CONTRACT UP July 20, 2012 ADDS AMPHETAMINE SALT MIX ER CAPSULE 10MG 100 002-3059-11 $422.45 ACTAVIS ADDS AMPHETAMINE SALT MIX ER CAPSULE 20MG 100 002-3060-11 $422.45 ACTAVIS ADDS AMPHETAMINE SALT MIX ER CAPSULE 30MG 100 002-3061-11 $422.45 ACTAVIS ADDS AMPHETAMINE SALT MIX ER CAPSULE 5MG 100 002-3062-11 $422.45 ACTAVIS ADDS AMPHETAMINE SALT MIX ER CAPSULE 15MG 100 002-3063-11 $422.45 ACTAVIS ADDS AMPHETAMINE SALT MIX ER CAPSULE 25MG 100 002-3064-11 $422.45 ACTAVIS ADDS LACTULOSE SOLUTION 10GM/15ML 960ML 45963-0439-65 $12.32 ACTAVIS ADDS LACTULOSE SOLUTION 10GM/15ML 480ML 45963-0438-64 $6.81 ACTAVIS ADDS LACTULOSE SOLUTION 10GM/15ML 240ML 45963-0439-63 $4.06 ACTAVIS ADDS FOLBEE AR TABLET 30 51991-0541-33 $18.41 BRECKENRIDGE PHARMACEUT 08-01-2012 12-31-2012 ADDS METHYLPREDNISOLONE TABLET 4MG 21 51991-0188-31 $22.47 BRECKENRIDGE PHARMACEUT 08-01-2012 12-31-2012 864912 10054581
CONTRACT UP July 20, 2012 ADDS RANITIDINE SOLUTION 15MG/ML 480ML 57664-0141-34 $12.84 CARACO PHARMACEUTICAL 07-13-2012 12-31-2012 ADDS CLINDAMYCIN CAPSULE 150MG 100 00527-1382-01 $12.04 LANNETT ADDS SERTRALINE TABLET 100MG 500 00378-8127-05 $50.50 MYLAN 07-17-2012 12-31-2012 ADDS CYCLOBENZAPRINE TABLET 10MG 5000 00603-3079-34 $129.90 QUALITEST ADDS FELODIPINE TABLET ER 10MG 500 00603-3583- $310.13 QUALITEST ADDS FELODIPINE TABLET ER 10MG 100 00603-3583-21 $65.29 QUALITEST ADDS FELODIPINE TABLET ER 2.5MG 100 00603-3581-21 $44.78 QUALITEST ADDS FELODIPINE TABLET ER 2.5MG 500 00603-3581- $212.69 QUALITEST ADDS FELODIPINE TABLET ER 5MG 100 00603-3582-21 $44.92 QUALITEST ADDS FELODIPINE TABLET ER 5MG 500 00603-3582- $213.42 QUALITEST ADDS HYDROCORTISONE LOTION 2.5% 2 OZ 00603-7785-52 $12.79 QUALITEST 882605 10055291
CONTRACT UP July 20, 2012 ADDS LOSARTAN TABLET 25MG 1000 00603-4224-32 $35.14 QUALITEST ADDS LOSARTAN TABLET 50MG 90 00603-4225-02 $5.72 QUALITEST ADDS LOSARTAN TABLET 50MG 30 00603-4225-16 $1.90 QUALITEST ADDS LOSARTAN TABLET 50MG 1000 00603-4225-32 $42.76 QUALITEST ADDS LOSARTAN TABLET 100MG 90 00603-4226-02 $7.80 QUALITEST ADDS LOSARTAN TABLET 100MG 30 00603-4226-16 $2.62 QUALITEST ADDS LOSARTAN TABLET 100MG 1000 00603-4226-32 $71.44 QUALITEST ADDS LOSARTAN TABLET 25MG 90 00603-4224-02 $4.09 QUALITEST ADDS Q-TUSSIN LIQUID AF 240ML 00603-0857-81 $1.29 QUALITEST ADDS RISPERIDONE ORAL SOL 1MG/ML 30ML 00603-9424-45 $14.45 QUALITEST ADDS SPIRONOLACTONE TABLET 25MG 2500 00603-5763-30 $234.43 QUALITEST
