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CONTROLLED SUBSTANCES Inventory

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					CONTROLLED SUBSTANCES Inventory Log
Name of PHARMACY

Name of REGISTRANT on DEA Registration:

Address: City: _________________________ State: _________ ZipCode: ______________

DEA Registration Number: _________________________

Date of Inventory: _________________ Inventory Taken at: Opening or Closing of business

OR Started at (time): _____________ and Ended at (time): _____________

______________________________________________ Signature of Person Responsible For Taking Inventory

______________________________________________ Print Name of Person Responsible For Taking Inventory

C-II INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 1

DRUG DESCRIPTION --------------------------------ACTIQ 1200MCG ACTIQ 1600MCG ACTIQ 200MCG ACTIQ 400MCG ACTIQ 600MCG ACTIQ 800MCG ADDERALL ADDERALL ADDERALL ADDERALL ADDERALL ADDERALL ADDERALL LOZ CEPH LOZ CEPH LOZ CEPH LOZ CEPH LOZ CEPH LOZ CEPH 5MG TAB SHIR 10MG TAB SHIR 15MG TAB SHIR 20MG TAB SHIR 30MG TAB SHIR 7.5MG TAB SHIR 12.5MG TAB SHIR CAP SHIR CAP SHIR CAP SHIR CAP SHIR CAP SHIR CAP SHIR

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------30 30 30 30 30 30 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 LOZ LOZ LOZ LOZ LOZ LOZ TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 63459-0512-30 63459-0516-30 63459-0502-30 63459-0504-30 63459-0506-30 63459-0508-30 00555-0762-02 00555-0764-02 00555-0766-02 00555-0767-02 00555-0768-02 00555-0763-02 00555-0765-02 54092-0383-01 54092-0385-01 54092-0387-01 54092-0389-01 54092-0391-01 54092-0381-01 00555-0972-02 63304-0909-01 00185-0111-01 00555-0776-02 00555-0973-02 63304-0910-01 00185-0401-01 00555-0974-02 63304-0911-01 00185-0404-01 00555-0777-02 00555-0971-02 63304-0908-01 00185-0084-01 00555-0775-02 64365-0508-02 64365-0505-03

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ LOZ LOZ LOZ LOZ LOZ LOZ TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP

ADDERALL XR 10MG ADDERALL XR 15MG ADDERALL XR 20MG ADDERALL XR 25MG ADDERALL XR 30MG ADDERALL XR 5MG

AMPHET SALT COMB 10MG TB BAR AMPHET SALT COMB 10MG TB RAN AMPHET SALT COMB 10MG TB SAN AMPHET SALT COMB 12.5 TB BAR AMPHET SALT COMB 20MG TB BAR AMPHET SALT COMB 20MG TB RAN AMPHET SALT COMB 20MG TB SAN AMPHET SALT COMB 30MG TB BAR AMPHET SALT COMB 30MG TB RAN AMPHET SALT COMB 30MG TB SAN AMPHET SALT COMBO 15M TB BAR AMPHET SALT COMBO 5MG TB BAR AMPHET SALT COMBO 5MG TB RAN AMPHET SALT COMBO 5MG TB SAN AMPHET SALT COMBO 7.5 TB BAR AVINZA AVINZA WRITE-IN ITEMS NOT LISTED ABOVE: 120MG 30MG CAP LIGA CAP LIGA

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

_2_ _2_ _2_ _2_ _2_ _2_

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-II INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 2

DRUG DESCRIPTION --------------------------------AVINZA AVINZA 60MG 90MG CAP LIGA CAP LIGA SUPP POLY SUPP POLY

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 12 12 12 12 4 5 500 100 100 100 100 100 100 100 100 100 100 100 10 30 10 30 10 30 10 30 100 100 10 20 473 25 30 10 CAP CAP SUP SUP SUP SUP ML GM ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB PAT PAT PAT PAT PAT PAT PAT PAT TAB TAB ML ML ML AMP ML ML 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 64365-0506-03 64365-0507-02 61451-5015-07 61451-5016-07 00574-7045-12 00574-7040-12 00054-8164-02 00406-1520-53 00054-3161-63 63304-0748-01 63304-0749-01 00054-8155-24 00054-4156-25 00054-8156-24 00054-4157-25 00456-5200-01 17314-5850-02 17314-5853-02 17314-5851-02 17314-5852-02 54092-0552-10 54092-0552-30 54092-0553-10 54092-0553-30 54092-0554-10 54092-0554-30 54092-0555-10 54092-0555-30 00024-0337-04 00024-0335-04 00409-1180-69 00409-1201-20 00024-0332-06 00409-1253-01 00409-1181-30 00409-1179-30

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP CAP SUP SUP SUP SUP ML GM ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB PAT PAT PAT PAT PAT PAT PAT PAT TAB TAB ML ML ML AMP ML ML

B & O 15A 30MG B & O 16A 60MG

BELLADO+OPIUM 30MG SUPP PADD BELLADO+OPIUM 60MG SUPP PADD COCAINE 10% SOLU COCAINE POWDER ML ROXA GM MALL

CODEINE PHOS 15MG/5 SOL ROXA CODEINE PHOS 30MG CODEINE PHOS 60MG TAB RANB TAB RANB

CODEINE SUL 15MG 4X25 TB ROX CODEINE SULF 30MG TAB ROXA

CODEINE SULF 30MG UD TB ROXA CODEINE SULF 60MG COMBUNOX 5/400MG TAB ROXA TAB FORE TAB MCNE TAB MCNE TAB MCNE TAB MCNE

CONCERTA ER 18MG CONCERTA ER 27MG CONCERTA ER 36MG CONCERTA ER 54MG DAYTRANA DAYTRANA DAYTRANA DAYTRANA DAYTRANA DAYTRANA DAYTRANA DAYTRANA DEMEROL DEMEROL

10MG/9HR PAT SHIR 10MG/9HR PAT SHIR 15MG/9HR PAT SHIR 15MG/9HR PAT SHIR 20MG/9HR PAT SHIR 20MG/9HR PAT SHIR 30MG/9HR PAT SHIR 30MG/9HR PAT SHIR 100MG 50MG TAB SANO TAB SANO

DEMEROL 100MG/ML CPJ 1ML HOS DEMEROL 100MG/ML VL ML HOSP

DEMEROL 50MG/5ML SYP ML SANO DEMEROL 50MG/ML 1ML AMP HOSP DEMEROL 50MG/ML VL ML HOSP

DEMEROL 75MG/ML CPJ 1ML HOSP WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________

_______ ______ _______ ______

_2_ _2_

_____________________ _____________________

________ ______ ________ ______

_________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______

_2_ _2_ _2_ _2_

_____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______

C-II INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 3

DRUG DESCRIPTION --------------------------------DEMEROL UA 100MG/ML AMP HOSP DESOXYN DEXEDRINE 5MG 5MG TAB OVAT TAB GLAX

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------25 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 20 6 473 20 5 5 5 5 5 100 500 100 100 AMP TAB TAB CAP CAP CAP TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB ML SUP ML ML PAT PAT PAT PAT PAT TAB TAB TAB TAB 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 00409-1256-01 67386-0102-01 00007-3519-20 00007-3513-20 00007-3514-20 00007-3512-20 00555-0953-02 58177-0312-04 00406-8959-01 00555-0952-02 58177-0311-04 00406-8958-01 00555-0955-02 00406-8961-01 00555-0956-02 00406-8962-01 00555-0954-02 00406-8960-01 54092-0452-01 54092-0448-01 00074-2415-14 00074-2416-14 00074-2426-14 00074-2414-21 00074-2451-07 00074-2452-02 00054-1218-42 50458-0037-05 50458-0033-05 50458-0034-05 50458-0035-05 50458-0036-05 60951-0602-70 60951-0602-85 60951-0712-70 60951-0797-70

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ AMP TAB TAB CAP CAP CAP TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB ML SUP ML ML PAT PAT PAT PAT PAT TAB TAB TAB TAB

DEXEDRINE SPAN 10MG CAP GLAX DEXEDRINE SPAN 15MG CAP GLAX DEXEDRINE SPAN 5MG DEXTROAMPHET 10MG DEXTROAMPHET 10MG DEXTROAMPHET 10MG DEXTROAMPHET 5MG DEXTROAMPHET 5MG DEXTROAMPHET 5MG CAP GLAX TAB BARR TAB ETHE TAB MALL TAB BARR TAB ETHE TAB MALL

DEXTROAMPHET SR 10MG CP BARR DEXTROAMPHET SR 10MG CP MALL DEXTROAMPHET SR 15MG CP BARR DEXTROAMPHET SR 15MG CP MALL DEXTROAMPHET SR 5MG CAP BARR DEXTROAMPHET SR 5MG CAP MALL DEXTROSTAT 10MG DEXTROSTAT 5MG DILAUDID DILAUDID DILAUDID 2MG 4MG 8MG TAB SHIR TAB SHIR TAB ABBO TAB ABBO TAB ABBO ML ABBO SUP ABBO

DILAUDID MDC 2MG/ML DILAUDID SUPP 3MG

DILAUDID-5 O/S 1MG/ML ML ABB DOLOPHINE MDV 10MG/ML VL ROX DURAGESIC DURAGESIC DURAGESIC DURAGESIC 12MCG/HR PAT JANS 25MCG/HR PAT JANS 50MCG/HR PAT JANS 75MCG/HR PAT JANS

DURAGESIC 100MCG/HR PAT JANS ENDOCET ENDOCET 5/325MG 5/325MG TAB ENDO TAB ENDO TAB ENDO TAB ENDO

ENDOCET 10/325MG ENDOCET 10/650MG WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________

_______ ______

_2_

_____________________

________ ______

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______

_2_ _2_ _2_ _2_ _2_

_____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ____ ____ ______ ________ ______ ________ ______

C-II INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 4

DRUG DESCRIPTION --------------------------------ENDOCET 7.5/325MG ENDOCET 7.5/500MG ENDODAN 4.5/325MG TAB ENDO TAB ENDO TAB ENDO

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 100 30 30 5 5 5 30 5 30 30 30 5 5 5 30 5 5 5 30 5 5 5 30 50 20 28 28 28 28 28 100 100 100 100 TAB TAB TAB ML ML PAT PAT PAT LOZ PAT LOZ LOZ LOZ PAT PAT PAT LOZ PAT PAT PAT LOZ PAT PAT PAT LOZ AMP AMP TAB TAB TAB TAB TAB TAB TAB TAB CAP 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 60951-0700-70 60951-0796-70 60951-0310-70 58177-0914-01 58177-0914-56 67767-0123-18 00378-9124-98 00781-7114-55 55253-0074-30 00378-9119-98 00555-1085-01 55253-0075-30 55253-0070-30 67767-0120-18 00378-9121-98 00781-7111-55 55253-0071-30 67767-0121-18 00378-9122-98 00781-7112-55 55253-0072-30 67767-0122-18 00378-9123-98 00781-7113-55 55253-0073-30 10019-0034-73 00409-9093-32 63459-0541-28 63459-0542-28 63459-0544-28 63459-0546-28 63459-0548-28 00078-0382-05 00078-0380-05 00078-0381-05 00078-0431-05

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB ML ML PAT PAT PAT LOZ PAT LOZ LOZ LOZ PAT PAT PAT LOZ PAT PAT PAT LOZ PAT PAT PAT LOZ AMP AMP TAB TAB TAB TAB TAB TAB TAB TAB CAP

ETH-OXYDOSE 20MG/1ML ML ETHE ETH-OXYDOSE 20MG/M INVMP ETH FENTANYL 100MCG/HR PAT FENTANYL 100MCG/HR PAT FENTANYL 100MCG/HR PAT AMER MYLA SAND

FENTANYL 1200MCG OR/LOL WATS FENTANYL 12MCG/HR PAT MYLA

FENTANYL 1600MCG OR/LOL BARR FENTANYL 1600MCG OR/LOL WATS FENTANYL 200MCG OR/LOL FENTANYL 25MCG/HR PAT FENTANYL 25MCG/HR PAT FENTANYL 25MCG/HR PAT FENTANYL 400MCG OR/LOL FENTANYL 50MCG/HR PAT FENTANYL 50MCG/HR PAT FENTANYL 50MCG/HR PAT FENTANYL 600MCG OR/LOL FENTANYL 75MCG/HR PAT FENTANYL 75MCG/HR PAT FENTANYL 75MCG/HR PAT FENTANYL 800MCG OR/LOL WATS AMER MYLA SAND WATS AMER MYLA SAND WATS AMER MYLA SAND WATS

FENTANYL CIT.05MG/ML AMP BAX FENTANYL CIT.05MG/ML AMP HOS FENTORA FENTORA FENTORA FENTORA FENTORA FOCALIN FOCALIN FOCALIN 100MCG 200MCG 400MCG 600MCG 800MCG 10MG 2.5MG 5MG TAB CEPH TAB CEPH TAB CEPH TAB CEPH TAB CEPH TAB NOVA TAB NOVA TAB NOVA CAP NOVA

FOCALIN XR 10MG WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

_2_ _2_ _2_ _2_ _2_ _2_

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ _ _______ ______

C-II INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 5

DRUG DESCRIPTION --------------------------------FOCALIN XR 15MG FOCALIN XR 20MG FOCALIN XR 5MG CAP NOVA CAP NOVA CAP NOVA

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 100 20 10 100 100 100 100 100 100 100 6 100 100 100 100 100 100 100 100 100 100 100 60 100 60 100 60 100 60 100 60 100 100 1 CAP CAP CAP ML ML TAB TAB TAB TAB TAB TAB TAB SUP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP ML 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 00078-0493-05 00078-0432-05 00078-0430-05 00641-2341-41 00409-1304-31 60951-0752-70 58177-0620-04 58177-0298-04 00527-1353-01 00406-3243-01 00603-3925-21 00054-4392-25 00574-7224-06 60951-0757-70 58177-0299-04 58177-0621-04 00527-1354-01 00406-3244-01 00603-3926-21 00054-4394-25 58177-0299-11 52152-0260-02 00406-3249-01 00054-4370-25 63857-0324-06 63857-0324-11 63857-0322-06 63857-0322-11 63857-0325-06 63857-0325-11 63857-0323-06 63857-0323-11 63857-0326-06 63857-0326-11 63857-0412-11 00187-3072-10

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP CAP CAP ML ML TAB TAB TAB TAB TAB TAB TAB SUP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP ML

HYDROMORP 2MG/ML INJ ML BAXT HYDROMORPHON 4MG 10X1ML HOSP HYDROMORPHONE 2MG HYDROMORPHONE 2MG HYDROMORPHONE 2MG HYDROMORPHONE 2MG HYDROMORPHONE 2MG HYDROMORPHONE 2MG HYDROMORPHONE 2MG TAB ENDO TAB ETHE TAB ETHE TAB LANN TAB MALL TAB QUAL TAB ROXA PADD

HYDROMORPHONE 3MG SUPP HYDROMORPHONE 4MG HYDROMORPHONE 4MG HYDROMORPHONE 4MG HYDROMORPHONE 4MG HYDROMORPHONE 4MG HYDROMORPHONE 4MG HYDROMORPHONE 4MG

TAB ENDO TAB ETHE TAB ETHE TAB LANN TAB MALL TAB QUAL TAB ROXA

HYDROMORPHONE 4MG UD TB ETHE HYDROMORPHONE 8MG HYDROMORPHONE 8MG HYDROMORPHONE 8MG KADIAN KADIAN KADIAN KADIAN KADIAN KADIAN KADIAN KADIAN KADIAN KADIAN KADIAN 100MG 100MG 20MG 20MG 30MG 30MG 50MG 50MG 60MG 60MG 80MG TAB ACTA TAB MALL TAB ROXA CAP ALPH CAP ALPH CAP ALPH CAP ALPH CAP ALPH CAP ALPH CAP ALPH CAP ALPH CAP ALPH CAP ALPH CAP ALPH

LEVO-DROMORAN 2MG/M INJ VALE WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

_2_ _2_ _2_ _2_ _2_ _2_

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-II INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 6

DRUG DESCRIPTION --------------------------------LEVO-DROMORAN 2MG/M INJ VALE LEVORPHANOL 2MG MEPERGAN FOR 50/25 TAB ROXA CAP WYET

