x 1.
12/31/2004 Celexa 20mg tablet 100ea x 1.
12/31/2004 Celexa 20mg tablet UD100ea x 1.
12/31/2004 Celexa 40mg tablet 100ea x 1.
12/31/2004 Celexa 40mg tablet UD100ea x 1.
4
MMCAP Update #829 (1/8/04)
MMCAP Update # 829, 01/08/2004
GroupNet Clearinghouse Software - Transmission File Report
>>
Vend Vendor Name Contract Vendor Effective Action Ndc # Label Name Packagi Start End Price
or # # Contract # date ng
1500 ASTRA/ZENECA MMS220 02833FA001 1/1/2004 CHANGE (Price 00186- NEXIUM 20MG CAPSULE 30EA x 1 5/1/2002 4/30/2004 $105.80
PHARMACEUTICALS 10 correction) 5020-31
1500 ASTRA/ZENECA MMS220 02833FA001 1/1/2004 CHANGE (Price 00186- NEXIUM 20MG CAPSULE 90EA x 1 5/1/2002 4/30/2004 $318.00
PHARMACEUTICALS 10 correction) 5020-54
1500 ASTRA/ZENECA MMS220 02833FA001 1/1/2004 CHANGE (Price 00186- NEXIUM 20MG CAPSULE UD100E 5/1/2002 4/30/2004 $353.36
PHARMACEUTICALS 10 correction) 5022-28 Ax1
1500 ASTRA/ZENECA MMS220 02833FA001 1/1/2004 CHANGE (Price 00186- NEXIUM 40MG CAPSULE 1000EA x 5/1/2002 4/30/2004 $3,536.31
PHARMACEUTICALS 10 correction) 5040-82 1
1500 ASTRA/ZENECA MMS220 02833FA001 1/1/2004 CHANGE (Price 00186- NEXIUM 40MG CAPSULE 30EA x 1 5/1/2002 4/30/2004 $105.80
PHARMACEUTICALS 10 correction) 5040-31
1500 ASTRA/ZENECA MMS220 02833FA001 1/1/2004 CHANGE (Price 00186- NEXIUM 20MG CAPSULE 1000EA x 5/1/2002 4/30/2004 $3,536.31
PHARMACEUTICALS 10 correction) 5020-82 1
1500 ASTRA/ZENECA MMS220 02833FA001 1/1/2004 CHANGE (Price 00186- NEXIUM 40MG CAPSULE 90EA x 1 5/1/2002 4/30/2004 $318.00
PHARMACEUTICALS 10 correction) 5040-54
1500 ASTRA/ZENECA MMS220 02833FA001 1/1/2004 CHANGE (Price 00186- NEXIUM 40MG CAPSULE UD100E 5/1/2002 4/30/2004 $353.36
PHARMACEUTICALS 10 correction) 5042-28 Ax1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00039- AMARYL 1MG TABLET 100EA x 5/1/2001 4/30/2004 $31.82
PHARMACEUTICALS, Inc. 18 0221-10 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00039- AMARYL 2MG TABLET 100EA x 5/1/2001 4/30/2004 $51.58
PHARMACEUTICALS, Inc. 18 0222-10 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00039- AMARYL 2MG TABLET UD100E 5/1/2001 4/30/2004 $51.58
PHARMACEUTICALS, Inc. 18 0222-11 Ax1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00039- AMARYL 4MG TABLET 100EA x 5/1/2001 4/30/2004 $97.27
PHARMACEUTICALS, Inc. 18 0223-10 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00039- AMARYL 4MG TABLET UD100E 5/1/2001 4/30/2004 $97.27
PHARMACEUTICALS, Inc. 18 0223-11 Ax1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00068- RIFAMATE CAPSULE 60EA x 1 5/1/2001 4/30/2004 $132.77
PHARMACEUTICALS, Inc. 18 0509-60
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00075- DDAVP 0.1MG TABLET 100EA x 5/1/2001 4/30/2004 $213.28
PHARMACEUTICALS, Inc. 18 0016-00 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00075- DDAVP 0.2MG TABLET 100EA x 5/1/2001 4/30/2004 $307.19
PHARMACEUTICALS, Inc. 18 0026-00 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00075- AZMACORT INHALER 20GM x 1 5/1/2001 4/30/2004 $64.11
PHARMACEUTICALS, Inc. 18 0060-37
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00075- DDAVP 0.01% NASAL 5ML x 1 5/1/2001 4/30/2004 $139.36
PHARMACEUTICALS, Inc. 18 2452-01 SPRAY
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- RIFATER TABLET 60EA x 1 5/1/2001 4/30/2004 $98.26
