GroupNet Clearinghouse Software - Transmission File Report Update
Document Sample


GroupNet Clearinghouse Software - Transmission File Report
Update #1235, Friday, November 16, 2007
---------------------------------------------------------------------------------------
VENDOR : ABBOTT LABS PPD-HPD (VEND# 9100)
---------------------------------------------------------------------------------------
***** Contract #: MMS27007 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
ADD (New item)
12/01/2007 - 00074-0522-60 - KALETRA 25MG-100MG TABLET 60EA x 1 - $175.400
REMARKS: 11/16/07: NDC not in FDB. W%: 0.00% discount
---------------------------------------------------------------------------------------
VENDOR : CETYLITE INDUSTRIES (VEND# 0820)
---------------------------------------------------------------------------------------
***** Contract #: MMS27159 *** PHARMACEUTICALS *** [11/15/2007 to 4/30/2011] ***
ADD (New Vendor & New items)
11/15/2007 - 10223-0202-01 - CETACAINE LIQUID 56ML x 1 - $23.500
REMARKS: Fixed pricing.
11/15/2007 - 10223-0201-03 - CETACAINE MEDICAL KIT E 1EA x 1 - $55.460
REMARKS: Fixed pricing.
11/15/2007 - 10223-0201-01 - CETACAINE SPRAY 56GM x 1 - $42.000
REMARKS: Fixed pricing.
11/15/2007 - 10223-0205-01 - JETCO-SPRAY CANNULA, J4 10EA x 1 - $26.330
REMARKS: Fixed pricing. $2.63 each (sold in packs of 10). NDC not in First DataBank.
11/15/2007 - 10223-0206-01 - JETCO-SPRAY CANNULA, J6 1EA x 1 - $3.800
REMARKS: Fixed pricing.
11/15/2007 - 10223-0208-01 - JETCO-SPRAY CANNULA, J8 1EA x 1 - $4.400
REMARKS: Fixed pricing.
CONTADD
11/15/2007 - MMS27159 0820
---------------------------------------------------------------------------------------
VENDOR : DR REDDY'S LABORATORIES, INC. (VEND# 9180)
---------------------------------------------------------------------------------------
***** Contract #: MMS27050 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#:
A00230-1
CHANGE (Price decrease)
11/19/2007 - 55111-0554-30 - FINASTERIDE 5 MG TABLET 30EA x 1 - $29.760
REMARKS: AB-rated to Propecia
11/19/2007 - 55111-0554-90 - FINASTERIDE 5 MG TABLET 90EA x 1 - $89.280
REMARKS: AB-rated to Propecia
---------------------------------------------------------------------------------------
VENDOR : ELI LILLY & CO (VEND# 1142)
---------------------------------------------------------------------------------------
***** Contract #: *** *** [ to ] ***
VENDCHANGE
11/07/2007 - ELI LILLY & CO
1
---------------------------------------------------------------------------------------
VENDOR : FOREST PHARMACEUTICALS (VEND# 2890)
---------------------------------------------------------------------------------------
***** Contract #: MMS27056 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] ***
DELETE (Discontinued by manufacturer)
11/16/2007 - 00258-3638-01 - THEOPHYLLINE 125 MG CAP SA 100EA x 1 - $27.760 *
REMARKS: Discontinued by manufacturer; distributors' inventory is depleted.
11/16/2007 - 00258-3634-01 - THEOPHYLLINE 200 MG CAP SA 100EA x 1 - $31.410 **
REMARKS: Discontinued by manufacturer; distributors' inventory is depleted.
11/16/2007 - 00258-3625-01 - THEOPHYLLINE 300 MG CAP SA 100EA x 1 - $34.640
REMARKS: Discontinued by manufacturer; distributors' inventory is depleted.
Wednesday, November 14, 2007: Inwood Laboratories.
