Iowa Medicaid Drug Utilization Review (DUR) Commission Meeting March 4, 2009

CHESTER J. CULVER, GOVERNOR PATTY JUDGE, LT. GOVERNOR DEPARTMENT OF HUMAN SERVICES EUGENE I. GESSOW, DIRECTOR Iowa Medicaid Drug Utilization Review (DUR) Commission Meeting March 4, 2009 Location: Learning Resource Center 3550 Mills Civic Parkway West Des Moines, Iowa Time: 9:30 a.m. 1:30 p.m. Final Agenda 1. Welcome & Introductions a) Commission Members and Staff b) Approval of the minutes c) Old business 2. Iowa Medicaid Enterprise Update(s) a) February 20 th Clinical Advisory Committee Report b) Other IME/DHS Updates 3. P&T Committee s Recommendations on Select Mental Health Drugs Report from February 13 th Mental Health Advisory Group meeting 4. Prior Authorization a) Extended Release Formulations Prior Authorization Criteria b) Modified Formulations Prior Authorization Criteria 5. Public Comment (See Conflict of Interest Disclosure Form) 6. ProDUR Edits: Quantity Limits List: acetaminophen-containing analgesics 7. Focus Studies/Provider Education Initiatives a) New Clozapine Users and Frequency of Monitoring Follow up b) Concurrent Inhaled Anticholinergics Initial Review c) Protease Inhibitors with HMG CoA Inhibitors Initial Review d) Thiazolidinediones in Congestive Heart Failure Initial Review e) Use of Metered Dose Inhalers vs. Nebulizers Initial Review 8. Public Comment IOWA MEDICAID ENTERPRISE - 100 ARMY POST ROAD - DES MOINES, IA 50315

9. Miscellaneous a) DUR Digest (Draft) 2009 Volume 21, Number 2 b) MedWatch 10. Executive Closed Session a) Approval of Minutes b) Review of Focus Studies Data with PHI c) Member Profiles 11. Adjournment Individuals attending meetings of the DUR Commission shall have an opportunity to address the Commission. This opportunity will be granted twice during the open portion of the meeting. In order to accommodate all interested parties, all speakers are requested to limit their comments to 5 minutes or less. If you represent a drug manufacturer as an employee, as a contractor, as a member of the manufacturer's Speaker Bureau, or by any other means, we expect you to cover your individual product or entire product line in that five-minute time frame. Speakers who represent multiple manufacturers will share their 5 minutes with the other manufacturer representative(s) whose product they are speaking on. www.iadur.org For more information contact the DUR Director, Chad Bissell, Pharm.D. at info@iadur.org or (515) 725-1271

Attachment 1 Summary of Non-Preferred Recommendations from November 13, 2008 P & T Committee Meeting Summary of P&T Recommendations 1. Nonpreferred: Pexeva, Metadate CD, Ritalin LA. 2. Nonpreferred with Conditions 1 : Seroquel XR, Luvox CR, Risperdal M-Tab, Zyprexa Zydis, Abilify Discmelt, Pristiq, and Invega 3. Prior Authorization (PA) requirements recommended for those drugs in Nonpreferred with Conditions mean that the member must have a trial and failure of the parent compound. Classification of Recommendations I. Drugs A. Brand Name Products 1) Pexeva Non-Preferred 2) Metadate CD Non-Preferred 3) Ritalin LA Non-Preferred B. Extended Release Products* 1) Luvox CR Non-Preferred 2) Seroquel XR Non-Preferred C. Different Dosage Forms of Preferred Products* 1) Risperdal M-Tab Non-Preferred 2) Zyprexa Zydis Non-Preferred 3) Abilify Discmelt Non-Preferred D. Metabolites of Preferred Products* 1) Invega Non-Preferred 2) Pristiq Non-Preferred *With Conditions II. Prior Authorization Requirements Recommended Nonpreferred with Conditions mean that the member must have a trial and failure of the parent compound. 1 Conditions refers to the clinical prior authorization criteria developed and recommended by the DUR Commission that require specific medical criteria and guidelines be met as a condition for prior authorization approval.

Extended Release Formulations Existing PA Criteria Payment for the extended release formulation will be considered only for cases in which there is documentation of previous trial and therapy failure with the immediate release product of the same chemical entity, unless evidence is provided that use of the immediate release product would be medically contraindicated. Prior authorization is required for the following extended release formulation(s): 1) Luvox CR 2) Seroquel XR Proposed PA Criteria Payment for a non-preferred extended release formulation will be considered only for cases in which there is documentation of a previous trial and therapy failure with the immediate release product of the same chemical entity, unless evidence is provided that use of the immediate release product would be medically contraindicated. Drugs to be affected: Adoxa, Amrix, Allegra D 24 hr, Brovex CT, Cardura XL, Cipro XR, Coreg CR, diclofenac ER, Doryx, etodolac ER/CR, Extendryl SR, Flagyl ER, glipizide ER, Glucotrol XL, indomethacin ER, InnoPran XL, Luvox CR, Metadate CD, Opana ER, Prozac Weekly, Quibron-T/SR, Requip XL, Ritalin LA, Seroquel XR, Sinemet CR, Solodyn ER, Ultram ER, Xanax XR*. *Currently included on the Benzodiazepine Prior Authorization form

Modified Formulations At the November 13 th P&T Committee Meeting, the members of the P&T Committee requested the DUR Commission develop clinical prior authorization criteria for the medications currently on the Recommended Drug List which will be moving to the Preferred Drug List. These medications are modified formulations of existing products. This was originally discussed at the May 2008 DUR Meeting. Proposed PA Criteria Payment for an isomer, pro-drug, metabolite, and/or alternative delivery system will only be considered for cases in which there is documentation of a recent trial and therapy failure with the original parent drug product of the same chemical entity, unless evidence is provided that use of the original product would be medically contraindicated. Prior Authorization is required for the following modified formulations: 1) Invega 4) Zyprexa Zydis 2) Pristiq 5) Abilify Discmelt 3) Risperdal-M Tabs

Iowa DUR Claims Outside of Monthly Quantity Limits on Acetaminophen-Containing Analgesics for the Period of 07/01/2008 to 11/30/2008 *Suggested quantity limits are based on the maximum daily dose of acetaminophen (4000mg per 24 hours). Drug Description Qty Limit* Member Count Claim Count Paid Amt Acetaminophen Tab 500 MG 240 45 78 $783.20 Hydrocodone-Acetaminophen Tab 10-500 MG 240 1 2 $125.16 Hydrocodone-Acetaminophen Tab 7.5-500 MG 240 2 9 $261.45 Hydrocodone-Acetaminophen Tab 5-500 MG 240 2 2 $37.50 Oxycodone w/ Acetaminophen Tab 5-325 MG 360 1 1 $47.37 Propoxyphene-N w/ APAP Tab 100-650 MG 180 10 27 $1,056.72 61 119 $2,311.40 RT24467 1

Iowa DUR Claims Outside of Daily Quantity Limits on Acetaminophen-Containing Analgesics for the Period of 07/01/2008 to 11/30/2008 *Suggested quantity limits are based on the maximum daily dose of acetaminophen (4000mg per 24 hours). Daily Qty Drug Description Limit Member Count Claim Count Paid Amt Pentazocine w/ APAP Tab 25-650 MG 6 1 1 $53.80 Hydrocodone-Acetaminophen Tab 7.5-650 MG 7 10 11 $81.48 Hydrocodone-Acetaminophen Tab 10-650 MG 7 17 55 $757.55 Tramadol-Acetaminophen Tab 37.5-325 MG 12 7 7 $132.24 Oxycodone w/ Acetaminophen Tab 7.5-500 MG 8 21 34 $1,520.82 Oxycodone w/ Acetaminophen Tab 7.5-325 MG 12 10 12 $275.81 Oxycodone w/ Acetaminophen Tab 10-325 MG 12 9 9 $271.10 Acetaminophen w/ Codeine Tab 300-60 MG 13 3 4 $47.84 Hydrocodone-Acetaminophen Tab 5-500 MG 8 3,817 5,283 $29,260.16 Hydrocodone-Acetaminophen Tab 10-750 MG 5 1 1 $101.73 Propoxyphene-N w/ APAP Tab 100-325 MG 12 1 1 $56.22 Propoxyphene-N w/ APAP Tab 100-650 MG 6 1,526 2,196 $23,955.82 Butalbital-Acetaminophen-Caffeine Tab 50-500-40 8 3 10 $589.92 MG Acetaminophen Tab 500 MG 8 144 251 $1,627.16 Hydrocodone-Acetaminophen Tab 5-300 MG 13 1 1 $42.16 Butalbital-Acetaminophen-Caff w/ COD Cap 12 1 1 $30.79 50-325-40-30 MG Hydrocodone-Acetaminophen Tab 7.5-500 MG 8 469 769 $6,187.06 Hydrocodone-Acetaminophen Tab 7.5-325 MG 12 39 73 $1,669.89 Oxycodone w/ Acetaminophen Tab 2.5-325 MG 12 2 2 $96.41 Butalbital-Acetaminophen Tab 50-325 MG 12 1 1 $11.62 Acetaminophen w/ Codeine Tab 300-30 MG 13 546 633 $4,704.80 Butalbital-Acetaminophen-Caffeine Tab 50-325-40 12 41 71 $567.56 MG Acetaminophen w/ Codeine Soln 120-12 MG/5ML 120 40 57 $597.21 RT24467 1

