HMSA Generic Drug List Effective 7/1/10 generic drug list effective 7/1/10 m g r ... m alprazolam...

HMSA GENERIC DRUG LIST EFFECTIVE 7/1/10

MGR

Generic Name Dosage Form Strength Brand MAC

Generic MAC

EDL

GCN

ACARBOSE TABLET 100MG 0.8699 02318ACARBOSE TABLET 50MG 0.7263 02319ACARBOSE TABLET 25MG 0.6746 08070

M ACEBUTOLOL HCL CAPSULE 200MG 0.2892 0.2892 * 26460M ACEBUTOLOL HCL CAPSULE 400MG 0.3622 0.3622 * 26461M ACETAMINOPHEN/CAFFEINE/BUTALB TABLET 325-40-50 0.1067 0.1067 72530

ACETAZOLAMIDE CAPSULE S 500MG 3.2168 * 34700M ACETAZOLAMIDE TABLET 250MG 0.4061 0.4061 * 34722

ACETAZOLAMIDE ALL ALL *ACETIC ACID SOLUTION 2% 1.9995 34341ACETYLCYSTEINE ALL ALL *

M ACYCLOVIR TABLET 800MG 0.1860 0.1860 13721M ACYCLOVIR TABLET 400MG 0.1140 0.1140 13724

ACYCLOVIR ORAL SUSP 200MG/5ML 0.2183 43731M ACYCLOVIR CAPSULE 200MG 0.0823 0.0823 43790M ALBUTEROL SULFATE VIAL-NEB 1.25MG/3M 0.4150 0.4150 * 14634M ALBUTEROL SULFATE TABLET 2MG 0.0798 0.0798 * 20100M ALBUTEROL SULFATE TABLET 4MG 0.1078 0.1078 * 20101M ALBUTEROL SULFATE SYRUP 2MG/5ML 0.0488 0.0488 * 22780M ALBUTEROL SULFATE TAB.SR 12 4MG 0.9146 0.9146 * 24858M ALBUTEROL SULFATE SOLUTION 5MG/ML 0.2333 0.2333 * 41680M ALBUTEROL SULFATE VIAL-NEB 2.5MG/3ML 0.0640 0.0640 * 41681

ALBUTEROL SULFATE ALL ALL *ALCLOMETASONE DIPROPIONATE ALL ALL *ALCOMETASONE DIPROPIONATE CREAM(GM) 0.05% 0.8283 33710ALENDRONATE SODIUM TABLET 35MG 2.2500 12389

M ALENDRONATE SODIUM TABLET 10MG 0.4000 0.4000 21680M ALENDRONATE SODIUM TABLET 5MG 0.4000 0.4000 21682

ALENDRONATE SODIUM TABLET 70MG 2.2500 85361M ALLOPURINOL TABLET 100MG 0.0565 0.0565 * 07070M ALLOPURINOL TABLET 300MG 0.1251 0.1251 * 07071M ALPRAZOLAM TABLET 0.25MG 0.0392 0.0392 14260M ALPRAZOLAM TABLET 0.5MG 0.0501 0.0501 14261M ALPRAZOLAM TABLET 1MG 0.0556 0.0556 14262M ALPRAZOLAM TABLET 2MG 0.1300 0.1300 14263M ALPRAZOLAM TAB.SR 24 0.5MG 0.8630 0.8630 17423M ALPRAZOLAM TAB.SR 24 1MG 1.1530 1.1530 17424M ALPRAZOLAM TAB.SR 24 2MG 1.3870 1.3870 17425M ALUMINUM HYDROXIDE LIQUID 600MG/5ML 1.9273 1.9273 08040

AMANTADINE SYRUP 50MG/5ML 0.0455 * 17530M AMANTADINE HCL CAPSULE 100MG 0.4592 0.4592 * 17520

AMANTADINE HCL ALL ALL *M AMCINONIDE CREAM(GM) 0.1% 0.5400 0.5400 * 31490

AMCINONIDE ALL ALL *AMILORIDE HCL ALL ALL *AMIODARONE HCL ALL ALL *AMIODARONE HYDROCHLORIDE TABLET 200MG 0.5782 * 10920

M AMITRIPTYLINE HCL TABLET 10MG 0.0437 0.0437 16512M AMITRIPTYLINE HCL TABLET 100MG 0.1254 0.1254 16513

Page 1


MGR


Generic MAC

EDL

GCN

M AMITRIPTYLINE HCL TABLET 150MG 0.1944 0.1944 16514M AMITRIPTYLINE HCL TABLET 25MG 0.0470 0.0470 16515M AMITRIPTYLINE HCL TABLET 50MG 0.0504 0.0504 16516M AMITRIPTYLINE HCL TABLET 75MG 0.1140 0.1140 16517M AMLODIPINE BESYLATE TABLET 2.5MG 0.1290 0.1290 * 02681M AMLODIPINE BESYLATE TABLET 10MG 0.1782 0.1782 * 02682M AMLODIPINE BESYLATE TABLET 5MG 1.2971 1.2971 * 02683

AMLODIPINE BESYLATE/BENAZEPRIL CAPSULE 10MG-20MG 2.4908 17604AMLODIPINE BESYLATE/BENAZEPRIL CAPSULE 5MG-20MG 2.1440 33090AMLODIPINE BESYLATE/BENAZEPRIL CAPSULE 5-10MG 2.0303 33092AMLODIPINE BESYLATE/BENAZEPRIL CAPSULE 2.5MG-10M 1.9909 33093

M AMMONIUM LACTATE CREAM(GM) 12% 0.2531 0.2531 23043M AMOX TR/POTASSIUM CLAVULANATE SUSP RECO 600-42.9/ 0.3600 0.3600 28020M AMOX TR/POTASSIUM CLAVULANATE TABLET 500-125MG 1.6926 1.6926 67071M AMOX TR/POTASSIUM CLAVULANATE TABLET 875-125MG 1.9446 1.9446 67076M AMOX TR/POTASSIUM CLAVULANATE TAB CHEW 400-57MG 2.5849 2.5849 67077M AMOX TR/POTASSIUM CLAVULANATE SUSP RECO 400-57MG/ 0.1840 0.1840 67153M AMOX TR/POTASSIUM CLAVULANATE SUSP RECO 200-28.5/ 0.2713 0.2713 67154

AMOXICILLIN TRIHYDRATE TABLET 875MG 0.3060 39632AMOXICILLIN TRIHYDRATE TAB CHEW 250MG 0.2400 39651AMOXICILLIN TRIHYDRATE CAPSULE 250MG 0.1216 39660AMOXICILLIN TRIHYDRATE CAPSULE 500MG 0.1921 39661AMOXICILLIN TRIHYDRATE SUSP RECO 125MG/5ML 0.0201 39681AMOXICILLIN TRIHYDRATE SUSP RECO 250MG/5ML 0.0299 39683AMOXICILLIN TRIHYDRATE TAB CHEW 400MG 0.4091 93365AMOXICILLIN TRIHYDRATE SUSP RECO 400MG/5ML 0.0733 93375AMOXICILLIN TRIHYDRATE SUSP RECO 200MG/5ML 0.0684 93385

M AMPHET ASP/AMPHET/D-AMPHET TABLET 5MG 0.4344 0.4344 56970M AMPHET ASP/AMPHET/D-AMPHET TABLET 10MG 0.4344 0.4344 56971M AMPHET ASP/AMPHET/D-AMPHET TABLET 30MG 0.4344 0.4344 56972M AMPHET ASP/AMPHET/D-AMPHET TABLET 20MG 0.4344 0.4344 56973M ANAGRELIDE HCL CAPSULE 0.5MG 0.3516 0.3516 22391M ANAGRELIDE HCL CAPSULE 1MG 0.7038 0.7038 22392

ANTIPYRINE/BENZOCAINE/GLYCERIN DROPS 5.4-1.4% 0.8264 14019APRACLONIDINE HCL ALL ALL *

M ASPIRIN/CAFFEINE/BUTALBITAL TABLET 325-40-50 0.1920 0.1920 71160M ATENOLOL TABLET 100MG 0.0552 0.0552 * 20660M ATENOLOL TABLET 50MG 0.0380 0.0380 * 20661M ATENOLOL TABLET 25MG 0.0360 0.0360 * 20662

ATROPINE SULFATE ALL ALL *AZATHIOPRINE TABLET 50MG 0.5264 * 46771

M AZITHROMYCIN SUSP RECO 100MG/5ML 1.6465 1.6465 48792M AZITHROMYCIN TABLET 250MG 1.6880 1.6880 48793M AZITHROMYCIN TABLET 600MG 5.5264 5.5264 48794M AZITHROMYCIN TABLET 500MG 3.3760 3.3760 61198M AZITHROMYCIN SUSP RECO 200MG/5ML 0.8232 0.8232 61199M BACLOFEN TABLET 10MG 0.0525 0.0525 * 18010M BACLOFEN TABLET 20MG 0.0893 0.0893 * 18011M BALSALAZIDE DISODIUM CAPSULE 750MG 1.0710 1.0710 95348

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MGR


Generic MAC

EDL

GCN

BELLADONNA ALKALOIDS/PHENOBARB ELIXIR 16.2MG/5M 0.0911 74040BELLADONNA ALKALOIDS/PHENOBARB TABLET 16.2MG 0.0600 74070

M BENAZEPRIL HCL TABLET 5MG 0.1949 0.1949 * 48611M BENAZEPRIL HCL TABLET 10MG 0.1949 0.1949 * 48612M BENAZEPRIL HCL TABLET 20MG 0.1949 0.1949 * 48613M BENAZEPRIL HCL TABLET 40MG 0.1949 0.1949 * 48614M BENAZEPRIL/HYDROCHLOROTHIAZIDE TABLET 10-12.5MG 0.3966 0.3966 33192M BENAZEPRIL/HYDROCHLOROTHIAZIDE TABLET 20-12.5MG 0.3966 0.3966 33193M BENAZEPRIL/HYDROCHLOROTHIAZIDE TABLET 20-25MG 0.3966 0.3966 33194M BENZONATATE CAPSULE 100MG 0.3480 0.3480 29840M BENZONATATE CAPSULE 200MG 0.5070 0.5070 93007

BENZOYL PEROXIDE GEL 5% 0.2531 22931BENZOYL PEROXIDE LIQUID 4% 0.2468 22981BENZOYL PEROXIDE CLEANSER 10% 0.1006 24673BENZOYL PEROXIDE CLEANSER 5% 0.0832 99676

M BENZTROPINE MESYLATE TABLET 0.5MG 0.0750 0.0750 * 17620M BENZTROPINE MESYLATE TABLET 1MG 0.0827 0.0827 * 17621M BENZTROPINE MESYLATE TABLET 2MG 0.1110 0.1110 * 17622M BETAMET DIPROP/PROP GLY CREAM(GM) 0.05% 1.0925 1.0925 * 31890