PHARMACEUTICALS, Inc. 18 0576-41
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- ALLEGRA-D TABLET SA 100EA x 5/1/2001 4/30/2004 $119.30
PHARMACEUTICALS, Inc. 18 1090-47 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- ALLEGRA-D TABLET SA UD100E 5/1/2001 4/30/2004 $119.30
PHARMACEUTICALS, Inc. 18 1090-49 Ax1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- ALLEGRA-D TABLET SA 500EA x 5/1/2001 4/30/2004 $596.61
PHARMACEUTICALS, Inc. 18 1090-55 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- ALLEGRA 30MG TABLET 100EA x 5/1/2001 4/30/2004 $58.72
PHARMACEUTICALS, Inc. 18 1106-47 1
5
MMCAP Update #829 (1/8/04)
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- ALLEGRA 60MG TABLET 100EA x 5/1/2001 4/30/2004 $117.34
PHARMACEUTICALS, Inc. 18 1107-47 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- ALLEGRA 60MG TABLET UD100E 5/1/2001 4/30/2004 $117.34
PHARMACEUTICALS, Inc. 18 1107-49 Ax1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- ALLEGRA 60MG TABLET 500EA x 5/1/2001 4/30/2004 $586.74
PHARMACEUTICALS, Inc. 18 1107-55 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- ALLEGRA 180MG TABLET 100EA x 5/1/2001 4/30/2004 $203.47
PHARMACEUTICALS, Inc. 18 1109-47 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- ALLEGRA 180MG TABLET 500EA x 5/1/2001 4/30/2004 $1,017.35
PHARMACEUTICALS, Inc. 18 1109-55 1
3750 AVENTIS MMS210 A10648-1 2/9/2004 CHANGE (Price increase) 00088- LANTUS 100U/ML VIAL 10ML x 1 5/1/2001 4/30/2004 $48.68
PHARMACEUTICALS, Inc. 18 2220-33
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- CEFZIL 250MG TABLET 100EA x 5/1/2002 4/30/2004 $378.28
7720-60 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- CEFZIL 250MG/5ML 100ML x 5/1/2002 4/30/2004 $65.50
7719-64 SUSPENSION 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- CEFZIL 250MG/5ML 50ML x 1 5/1/2002 4/30/2004 $33.76
7719-40 SUSPENSION
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- CEFZIL 250MG/5ML 75ML x 1 5/1/2002 4/30/2004 $49.62
7719-62 SUSPENSION
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- CEFZIL 500MG TABLET 100EA x 5/1/2002 4/30/2004 $770.55
7721-60 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- CEFZIL 500MG TABLET 50EA x 1 5/1/2002 4/30/2004 $390.61
7721-50
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVALIDE 150-12.5MG 90EA x 1 5/1/2002 4/30/2004 $151.99
2775-32 TABLET
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVALIDE 300-12.5MG 30EA x 1 5/1/2002 4/30/2004 $54.17
2776-31 TABLET
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVALIDE 300-12.5MG 90EA x 1 5/1/2002 4/30/2004 $162.53
2776-32 TABLET
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVAPRO 150MG TABLET 30EA x 1 5/1/2002 4/30/2004 $41.11
2772-31
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVAPRO 150MG TABLET 90EA x 1 5/1/2002 4/30/2004 $123.34
2772-32
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVAPRO 150MG TABLET UD100E 5/1/2002 4/30/2004 $137.05
2772-35 Ax1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVALIDE 150-12.5MG 30EA x 1 5/1/2002 4/30/2004 $50.68
2775-31 TABLET
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVAPRO 300MG TABLET 30EA x 1 5/1/2002 4/30/2004 $49.43
2773-31