Daily Qty Drug Description Limit Member Count Claim Count Paid Amt Hydrocodone-Acetaminophen Tab 10-500 MG 8 122 278 $4,685.14 Hydrocodone-Acetaminophen Tab 10-325 MG 12 50 87 $2,908.95 Oxycodone w/ Acetaminophen Cap 5-500 MG 8 30 30 $360.71 Oxycodone w/ Acetaminophen Tab 5-325 MG 12 829 963 $7,723.37 Acetaminophen w/ Codeine Tab 300-15 MG 13 1 1 $6.57 Hydrocodone-Acetaminophen Tab 5-325 MG 12 142 216 $3,184.92 Hydrocodone-Acetaminophen Soln 7.5-500 90 145 266 $4,235.10 MG/15ML Hydrocodone-Acetaminophen Tab 2.5-500 MG 8 15 16 $123.12 Hydrocodone-Acetaminophen Tab 7.5-750 MG 5 1 6 $866.40 Oxycodone w/ Acetaminophen Tab 10-650 MG 7 2 2 $127.92 7,333 11,348 $96,861.35 RT24467 2

Iowa DUR Select Members with Utilization in Narcotics - Misc, Narcotics - Selected, Analgesics - Misc and/or NSAIDS PDL Categories for the Period of 08/01/2008 to 11/30/2008 Purpose: To look at those members identified as exceeding the proposed quantity limits for the short acting narcotics, who may also be taking one or more drugs from the following PDL categories: narcotics - misc, narcotics - selected, analgesics - misc, and/or NSAIDS. RX Num DOS Qty Days Supply Drug Description RX Num DOS Qty Days Supply Drug Description Member: 0024571Z 0618048 08/15/2008 240.00 30 0618048 09/15/2008 240.00 30 0638457 10/10/2008 240.00 30 0646174 11/10/2008 240.00 30 Member: 0102593Z 6102914 08/01/2008 100.00 30 IBUPROFEN TAB 600MG 4018408 08/15/2008 90.00 15 6102914 09/01/2008 100.00 30 IBUPROFEN TAB 600MG 4018951 09/16/2008 90.00 15 4019284 10/06/2008 90.00 15 4019308 10/25/2008 270.00 30 6128561 11/03/2008 100.00 30 IBUPROFEN TAB 600MG Member: 0201763Z 1172379 08/19/2008 240.00 30 1172379 09/16/2008 240.00 30 1172379 10/20/2008 240.00 30 0925875 11/11/2008 25.00 3 HYDROCO/APAP TAB 5-500MG 1172379 11/17/2008 240.00 30 Member: 0286401Z 1471617 08/30/2008 210.00 30 1146060 09/25/2008 210.00 25 Member: 0664040Z 0828608 08/06/2008 120.00 20 0829972 08/26/2008 240.00 30 0829972 09/23/2008 240.00 30 0832236 09/26/2008 60.00 30 SULINDAC TAB 200MG 0829972 10/24/2008 240.00 30 6928449 11/20/2008 30.00 15 DICLOFENAC TAB 75MG DR Member: 0714054Z 0407496 08/18/2008 300.00 30 HYDROCO/APAP TAB 7.5-500 0407496 09/12/2008 300.00 30 HYDROCO/APAP TAB 7.5-500 0408677 10/03/2008 20.00 10 SULINDAC TAB 200MG 0407496 10/09/2008 300.00 30 HYDROCO/APAP TAB 7.5-500 0409538 11/05/2008 300.00 30 HYDROCO/APAP TAB 7.5-500 0409537 11/05/2008 100.00 25 TRAMADOL HCL TAB 50MG 0410149 11/28/2008 90.00 25 TRAMADOL HCL TAB 50MG Member: 0814014Z 0388194 08/12/2008 100.00 15 TRAMADOL HCL TAB 50MG 0389029 08/19/2008 240.00 30 0392857 09/13/2008 240.00 30 0397508 10/12/2008 16.00 3 HYDROCO/APAP TAB 5-500MG 0397811 10/14/2008 240.00 30 0402631 11/11/2008 240.00 30 RT 24423 1

RX Num DOS Qty Days Supply Drug Description RX Num DOS Qty Days Supply Drug Description Member: 0237102Z 4412811 08/08/2008 250.00 20 HYDROCO/APAP TAB 5-500MG 2204503 09/05/2008 240.00 30 OXYCOD/APAP TAB 5-325MG 2204593 09/30/2008 240.00 30 OXYCOD/APAP TAB 5-325MG 2204691 10/28/2008 240.00 20 OXYCOD/APAP TAB 5-325MG 2204782 11/26/2008 240.00 30 OXYCOD/APAP TAB 5-325MG Member: 0344484Z 0564169 10/30/2008 400.00 20 0564903 11/05/2008 12.00 3 OXYCOD/APAP TAB 5-325MG 0564169 11/17/2008 100.00 20 Member: 0672824Z 9297106 08/01/2008 96.00 9 GENEBS TAB 325MG 9282569 08/01/2008 31.00 31 ASPIRIN TAB 325MG 9288909 08/01/2008 124.00 31 TRAMADOL HCL TAB 50MG 9309775 08/07/2008 22.00 3 APAP/CODEINE TAB 300-30MG 9310661 08/12/2008 64.00 8 TRAMADOL HCL TAB 50MG 9311000 08/13/2008 100.00 5 VOLTAREN GEL 1% 9282569 09/01/2008 2.00 2 ASPIRIN TAB 325MG 9288909 09/01/2008 8.00 2 TRAMADOL HCL TAB 50MG 0102030 09/02/2008 10.00 10 ASPIRIN TAB 325MG EC 0102023 09/02/2008 56.00 10 TRAMADOL HCL TAB 50MG 0102114 09/11/2008 16.00 3 HYDROCO/APAP TAB 5-500MG 0102114 10/02/2008 263.00 31 HYDROCO/APAP TAB 5-500MG 0102118 10/02/2008 209.00 31 TRAMADOL HCL TAB 50MG 0102484 10/10/2008 16.00 5 IBUPROFEN TAB 600MG 0102464 11/04/2008 180.00 30 HYDROCO/APAP TAB 5-500MG 0102484 11/04/2008 17.00 6 IBUPROFEN TAB 600MG 0102465 11/04/2008 180.00 30 TRAMADOL HCL TAB 50MG Member: 0846859Z 0390375 09/15/2008 350.00 29 HYDROCO/APAP TAB 10-500MG 0390375 10/20/2008 350.00 29 HYDROCO/APAP TAB 10-500MG Member: 0315209Z 1621293 08/21/2008 90.00 30 INDOMETHACIN CAP 50MG 1621292 08/21/2008 240.00 30 1621292 09/17/2008 240.00 30 1692656 09/17/2008 30.00 30 ASPIRIN TAB 81MG EC 1621293 10/11/2008 90.00 30 INDOMETHACIN CAP 50MG 1703143 10/13/2008 240.00 30 1702811 10/16/2008 30.00 30 ASA LOW DOSE TAB 81MG EC 1621293 11/10/2008 90.00 30 INDOMETHACIN CAP 50MG 1702811 11/10/2008 30.00 30 ASA LOW DOSE TAB 81MG EC 1703143 11/10/2008 240.00 30 Member: 0354689Z 4442634 09/16/2008 240.00 30 Member: 0370413Z 4314390 08/26/2008 360.00 30 HYDROCO/APAP TAB 7.5-500 4314902 10/03/2008 360.00 30 HYDROCO/APAP TAB 7.5-500 4315376 11/06/2008 90.00 10 HYDROCO/APAP TAB 7.5-500 4315522 11/17/2008 360.00 30 HYDROCO/APAP TAB 7.5-500 Member: 0455553Z 1065974 08/18/2008 200.00 16 OXYCOD/APAP TAB 5-325MG 1076296 09/17/2008 200.00 16 OXYCOD/APAP TAB 5-325MG 1087145 10/16/2008 200.00 16 OXYCOD/APAP TAB 5-325MG 1091404 10/29/2008 30.00 3 OXYCOD/APAP TAB 5-325MG 1098677 11/17/2008 400.00 22 OXYCOD/APAP TAB 5-325MG Member: 0687464Z 0.00 0 RT 24423 2

Distinct Clients 16 RT 24423 3

IOWA DUR Clozapine/Fazaclo Study for the Period of 5/1/2008 to 12/31/2008 Purpose: To identify new starters of clozapine and follow monitoring for White Blood Count (WBC), Absolute Neutrophil Count (ANC), and clozapine blood levels. A secondary purpose was to determine the effect, if any, of clozapine use on doses of atypical antipsychotics. Note: Drugs and Procedures are shown in the same column. Procedures are highlighted. DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0387791Z 12/15/2008 5143112 196.00 28 CLOZAPINE TAB 100MG 12/15/2008 5143113 56.00 28 CLOZAPINE TAB 25MG 11/18/2008 5143113 56.00 28 CLOZAPINE TAB 25MG 11/10/2008 5143112 196.00 28 CLOZAPINE TAB 100MG 10/20/2008 5143112 196.00 28 CLOZAPINE TAB 100MG 10/20/2008 5143113 56.00 28 CLOZAPINE TAB 25MG 09/22/2008 5143113 56.00 28 CLOZAPINE TAB 25MG 09/22/2008 5143112 196.00 28 CLOZAPINE TAB 100MG 08/28/2008 5143112 196.00 28 CLOZAPINE TAB 100MG 08/28/2008 5143113 56.00 28 CLOZAPINE TAB 25MG 07/28/2008 5143113 56.00 28 CLOZAPINE TAB 25MG 07/28/2008 5143112 196.00 28 CLOZAPINE TAB 100MG 07/07/2008 5143112 196.00 28 CLOZAPINE TAB 100MG 07/07/2008 5143113 56.00 28 CLOZAPINE TAB 25MG 0493231Z 12/14/2008 6123018 93.00 31 FAZACLO TAB 100MG 12/14/2008 6123019 31.00 31 SEROQUEL TAB 200MG 11/14/2008 6123018 90.00 30 FAZACLO TAB 100MG 11/14/2008 6123019 30.00 30 SEROQUEL TAB 200MG 11/11/2008 6123019 3.00 3 SEROQUEL TAB 200MG 11/11/2008 6123018 6.00 2 FAZACLO TAB 100MG 10/15/2008 6121886 60.00 30 FAZACLO TAB 100MG 10/14/2008 6121208 31.00 31 SEROQUEL TAB 300MG 10/08/2008 6121588 10.50 7 FAZACLO TAB 100MG 09/14/2008 6117789 30.00 30 SEROQUEL TAB 300MG 09/14/2008 6119035 30.00 30 CLOZAPINE TAB 100MG 08/20/2008 6119350 7.00 7 CLOZAPINE TAB 100MG 08/14/2008 6117789 31.00 31 SEROQUEL TAB 300MG 08/14/2008 6119034 4.00 8 CLOZAPINE TAB 100MG 07/17/2008 6118045 3.50 7 CLOZAPINE TAB 100MG 07/14/2008 6117789 31.00 31 SEROQUEL TAB 300MG 07/11/2008 6117789 3.00 3 SEROQUEL TAB 300MG 06/14/2008 6115820 60.00 30 SEROQUEL TAB 200MG 05/14/2008 6111785 62.00 31 SEROQUEL TAB 200MG RT23623 1