* Urgent: Drug Recall (Retail Level) NDC 00258363801:
Lot # / Expiration date 6B002 (1/9/08)
Lot # / Expiration date 6B004 (1/9/08)
** Urgent: Drug Recall (Retail Level) NDC 00258363401:
Lot # / Expiration date 6F004 (1/23/08)
---------------------------------------------------------------------------------------
VENDOR : MEAD JOHNSON NUTRITIONAL GP (VEND# 2550)
---------------------------------------------------------------------------------------
***** Contract #: MMS27083 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] *** Vend Cont#:
GP0053
CHANGE (Price increase)
12/01/2007 - 00087-4060-42 - BCAD 1 POWDER 454GM x 1 - $33.000
REMARKS: #406002, ISO/LEUC/VALINE FREE. 6 @ $198.00
12/01/2007 - 00087-0083-41 - BCAD2 POWDER 454GM x 1 - $57.490
REMARKS: #008301, LACTOSE FREE, ISO/LEUC/VALINE FREE. 6 @ $344.94
12/01/2007 - 00087-0203-73 - ENFAMIL A.R. LIPIL LIQUID 946ML x 6 - $35.100
REMARKS: #020333, Enfamil A.R. LIPIL w/Iron RTU 32 oz; $5.85 each
12/01/2007 - 00087-0201-42 - ENFAMIL A.R. LIPIL POWDER 366GM x 1 - $13.270
REMARKS: #020102, Enfamil A.R. LIPIL powder 12.9 oz; 6 @ $79.62
12/01/2007 - 00087-0201-59 - ENFAMIL A.R. LIPIL POWDER 681GM x 1 - $24.430
REMARKS: #020119; Enfamil A.R. LIPIL powder 24 oz; 4 @ $97.72
12/01/2007 - 00087-0019-44 - ENFAMIL ENFACARE LIPIL-PWDR 363GM x 1 - $13.630
REMARKS: #001904, Enfacare LIPIL w/Iron powder 12.8 oz, 6 @ $81.78
12/01/2007 - 00087-8693-42 - ENFAMIL GENTLEASE LIPIL POWDER 340GM x 1 - $13.000
REMARKS: #869302, Gentlease LIPIL powder 12 oz; 6 @ $78.00
12/01/2007 - 00087-8693-43 - ENFAMIL GENTLEASE LIPIL POWDER 681GM x 1 - $24.880
REMARKS: #869303, Gentlease LIPIL powder 24 oz; 4 @ $99.52
12/01/2007 - 00087-0614-41 - ENFAMIL LACTOFREE LIPIL LIQ 384ML x 12 - $50.640
REMARKS: #061401, LactoFree LIPIL w/Iron concentrate 13 oz; $4.22 each
12/01/2007 - 00087-0615-41 - ENFAMIL LACTOFREE LIPIL LIQ 946ML x 6 - $37.320
REMARKS: #061501, LactoFree LIPIL w/Iron RTU 32 oz; $6.22 each
12/01/2007 - 00087-0616-47 - ENFAMIL LACTOFREE LIPIL PWD 366GM x 6 - $79.080
REMARKS: #061607, LactoFree LIPIL w/Iron powder 12.9 oz; $13.18 each
12/01/2007 - 00087-0616-48 - ENFAMIL LACTOFREE LIPIL PWD 729GM x 6 - $151.320
REMARKS: #061608, LactoFree LIPIL w/Iron powder 25.7 oz, $25.22 each
12/01/2007 - 00087-1272-41 - ENFAMIL LIPIL CONCENTRATE LIQ 384ML x 1 - $4.080
REMARKS: #127201, Enfamil LIPIL w/Iron concentrate 13 oz. 12 @ $48.96
12/01/2007 - 00087-1271-42 - ENFAMIL LIPIL LIQUID 237ML x 4 - $31.840
REMARKS: #127102, Enfamil LIPIL w/Iron RTU 4x4-8 oz, 16 @ $127.36
12/01/2007 - 00087-1271-43 - ENFAMIL LIPIL LIQUID 946ML x 1 - $6.010
REMARKS: #127103, Enfamil LIPIL w/Iron RTU 32 oz. 6 @ $36.06
12/01/2007 - 00087-1273-41 - ENFAMIL LIPIL POWDER 366GM x 1 - $12.750
REMARKS: #127301, Enfamil LIPIL w/Iron powder 12.9 oz, 6 @ $76.50
12/01/2007 - 00087-1273-52 - ENFAMIL LIPIL POWDER 729GM x 6 - $146.580
REMARKS: #127312, Enfamil LIPIL w/Iron powder 25.7 oz; $24.43 each
12/01/2007 - 00087-1273-53 - ENFAMIL LIPIL POWDER PACKET 1EA x 16 - $9.130
2
REMARKS: #127313, Enfamil LIPIL w/Iron Single Serve Powder Packets; 1 carton = 6x16-17Gm stick
packs @ $54.78
12/01/2007 - 00087-0309-51 - ENFAMIL PROSOBEE LIPIL LIQ 237ML x 4 - $8.530