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------10 100 100 100 100 25 250 500 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 500 20 ML TAB CAP CAP CAP VLS TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB ML ML 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 00004-1911-06 00054-4494-25 00008-0261-02 52152-0190-02 58177-0027-04 10019-0162-01 00008-0308-03 00054-3545-63 52152-0157-02 00555-0382-02 57664-0471-08 00406-7115-01 00054-4596-25 00591-0727-01 52152-0158-02 00555-0381-02 57664-0467-08 00406-7113-01 00054-4595-25 00591-0726-01 00603-4416-21 00603-4415-21 00603-4424-21 53014-0579-07 53014-0580-07 53014-0581-07 53014-0582-07 53014-0583-07 53014-0584-07 53014-0593-07 53014-0594-07 00406-5771-01 00054-4571-25 00054-8554-24 00054-3556-63 66479-0530-02

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ML TAB CAP CAP CAP VLS TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB ML ML

MEPERID+PROM 50/25MG CP ACTA MEPERID+PROM 50/25MG CP ETHE MEPERIDINE 100MG/M 25X1M BAX MEPERIDINE 50MG UD TAB WYET

MEPERIDINE 50MG/5ML SYR ROXA MEPERIDINE HCL 100MG TB AMID MEPERIDINE HCL 100MG TB BARR MEPERIDINE HCL 100MG TB CARA MEPERIDINE HCL 100MG TB MALL MEPERIDINE HCL 100MG TB ROXA MEPERIDINE HCL 100MG TB WATS MEPERIDINE HCL 50MG TAB ACTA MEPERIDINE HCL 50MG TAB BARR MEPERIDINE HCL 50MG TAB CARA MEPERIDINE HCL 50MG TAB MALL MEPERIDINE HCL 50MG TAB ROXA MEPERIDINE HCL 50MG TAB WATS MEPERITAB 100MG MEPERITAB 50MG MEPROZINE 50/25MG METADATE CD 10MG METADATE CD 20MG METADATE CD 30MG METADATE CD 40MG METADATE CD 50MG METADATE CD 60MG METADATE ER 10MG METADATE ER 20MG METHADONE 10MG METHADONE 10MG TAB QUAL TAB QUAL CAP QUAL CAP UCB CAP UCB CAP UCB CAP UCB CAP UCB CAP UCB TAB UCB TAB UCB TAB MALL TAB ROXA

METHADONE 10MG 4X25 TAB ROXA METHADONE 10MG/5ML SOLN ROXA METHADONE 10MG/ML INJ VL AAI WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

_2_ _2_ _2_ _2_ _2_ _2_

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-II INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 7

DRUG DESCRIPTION --------------------------------METHADONE 10MG/ML OR/SOL ROX METHADONE 5MG METHADONE 5MG TAB MALL TAB ROXA ROXA CEBE

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------30 100 100 500 946 100 100 100 1000 100 100 100 1000 100 1000 100 1000 100 100 100 500 100 100 100 100 1000 100 1000 100 100 100 1000 100 1000 1000 100 ML TAB TAB ML ML TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 00054-3553-44 00406-5755-01 00054-4570-25 00054-3555-63 64019-0554-67 64019-0538-25 00406-3454-34 00406-6974-34 00406-0527-10 00406-0540-34 53265-0396-10 00406-1122-01 00406-1122-10 00406-1124-01 00406-1124-10 00406-1121-01 00406-1121-10 68188-0137-01 68188-0132-01 68188-0135-01 68188-0881-50 00406-1423-01 00406-1451-01 53265-0254-10 53014-0530-07 53014-0530-12 00781-8841-01 00781-8841-10 00591-5883-01 53265-0255-10 53014-0532-07 53014-0532-12 00781-8842-01 00781-8842-10 00781-1753-10 00591-5884-01

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ML TAB TAB ML ML TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

METHADONE 5MG/5ML SOLN METHADONE CONC 10MG/ML

METHADONE DISK 40MG TAB CEBE METHADOSE 10MG METHADOSE 5MG TAB MALL TAB MALL MALL

METHADOSE CONC 10MG/ML METHADOSE DIS 40MG

TAB MALL

METHAMPHETAMINE 5MG TAB ABLE METHYLIN METHYLIN METHYLIN METHYLIN METHYLIN METHYLIN 10MG 10MG 20MG 20MG 5MG 5MG TAB MALL TAB MALL TAB MALL TAB MALL TAB MALL TAB MALL TAB ALLI

METHYLIN 10MG CHEW

METHYLIN 2.5MG CHEW TAB ALLI METHYLIN 5MG CHEW TAB ALLI

METHYLIN 5MG/5ML SOL ML ALLI METHYLIN ER 10MG METHYLIN ER 20MG METHYLPHENID 10MG METHYLPHENID 10MG METHYLPHENID 10MG METHYLPHENID 10MG METHYLPHENID 10MG METHYLPHENID 10MG METHYLPHENID 20MG METHYLPHENID 20MG METHYLPHENID 20MG METHYLPHENID 20MG METHYLPHENID 20MG METHYLPHENID 20MG METHYLPHENID 20MG WRITE-IN ITEMS NOT LISTED ABOVE: TAB MALL TAB MALL TAB ABLE TAB CELL TAB CELL TAB SAND TAB SAND TAB WATS TAB ABLE TAB CELL TAB CELL TAB SAND TAB SAND TAB SAND TAB WATS

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

_2_ _2_ _2_ _2_ _2_ _2_

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-II INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 8

DRUG DESCRIPTION --------------------------------METHYLPHENID 5MG METHYLPHENID 5MG METHYLPHENID 5MG METHYLPHENID 5MG METHYLPHENID 5MG TAB ABLE TAB CELL TAB SAND TAB SAND TAB WATS

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 100 1000 100 100 100 100 100 100 100 10 10 10 10 10 100 100 100 100 10 10 20 20 500 100 500 100 500 120 30 120 240 25 25 12 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB SYG ML ML ML ML TAB TAB TAB TAB ML ML ML ML ML ML ML ML ML ML ML ML ML VL VLS SUP 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 53265-0253-10 53014-0531-07 00781-8840-01 00781-8840-10 00591-5882-01 53265-0262-10 53014-0562-07 00781-8843-01 63304-0706-01 63304-0707-01 63304-0708-01 00074-1261-31 00074-1262-01 00074-1762-21 00074-1258-01 00074-1258-30 58177-0313-04 00054-4582-25 58177-0314-04 00054-4583-25 00641-2343-41 10019-0178-62 10019-0179-63 00641-2345-41 00186-1124-95 00054-3785-49 00054-3785-63 00054-3786-49 00054-3786-63 00186-1123-85 58177-0886-01 58177-0886-03 58177-0886-05 10019-0178-44 00641-0168-25 00574-7112-12

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB SYG ML ML ML ML TAB TAB TAB TAB ML ML ML ML ML ML ML ML ML ML ML ML ML VL VLS SUP

METHYLPHENID ER 20MG TB ABLE METHYLPHENID ER 20MG TB CELL METHYLPHENID ER 20MG TB SAND MORPHINE 10MG SOLUB TAB RANB MORPHINE 15MG SOLUB TAB RANB MORPHINE 30MG SOLUB TAB RANB MORPHINE CPJ 10MG/ML 1ML HOS MORPHINE CPJ 15MG/ML 1ML ABB MORPHINE CPJ 2MG/M 10X1M HOS MORPHINE CPJ 4MG/ML 1ML HOSP MORPHINE CPJ 4MG/ML 1ML HOSP MORPHINE IR 15MG MORPHINE IR 15MG MORPHINE IR 30MG MORPHINE IR 30MG TAB ETHE TAB ROXA TAB ETHE TAB ROXA

MORPHINE MDV 10MG/ML INJ BAX MORPHINE MDV 10MG/ML INJ BAX MORPHINE MDV 15MG/ML INJ BAX MORPHINE MDV 15MG/ML INJ ELK MORPHINE O/S 10MG/5ML ML AST MORPHINE O/S 10MG/5ML ML ROX MORPHINE O/S 10MG/5ML ML ROX MORPHINE O/S 20MG/5ML ML ROX MORPHINE O/S 20MG/5ML ML ROX MORPHINE O/S 20MG/ML ML ASTR MORPHINE O/S 20MG/ML ML ETHE MORPHINE O/S 20MG/ML ML ETHE MORPHINE O/S 20MG/ML ML ETHE MORPHINE SDV 10MG/ML 1ML BAX MORPHINE SDV 5MG/ML 1ML BAXT MORPHINE SUL 10MG WRITE-IN ITEMS NOT LISTED ABOVE: SUPP PADD

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DRUG DESCRIPTION --------------------------------MORPHINE SUL 10MG/.5M INVEAM MORPHINE SUL 1MG/ML INJ HOSP MORPHINE SUL 20MG SUPP PADD

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------30 50 12 30 10 30 100 100 100 100 500 100 100 100 100 100 100 500 100 100 100 500 100 100 500 100 100 500 100 15 100 100 100 100 100 100 AMP ML SUP ML ML AMP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 58177-0889-81 00409-4058-12 00574-7114-12 58177-0886-56 00409-1135-02 58177-0888-80 60951-0658-70 00406-8390-01 00591-3514-01 60951-0652-70 60951-0652-85 58177-0310-04 00406-8315-01 00591-3511-01 60951-0659-70 00406-8320-01 60951-0653-70 60951-0653-85 58177-0320-04 00172-2163-60 00406-8330-01 00406-8330-05 00591-3512-01 60951-0655-70 60951-0655-85 58177-0330-04 00406-8380-01 00406-8380-05 00591-3513-01 58177-0886-57 59011-0263-10 59011-0260-10 59011-0264-10 59011-0261-25 59011-0262-10 00034-0518-10

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ AMP ML SUP ML ML AMP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB

MORPHINE SUL 20MG/ML INVEAMP MORPHINE SUL 25MG/ML P/F HOS MORPHINE SUL 5MG/.25M INVEAM MORPHINE SUL ER 100MG TB END MORPHINE SUL ER 100MG TB MAL MORPHINE SUL ER 100MG TB WAT MORPHINE SUL ER 15MG TB ENDO MORPHINE SUL ER 15MG TB ENDO MORPHINE SUL ER 15MG TB ETHE MORPHINE SUL ER 15MG TB MALL MORPHINE SUL ER 15MG TB WATS MORPHINE SUL ER 200MG TB END MORPHINE SUL ER 200MG TB MAL MORPHINE SUL ER 30MG TB ENDO MORPHINE SUL ER 30MG TB ENDO MORPHINE SUL ER 30MG TB ETHE MORPHINE SUL ER 30MG TB IVAX MORPHINE SUL ER 30MG TB MALL MORPHINE SUL ER 30MG TB MALL MORPHINE SUL ER 30MG TB WATS MORPHINE SUL ER 60MG TB ENDO MORPHINE SUL ER 60MG TB ENDO MORPHINE SUL ER 60MG TB ETHE MORPHINE SUL ER 60MG TB MALL MORPHINE SUL ER 60MG TB MALL MORPHINE SUL ER 60MG TB WATS MORPHINE SUL IR 20MG/ML ETHE MS CONTIN MS CONTIN MS CONTIN MS CONTIN MS CONTIN MSIR WRITE-IN ITEMS NOT LISTED ABOVE: 100MG 15MG 200MG 30MG 60MG 15MG TAB PURD TAB PURD TAB PURD TAB PURD TAB PURD TAB PURD

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DRUG DESCRIPTION --------------------------------MSIR 30MG TAB PURD ML PURD ML PURD PURD

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 120 120 30 50 6 100 100 100 100 100 100 473 120 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 TAB ML ML ML ML SUP TAB TAB TAB TAB TAB TAB ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP TAB TAB TAB 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 00034-0519-10 00034-0521-02 00034-0522-02 00034-0523-01 67386-0501-55 63481-0761-06 63481-0613-70 63481-0612-70 63481-0674-70 63481-0617-70 63481-0693-70 63481-0907-70 63304-0203-02 63304-0203-01 66479-0543-10 66479-0540-10 66479-0541-10 66479-0542-10 00406-0523-01 00591-0932-01 00591-0825-01 00406-0562-01 00406-0522-01 00591-0933-01 00406-0582-01 00591-0824-01 52152-0214-02 58177-0445-04 52152-0215-02 58177-0446-04 00406-8530-01 58177-0041-04 00406-0554-01 52152-0165-02 58177-0315-04 58177-0625-04

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB ML ML ML ML SUP TAB TAB TAB TAB TAB TAB ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP TAB TAB TAB

MSIR O/S 10MG/5ML MSIR O/S 20MG/5ML MSIR O/S CONC 20MG/ML

NEMBUTAL SOD 50MG/ML ML OVAT NUMORPHAN OPANA OPANA 5MG 10MG 5MG SUPP ENDO TAB ENDO TAB ENDO TAB ENDO TAB ENDO TAB ENDO TAB ENDO ML RANB ML RANB TAB AAIP TAB XANO TAB XANO TAB XANO

OPANA ER 10MG OPANA ER 20MG OPANA ER 40MG OPANA ER 5MG OPIUM TINCTURE OPIUM TINCTURE ORAMORPH SR ORAMORPH SR ORAMORPH SR ORAMORPH SR 100MG 15MG 30MG 60MG

OXYCOD/APAP 10/325MG TB MALL OXYCOD/APAP 10/325MG TB WATS OXYCOD/APAP 10/650 TAB WATS

OXYCOD/APAP 10/650MG TB MALL OXYCOD/APAP 7.5/325MG TB MAL OXYCOD/APAP 7.5/325MG TB WAT OXYCOD/APAP 7.5/500MG TB MAL OXYCOD/APAP 7.5/500MG TB WAT OXYCODONE OXYCODONE OXYCODONE OXYCODONE OXYCODONE OXYCODONE 5MG OXYCODONE 5MG OXYCODONE 5MG OXYCODONE 5MG OXYCODONE 5MG WRITE-IN ITEMS NOT LISTED ABOVE: 15MG 15MG 30MG 30MG 30MG TAB ACTA TAB ETHE TAB ACTA TAB ETHE TAB MALL CAP ETHE CAP MALL TAB ACTA TAB ETHE TAB ETHE

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DRUG DESCRIPTION --------------------------------OXYCODONE 5MG TAB MALL MALL

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 30 100 100 100 100 100 100 100 100 100 100 100 100 500 100 500 100 500 100 500 100 100 100 100 500 100 100 500 100 100 500 100 100 100 100 TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 00406-0552-01 00406-8558-30 60951-0702-70 00591-3501-01 60951-0703-70 00591-3502-01 60951-0705-70 00591-3503-01 60951-0710-70 00591-3504-01 00093-0024-01 00093-0031-01 00093-0032-01 00093-0033-01 00406-8555-50 00406-0512-01 00406-0512-05 00603-4998-21 00603-4998-28 00591-0749-01 00591-0749-05 52152-0041-02 51285-0658-02 00555-0658-02 00406-0532-01 00406-0532-05 00603-4997-21 00054-2795-25 00591-0737-05 00591-0737-01 00591-0820-01 00591-0820-05 59011-0100-10 59011-0109-10 59011-0103-10 59011-0105-10

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB

OXYCODONE CONC 20MG/ML OXYCODONE CR 10MG OXYCODONE CR 10MG OXYCODONE CR 20MG OXYCODONE CR 20MG OXYCODONE CR 40MG OXYCODONE CR 40MG OXYCODONE CR 80MG OXYCODONE CR 80MG OXYCODONE ER 10MG OXYCODONE ER 20MG OXYCODONE ER 40MG OXYCODONE ER 80MG

TAB UPSH TAB WATS TAB ENDO TAB WATS TAB ENDO TAB WATS TAB ENDO TAB WATS TAB TEVA TAB TEVA TAB TEVA TAB TEVA MALL

OXYCODONE SOLN 5MG/5ML

OXYCODONE/APAP 5/325 TB MALL OXYCODONE/APAP 5/325 TB MALL OXYCODONE/APAP 5/325 TB QUAL OXYCODONE/APAP 5/325 TB QUAL OXYCODONE/APAP 5/325 TB WATS OXYCODONE/APAP 5/325 TB WATS OXYCODONE/APAP 5/500 CP ACTA OXYCODONE/APAP 5/500 CP BARR OXYCODONE/APAP 5/500 CP BARR OXYCODONE/APAP 5/500 CP MALL OXYCODONE/APAP 5/500 CP MALL OXYCODONE/APAP 5/500 CP QUAL OXYCODONE/APAP 5/500 CP ROXA OXYCODONE/APAP 5/500 CP WATS OXYCODONE/APAP 5/500 CP WATS OXYCODONE/ASA 4.5/325 TB WAT OXYCODONE/ASA 4.5/325 TB WAT OXYCONTIN CR 10MG OXYCONTIN CR 160MG OXYCONTIN CR 20MG OXYCONTIN CR 40MG WRITE-IN ITEMS NOT LISTED ABOVE: TAB PURD TAB PURD TAB PURD TAB PURD