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVAPRO 300MG TABLET 90EA x 1 5/1/2002 4/30/2004 $148.25
2773-32
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVAPRO 75MG TABLET 30EA x 1 5/1/2002 4/30/2004 $39.06
2771-31
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- AVAPRO 75MG TABLET 90EA x 1 5/1/2002 4/30/2004 $117.17
2771-32
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- CEFZIL 125MG/5ML 100ML x 5/1/2002 4/30/2004 $36.15
7718-64 SUSPENSION 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- CEFZIL 125MG/5ML 50ML x 1 5/1/2002 4/30/2004 $18.20
7718-40 SUSPENSION
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price 00056- COUMADIN 10MG TABLET UD100E 5/1/2002 4/30/2004 $6.31
increase)Alternate Care 0174-75 Ax1
6
MMCAP Update #829 (1/8/04)
only
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price 00056- COUMADIN 1MG TABLET UD100E 5/1/2002 4/30/2004 $3.96
increase)Alternate Care 0169-75 Ax1
only
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price 00056- COUMADIN 2.5MG UD100E 5/1/2002 4/30/2004 $4.14
increase)Alternate Care 0176-75 TABLET Ax1
only
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price 00056- COUMADIN 2MG TABLET UD100E 5/1/2002 4/30/2004 $4.37
increase)Alternate Care 0170-75 Ax1
only
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price 00056- COUMADIN 3MG TABLET UD100E 5/1/2002 4/30/2004 $3.85
increase)Alternate Care 0188-75 Ax1
only
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price 00056- COUMADIN 4MG TABLET UD100E 5/1/2002 4/30/2004 $4.62
increase)Alternate Care 0168-75 Ax1
only
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price 00056- COUMADIN 5MG TABLET UD100E 5/1/2002 4/30/2004 $4.81
increase)Alternate Care 0172-75 Ax1
only
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price 00056- COUMADIN 6MG TABLET UD100E 5/1/2002 4/30/2004 $6.23
increase)Alternate Care 0189-75 Ax1
only
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price 00056- COUMADIN 7.5MG UD100E 5/1/2002 4/30/2004 $5.93
increase)Alternate Care 0173-75 TABLET Ax1
only
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- GLUCOPHAGE 1000MG 100EA x 5/1/2002 4/30/2004 $143.16
6071-11 TABLET 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- GLUCOPHAGE 500MG 100EA x 5/1/2002 4/30/2004 $69.50
6060-05 TABLET 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- GLUCOPHAGE 500MG 500EA x 5/1/2002 4/30/2004 $347.46
6060-10 TABLET 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- GLUCOPHAGE 850MG 100EA x 5/1/2002 4/30/2004 $118.14
6070-05 TABLET 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- GLUCOPHAGE XR 500MG 100EA x 5/1/2002 4/30/2004 $70.94
6063-13 TAB SA 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- GLUCOVANCE 100EA x 5/1/2002 4/30/2004 $76.62
6072-11 1.25/250MG TAB 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- GLUCOVANCE 2.5/500MG 100EA x 5/1/2002 4/30/2004 $91.40
6073-11 TAB 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- GLUCOVANCE 5/500MG 100EA x 5/1/2002 4/30/2004 $91.40
6074-11 TAB 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- MONOPRIL 10MG TABLET 1000EA x 5/1/2002 4/30/2004 $1,121.00
0158-85 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- MONOPRIL 10MG TABLET 90EA x 1 5/1/2002 4/30/2004 $100.89