REMARKS: #030911, ProSobee LIPIL w/Iron RTU 4x4-8 oz cans; 16 cans (1 case) @ $34.12
12/01/2007 - 00087-1195-41 - ENFAMIL PROSOBEE LIPIL LIQ 384ML x 12 - $50.640
REMARKS: #119501, ProSobee LIPIL w/Iron concentrate 13 oz, contains soy protein; $4.22 each
12/01/2007 - 00087-0309-74 - ENFAMIL PROSOBEE LIPIL LIQ 946ML x 6 - $37.320
REMARKS: #030934, ProSobee LIPIL w/Iron RTU 32 oz, contains soy protein; $6.22 each
12/01/2007 - 00087-1214-41 - ENFAMIL PROSOBEE LIPIL PWD 366GM x 6 - $79.080
REMARKS: #121401, ProSobee LIPIL w/Iron powder 12.9 oz, contains soy protein; $13.18 each.
12/01/2007 - 00087-1214-42 - ENFAMIL PROSOBEE LIPIL PWD 729GM x 6 - $151.320
REMARKS: #121402, ProSobee LIPIL w/Iron powder 25.7 oz, contains soy protein; $25.22 each
12/01/2007 - 00087-0198-41 - GA POWDER 454GM x 1 - $44.000
REMARKS: #019801, LYSINE/TRYPTOPHAN FREE/IRON FORT. 6 @ $264.00
12/01/2007 - 00087-0095-41 - HCY 1 POWDER 454GM x 1 - $33.000
REMARKS: #009501, HCY 1 powder 1 lb, METHIONINE FREE. 6 @ $198.00
12/01/2007 - 00087-0199-41 - HCY 2 POWDER 454GM x 1 - $57.490
REMARKS: #019901, HCY 2 powder 1 lb, LACTOSE FREE, METHIONINE FREE. 6 @ $344.94
12/01/2007 - 00087-0078-41 - LMD POWDER 454GM x 1 - $44.000
REMARKS: #007801, LEUCINE FREE/IRON FORT. 6 @ $264.00
12/01/2007 - 00087-0498-01 - NUTRAMIGEN LIPIL LIQ CONC 384ML x 1 - $6.780
REMARKS: #049811, Nutramigen LIPIL w/Iron concentrate 13 oz, 12 @ $81.36
12/01/2007 - 00087-0499-01 - NUTRAMIGEN LIPIL LIQUID 946ML x 1 - $8.500
REMARKS: #049911, Nutramigen LIPIL w/Iron RTU 32 oz, 6 @ $51.00
12/01/2007 - 00087-0338-01 - NUTRAMIGEN LIPIL POWDER 454GM x 1 - $25.200
REMARKS: #033821, Nutramigen LIPIL w/Iron powder 1 lb, 6 for $151.20
12/01/2007 - 00087-0085-41 - OA 1 POWDER 454GM x 1 - $33.000
REMARKS: #008501, OA 1 powder 1 lb, ISO/METH/THREO/VALINE FREE. 6 @ $198.00
12/01/2007 - 00087-0191-41 - OA2 POWDER 454GM x 1 - $55.000
REMARKS: #019101, OA 2 powder 1 lb, ISO/METH/THREO/VALINE FREE. 6 @ $330.00
12/01/2007 - 00087-0994-41 - PFD 1 POWDER 454GM x 1 - $16.500
REMARKS: #099401, PFD 1 powder 1 lb, PROTN/AMNO ACID FREE. 6 @ $99.00
12/01/2007 - 00087-0079-41 - PFD 2 POWDER 454GM x 1 - $7.760
REMARKS: #007901, PFD 2 powder 1 lb, LACTOSE FREE. 6 @ $45.56
12/01/2007 - 00087-0080-41 - PHENYL-FREE 2 POWDER 454GM x 1 - $27.930
REMARKS: #008001, LACTOSE FREE. PHENYLALANINE FREE. 6 @ $167.58
12/01/2007 - 00087-0081-41 - PHENYL-FREE 2HP POWDER 454GM x 1 - $50.220
REMARKS: #008101, LACTOSE FREE. PHENYLALANINE FREE. 6 @ $301.32
12/01/2007 - 00087-0074-47 - PHENYL-FREE POWDER 1 454GM x 1 - $24.190
REMARKS: #007407, PHENYLALANINE FREE. 6 @ $145.14
12/01/2007 - 00087-0387-01 - PORTAGEN POWDER 454GM x 1 - $18.250
REMARKS: #038721, Portagen powder 1 lb, 6 @ $109.50
12/01/2007 - 00087-0367-01 - PREGESTIMIL POWDER 454GM x 1 - $26.880
REMARKS: #036721, Pregestimil LIPIL powder 1 lb, 6 @ $161.28
12/01/2007 - 00087-0425-41 - PRODUCT 3232A POWDER 454GM x 1 - $58.250
REMARKS: #042521, PROTEIN HYDROLYSATE/TAPIOCA. 6 @ $349.50
12/01/2007 - 00087-0194-41 - TYROS 1 POWDER 454GM x 1 - $33.000
REMARKS: #019401, TYROS 1 powder 1 lb, PHENYLN/TYROSINE FREE. 6 @ $198.00
12/01/2007 - 00087-0082-41 - TYROS 2 POWDER 454GM x 1 - $57.490