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DRUG DESCRIPTION --------------------------------OXYCONTIN CR 80MG OXYFAST O/S 20MG/ML OXYIR 5MG TAB PURD ML PURD CAP PURD CAP PURD CAP PURD CAP PURD CAP PURD TAB ENDO TAB ENDO TAB ENDO TAB ENDO TAB ENDO TAB ENDO TAB ENDO TAB ENDO TAB ENDO TAB NOVA TAB NOVA TAB NOVA CAP NOVA CAP NOVA CAP NOVA CAP NOVA TAB NOVA SUP UPSH SUP UPSH SUP UPSH SUP UPSH ML XANO ML XANO ML XANO

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 30 100 60 60 60 60 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 12 12 12 12 30 120 240 30 100 500 500 100 TAB ML CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP TAB SUP SUP SUP SUP ML ML ML ML TAB TAB ML TAB 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 59011-0107-10 59011-0225-20 59011-0201-10 59011-0312-60 59011-0313-60 59011-0314-60 59011-0315-60 63481-0629-70 63481-0622-70 63481-0627-70 63481-0623-70 63481-0628-70 63481-0621-70 63481-0121-70 63481-0166-70 63481-0132-70 00078-0440-05 00078-0441-05 00078-0439-05 00078-0424-05 00078-0370-05 00078-0371-05 00078-0372-05 00078-0442-05 00245-0161-12 00245-0162-12 00245-0163-12 00245-0160-12 66479-0560-03 66479-0560-12 00054-3751-58 00054-3774-44 00054-4650-25 00054-4650-29 00054-3686-63 00054-4784-25

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB ML CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP TAB SUP SUP SUP SUP ML ML ML ML TAB TAB ML TAB

PALLADONE ER 12MG PALLADONE ER 16MG PALLADONE ER 24MG PALLADONE ER 32MG PERCOCET-10/325MG PERCOCET-10/650MG PERCOCET-2.5/325MG PERCOCET-5/325MG PERCOCET-7.5/325MG PERCOCET-7.5/500MG PERCODAN PERCODAN-DEMI PERCOLONE RITALIN RITALIN RITALIN 5MG 10MG 20MG 5MG

RITALIN LA 10MG RITALIN LA 20MG RITALIN LA 30MG RITALIN LA 40MG RITALIN-SR RMS 10MG SUPP RMS 20MG SUPP RMS 30MG SUPP RMS 5MG SUPP ROXANOL O/S 20MG/ML ROXANOL O/S 20MG/ML ROXANOL O/S 20MG/ML 20MG

ROXANOL-T 20MG/ML SOL ML AAI ROXICET 5/325MG ROXICET 5/325MG TAB ROXA TAB ROXA

ROXICET 5/325MG SOLN ML ROXA ROXICET 5/500 CAPLET TB ROXA WRITE-IN ITEMS NOT LISTED ABOVE:

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DRUG DESCRIPTION --------------------------------ROXICOD INTENSOL 20MG/ML XAN ROXICODONE ROXICODONE ROXICODONE 15MG 30MG 5MG TAB XANO TAB XANO TAB XANO XANO

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------30 100 100 100 500 100 100 ML TAB TAB TAB ML CAP CAP 2 2 2 2 2 2 2 66591-0923-61 66479-0581-10 66479-0582-10 66479-0580-10 66591-0913-91 63304-0679-01 00045-0526-60

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ML TAB TAB TAB ML CAP CAP

ROXICODONE 5MG/5ML SOL SECONAL PULV 100MG TYLOX 5/500

CAP RANB CAP MCNE

WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

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THE PREVIOUS SECTION CONTAINED SCHEDULE 2 DRUGS ONLY. THE FOLLOWING SECTION CONTAINS SCHEDULE 3 THROUGH SCHEDULE 5 DRUGS AND THE PAGE NUMBERING STARTS OVER.

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DRUG DESCRIPTION --------------------------------A.R.M NEW FORMULA ACETAM W/COD 15MG ACETAM W/COD 15MG ACETAM W/COD 15MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 30MG ACETAM W/COD 60MG ACETAM W/COD 60MG ACETAM W/COD 60MG ACETAM W/COD 60MG ACETAM W/COD 60MG ACETAM W/COD 60MG ACETAM W/COD 60MG ACETAM W/COD 60MG ACETAM W/COD 60MG ACETAM W/COD 60MG TAB BFAS TAB BARR TAB MALL TAB TEVA TAB ABLE TAB ACTA TAB ACTA TAB ANDR TAB BARR TAB MALL TAB MALL TAB QUAL TAB QUAL TAB RANB TAB TEVA TAB TEVA TAB ACTA TAB ANDA TAB MALL TAB MALL TAB QUAL TAB RANB TAB RANB TAB TEVA TAB TEVA TAB TEVA MGP ACTA MGP PHAR QUAL ROXA URL

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------20 100 100 100 1000 1000 100 1000 1000 100 1000 100 1000 1000 100 1000 100 500 100 500 100 100 500 100 500 1000 480 480 120 480 480 500 480 120 24 20 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML ML ML ML ML ML ML ML TAB TAB 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 5 5 5 5 5 5 3 3 3 00225-0575-82 51285-0302-02 00406-0483-01 00093-0050-01 53265-0285-11 00228-3056-96 00228-3056-11 62037-0522-10 00555-0303-05 00406-0484-01 00406-0484-10 00603-2338-21 00603-2338-32 63304-0562-10 00093-0150-01 00093-0150-10 00228-3058-11 62037-0523-05 00406-0485-01 00406-0485-05 00603-2339-21 63304-0561-01 63304-0561-05 00093-0350-01 00093-0350-05 00093-0350-10 60432-0245-16 00472-1419-16 60432-0245-04 00121-0504-16 00603-1020-58 00054-3005-63 00677-0996-33 00182-1609-37 00081-0018-24 00081-0082-20

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML ML ML ML ML ML ML ML TAB TAB

ACETAM W/COD ELIX 12MG ACETAM W/COD ELIX 12MG ACETAM W/COD ELIX 12MG ACETAM W/COD ELIX 12MG ACETAM W/COD ELIX 12MG ACETAM W/COD ELIX 12MG ACETAM W/COD ELIX 12MG ACTAGEN SYRUP ACTIFED

ML IVAX TAB WARN

ACTIFED COLD & SINUS TB PFIZ WRITE-IN ITEMS NOT LISTED ABOVE:

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_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

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DRUG DESCRIPTION --------------------------------ACTIFED COLD&ALLERGY TB WARN ADIPEX-P ADIPEX-P 37.5MG CAP GATE 37.5MG TAB GATE

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------24 100 100 20 16 40 20 12 20 10 100 100 500 24 100 480 10 5 15 10 24 10 20 100 500 1000 100 500 1000 100 500 100 500 1000 100 500 TAB CAP TAB TAB CAP TAB TAB TAB TAB CAP TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 3 4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 00501-2017-24 57844-0019-01 57844-0009-01 00573-0188-10 00573-0184-16 00573-0180-21 00573-0180-10 00573-2660-12 25866-0041-22 25866-0504-77 00088-1095-47 00088-1090-47 00088-1090-55 63736-0585-01 00536-3421-01 00536-0510-85 24385-0351-52 51660-0724-56 51660-0724-15 51660-0724-11 24385-0427-62 00113-0165-52 10122-0701-20 00228-2027-10 00228-2027-50 00228-2027-96 59762-3719-01 59762-3719-03 59762-3719-04 00378-4001-01 00378-4001-05 00781-1061-01 00781-1061-05 00781-1061-10 00228-2029-10 00228-2029-50

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB CAP TAB TAB CAP TAB TAB TAB TAB CAP TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

ADVIL ALLERGY & SINUS CAPLET ADVIL COLD & SINUS ADVIL COLD & SINUS CAP WYET TAB WYET

ADVIL COLD & SINUS CAPL WYET ALAVERT D 12HR 5/120 TB WYET ALEVE COLD & SINUS TAB BAYE

ALEVE SINUS & HEADACHE CAP ALLEGRA D 24HR ALLEGRA-D 12HR ALLEGRA-D 12HR ALLEREST MAX STR ALLERFRIM ALLERFRIM SYRUP TAB AVEN TAB AVEN TAB AVEN TAB INSI OTC TAB WATS ML WATS

ALLERGY & CONGEST REL TB GNP ALLERGY REL & NASAL DEC OHM ALLERGY REL & NASAL DECON TB ALLERGY RELIEF/NASAL DEC OHM ALLERGY SINUS MEDICAT TB GNP ALLERGY/CONGEST REL TAB PERR ALLERX DOSE PK ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM WRITE-IN ITEMS NOT LISTED ABOVE: TAB CORN

0.25MG TAB ACTA 0.25MG TAB ACTA 0.25MG TAB ACTA 0.25MG TAB GREE 0.25MG TAB GREE 0.25MG TAB GREE 0.25MG TAB MYLA 0.25MG TAB MYLA 0.25MG TAB SAND 0.25MG TAB SAND 0.25MG TAB SAND 0.5MG 0.5MG TAB ACTA TAB ACTA

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DATE: ____ / ____ / ________

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DRUG DESCRIPTION --------------------------------ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM ALPRAZOLAM 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 2MG 2MG 2MG 2MG 2MG TAB ACTA TAB GREE TAB GREE TAB GREE TAB MYLA TAB MYLA TAB SAND TAB SAND TAB SAND TAB ACTA TAB ACTA TAB ACTA TAB GREE TAB GREE TAB GREE TAB MYLA TAB MYLA TAB SAND TAB SAND TAB SAND TAB ACTA TAB GREE TAB MYLA TAB SAND TAB SAND

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------1000 100 500 1000 100 500 100 500 1000 100 500 1000 100 500 1000 100 500 100 500 1000 100 100 100 100 500 60 60 30 60 60 60 60 60 60 60 60 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 00228-2029-96 59762-3720-01 59762-3720-03 59762-3720-04 00378-4003-01 00378-4003-05 00781-1077-01 00781-1077-05 00781-1077-10 00228-2031-10 00228-2031-50 00228-2031-96 59762-3721-01 59762-3721-03 59762-3721-04 00378-4005-01 00378-4005-05 00781-1079-01 00781-1079-05 00781-1079-10 00228-2039-10 59762-3722-01 00378-4007-01 00781-1089-01 00781-1089-05 00185-0195-60 00185-0196-60 00054-3068-44 59762-0057-01 00378-5021-91 59762-0059-01 00378-5022-91 59762-0066-01 00378-5023-91 59762-0068-01 00378-5024-91

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB

ALPRAZOLAM ER 0.5MG TAB SAND ALPRAZOLAM ER 1MG TAB SAND

ALPRAZOLAM O/S 1MG/ML ML ROX ALPRAZOLAM XR 0.5MG TAB GREE ALPRAZOLAM XR 0.5MG TAB MYLA ALPRAZOLAM XR 1MG ALPRAZOLAM XR 1MG ALPRAZOLAM XR 2MG ALPRAZOLAM XR 2MG ALPRAZOLAM XR 3MG ALPRAZOLAM XR 3MG WRITE-IN ITEMS NOT LISTED ABOVE: TAB GREE TAB MYLA TAB GREE TAB MYLA TAB GREE TAB MYLA

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-III/V INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 4

DRUG DESCRIPTION --------------------------------AMBIEN AMBIEN AMBIEN AMBIEN 10MG 10MG 5MG 5MG TAB SANO TAB SANO TAB SANO TAB SANO TAB SANO TAB SANO

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 500 100 500 100 100 60 100 250 100 500 100 100 60 30 30 30 150 100 100 100 100 100 100 100 24 12 500 100 100 100 100 100 100 100 100 TAB TAB TAB TAB TAB TAB TAB CAP CAP TAB TAB TAB TAB PAT PAT PKT PKT GM CAP TAB TAB TAB TAB TAB TAB TAB SUP CAP CAP TAB TAB TAB TAB TAB TAB TAB 4 4 4 4 4 4 3 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 3 3 3 3 3 3 3 3 4 00024-5421-31 00024-5421-50 00024-5401-31 00024-5401-50 00024-5521-31 00024-5501-31 66993-0120-60 52152-0039-02 52152-0039-03 00378-0211-01 00378-0211-05 00378-0277-01 00051-8633-33 52544-0469-60 52544-0470-30 00051-8450-30 00051-8425-30 00051-8488-88 00187-0902-01 00832-0086-00 62022-0563-01 00406-5361-01 62022-0663-01 00406-5362-01 00904-0250-59 00904-0250-24 61451-6005-07 51991-0074-05 51991-0074-01 00172-3984-60 00603-2361-21 00677-0647-01 00172-3985-60 00603-2362-21 00677-0676-01 64455-0063-01

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB CAP CAP TAB TAB TAB TAB PAT PAT PKT PKT GM CAP TAB TAB TAB TAB TAB TAB TAB SUP CAP CAP TAB TAB TAB TAB TAB TAB TAB

AMBIEN CR 12.5MG AMBIEN CR 6.25MG AMDRY-D AMIDRINE AMIDRINE

120/2.5MG TAB PRAS CAP ACTA CAP ACTA

AMITRIP/CHLOR 12.5/5 TB MYLA AMITRIP/CHLOR 12.5/5 TB MYLA AMITRIP/CHLOR 25/10 TAB MYLA ANADROL-50 50MG TAB UNIM

ANDRODERM 2.5MG/24H PAT WATS ANDRODERM 5MG/24HR ANDROGEL 1% PAT WATS

5GM PKT EA UNIM

ANDROGEL 1% 2.5GM PKT EA UNI ANDROGEL 1% METER PUMP ANDROID ANDROXY ANEXSIA ANEXSIA ANEXSIA ANEXSIA APRODINE APRODINE 10MG 10MG 5/325 5/500 7.5/325 7.5/650 UNIM

CAP VALE TAB UPSH TAB ANDR TAB MALL TAB ANDR TAB MALL TAB MAJO TAB MAJO

AQUACHLORAL 5GR SUPP EA POLY ASCOMP W/COD 30MG ASCOMP W/COD 30MG ASPIRIN W/COD 30MG ASPIRIN W/COD 30MG ASPIRIN W/COD 30MG ASPIRIN W/COD 60MG ASPIRIN W/COD 60MG ASPIRIN W/COD 60MG ATIVAN WRITE-IN ITEMS NOT LISTED ABOVE: 0.5MG CAP BREC CAP BREC TAB IVAX TAB QUAL TAB URL TAB IVAX TAB QUAL TAB URL TAB BIOV

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-III/V INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 5

DRUG DESCRIPTION --------------------------------ATIVAN ATIVAN 1MG 2MG TAB BIOV TAB BIOV ESI

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 25 118 20 24 20 24 20 100 480 100 100 480 480 118 473 120 473 100 480 100 100 100 60 24 473 100 10 100 500 100 100 500 100 100 TAB TAB ML ML TAB TAB TAB TAB CAP TAB ML TAB CAP ML ML ML ML ML ML CAP ML CAP CAP CAP TAB TAB ML TAB ML CAP CAP CAP CAP CAP CAP CAP 4 4 4 3 3 3 3 3 3 3 5 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 3 5 3 3 3 3 3 3 3 64455-0064-01 64455-0065-01 60977-0112-01 00071-2555-17 12547-0175-51 12547-0170-32 12547-0175-23 99999-0002-12 99999-0006-62 59310-0112-10 59741-0113-16 65234-0048-10 00187-0498-01 50383-0593-16 00182-6022-40 60432-0235-04 60432-0235-16 60432-0236-04 60432-0236-16 00451-4000-50 00451-4101-16 67000-0201-10 58177-0020-04 58177-0019-04 00024-4081-06 00024-4081-02 00482-0441-16 00482-0440-01 12496-0757-01 68084-0114-00 68084-0114-05 00527-1312-01 00591-0425-01 00591-0425-05 00182-2693-01 00603-2553-21

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB ML ML TAB TAB TAB TAB CAP TAB ML TAB CAP ML ML ML ML ML ML CAP ML CAP CAP CAP TAB TAB ML TAB ML CAP CAP CAP CAP CAP CAP CAP