0158-46
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- MONOPRIL 20MG TABLET 1000EA x 5/1/2002 4/30/2004 $1,121.00
0609-85 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- MONOPRIL 20MG TABLET 90EA x 1 5/1/2002 4/30/2004 $100.89
0609-42
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- MONOPRIL 40MG TABLET 90EA x 1 5/1/2002 4/30/2004 $100.89
1202-13
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 63653- PLAVIX 75MG TABLET 30EA x 1 5/1/2002 4/30/2004 $109.18
7
MMCAP Update #829 (1/8/04)
1171-06
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 63653- PLAVIX 75MG TABLET 500EA x 5/1/2002 4/30/2004 $1,819.88
1171-05 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 63653- PLAVIX 75MG TABLET 90EA x 1 5/1/2002 4/30/2004 $327.58
1171-01
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 63653- PLAVIX 75MG TABLET UD100E 5/1/2002 4/30/2004 $363.97
1171-03 Ax1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00003- PRAVACHOL 10MG 90EA x 1 5/1/2002 4/30/2004 $233.54
5154-05 TABLET
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00003- PRAVACHOL 20MG 1000EA x 5/1/2002 4/30/2004 $2,637.24
5178-75 TABLET 1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00003- PRAVACHOL 20MG 90EA x 1 5/1/2002 4/30/2004 $237.32
5178-05 TABLET
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00003- PRAVACHOL 20MG UD100E 5/1/2002 4/30/2004 $263.68
5178-06 TABLET Ax1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00003- PRAVACHOL 40MG 90EA x 1 5/1/2002 4/30/2004 $348.25
5194-10 TABLET
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- SERZONE 100MG TABLET 60EA x 1 5/1/2002 4/30/2004 $86.18
0032-31
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- SERZONE 50MG TABLET 60EA x 1 5/1/2002 4/30/2004 $84.16
0031-47
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- SERZONE 150MG TABLET 60EA x 1 5/1/2002 4/30/2004 $87.80
0039-31
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- SERZONE 200MG TABLET 60EA x 1 5/1/2002 4/30/2004 $89.46
0033-31
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00087- SERZONE 250MG TABLET 60EA x 1 5/1/2002 4/30/2004 $91.12
0041-31
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00015- TEQUIN 200MG TABLET 30EA x 1 5/1/2002 4/30/2004 $239.20
1117-50
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00015- TEQUIN 200MG TABLET UD100E 5/1/2002 4/30/2004 $797.33
1117-80 Ax1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00015- TEQUIN 400MG TABLET 50EA x 1 5/1/2002 4/30/2004 $398.67
1177-60
4300 BRISTOL-MYERS SQUIBB MMS22024 1/2/2004 CHANGE (Price increase) 00015- TEQUIN 400MG TABLET UD100E 5/1/2002 4/30/2004 $797.33
1177-80 Ax1
4300 BRISTOL-MYERS SQUIBB MMS22024 1/6/2004 CHANGE (Price increase) 00087- MONOPRIL 20MG TABLET UD100E 5/1/2002 4/30/2004 $113.16
0609-45 Ax1
1338 EISAI INC. MMS230 C11694-1 12/29/2003 ADD (New Vendor) 62856- ACIPHEX 20MG TABLET 30EA x 1 4/29/2003 4/30/2004 $112.52
76 0243-30 EC
1338 EISAI INC. MMS230 C11694-1 12/29/2003 ADD (New Vendor) 62856- ACIPHEX 20MG TABLET UD100E 4/29/2003 4/30/2004 $375.08
76 0243-41 EC Ax1
1338 EISAI INC. MMS230 C11694-1 12/29/2003 ADD (New Vendor) 62856- ACIPHEX 20MG TABLET 90EA x 1 4/29/2003 4/30/2004 $337.58
76 0243-90 EC