BETAMET DIPROP/PROP GLY ALL ALL *M BETAMETHASONE DIPROPIONATE CREAM(GM) 0.05% 0.1100 0.1100 * 31060M BETAMETHASONE DIPROPIONATE OINT.(GM) 0.05% 0.1467 0.1467 * 31070M BETAMETHASONE DIPROPIONATE LOTION 0.05% 0.0975 0.0975 * 31080

BETAMETHASONE DIPROPIONATE ALL ALL *M BETAMETHASONE VALERATE CREAM(GM) 0.1% 0.0680 0.0680 * 31101

BETAMETHASONE VALERATE OINT.(GM) 0.10% 0.0680 * 31110BETAMETHASONE VALERATE LOTION 0.10% 0.0750 * 31120BETAXOLOL HCL ALL ALL *

M BETHANECHOL CHLORIDE TABLET 10MG 0.4380 0.4380 * 18351M BETHANECHOL CHLORIDE TABLET 25MG 0.5070 0.5070 * 18352M BETHANECHOL CHLORIDE TABLET 50MG 1.1490 1.1490 * 18354

BETHANECHOL CHLORIDE ALL ALL *M BICALUTAMIDE TABLET 50MG 2.5988 2.5988 00450M BISOPROL/HYDROCHLOROTHIAZIDE TABLET 2.5-6.25M 0.2034 0.2034 45061M BISOPROL/HYDROCHLOROTHIAZIDE TABLET 5-6.25MG 0.2034 0.2034 45062M BISOPROL/HYDROCHLOROTHIAZIDE TABLET 10-6.25MG 0.2034 0.2034 45063M BISOPROLOL FUMARATE TABLET 10MG 0.9147 0.9147 * 63820M BISOPROLOL FUMARATE TABLET 5MG 0.9147 0.9147 * 63821M BRIMONIDINE TARTRATE DROPS 0.2% 2.5545 2.5545 * 36281

BRIMONIDINE TARTRATE ALL ALL *M BROMOCRIPTINE MESYLATE TABLET 2.5MG 1.6369 1.6369 * 26081

BROMOCRIPTINE MESYLATE ALL ALL *M BUMETANIDE TABLET 0.5MG 0.1743 0.1743 * 35020M BUMETANIDE TABLET 1MG 0.2394 0.2394 * 35021M BUMETANIDE TABLET 2MG 0.3679 0.3679 * 35022M BUPROPION HCL TABLET 75MG 0.5404 0.5404 16384M BUPROPION HCL TABLET 100MG 0.7211 0.7211 16385M BUPROPION HCL TABLET SA 150MG 1.3578 1.3578 16386M BUPROPION HCL TABLET SA 100MG 1.2668 1.2668 16387

Page 3


MGR


Generic MAC

EDL

GCN

M BUPROPION HCL TABLET SA 200MG 2.8265 2.8265 17573BUPROPION HCL TAB.SR 24 150MG 3.0100 20317BUPROPION HCL TAB.SR 24 300MG 3.0030 20318

M BUPROPION HCL TABLET SA 150MG 1.3578 1.3578 27901M BUSPIRONE HCL TABLET 5MG 0.0527 0.0527 28890M BUSPIRONE HCL TABLET 10MG 0.0714 0.0714 28891M BUSPIRONE HCL TABLET 15MG 0.1028 0.1028 28892

BUSPIRONE HCL TABLET 30MG 2.7263 92121M BUTALB/ACETAMINOPHEN/CAFFEINE TABLET 50-500-40 0.2160 0.2160 72531M BUTALBITAL/ASPIRIN/CAFFEINE CAPSULE 50-325-40 0.6675 0.6675 71150M BUTORPHANOL TARTRATE SPRAY 10MG/ML 22.5750 22.5750 20351

CALCITRIOL CAPSULE 0.25MCG 0.9071 * 94481CALCITRIOL CAPSULE 0.5MCG 1.4504 * 94482CALCITRIOL ALL ALL *CALCIUM ACETATE CAPSULE 667MG 0.5922 * 13675

M CAPTOPRIL TABLET 100MG 0.0864 0.0864 * 01480M CAPTOPRIL TABLET 25MG 0.0164 0.0164 * 01481M CAPTOPRIL TABLET 50MG 0.0288 0.0288 * 01482M CAPTOPRIL TABLET 12.5MG 0.0124 0.0124 * 01483M CAPTOPRIL/HYDROCHLOROTHIAZIDE TABLET 25MG-15MG 0.1888 0.1888 54940M CAPTOPRIL/HYDROCHLOROTHIAZIDE TABLET 25MG-25MG 0.2360 0.2360 54941M CAPTOPRIL/HYDROCHLOROTHIAZIDE TABLET 50MG-25MG 0.2962 0.2962 54943

CARBAMAZEPINE TABLET 200MG 0.0632 * 17450CARBAMAZEPINE TAB CHEW 100MG 0.1710 * 17460CARBAMAZEPINE ALL ALL *

M CARBIDOPA/LEVODOPA TABLET SA 50MG-200M 1.3538 1.3538 * 62591M CARBIDOPA/LEVODOPA TABLET SA 25MG-100M 0.7043 0.7043 * 62592M CARBIDOPA/LEVODOPA TABLET 10/100 0.3300 0.3300 * 62740M CARBIDOPA/LEVODOPA TABLET 25/100 0.3564 0.3564 * 62741M CARBIDOPA/LEVODOPA TABLET 25/250 0.4116 0.4116 * 62742M CARISOPRODOL TABLET 350MG 0.0851 0.0851 * 17912

CARISOPRODOL/ASPIRIN ALL ALL *CARVEDILOL TABLET 25MG 0.1200 * 01551CARVEDILOL TABLET 12.5MG 0.1200 * 01552CARVEDILOL TABLET 3.125MG 0.1200 * 01553CARVEDILOL TABLET 6.25MG 0.1200 * 01554

M CEFACLOR CAPSULE 250MG 1.4921 1.4921 40020M CEFACLOR CAPSULE 500MG 2.6100 2.6100 40021M CEFADROXIL HYDRATE CAPSULE 500MG 0.7830 0.7830 45341M CEFDINIR SUSP RECO 250MG/5ML 1.1816 1.1816 23308M CEFDINIR CAPSULE 300MG 3.8265 3.8265 32231M CEFDINIR SUSP RECO 125MG/5ML 0.6059 0.6059 32232

CEFPODOXIME PROXETIL TABLET 200MG 4.8094 48822M CEFPROZIL TABLET 250MG 1.9151 1.9151 29271M CEFPROZIL TABLET 500MG 3.9451 3.9451 29272M CEFPROZIL SUSP RECO 250MG/5ML 0.5687 0.5687 29292M CEFUROXIME AXETIL TABLET 250MG 0.3970 0.3970 47281M CEFUROXIME AXETIL TABLET 500MG 0.7690 0.7690 47282M CEPHALEXIN MONOHYDRATE CAPSULE 250MG 0.2010 0.2010 39801

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MGR


Generic MAC

EDL

GCN

M CEPHALEXIN MONOHYDRATE CAPSULE 500MG 0.3450 0.3450 39802M CEPHALEXIN MONOHYDRATE SUSP RECO 125MG/5ML 0.0591 0.0591 39811M CEPHALEXIN MONOHYDRATE SUSP RECO 250MG/5ML 0.1077 0.1077 39812

CHLORAL HYDRATE SYRUP 500MG/5ML 0.0147 13471M CHLORHEXIDINE GLUCONATE MOUTHWASH 0.12% 0.0089 0.0089 23248

CHLOROQUINE PHOSPHATE TABLET 500MG 4.0320 42891CHLORPROMAZINE HCL TABLET 25MG 0.2996 * 14432CHLORPROMAZINE HCL TABLET 50MG 0.4238 * 14433CHLORPROMAZINE HCL TABLET 100MG 0.4824 * 14434CHLORPROMAZINE HCL ALL ALL *CHLORPROPAMIDE ALL ALL *CHLORTHALIDONE TABLET 25MG 0.1224 * 34982

M CHLORTHALIDONE TABLET 50MG 0.1674 0.1674 * 34984M CHLORTHALIDONE/ATENOLOL TABLET 25/50 0.1122 0.1122 66990M CHLORTHALIDONE/ATENOLOL TABLET 25/100 0.2454 0.2454 66991M CHLORZOXAZONE TABLET 500MG 0.0560 0.0560 * 17901

CHOLECALCIFEROL ALL ALL *CHOLESTYRAMINE/ASPARTAME ALL ALL *

M CHOLESTYRAMINE/SUCROSE POWDER 4G 0.1106 0.1106 * 14295CHOLESTYRAMINE/SUCROSE ALL ALL *CICLOPIROX GEL (GM) 0.77% 1.9362 12618CICLOPIROX CREAM(GM) 0.77% 1.0832 94677CICLOPIROX LOTION 0.77% 1.0314 95353

M CILOSTAZOL TABLET 100MG 0.7200 0.7200 08602M CILOSTAZOL TABLET 50MG 1.3684 1.3684 08603M CIMETIDINE TABLET 300MG 0.1050 0.1050 * 46751M CIMETIDINE TABLET 400MG 0.1104 0.1104 * 46752M CIMETIDINE TABLET 800MG 0.2220 0.2220 * 46753

CIMETIDINE HCL ALL ALL *CIPROFLOXACIN HCL DROPS 0.30% 2.8800 33580

M CIPROFLOXACIN HCL TABLET 250MG 0.3000 0.3000 47050M CIPROFLOXACIN HCL TABLET 500MG 0.3600 0.3600 47051M CIPROFLOXACIN HCL TABLET 750MG 0.3840 0.3840 47052

CIPROFLOXACIN/CIPROFLOXA HCL TBMP 24HR 500MG 7.3490 18898M CITALOPRAM HYDROBROMIDE TABLET 20MG 0.1311 0.1311 16342M CITALOPRAM HYDROBROMIDE TABLET 40MG 0.1335 0.1335 16343M CITALOPRAM HYDROBROMIDE TABLET 10MG 0.1272 0.1272 16345

CITRIC ACID/POTASSIUM CITRATE SOLUTION 334-1100/ 0.0269 * 14065CITRIC ACID/POTASSIUM CITRATE ALL ALL *CITRIC ACID/SODIUM CITRATE SOLUTION 334-500MG 0.0150 * 51957

M CLARITHROMYCIN SUSP RECO 125MG/5ML 0.3263 0.3263 11670M CLARITHROMYCIN SUSP RECO 250MG/5ML 0.6218 0.6218 11671M CLARITHROMYCIN TAB.SR 24 500MG 3.7547 3.7547 48850M CLARITHROMYCIN TABLET 500MG 0.9224 0.9224 48851M CLARITHROMYCIN TABLET 250MG 0.9223 0.9223 48852

CLIDINIUM/CL-DIAZEPOXIDE CAPSULE 2.5/5 1.1771 74801M CLINDAMYCIN HCL CAPSULE 150MG 0.1722 0.1722 40830M CLINDAMYCIN HCL CAPSULE 300MG 0.9580 0.9580 40832