REMARKS: #008201, PHENYLN/TYROSINE FREE. LACTOSE FREE POWDER. 6 @ $344.94
12/01/2007 - 00087-0092-41 - WND 1 POWDER 454GM x 1 - $16.500
REMARKS: #009201, WND 1 powder 1 lb, AMINO ACID FREE. 6 @ $99.00
12/01/2007 - 00087-0093-41 - WND 2 POWDER 454GM x 1 - $23.460
REMARKS: #009301, WND 2 powder 1 lb, LACTOSE FREE POWDER. 6 @ $140.76
---------------------------------------------------------------------------------------
VENDOR : MERCK VACCINE DIVISION (VEND# 2675)
---------------------------------------------------------------------------------------
***** Contract #: MMS27088 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] *** Vend Cont#: 07-
2631
CHANGE (Internal maintenance)
05/01/2007 - 00006-4898-00 - COMVAX VACCINE VIAL 0.5ML x 10 - $435.570
3
REMARKS: W%: 0.00% discount. Includes FET $1.50/dose. 09/01/2007: Direct orders from Merck receive
2% 90, net 91.
05/01/2007 - 00006-4109-31 - GARDASIL SYRINGE 0.5ML x 1 - $120.750
REMARKS: W%: 0.00% discount. Single dose prefilled Luer Lock syringe w/ UltraSafe Passive Delivery
System; 1"- 25-gauge needle. FET = $0.75 per dose ($120 + $0.75 = $120.75). 09/01/2007: Direct orders
from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4109-06 - GARDASIL SYRINGE 0.5ML x 6 - $724.500
REMARKS: W%: 0.00% discount. Single dose prefilled Luer Lock syringe w/ UltraSafe Passive Delivery
System; 1"- 25-gauge needle. FET = $0.75 per dose ($720 + $4.50 = $724.50). 09/01/2007: Direct orders
from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4045-00 - GARDASIL VIAL 0.5ML x 1 - $120.750
REMARKS: W%: 0.00% discount. FET = $0.75 per dose ($120 + $0.75 = $120.75). 09/01/2007: Direct
orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4045-41 - GARDASIL VIAL 0.5ML x 10 - $1,205.000
REMARKS: W%: 0.00% discount. FET = $0.75 per dose ($1197.50 + $7.50 = $1205.00). 09/01/2007:
Direct orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4681-00 - M-M-R II VACCINE W/DILUENT 10EA x 1 - $448.390
REMARKS: W%: 0.00% discount. Includes FET $2.25/dose ($425.89 + $22.50 = $448.39). 09/01/2007:
Direct orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4897-00 - PEDVAXHIB VACCINE VIAL 0.5ML x 10 - $227.690
REMARKS: W%: 0.00% discount. Includes FET $0.75/dose ($220.19 + $7.50 = $227.69). 09/01/2007:
Direct orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4943-00 - PNEUMOVAX 23 VIAL 0.5ML x 10 - $283.920
REMARKS: W%: 3.00% discount. 09/01/07: Direct orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4739-00 - PNEUMOVAX 23 VIAL 2.5ML x 1 - $126.480
REMARKS: W%: 3.00% discount. 09/01/07: Direct orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4999-00 - PROQUAD VIAL 1EA x 10 - $1,243.690
REMARKS: W%: 0.00% discount. Includes FET $3.00/dose ($1213.69 +$30.00 = $1243.69). 6/18/07 -
unavailable until further notice. 09/01/2007:Direct orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4995-00 - RECOMBIVAX HB 10 MCG/ML VIAL 1ML x 1 - $25.250
REMARKS: Price Guarantee for first Contract Year. Federal Excise Tax of $0.75/dose ($24.50+$0.75=
$25.25). 30 day notice of price change does not apply. 09/01/2007: Direct orders from Merck receive 2% 90,
net 91.