2890 FOREST MMS210 2001012001 12/31/2003 DELETE (Removed from 00456- CELEXA 10MG TABLET 100EA x 5/1/2001 4/30/2004 $194.14
PHARMACEUTICALS 54 contract) 4010-01 1
2890 FOREST MMS210 2001012001 12/31/2003 DELETE (Removed from 00456- CELEXA 10MG/5ML 240ML x 5/1/2001 4/30/2004 $92.83
PHARMACEUTICALS 54 contract) 4130-08 SOLUTION 1
2890 FOREST MMS210 2001012001 12/31/2003 DELETE (Removed from 00456- CELEXA 20MG TABLET 100EA x 5/1/2001 4/30/2004 $202.34
PHARMACEUTICALS 54 contract) 4020-01 1
2890 FOREST MMS210 2001012001 12/31/2003 DELETE (Removed from 00456- CELEXA 20MG TABLET UD100E 5/1/2001 4/30/2004 $206.40
PHARMACEUTICALS 54 contract) 4020-63 Ax1
8
MMCAP Update #829 (1/8/04)
2890 FOREST MMS210 2001012001 12/31/2003 DELETE (Removed from 00456- CELEXA 40MG TABLET 100EA x 5/1/2001 4/30/2004 $211.15
PHARMACEUTICALS 54 contract) 4040-01 1
2890 FOREST MMS210 2001012001 12/31/2003 DELETE (Removed from 00456- CELEXA 40MG TABLET UD100E 5/1/2001 4/30/2004 $215.37
PHARMACEUTICALS 54 contract) 4040-63 Ax1
1435 GENEVA (SANDOZ) MMS230 0000009703 1/6/2004 ADD (New item) 00781- AMPICILLIN TR 500MG 100EA x 5/1/2003 4/30/2004 $13.96
30 2145-01 CAPSULE 1
1435 GENEVA (SANDOZ) MMS230 0000009703 1/6/2004 ADD (New item) 00781- AMPICILLIN TR 500MG 500EA x 5/1/2003 4/30/2004 $68.05
30 2145-05 CAPSULE 1
1580 JOHNSON & JOHNSON HCS MMS23038 12/29/2003 DELETE (Vendor 62856- ACIPHEX 20MG TABLET 90EA x 1 5/1/2003 4/30/2004 $337.58
change) 0243-90 EC
1580 JOHNSON & JOHNSON HCS MMS23038 12/29/2003 DELETE (Vendor 62856- ACIPHEX 20MG TABLET UD100E 5/1/2003 4/30/2004 $375.08
change) 0243-41 EC Ax1
1580 JOHNSON & JOHNSON HCS MMS23038 12/29/2003 DELETE (Vendor 62856- ACIPHEX 20MG TABLET 30EA x 1 5/1/2003 4/30/2004 $112.52
change) 0243-30 EC
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- CLOZARIL 25MG TABLET UD100E 5/1/2001 4/30/2004 $117.35
PHARMACEUTICALS 92 0126-06 Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- CLOZARIL 25MG TABLET 100EA x 5/1/2001 4/30/2004 $117.35
PHARMACEUTICALS 92 0126-05 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- CLOZARIL 100MG TABLET UD100E 5/1/2001 4/30/2004 $304.04
PHARMACEUTICALS 92 0127-06 Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- CLOZARIL 100MG TABLET 100EA x 5/1/2001 4/30/2004 $304.04
PHARMACEUTICALS 92 0127-05 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN 160MG TABLET 100EA x 5/1/2001 4/30/2004 $147.87
PHARMACEUTICALS 92 0359-05 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN 160MG TABLET UD100E 5/1/2001 4/30/2004 $147.87
PHARMACEUTICALS 92 0359-06 Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN 320MG TABLET 100EA x 5/1/2001 4/30/2004 $187.07
PHARMACEUTICALS 92 0360-05 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN 320MG TABLET UD100E 5/1/2001 4/30/2004 $187.07
PHARMACEUTICALS 92 0360-06 Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN 40MG TABLET 30EA x 1 5/1/2001 4/30/2004 $34.52
PHARMACEUTICALS 92 0376-15
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN 40MG TABLET UD100E 5/1/2001 4/30/2004 $117.40
PHARMACEUTICALS 92 0376-06 Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN 80MG TABLET 100EA x 5/1/2001 4/30/2004 $137.52
PHARMACEUTICALS 92 0358-05 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN 80MG TABLET UD100E 5/1/2001 4/30/2004 $137.52