CLINDAMYCIN PHOSPHATE CREAM/APP 2% 0.9103 28581

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MGR


Generic MAC

EDL

GCN

M CLINDAMYCIN PHOSPHATE SOLUTION 1% 0.1125 0.1125 31720CLINDAMYCIN PHOSPHATE LOTION 1% 0.4793 31770CLINDAMYCIN PHOSPHATE GEL (GM) 1% 0.5400 45410

M CLINDAMYCIN PHOSPHATE MED. SWAB 1% 0.4780 0.4780 45411M CLOBETASOL PROPIONATE SOLUTION 0.05% 0.2962 0.2962 * 15891M CLOBETASOL PROPIONATE GEL (GM) 0.05% 0.6048 0.6048 * 15892M CLOBETASOL PROPIONATE OINT.(GM) 0.05% 0.1940 0.1940 * 32130M CLOBETASOL PROPIONATE CREAM(GM) 0.05% 0.1825 0.1825 * 32140M CLOBETASOL PROPIONATE FOAM 0.05% 2.3486 2.3486 * 89743M CLOBETASOL PROPIONATE/EMOLL CREAM(GM) 0.05% 0.3924 0.3924 * 34141

CLOMIPHENE CITRATE TABLET 50MG 2.5576 25940M CLOMIPRAMINE HCL CAPSULE 25MG 0.3048 0.3048 16602M CLOMIPRAMINE HCL CAPSULE 50MG 0.4028 0.4028 16603

CLONAZEPAM TABLET 0.5MG 0.0480 * 17470CLONAZEPAM TABLET 1MG 0.0504 * 17471CLONAZEPAM TABLET 2MG 0.0744 * 17472CLONAZEPAM TAB RAPDI 0.25MG 0.9741 * 19468CLONAZEPAM TAB RAPDI 0.5MG 0.9725 * 19469CLONAZEPAM TAB RAPDI 1MG 1.1114 * 19470CLONIDINE ALL ALL *

M CLONIDINE HCL TABLET 0.1MG 0.0723 0.0723 * 01390M CLONIDINE HCL TABLET 0.2MG 0.1134 0.1134 * 01391M CLONIDINE HCL TABLET 0.3MG 0.1464 0.1464 * 01392M CLORAZEPATE DIPOTASSIUM TABLET 15MG 0.2754 0.2754 14090M CLORAZEPATE DIPOTASSIUM TABLET 3.75MG 0.1377 0.1377 14092M CLORAZEPATE DIPOTASSIUM TABLET 7.5MG 0.1947 0.1947 14093M CLOTRIMAZOLE TROCHE 10MG 1.0951 1.0951 07590

CLOTRIMAZOLE SOLUTION 1% 0.4725 30380M CLOTRIMAZOLE/BETAMET DIPROP CREAM(GM) 1-0.05% 0.4728 0.4728 06919M CLOTRIMAZOLE/BETAMET DIPROP LOTION 1-0.05% 1.0860 1.0860 14125

CLOZAPINE TABLET 25MG 0.9369 18141CLOZAPINE TABLET 100MG 2.4272 18142

M CODEINE PHOS/ACETAMINOPHEN ELIXIR 12-120MG/ 0.0202 0.0202 55401M CODEINE PHOS/ACETAMINOPHEN TABLET 15-300MG 0.1200 0.1200 70131M CODEINE PHOSPHATE/APAP TABLET 30-300MG 0.1710 0.1710 70134M CODEINE PHOSPHATE/APAP TABLET 60-300MG 0.3259 0.3259 70136

CODEINE SULF TABLET 30MG 0.3502 16241CODEINE/ASA/CAFFEINE/BUTALB CAPSULE 30MG 1.0350 69500

M CODEINE/BUTALBIT/ACETAMIN/CAFF CAPSULE 30-50-325 0.7200 0.7200 70140M CODEINE/PROMETHAZINE HCL SYRUP 10-6.25/5 0.0313 0.0313 13971

COLCHICINE/PROBENECID ALL ALL *M COLESTIPOL HCL TABLET 1G 0.4934 0.4934 * 25442

COLESTIPOL HCL ALL ALL *M CROMOLYN SODIUM AMPUL-NEB 20MG/2ML 0.5588 0.5588 * 46780M CROMOLYN SODIUM DROPS 4% 2.7000 2.7000 69069

CYANOCOBALAMIN/FA/PYRIDOXINE ALL ALL *M CYCLOBENZAPRINE HCL TABLET 5MG 0.1268 0.1268 * 12805M CYCLOBENZAPRINE HCL TABLET 10MG 0.0807 0.0807 * 18020

CYCLOPENTOLATE HCL DROPS 1% 0.3550 * 33031

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MGR


Generic MAC

EDL

GCN

CYCLOSPORINE ALL ALL *CYCLOSPORINE, MODIFIED CAPSULE 25MG 0.9905 * 13918CYCLOSPORINE, MODIFIED CAPSULE 100MG 3.9572 * 13919CYCLOSPORINE, MODIFIED ALL ALL *

M CYPROHEPTADINE HCL SYRUP 2MG/5ML 0.0778 0.0778 15803M CYPROHEPTADINE HCL TABLET 4MG 0.3156 0.3156 15811

DANTROLENE SODIUM ALL ALL *M DESIPRAMINE HCL TABLET 25MG 0.8680 0.8680 16586M DESIPRAMINE HCL TABLET 50MG 1.6341 1.6341 16587

DESMOPRESSIN ACETATE TABLET 0.1MG 2.2653 26171DESMOPRESSIN ACETATE TABLET 0.2MG 3.2636 26172DESMOPRESSIN ACETATE SPRAY/PUM 0.1MG/ML 21.4950 26173DESOGESTREL-ETHINYL ESTRADIOL TABLET 7 DAYS X 0.9011 * 13094DESOGESTREL-ETHINYL ESTRADIOL TABLET 0.15-0.03 0.8175 * 68811DESOG-ET ESTRA/ETHIN ESTRA TABLET 21-5 1.6066 * 94868

M DESONIDE CREAM(GM) 0.05% 0.2337 0.2337 * 31425M DESONIDE OINT.(GM) 0.05% 0.3262 0.3262 * 31430M DESONIDE LOTION 0.05% 0.6216 0.6216 * 48971

DESOXIMETASONE OINT.(GM) 0.25% 2.5724 * 30800DESOXIMETASONE CREAM(GM) 0.05% 2.1341 * 31180DESOXIMETASONE CREAM(GM) 0.25% 2.4629 * 31181DESOXIMETASONE ALL ALL *DEXMETHYLPHENIDATE HCL ALL ALL *

M DIAZEPAM TABLET 10MG 0.0436 0.0436 14220M DIAZEPAM TABLET 2MG 0.0336 0.0336 14221M DIAZEPAM TABLET 5MG 0.0335 0.0335 14222M DICLOFENAC POTASSIUM TABLET 50MG 0.6900 0.6900 * 13960M DICLOFENAC SODIUM TAB.SR 24 100MG 1.8894 1.8894 * 13310

DICLOFENAC SODIUM DROPS 0.10% 3.3600 33831M DICLOFENAC SODIUM TABLET EC 50MG 0.3798 0.3798 * 35851M DICLOFENAC SODIUM TABLET EC 75MG 0.4680 0.4680 * 35852

DICLOFENAC SODIUM ALL ALL *M DICLOXACILLIN SODIUM CAPSULE 250MG 0.3596 0.3596 39541M DICLOXACILLIN SODIUM CAPSULE 500MG 0.7193 0.7193 39542M DICYCLOMINE HYDROCHLORIDE CAPSULE 10MG 0.0695 0.0695 19261M DICYCLOMINE HYDROCHLORIDE TABLET 20MG 0.0405 0.0405 19331

DIFLORASONE DIACETATE CREAM(GM) 0.05% 0.7299 * 31470M DIFLORASONE DIACETATE OINT.(GM) 0.05% 0.9300 0.9300 * 31480

DIFLORASONE DIACETATE/EMOLL ALL ALL *M DIFLUNISAL TABLET 500MG 0.9692 0.9692 16851

DIGOXIN TABLET 125MCG 0.1262 * 00132DIGOXIN TABLET 250MCG 0.1262 * 00133DIGOXIN ALL ALL *

M DILTIAZEM HCL CAP.SR 24 180MG 1.0842 1.0842 * 02323M DILTIAZEM HCL CAP.SR 24 240MG 1.5379 1.5379 * 02324M DILTIAZEM HCL CAP.SR 24 300MG 1.9933 1.9933 * 02325M DILTIAZEM HCL CAP.SR 24 120MG 0.8983 0.8983 * 02326

DILTIAZEM HCL CAPSULE S 360MG 1.6881 * 02328DILTIAZEM HCL CAPSULE S 180MG 0.9008 * 02329

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MGR


Generic MAC

EDL

GCN

DILTIAZEM HCL CAPSULE S 120MG 0.7465 * 02330M DILTIAZEM HCL CAPSULE S 300MG 1.6561 1.6561 * 02333M DILTIAZEM HCL TABLET 30MG 0.0460 0.0460 * 02360M DILTIAZEM HCL TABLET 60MG 0.0797 0.0797 * 02361M DILTIAZEM HCL TABLET 90MG 0.1128 0.1128 * 02362M DILTIAZEM HCL TABLET 120MG 0.1674 0.1674 * 02363M DILTIAZEM HCL CAPSULE C 180MG 0.5845 0.5845 * 07461M DILTIAZEM HCL CAPSULE C 240MG 0.8048 0.8048 * 07462M DILTIAZEM HCL CAPSULE C 120MG 0.5160 0.5160 * 07463

DILTIAZEM HCL ALL ALL *DIPHENHYDRAMINE HCL CAPSULE 25MG 0.0207 45971DIPHENHYDRAMINE HCL CAPSULE 50MG 0.0559 45972

M DIPHENOXYLATE HCL/ATROP SULF TABLET 0.2138 0.2138 65030DIPIVEFRIN HCL ALL ALL *

M DIPYRIDAMOLE TABLET 25MG 0.2079 0.2079 53141M DIPYRIDAMOLE TABLET 50MG 0.3349 0.3349 53142M DIPYRIDAMOLE TABLET 75MG 0.5134 0.5134 53143

DISOPYRAMIDE PHOSPHATE ALL ALL *DIVALPROEX SODIUM TABLET DR 250MG 0.4230 * 17290DIVALPROEX SODIUM TABLET DR 500MG 0.4853 * 17291DIVALPROEX SODIUM TABLET DR 125MG 0.2153 * 17292DIVALPROEX SODIUM ALL ALL *D-METHORPHAN HB/PE/CHLORPHENIR SYRUP 15-12.5-4 0.1675 25727D-METHORPHAN HB/PE/CHLORPHENIR DROPS 3-3.5-1/M 1.1522 25730

M D-METHORPHAN HB/P-EPD HCL/BPM SYRUP 10-30-2/5 0.0622 0.0622 96136M D-METHORPHAN HB/PROMETH HCL SYRUP 15-6.25/5 0.0182 0.0182 13975