05/01/2007 - 00006-4995-41 - RECOMBIVAX HB 10 MCG/ML VIAL 1ML x 10 - $252.500
REMARKS: Price Guarantee for the first Contract Year. Federal Excise Tax of $0.75/dose ( $245.00+$7.50
= $252.50). 30 day notice of price change does not apply. 09/01/2007: Direct orders from Merck receive 2%
90, net 91.
05/01/2007 - 00006-4992-00 - RECOMBIVAX HB 40 MCG/ML VIAL 1ML x 1 - $166.040
REMARKS: Price Guarantee for first Contract Year. Federal Excise Tax of $0.75/dose ($165.29+$0.75:
$166.04). 30 day notice of price change does not apply. 09/01/2007: Direct orders from Merck receive 2% 90,
net 91.
05/01/2007 - 00006-4981-00 - RECOMBIVAX HB 5 MCG/0.5 ML VL 0.5ML x 10 - $112.500
REMARKS: Price Guarantee for first Contract Year. Federal Excise Tax of $0.75/dose ($105.00 + $7.50
=$112.50). 30 day notice of price change does not apply. 09/01/2007: Direct orders from Merck receive 2%
90, net 91.
05/01/2007 - 00006-4047-41 - ROTATEQ VACCINE 2ML x 10 - $669.380
REMARKS: W%: 0.00% discount. Includes FET $0.75/dose ($661.88 + $7.50 = $669.38). 09/01/2007:
Direct orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4831-41 - VAQTA 25 UNITS/0.5 ML VIAL 0.5ML x 10 - $147.500
REMARKS: Price Guarantee for first Contract Year. Federal Excise Tax of $0.75/dose ($140.00+$7.50 =
$147.50). 30 day notice of price change does not apply. 09/01/2007: Direct orders from Merck receive 2% 90,
net 91.
05/01/2007 - 00006-4841-00 - VAQTA 50 UNITS/ML VIAL 1ML x 1 - $19.250
REMARKS: Price Guarantee for first Contract Year. FET of $0.75/dose ($18.50 + $0.75 = $19.25). 30 day
notice of price change does not apply. 09/01/07: Direct orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4841-41 - VAQTA 50 UNITS/ML VIAL 1ML x 10 - $192.500
REMARKS: Price Guarantee for first Contract Year. FET of $0.75/dose ($185.00 + $7.50 = $192.50). 30
day notice of price change does not apply. 09/01/07: Direct orders from Merck receive 2% 90, net 91.
05/01/2007 - 00006-4827-00 - VARIVAX VACCINE W/DILUENT 1EA x 10 - $745.580
REMARKS: W%: 0.00% discount. Includes FET $0.75/dose ($738.08 + $7.50 = $745.58). 09/01/07: Direct
orders from Merck receive 2% 90, net 91.
07/15/2007 - 00006-4094-06 - RECOMBIVAX HB 10 MCG/ML SYR 1ML x 6 - $160.620
REMARKS: Price Guarantee for the first Contract Year. FET of $0.75/dose ($156.12+ $4.50 = $160.62).