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0497229Z 12/26/2008 0718904 21.00 14 CLOZAPINE TAB 100MG 12/17/2008 0718904 11.00 7 CLOZAPINE TAB 100MG 12/15/2008 85025 12/12/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 12/05/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 11/28/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 11/21/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 11/14/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 11/07/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 10/31/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 10/25/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 10/17/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 10/10/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 10/06/2008 85025 10/03/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 09/26/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 09/19/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 09/13/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 09/05/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 08/29/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 08/22/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 08/15/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 08/08/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 07/30/2008 0704919 11.00 7 CLOZAPINE TAB 100MG 07/22/2008 0702135 14.00 7 CLOZAPINE TAB 100MG 07/17/2008 0702135 14.00 7 CLOZAPINE TAB 100MG 07/09/2008 0702134 11.00 7 CLOZAPINE TAB 100MG 07/02/2008 0702133 7.00 7 CLOZAPINE TAB 100MG 07/01/2008 0701988 4.00 1 CLOZAPINE TAB 25MG 06/27/2008 0701762 10.00 2 CLOZAPINE TAB 25MG 06/20/2008 0698958 28.00 7 CLOZAPINE TAB 25MG 06/13/2008 0698957 14.00 7 CLOZAPINE TAB 25MG 06/06/2008 0698956 7.00 7 CLOZAPINE TAB 25MG 05/30/2008 0698955 4.00 7 CLOZAPINE TAB 25MG 05/16/2008 0694899 30.00 30 RISPERDAL TAB 2MG RT23623 2

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0599270Z 12/22/2008 6703199 1.00 14 RISPERDAL INJ 50MG 12/11/2008 6703200 60.00 30 CLOZAPINE TAB 25MG 12/11/2008 6703611 29.00 29 INVEGA TAB 6MG 12/08/2008 6703199 1.00 14 RISPERDAL INJ 50MG 11/22/2008 6703199 1.00 14 RISPERDAL INJ 50MG 11/14/2008 6703200 62.00 31 CLOZAPINE TAB 25MG 11/14/2008 6703202 2.00 2 RISPERDAL TAB 4MG 11/14/2008 6703611 30.00 30 INVEGA TAB 6MG 11/11/2008 6703199 1.00 14 RISPERDAL INJ 50MG 10/27/2008 6703199 1.00 14 RISPERDAL INJ 50MG 10/17/2008 6697489 56.00 28 CLOZAPINE TAB 25MG 10/16/2008 6699241 27.00 27 RISPERDAL TAB 4MG 10/13/2008 6697491 1.00 14 RISPERDAL INJ 50MG 09/26/2008 6697491 1.00 14 RISPERDAL INJ 50MG 09/22/2008 6699241 30.00 28 RISPERDAL TAB 4MG 09/22/2008 6697489 60.00 30 CLOZAPINE TAB 25MG 09/15/2008 6697491 1.00 14 RISPERDAL INJ 50MG 09/03/2008 6697491 1.00 14 RISPERDAL INJ 50MG 08/21/2008 6699241 28.00 28 RISPERDAL TAB 4MG 08/21/2008 6697489 56.00 28 CLOZAPINE TAB 25MG 08/20/2008 6697491 1.00 14 RISPERDAL INJ 50MG 08/01/2008 6697491 1.00 14 RISPERDAL INJ 50MG 07/23/2008 6699205 28.00 28 RISPERIDONE TAB 4MG 07/22/2008 6697491 1.00 14 RISPERDAL INJ 50MG 07/22/2008 6697489 56.00 28 CLOZAPINE TAB 25MG 07/09/2008 6697491 1.00 14 RISPERDAL INJ 50MG 06/26/2008 6697491 1.00 14 RISPERDAL INJ 50MG 06/25/2008 6697486 32.00 30 RISPERDAL TAB 4MG 06/25/2008 6697489 64.00 30 CLOZAPINE TAB 25MG 06/04/2008 0804877 14.00 14 RISPERDAL TAB 4MG 06/04/2008 0659681 2.00 30 RISPERDAL INJ 50MG 05/08/2008 0796875 30.00 30 RISPERDAL TAB 4MG 05/01/2008 0659681 2.00 30 RISPERDAL INJ 50MG RT23623 3

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0185749Z 12/19/2008 6849770 112.00 28 CLOZAPINE TAB 100MG 12/19/2008 6849771 168.00 28 CLOZAPINE TAB 25MG 12/18/2008 85025 11/25/2008 6846978 112.00 28 CLOZAPINE TAB 100MG 11/25/2008 6846979 168.00 28 CLOZAPINE TAB 25MG 11/21/2008 85004 10/29/2008 6843896 168.00 28 CLOZAPINE TAB 25MG 10/29/2008 6843897 112.00 28 CLOZAPINE TAB 100MG 10/28/2008 85004 10/27/2008 85025 10/01/2008 6840898 168.00 28 CLOZAPINE TAB 25MG 10/01/2008 6840899 112.00 28 CLOZAPINE TAB 100MG 09/29/2008 85004 09/03/2008 6837883 112.00 28 CLOZAPINE TAB 100MG 09/03/2008 6837884 168.00 28 CLOZAPINE TAB 25MG 09/02/2008 85025 08/04/2008 6835195 180.00 30 CLOZAPINE TAB 25MG 08/04/2008 6835196 120.00 30 CLOZAPINE TAB 100MG 08/01/2008 85004 07/22/2008 6833079 84.00 14 CLOZAPINE TAB 25MG 07/22/2008 6833077 56.00 14 CLOZAPINE TAB 100MG 07/09/2008 6833079 84.00 14 CLOZAPINE TAB 25MG 07/09/2008 6833077 56.00 14 CLOZAPINE TAB 100MG 07/07/2008 85004 06/25/2008 6831244 84.00 14 CLOZAPINE TAB 25MG 06/25/2008 6831245 56.00 14 CLOZAPINE TAB 100MG 06/24/2008 85025 0260063Z 12/27/2008 0367280 12/20/2008 0360814 12/13/2008 0360814 12/06/2008 0360814 11/29/2008 0360814 11/22/2008 0360814 11/15/2008 0360814 11/08/2008 0360814 11/01/2008 0360814 10/25/2008 0360814 10/20/2008 0360814 10/11/2008 0360814 10/04/2008 0360814 09/27/2008 0360814 09/20/2008 0360814 09/13/2008 0360814 09/06/2008 0360814 08/30/2008 0360814 08/25/2008 0360814 08/16/2008 0360814 08/09/2008 0360814 08/02/2008 0360814 07/26/2008 0360814 07/19/2008 0360814 07/12/2008 0360814 07/05/2008 0360814 07/02/2008 0360814 RT23623 4

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0424597Z 12/17/2008 6096245 120.00 30 CLOZAPINE TAB 25MG 12/16/2008 85025 11/23/2008 6090977 120.00 30 CLOZAPINE TAB 25MG 11/07/2008 6090977 28.00 7 CLOZAPINE TAB 25MG 10/31/2008 6090977 28.00 7 CLOZAPINE TAB 25MG 10/24/2008 6090977 28.00 7 CLOZAPINE TAB 25MG 10/17/2008 6090977 28.00 7 CLOZAPINE TAB 25MG 10/17/2008 85025 10/10/2008 6090977 14.00 7 CLOZAPINE TAB 25MG 10/03/2008 6090977 14.00 7 CLOZAPINE TAB 25MG 10/02/2008 85025 08/09/2008 6085363 30.00 30 ABILIFY TAB 30MG 06/25/2008 6764885 30.00 30 ABILIFY TAB 30MG 06/06/2008 6764885 20.00 20 ABILIFY TAB 30MG 05/30/2008 6764611 10.00 10 ABILIFY TAB 30MG 0455939Z 12/08/2008 0113704 4.00 1 CLOZAPINE TAB 100MG 12/08/2008 0117440 28.00 28 CLOZAPINE TAB 100MG 12/08/2008 0117441 56.00 28 CLOZAPINE TAB 200MG 11/22/2008 0113705 14.00 14 CLOZAPINE TAB 25MG 11/22/2008 0113704 56.00 14 CLOZAPINE TAB 100MG 11/07/2008 0113704 56.00 14 CLOZAPINE TAB 100MG 11/07/2008 0113705 14.00 14 CLOZAPINE TAB 25MG 10/24/2008 0113705 14.00 14 CLOZAPINE TAB 25MG 10/24/2008 0113704 56.00 14 CLOZAPINE TAB 100MG 10/13/2008 0113704 56.00 14 CLOZAPINE TAB 100MG 10/13/2008 0113705 14.00 14 CLOZAPINE TAB 25MG 09/30/2008 0113704 56.00 14 CLOZAPINE TAB 100MG 09/30/2008 0113705 14.00 14 CLOZAPINE TAB 25MG 09/16/2008 0113705 14.00 14 CLOZAPINE TAB 25MG 09/16/2008 0113704 56.00 14 CLOZAPINE TAB 100MG 08/28/2008 0110677 56.00 14 CLOZAPINE TAB 100MG 08/28/2008 0110676 14.00 14 CLOZAPINE TAB 25MG 08/15/2008 0110677 56.00 14 CLOZAPINE TAB 100MG 08/15/2008 0110676 14.00 14 CLOZAPINE TAB 25MG 08/01/2008 0110676 14.00 14 CLOZAPINE TAB 25MG 08/01/2008 0110677 56.00 14 CLOZAPINE TAB 100MG 07/21/2008 0110677 56.00 14 CLOZAPINE TAB 100MG 07/21/2008 0110676 14.00 14 CLOZAPINE TAB 25MG 07/08/2008 0110676 14.00 14 CLOZAPINE TAB 25MG 07/08/2008 0110677 56.00 14 CLOZAPINE TAB 100MG 06/24/2008 0110677 56.00 14 CLOZAPINE TAB 100MG 06/24/2008 0110676 14.00 14 CLOZAPINE TAB 25MG 06/09/2008 0110059 70.00 14 CLOZAPINE TAB 25MG 06/09/2008 0110058 42.00 14 CLOZAPINE TAB 100MG 05/27/2008 0110059 70.00 14 CLOZAPINE TAB 25MG 05/27/2008 0110058 42.00 14 CLOZAPINE TAB 100MG RT23623 5