DORZOLAMIDE HCL DROPS 2% 5.0063 * 33380M DOXAZOSIN MESYLATE TABLET 1MG 0.1997 0.1997 * 33431M DOXAZOSIN MESYLATE TABLET 2MG 0.1997 0.1997 * 33432M DOXAZOSIN MESYLATE TABLET 4MG 0.2110 0.2110 * 33433M DOXAZOSIN MESYLATE TABLET 8MG 0.2214 0.2214 * 33434M DOXEPIN HCL CAPSULE 10MG 0.0630 0.0630 16563M DOXEPIN HCL CAPSULE 100MG 0.1477 0.1477 16564M DOXEPIN HCL CAPSULE 25MG 0.0756 0.0756 16566M DOXEPIN HCL CAPSULE 50MG 0.1104 0.1104 16567M DOXYCYCLINE HYCLATE TABLET 20MG 0.8924 0.8924 13521M DOXYCYCLINE HYCLATE CAPSULE 100MG 0.0900 0.0900 40331M DOXYCYCLINE HYCLATE CAPSULE 50MG 0.1080 0.1080 40333M DOXYCYCLINE HYCLATE TABLET 100MG 0.0927 0.0927 40360M DOXYCYCLINE MONOHYDRATE CAPSULE 100MG 1.4538 1.4538 40651M DOXYCYCLINE MONOHYDRATE CAPSULE 50MG 1.0883 1.0883 40652M ECONAZOLE NITRATE CREAM(GM) 1% 0.4442 0.4442 30430M ENALAPRIL MALEATE TABLET 5MG 0.0456 0.0456 * 00960M ENALAPRIL MALEATE TABLET 10MG 0.0586 0.0586 * 00961M ENALAPRIL MALEATE TABLET 20MG 0.0684 0.0684 * 00962M ENALAPRIL MALEATE TABLET 2.5MG 0.0378 0.0378 * 00963M ENALAPRIL/HYDROCHLOROTHIAZIDE TABLET 10MG-25MG 0.8539 0.8539 54860M ENALAPRIL/HYDROCHLOROTHIAZIDE TABLET 5-12.5MG 0.7674 0.7674 54862

EPLERENONE ALL ALL *

Page 8


MGR


Generic MAC

EDL

GCN

ERGOCALCIFEROL ALL ALL *ERGOTAMINE TARTRATE/CAFFEINE TABLET 1-100MG 0.8535 72950

M ERYTHROMYCIN BASE/BENZ PER GEL 3-5% 1.7968 1.7968 85400ERYTHROMYCIN BASE/ETHANOL GEL 2% 0.3495 31710ERYTHROMYCIN BASE/ETHANOL SOLUTION 2% 0.1925 77562ERYTHROMYCIN ETHYLSUCCINATE TABLET 400MG 0.1841 40560

M ESTAZOLAM TABLET 1MG 0.4745 0.4745 19181M ESTAZOLAM TABLET 2MG 0.5164 0.5164 19182M ESTRADIOL TABLET 1MG 0.1764 0.1764 * 10770M ESTRADIOL TABLET 2MG 0.2448 0.2448 * 10771M ESTRADIOL TABLET 0.5MG 0.1428 0.1428 * 10772

ESTRADIOL ALL ALL *ESTRADIOL/NORETH AC TABLET 1-0.5MG 1.6476 * 95046ESTROGEN,ESTER/ME-TESTOSTERONE TABLET 0.625-1.2 1.1846 * 68030ESTROGEN,ESTER/ME-TESTOSTERONE TABLET 1.25-2.5M 1.4471 * 68031

M ESTROPIPATE TABLET 0.75MG 0.2062 0.2062 * 11080M ESTROPIPATE TABLET 1.5MG 0.2639 0.2639 * 11084

ESTROPIPATE ALL ALL *ETHAMBUTOL HCL TABLET 400MG 1.2858 * 41801ETHAMBUTOL HCL ALL ALL *ETHINYL ESTRADIOL/DROSPIRENONE ALL ALL *ETHOSUXIMIDE ALL ALL *ETHYNODIOL D-ETHINYL ESTRADIOL ALL ALL *

M ETHYNODIOL DIACE-ETH ESTRADIOL TABLET 1/0.035 0.8004 0.8004 * 11490M ETODOLAC CAPSULE 300MG 0.3960 0.3960 * 33871M ETODOLAC TABLET 400MG 0.3150 0.3150 * 61761M ETODOLAC TAB.SR 24 600MG 2.0885 2.0885 * 61762M ETODOLAC TAB.SR 24 400MG 1.0513 1.0513 * 61765M ETODOLAC TABLET 500MG 0.4192 0.4192 * 61766M ETODOLAC TAB.SR 24 500MG 1.0986 1.0986 * 61767

ETODOLAC ALL ALL *ETOPOSIDE ALL ALL *

M FAMOTIDINE TABLET 20MG 0.0862 0.0862 * 46430M FAMOTIDINE TABLET 40MG 0.1555 0.1555 * 46431M FELODIPINE TAB.SR 24 2.5MG 1.1332 1.1332 * 02620M FELODIPINE TAB.SR 24 5MG 1.1332 1.1332 * 02621M FELODIPINE TAB.SR 24 10MG 2.0364 2.0364 * 02622M FENOFIBRATE TABLET 160MG 1.7823 1.7823 * 12595M FENOFIBRATE TABLET 54MG 0.5941 0.5941 * 13266

FENOFIBRATE,MICRONIZED CAPSULE 134MG 1.2263 * 92504FENOFIBRATE,MICRONIZED CAPSULE 200MG 1.9098 * 93437FENOFIBRATE,MICRONIZED CAPSULE 67MG 0.6367 * 93446

M FENTANYL PATCH TD7 25MCG/HR 10.8150 10.8150 19200M FENTANYL PATCH TD7 50MCG/HR 19.7700 19.7700 19201M FENTANYL PATCH TD7 75MCG/HR 30.1575 30.1575 19202M FENTANYL PATCH TD7 100MCG/HR 40.0200 40.0200 19203M FENTANYL PATCH TD7 12MCG/HR 10.3500 10.3500 24635M FEXOFENADINE HCL TABLET 30MG 0.5232 0.5232 37198M FEXOFENADINE HCL TABLET 60MG 1.0490 1.0490 46593

Page 9


MGR


Generic MAC

EDL

GCN

M FEXOFENADINE HCL TABLET 180MG 1.8197 1.8197 46594FEXOFENADINE-PSE ER TABLET 120-60MG 1.6781 63565

M FINASTERIDE TABLET 5MG 1.7000 1.7000 30521M FLAVOXATE HCL TABLET 100MG 1.0974 1.0974 19360

FLECAINIDE ACETATE TABLET 100MG 0.8587 * 01580FLECAINIDE ACETATE TABLET 50MG 0.5938 * 01581FLECAINIDE ACETATE TABLET 150MG 1.3380 * 01582

M FLUCONAZOLE TABLET 100MG 0.7060 0.7060 42190M FLUCONAZOLE TABLET 200MG 1.1260 1.1260 42191M FLUCONAZOLE TABLET 150MG 1.0000 1.0000 42193M FLUCONAZOLE SUSP RECO 40MG/ML 2.7864 2.7864 60821M FLUCONAZOLE SUSP RECO 10MG/ML 0.7671 0.7671 60822M FLUDROCORTISONE ACETATE TABLET 0.1MG 0.5608 0.5608 27680M FLUNISOLIDE SPRAY 0.025% 1.3947 1.3947 * 34280

FLUNISOLIDE ALL ALL *FLUOCINOLONE ACETONIDE CREAM(GM) 0.01% 0.3713 * 31342FLUOCINOLONE ACETONIDE CREAM(GM) 0.03% 0.2813 * 31344FLUOCINOLONE ACETONIDE OINTMENT 0.03% 0.2813 * 31351FLUOCINOLONE ACETONIDE ALL ALL *

M FLUOCINONIDE GEL 0.05% 0.2500 0.2500 * 31380M FLUOCINONIDE CREAM(GM) 0.05% 0.0950 0.0950 * 31390M FLUOCINONIDE OINT.(GM) 0.05% 0.2812 0.2812 * 31400M FLUOCINONIDE SOLUTION 0.05% 0.1875 0.1875 * 31401M FLUOCINONIDE/EMOLLIENT CREAM(GM) 0.05% 0.1852 0.1852 * 54650

FLUORIDE ION/MULTIVITAMINS DROPS 0.5MG/ML 0.0948 * 95221FLUORIDE ION/MULTIVITAMINS DROPS 0.25MG/ML 0.0948 * 95223FLUORIDE ION/MULTIVITS * OBS * TAB CHEW 0.5MG 0.0714 95341FLUORIDE ION/MULTIVITS * OBS * TAB CHEW 1MG 0.0714 95342FLUORIDE ION/VIT A,C&D DROPS 0.25MG/ML 0.0948 * 95233FLUORIDE/VITAMINS A,C,AND D ALL ALL *FLUOROURACIL CREAM(GM) 5% 4.6329 30781

M FLUOXETINE HCL CAPSULE 10MG 0.0658 0.0658 16353M FLUOXETINE HCL CAPSULE 20MG 0.0569 0.0569 16354M FLUOXETINE HCL CAPSULE 40MG 0.9300 0.9300 16355M FLUOXETINE HCL TABLET 10MG 0.1932 0.1932 16356M FLUOXETINE HCL SOLUTION 20MG/5ML 0.1500 0.1500 16357M FLUOXETINE HCL TABLET 20MG 2.1001 2.1001 16359

FLUPHENAZINE HCL ALL ALL *M FLURAZEPAM HCL CAPSULE 30MG 0.0959 0.0959 14251M FLURBIPROFEN TABLET 100MG 0.1950 0.1950 * 35711M FLUTAMIDE CAPSULE 125MG 1.5692 1.5692 25740M FLUTICASONE PROPIONATE CREAM(GM) 0.05% 0.6762 0.6762 * 43951M FLUTICASONE PROPIONATE OINT.(GM) 0.005% 0.5780 0.5780 * 48641M FLUTICASONE PROPIONATE SPRAY SUS 50MCG 1.6500 1.6500 * 62263M FLUVOXAMINE MALEATE TABLET 25MG 0.6000 0.6000 16347M FLUVOXAMINE MALEATE TABLET 50MG 0.6600 0.6600 16348M FLUVOXAMINE MALEATE TABLET 100MG 0.7200 0.7200 16349

FOLIC ACID TABLET 1MG 0.0249 * 94781FOLIC ACID/VITAMIN B COMP W-C ALL ALL *

Page 10


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Generic MAC

EDL

GCN

FORTICAL NASAL SPRAY 200UNIT 19.3005 23281M FOSINOPRIL SODIUM TABLET 40MG 0.4111 0.4111 * 48580M FOSINOPRIL SODIUM TABLET 10MG 0.4111 0.4111 * 48581M FOSINOPRIL SODIUM TABLET 20MG 0.4111 0.4111 * 48582

FUROSEMIDE SOLUTION 10MG/ML 0.0714 * 34950M FUROSEMIDE TABLET 20MG 0.0171 0.0171 * 34961M FUROSEMIDE TABLET 40MG 0.0195 0.0195 * 34962M FUROSEMIDE TABLET 80MG 0.0637 0.0637 * 34963