09/01/2007: Direct orders from Merck receive 2% 90, net 91.
4
07/15/2007 - 00006-4096-06 - VAQTA 50 UNITS/ML SYRINGE 1ML x 6 - $124.620
REMARKS: Price Guarantee for the first Contract Year. FET of $0.75/dose ($120.12 + $4.50 = $124.62).
09/01/2007: Direct orders from Merck receive 2% 90, net 91.
CHANGE (Price increase)
12/01/2007 - 00006-4963-00 - ZOSTAVAX VIAL 1EA x 1 - $161.500
REMARKS: W%: 0.00% discount. Direct Orders Only: Eff. 7/1/07 - 12/31/07, orders containing only
Zostavax will not be subject to a service charge (delivery fee) if the minimum order dollar amount is not
achieved. Direct orders from Merck receive 2% 90, net 91.
12/01/2007 - 00006-4963-41 - ZOSTAVAX VIAL 1EA x 10 - $1,539.300
REMARKS: W%: 0.00% discount. Direct Orders Only: Eff. 7/1/07 - 12/31/07, orders containing only
Zostavax will not be subject to a service charge (delivery fee) if the minimum order dollar amount is not
achieved. Direct orders from Merck receive 2% 90, net 91.
---------------------------------------------------------------------------------------
VENDOR : PERRIGO PHARMACEUTICALS (VEND# 0800)
---------------------------------------------------------------------------------------
***** Contract #: MMS27101 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
ADD (NDC Conversion: New item)
05/01/2007 - 45802-0063-05 - TRIAMCINOLONE 0.025% CREAM 454GM x 1 - $10.400
DELETE (NDC Conversion: Discontinued by manufacturer)
11/07/2007 - 00414-0063-05 - TRIAMCINOLONE 0.025% CREAM 454GM x 1 - $10.400
REMARKS: NDC Conversion: NDC discontinued. New NDC 45802-0063-05.
---------------------------------------------------------------------------------------
VENDOR : PRECISION DOSE (VEND# 7010)
---------------------------------------------------------------------------------------
***** Contract #: MMS27107 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
CHANGE (Price increase: due to increase in raw materials)
12/07/2007 - 68094-0171-61 - SUCRALFATE 1 GM/10 ML SUSP UD10ML x 100 - $170.160
REMARKS: Unit Dose cups with new royal blue lidding color
12/07/2007 - 68094-0171-62 - SUCRALFATE 1 GM/10 ML SUSP UD10ML x 30 - $51.820
REMARKS: New royal blue lidding color
---------------------------------------------------------------------------------------
VENDOR : TALECRIS BIOTHERAPEUTICS, INC. (VEND# 1021)
---------------------------------------------------------------------------------------
***** Contract #: MMS27135 *** MMCAP CONTRACTS *** [7/1/2007 to 4/30/2009] ***
CHANGE (Price increase)
07/01/2007 - 13533-0631-06 - HYPERRHO S/D SYRINGE 10EA x 1 - $288.100
REMARKS: Latex free
12/01/2007 - 13533-0636-03 - HYPERHEP B S/D NEONATAL SYRIN. 0.5ML x 1 - $57.760
REMARKS: Latex free
12/01/2007 - 13533-0636-02 - HYPERHEP B S/D SYRINGE 1ML x 1 - $107.100
REMARKS: Latex free
12/01/2007 - 13533-0636-05 - HYPERHEP B S/D VIAL 5ML x 1 - $498.750
REMARKS: Latex free
12/01/2007 - 13533-0631-02 - HYPERRHO S/D SYRINGE 1EA x 1 - $78.280
REMARKS: Latex free
---------------------------------------------------------------------------------------
VENDOR : UDL LABORATORIES (VEND# 4545)
---------------------------------------------------------------------------------------
***** Contract #: MMS27142 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
ADD (New item)
11/28/2007 - 51079-0077-20 - HYDROXYZINE PAM 25 MG CAP UD100EA x 1 - $9.930
11/28/2007 - 51079-0078-20 - HYDROXYZINE PAM 50 MG CAP UD100EA x 1 - $11.310
5
Get documents about "