ATIVAN 2MG/ML INJ VL ML

BENADRYL CHLD ALLER/SINU LIQ BENADRYL SEVERE ALLRG/SINUS BENADRYL-D TAB PFIZ

BENADRYL-D FASTMELT TAB PFIZ BI-MART NASAL DECON/ANTIS TB BI-MART NIGHT TIME COLD MED BIOHIST-LA BIOTUSSIN AC SYP BONTRIL PDM 35MG BONTRIL S/R 105MG BROMATANE DX SYR BROMATANE DX SYRUP BROMAXEF SYRUP BROMAXEF SYRUP BROMAXEF-DM SYRUP BROMAXEF-DM SYRUP BROMFED BROMFED-DM SYRUP BROMFED-PD BROMFENEX PD BROMFENEX SA TAB IVAX ML BIOP TAB AMAR CAP AMAR ML HI-T ML IVAX ML MGP ML MGP ML MGP ML MGP CAP VICT ML VICT CAP VICT CAP ETHE CAP ETHE

BRONKAID DUAL ACTION TB BAYE BRONKAID DUAL ACTION TB BAYE BRONTEX LIQUID BRONTEX TABS ML KENW TAB KENW

BUPRENEX 0.3MG/ML INJ ML REC BUTA/ASA/CAF+COD 30MG CP AHP BUTA/ASA/CAF+COD 30MG CP AHP BUTA/ASA/CAF+COD 30MG CP LAN BUTA/ASA/CAF+COD 30MG CP WAT BUTA/ASA/CAF+COD 30MG CP WAT BUTAL+APAP+CAF+COD BUTAL+APAP+CAF+COD WRITE-IN ITEMS NOT LISTED ABOVE: CAP IVAX CAP QUAL

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-III/V INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

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DRUG DESCRIPTION --------------------------------BUTAL+APAP+CAF+COD BUTAL+APAP+CAF+COD BUTALBIT/ASA/CAFF BUTALBIT/ASA/CAFF BUTALBIT/ASA/CAFF BUTALBIT/ASA/CAFF BUTALBIT/ASA/CAFF BUTALBIT/ASA/CAFF BUTALBIT/ASA/CAFF BUTALBIT/ASA/CAFF BUTALBIT/ASA/CAFF BUTALBIT/ASA/CAFF BUTISOL SODI 30MG BUTISOL SODI 50MG CAP WATS CAP WEST CAP LANN CAP MAJO CAP QUAL CAP URL CAP WATS TAB ACTA TAB ACTA TAB QUAL TAB QUAL TAB WEST TAB MEDP TAB MEDP

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 100 100 100 100 100 100 1000 100 1000 100 100 100 20 10 3 3 3 10 10 480 30 30 100 100 100 100 500 100 100 500 100 500 1000 500 CAP CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB ML ML ML ML ML VL VL ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 5 3 3 3 3 3 4 4 4 4 4 4 4 4 4 00591-3220-01 00143-3000-01 00527-1552-01 00904-3934-60 00603-2550-21 00677-1439-01 00591-3219-01 00228-2023-10 00228-2023-96 00603-2548-21 00603-2548-32 00143-1785-01 00037-0113-60 00037-0114-60 55390-0184-02 00409-1626-01 00378-9639-43 00054-3090-36 60505-0813-01 55390-0183-01 55390-0184-01 00187-0003-01 60432-0237-30 60432-0234-30 52152-0138-02 00603-2584-21 00185-0749-01 49884-0246-01 49884-0246-05 00603-2583-21 00185-0724-01 00185-0724-05 53265-0266-10 53265-0266-50 53265-0266-11 52152-0136-04

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB ML ML ML ML ML VL VL ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

BUTORPHANOL 2MG/ML 10X2 BEDF BUTORPHANOL FTV 2MG/ML BUTORPHANOL NS 10MG/ML BUTORPHANOL NS 10MG/ML HOSP MYLA ROXA

BUTORPHANOL NS 10MG/ML APOTX BUTORPHANOL SDV 1MG/1ML BEDF BUTORPHANOL SDV 2MG/1ML BEDF CAPITAL/COD SUSP CARBAXEF-DM DROP ML AMAR ML MGP

CARBAXEFED RF 15MG/5 DRP MGP CARIS/ASA+COD 200/325 TB AMI CARIS/ASA+COD 200/325 TB QUA CARIS/ASA+COD 200/325 TB SAN CARISOPR/ASA 200/325 TB PAR CARISOPR/ASA 200/325 TB PAR CARISOPR/ASA 200/325 TB QUAL CARISOPR/ASA 200/325 TB SAND CARISOPR/ASA 200/325 TB SAND CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG WRITE-IN ITEMS NOT LISTED ABOVE: TAB ABLE TAB ABLE TAB ABLE TAB AMID

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-III/V INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

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DRUG DESCRIPTION --------------------------------CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG CARISOPRODOL 350MG TAB AMID TAB MUTU TAB MUTU TAB MUTU TAB QUAL TAB QUAL TAB SAND TAB URL TAB URL TAB URL TAB URL TAB URL TAB WATS TAB WATS TAB WATS TAB WEST

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------1000 100 500 1000 500 1000 500 100 60 30 500 1000 100 500 1000 1000 120 480 3840 480 120 24 100 480 480 473 480 100 100 100 500 100 500 100 100 100 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML ML ML ML ML TAB TAB ML ML ML ML CAP CAP CAP CAP CAP CAP CAP CAP CAP 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 5 5 5 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 52152-0136-05 53489-0110-01 53489-0110-05 53489-0110-10 00603-2582-28 00603-2582-32 00781-5005-05 00677-0589-01 00677-0589-06 00677-0589-07 00677-0589-05 00677-0589-10 00591-5513-01 00591-5513-05 00591-5513-10 00143-1176-10 00603-1075-54 00603-1075-58 00603-1075-60 00603-1078-58 00031-2230-32 00085-0901-03 68032-0182-10 00781-6605-16 60432-0533-16 00121-0532-16 00603-1088-58 51079-0141-20 00555-0033-02 00591-0786-01 00591-0786-05 00555-0159-02 00555-0159-04 49884-0960-01 00603-2668-21 00591-0787-01

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML ML ML ML ML TAB TAB ML ML ML ML CAP CAP CAP CAP CAP CAP CAP CAP CAP

CHERATUSSIN AC SYRUP ML QUAL CHERATUSSIN AC SYRUP ML QUAL CHERATUSSIN AC SYRUP ML QUAL CHERATUSSIN DAC SYRUP ML QUA CHILDRENS DIMETAPP ELIX WYET CHLOR-TRIMETON DECONG TB SCH CHLOR/PSEUDOE 12/120 TB RIVE CHLORAL HYDR 500MG/5 ML GENE CHLORAL HYDR 500MG/5 ML MGP CHLORAL HYDR 500MG/5 ML PAI CHLORAL HYDR 500MG/5 ML QUAL CHLORDIAZEPOX 25MG UD CP UDL CHLORDIAZEPOXI 10MG CAP BARR CHLORDIAZEPOXI 10MG CAP WATS CHLORDIAZEPOXI 10MG CAP WATS CHLORDIAZEPOXI 25MG CAP BARR CHLORDIAZEPOXI 25MG CAP BARR CHLORDIAZEPOXI 25MG CAP PAR CHLORDIAZEPOXI 25MG CAP QUAL CHLORDIAZEPOXI 25MG CAP WATS WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ______ __ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-III/V INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

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DRUG DESCRIPTION --------------------------------CHLORDIAZEPOXI 25MG CAP WATS CHLORDIAZEPOXI 5MG CHLORDIAZEPOXI 5MG CHLORDIAZEPOXI 5MG CP BARR CAP QUAL CAP WATS

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------500 100 100 100 100 100 100 100 10 20 30 10 5 15 10 100 500 100 500 1000 1000 100 500 1000 100 500 100 100 500 500 100 500 1000 1000 100 500 CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 00591-0787-05 00555-0158-02 00603-2666-21 00591-0785-01 00185-1304-01 00677-1747-01 00085-1322-01 00085-1317-01 41100-0802-08 41100-0802-17 11523-7162-03 11523-7161-02 11523-7161-01 41100-0802-89 00904-5726-15 00228-3003-11 00228-3003-50 57664-0273-08 57664-0273-13 57664-0273-18 00378-1910-10 00185-0063-01 00185-0063-05 00185-0063-10 00093-0832-01 00093-0832-05 60505-0066-01 00228-3004-11 00228-3004-50 60505-0067-03 57664-0274-08 57664-0274-13 57664-0274-18 00378-1912-10 00185-0064-01 00185-0064-05

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP CAP CAP CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

CHLORPH/PSEU ER 8/120 CP SAN CHLORPHEN/PSEU 8/120 CAP URL CLARINEX-D 12HR CLARINEX-D 24HR CLARITIN-D 12HR CLARITIN-D 12HR TAB SCHE TAB SCHE TAB SCHE TAB SCHE

CLARITIN-D 12HR ALRGY TB SCH CLARITIN-D 24HR CLARITIN-D 24HR CLARITIN-D 24HR CLEAR-ATADINE D CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM WRITE-IN ITEMS NOT LISTED ABOVE: 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG TAB SCHE TAB SCHE TAB SCHE TAB MAJO TAB ACTA TAB ACTA TAB CARA TAB CARA TAB CARA TAB MYL TAB SAND TAB SAND TAB SAND TAB TEVA TAB TEVA TB APOTX TAB ACTA TAB ACTA TAB APOT TAB CARA TAB CARA TAB CARA TAB MYLA TAB SAND TAB SAND

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______

_________________________________

_______ ______

___

_____________________

________ ______

C-III/V INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 9

DRUG DESCRIPTION --------------------------------CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM CLONAZEPAM 1MG 1MG 1MG 1MG 2MG 2MG 2MG 2MG 2MG 2MG 2MG 2MG 2MG 2MG 2MG 2MG TAB SAND TAB TEVA TAB TEVA TAB WATS TAB ACTA TAB ACTA TAB CARA TAB CARA TAB CARA TAB MYLA TAB SAND TAB SAND TAB SAND TAB TEVA TAB TEVA TAB WATS TAB PAR TAB BARR TAB PAR TAB BARR

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------1000 100 1000 100 100 500 100 500 1000 100 100 500 1000 100 500 500 60 60 60 60 60 60 60 60 60 60 100 100 100 100 500 100 100 500 100 100 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 00185-0064-10 00093-0833-01 00093-0833-10 00591-0747-01 00228-3005-11 00228-3005-50 57664-0275-08 57664-0275-13 57664-0275-18 00378-1914-01 00185-0065-01 00185-0065-05 00185-0065-10 00093-0834-01 00093-0834-05 00591-0748-05 49884-0309-02 00555-0097-96 49884-0310-02 00555-0098-96 49884-0306-02 00555-0094-96 49884-0307-02 00555-0095-96 49884-0308-02 00555-0096-96 00378-0070-01 51672-4044-01 00591-0365-01 00378-0030-01 00378-0030-05 51672-4042-01 00591-0363-01 00591-0363-05 53265-0049-10 00378-0040-01

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

CLONAZEPAM ODT 1MG CLONAZEPAM ODT 1MG CLONAZEPAM ODT 2MG CLONAZEPAM ODT 2MG

CLONAZEPAM ODT.125MG TAB PAR CLONAZEPAM ODT.125MG TB BARR CLONAZEPAM ODT.25MG TAB PAR

CLONAZEPAM ODT.25MG TAB BARR CLONAZEPAM ODT.5MG CLONAZEPAM ODT.5MG CLORAZEPATE CLORAZEPATE CLORAZEPATE CLORAZEPATE CLORAZEPATE CLORAZEPATE CLORAZEPATE CLORAZEPATE CLORAZEPATE CLORAZEPATE WRITE-IN ITEMS NOT LISTED ABOVE: 15MG 15MG 15MG TAB PAR TAB BARR TAB MYLA TAB TARO TAB WATS

3.75MG TAB MYLA 3.75MG TAB MYLA 3.75MG TAB TARO 3.75MG TAB WATS 3.75MG TAB WATS 7.5MG 7.5MG TAB ABLE TAB MYLA

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

C-III/V INVENTORY FOR _________________________ PHARMACY

DATE: ____ / ____ / ________

Page 10

DRUG DESCRIPTION --------------------------------CLORAZEPATE CLORAZEPATE CLORAZEPATE CLORAZEPATE 7.5MG 7.5MG 7.5MG 7.5MG TAB MYLA TAB TARO TAB WATS TAB WATS ML AMGE ML CYPR ML VICT VICT

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------500 100 100 500 473 473 480 473 120 120 480 118 100 100 24 16 10 20 100 100 100 100 480 100 100 100 100 100 100 500 100 100 100 100 473 2 TAB TAB TAB TAB ML ML ML ML ML ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB CAP CAP TAB TAB TAB TAB CAP CAP CAP TAB ML ML 4 4 4 4 3 3 3 3 3 3 3 5 3 3 3 3 3 3 4 4 4 4 3 3 4 4 4 4 4 4 4 4 4 4 3 3 00378-0040-05 51672-4043-01 00591-0364-01 00591-0364-05 58634-0032-01 60258-0770-16 00131-5134-70 68453-0134-16 00131-5129-64 00603-1111-54 00603-1111-58 51991-0224-04 51991-0050-01 51991-0060-01 00225-0580-08 45800-0234-16 45800-0238-10 45800-0238-20 00074-6025-13 00074-6057-13 00074-6073-13 00074-6088-13 60258-0704-16 59196-0005-01 00187-4051-10 00187-4052-10 66479-0513-10 66591-0651-41 66591-0641-41 66591-0641-51 66479-0510-10 66591-0612-41 66591-0662-41 66479-0512-10 60258-0710-16 00052-0697-02

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB ML ML ML ML ML ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML TAB CAP CAP TAB TAB TAB TAB CAP CAP CAP TAB ML ML

CO-TUSSIN SYRUP CODAL DH SYRUP CODICLEAR DH SYRUP

CODICLEAR DH 3.5/100MG CODIMAL DH SYRUP CODITUSS DH CODITUSS DH COLDCOUGH PD SYRUP COLDEC COLDEC TR CONGESTAC 60/400MG

ML SCHW ML QUAL ML QUAL ML BREC TAB BREK TAB RISI TAB B.F

CONTAC M/S SEVERE COLD & FLU CONTACT 12HR COLD CAPL CONTACT 12HR COLD CAPL CYLERT 18.75MG CYLERT 37.5MG CYLERT 75MG CYLERT CHEW 37.5MG CYTUSS HC SYRUP D-FEDA II DALMANE DALMANE DARVOCET A500 DARVOCET-N DARVOCET-N DARVOCET-N DARVON 65MG DARVON CMPD 65MG 15MG 30MG GLAX PFIZ

TAB ABBO TAB ABBO TAB ABBO TAB ABBO ML CYPR TAB WE P CAP VALE CAP VALE TAB XANO

50/325 TAB AAIP 100/650 TAB AAIP 100/650 TAB AAIP CAP XANO CAP AAIP CAP AAIP TAB XANO ML CYPR

DARVON COMP-32 DARVON-N 100MG

DE-CHLOR HC LIQUID

DECA DURAB 100MG/ML 2ML ORGA WRITE-IN ITEMS NOT LISTED ABOVE:

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DRUG DESCRIPTION --------------------------------DECONAMINE SR 120/8 CAP KENW DECONAMINE SYRUP ML BRAD

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 473 100 100 5 1 10 10 1 100 1 1 1 1 1 1 1 100 500 100 1000 500 100 500 100 500 1000 100 500 100 1000 100 100 500 100 500 CAP ML TAB CAP ML ML ML ML ML TAB KIT KIT KIT KIT KIT KIT KIT TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 00482-0181-10 00482-0185-16 00603-3116-21 00603-3143-21 54396-0328-40 54396-0328-16 00009-0347-02 00009-0417-02 00009-0417-01 00677-1875-01 66490-0652-20 66490-0654-20 66490-0650-20 66490-0655-20 66490-0651-20 00187-0658-20 00187-0659-20 00228-2053-10 00228-2053-50 00555-0164-02 00555-0164-05 00172-3927-70 00378-0477-01 00378-0477-05 00591-5620-01 00591-5620-05 00591-5620-10 00228-2051-10 00228-2051-50 00555-0163-02 00555-0163-05 00172-3925-60 00378-0271-01 00378-0271-05 00591-5621-01 00591-5621-05

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP ML TAB CAP ML ML ML ML ML TAB KIT KIT KIT KIT KIT KIT KIT TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