GABAPENTIN CAPSULE 100MG 0.0825 * 00780GABAPENTIN CAPSULE 300MG 0.1238 * 00781GABAPENTIN CAPSULE 400MG 0.1538 * 00782GABAPENTIN TABLET 800MG 0.9404 * 94447GABAPENTIN TABLET 600MG 0.7596 * 94624

M GALANTAMINE HYDROBROMIDE CAP24H PE 8MG 4.5780 4.5780 * 23605M GALANTAMINE HYDROBROMIDE CAP24H PE 16MG 4.5780 4.5780 * 23606M GALANTAMINE HYDROBROMIDE CAP24H PE 24MG 4.5780 4.5780 * 23607

GALANTAMINE HYDROBROMIDE ALL ALL *GENTAMICIN SULFATE CREAM(GM) 0.10% 0.1080 31790GENTAMICIN SULFATE OINT.(GM) 0.10% 0.1080 31800

M GENTAMICIN SULFATE OINT.(GM) 0.3% 4.2150 4.2150 33590M GENTAMICIN SULFATE DROPS 3MG/ML 0.5280 0.5280 33600M GLIMEPIRIDE TABLET 1MG 0.1073 0.1073 * 05830M GLIMEPIRIDE TABLET 2MG 0.1739 0.1739 * 05832M GLIMEPIRIDE TABLET 4MG 0.3181 0.3181 * 05833M GLIPIZIDE TABLET 5MG 0.0530 0.0530 * 10840M GLIPIZIDE TABLET 10MG 0.0750 0.0750 * 10841M GLIPIZIDE TAB ER2 2 10MG 0.5738 0.5738 * 10843M GLIPIZIDE TAB ER2 2 5MG 0.2897 0.2897 * 10844M GLIPIZIDE TAB ER2 2 2.5MG 0.3050 0.3050 * 50638M GLIPIZIDE/METFORMIN HCL TABLET 2.5-500MG 0.7417 0.7417 * 18367M GLIPIZIDE/METFORMIN HCL TABLET 5MG-500MG 0.7417 0.7417 * 18368

GLIPIZIDE/METFORMIN HCL ALL ALL *M GLYBURIDE TABLET 1.25MG 0.0888 0.0888 * 05710M GLYBURIDE TABLET 2.5MG 0.0908 0.0908 * 05711M GLYBURIDE TABLET 5MG 0.0979 0.0979 * 05712M GLYBURIDE, MICRO/METFORMIN HCL TABLET 1.25-250M 0.2850 0.2850 89878M GLYBURIDE, MICRO/METFORMIN HCL TABLET 5MG-500MG 0.2928 0.2928 89879M GLYBURIDE, MICRO/METFORMIN HCL TABLET 2.5-500MG 0.2928 0.2928 92889M GLYBURIDE,MICRONIZED TABLET 1.5MG 0.1824 0.1824 * 05713M GLYBURIDE,MICRONIZED TABLET 3MG 0.2175 0.2175 * 05714M GLYBURIDE,MICRONIZED TABLET 6MG 0.6307 0.6307 * 05715M GLYCOPYRROLATE TABLET 1MG 0.9847 0.9847 19130M GLYCOPYRROLATE TABLET 2MG 1.6493 1.6493 19131

GRISEOFULVIN,MICROSIZE ORAL SUSP 125MG/5ML 0.2504 * 42390GUAIFENESIN/CODEINE PHOS LIQUID 100-10MG/ 0.0116 91713GUAIFENESIN/P-EPHED HCL/COD SYRUP 10MG 0.0629 54670

M GUANFACINE HCL TABLET 1MG 0.1242 0.1242 * 32480M GUANFACINE HCL TABLET 2MG 0.5609 0.5609 * 32481

HALOBETASOL PROPIONATE OINT.(GM) 0.05% 0.5325 * 31211

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Generic MAC

EDL

GCN

M HALOBETASOL PROPIONATE CREAM(GM) 0.05% 0.3840 0.3840 * 31251HALOPERIDOL TABLET 0.5MG 0.0582 15530HALOPERIDOL TABLET 1MG 0.0924 15531HALOPERIDOL TABLET 10MG 1.0759 15532HALOPERIDOL TABLET 2MG 0.1254 15533HALOPERIDOL TABLET 5MG 0.1392 15535HC ACETATE/PRAMOXINE HCL CREAM/APP 2.5%-1% 1.2212 84133

M HCTZ/TRIAMTERENE TABLET 50/75 0.0390 0.0390 * 88740HOMATROPINE HBR ALL ALL *HUM INSULIN NPH/REG INSULIN HM ALL ALL *

M HYDRALAZINE HCL TABLET 10MG 0.2045 0.2045 * 01241M HYDRALAZINE HCL TABLET 100MG 0.6270 0.6270 * 01242M HYDRALAZINE HCL TABLET 25MG 0.2115 0.2115 * 01243M HYDRALAZINE HCL TABLET 50MG 0.2709 0.2709 * 01244

HYDRALAZINE HCL ALL ALL *HYDRALAZINE/HYDROCHLOROTHIAZID ALL ALL *

M HYDROCHLOROTHIAZIDE CAPSULE 12.5MG 0.0912 0.0912 * 34820M HYDROCHLOROTHIAZIDE TABLET 25MG 0.0177 0.0177 * 34824M HYDROCHLOROTHIAZIDE TABLET 50MG 0.0942 0.0942 * 34825

HYDROCHLOROTHIAZIDE ALL ALL *M HYDROCHLOROTHIAZIDE/AMILORIDE TABLET 50-5MG 0.0599 0.0599 * 82341M HYDROCODONE BIT/ACETAMINOPHEN TABLET 5MG-325MG 0.3601 0.3601 12486M HYDROCODONE BIT/ACETAMINOPHEN TABLET 7.5-325MG 0.4068 0.4068 12488M HYDROCODONE BIT/ACETAMINOPHEN SOLUTION 7.5-500/1 0.0812 0.0812 20906M HYDROCODONE BIT/ACETAMINOPHEN TABLET 10MG-325M 0.3841 0.3841 70330M HYDROCODONE BIT/ACETAMINOPHEN TABLET 10-650MG 0.0778 0.0778 70332M HYDROCODONE BIT/ACETAMINOPHEN TABLET 10MG-500M 0.1881 0.1881 70334M HYDROCODONE BIT/ACETAMINOPHEN TABLET 7.5-750MG 0.0659 0.0659 70335M HYDROCODONE BIT/ACETAMINOPHEN TABLET 7.5-500MG 0.0653 0.0653 70339M HYDROCODONE BIT/ACETAMINOPHEN TABLET 10-660MG 0.2693 0.2693 70363M HYDROCODONE BIT/HOMATROPINE SYRUP 5-1.5MG/5 0.1386 0.1386 13973M HYDROCODONE BITARTRATE/APAP TABLET 5-500MG 0.0581 0.0581 70331M HYDROCODONE BITARTRATE/APAP TABLET 7.5-650MG 0.0634 0.0634 70333M HYDROCODONE/IBUPROFEN TABLET 7.5-200MG 0.8599 0.8599 63101M HYDROCORTISONE TABLET 20MG 0.1320 0.1320 26782M HYDROCORTISONE TABLET 5MG 0.1823 0.1823 26783M HYDROCORTISONE CREAM(GM) 2.5% 0.1680 0.1680 * 28852M HYDROCORTISONE CREAM(GM) 1% 0.0476 0.0476 * 30942M HYDROCORTISONE CREAM(GM) 2.5% 0.0990 0.0990 * 30943M HYDROCORTISONE OINT.(GM) 1% 0.0476 0.0476 * 30951M HYDROCORTISONE OINT.(GM) 2.5% 0.1048 0.1048 * 30952M HYDROCORTISONE LOTION 2.5% 0.3290 0.3290 * 30975

HYDROCORTISONE ENEMA 100MG/60M 0.1299 66392HYDROCORTISONE ALL ALL *HYDROCORTISONE ACETATE SUPP.RECT 25MG 0.6010 * 27941HYDROCORTISONE ACETATE ALL ALL *HYDROCORTISONE BUTYRATE CREAM(GM) 0.10% 0.7042 * 30880HYDROCORTISONE BUTYRATE ALL ALL *HYDROCORTISONE VALERATE OINT.(GM) 0.20% 0.7045 * 06040

Page 12


MGR


Generic MAC

EDL

GCN

M HYDROCORTISONE VALERATE CREAM(GM) 0.2% 0.4750 0.4750 * 30890HYDROMORPHONE TABLET 4MG 0.4598 16143

M HYDROXYCHLOROQUINE SULFATE TABLET 200MG 0.1800 0.1800 42940HYDROXYUREA CAPSULE 500MG 0.9580 38400

M HYDROXYZINE HCL SYRUP 10MG/5ML 0.0810 0.0810 13932M HYDROXYZINE HYDROCHLORIDE TABLET 10MG 0.3127 0.3127 13941M HYDROXYZINE HYDROCHLORIDE TABLET 25MG 0.4617 0.4617 13943M HYDROXYZINE HYDROCHLORIDE TABLET 50MG 0.5922 0.5922 13944M HYDROXYZINE PAMOATE CAPSULE 25MG 0.0920 0.0920 13952M HYDROXYZINE PAMOATE CAPSULE 50MG 0.1258 0.1258 13953

HYOSCYAMINE SULFATE TAB RAPDI 0.125MG 0.6331 13299HYOSCYAMINE SULFATE TABLET 0.125MG 0.6836 18961HYOSCYAMINE SULFATE TAB SUBL 0.125MG 0.6446 18970

M IBUPROFEN TABLET 400MG 0.0345 0.0345 * 35741M IBUPROFEN TABLET 600MG 0.0417 0.0417 * 35742M IBUPROFEN TABLET 800MG 0.0638 0.0638 * 35744

IBUPROFEN ALL ALL *M IMIPRAMINE HCL TABLET 10MG 0.2578 0.2578 16541M IMIPRAMINE HCL TABLET 25MG 0.2840 0.2840 16542M IMIPRAMINE HCL TABLET 50MG 0.4604 0.4604 16543M INDAPAMIDE TABLET 2.5MG 0.1125 0.1125 * 07310M INDAPAMIDE TABLET 1.25MG 0.0936 0.0936 * 07311M INDOMETHACIN CAPSULE 25MG 0.2177 0.2177 * 35680M INDOMETHACIN CAPSULE 50MG 0.2610 0.2610 * 35681

INDOMETHACIN ALL ALL *INSULIN ASPART ALL ALL *INSULIN DETEMIR ALL ALL *INSULIN GLARGINE,HUM.REC.ANLOG ALL ALL *INSULIN GLULISINE ALL ALL *INSULIN LISPRO ALL ALL *INSULIN NPL/INSULIN LISPRO ALL ALL *INSULIN REGULAR, HUMAN ALL ALL *INSULN ASP PRT/INSULIN ASPART ALL ALL *