PHARMACEUTICALS 92 0358-06 Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN HCT 160/12.5MG 100EA x 5/1/2001 4/30/2004 $160.94
PHARMACEUTICALS 92 0315-05 TAB 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN HCT 160/12.5MG UD100E 5/1/2001 4/30/2004 $160.94
PHARMACEUTICALS 92 0315-06 TAB Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN HCT 160/25MG 100EA x 5/1/2001 4/30/2004 $182.51
PHARMACEUTICALS 92 0383-05 TABLET 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN HCT 160/25MG UD100E 5/1/2001 4/30/2004 $182.51
PHARMACEUTICALS 92 0383-06 TABLET Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN HCT 80/12.5MG 100EA x 5/1/2001 4/30/2004 $147.91
PHARMACEUTICALS 92 0314-05 TABLET 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- DIOVAN HCT 80/12.5MG UD100E 5/1/2001 4/30/2004 $147.91
PHARMACEUTICALS 92 0314-06 TABLET Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- FAMVIR 125MG TABLET 30EA x 1 5/1/2001 4/30/2004 $95.02
PHARMACEUTICALS 92 0366-15
9
MMCAP Update #829 (1/8/04)
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- FAMVIR 250MG TABLET 30EA x 1 5/1/2001 4/30/2004 $103.31
PHARMACEUTICALS 92 0367-15
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- FAMVIR 500MG TABLET 30EA x 1 5/1/2001 4/30/2004 $207.47
PHARMACEUTICALS 92 0368-15
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- FAMVIR 500MG TABLET UD50EA 5/1/2001 4/30/2004 $382.31
PHARMACEUTICALS 92 0368-64 x1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- LESCOL 20MG CAPSULE 100EA x 5/1/2001 4/30/2004 $158.98
PHARMACEUTICALS 92 0176-05 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- LESCOL 20MG CAPSULE 30EA x 1 5/1/2001 4/30/2004 $47.78
PHARMACEUTICALS 92 0176-15
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- LESCOL 40MG CAPSULE 100EA x 5/1/2001 4/30/2004 $158.98
PHARMACEUTICALS 92 0234-05 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- LESCOL 40MG CAPSULE 30EA x 1 5/1/2001 4/30/2004 $47.78
PHARMACEUTICALS 92 0234-15
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- LESCOL XL 80MG TABLET 100EA x 5/1/2001 4/30/2004 $203.95
PHARMACEUTICALS 92 0354-05 SA 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- LESCOL XL 80MG TABLET 30EA x 1 5/1/2001 4/30/2004 $61.19
PHARMACEUTICALS 92 0354-15 SA
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- STARLIX 120MG TABLET 100EA x 5/1/2001 4/30/2004 $97.31
PHARMACEUTICALS 92 0352-05 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00078- STARLIX 60MG TABLET 100EA x 5/1/2001 4/30/2004 $93.67
PHARMACEUTICALS 92 0351-05 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00083- TEGRETOL 100MG 100EA x 5/1/2001 4/30/2004 $27.02
PHARMACEUTICALS 92 0052-30 TABLET CHEW 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00083- TEGRETOL 100MG UD100E 5/1/2001 4/30/2004 $30.36
PHARMACEUTICALS 92 0052-32 TABLET CHEW Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00083- TEGRETOL 100MG/5ML 450ML x 5/1/2001 4/30/2004 $33.16
PHARMACEUTICALS 92 0019-76 SUSP 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00083- TEGRETOL 200MG 1000EA x 5/1/2001 4/30/2004 $508.83
PHARMACEUTICALS 92 0027-40 TABLET 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00083- TEGRETOL 200MG 100EA x 5/1/2001 4/30/2004 $51.48