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0479150Z 12/24/2008 0348209 84.00 14 FAZACLO TAB 100MG 12/24/2008 0352341 60.00 10 FAZACLO TAB 25MG 12/09/2008 0348209 84.00 14 FAZACLO TAB 100MG 11/24/2008 0348209 84.00 14 FAZACLO TAB 100MG 11/12/2008 0348209 84.00 14 FAZACLO TAB 100MG 10/28/2008 0348209 84.00 14 FAZACLO TAB 100MG 10/14/2008 0346130 70.00 14 FAZACLO TAB 100MG 09/30/2008 0346130 70.00 14 FAZACLO TAB 100MG 09/16/2008 0343356 56.00 14 FAZACLO TAB 100MG 09/05/2008 0343356 56.00 14 FAZACLO TAB 100MG 08/19/2008 0343356 56.00 14 FAZACLO TAB 100MG 08/18/2008 0343356 30.00 2 FAZACLO TAB 100MG 08/12/2008 0342918 212.00 27 FAZACLO TAB 25MG 07/08/2008 5143716 28.00 28 SEROQUEL XR TAB 400MG 06/20/2008 0324498 30.00 30 SEROQUEL XR TAB 300MG 05/16/2008 0324498 30.00 30 SEROQUEL XR TAB 300MG 0479994Z 12/20/2008 1572774 126.00 14 CLOZAPINE TAB 25MG 12/07/2008 1572774 126.00 14 CLOZAPINE TAB 25MG 12/05/2008 85004 12/05/2008 85048 LEUKOCYTE (WBC) AUTOMATE 11/23/2008 1569634 126.00 14 CLOZAPINE TAB 25MG 11/21/2008 85004 11/21/2008 85048 LEUKOCYTE (WBC) AUTOMATE 11/07/2008 85048 LEUKOCYTE (WBC) AUTOMATE 11/07/2008 85004 11/07/2008 1566296 126.00 14 CLOZAPINE TAB 25MG 10/24/2008 85004 10/24/2008 85048 LEUKOCYTE (WBC) AUTOMATE 10/23/2008 1562066 94.00 14 CLOZAPINE TAB 25MG 10/12/2008 1559029 84.00 14 CLOZAPINE TAB 25MG 10/10/2008 85048 LEUKOCYTE (WBC) AUTOMATE 10/10/2008 85004 09/25/2008 85004 09/25/2008 85048 LEUKOCYTE (WBC) AUTOMATE 09/25/2008 1555448 84.00 14 CLOZAPINE TAB 25MG 09/12/2008 1551920 84.00 14 CLOZAPINE TAB 25MG 09/12/2008 85004 08/31/2008 1548939 84.00 14 CLOZAPINE TAB 25MG 08/28/2008 85004 08/28/2008 85048 LEUKOCYTE (WBC) AUTOMATE 08/17/2008 1542146 84.00 14 CLOZAPINE TAB 25MG 08/15/2008 85004 08/15/2008 85048 LEUKOCYTE (WBC) AUTOMATE RT23623 6

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0557120Z 10/10/2008 6535037 30.00 30 ZYPREXA TAB 10MG 09/06/2008 0565052 31.00 31 CLOZAPINE TAB 100MG 09/03/2008 0565616 30.00 30 ZYPREXA ZYDI TAB 10MG 08/30/2008 0564293 19.00 19 CLOZAPINE TAB 25MG 07/25/2008 85025 07/10/2008 2011625 30.00 30 CLOZAPINE TAB 25MG 07/10/2008 2011626 15.00 30 CLOZAPINE TAB 100MG 07/04/2008 0339238 7.00 7 CLOZAPINE TAB 100MG 06/28/2008 0339238 7.00 7 CLOZAPINE TAB 100MG 06/23/2008 0339238 7.00 7 CLOZAPINE TAB 100MG 06/18/2008 0338935 06/16/2008 0339238 7.00 7 CLOZAPINE TAB 100MG 06/13/2008 0338935 35.00 7 CLOZAPINE TAB 25MG 06/07/2008 0338683 24.00 7 CLOZAPINE TAB 25MG 06/02/2008 6217129 3.50 7 CLOZAPINE TAB 25MG 0625070Z 12/17/2008 0519537 90.00 30 CLOZAPINE TAB 100MG 11/24/2008 0499602 90.00 30 CLOZAPINE TAB 100MG 11/06/2008 0499602 42.00 14 CLOZAPINE TAB 100MG 10/27/2008 0499602 42.00 14 CLOZAPINE TAB 100MG 10/10/2008 0499602 42.00 14 CLOZAPINE TAB 100MG 09/26/2008 0499602 42.00 14 CLOZAPINE TAB 100MG 09/05/2008 0499602 42.00 14 CLOZAPINE TAB 100MG 08/15/2008 0499602 42.00 14 CLOZAPINE TAB 100MG 07/28/2008 0486439 42.00 14 CLOZAPINE TAB 100MG 07/16/2008 0486439 42.00 14 CLOZAPINE TAB 100MG 07/01/2008 0486439 42.00 14 CLOZAPINE TAB 100MG RT23623 7

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0630182Z 12/23/2008 6281972 30.00 30 ABILIFY TAB 15MG 12/23/2008 6281973 30.00 30 ABILIFY TAB 10MG 12/23/2008 6281979 28.00 7 CLOZAPINE TAB 100MG 12/11/2008 6281386 14.00 14 ABILIFY TAB 20MG 11/24/2008 6280163 90.00 23 CLOZAPINE TAB 100MG 11/19/2008 6277814 11/13/2008 6277814 11/10/2008 6277813 30.00 30 ZYPREXA TAB 10MG 11/07/2008 6277814 10/31/2008 6277814 10/23/2008 6277814 10/16/2008 6277814 10/11/2008 6277813 30.00 30 ZYPREXA TAB 10MG 10/10/2008 6277756 10/03/2008 6274375 09/26/2008 6274375 09/20/2008 6274375 09/11/2008 6274375 09/11/2008 6274374 30.00 30 ZYPREXA TAB 10MG 09/06/2008 6274375 08/29/2008 6274375 08/12/2008 6274374 30.00 30 ZYPREXA TAB 10MG 07/31/2008 0622229 90.00 30 CLOZAPINE TAB 100MG 07/30/2008 6273853 14.00 30 ZYPREXA TAB 20MG 06/20/2008 6271763 30.00 30 ZYPREXA TAB 20MG 06/20/2008 6271764 30.00 30 SEROQUEL TAB 400MG 05/23/2008 6269624 30.00 30 SEROQUEL TAB 400MG 05/23/2008 6269626 30.00 30 ZYPREXA TAB 20MG 05/12/2008 6268409 14.00 14 SEROQUEL TAB 400MG 05/12/2008 6268411 14.00 14 ZYPREXA TAB 20MG RT23623 8