DECONGEST II 600/60 TAB QUAL DECONGEST TR 120/8MG CP QUAL DELATESTRYL 200MG/M MDV SAVI DELATESTRYL 200MG/ML VL SAVI DEPO-TESTOSTER 100MG/ML PFIZ DEPO-TESTOSTER 200MG/ML PFIZ DEPO-TESTOSTER 200MG/ML PFIZ DEX/PSE/GUAI 60/90/800TB URL DIASTAT 10MG 2-SYRG KIT XCEL DIASTAT 15MG 2-SYRG KIT XCEL DIASTAT 2.5MG PED 2-SYRG XCE DIASTAT 20MG 2-SYRG KIT XCEL DIASTAT 5MG PED 2-SYRG XCEL

DIASTAT ACUDIAL 10MG GEL VAL DIASTAT ACUDIAL 20MG GEL VAL DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM WRITE-IN ITEMS NOT LISTED ABOVE: 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 2MG 2MG 2MG 2MG 2MG 2MG 2MG 2MG 2MG TAB ACTA TAB ACTA TAB BARR TAB BARR TAB IVAX TAB MYLA TAB MYLA TAB WATS TAB WATS TAB WATS TAB ACTA TAB ACTA TAB BARR TAB BARR TAB IVAX TAB MYLA TAB MYLA TAB WATS TAB WATS

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

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DRUG DESCRIPTION --------------------------------DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM DIAZEPAM 5MG 5MG 5MG 5MG 5MG 5MG 5MG 5MG 5MG 5MG 5MG TAB ACTA TAB ACTA TAB BARR TAB BARR TAB IVAX TAB IVAX TAB MYLA TAB MYLA TAB WATS TAB WATS TAB WATS

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 500 100 1000 100 500 100 500 100 500 1000 500 10 50 30 100 100 100 120 10 240 15 15 118 237 1000 100 1000 100 1000 100 1000 100 1000 500 100 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML CPJ ML ML TAB TAB TAB ML TAB ML ML ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 3 4 4 3 3 3 3 3 3 3 5 5 5 5 5 5 5 5 5 5 5 00228-2052-10 00228-2052-50 00555-0363-02 00555-0363-05 00172-3926-60 00172-3926-70 00378-0345-01 00378-0345-05 00591-5619-01 00591-5619-05 00591-5619-10 00054-3188-63 00409-1273-32 00074-3213-02 00054-3185-44 00009-0024-01 00591-0783-01 00591-0782-01 00904-5542-20 00031-2273-10 00031-2230-33 00031-2242-01 00031-2283-78 00031-2240-21 00031-2240-23 65162-0301-11 00172-3966-60 00172-3966-80 00406-0463-01 00406-0463-10 00378-0415-01 00378-0415-10 49884-0771-01 49884-0771-10 00185-0024-05 00527-1170-01

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML CPJ ML ML TAB TAB TAB ML TAB ML ML ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

OS 5MG/5ML ML ROXA

DIAZEPAM 5MG/ML 2ML CPJ HOSP DIAZEPAM FTV 5MG/ML VIAL HOS DIAZEPAM OS 5MG CONC ML ROXA DIDREX 50MG TAB PFIZ

DIETHYLPRO HCL 25MG TAB WATS DIETHYLPROP SA 75MG TAB WATS DIMAPHEN CHILD ELIX ML MAJO

DIMETAPP 12HR EXTEND TAB WYE DIMETAPP ELIXIR GRP ML WYET

DIMETAPP INF DEC/CGH DRP WYE DIMETAPP INFANT DEC DRP WYET DIMETAPP-DM ELIX GRAPE DIMETAPP-DM ELIX GRAPE WYET WYET

DIPHEN/ATROP 2.5/.025 TB AKY DIPHEN/ATROP 2.5/.025 TB IVA DIPHEN/ATROP 2.5/.025 TB IVA DIPHEN/ATROP 2.5/.025 TB MAL DIPHEN/ATROP 2.5/.025 TB MAL DIPHEN/ATROP 2.5/.025 TB MYL DIPHEN/ATROP 2.5/.025 TB MYL DIPHEN/ATROP 2.5/.025 TB PAR DIPHEN/ATROP 2.5/.025 TB PAR DIPHEN/ATROP 2.5/.025 TB SAN DIPHEN/ATROP 2.5/0.25 TB LAN WRITE-IN ITEMS NOT LISTED ABOVE:

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DRUG DESCRIPTION --------------------------------DIPHEN/ATRP 2.5/.025/5ML ROX DIPHEN/ATRP 2.5/.025/5ML ROX DORAL DORAL DRISTAN SINUS DRITUSS HD ELIXIR DRIXORAL 120/6MG 15MG 7.5MG TAB MEDP TAB MEDP TAB WYET ML QUAL TAB SCHE

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------40 60 100 100 20 480 20 12 30 100 100 100 100 473 473 473 473 100 100 25 100 250 100 100 100 100 100 100 100 100 100 100 1000 100 100 100 DSE ML TAB TAB TAB ML TAB TAB TAB CAP TAB TAB TAB ML ML ML ML TAB CAP ML CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB CAP CAP TAB CAP CAP CAP 5 5 4 4 3 3 3 3 3 4 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 3 3 3 3 3 4 00054-8191-16 00054-3194-46 63004-7734-01 00037-9000-01 00573-1265-10 00603-1182-58 00085-0147-03 00085-0789-01 00085-0147-11 00555-0364-02 66869-0426-10 68453-0612-10 68453-0640-10 68453-0400-16 50474-0610-16 66346-0041-65 62022-0941-16 62022-0032-01 62022-0132-01 11098-0515-01 00143-3145-01 64125-0101-02 64125-0101-01 64248-0091-10 00172-4036-60 00093-0129-01 00591-0744-01 00172-4037-60 00093-0130-01 00591-0745-01 52544-0958-01 52544-0955-01 00078-0104-09 52544-0956-01 00781-2120-01 00904-2800-60

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ DSE ML TAB TAB TAB ML TAB TAB TAB CAP TAB TAB TAB ML ML ML ML TAB CAP ML CAP CAP CAP TAB TAB TAB TAB TAB TAB TAB CAP CAP TAB CAP CAP CAP

DRIXORAL ALLERGY SINUS TAB DRIXORAL COLD & ALLER TB SCH DURADRIN CAP BARR

DURAHIST D 45/3.5/1MG TB PRO DURATUSS 600/120 DURATUSS GP 1200 DURATUSS HD ELIXIR TAB VICT TAB VICT ML VICT

DURATUSS-HD ELIX(OLD)ML VICT ENDAL HD NEW FORM ENTEX HC LIQUID ENTEX PSE ENTEX PSE CAP ML PEDI ML ANDR TAB ANDR CAP ANDR

EPHEDRINE 50MG/ML INJ ML TAY EPHEDRINE SUL 25MG EPIDRIN EPIDRIN EQUAGESIC ESTAZOLAM ESTAZOLAM ESTAZOLAM ESTAZOLAM ESTAZOLAM ESTAZOLAM CAP WEST CAP EXCE CAP EXCE 325/20 TAB WOME 1MG 1MG 1MG 2MG 2MG 2MG TAB IVAX TAB TEVA TAB WATS TAB IVAX TAB TEVA TAB WATS CAP WATS CAP WATS TAB NOVA CAP WATS CAP GENE 15MG CAP MAJO

FIORICET W/COD FIORINAL FIORINAL FIORINAL W/CODEINE FIORTAL FLURAZEPAM WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

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Page 14

DRUG DESCRIPTION --------------------------------FLURAZEPAM FLURAZEPAM FLURAZEPAM FLURAZEPAM FLURAZEPAM FLURAZEPAM FLURAZEPAM FLUTABS FLUTUSS HC LIQ FORTABS GENAC GENAFED 30MG (WHITE) 15MG 15MG 15MG 30MG 30MG 30MG CAP MYLA CAP WEST CAP WEST CAP MYLA CAP WEST CAP WEST

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 500 100 100 500 100 100 473 100 24 24 24 24 20 118 480 118 100 120 100 100 100 473 100 500 100 100 100 100 100 120 480 480 120 100 CAP CAP CAP CAP CAP CAP CAP TAB ML TAB TAB TAB TAB TAB TAB ML ML ML TAB ML TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB ML ML ML ML TAB 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 3 5 5 3 5 3 3 3 5 3 3 3 3 3 3 3 5 5 5 5 4 00378-4415-01 00143-3367-01 00143-3367-05 00378-4430-01 00143-3370-01 00143-3370-05 51079-0303-20 51991-0442-01 66992-0150-16 00677-0827-01 00182-1605-16 00182-1459-16 00182-2145-16 00182-1471-16 24385-0465-60 24385-0575-26 60432-0088-16 60432-0088-04 60258-0275-01 00121-0775-04 58177-0223-04 00603-3781-21 53489-0424-01 00603-1276-58 00677-1476-01 53489-0424-05 53489-0425-01 66424-0645-01 58177-0373-04 58177-0208-04 58177-0214-04 00472-0012-04 00182-0017-40 00472-0012-16 00182-0017-37 00009-0010-38

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP CAP CAP CAP CAP CAP CAP TAB ML TAB TAB TAB TAB TAB TAB ML ML ML TAB ML TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB ML ML ML ML TAB

30MG UD CAP UDL TAB BREC ML WRAS TAB URL TAB IVAX TAB IVAX

GENAPAP M/S 30/500MG TB IVAX GENAPHED PLUS TAB IVAX

GOOD NEIGHBOR CLD& SINUS TAB GOOD NEIGHBOR TUSSIN PED CLD GUAIFEN AC S/F SYRUP ML MGP GUAIFEN AC SYRUP S/F ML MGP GUAIFEN PSE 600/120MG TB CYP GUAIFEN W/COD SYRUP ML PHAR

GUAIFEN+COD 300/10MG TB ETHE GUAIFEN+COD 300/10MG TB QUAL GUAIFEN+PSEU 600/120 TAB MUT GUAIFEN-C SYRUP ML QUAL

GUAIFEN/PSE 600/120 TAB URL GUAIFEN/PSEUD 600/120 TB MUT GUAIFEN/PSEUD 600/60 TAB MUT GUAIFENESIN PSE 1200 TAB SDA GUAIFENEX GP 1200/120 TB ETH GUAIFENEX PSE 600/120 TB ETH GUAIFENEX PSE60 GUAITUSS AC SYRUP TAB ETHE ML ACTA

GUIATUSS AC SF SYRUP ML IVAX GUIATUSS AC SYRUP GUIATUSS AC SYRUP ML ACTA ML IVAX

HALCION 0.125MG 10X10PK PFIZ WRITE-IN ITEMS NOT LISTED ABOVE:

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DRUG DESCRIPTION --------------------------------HALCION 0.25MG 10X10PK HALCION 0.25MG UD HALOTESTIN HALOTESTIN 10MG 2MG PFIZ

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 100 100 120 473 480 100 473 480 480 480 480 480 473 100 480 100 480 480 473 480 480 480 473 480 473 473 100 500 100 500 100 100 100 473 TAB TAB TAB TAB ML ML ML TAB ML ML ML ML ML ML ML TAB ML TAB ML ML ML ML ML ML ML ML ML ML TAB TAB TAB TAB TAB TAB CAP ML 4 4 3 3 5 3 3 3 3 3 3 3 3 3 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 00009-0017-59 00009-0017-55 00009-0036-04 00009-0014-01 00591-0489-34 00603-1284-58 00603-1285-58 58177-0426-04 62022-0901-16 58177-0898-07 58177-0877-07 58177-0883-07 00024-0864-16 00024-0860-16 66479-0574-16 63481-0042-70 63481-0234-16 63481-0048-70 63481-0235-16 51991-0241-16 60258-0701-16 58177-0915-07 58177-0890-07 60258-0720-16 58177-0909-07 00406-0375-16 00121-0655-16 00603-1295-58 53265-0335-10 53265-0335-50 00406-0366-01 00406-0366-05 00603-3891-21 00591-3203-01 00086-0057-10 00677-1798-33

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB ML ML ML TAB ML ML ML ML ML ML ML TAB ML TAB ML ML ML ML ML ML ML ML ML ML TAB TAB TAB TAB TAB TAB CAP ML

TAB PFIZ TAB PHAR TAB PHAR

HALOTUS AC AF/SF SYR ML WATS HC TUSSIVE SYRUP HC TUSSIVE-DM SYR HISTAVENT PSE HISTEX HC LIQ HISTINEX D LIQ HISTINEX HC LIQ HISTINEX PV LIQ HISTUSSIN D SYRUP HISTUSSIN HC SYRUP HYCET 7.5-325 SOLN HYCODAN HYCODAN SYRUP HYCOMINE COMPOUND HYCOTUSS EXPECT SYP ML QUAL ML QUAL TAB ETHE ML ANDR ML ETHE ML ETHE ML ETHE ML SANO ML SANO ML XANO

TAB ENDO ML ENDO TAB ENDO ML ENDO

HYDRO PRO 5/300/5ML LIQ BREC HYDRO-PC II LIQUID HYDRO-TUSS HC SYRUP HYDRO-TUSSIN HD LIQ ML CYPR ML ETHE ML ETHE

HYDROC/APAP 7.5-500/15ML CYP HYDROC/APAP 7.5-500/15ML ETH HYDROC/APAP 7.5-500/15ML MAL HYDROC/APAP 7.5-500/15ML P/A HYDROC/APAP 7.5-500/15ML QUA HYDROC/APAP 7.5/325 TAB ABLE HYDROC/APAP 7.5/325 TAB ABLE HYDROC/APAP 7.5/325 TAB MALL HYDROC/APAP 7.5/325 TAB MALL HYDROC/APAP 7.5/325 TAB QUAL HYDROC/APAP 7.5/325 TAB WATS HYDROCET 5/500MG CAP AMAR

HYDROCO+PHEN 2.5/10/4 ML URL WRITE-IN ITEMS NOT LISTED ABOVE:

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DRUG DESCRIPTION --------------------------------HYDROCO/APAP 10/750 TAB MALL HYDROCO/APAP 10/750 TAB WATS HYDROCO/APAP 2.5/500 TB QUAL HYDROCO/APAP 2.5/500 TB WATS HYDROCO/APAP 5/325 HYDROCO/APAP 5/325 HYDROCO/APAP 5/325 HYDROCO/APAP 5/325 HYDROCO/APAP 5/325 HYDROCO/APAP 5/325 TAB ABLE TAB ABLE TAB MALL TAB MALL TAB QUAL TAB WATS

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 100 100 500 100 100 500 100 100 100 100 500 100 500 100 100 500 100 100 500 100 100 500 100 100 500 100 500 100 500 100 100 500 100 500 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 00406-0364-01 00591-3228-01 00603-3880-21 00591-0388-01 53265-0345-50 53265-0345-10 00406-0365-01 00406-0365-05 00603-3890-21 00591-3202-01 51079-0274-21 00406-0358-01 00406-0358-05 00603-3882-21 00603-3882-28 00781-1513-01 00591-0385-01 00591-0385-05 60951-0640-70 00406-0359-01 00406-0359-05 00603-3884-21 00591-0502-01 00591-0502-05 53265-0334-10 00406-0360-01 00406-0360-05 00603-3883-21 00603-3883-28 00781-1532-01 00591-0387-05 00591-0387-01 62037-0524-01 62037-0524-05 00093-5161-01 53265-0328-50

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

HYDROCO/APAP 5/325 UD TB UDL HYDROCO/APAP 7.5/500 TB MALL HYDROCO/APAP 7.5/500 TB MALL HYDROCO/APAP 7.5/500 TB QUAL HYDROCO/APAP 7.5/500 TB QUAL HYDROCO/APAP 7.5/500 TB SAND HYDROCO/APAP 7.5/500 TB WATS HYDROCO/APAP 7.5/500 TB WATS HYDROCO/APAP 7.5/650 TB ENDO HYDROCO/APAP 7.5/650 TB MALL HYDROCO/APAP 7.5/650 TB MALL HYDROCO/APAP 7.5/650 TB QUAL HYDROCO/APAP 7.5/650 TB WATS HYDROCO/APAP 7.5/650 TB WATS HYDROCO/APAP 7.5/750 TB ABLE HYDROCO/APAP 7.5/750 TB MALL HYDROCO/APAP 7.5/750 TB MALL HYDROCO/APAP 7.5/750 TB QUAL HYDROCO/APAP 7.5/750 TB QUAL HYDROCO/APAP 7.5/750 TB SAND HYDROCO/APAP 7.5/750 TB WATS HYDROCO/APAP 7.5/750 TB WATS HYDROCO/IBUP 7.5/200 TB ANDR HYDROCO/IBUP 7.5/200 TB ANDR HYDROCO/IBUP 7.5/200 TB TEVA HYDROCOD/APAP 10/325 TB ABLE WRITE-IN ITEMS NOT LISTED ABOVE:

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DRUG DESCRIPTION --------------------------------HYDROCOD/APAP 10/325 TB MALL HYDROCOD/APAP 10/325 TB MALL HYDROCOD/APAP 10/325 TB QUAL HYDROCOD/APAP 10/325 TB QUAL HYDROCOD/APAP 10/325 TB WATS HYDROCOD/APAP 10/325 TB WATS HYDROCOD/APAP 10/500 TB MALL HYDROCOD/APAP 10/500 TB MALL HYDROCOD/APAP 10/500 TB QUAL HYDROCOD/APAP 10/500 TB QUAL HYDROCOD/APAP 10/500 TB WATS HYDROCOD/APAP 10/500 TB WATS HYDROCOD/APAP 10/650 TB MALL HYDROCOD/APAP 10/650 TB MALL HYDROCOD/APAP 10/650 TB QUAL HYDROCOD/APAP 10/650 TB WATS HYDROCOD/APAP 10/650 TB WATS HYDROCOD/APAP 10/660 TB ANDR HYDROCOD/APAP 10/660 TB MALL HYDROCOD/APAP 10/660 TB QUAL HYDROCOD/APAP 10/660 TB QUAL HYDROCOD/APAP 5/500 CAP MALL HYDROCOD/GUAIFEN EXP ML ETHE HYDROCOD/GUAIFEN EXP ML ETHE HYDROCOD/HOMA 5/1.5MG TB ACT HYDROCOD/HOMATROP SYR ML ACT HYDROCOD/HOMATROP SYR ML MGP HYDROCOD/HOMOTROP SYR ML GEN HYDROCODO/APAP 5/500 TB ENDO HYDROCODO/APAP 5/500 TB MALL HYDROCODO/APAP 5/500 TB MALL HYDROCODO/APAP 5/500 TB QUAL HYDROCODO/APAP 5/500 TB QUAL HYDROCODO/APAP 5/500 TB QUAL HYDROCODO/APAP 5/500 TB URL HYDROCODO/APAP 5/500 TB URL WRITE-IN ITEMS NOT LISTED ABOVE:

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------500 100 100 500 100 500 100 500 100 500 100 500 100 500 100 100 500 100 100 100 500 100 480 946 100 480 480 480 500 100 500 100 500 1000 100 500 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP ML ML TAB ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 00406-0367-05 00406-0367-01 00603-3887-21 00603-3887-28 00591-0853-01 00591-0853-05 00406-0363-01 00406-0363-05 00603-3888-21 00603-3888-28 00591-0540-01 00591-0540-05 00406-0361-01 00406-0361-05 00603-3885-21 00591-0503-01 00591-0503-05 62037-0567-01 00406-0362-01 00603-3886-21 00603-3886-28 00406-4357-01 58177-0881-07 58177-0881-12 52152-0140-02 00472-1030-16 60432-0455-16 00781-6526-16 60951-0639-85 00406-0357-01 00406-0357-05 00603-3881-21 00603-3881-28 00603-3881-32 00677-1184-01 00677-1184-05

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP ML ML TAB ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

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DATE: ____ / ____ / ________

Page 18

DRUG DESCRIPTION --------------------------------HYDROCODO/APAP 5/500 TB WATS HYDROCODO/APAP 5/500 TB WATS HYDRON KGS S/F 5/300/5ML CYP HYDRON PSC LIQUID HYPHED SYRUP ML CYPR ML CYPR

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 500 473 473 480 15 100 100 473 100 100 100 250 100 30 100 100 100 60 60 60 60 60 100 480 100 100 100 100 100 100 60 100 1000 100 500 TAB TAB ML ML ML ML CAP CAP ML CAP CAP CAP CAP CAP ML TAB TAB TAB WAF WAF WAF WAF WAF CAP ML CAP CAP CAP TAB TAB TAB ML TAB TAB TAB TAB 3 3 3 3 3 3 4 4 5 4 4 4 4 4 3 4 4 4 4 4 4 4 4 3 3 4 4 4 4 4 5 5 5 5 4 4 00591-0349-01 00591-0349-05 60258-0731-16 60258-0708-16 60258-0790-16 24385-0514-05 53014-0903-71 53014-0904-71 00603-1329-58 00677-1739-01 00677-1745-01 62584-0139-00 62584-0139-18 53746-0141-01 00536-2303-75 00004-0068-01 00004-0058-01 00004-0098-01 00004-0279-22 00004-0280-22 00004-0281-22 00004-0282-22 00004-0283-22 00496-0434-02 00225-0420-45 00187-3751-10 00187-3758-10 00187-3750-10 00187-3805-10 00187-3806-10 00025-0061-31 00025-0066-02 00781-1262-01 00781-1262-10 00228-2057-10 00228-2057-50

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB ML ML ML ML CAP CAP ML CAP CAP CAP CAP CAP ML TAB TAB TAB WAF WAF WAF WAF WAF CAP ML CAP CAP CAP TAB TAB TAB ML TAB TAB TAB TAB

INFANT PAIN/COLD & COUGH DRP IONAMIN IONAMIN 15MG 30MG CAP CELL CAP CELL

IOPHEN-C N/R SYR S/F ML QUAL ISOMETH/DICH/APAP ISOMETH/DICHL/APAP ISOMETH/DICHL/APAP ISOMETH/DICHL/APAP ISOMETH/DICHL/APAP CAP URL CAP URL CAP AHP CAP AHP CAP INTE RUGB

KIDCARE DECONGES DROPS KLONOPIN KLONOPIN KLONOPIN 0.5MG 1MG 2MG

TAB ROCH TAB ROCH TAB ROCH WAFER ROCH WAFER ROCH WAFER ROCH WAFER ROCH WAFER ROCH CAP FERN ML ASCH CAP VALE CAP VALE CAP VALE

KLONOPIN 0.125MG KLONOPIN 0.25MG KLONOPIN 0.5MG KLONOPIN 1MG KLONOPIN 2MG KRONOFED-A JR KWELCOF LIQUID LIBRIUM LIBRIUM LIBRIUM 10MG 25MG 5MG

LIMBITROL 12.5MG/5MG TB VALE LIMBITROL DS 25/10MG TB VALE LOMOTIL LOMOTIL LIQUID LONOX LONOX LORAZEPAM LORAZEPAM WRITE-IN ITEMS NOT LISTED ABOVE: 0.5MG 0.5MG TAB PFIZ ML PFIZ

TAB SAND TAB SAND TAB ACTA TAB ACTA

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

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________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

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DRUG DESCRIPTION --------------------------------LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM WRITE-IN ITEMS NOT LISTED ABOVE: 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG 0.5MG TAB MUTU TAB MUTU TAB MYLA TAB MYLA TAB MYLA TAB RANB TAB RANB TAB SAND TAB SAND TAB URL TAB URL TAB WATS TAB WATS TAB WATS

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 500 100 100 500 100 500 100 500 100 500 100 500 1000 100 100 500 100 1000 100 500 1000 100 500 100 500 100 500 1000 100 100 500 100 500 100 500 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 53489-0357-01 53489-0357-05 00378-2321-01 00378-0321-01 00378-0321-05 63304-0772-01 63304-0772-05 00781-1403-01 00781-1403-05 00677-1056-01 00677-1056-05 00591-0240-01 00591-0240-05 00591-0240-10 51079-0417-20 00228-2059-10 00228-2059-50 00378-0457-01 00378-0457-10 63304-0773-01 63304-0773-05 63304-0773-10 00781-1404-01 00781-1404-05 00677-1057-01 00677-1057-05 00591-0241-01 00591-0241-05 00591-0241-10 51079-0386-20 00228-2063-10 00228-2063-50 00378-0777-01 00378-0777-05 63304-0774-01 63304-0774-05

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

0.5MG UD TB UDL 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG 1MG TAB ACTA TAB ACTA TAB MYLA TAB MYLA TAB RANB TAB RANB TAB RANB TAB SAND TAB SAND TAB URL TAB URL TAB WATS TAB WATS TAB WATS

1MG UD TAB UDL 2MG 2MG 2MG 2MG 2MG 2MG TAB ACTA TAB ACTA TAB MYLA TAB MYLA TAB RANB TAB RANB

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

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DRUG DESCRIPTION --------------------------------LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM LORAZEPAM 2MG 2MG 2MG 2MG 2MG 2MG 2MG TAB SAND TAB SAND TAB URL TAB URL TAB WATS TAB WATS TAB WATS

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 500 100 500 100 500 1000 100 25 1 10 25 25 30 100 100 100 100 100 100 473 473 100 100 100 90 90 90 90 90 90 90 90 60 60 25 TAB TAB TAB TAB TAB TAB TAB TAB VL VL VL VL VL ML TAB TAB TAB TAB TAB TAB ML ML TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP 4 4 4 4 4 4 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 4 4 4 5 5 5 5 5 5 5 5 3 3 3 00781-1405-01 00781-1405-05 00677-1058-01 00677-1058-05 00591-0242-01 00591-0242-05 00591-0242-10 51079-0387-20 10019-0102-01 00074-1985-01 00409-6778-02 00074-6778-01 00074-6780-01 00054-3532-44 00785-6350-01 00785-1122-01 50474-0902-01 50474-0907-01 50474-0910-01 50474-0925-01 50474-0909-16 66869-0109-10 63402-0190-10 63402-0191-10 63402-0193-10 00071-1015-68 00071-1016-68 00071-1017-68 00071-1019-68 00071-1012-68 00071-1018-68 00071-1013-68 00071-1014-68 00051-0023-21 00051-0021-21 00051-0022-11

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB VL VL VL VL VL ML TAB TAB TAB TAB TAB TAB ML ML TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP

2MG UD TAB UDL

LORAZEPAM 2MG/ML 1ML VL BAXT LORAZEPAM 2MG/ML 1ML VL HOSP LORAZEPAM 2MG/ML 1ML VL HOSP LORAZEPAM 2MG/ML 1ML VL HOSP LORAZEPAM 2MG/ML 25ML VL HOS LORAZEPAM 2MG/ML O/CONC ROXA LORCET 10/650 TAB FORE

LORCET PLUS 7.5/650 TAB FORE LORTAB LORTAB LORTAB LORTAB LORTAB 5/500MG 7.5/500 10/500MG 2.5/500MG ELIXIR TAB UCB TAB UCB TAB UCB TAB UCB ML UCB ML PROE TAB SEPR TAB SEPR TAB SEPR CAP PFIZ CAP PFIZ CAP PFIZ CAP PFIZ CAP PFIZ CAP PFIZ CAP PFIZ CAP PFIZ CAP UNIM CAP UNIM CAP UNIM

LORTUSS HC LIQUID LUNESTA LUNESTA LUNESTA LYRICA LYRICA LYRICA LYRICA LYRICA LYRICA LYRICA LYRICA MARINOL MARINOL MARINOL WRITE-IN ITEMS NOT LISTED ABOVE: 1MG 2MG 3MG 100MG 150MG 200MG 225MG 25MG 300MG 50MG 75MG 10MG 2.5MG 5MG

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

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________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______

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DRUG DESCRIPTION --------------------------------MAXIDONE MEBARAL MEBARAL MEBARAL 10/750MG 100MG 32MG 50MG TAB WATS TAB OVAT TAB OVAT TAB OVAT

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 250 250 250 100 250 250 250 100 1000 100 100 90 100 90 100 100 118 10 100 50 100 250 100 100 100 118 20 18 36 120 480 120 480 24 12 TAB TAB TAB TAB CAP TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP TAB ML ML CAP CAP CAP CAP CAP CAP TAB ML TAB TAB TAB ML ML ML ML CAP SUP 3 4 4 4 3 4 4 4 4 4 4 4 4 4 4 4 3 4 4 4 4 4 4 4 4 4 3 3 3 3 5 5 3 3 3 3 52544-0634-01 67386-0803-02 67386-0801-02 67386-0802-02 55499-1082-01 51991-0418-02 51991-0416-02 51991-0417-02 00591-5239-01 00591-5238-10 00591-5238-01 00074-2457-13 00074-2457-12 00074-2458-13 00074-2458-12 00074-2456-13 00115-7037-01 00054-3566-99 10019-0027-01 14508-0304-08 64248-0120-05 00603-4664-21 00603-4664-24 00904-7622-60 51991-0395-01 00187-0500-02 50580-0902-04 00045-0738-01 63824-0057-18 63824-0057-36 60432-0045-04 60432-0045-16 60432-0541-04 60432-0541-16 00113-0418-62 00074-3148-01

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB CAP TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP TAB ML ML CAP CAP CAP CAP CAP CAP TAB ML TAB TAB TAB ML ML ML ML CAP SUP

MELFIAT-105MG UNICELL CP NUM MEPHOBARBITAL 100MG TAB BREC MEPHOBARBITAL 32MG MEPHOBARBITAL 50MG MEPROBAMATE MEPROBAMATE 200MG 400MG TAB BREC TAB BREC TAB WATS TAB WATS TAB WATS CAP ABBO CAP ABBO CAP ABBO CAP ABBO CAP ABBO TAB GLOB

MEPROBAMATE 400MG MERIDIA MERIDIA MERIDIA MERIDIA MERIDIA 10MG 10MG 15MG 15MG 5MG 10MG

METHITEST OR

MIDAZOLAM 2MG/ML SYP ML ROXA MIDAZOLAM 5MG/ML INJ ML BAXT MIDRIN MIDRIN MIGQUIN MIGQUIN MIGRATINE MIGRAZONE MOTOFEN CAP WOME CAP WOME CAP QUAL CAP QUAL CAP MAJO CAP BREC TAB AMAR

MOTRIN CHILD COLD SYR ML MCN MOTRIN SINUS HEADACHE TB MCN MUCINEX D MUCINEX D MYTUSSIN AC S/F SYR MYTUSSIN AC S/F SYR MYTUSSIN DAC SYRUP MYTUSSIN DAC SYRUP TAB ADAM TAB ADAM ML MGP ML MGP ML MGP ML MGP

NASAL DECONGEST NON-DRY CAP NEMBUTAL 60MG SUPP WRITE-IN ITEMS NOT LISTED ABOVE: SUP ABBO

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

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DRUG DESCRIPTION --------------------------------NIRAVAM 0.25MG NIRAVAM 0.5MG NIRAVAM 1MG NIRAVAM 2MG TAB SCHW TAB SCHW TAB SCHW TAB SCHW

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 100 100 24 100 100 500 100 60 473 473 24 60 100 100 100 100 100 100 100 100 100 100 100 473 473 100 100 480 480 480 100 100 15 18 TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP ML ML TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP ML ML CAP TAB ML ML ML TAB TAB ML TAB 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 3 5 3 3 3 3 3 4 4 3 3 00091-3321-01 00091-3322-01 00091-3323-01 00091-3324-01 24385-0438-62 52544-0913-01 52544-0539-01 52544-0539-05 52544-0729-01 61570-0018-60 61570-0016-16 61570-0017-16 00225-0600-08 54396-0110-60 54396-0111-11 00228-2067-10 00172-4804-60 00781-2809-01 00228-2069-10 00172-4805-60 00781-2810-01 51079-0478-20 00228-2073-10 00172-4806-60 00781-2811-01 00525-9798-16 00525-9888-04 00525-0016-01 00525-0032-01 00472-0802-16 00781-6130-16 60432-0457-16 00085-0251-04 00085-0538-04 00009-7715-01 00009-5234-01

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP ML ML TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP CAP CAP ML ML CAP TAB ML ML ML TAB TAB ML TAB

NON-ASPIRIN M/S SINUS CPL GN NORCO NORCO NORCO NORCO 5/325MG 10/325MG 10/325MG TAB WATS TAB WATS TAB WATS

7.5/325MG TAB WATS CAP MONA ML MONA ML MONA TAB BFAS 10MG 2.5MG 10MG 10MG 10MG 15MG 15MG 15MG TAB SAVI TAB SAVI CAP ACTA CAP IVAX CAP SAND CAP ACTA CAP IVAX CAP SAND

NUCOFED 60MG/20MG NUCOFED EXPECTORANT NUCOFED SYRUP ORNEX M/S OXANDRIN OXANDRIN OXAZEPAM OXAZEPAM OXAZEPAM OXAZEPAM OXAZEPAM OXAZEPAM OXAZEPAM OXAZEPAM OXAZEPAM OXAZEPAM