PHARMACEUTICALS 92 0027-30 TABLET 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00083- TEGRETOL 200MG UD100E 5/1/2001 4/30/2004 $55.05
PHARMACEUTICALS 92 0027-32 TABLET Ax1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00083- TEGRETOL XR 100MG 100EA x 5/1/2001 4/30/2004 $25.78
PHARMACEUTICALS 92 0061-30 TABLET SA 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00083- TEGRETOL XR 200MG 100EA x 5/1/2001 4/30/2004 $51.48
PHARMACEUTICALS 92 0062-30 TABLET SA 1
3950 NOVARTIS MMS210 00233-050 1/5/2004 CHANGE (Price increase) 00083- TEGRETOL XR 400MG 100EA x 5/1/2001 4/30/2004 $102.88
PHARMACEUTICALS 92 0060-30 TABLET SA 1
3950 NOVARTIS MMS210 00233-050 1/6/2004 DELETE (Discontinued 00078- MIACALCIN 200U NASAL 4ML x 1 5/1/2001 4/30/2004 $61.28
PHARMACEUTICALS 92 by manufacturer) 0311-90 SPRAY
3057 ROXANE LABS INC MMS230 A01216 1/12/2004 CHANGE (Price 00054- CALCITRIOL 1MCG/ML 15ML x 1 5/1/2003 4/30/2004 $101.49
61 decrease) 3120-41 SOLUTION
4000 SCHERING CORP MMS211 1010026 1/5/2004 CHANGE (Price increase) 00085- PEG-INTRON 80MCG KIT 1EA x 1 5/1/2001 4/30/2004 $280.58
19 1291-01
4000 SCHERING CORP MMS211 1010026 1/5/2004 CHANGE (Price increase) 00085- PEG-INTRON 120MCG KIT 1EA x 1 5/1/2001 4/30/2004 $294.63
19 1304-01
4000 SCHERING CORP MMS211 1010026 1/5/2004 CHANGE (Price increase) 00085- PEG-INTRON 150MCG KIT 1EA x 1 5/1/2001 4/30/2004 $309.34
19 1279-01
4000 SCHERING CORP MMS211 1010026 1/5/2004 CHANGE (Price increase) 00085- PEG-INTRON 50MCG KIT 1EA x 1 5/1/2001 4/30/2004 $267.24
19 1368-01
10
MMCAP Update #829 (1/8/04)
2150 TAKEDA MMS211 11011001 1/30/2004 CHANGE (Price increase) 64764- ACTOS 15MG TABLET 30EA x 1 5/1/2001 4/30/2004 $85.29
PHARMACEUTICALS 25 0151-04
2150 TAKEDA MMS211 11011001 1/30/2004 CHANGE (Price increase) 64764- ACTOS 15MG TABLET 90EA x 1 5/1/2001 4/30/2004 $255.83
PHARMACEUTICALS 25 0151-05
2150 TAKEDA MMS211 11011001 1/30/2004 CHANGE (Price increase) 64764- ACTOS 15MG TABLET 500EA x 5/1/2001 4/30/2004 $1,421.31
PHARMACEUTICALS 25 0151-06 1
2150 TAKEDA MMS211 11011001 1/30/2004 CHANGE (Price increase) 64764- ACTOS 30MG TABLET 30EA x 1 5/1/2001 4/30/2004 $136.53
PHARMACEUTICALS 25 0301-14
2150 TAKEDA MMS211 11011001 1/30/2004 CHANGE (Price increase) 64764- ACTOS 30MG TABLET 90EA x 1 5/1/2001 4/30/2004 $409.62
PHARMACEUTICALS 25 0301-15
2150 TAKEDA MMS211 11011001 1/30/2004 CHANGE (Price increase) 64764- ACTOS 30MG TABLET 500EA x 5/1/2001 4/30/2004 $2,275.66
PHARMACEUTICALS 25 0301-16 1
2150 TAKEDA MMS211 11011001 1/30/2004 CHANGE (Price increase) 64764- ACTOS 45MG TABLET 30EA x 1 5/1/2001 4/30/2004 $148.11
PHARMACEUTICALS 25 0451-24
2150 TAKEDA MMS211 11011001 1/30/2004 CHANGE (Price increase) 64764- ACTOS 45MG TABLET 90EA x 1 5/1/2001 4/30/2004 $444.34
PHARMACEUTICALS 25 0451-25
2150 TAKEDA MMS211 11011001 1/30/2004 CHANGE (Price increase) 64764- ACTOS 45MG TABLET 500EA x 5/1/2001 4/30/2004 $2,468.55
PHARMACEUTICALS 25 0451-26 1
4545 UDL LABORATORIES MMS230 256 2/1/2004 DELETE (Discontinued 51079- CLORAZEPATE 3.75MG UD100E 5/1/2003 4/30/2004 $19.85
69 by manufacturer) 0633-20 TABLET Ax1
4545 UDL LABORATORIES MMS230 256 2/1/2004 DELETE (Discontinued 51079- CLORAZEPATE 15MG UD100E 5/1/2003 4/30/2004 $37.90
69 by manufacturer) 0635-20 TABLET Ax1
11