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0643951Z 12/31/2008 2402391 4.00 4 CLOZAPINE TAB 100MG 12/12/2008 2389567 3.00 2 CLOZAPINE TAB 200MG 12/12/2008 2389568 2.00 2 CLOZAPINE TAB 25MG 12/12/2008 2389569 1.00 2 CLOZAPINE TAB 50MG 12/11/2008 2393756 145.00 30 CLOZAPINE TAB 100MG 12/01/2008 2341700 10.00 10 CLOZAPINE TAB 50MG 12/01/2008 2405237 15.00 10 CLOZAPINE TAB 200MG 12/01/2008 2341699 20.00 10 CLOZAPINE TAB 25MG 11/26/2008 2371498 7.50 5 CLOZAPINE TAB 200MG 11/26/2008 2371499 10.00 5 CLOZAPINE TAB 25MG 11/26/2008 2371501 5.00 5 CLOZAPINE TAB 50MG 11/01/2008 2341700 30.00 30 CLOZAPINE TAB 50MG 11/01/2008 2341699 60.00 30 CLOZAPINE TAB 25MG 11/01/2008 1211380 45.00 30 CLOZAPINE TAB 200MG 10/20/2008 2341699 24.00 12 CLOZAPINE TAB 25MG 10/20/2008 2341700 12.00 12 CLOZAPINE TAB 50MG 10/01/2008 1211380 46.50 31 CLOZAPINE TAB 200MG 10/01/2008 1211379 19.00 19 CLOZAPINE TAB 50MG 09/02/2008 1211380 44.00 30 CLOZAPINE TAB 200MG 09/02/2008 1211379 29.00 29 CLOZAPINE TAB 50MG 08/22/2008 1204944 22.00 11 CLOZAPINE TAB 50MG 08/22/2008 1204957 11.00 11 CLOZAPINE TAB 200MG 08/01/2008 1184366 63.00 21 CLOZAPINE TAB 100MG 07/17/2008 1184377 5.00 5 CLOZAPINE TAB 50MG 07/17/2008 1184365 10.00 5 CLOZAPINE TAB 100MG 07/17/2008 1184366 45.00 15 CLOZAPINE TAB 100MG 07/07/2008 1179071 20.00 10 CLOZAPINE TAB 100MG 07/01/2008 1160060 16.00 16 CLOZAPINE TAB 25MG 07/01/2008 1168541 9.00 6 CLOZAPINE TAB 100MG 06/17/2008 1168541 24.00 14 CLOZAPINE TAB 100MG 06/02/2008 1168539 34.00 19 CLOZAPINE TAB 50MG 06/02/2008 1160058 7.00 7 ABILIFY TAB 10MG 06/02/2008 1160060 35.00 29 CLOZAPINE TAB 25MG 06/01/2008 1159539 16.00 16 GEODON CAP 80MG 06/01/2008 1142518 2.00 2 ABILIFY TAB 20MG 05/01/2008 1159539 31.00 31 GEODON CAP 80MG 05/01/2008 1102321 62.00 31 GEODON CAP 40MG 05/01/2008 1142518 31.00 31 ABILIFY TAB 20MG 0654599Z 12/30/2008 0264095 180.00 30 CLOZAPINE TAB 25MG 11/28/2008 0264095 180.00 30 CLOZAPINE TAB 25MG 10/27/2008 0254419 30.00 30 CLOZAPINE TAB 100MG 09/20/2008 0249693 30.00 30 CLOZAPINE TAB 100MG 08/21/2008 0249693 30.00 30 CLOZAPINE TAB 100MG 07/22/2008 0246856 30.00 30 CLOZAPINE TAB 100MG 06/26/2008 0246856 30.00 30 CLOZAPINE TAB 100MG 06/12/2008 0245389 120.00 30 CLOZAPINE TAB 25MG 06/11/2008 0240486 150.00 30 SEROQUEL TAB 100MG 0657470Z 12/01/2008 6589586 136.00 30 CLOZAPINE TAB 100MG 11/03/2008 6589586 135.00 30 CLOZAPINE TAB 100MG 10/01/2008 6589586 136.00 30 CLOZAPINE TAB 100MG 09/03/2008 6589586 135.00 30 CLOZAPINE TAB 100MG 08/01/2008 6585924 105.00 30 CLOZAPINE TAB 100MG 07/02/2008 6585924 105.00 30 CLOZAPINE TAB 100MG 06/26/2008 6584855 14.00 4 CLOZAPINE TAB 100MG RT23623 9

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0718282Z 12/22/2008 1318841 49.00 14 CLOZAPINE TAB 100MG 12/08/2008 1318841 49.00 14 CLOZAPINE TAB 100MG 11/25/2008 1318841 49.00 14 CLOZAPINE TAB 100MG 11/11/2008 2357155 21.00 30 CLOZAPINE TAB 200MG 11/11/2008 2357156 14.00 30 CLOZAPINE TAB 50MG 11/01/2008 2385627 15.00 10 CLOZAPINE TAB 200MG 11/01/2008 2385628 10.00 10 CLOZAPINE TAB 50MG 10/01/2008 1180144 31.00 31 CLOZAPINE TAB 50MG 10/01/2008 1180142 46.50 31 CLOZAPINE TAB 200MG 09/01/2008 1180142 45.00 30 CLOZAPINE TAB 200MG 09/01/2008 1180144 30.00 30 CLOZAPINE TAB 50MG 08/01/2008 1180144 31.00 31 CLOZAPINE TAB 50MG 08/01/2008 1180142 45.00 31 CLOZAPINE TAB 200MG 07/12/2008 1180144 20.00 20 CLOZAPINE TAB 50MG 07/09/2008 1180143 3.00 3 CLOZAPINE TAB 25MG 07/09/2008 1180142 35.00 24 CLOZAPINE TAB 200MG 07/01/2008 1173316 8.00 8 CLOZAPINE TAB 100MG 07/01/2008 1173315 2.00 2 CLOZAPINE TAB 50MG 07/01/2008 1157683 8.00 8 CLOZAPINE TAB 200MG 06/25/2008 1173316 6.00 6 CLOZAPINE TAB 100MG 06/01/2008 1173315 35.00 28 CLOZAPINE TAB 50MG 06/01/2008 1157683 30.00 30 CLOZAPINE TAB 200MG 05/28/2008 1157680 6.00 6 CLOZAPINE TAB 100MG 05/28/2008 1157682 9.00 4 CLOZAPINE TAB 50MG 05/28/2008 1157683 4.00 4 CLOZAPINE TAB 200MG 05/23/2008 0583484 4.00 4 CLOZAPINE TAB 25MG 05/23/2008 0583485 8.00 5 CLOZAPINE TAB 100MG RT23623 10

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0810098Z 12/29/2008 2401711 5.00 3 CLOZAPINE TAB 100MG 12/29/2008 2401712 5.00 3 CLOZAPINE TAB 50MG 12/24/2008 2393737 4.00 5 CLOZAPINE TAB 100MG 12/24/2008 2393739 4.00 5 CLOZAPINE TAB 50MG 12/24/2008 2393740 8.00 5 GEODON CAP 40MG 12/20/2008 2397476 1.00 1 CLOZAPINE TAB 100MG 12/20/2008 2397477 1.00 1 CLOZAPINE TAB 50MG 12/20/2008 2397478 1.00 1 GEODON CAP 40MG 12/06/2008 2386707 2.00 2 CLOZAPINE TAB 100MG 12/06/2008 2386708 2.00 2 CLOZAPINE TAB 50MG 12/06/2008 2386709 3.00 2 GEODON CAP 40MG 11/30/2008 1212764 42.00 21 GEODON CAP 40MG 11/30/2008 1217549 20.00 20 CLOZAPINE TAB 100MG 11/30/2008 1228332 20.00 20 CLOZAPINE TAB 50MG 11/27/2008 2371551 2.00 2 CLOZAPINE TAB 100MG 11/27/2008 2371552 2.00 2 CLOZAPINE TAB 50MG 11/27/2008 2371553 3.00 2 GEODON CAP 40MG 11/26/2008 2377166 1.00 1 CLOZAPINE TAB 100MG 11/26/2008 2377167 1.00 1 CLOZAPINE TAB 50MG 11/26/2008 2377168 2.00 1 GEODON CAP 40MG 11/22/2008 2376066 1.00 1 CLOZAPINE TAB 100MG 11/22/2008 2376067 1.00 1 CLOZAPINE TAB 50MG 11/22/2008 2376068 1.00 1 GEODON CAP 40MG 11/01/2008 1217549 30.00 30 CLOZAPINE TAB 100MG 11/01/2008 1212764 60.00 30 GEODON CAP 40MG 11/01/2008 1228332 30.00 30 CLOZAPINE TAB 50MG 10/01/2008 1228332 31.00 31 CLOZAPINE TAB 50MG 10/01/2008 1212764 62.00 31 GEODON CAP 40MG 10/01/2008 1217549 31.00 31 CLOZAPINE TAB 100MG 09/30/2008 1228332 1.00 1 CLOZAPINE TAB 50MG 09/12/2008 1217550 18.00 18 CLOZAPINE TAB 25MG 09/12/2008 1217549 19.00 19 CLOZAPINE TAB 100MG 09/04/2008 1212764 54.00 27 GEODON CAP 40MG 09/02/2008 1211375 2.00 2 GEODON CAP 40MG 09/02/2008 1211376 10.00 10 CLOZAPINE TAB 100MG 09/02/2008 1211377 10.00 10 CLOZAPINE TAB 25MG 08/19/2008 1203098 51.00 31 CLOZAPINE TAB 25MG 08/19/2008 1203101 25.00 15 CLOZAPINE TAB 50MG 08/13/2008 1203077 40.00 20 GEODON CAP 40MG 08/06/2008 1196020 7.00 7 GEODON CAP 20MG 08/06/2008 1196022 7.00 7 GEODON CAP 60MG 08/01/2008 1183936 10.00 5 GEODON CAP 40MG 07/16/2008 1183933 7.00 7 ABILIFY TAB 10MG 07/16/2008 1183934 5.00 5 GEODON CAP 20MG 07/16/2008 1183935 5.00 5 GEODON CAP 40MG 07/16/2008 1183936 32.00 16 GEODON CAP 40MG 07/02/2008 1177078 14.00 14 GEODON CAP 40MG 07/01/2008 1175897 15.00 15 ABILIFY TAB 20MG 07/01/2008 1133182 1.00 1 ABILIFY TAB 5MG 06/01/2008 1175897 30.00 30 ABILIFY TAB 20MG 06/01/2008 1133182 30.00 30 ABILIFY TAB 5MG 05/01/2008 1101607 31.00 31 ABILIFY TAB 20MG 05/01/2008 1133182 31.00 31 ABILIFY TAB 5MG RT23623 11