15MG UD CP UDL 30MG 30MG 30MG CAP ACTA CAP IVAX CAP SAND ML PAML ML PAML CAP PAML TAB PAML ML ACTA ML GENE ML MGP TAB SCHE TAB SCHE

PANCOF EXP SYRUP PANCOF PD 3MG SYRUP PANLOR DC PANLOR SS PAREGORIC ELIXIR PAREGORIC ELIXIR PAREGORIC ELIXIR PAXIPAM 20MG PAXIPAM 40MG

PEDIACARE DEC/CGH DROPS PHAR PEDIACARE L/A CHEW CGH & CLD WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

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DRUG DESCRIPTION --------------------------------PEDIACARE L/A COUGH&COLD PHA PEDIACARE MULTI SYMPTOM LIQ PEDIACARE ORAL DROPS ML PHAR PEDIACOF SYRUP PEMADD 37.5MG CHEW PEMOLINE 18.75MG PEMOLINE 18.75MG PEMOLINE 18.75MG PEMOLINE 37.5MG PEMOLINE 37.5MG PEMOLINE 37.5MG ML SANO TAB MALL TAB MALL TAB QUAL TAB SAND TAB MALL TAB QUAL TAB SAND

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------120 120 15 473 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 480 480 1000 100 100 1000 100 1000 100 1000 100 1000 1000 ML ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP TAB CAP TAB ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 3 3 3 5 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 3 3 3 3 5 5 4 4 4 4 4 4 4 4 4 4 4 00009-5209-02 00009-7716-01 00009-7714-01 00024-1509-06 00406-8854-01 00406-1552-01 00603-5055-21 00781-1731-01 00406-1554-01 00603-5056-21 00781-1741-01 00093-9577-01 00406-1558-01 00603-5057-21 00781-1751-01 00591-0396-01 52152-0211-02 63304-0506-01 00591-0395-01 00031-6257-63 00031-6274-63 00185-5254-01 00185-4057-01 00008-0552-03 00008-0550-03 64125-0903-10 64125-0903-01 52604-6740-01 52604-6740-02 00603-5168-21 00603-5168-32 63304-0744-01 00677-1699-10 00254-5014-28 00143-1458-10 00677-1731-10

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ML ML ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP TAB CAP TAB ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

PEMOLINE 37.5MG CHEW TB TEVA PEMOLINE 75MG PEMOLINE 75MG PEMOLINE 75MG TAB MALL TAB QUAL TAB SAND

PENTAZ/APAP 25/650MG TB WATS PENTAZ/NALOX 50/0.5MG TB ACT PENTAZ/NALOX 50/0.5MG TB RAN PENTAZ/NALOX 50/0.5MG TB WAT PHENAPHEN W/COD #3 PHENAPHEN W/COD #4 CAP WYET TAB WYET

PHENDIMETRAZ SA 105MG CP SAN PHENDIMETRAZINE 35MG TAB SAN PHENERGAN VC W/COD PHENERGAN W/COD SYP ML WYET ML WYET

PHENOBARB 100MG(1.5GR)TB EXC PHENOBARB 100MG(1.5GR)TB EXC PHENOBARB 100MG(1.5GR)TB JON PHENOBARB 100MG(1.5GR)TB JON PHENOBARB 100MG(1.5GR)TB QUA PHENOBARB 100MG(1.5GR)TB QUA PHENOBARB 100MG(1.5GR)TB RAN PHENOBARB 100MG(1.5GR)TB URL PHENOBARB 100MG(1.5GR)TB VIN PHENOBARB 100MG(1.5GR)TB WES PHENOBARB 15MG(1/4GR)TAB URL WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

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DRUG DESCRIPTION --------------------------------PHENOBARB 15MG(1/4GR)TB EXCE PHENOBARB 15MG(1/4GR)TB EXCE PHENOBARB 15MG(1/4GR)TB QUAL PHENOBARB 15MG(1/4GR)TB QUAL PHENOBARB 15MG(1/4GR)TB RANB PHENOBARB 15MG(1/4GR)TB WEST PHENOBARB 20MG/5ML ELIX ALPH PHENOBARB 20MG/5ML ELIX QUAL PHENOBARB 30MG(1/2GR)TB ACTA PHENOBARB 30MG(1/2GR)TB EXCE PHENOBARB 30MG(1/2GR)TB EXCE PHENOBARB 30MG(1/2GR)TB JONE PHENOBARB 30MG(1/2GR)TB QUAL PHENOBARB 30MG(1/2GR)TB QUAL PHENOBARB 30MG(1/2GR)TB RANB PHENOBARB 30MG(1/2GR)TB RANB PHENOBARB 30MG(1/2GR)TB SAND PHENOBARB 30MG(1/2GR)TB URL PHENOBARB 30MG(1/2GR)TB WEST PHENOBARB 60MG(1GR) TAB EXCE PHENOBARB 60MG(1GR) TAB EXCE PHENOBARB 60MG(1GR) TAB JONE PHENOBARB 60MG(1GR) TAB QUAL PHENOBARB 60MG(1GR) TAB QUAL PHENOBARB 60MG(1GR) TAB RANB PHENOBARB 60MG(1GR) TAB RANB PHENOBARB 60MG(1GR) TAB URL PHENOBARB 60MG(1GR) TAB WEST PHENTERMINE 18.75MG CAP CAMA PHENTERMINE 30MG PHENTERMINE 30MG PHENTERMINE 30MG PHENTERMINE 30MG CAP ABLE CAP ACTA CAP ACTA CAP MUTU

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 1000 100 1000 100 1000 480 473 1000 100 1000 1000 100 1000 100 1000 1000 1000 1000 100 1000 1000 100 1000 100 1000 1000 1000 1000 100 100 100 100 100 100 1000 TAB TAB TAB TAB TAB TAB ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 64125-0915-01 64125-0915-10 00603-5165-21 00603-5165-32 63304-0741-01 00143-1445-10 00472-1015-16 00603-1508-58 00228-2028-96 64125-0901-01 64125-0901-10 52604-6722-02 00603-5166-21 00603-5166-32 63304-0742-01 63304-0742-10 00781-1110-10 00677-1732-10 00143-1450-10 64125-0902-01 64125-0902-10 52604-6731-02 00603-5167-21 00603-5167-32 63304-0743-01 63304-0743-10 00677-1698-10 00143-1455-10 00147-0249-20 53265-0258-10 52152-0173-02 52152-0160-02 53489-0433-01 53265-0259-10 00185-5000-01 00185-5000-10

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB ML ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP CAP CAP CAP CAP CAP CAP

PHENTERMINE 30MG BLU CP ABLE PHENTERMINE 30MG BLU CP SAND PHENTERMINE 30MG BLU CP SAND WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________

_______ ______ _______ ______

___ ___

_____________________ _____________________

________ ______ ________ ______

_________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______

C-III/V INVENTORY FOR _________________________ PHARMACY

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DRUG DESCRIPTION --------------------------------PHENTERMINE 30MG YLW CP ABLE PHENTERMINE 30MG YLW CP SAND PHENTERMINE 30MG YLW CP SAND PHENTERMINE 37.5MG PHENTERMINE 37.5MG PHENTERMINE 37.5MG PHENTERMINE 37.5MG PHENTERMINE 8MG CAP ACTA TAB ACTA TAB ACTA TAB QUAL TAB CAMA

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------1000 100 1000 100 100 100 100 100 100 100 1000 120 480 100 100 100 100 100 60 473 30 120 120 120 480 473 480 120 3840 480 480 480 100 100 500 100 CAP CAP CAP CAP TAB TAB TAB TAB CAP CAP CAP ML ML CAP CAP CAP CAP CAP TAB ML ML ML ML ML ML ML ML ML ML ML ML ML TAB TAB TAB TAB 4 4 4 4 4 4 4 4 4 4 4 3 3 3 4 4 4 3 3 3 3 3 5 5 5 5 5 5 5 5 5 5 4 4 4 4 53265-0258-11 00185-0647-01 00185-0647-10 52152-0167-02 52152-0159-02 00228-3016-11 00603-5192-21 00146-0136-10 53265-0346-10 00185-0644-01 00185-0644-10 00603-1521-54 00603-1521-58 65234-0061-10 00074-6661-08 00074-6685-15 00074-6630-01 00054-2719-25 00573-2952-20 00603-1574-58 66869-0801-10 51674-0212-04 00472-1629-04 60432-0607-04 60432-0607-16 00603-1588-58 00472-1629-16 00472-1627-04 00472-1627-28 00472-1627-16 50383-0804-16 60432-0606-16 00093-0490-01 00378-0130-01 00378-0130-05 00591-0714-01

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP CAP CAP CAP TAB TAB TAB TAB CAP CAP CAP ML ML CAP CAP CAP CAP CAP TAB ML ML ML ML ML ML ML ML ML ML ML ML ML TAB TAB TAB TAB

PHENTERMINE HCL 15MG CP ABLE PHENTERMINE HCL 15MG CP SAND PHENTERMINE HCL 15MG CP SAND PHENYLHISTINE SYR PHENYLHISTINE SYR PHRENILIN+COD+CAFF PLACIDYL PLACIDYL PLACIDYL 200MG 500MG 750MG ML QUAL ML QUAL CAP AMAR CAP ABBO CAP ABBO CAP ABBO CAP ROXA

PRELU-2 T/R 105MG

PRIMATENE 200-12.5M TAB WYET PROCOF LIQ S/F A/F ML QUAL ML PROE

PROHIST DM DROPS

PROLEX DH LIQUID 4OZ ML BLAN PROMETHAZI VC W-COD PROMETHAZI VC W-COD PROMETHAZI VC W-COD PROMETHAZI VC W-COD PROMETHAZI VC W/COD ML ACTA ML MGP ML MGP ML QUAL ML ACTA

PROMETHAZI W/COD SYR ML ACTA PROMETHAZI W/COD SYR ML ACTA PROMETHAZI W/COD SYR ML ACTA PROMETHAZI W/COD SYR ML HI-T PROMETHAZI W/COD SYR ML MGP PROPACET-100 WHITE TAB TEVA

PROPOX-H/AP 65/650MG TB MYLA PROPOX-H/AP 65/650MG TB MYLA PROPOX-H/AP 65/650MG TB WATS WRITE-IN ITEMS NOT LISTED ABOVE:

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DRUG DESCRIPTION --------------------------------PROPOX-N/AP 100/650 ORN QUAL PROPOX-N/AP 100/650 ORN QUAL PROPOX-N/AP 100/650 PNK IVAX PROPOX-N/AP 100/650 PNK MALL PROPOX-N/AP 100/650 PNK MALL PROPOX-N/AP 100/650 PNK MALL PROPOX-N/AP 100/650 PNK MALL PROPOX-N/AP 100/650 PNK MYLA PROPOX-N/AP 100/650 PNK MYLA PROPOX-N/AP 100/650 PNK QUAL PROPOX-N/AP 100/650 PNK QUAL PROPOX-N/AP 100/650 PNK QUAL PROPOX-N/AP 100/650 PNK TEVA PROPOX-N/AP 100/650 PNK TEVA PROPOX-N/AP 100/650 TAB ABLE PROPOX-N/AP 100/650 TAB ABLE PROPOX-N/AP 100/650 TAB ABLE PROPOX-N/AP 100/650 TAB ABLE PROPOX-N/AP 100/650 TAB ABLE PROPOX-N/AP 100/650 TAB AMER PROPOX-N/AP 100/650 TAB IVAX PROPOX-N/AP 100/650 TAB IVAX PROPOX-N/AP 100/650 TAB MALL PROPOX-N/AP 100/650 TAB PURE PROPOX-N/AP 100/650 TAB QUAL PROPOX-N/AP 100/650 WHT MALL PROPOX-N/AP 100/650 WHT MALL PROPOX-N/AP 100/650 WHT MALL PROPOX-N/AP 100/650 WHT QUAL PROPOX-N/AP 100/650 WHT QUAL PROPOX-N/AP 100/650 WHT QUAL PROPOX-N/AP 100/650 WHT TEVA PROPOX-N/AP 50/325MG TB QUAL PROPOXYP N/AP 500MG TAB PLIV PROPOXYPHE CMPD 65MG CP TEVA PROPOXYPHE CMPD 65MG CP TEVA WRITE-IN ITEMS NOT LISTED ABOVE:

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 500 100 90 60 100 1000 100 500 100 500 1000 100 500 100 500 500 1000 1000 450 500 1000 500 100 1000 100 500 1000 100 500 1000 500 100 100 100 500 TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 00603-5466-21 00603-5466-28 00172-4980-60 00406-1772-90 00406-1772-60 00406-1772-01 00406-1772-10 00378-0155-01 00378-0155-05 00603-5468-21 00603-5468-28 00603-5468-32 00093-0890-01 00093-0890-05 53265-0256-10 53265-0256-50 53265-0261-50 53265-0256-11 53265-0261-11 62584-0919-85 00172-4980-70 00172-4980-80 00406-1772-05 00228-2085-10 00603-5466-32 00406-1721-01 00406-1721-05 00406-1721-10 00603-5467-21 00603-5467-28 00603-5467-32 00093-0490-05 00603-5465-21 50111-0790-01 00093-0686-01 00093-0686-05

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB CAP CAP

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DRUG DESCRIPTION --------------------------------PROPOXYPHEN HCL 65MG CP IVAX PROPOXYPHEN HCL 65MG CP IVAX PROPOXYPHEN HCL 65MG CP PAR PROPOXYPHEN HCL 65MG CP QUAL PROPOXYPHEN HCL 65MG CP QUAL PROPOXYPHEN HCL 65MG CP TEVA PROPOXYPHEN HCL 65MG CP TEVA PROSOM PROSOM 1MG 2MG TAB ABBO TAB ABBO ML FIRS ML FIRS ML FIRS TAB CEPH TAB CEPH ML BOCA

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 500 100 100 500 100 500 100 100 120 480 480 100 100 473 100 24 100 120 480 10 100 100 100 100 100 100 100 100 118 480 118 100 480 118 60 CAP CAP CAP CAP CAP CAP CAP TAB TAB ML ML ML TAB TAB ML TAB TAB TAB ML ML TAB TAB TAB TAB TAB CAP CAP CAP CAP ML ML ML TAB ML ML TAB 4 4 4 4 4 4 4 4 4 3 3 3 4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 00172-2186-60 00172-2186-70 49884-0120-01 00603-5459-21 00603-5459-28 00093-0741-01 00093-0741-05 00074-3735-13 00074-3736-13 59630-0100-04 59630-0100-16 59630-0105-16 63459-0101-01 63459-0201-01 64376-0718-16 00677-1876-01 00904-5053-24 00677-1851-01 00121-0421-04 00536-1850-85 24385-0363-52 00054-4743-25 00781-1533-01 00054-4744-25 00781-1535-01 58177-0045-04 58177-0096-04 58177-0438-04 58177-0046-04 00603-0851-94 00603-1596-58 00603-0861-54 51991-0816-01 00603-1636-58 68032-0107-04 52544-0969-60

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP CAP CAP CAP CAP CAP CAP TAB TAB ML ML ML TAB TAB ML TAB TAB TAB ML ML TAB TAB TAB TAB TAB CAP CAP CAP CAP ML ML ML TAB ML ML TAB

PROTUSS LIQUID PROTUSS LIQUID PROTUSS-D LIQUID PROVIGIL PROVIGIL 100MG 200MG

PSE CARBINOC DM SYR

PSE/GUAIFEN 90/800MG TAB URL PSEUDO-GEST 30MG TAB MAJO

PSEUDO/GUAI 60/500MG TB URL PSEUDOEPH 30MG/5ML SYP PHAR WATS

PSEUDOEPH 30MG/5ML SYR

PSEUDOEPHED ER 120MG TAB GNP PSEUDOEPHEDRINE 30MG TB ROXA PSEUDOEPHEDRINE 30MG TB SAND PSEUDOEPHEDRINE 60MG TB ROXA PSEUDOEPHEDRINE 60MG TB SAND PSEUDOVENT PSEUDOVENT 400 PSEUDOVENT DM PSEUDOVENT PED Q-TAP ELIXIR Q-TUSS HC LIQUID Q-TUSSIN CF SYRUP QUAD TANN QUINTEX HC LIQUID CAP ETHE CAP ETHE CAP ETHE CAP ETHE ML QUAL ML QUAL ML QUAL TAB BREC ML QUAL

RE2+30 SYRUP 30/2MG/5ML RIVE REPREXAIN WRITE-IN ITEMS NOT LISTED ABOVE: 5/200MG TAB WATS

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DRUG DESCRIPTION --------------------------------RESTORIL RESTORIL RESTORIL RESTORIL 15MG 30MG 7.5MG 22.5MG CAP MALL CAP MALL CAP MALL CAP MALL