CONTRACT UP July 20, 2012 ADDS TRIAMCINOLONE ACETON LOTION 0.1% 60ML 00603-7864-49 $32.21 QUALITEST 523753 10033886 ADDS DIPYRIDAMOLE TABLET 75MG 100 00054-0436-25 $18.03 ROXANE LABS ADDS DIPYRIDAMOLE TABLET 25MG 100 00054-0434-25 $9.61 ROXANE LABS ADDS DIPYRIDAMOLE TABLET 50MG 100 00054-0435-25 $12.91 ROXANE LABS ADDS AMLODIPINE/BENAZEPRI CAPSULE 5MG/40MG 100 00093-7670-01 $46.81 TEVA USA 07-18-2012 12-31-2012 ADDS BUSPIRONE TABLET 30MG 500 00093-5200-05 $339.24 TEVA USA 08-20-2012 12-31-2012 ADDS DEXMETHYLPHENI TABLET 5MG 100 00093-5276-01 $73.78 TEVA USA 07-18-2012 12-31-2012 ADDS ETODOLAC TABLET 500MG 100 00093-1893-01 $17.12 TEVA USA 07-18-2012 12-31-2012 ADDS QUININE SULFATE CAPSULE 324MG 30 53489-0700-07 $164.37 UNITED RESEARCH LABS 07-25-2012 12-31-2012 ADDS ACETAMINOPHEN SUSPENSION 160MG/5ML 60ML 00536-3606-96 $2.77 WATSON PHARMA 07-20-2012 12-31-2012 ADDS CHLORPROMAZINE INJ. AMP 50MG/2ML 2MLX25 00641-1398-35 $464.38 WEST-WARD PHARMACEUTICAL
CONTRACT UP July 20, 2012 ADDS CHLORPROMAZINE INJ. AMP 25MG/ML 1MLX25 00641-1397-35 $406.60 WEST-WARD PHARMACEUTICAL ADDS FENTANYL CITRATE INJECTION 0.05MG/ML 5MLX10 10019-0033-72 $20.32 WEST-WARD PHARMACEUTICAL ADDS FENTANYL CITRATE INJECTION 0.05MG/ML 20MLX5 10019-0035-74 $34.19 WEST-WARD PHARMACEUTICAL ADDS FENTANYL CITRATE INJECTION 0.05MG/ML 20MLX25 10019-0037-25 $162.80 WEST-WARD PHARMACEUTICAL ADDS FENTANYL CITRATE INJECTION 0.05MG/ML 2MLX10 10019-0038-67 $16.78 WEST-WARD PHARMACEUTICAL ADDS FENTANYL CITRATE INJECTION 0.05MG/ML 5MLX25 10019-0037-30 $48.40 WEST-WARD PHARMACEUTICAL ADDS PHENOBARBITAL TABLET 30MG 500 00143-1450-05 $80.27 WEST-WARD PHARMACEUTICAL DECREASE ALPRAZOLAM TABLET 0.5MG 100 002-2029-10 $3.29 ACTAVIS 309203 10021697 DECREASE ALPRAZOLAM TABLET 0.5MG 500 002-2029-50 $14.70 ACTAVIS 309211 10021698 DECREASE GABAPENTIN CAPSULE 300MG 500 14550-0512-04 $41.73 ACTAVIS 008409 10083722 DECREASE GABAPENTIN CAPSULE 300MG 100 14550-0512-02 $9.10 ACTAVIS 008391 10083721
CONTRACT UP July 20, 2012 DECREASE GABAPENTIN TABLET 800MG 500 002-2637-50 $276.61 ACTAVIS 400717 10026560 DECREASE VALACYCLOVIR TABLET 1GM 30 45963-0559-30 $91.12 ACTAVIS 116436 10096795 DECREASE VALACYCLOVIR TABLET 1GM 90 45963-0559-08 $265.16 ACTAVIS 116448 10096796 DECREASE CLINDAMYCIN CAPSULE 300MG 100 00527-1383-01 $13.38 LANNETT 400224 DECREASE ALPRAZOLAM TABLET 1MG 500 00378-4005-05 $17.76 MYLAN 07-26-2012 12-31-2012 275453 10019837 DECREASE ALPRAZOLAM TABLET 1MG 100 00378-4005-01 $3.75 MYLAN 07-26-2012 12-31-2012 275396 10019833 DECREASE AMLODIPINE/BENAZEPRI CAPSULE 10MG/40MG 100 49884-0953-01 $112.35 PAR PHARMACEUTICALS 07-20-2012 12-31-2012 062962 10091063 DECREASE DRONABINOL CAPSULE 2.5MG 60 49884-0867-02 $226.01 PAR PHARMACEUTICALS 07-20-2012 12-31-2012 635437 10041998 INCREASE PYRIDOSTIGMINE TABLET 60MG 100 64720-01-10 $24.50 COREPHARM LLC 08-20-2012 12-31-2012 089247 10010186 INCREASE SODIUM SULFACETAMIDE OPHTH DROP 10% 15ML 61314-0701-01 $13.11 SANDOZ 07-20-2012 11-30-2013 757183 10048753 ADDNEWNDC PERPHENAZINE TABLET 2MG 100 00603-5060-21 $74.72 QUALITEST 07-16-2012 12-31-2013