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0828199Z 12/24/2008 2393618 7.50 6 CLOZAPINE TAB 200MG 12/24/2008 2393619 10.00 6 CLOZAPINE TAB 50MG 12/14/2008 2389536 3.00 3 CLOZAPINE TAB 200MG 12/14/2008 2389537 4.00 3 CLOZAPINE TAB 50MG 12/01/2008 2334012 48.00 24 CLOZAPINE TAB 50MG 12/01/2008 2405274 36.50 25 CLOZAPINE TAB 200MG 11/27/2008 2371556 6.00 4 CLOZAPINE TAB 200MG 11/27/2008 2371557 7.00 4 CLOZAPINE TAB 50MG 11/01/2008 1203988 45.00 30 CLOZAPINE TAB 200MG 11/01/2008 2334012 60.00 30 CLOZAPINE TAB 50MG 10/06/2008 2334012 50.00 26 CLOZAPINE TAB 50MG 10/01/2008 1203988 46.50 31 CLOZAPINE TAB 200MG 09/01/2008 1203988 45.00 30 CLOZAPINE TAB 200MG 08/20/2008 1203987 3.00 3 CLOZAPINE TAB 25MG 08/20/2008 1203988 18.00 12 CLOZAPINE TAB 200MG 08/07/2008 1196399 3.00 3 CLOZAPINE TAB 25MG 08/07/2008 1196400 15.00 15 CLOZAPINE TAB 50MG 08/01/2008 1190461 42.00 21 CLOZAPINE TAB 100MG 07/28/2008 1190460 2.00 2 CLOZAPINE TAB 25MG 07/28/2008 1190461 8.00 4 CLOZAPINE TAB 100MG 07/09/2008 1179844 32.00 22 CLOZAPINE TAB 100MG 07/08/2008 0576059 7.00 7 CLOZAPINE TAB 100MG 07/08/2008 0576058 14.00 7 CLOZAPINE TAB 25MG 07/03/2008 0576058 14.00 7 CLOZAPINE TAB 25MG 07/03/2008 0576059 7.00 7 CLOZAPINE TAB 100MG 06/25/2008 0576059 7.00 7 CLOZAPINE TAB 100MG 06/25/2008 0576058 14.00 7 CLOZAPINE TAB 25MG 06/18/2008 0576058 14.00 7 CLOZAPINE TAB 25MG 06/18/2008 0576059 7.00 7 CLOZAPINE TAB 100MG 06/12/2008 0576058 14.00 7 CLOZAPINE TAB 25MG 06/12/2008 0576059 7.00 7 CLOZAPINE TAB 100MG 06/05/2008 0576059 7.00 1 CLOZAPINE TAB 100MG 06/05/2008 0576058 14.00 7 CLOZAPINE TAB 25MG 05/29/2008 0575676 7.00 7 CLOZAPINE TAB 100MG 05/29/2008 0575675 14.00 7 CLOZAPINE TAB 25MG 05/22/2008 0575676 7.00 7 CLOZAPINE TAB 100MG 05/22/2008 0575675 14.00 7 CLOZAPINE TAB 25MG 0835221Z 12/23/2008 2393114 4.00 5 CLOZAPINE TAB 50MG 12/23/2008 2396382 15.00 5 CLOZAPINE TAB 100MG 12/23/2008 2396383 5.00 5 CLOZAPINE TAB 50MG 12/17/2008 2396329 30.00 10 CLOZAPINE TAB 100MG 12/06/2008 2387178 11.00 11 CLOZAPINE TAB 50MG 12/03/2008 2387177 3.00 3 CLOZAPINE TAB 25MG 12/01/2008 2334746 32.00 16 CLOZAPINE TAB 100MG 11/26/2008 2370615 6.00 4 CLOZAPINE TAB 100MG 11/01/2008 2334746 60.00 30 CLOZAPINE TAB 100MG 10/01/2008 1225513 14.00 7 CLOZAPINE TAB 50MG 10/01/2008 2334746 55.00 31 CLOZAPINE TAB 100MG 10/01/2008 1225509 1.00 1 ABILIFY TAB 5MG 09/25/2008 1225510 3.00 3 CLOZAPINE TAB 50MG 09/25/2008 1225512 6.00 6 CLOZAPINE TAB 100MG 09/25/2008 1225509 6.00 6 ABILIFY TAB 5MG 09/08/2008 1214934 20.00 17 CLOZAPINE TAB 25MG 09/08/2008 1214937 17.00 17 ABILIFY TAB 10MG 09/08/2008 1225513 41.00 23 CLOZAPINE TAB 50MG 08/26/2008 1207183 13.00 13 ABILIFY TAB 15MG RT23623 12

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0851069Z 12/31/2008 6682158 12/29/2008 85025 12/24/2008 6682158 12/18/2008 6682158 12/10/2008 6682158 12/10/2008 85048 LEUKOCYTE (WBC) AUTOMATE 12/03/2008 6682158 11/24/2008 85048 LEUKOCYTE (WBC) AUTOMATE 11/22/2008 6680851 11/21/2008 85048 LEUKOCYTE (WBC) AUTOMATE 11/17/2008 6680851 11/10/2008 6680851 11/04/2008 6680851 11/03/2008 85048 LEUKOCYTE (WBC) AUTOMATE 10/30/2008 6679243 10/29/2008 85048 LEUKOCYTE (WBC) AUTOMATE 10/24/2008 6679243 10/17/2008 6679243 10/13/2008 85048 LEUKOCYTE (WBC) AUTOMATE 10/10/2008 6679243 10/06/2008 85048 LEUKOCYTE (WBC) AUTOMATE 10/02/2008 6679243 09/29/2008 85048 LEUKOCYTE (WBC) AUTOMATE 09/25/2008 6678642 14.00 7 CLOZAPINE TAB 100MG 09/22/2008 85048 LEUKOCYTE (WBC) AUTOMATE 09/15/2008 85048 LEUKOCYTE (WBC) AUTOMATE 09/11/2008 6678367 16.00 2 CLOZAPINE TAB 25MG 09/11/2008 6678368 10.00 5 CLOZAPINE TAB 100MG 09/08/2008 85048 LEUKOCYTE (WBC) AUTOMATE 08/28/2008 6677839 48.00 7 CLOZAPINE TAB 25MG 08/22/2008 85048 LEUKOCYTE (WBC) AUTOMATE 08/07/2008 6677004 25.00 7 CLOZAPINE TAB 25MG 07/25/2008 6676474 11.00 7 CLOZAPINE TAB 25MG 07/24/2008 85048 LEUKOCYTE (WBC) AUTOMATE RT23623 13

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0882203Z 12/30/2008 2401676 5.00 5 CLOZAPINE TAB 200MG 12/30/2008 2401677 4.00 5 CLOZAPINE TAB 50MG 12/23/2008 2398716 4.00 5 CLOZAPINE TAB 200MG 12/23/2008 2398717 4.00 5 CLOZAPINE TAB 50MG 12/12/2008 2392782 1.00 2 CLOZAPINE TAB 200MG 12/12/2008 2392784 1.00 2 CLOZAPINE TAB 50MG 12/06/2008 2386383 16.00 16 CLOZAPINE TAB 200MG 12/05/2008 2387433 1.00 2 CLOZAPINE TAB 50MG 12/02/2008 2386377 20.00 20 CLOZAPINE TAB 50MG 12/02/2008 2386378 2.00 2 CLOZAPINE TAB 100MG 12/01/2008 2333597 2.00 2 CLOZAPINE TAB 50MG 12/01/2008 1225524 1.00 1 CLOZAPINE TAB 25MG 12/01/2008 1228999 1.00 1 CLOZAPINE TAB 100MG 11/26/2008 2377173 4.00 5 CLOZAPINE TAB 100MG 11/26/2008 2377174 4.00 5 CLOZAPINE TAB 25MG 11/26/2008 2377176 6.00 5 CLOZAPINE TAB 50MG 11/01/2008 1228999 30.00 30 CLOZAPINE TAB 100MG 11/01/2008 2333597 45.00 30 CLOZAPINE TAB 50MG 11/01/2008 1225524 30.00 30 CLOZAPINE TAB 25MG 10/14/2008 2333600 12.00 6 GEODON CAP 20MG 10/13/2008 2333597 29.00 20 CLOZAPINE TAB 50MG 10/10/2008 2333596 3.00 3 CLOZAPINE TAB 50MG 10/03/2008 1228999 29.00 29 CLOZAPINE TAB 100MG 10/01/2008 1228998 3.00 2 CLOZAPINE TAB 50MG 10/01/2008 2333595 34.00 31 CLOZAPINE TAB 25MG 10/01/2008 1225523 12.00 6 GEODON CAP 40MG 09/25/2008 1225524 6.00 6 CLOZAPINE TAB 25MG 09/25/2008 1225523 12.00 6 GEODON CAP 40MG 09/25/2008 1225525 6.00 6 CLOZAPINE TAB 50MG 09/01/2008 1176680 32.00 16 GEODON CAP 20MG 08/01/2008 1176680 62.00 31 GEODON CAP 20MG 07/01/2008 1176680 62.00 31 GEODON CAP 20MG RT23623 14