M IPRATROPIUM BROMIDE SOLUTION 0.2MG/ML 0.0672 0.0672 42235M IPRATROPIUM BROMIDE SPRAY 42MCG 1.8595 1.8595 42238M IPRATROPIUM BROMIDE SPRAY 21MCG 1.1172 1.1172 42239

IPRATROPIUM/ALBUTEROL SULFATE AMPUL-NEB 0.5-2.5/3 0.3080 13456ISOMETHEPT/ACETAMINOP/DICHLPHN CAPSULE 65-325-10 0.3970 13996

M ISONIAZID TABLET 300MG 0.0712 0.0712 * 41742ISONIAZID ALL ALL *

M ISOSORBIDE DINITRATE TABLET 10MG 0.0243 0.0243 * 01942M ISOSORBIDE DINITRATE TABLET 20MG 0.0270 0.0270 * 01944

ISOSORBIDE DINITRATE ALL ALL *M ISOSORBIDE MONONITRATE TABLET 20MG 0.2970 0.2970 * 01931

ISOSORBIDE MONONITRATE ALL ALL *M ISOTRETINOIN CAPSULE 30MG 6.3263 6.3263 20383M ISOTRETINOIN CAPSULE 20MG 9.2820 9.2820 59842M ISOTRETINOIN CAPSULE 40MG 10.7840 10.7840 59843

ISRADIPINE ALL ALL *

Page 13


MGR


Generic MAC

EDL

GCN

M ITRACONAZOLE CAPSULE 100MG 6.6797 6.6797 49101M KETOCONAZOLE SHAMPOO 2% 0.1734 0.1734 31271M KETOCONAZOLE CREAM(GM) 2% 0.4515 0.4515 31850M KETOCONAZOLE TABLET 200MG 0.7596 0.7596 42590M KETOPROFEN CAPSULE 75MG 0.1140 0.1140 * 34421

KETOPROFEN ALL ALL *KETOROLAC SOLUTION 0.50% 6.72 52700

M KETOROLAC TROMETHAMINE TABLET 10MG 0.5100 0.5100 * 32531KETOROLAC TROMETHAMINE ALL ALL *

M LABETALOL TABLET 200MG 0.2503 0.2503 * 10341M LABETALOL HCL TABLET 300MG 0.3967 0.3967 * 10340M LABETALOL HCL TABLET 100MG 0.1726 0.1726 * 10342M LACTULOSE SOLUTION 10G/15ML 0.0179 0.0179 10160M LACTULOSE SOLUTION 10G/15ML 0.0197 0.0197 10167

LAMOTRIGINE TABLET 25MG 0.2428 23969LAMOTRIGINE TABLET 100MG 0.2773 * 64316LAMOTRIGINE TABLET 25MG 0.2428 * 64317LAMOTRIGINE TAB DISPER 25MG 0.5538 * 64322LAMOTRIGINE TAB DISPER 5MG 0.5287 * 64323LAMOTRIGINE TABLET 150MG 0.3040 * 64324LAMOTRIGINE TABLET 200MG 0.3308 * 64325LANSOPRAZOLE DR CAPSULES 30MG 3.4012 01698

M LEFLUNOMIDE TABLET 10MG 1.0000 1.0000 67031M LEFLUNOMIDE TABLET 20MG 1.0000 1.0000 67032M LEUCOVORIN CALCIUM TABLET 5MG 1.4000 1.4000 87558

LEVALBUTEROL HCL ALL ALL *LEVETIRACETAM TABLET 750MG 0.8860 * 41586LEVETIRACETAM TABLET 250MG 0.5135 * 41587LEVETIRACETAM TABLET 500MG 0.6284 * 41597LEVETIRACETAM TABLET 1000MG 1.6512 * 86223LEVETIRAETAM SOLUTION 100MG/ML 0.3488 * 20353LEVOBUNOLOL HCL ALL ALL *

M LEVOBUNOLOL HYDROCHLORIDE DROPS 0.5PC 1.1160 1.1160 * 33310LEVONORGESTREL ALL ALL *

M LEVONORGESTREL-ETH ESTRA TABLET 0.15-0.03 0.8285 0.8285 * 11530M LEVONORGESTREL-ETH ESTRA TABLET 6-5-10 0.7363 0.7363 * 11531M LEVONORGESTREL-ETH ESTRA TABLET 0.1-0.02 0.9418 0.9418 * 11534

LEVONORGESTREL-ETH ESTRA TBDSPK 3M 0.15-0.03 1.3242 * 20414LEVOTHYROXINE SODIUM TABLET 112MCG 0.1846 * 26320LEVOTHYROXINE SODIUM TABLET 25MCG 0.1290 * 26321LEVOTHYROXINE SODIUM TABLET 50MCG 0.1456 * 26322LEVOTHYROXINE SODIUM TABLET 0.1MG 0.1679 * 26323LEVOTHYROXINE SODIUM TABLET 75MCG 0.1654 * 26324LEVOTHYROXINE SODIUM TABLET 0.2MG 0.2561 * 26325LEVOTHYROXINE SODIUM TABLET 125MCG 0.1864 * 26326LEVOTHYROXINE SODIUM TABLET 0.15MG 0.1961 * 26327LEVOTHYROXINE SODIUM TABLET 175MCG 0.2432 * 26328LEVOTHYROXINE SODIUM TABLET 0.3MG 0.3652 * 26329LEVOTHYROXINE SODIUM TABLET 88MCG 0.1560 * 47631

Page 14


MGR


Generic MAC

EDL

GCN

LEVOTHYROXINE SODIUM TABLET 137MCG 0.2460 * 47632LIDOCAINE HCL JEL 2% 0.4168 11870

M LIDOCAINE HCL SOLUTION 20MG/ML 0.0257 0.0257 11941LIDOCAINE HCL OINT.(GM) 5% 0.2540 30510LIDOCAINE/PRILOCAINE CREAM(GM) 2.5%-2.5% 0.9827 05987LIOTHYRONINE SODIUM ALL ALL *LIPASE/PROTEASE/AMYLASE ALL ALL *

M LISINOPRIL TABLET 5MG 0.0367 0.0367 * 47260M LISINOPRIL TABLET 10MG 0.0516 0.0516 * 47261M LISINOPRIL TABLET 20MG 0.0774 0.0774 * 47262M LISINOPRIL TABLET 40MG 0.1396 0.1396 * 47263M LISINOPRIL TABLET 2.5MG 0.0287 0.0287 * 47264M LISINOPRIL TABLET 30MG 0.1304 0.1304 * 47265M LISINOPRIL/HYDROCHLOROTHIAZIDE TABLET 20-12.5MG 0.1624 0.1624 88000M LISINOPRIL/HYDROCHLOROTHIAZIDE TABLET 20-25MG 0.1980 0.1980 88001M LISINOPRIL/HYDROCHLOROTHIAZIDE TABLET 10-12.5MG 0.1082 0.1082 88002

LITHIUM CARBONATE CAPSULE 300MG 0.131 15710LITHIUM CARBONATE ALL ALL *LITHIUM CITRATE ALL ALL *LITHIUM ER TABLET 450MG 0.3908 15730

M LOPERAMIDE HCL CAPSULE 2MG 0.1110 0.1110 08370M LORAZEPAM TABLET 0.5MG 0.0603 0.0603 14160M LORAZEPAM TABLET 1MG 0.0741 0.0741 14161M LORAZEPAM TABLET 2MG 0.1174 0.1174 14162M LOVASTATIN TABLET 20MG 0.2455 0.2455 47040M LOVASTATIN TABLET 40MG 0.3947 0.3947 47041M LOVASTATIN TABLET 10MG 0.2389 0.2389 47042

MEBENDAZOLE TAB CHEW 100MG 3.9906 43181MECLOFENAMATE SODIUM ALL ALL *

M MEDROXYPROGESTERONE ACET TABLET 10MG 0.3030 0.3030 * 11260M MEDROXYPROGESTERONE ACET TABLET 2.5MG 0.1620 0.1620 * 11261M MEDROXYPROGESTERONE ACET TABLET 5MG 0.2449 0.2449 * 11262M MEFLOQUINE HCL TABLET 250MG 7.9422 7.9422 42900M MEGESTROL ACETATE TABLET 20MG 0.2791 0.2791 38680M MEGESTROL ACETATE TABLET 40MG 0.5404 0.5404 38681M MEGESTROL ACETATE ORAL SUSP 400MG/10M 0.4498 0.4498 40381M MELOXICAM TABLET 7.5MG 0.1728 0.1728 31661M MELOXICAM TABLET 15MG 0.2652 0.2652 31662M MEPERIDINE HCL TABLET 100MG 0.8278 0.8278 15990M MEPERIDINE HYDROCHLORIDE TABLET 50MG 0.4345 0.4345 15991M MERCAPTOPURINE TABLET 50MG 2.6921 2.6921 38520M MESALAMINE ENEMA 4G/60ML 0.1944 0.1944 47270

METAPROTERENOL SULFATE ALL ALL *M METFORMIN HCL TABLET 500MG 0.0673 0.0673 * 10810M METFORMIN HCL TABLET 850MG 0.1101 0.1101 * 10811M METFORMIN HCL TABLET 1000MG 0.1191 0.1191 * 10857M METFORMIN HCL TAB.SR 24 750MG 0.8978 0.8978 * 19578M METFORMIN HCL TAB.SR 24 500MG 0.1098 0.1098 * 89863M METHADONE HCL TABLET 10MG 0.1058 0.1058 16420

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EDL

GCN

M METHADONE HCL TABLET 5MG 0.0651 0.0651 16422M METHAZOLAMIDE TABLET 50MG 0.3720 0.3720 * 34740M METHAZOLAMIDE TABLET 25MG 0.2520 0.2520 * 34741

METHEN MAND/NAPHOS M-B M-H ALL ALL *M METHIMAZOLE TABLET 10MG 0.5756 0.5756 * 26400M METHIMAZOLE TABLET 5MG 0.3333 0.3333 * 26401M METHOCARBAMOL TABLET 500MG 0.0930 0.0930 * 17892M METHOCARBAMOL TABLET 750MG 0.0960 0.0960 * 17893M METHOTREXATE SODIUM TABLET 2.5MG 1.0110 1.0110 38489

METHYCLOTHIAZIDE ALL ALL *METHYLDOPA TABLET 250MG 0.1434 * 01431METHYLDOPA TABLET 500MG 0.2520 * 01432

M METHYLPHENIDATE HCL TABLET 10MG 0.2405 0.2405 * 15911M METHYLPHENIDATE HCL TABLET 5MG 0.1802 0.1802 * 15913M METHYLPHENIDATE HCL TABLET 20MG 0.2647 0.2647 * 15920