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 100 30 12 480 120 120 12 120 120 120 480 240 100 100 30 473 100 100 100 100 100 24 100 100 100 50 50 100 100 1 1 2 10 3 CAP CAP CAP CAP CAP ML ML ML TAB ML ML ML ML ML TAB TAB ML ML CAP CAP CAP CAP TAB TAB TAB TAB TAB CAP CAP CAP CAP ML ML ML ML ML 4 4 4 4 3 5 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 3 4 4 3 4 4 4 4 4 4 4 4 4 00406-9916-01 00406-9917-01 00406-9915-01 00406-9914-03 00031-8600-46 00031-8674-25 00031-8677-26 00031-8671-12 00031-8601-46 00031-8695-12 00031-8609-12 00031-8608-12 00031-8680-25 00031-8695-18 64455-0022-01 64455-0017-01 68188-0050-03 00037-0718-68 53014-0404-10 63857-0327-10 63857-0328-10 63857-0329-10 63857-0332-10 00501-2207-24 00037-2001-01 00037-2103-01 00037-2403-01 51991-0080-52 51991-0080-51 60793-0146-01 60793-0145-01 00015-5645-15 00015-5646-15 00015-5644-15 00015-5648-20 00087-5650-41

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP CAP CAP CAP CAP ML ML ML TAB ML ML ML ML ML TAB TAB ML ML CAP CAP CAP CAP TAB TAB TAB TAB TAB CAP CAP CAP CAP ML ML ML ML ML

ROBITUSS CGH/CLD LIQGEL WYET ROBITUSSIN AC SYP ML WYET WYET

ROBITUSSIN CF SYR(OLD)

ROBITUSSIN CGH & COLD ML WYE ROBITUSSIN M/S SEVERE CONGES ROBITUSSIN PE SYR ML WYET

ROBITUSSIN PED CGH/COLD WYET ROBITUSSIN PED NIGHT REL WYE ROBITUSSIN-DAC SYR ROBITUSSIN-PE SYR RONDEC RONDEC CHEWABLE RONDEC-DM DROPS RYNATUSS PED SUSP SEMPREX-D SERAX SERAX SERAX SERAX ML WYET ML WYET TAB BIOV TAB BIOV ML ALLE ML MEDP

60MG/8MG CAP CELL 10MG 15MG 30MG 15MG CAP FAUL CAP FAUL CAP FAUL TAB FAUL TAB PFIZ 350MG TAB MEDP TAB MEDP

SINUTAB SINUS SOMA SOMA COMPOUND

SOMA COMPOUND W/COD TAB MEDP SOMNOTE 500MG SOMNOTE 500MG SONATA SONATA 10MG 5MG CAP BREC UD CAP BREC CAP MONA CAP MONA

STADOL 1MG/ML INJ VL ML SAND STADOL 2MG/ML INJ VL ML SAND STADOL 2MG/ML INJ VL ML SAND STADOL 2MG/ML INJ VL ML SAND STADOL NS 10MG/ML WRITE-IN ITEMS NOT LISTED ABOVE: ML BMS

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DRUG DESCRIPTION --------------------------------STRIANT 30MG BUCCAL MUC COLU SU-TUSS HD ELIXIR SUBOXONE SUBOXONE SUBUTEX SUBUTEX SUDAFED ML CYPR

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------60 473 30 30 30 30 24 10 10 118 120 24 10 20 24 24 24 24 100 100 30 10 24 118 24 24 100 36 100 100 120 120 100 500 100 500 TAB ML TAB TAB TAB TAB TAB TAB TAB ML ML TAB CAP TAB CAP TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB CAP CAP TAB TAB ML ML CAP CAP CAP CAP 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 3 3 4 4 4 4 55056-3060-01 60258-0715-16 12496-1283-02 12496-1306-02 12496-1278-02 12496-1310-02 00081-0865-24 00081-0670-13 00501-2790-10 00501-2876-04 00501-2880-04 00501-2860-24 00081-0677-13 00081-0670-20 00501-2206-24 00081-9600-03 00081-0227-66 00081-0870-24 00904-5053-59 00904-5125-59 00904-5125-46 24385-0054-52 24385-0643-62 24385-0507-26 52735-0441-05 24385-0432-62 64248-0419-10 64248-0419-12 00024-1937-04 00024-1951-04 59630-0470-04 50383-0866-04 00228-2076-10 00228-2076-50 00378-4010-01 00378-4010-05

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB ML TAB TAB TAB TAB TAB TAB TAB ML ML TAB CAP TAB CAP TAB TAB TAB TAB TAB TAB TAB TAB ML TAB TAB CAP CAP TAB TAB ML ML CAP CAP CAP CAP

2.0/0.5MG TAB RECK 8.0/2.0MG TAB RECK 2MG 8MG 30MG TAB RECK TAB RECK TAB WARN TAB PFIZ TAB PFIZ

SUDAFED 12HR 120MG SUDAFED 24HR 240MG

SUDAFED CHILD CGH & CLD LIQ SUDAFED CHILD NASAL DEC PFIZ SUDAFED CHILDREN CHEW TB PFI SUDAFED COLD & COUGH CP PFIZ SUDAFED LA 120MG TAB WARN

SUDAFED NON DRYING SINUS CAP SUDAFED SEVERE COLD TAB PFIZ SUDAFED SINUS TAB WARN

SUDAFED SINUS & ALLERGY PFIZ SUDOGEST 30MG SUDOGEST 60MG SUDOGEST 60MG TAB MAJO TAB MAJO TAB MAJO

SUPHEDRIN 12HR 120MG TB GOOD SUPHEDRIN M/S SINUS TAB GNP

SUPHEDRINE 15MG/5ML SYR GNP SUPHEDRINE 30/500MG TAB GOOD SUPHEDRINE 30MG SYNALGOS-DC TAB GNP CAP WOME

SYNALGOS-DC PAINPAK CAP WOME TALACEN TALWIN NX TANAFED DMX SUSP TANNATE DMP DEX TEMAZEPAM 15MG TEMAZEPAM 15MG TEMAZEPAM 15MG TEMAZEPAM 15MG WRITE-IN ITEMS NOT LISTED ABOVE: TAB SANO TAB SANO ML FIRS ML HI-T CAP ACTA CAP ACTA CAP MYLA CAP MYLA

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DRUG DESCRIPTION --------------------------------TEMAZEPAM 15MG TEMAZEPAM 15MG TEMAZEPAM 15MG TEMAZEPAM 30MG TEMAZEPAM 30MG TEMAZEPAM 30MG TEMAZEPAM 30MG TEMAZEPAM 30MG TEMAZEPAM 30MG TEMAZEPAM 7.5MG TENUATE 25MG UD CAP PAR CAP SAND CAP UDL CAP ACTA CAP ACTA CAP MYLA CAP MYLA CAP PAR CAP SAND CAP GENE TAB AVEN TAB AVEN TAB BMS

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 100 100 500 100 500 100 100 100 100 100 100 30 30 30 30 10 1 10 5 60 60 25 5 5 100 240 480 100 20 100 100 100 100 100 CAP CAP CAP CAP CAP CAP CAP TAB CAP CAP TAB TAB TAB PKT PAT PAT PAT ML ML ML ML GM GM GM GM GM CAP ML ML TAB CAP TAB TAB TAB TAB TAB 4 4 4 4 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 3 4 4 4 4 4 49884-0240-01 00781-2201-01 51079-0418-20 00228-2077-10 00228-2077-50 00378-5050-01 00378-5050-05 49884-0241-01 00781-2202-01 00781-2209-01 00068-0697-61 00068-0698-61 00003-0690-50 66887-0001-05 17314-4608-03 17314-4609-03 17314-2836-03 00781-3073-70 00781-3074-71 00591-3223-79 00591-3221-26 65628-0021-01 65628-0020-01 00574-0461-25 49452-7670-01 00574-0460-05 00187-0901-01 60432-0117-08 60432-0117-16 00085-0933-01 00043-0477-30 67386-0303-01 67386-0301-01 67386-0302-01 67386-0405-01 67386-0404-01

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ CAP CAP CAP CAP CAP CAP CAP TAB CAP CAP TAB TAB TAB PKT PAT PAT PAT ML ML ML ML GM GM GM GM GM CAP ML ML TAB CAP TAB TAB TAB TAB TAB

TENUATE DOSP 75MG TESLAC 50MG

TESTIM 1% 5GM GEL PKT EA AUX TESTODERM 4MG PATCH TESTODERM 6MG PATCH EA MCNE EA MCNE

TESTODERM+ADHES 6MG/24H MCNE TESTOST CYP 100MG/ML INJ SAN TESTOST CYP 200MG/ML 1ML SAN TESTOST CYP 200MG/ML INJ WAT TESTOST EN 200MG/ML INJ WATS TESTOSTERONE 2% MST CRM CUTI TESTOSTERONE 2% OINT GM CUTI TESTOSTERONE PR PWDR GM PADD TESTOSTERONE PR PWDR GM SPEC TESTOSTERONE PWDR TESTRED 10MG GM PADD CAP VALE

TETRA TANNATE PED SUS ML MGP TETRA TANNATE PED SUS ML MGP THEO-DUR 200MG SA TAB KEY

THERAFLU DAYTIME SEVERE COLD TRANXENE 15MG TRANXENE 3.75MG TRANXENE 7.5MG TRANXENE SD T-TAB OVAT T-TAB OVAT T-TAB OVAT

22.5MG TAB OVAT

TRANXENE-SD 11.25MG TAB OVAT WRITE-IN ITEMS NOT LISTED ABOVE:

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DRUG DESCRIPTION --------------------------------TRI-VENT HC SYRUP TRIAZOLAM .25MG TRIAZOLAM .25MG TRIAZOLAM .25MG TRIAZOLAM .25MG ML ETHE TAB PAR TAB GREE TAB PAR TAB ROXA

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------473 500 500 10 500 100 100 100 100 500 100 100 100 100 480 480 480 480 100 237 480 24 24 24 24 24 24 15 15 24 24 24 473 100 100 1000 ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML ML ML ML TAB ML ML CAP TAB TAB TAB TAB CAP ML ML TAB CAP TAB ML TAB TAB TAB 3 4 4 4 4 4 4 4 4 4 4 4 4 4 3 3 5 5 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 3 3 3 58177-0920-07 49884-0454-05 59762-3718-03 49884-0454-62 00054-4859-29 59762-3718-04 49884-0454-12 00054-4859-06 00781-1442-13 49884-0453-05 00054-8858-25 59762-3717-04 49884-0453-12 00054-4858-06 61570-0005-16 61570-0004-16 00037-4814-10 00037-4814-01 61570-0081-01 24385-0572-34 53014-0548-67 50580-0504-12 50580-0461-24 50580-0443-24 50580-0073-24 50580-0147-24 50580-0841-24 50580-0829-15 50580-0712-15 50580-0432-24 50580-0480-20 50580-0836-24 00045-0508-16 00045-0511-60 00045-0513-60 00045-0513-80

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB ML ML ML ML TAB ML ML CAP TAB TAB TAB TAB CAP ML ML TAB CAP TAB ML TAB TAB TAB

TRIAZOLAM .25MG 10X10PK GREE TRIAZOLAM .25MG 10X10PK PAR TRIAZOLAM .25MG 10X10PK ROXA TRIAZOLAM .25MG UD TRIAZOLAM 0.125MG TAB SAND TAB PAR

TRIAZOLAM 0.125MG UD TAB ROX TRIAZOLAM.125MG 10X10PK GREE TRIAZOLAM.125MG 10X10PK PAR TRIAZOLAM.125MG 10X10PK ROXA TUSSEND EXP W/HYDROC ML MONA TUSSEND SYP W/HYDROC ML MONA TUSSI-ORGAN NR W/COD ML MEDP TUSSI-ORGAN-S NR W/COD TUSSIGON 5MG MEDP

TAB MONA ML GNP ML CELL

TUSSIN CF SYRUP TUSSIONEX ER SUSP

TYLENOL ALLER COMP MULTI SYM TYLENOL ALLERG MULTI SYMP TB TYLENOL ALLERGY NIGHT TB MCN TYLENOL COLD DAY/NIGHT CAPL TYLENOL COLD SEV CONGEST MCN TYLENOL FLU M/S CAP MCNE

TYLENOL INF CGH&CLD DROP MCN TYLENOL INFANT+COLD CONC DRP TYLENOL SINUS M/S CAPL MCNE

TYLENOL SINUS M/S GELCAP MCN TYLENOL SINUS NIGHT TIME TAB TYLENOL W/COD ELIXIR ML MCNE TYLENOL W/COD NO.2 TYLENOL W/COD NO.3 TYLENOL W/COD NO.3 WRITE-IN ITEMS NOT LISTED ABOVE: TAB MCNE TAB MCNE TAB MCNE

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DRUG DESCRIPTION --------------------------------TYLENOL W/COD NO.4 TYLENOL W/COD NO.4 UNI-TUSS HC VALIUM VALIUM VALIUM VALIUM VALIUM SYRUP 10MG 2MG 2MG 5MG 5MG TAB MCNE TAB MCNE ML URL TAB ROCH TAB ROCH TAB ROCH TAB ROCH TAB ROCH ML QUAL

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 500 480 100 100 500 100 500 480 20 1 100 100 500 100 100 480 100 500 100 100 100 500 100 500 100 500 100 60 60 60 60 100 100 100 100 TAB TAB ML TAB TAB TAB TAB TAB ML CAP EA TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 3 3 3 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 3 3 3 3 00045-0515-60 00045-0515-70 00677-1512-33 00140-0006-01 00140-0004-01 00140-0004-14 00140-0005-01 00140-0005-14 00603-1853-58 23900-0006-15 37000-0536-07 00074-1949-12 00074-1949-14 00074-1949-54 00074-1973-14 00074-2274-14 00044-0730-16 00074-2277-14 00074-2277-54 00024-2253-04 00008-0085-01 00009-0029-01 00009-0029-02 00009-0055-01 00009-0055-03 00009-0090-01 00009-0090-04 00009-0094-01 00009-0057-07 00009-0059-07 00009-0066-07 00009-0068-07 67336-0911-01 67336-0912-01 63481-0698-70 63481-0668-70

ON HAND UNIT QUANTITY -------- ----________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ TAB TAB ML TAB TAB TAB TAB TAB ML CAP EA TAB TAB TAB TAB TAB ML TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB

VI-Q-TUSS LIQUID

VICKS DAYQUIL SINUS CAPS P&G VICKS VAPOR INHALER VICODIN EA P&G

5/500MG UD TAB ABBO TAB ABBO TAB ABBO

VICODIN 5/500MG VICODIN 5/500MG

VICODIN ES 7.5/750MG TB ABBO VICODIN HP 10/660MG TAB ABBO VICODIN TUSS SYRUP ML ABBO

VICOPROFEN 7.5MG/200 TB ABBO VICOPROFEN 7.5MG/200 TB ABBO WINSTROL WYGESIC 65MG XANAX 0.25MG XANAX 0.25MG XANAX 0.5MG XANAX 0.5MG XANAX 1MG XANAX 1MG XANAX 2MG XANAX XR 0.5MG XANAX XR 1MG XANAX XR 2MG XANAX XR 3MG XODOL XODOL ZYDONE ZYDONE WRITE-IN ITEMS NOT LISTED ABOVE: 10/300MG 5/300MG 10/400MG 5/400MG 2MG TAB OVAT TAB WOME TAB PFIZ TAB PFIZ TAB PFIZ TAB PFIZ TAB PFIZ TAB PFIZ TAB PFIZ TAB PFIZ TAB PFIZ TAB PFIZ TAB PFIZ TAB TEAM TAB TEAM TAB ENDO TAB ENDO

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________

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DRUG DESCRIPTION --------------------------------ZYDONE 7.5/400MG TAB ENDO

PACK DOSE SIZE UNIT SCHED. NDC # ------- ------ ----- ------------------100 100 TAB TAB 3 3 63481-0669-70 00069-1630-66

ON HAND UNIT QUANTITY -------- ----________ ________ TAB TAB

ZYRTEC-D 12HR 5/120 TAB PFIZ

WRITE-IN ITEMS NOT LISTED ABOVE:

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

_______ ______ _______ ______ _______ ______ _______ ______ _______ ______ _______ ______

___ ___ ___ ___ ___ ___

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________

________ ______ ________ ______ ________ ______ ________ ______ ________ ______ ________ ______