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0915335Z 12/24/2008 2393626 5.00 3 CLOZAPINE TAB 200MG 12/20/2008 2397345 2.50 2 CLOZAPINE TAB 200MG 12/13/2008 2391893 2.50 1 CLOZAPINE TAB 200MG 12/06/2008 2386713 2.50 2 CLOZAPINE TAB 200MG 12/01/2008 2343724 1.00 1 CLOZAPINE TAB 50MG 11/30/2008 2385584 68.00 28 CLOZAPINE TAB 200MG 11/27/2008 2371528 7.50 4 CLOZAPINE TAB 200MG 11/27/2008 2371529 3.00 4 CLOZAPINE TAB 50MG 11/22/2008 2376083 2.50 2 CLOZAPINE TAB 200MG 11/22/2008 2376084 1.00 2 CLOZAPINE TAB 50MG 11/14/2008 2370287 9.00 2 CLOZAPINE TAB 50MG 11/01/2008 2343724 30.00 30 CLOZAPINE TAB 50MG 11/01/2008 2385584 75.00 30 CLOZAPINE TAB 200MG 10/25/2008 2343724 7.00 7 CLOZAPINE TAB 50MG 10/22/2008 2343722 3.00 3 CLOZAPINE TAB 25MG 10/07/2008 2333696 40.00 20 GEODON CAP 40MG 10/01/2008 1229719 21.00 21 GEODON CAP 80MG 10/01/2008 1188835 77.50 31 CLOZAPINE TAB 200MG 10/01/2008 1229718 6.00 6 GEODON CAP 40MG 09/01/2008 1229719 30.00 30 GEODON CAP 80MG 09/01/2008 1229718 30.00 30 GEODON CAP 40MG 09/01/2008 1188835 75.00 30 CLOZAPINE TAB 200MG 08/01/2008 1160973 31.00 31 GEODON CAP 40MG 08/01/2008 1160974 31.00 31 GEODON CAP 80MG 08/01/2008 1188835 77.50 31 CLOZAPINE TAB 200MG 07/24/2008 1188835 20.00 8 CLOZAPINE TAB 200MG 07/05/2008 1175838 19.00 19 CLOZAPINE TAB 50MG 07/01/2008 1175837 92.00 23 CLOZAPINE TAB 100MG 07/01/2008 1160974 31.00 31 GEODON CAP 80MG 07/01/2008 1160973 31.00 31 GEODON CAP 40MG 06/30/2008 1175837 4.00 1 CLOZAPINE TAB 100MG 06/27/2008 1174761 2.00 2 CLOZAPINE TAB 25MG 06/27/2008 1174762 3.00 3 CLOZAPINE TAB 50MG 06/03/2008 1160973 28.00 28 GEODON CAP 40MG 06/03/2008 1160974 28.00 28 GEODON CAP 80MG 06/02/2008 1160063 2.00 1 GEODON CAP 20MG 06/02/2008 1160064 3.00 3 CLOZAPINE TAB 50MG 06/02/2008 1160065 84.00 28 CLOZAPINE TAB 100MG 06/01/2008 1157136 6.00 6 CLOZAPINE TAB 200MG 06/01/2008 1149298 2.00 1 GEODON CAP 40MG 06/01/2008 1157130 1.00 1 CLOZAPINE TAB 100MG 06/01/2008 1157131 3.00 1 CLOZAPINE TAB 25MG 05/27/2008 1157136 5.00 5 CLOZAPINE TAB 200MG 05/27/2008 1157131 15.00 5 CLOZAPINE TAB 25MG 05/27/2008 1157130 5.00 5 CLOZAPINE TAB 100MG 05/22/2008 1153847 8.00 6 CLOZAPINE TAB 50MG 05/22/2008 1153848 5.00 5 CLOZAPINE TAB 25MG 05/22/2008 1153849 5.00 5 CLOZAPINE TAB 100MG 05/22/2008 1153850 14.00 7 RISPERDAL TAB 0.5MG 05/13/2008 1149300 27.00 9 RISPERDAL TAB 1MG 05/13/2008 1149297 18.00 9 CLOZAPINE TAB 25MG 05/13/2008 1149298 38.00 19 GEODON CAP 40MG 05/01/2008 1134417 24.00 12 RISPERDAL TAB 2MG 05/01/2008 1134418 12.00 12 RISPERDAL TAB 0.5MG 05/01/2008 1134419 12.00 12 GEODON CAP 40MG 05/01/2008 1134420 12.00 12 GEODON CAP 80MG RT23623 15

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0941367Z 12/19/2008 0704779 90.00 30 CLOZAPINE TAB 100MG 11/24/2008 0704779 90.00 30 CLOZAPINE TAB 100MG 10/27/2008 0704779 90.00 30 CLOZAPINE TAB 100MG 09/26/2008 0704779 90.00 30 CLOZAPINE TAB 100MG 09/24/2008 7286396 6.00 2 CLOZAPINE TAB 100MG 08/27/2008 0704779 84.00 28 CLOZAPINE TAB 100MG 07/29/2008 0704779 84.00 28 CLOZAPINE TAB 100MG 07/28/2008 7279990 6.00 2 CLOZAPINE TAB 100MG 06/13/2008 1166223 2.00 2 CLOZAPINE TAB 100MG 06/13/2008 1166224 2.00 2 CLOZAPINE TAB 25MG 06/13/2008 1166226 2.00 2 CLOZAPINE TAB 50MG 06/02/2008 1166229 4.00 13 ZYPREXA TAB 10MG 06/02/2008 1166237 3.00 12 GEODON CAP 40MG 06/02/2008 1159779 2.00 2 GEODON CAP 80MG 06/02/2008 1159780 1.00 1 ZYPREXA TAB 5MG 05/29/2008 1158013 1.00 1 ZYPREXA TAB 2.5MG 05/29/2008 1158014 1.00 1 ZYPREXA TAB 5MG 05/29/2008 1158015 1.00 1 ZYPREXA TAB 10MG 05/10/2008 1158012 18.00 20 GEODON CAP 80MG 05/10/2008 1147805 17.00 17 GEODON CAP 20MG 05/01/2008 1157114 21.00 29 GEODON CAP 40MG 05/01/2008 1157116 30.00 28 GEODON CAP 60MG RT23623 16

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0993733Z 12/29/2008 0697952 12/22/2008 0697952 12/22/2008 0700473 30.00 30 ABILIFY TAB 5MG 12/15/2008 0697952 12/08/2008 0697952 12/01/2008 0697952 11/26/2008 0700473 30.00 30 ABILIFY TAB 5MG 11/24/2008 0697952 11/15/2008 0697952 11/10/2008 0697953 18.00 6 CLOZAPINE TAB 25MG 11/10/2008 0697952 15.00 7 CLOZAPINE TAB 100MG 10/27/2008 2342373 30.00 30 ABILIFY TAB 5MG 10/27/2008 2342375 30.00 30 CLOZAPINE TAB 200MG 10/27/2008 2342376 30.00 30 CLOZAPINE TAB 50MG 10/01/2008 2356630 26.00 26 CLOZAPINE TAB 200MG 10/01/2008 1179645 26.00 26 CLOZAPINE TAB 50MG 10/01/2008 1207191 26.00 26 ABILIFY TAB 5MG 09/01/2008 1207191 30.00 30 ABILIFY TAB 5MG 09/01/2008 1173415 30.00 30 CLOZAPINE TAB 200MG 09/01/2008 1179645 30.00 30 CLOZAPINE TAB 50MG 08/26/2008 1207190 5.00 5 ABILIFY TAB 2MG 08/26/2008 1207191 6.00 6 ABILIFY TAB 5MG 08/01/2008 1179645 31.00 31 CLOZAPINE TAB 50MG 08/01/2008 1173415 31.00 31 CLOZAPINE TAB 200MG 07/08/2008 1179644 3.00 3 CLOZAPINE TAB 25MG 07/08/2008 1179645 24.00 24 CLOZAPINE TAB 50MG 07/01/2008 1173415 31.00 31 CLOZAPINE TAB 200MG 07/01/2008 1173414 8.00 6 CLOZAPINE TAB 50MG 07/01/2008 1165433 5.00 5 CLOZAPINE TAB 100MG 06/25/2008 1173415 6.00 6 CLOZAPINE TAB 200MG 06/11/2008 1165428 21.00 7 RISPERDAL TAB 0.5MG 06/11/2008 1165433 20.00 20 CLOZAPINE TAB 100MG 06/01/2008 1165434 38.00 24 CLOZAPINE TAB 25MG 06/01/2008 1173414 28.00 30 CLOZAPINE TAB 50MG 06/01/2008 1152999 20.00 10 RISPERDAL TAB 1MG 05/20/2008 1152999 26.00 12 RISPERDAL TAB 1MG 05/20/2008 1152968 20.00 12 CLOZAPINE TAB 25MG 05/20/2008 1152970 12.00 12 CLOZAPINE TAB 50MG 05/06/2008 1152998 20.00 16 RISPERDAL TAB 2MG 05/06/2008 1145404 14.00 14 RISPERDAL TAB 3MG RT23623 17

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0072390Z 11/13/2008 7064237 60.00 30 CLOZAPINE TAB 100MG 10/15/2008 7062544 15.00 15 CLOZAPINE TAB 25MG 10/14/2008 7062410 60.00 30 CLOZAPINE TAB 100MG 09/23/2008 1217918 14.00 30 CLOZAPINE TAB 200MG 09/23/2008 1217919 14.00 30 CLOZAPINE TAB 25MG 09/23/2008 7059927 4.00 2 CLOZAPINE TAB 100MG 09/01/2008 1199335 22.00 22 CLOZAPINE TAB 200MG 09/01/2008 1177546 15.00 15 CLOZAPINE TAB 25MG 08/12/2008 1199333 7.00 7 SEROQUEL TAB 100MG 08/12/2008 1199334 11.00 8 CLOZAPINE TAB 50MG 08/12/2008 1199335 20.00 20 CLOZAPINE TAB 200MG 08/08/2008 1196777 4.00 4 CLOZAPINE TAB 50MG 08/08/2008 1196778 11.00 11 CLOZAPINE TAB 100MG 08/08/2008 1196779 8.00 4 SEROQUEL TAB 100MG 08/01/2008 1185208 7.00 7 CLOZAPINE TAB 50MG 08/01/2008 1177547 7.00 7 CLOZAPINE TAB 100MG 08/01/2008 1185206 14.00 7 SEROQUEL TAB 100MG 08/01/2008 1177546 31.00 31 CLOZAPINE TAB 25MG 07/18/2008 1185208 14.00 14 CLOZAPINE TAB 50MG 07/18/2008 1185206 43.00 14 SEROQUEL TAB 100MG 07/03/2008 1177547 29.00 29 CLOZAPINE TAB 100MG 07/03/2008 1185207 32.00 29 CLOZAPINE TAB 25MG 07/03/2008 1177544 30.00 15 SEROQUEL TAB 200MG 06/24/2008 1172733 7.00 7 SEROQUEL TAB 300MG 06/01/2008 1172746 30.00 30 SEROQUEL TAB 200MG 06/01/2008 1147915 23.00 23 SEROQUEL TAB 100MG 05/12/2008 1147914 20.00 20 SEROQUEL TAB 200MG 05/01/2008 1147915 25.00 31 SEROQUEL TAB 100MG RT23623 18