METHYLPHENIDATE HCL TABLET SA 20MG 0.3010 * 16180METHYLPHENIDATE HCL TABLET SA 10MG 0.6269 * 93075

M METHYLPREDNISOLONE TABLET 4MG 0.1693 0.1693 27056M METHYLPREDNISOLONE TABLET 8MG 1.2390 1.2390 27058M METHYLPREDNISOLONE TAB DS PK 4MG 0.1634 0.1634 37499M METOCLOPRAMIDE HCL SOLUTION 5MG/5ML 0.0127 0.0127 * 03610M METOCLOPRAMIDE HCL TABLET 10MG 0.0859 0.0859 * 21020M METOCLOPRAMIDE HCL TABLET 5MG 0.0864 0.0864 * 21021M METOLAZONE TABLET 10MG 1.0262 1.0262 * 34990M METOLAZONE TABLET 2.5MG 0.7128 0.7128 * 34991M METOLAZONE TABLET 5MG 0.8544 0.8544 * 34992M METOPROLOL SUCCINATE TABLET 25MG 0.7904 0.7904 * 12947M METOPROLOL SUCCINATE TABLET 50MG 0.7904 0.7904 * 20741

METOPROLOL SUCCINATE ALL ALL *M METOPROLOL TARTRATE TABLET 25MG 0.0547 0.0547 * 17734M METOPROLOL TARTRATE TABLET 100MG 0.0690 0.0690 * 20641M METOPROLOL TARTRATE TABLET 50MG 0.0480 0.0480 * 20642M METRONIDAZOLE TABLET 250MG 0.0849 0.0849 43031M METRONIDAZOLE TABLET 500MG 0.1747 0.1747 43032

METRONIDAZOLE LOTION 0.75% 0.9356 43201METRONIDAZOLE GEL (GM) 0.75% 1.0982 43202METRONIDAZOLE CREAM (GM) 0.75% 1.0063 43203

M METRONIDAZOLE GEL W/APP 0.75% 0.3612 0.3612 49261MEXILETINE HCL ALL ALL *

M MIDODRINE HCL TABLET 10MG 2.5070 2.5070 17566M MIDODRINE HCL TABLET 5MG 1.4706 1.4706 28321M MIDODRINE HCL TABLET 2.5MG 0.8938 0.8938 28322M MINOCYCLINE HYDROCHLORIDE CAPSULE 100MG 0.5431 0.5431 40410M MINOCYCLINE HYDROCHLORIDE CAPSULE 50MG 0.2716 0.2716 40411M MINOXIDIL TABLET 10MG 0.5572 0.5572 * 01290M MINOXIDIL TABLET 2.5MG 0.2409 0.2409 * 01291M MIRTAZAPINE TAB RAPDI 15MG 1.9478 1.9478 12529M MIRTAZAPINE TAB RAPDI 30MG 2.0070 2.0070 12531M MIRTAZAPINE TAB RAPDI 45MG 2.1383 2.1383 13041

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EDL

GCN

M MIRTAZAPINE TABLET 15MG 0.3560 0.3560 16732M MIRTAZAPINE TABLET 30MG 0.4500 0.4500 16733M MIRTAZAPINE TABLET 45MG 0.5100 0.5100 16734M MISOPROSTOL TABLET 200MCG 0.8994 0.8994 08250M MISOPROSTOL TABLET 100MCG 0.6178 0.6178 08251M MOEXIPRIL HCL TABLET 7.5MG 0.9892 0.9892 * 48561M MOEXIPRIL HCL TABLET 15MG 1.0363 1.0363 * 48562M MOEXIPRIL/HYDROCHLOROTHIAZIDE TABLET 15-12.5MG 0.9962 0.9962 15777M MOEXIPRIL/HYDROCHLOROTHIAZIDE TABLET 15-25MG 0.9962 0.9962 67721M MOMETASONE FUROATE SOLUTION 0.1% 0.6269 0.6269 * 06034

MOMETASONE FUROATE CREAM(GM) 0.10% 0.7333 * 45850MOMETASONE FUROATE OINT.(GM) 0.10% 0.9333 * 45930MORPHINE SULFATE SOLUTION 20MG/5ML 0.0975 16062MORPHINE SULFATE SOLUTION 20MG/ML 0.4645 16063MORPHINE SULFATE TABLET 15MG 0.1374 16070MORPHINE SULFATE TABLET 30MG 0.2342 16071

M MORPHINE SULFATE TABLET SA 200MG 5.3954 5.3954 16078M MORPHINE SULFATE TABLET SA 30MG 0.8184 0.8184 16640M MORPHINE SULFATE TABLET SA 60MG 1.9849 1.9849 16641M MORPHINE SULFATE TABLET SA 100MG 2.9667 2.9667 16642M MORPHINE SULFATE TABLET SA 15MG 0.4578 0.4578 16643

MULTIVITAMINS WITH FLUORIDE ALL ALL *MULTIVITS WITH IRON & FLUORIDE ALL ALL *

M MUPIROCIN OINT.(GM) 2% 1.4574 1.4574 47450MYCOPHENOLATE CAPSULE 250MG 0.7710 * 47560MYCOPHENOLATE TABLET 500MG 1.3201 * 47561

M NABUMETONE TABLET 500MG 0.6356 0.6356 * 32961M NABUMETONE TABLET 750MG 0.7506 0.7506 * 32962M NADOLOL TABLET 40MG 0.4289 0.4289 * 20652M NADOLOL TABLET 80MG 0.6324 0.6324 * 20653M NADOLOL TABLET 20MG 0.3665 0.3665 * 20654M NALTREXONE HCL TABLET 50MG 3.2063 3.2063 17070

NAPHAZOLINE HYDROCHLORIDE DROPS 0.1PC 0.3140 32252M NAPROXEN TABLET 250MG 0.0826 0.0826 * 35790M NAPROXEN TABLET 375MG 0.1073 0.1073 * 35792M NAPROXEN TABLET 500MG 0.0824 0.0824 * 35793M NAPROXEN TABLET DR 375MG 0.5400 0.5400 * 61850M NAPROXEN TABLET DR 500MG 0.7050 0.7050 * 61851

NAPROXEN ALL ALL *M NAPROXEN SODIUM TABLET 275MG 0.2542 0.2542 * 47130M NAPROXEN SODIUM TABLET 550MG 0.2040 0.2040 * 47131

NAPROXEN SODIUM ALL ALL *NATEGLINIDE TABLET 120MG 1.2952 34027NATEGLINIDE ALL ALL *

M NEO/POLYMYX B SULF/DEXAMETH OINT.(GM) 0.1% 0.8571 0.8571 14285M NEO/POLYMYX B SULF/DEXAMETH DROPS SUS 0.1% 0.5448 0.5448 14286M NEOMY SULF/POLYMYX B SULF/HC SOLUTION 1% 1.7724 1.7724 14023M NEOMY SULF/POLYMYX B SULF/HC DROPS SUS 3.5-10K-1 1.7724 1.7724 14025M NEOMYCIN/POLYMYXN B/GRAMICIDIN DROPS 1.75MG-10 2.0250 2.0250 98446

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EDL

GCN

M NICARDIPINE HCL CAPSULE 20MG 0.1350 0.1350 * 02390NICARDIPINE HCL ALL ALL *

M NIFEDIPINE TAB ER2 2 30MG 0.9735 0.9735 * 02221M NIFEDIPINE TAB ER2 2 60MG 1.6850 1.6850 * 02222M NIFEDIPINE TAB ER2 2 90MG 1.9211 1.9211 * 02223M NIFEDIPINE TABLET SA 30MG 0.8651 0.8651 * 02226M NIFEDIPINE TABLET SA 60MG 1.6259 1.6259 * 02227

NIFEDIPINE ALL ALL *NIMODIPINE ALL ALL *NISOLDIPINE ALL ALL *

M NITROFURANTOIN MACROCRYSTAL CAPSULE 100MG 1.3898 1.3898 41820M NITROFURANTOIN MACROCRYSTAL CAPSULE 50MG 0.8179 0.8179 41822M NITROFURANTOIN/NITROFURAN MAC CAPSULE 100MG 0.6683 0.6683 49001

NITROGLYCERIN PATCH TD2 0.4MG/HR 0.9800 * 01740NITROGLYCERIN PATCH TD2 0.1MG/HR 0.7960 * 01741NITROGLYCERIN PATCH TD2 0.2MG/HR 0.8140 * 01742NITROGLYCERIN ALL ALL *

M NIZATIDINE CAPSULE 150MG 1.1504 1.1504 * 47710M NIZATIDINE CAPSULE 300MG 2.2552 2.2552 * 47711

NORETH A-ET ESTRA/FE FUMARATE TABLET 1.5-0.03M 0.7752 * 68101NORETH A-ET ESTRA/FE FUMARATE TABLET 1-0.02MG 0.7677 * 68102NORETH A-ET ESTRA/FE FUMARATE TABLET 5-7-9-7 1.5308 * 68105

M NORETHINDRONE TABLET 0.35MG 0.9889 0.9889 * 11520NORETHINDRONE ACETATE ALL ALL *

M NORETHINDRONE A-E ESTRADIOL TABLET 1.5/0.03 1.0336 1.0336 * 11480M NORETHINDRONE A-E ESTRADIOL TABLET 1/0.02 1.0236 1.0236 * 11481M NORETHINDRONE-ETHIN ESTRADIOL TABLET 0.4/0.035 1.2011 1.2011 * 11470M NORETHINDRONE-ETHIN ESTRADIOL TABLET 1-0.035MG 0.7894 0.7894 * 11474M NORETHINDRONE-ETHINYL ESTRAD TABLET 7 DAYS X 0.8625 0.8625 * 11477M NORETHINDRONE-ETHINYL ESTRAD TABLET 7-9-5 1.0540 1.0540 * 11478

NORETHINDRONE-MESTRANOL ALL ALL *M NORGESTIMATE-ETHINYL ESTRADIOL TABLET 0.25-0.03 0.8633 0.8633 * 11300M NORGESTIMATE-ETHINYL ESTRADIOL TABLET 7 DAYS X 1.0528 1.0528 * 11301

NORGESTIMATE-ETHINYL ESTRADIOL ALL ALL *M NORGESTREL-ETHINYL ESTRADIOL TABLET 0.3-0.03M 0.8175 0.8175 * 11500

NORGESTREL-ETHINYL ESTRADIOL ALL ALL *M NORTRIPTYLINE HCL CAPSULE 10MG 0.0560 0.0560 16529M NORTRIPTYLINE HCL CAPSULE 25MG 0.0702 0.0702 16532M NORTRIPTYLINE HCL CAPSULE 50MG 0.0959 0.0959 16533M NORTRIPTYLINE HCL CAPSULE 75MG 0.1201 0.1201 16534

NPH, HUMAN INSULIN ISOPHANE ALL ALL *M NYSTATIN CREAM(GM) 100MU/G 0.0600 0.0600 30140M NYSTATIN OINT.(GM) 100MU/G 0.0807 0.0807 30150M NYSTATIN POWDER 100000/G 1.1505 1.1505 30160