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0288847Z 12/01/2008 2385506 31.00 31 ABILIFY TAB 15MG 12/01/2008 2385509 62.00 31 CLOZAPINE TAB 50MG 12/01/2008 2385512 47.00 31 CLOZAPINE TAB 200MG 11/03/2008 2358541 28.00 28 ABILIFY TAB 10MG 11/03/2008 2358545 28.00 28 CLOZAPINE TAB 50MG 11/03/2008 2358548 42.00 28 CLOZAPINE TAB 200MG 10/08/2008 2334015 20.00 20 ABILIFY TAB 10MG 10/01/2008 1227536 68.00 28 CLOZAPINE TAB 100MG 10/01/2008 1207489 7.00 7 ABILIFY TAB 5MG 10/01/2008 1207194 27.00 27 CLOZAPINE TAB 50MG 09/29/2008 1227536 5.00 2 CLOZAPINE TAB 100MG 09/22/2008 1222741 14.00 7 CLOZAPINE TAB 100MG 09/09/2008 1215442 33.00 14 CLOZAPINE TAB 100MG 09/01/2008 1207194 30.00 30 CLOZAPINE TAB 50MG 09/01/2008 1207489 30.00 30 ABILIFY TAB 5MG 09/01/2008 1184033 12.00 8 CLOZAPINE TAB 200MG 08/27/2008 1207489 5.00 5 ABILIFY TAB 5MG 08/26/2008 1207194 6.00 6 CLOZAPINE TAB 50MG 08/01/2008 1184035 25.00 25 CLOZAPINE TAB 50MG 08/01/2008 1184033 47.00 31 CLOZAPINE TAB 200MG 07/16/2008 1184033 24.00 16 CLOZAPINE TAB 200MG 07/16/2008 1184034 3.00 3 CLOZAPINE TAB 25MG 07/16/2008 1184035 16.00 16 CLOZAPINE TAB 50MG 07/03/2008 1177458 57.00 19 CLOZAPINE TAB 25MG 07/01/2008 1173538 2.00 2 CLOZAPINE TAB 25MG 07/01/2008 1153580 15.00 15 CLOZAPINE TAB 200MG 06/26/2008 1173538 5.00 5 CLOZAPINE TAB 25MG 06/01/2008 1153580 30.00 30 CLOZAPINE TAB 200MG 06/01/2008 1145740 25.00 25 CLOZAPINE TAB 25MG 05/24/2008 1153580 8.00 8 CLOZAPINE TAB 200MG 05/12/2008 1148530 7.00 7 ABILIFY TAB 10MG 05/12/2008 1148535 9.00 9 CLOZAPINE TAB 50MG 05/07/2008 1153578 37.00 25 CLOZAPINE TAB 25MG 05/07/2008 1145741 17.00 17 CLOZAPINE TAB 100MG 05/07/2008 1145737 5.00 5 ABILIFY TAB 15MG RT23623 19

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 0314138Z 12/29/2008 1031919 28.00 7 CLOZAPINE TAB 100MG 12/29/2008 85007 12/26/2008 6254630 1.00 14 RISPERDAL INJ 25MG 12/22/2008 1029348 28.00 7 CLOZAPINE TAB 100MG 12/22/2008 85007 12/15/2008 85007 12/15/2008 1026477 28.00 7 CLOZAPINE TAB 100MG 12/10/2008 6254630 1.00 14 RISPERDAL INJ 25MG 12/08/2008 1023379 28.00 7 CLOZAPINE TAB 100MG 12/08/2008 85007 12/02/2008 1020612 28.00 7 CLOZAPINE TAB 100MG 12/01/2008 85007 11/25/2008 1017930 28.00 7 CLOZAPINE TAB 100MG 11/24/2008 85007 11/18/2008 6254630 1.00 14 RISPERDAL INJ 25MG 11/18/2008 1014670 28.00 7 CLOZAPINE TAB 100MG 11/17/2008 85007 11/13/2008 6253345 1.00 15 RISPERDAL INJ 50MG 11/10/2008 1011109 28.00 7 CLOZAPINE TAB 100MG 11/10/2008 85007 11/04/2008 1008411 28.00 7 CLOZAPINE TAB 100MG 11/03/2008 85007 10/29/2008 6253345 1.00 15 RISPERDAL INJ 50MG 10/27/2008 1004796 28.00 7 CLOZAPINE TAB 100MG 10/27/2008 85007 10/20/2008 85007 10/20/2008 1001803 28.00 7 CLOZAPINE TAB 100MG 10/16/2008 6253345 1.00 15 RISPERDAL INJ 50MG 10/13/2008 0998764 28.00 7 CLOZAPINE TAB 100MG 10/13/2008 85007 10/08/2008 85007 10/07/2008 0996267 28.00 7 CLOZAPINE TAB 100MG 10/02/2008 0994204 28.00 7 FAZACLO TAB 100MG 10/01/2008 85007 09/30/2008 6251742 1.00 15 RISPERDAL INJ 50MG 09/25/2008 0990873 28.00 7 FAZACLO TAB 100MG 09/24/2008 85007 09/18/2008 0987911 28.00 7 FAZACLO TAB 100MG 09/17/2008 85007 09/15/2008 6251742 1.00 15 RISPERDAL INJ 50MG 09/11/2008 0984794 28.00 7 FAZACLO TAB 100MG 09/10/2008 85007 09/04/2008 0981522 28.00 7 FAZACLO TAB 100MG 09/04/2008 6251742 1.00 15 RISPERDAL INJ 50MG 09/03/2008 85007 08/28/2008 0978631 28.00 7 FAZACLO TAB 100MG 08/27/2008 6250592 30.00 30 INVEGA TAB 3MG 08/27/2008 85007 08/25/2008 6250591 1.00 14 RISPERDAL INJ 50MG 08/20/2008 85007 08/19/2008 0973516 28.00 7 FAZACLO TAB 100MG 08/13/2008 0972393 28.00 7 FAZACLO TAB 100MG 08/13/2008 85007 08/07/2008 0970062 28.00 7 FAZACLO TAB 100MG 08/06/2008 85025 08/05/2008 6250592 30.00 30 INVEGA TAB 3MG 08/05/2008 6250591 1.00 14 RISPERDAL INJ 50MG 07/30/2008 85007 07/24/2008 0533383 4.00 1 FAZACLO TAB 100MG 07/24/2008 0533384 1.00 1 INVEGA TAB 3MG 07/23/2008 0533190 1.00 14 RISPERDAL INJ 50MG RT23623 20

DOS RX_Num/ Quantity Days Supply Product/Procedure Description Proc Code 07/23/2008 85007 07/21/2008 0536556 22.00 8 FAZACLO TAB 100MG 07/21/2008 0526024 30.00 30 INVEGA TAB 3MG 07/18/2008 0531811 12.00 3 FAZACLO TAB 100MG 07/18/2008 0531812 3.00 3 INVEGA TAB 3MG 07/16/2008 85007 07/11/2008 0528178 1.00 1 INVEGA TAB 3MG 07/11/2008 0528180 4.00 1 FAZACLO TAB 100MG 07/09/2008 85007 07/03/2008 0525740 4.00 1 FAZACLO TAB 100MG 07/03/2008 0525741 1.00 1 INVEGA TAB 3MG 07/03/2008 0525743 2.00 1 RISPERDAL TAB 1MG 07/02/2008 85007 06/30/2008 0524366 14.00 7 RISPERDAL TAB 1MG 06/27/2008 0523545 96.00 24 FAZACLO TAB 100MG 06/25/2008 0522748 2.00 1 FAZACLO TAB 100MG 06/25/2008 0522750 1.00 14 RISPERDAL INJ 50MG 06/25/2008 85007 06/25/2008 85048 LEUKOCYTE (WBC) AUTOMATE 06/23/2008 0521613 12.00 6 FAZACLO TAB 25MG 06/23/2008 0521614 18.00 6 FAZACLO TAB 100MG 06/19/2008 0516245 30.00 30 INVEGA TAB 3MG 06/18/2008 85007 06/17/2008 0518789 6.00 2 FAZACLO TAB 25MG 06/16/2008 0519181 6.00 2 FAZACLO TAB 25MG 06/16/2008 0519182 2.00 2 FAZACLO TAB 100MG 06/15/2008 0518790 12.00 6 FAZACLO TAB 100MG 06/15/2008 0518788 14.00 7 RISPERDAL TAB 1MG 06/11/2008 85007 06/11/2008 0517444 1.00 14 RISPERDAL INJ 50MG 06/04/2008 85025 05/29/2008 0512469 100.00 25 FAZACLO TAB 25MG 05/28/2008 0512166 1.00 14 RISPERDAL INJ 50MG 05/28/2008 85025 05/27/2008 0511842 6.00 2 FAZACLO TAB 25MG 05/23/2008 0510941 6.00 4 FAZACLO TAB 25MG 05/22/2008 0506769 30.00 30 FAZACLO TAB 100MG 05/22/2008 0505116 30.00 30 INVEGA TAB 3MG 05/22/2008 0505134 60.00 30 RISPERDAL TAB 2MG 05/21/2008 85007 05/14/2008 0507031 1.00 14 RISPERDAL INJ 50MG 05/14/2008 85025 05/08/2008 0505564 6.50 3 FAZACLO TAB 25MG 05/08/2008 0505565 12.00 12 FAZACLO TAB 100MG 05/07/2008 85007 RT23623 21