NYSTATIN ORAL SUSP 100K U/ML 0.1839 * 42440NYSTATIN TABLET 500000 U 0.5105 * 42452

M NYSTATIN/TRIAMCIN CREAM(GM) 100000-0. 0.0856 0.0856 14007M NYSTATIN/TRIAMCIN OINT.(GM) 100000-0. 0.0856 0.0856 14008

OFLOXACIN DROPS 0.30% 2.3205 13880

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EDL

GCN

M OFLOXACIN DROPS 0.3% 0.8256 0.8256 36600M OMEPRAZOLE CAPSULE D 20MG 0.7152 0.7152 04348M OMEPRAZOLE CAPSULE D 10MG 1.1100 1.1100 92989M OMEPRAZOLE CAPSULE D 40MG 1.2000 1.2000 92999M ONDANSETRON TAB RAPDI 4MG 1.6200 1.6200 20045M ONDANSETRON TAB RAPDI 8MG 2.5560 2.5560 20046M ONDANSETRON HCL SOLUTION 4MG/5ML 3.5972 3.5972 20040M ONDANSETRON HCL TABLET 4MG 1.0600 1.0600 20041M ONDANSETRON HCL TABLET 8MG 1.7800 1.7800 20042M ORPHENADRINE CITRATE TABLET SA 100MG 1.1820 1.1820 * 17670

ORPHENADRINE/ASPIRIN/CAFFEINE ALL ALL *M OXAPROZIN TABLET 600MG 0.6758 0.6758 01750

OXAZEPAM CAPSULE 15MG 0.4567 14231OXCARBAZEPINE ALL ALL *

M OXYBUTYNIN CHLORIDE TABLET 5MG 0.1018 0.1018 19380OXYBUTYNIN CHLORIDE TAB OSM 2 5MG 2.2124 19388OXYBUTYNIN CHLORIDE TAB OSM 2 10MG 2.2148 19389

M OXYBUTYNIN CHLORIDE TAB OSM 2 15MG 2.2728 2.2728 93557OXYCODONE HCL ORAL CONC 20MG/ML 0.8750 16281OXYCODONE HCL TABLET 5MGM 0.2399 16290OXYCODONE HCL TABLET 15MG 0.4200 20091OXYCODONE HCL TABLET 30MG 0.7128 20092

M OXYCODONE HCL/ACETAMINOPHEN TABLET 7.5-325MG 0.7964 0.7964 14965M OXYCODONE HCL/ACETAMINOPHEN TABLET 10MG-325M 0.9312 0.9312 14966M OXYCODONE HCL/ACETAMINOPHEN TABLET 7.5-500MG 0.6510 0.6510 50756M OXYCODONE HCL/ACETAMINOPHEN TABLET 10MG-650M 0.8219 0.8219 50766M OXYCODONE HCL/ACETAMINOPHEN TABLET 5/325 0.1404 0.1404 70491M OXYCODONE HCL/ACETAMINOPHEN CAPSULE 5/500 0.2584 0.2584 70500

PANTOPRAZOLE SODIUM TABLET DR 40MG 2.9457 40120PAPAIN/UREA * OBS * OINT.(GM) 830000-10 1.1155 12768PAPAVERINE HCL ALL ALL *

M PAROXETINE HCL TABLET 10MG 0.2740 0.2740 16364M PAROXETINE HCL TABLET 20MG 0.2860 0.2860 16366M PAROXETINE HCL TABLET 30MG 0.3360 0.3360 16367M PAROXETINE HCL TABLET 40MG 0.3900 0.3900 16368

PEDI MVI NO.12/SODIUM FLUORIDE ALL ALL *PEDI MVI NO.16 WITH FLUORIDE ALL ALL *PENICILLIN V POTASSIUM SUSP RECO 125MG/5ML 0.0137 39022PENICILLIN V POTASSIUM SUSP RECO 250MG/5ML 0.0151 39024PENICILLIN V POTASSIUM TABLET 250MG 0.1605 39053PENICILLIN V POTASSIUM TABLET 500MG 0.2728 39055

M PENTOXIFYLLINE TABLET SA 400MG 0.3147 0.3147 * 11800PERMETHRIN CREAM(GM) 5% 0.3656 44370PERPHENAZINE ALL ALL *PHENAZOPYRIDINE HCL TABLET 100MG 0.0839 42121PHENAZOPYRIDINE HCL TABLET 200MG 0.1188 42122PHENOBARBITAL TABLET 60MG 0.0143 12972PHENOBARBITAL TABLET 30MG 0.0093 12973PHENOBARBITAL TABLET 100MG 0.0207 12975

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EDL

GCN

PHENYLEPHRINE HCL/CHLOR-MAL SYRUP 12.5-4MG/ 0.0967 25732M PHENYLEPHRINE HCL/COD/PROMETH SYRUP 5-10-6.25 0.0690 0.0690 13978

PHENYLEPHRINE HCL/PROMETH HCL SYRUP 5-6.25MG/ 0.0643 13977PHENYLEPHRINE/CHLOR-TAN ORAL SUSP 5-4.5MG/5 0.1725 12746PHENYLEPHRINE/CHLOR-TAN TABLET 25-9MG 1.0165 14855PHENYTOIN ORAL SUSP 125MG/5ML 0.1054 * 17241PHENYTOIN SODIUM EXTENDED CAPSULE 100MG 0.2422 * 17700PHOSPHORUS #1 ALL ALL *

M PILOCARPINE HCL TABLET 5MG 1.1408 1.1408 * 24671PILOCARPINE HCL DROPS 1% 0.2120 * 32704PILOCARPINE HCL DROPS 2% 0.2720 * 32706PILOCARPINE HCL DROPS 4% 0.3920 * 32752PILOCARPINE HCL ALL ALL *PINDOLOL TABLET 10MG 0.1218 * 20680PINDOLOL ALL ALL *

M PIROXICAM CAPSULE 10MG 0.0600 0.0600 * 35820M PIROXICAM CAPSULE 20MG 0.0713 0.0713 * 35821

PODOFILOX SOLUTION 0.50% 21.3171 23451POLYETHYLENE GLYCOL 3350 POWDER 17G/DOSE 0.0555 86212

M POLYMYXIN B SULFATE/TMP DROPS 10K U-0.1 0.9888 0.9888 14294POTASSIUM BICARBONATE/CIT AC ALL ALL *POTASSIUM CHLORIDE PACKET 20MEQ 0.1409 * 03404POTASSIUM CHLORIDE LIQUID 20MEQ/15M 0.0102 * 03443POTASSIUM CHLORIDE TABLET SA 10MEQ 0.1679 * 03510

M POTASSIUM CHLORIDE TAB PRT S 10MEQ 0.1948 0.1948 * 03512M POTASSIUM CHLORIDE TAB PRT S 20MEQ 0.3670 0.3670 * 03513M POTASSIUM CHLORIDE TABLET SA 8MEQ 0.0835 0.0835 * 03514

POTASSIUM CHLORIDE ALL ALL *POTASSIUM CITRATE TABLET SA 5MEQ 0.2224 * 14950POTASSIUM CITRATE TABLET SA 10MEQ 0.3086 * 14951POTASSIUM IODIDE/IODINE ALL ALL *

M PRAVASTATIN SODIUM TABLET 80MG 0.4603 0.4603 15412M PRAVASTATIN SODIUM TABLET 10MG 0.2000 0.2000 48671M PRAVASTATIN SODIUM TABLET 20MG 0.2333 0.2333 48672M PRAVASTATIN SODIUM TABLET 40MG 0.2867 0.2867 48673

PRAZOSIN HCL CAPSULE 1MG 0.1374 * 01250PRAZOSIN HCL CAPSULE 2MG 0.2754 * 01251PRAZOSIN HCL CAPSULE 5MG 0.4428 * 01252PREDNICARBATE ALL ALL *

M PREDNISOLONE SOLUTION 15MG/5ML 0.0566 0.0566 26800PREDNISOLONE ACETATE DROPS SUS 1% 1.3560 33153PREDNISOLONE SOD PHOSPHATE SOLUTION 15MG/5ML 0.2089 33806

M PREDNISONE TABLET 1MG 0.1428 0.1428 27171M PREDNISONE TABLET 10MG 0.0399 0.0399 27172M PREDNISONE TABLET 2.5MG 0.0490 0.0490 27173M PREDNISONE TABLET 20MG 0.0627 0.0627 27174M PREDNISONE TABLET 5MG 0.0203 0.0203 27176

PREDNISONE TABLET 50MG 0.2307 27177PRENATAL VIT/FE FUMARATE/FA TABLET 27-1MG 0.1159 95339

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PRIMIDONE TABLET 250MG 0.4342 * 17321PRIMIDONE TABLET 50MG 0.3072 * 17322

M PROBENECID TABLET 500MG 0.5647 0.5647 * 35072M PROCHLORPERAZINE MALEATE SUPP.RECT 25MG 1.4000 1.4000 14761

PROCHLORPERAZINE MALEATE TABLET 10MG 0.3416 14771PROCHLORPERAZINE MALEATE TABLET 5MG 0.2375 14773

M PROMETHAZINE HCL SUPP.RECT 25MG 0.8250 0.8250 15001M PROMETHAZINE HCL SUPP.RECT 12.5MG 0.7500 0.7500 15003M PROMETHAZINE HCL TABLET 12.5MG 0.3675 0.3675 15042M PROMETHAZINE HCL TABLET 50MG 0.5822 0.5822 15044M PROMETHAZINE HYDROCHLORIDE SYRUP 6.25MG/5M 0.0279 0.0279 15035M PROMETHAZINE HYDROCHLORIDE TABLET 25MG 0.3608 0.3608 15043

PROPAFENONE HCL TABLET 150MG 0.8839 * 12431PROPAFENONE HCL TABLET 225MG 1.2499 * 12433PROPAFENONE HCL ALL ALL *

M PROPOXYPHENE HCL CAPSULE 65MG 0.2498 0.2498 16481M PROPOXYPHENE/ACETAMINOPHEN TABLET 100-650MG 0.1795 0.1795 70931

PROPRANOLOL HCL CAP.SA 24 80MG 0.9540 * 03230PROPRANOLOL HCL CAP.SA 24 120MG 1.1880 * 03231PROPRANOLOL HCL CAP.SA 24 160MG 1.5570 * 03232PROPRANOLOL HCL CAP.SA 24 60MG 0.8190 * 03233PROPRANOLOL HCL ALL ALL *

M PROPRANOLOL HYDROCHLORIDE TABLET 10MG 0.0298 0.0298 * 20630M PROPRANOLOL HYDROCHLORIDE TABLET 20MG 0.0360 0.0360 * 20631M PROPRANOLOL HYDROCHLORIDE TABLET 40MG 0.0432 0.0432 * 20632M PROPRANOLOL HYDROCHLORIDE TABLET 60MG 0.7676 0.7676 * 20633M PROPRANOLOL HYDROCHLORIDE TABLET 80MG 0.0552 0.0552 * 20634

PROPRANOLOL/HYDROCHLOROTHIAZID ALL ALL *PROPYLTHIOURACIL TABLET 50MG 0.0480 * 26391PSEUDOEPHEDRINE HCL ALL ALL *PSEUDOEPHEDRINE HCL/CHLOR-MAL CAP.SR 12 120-8MG 1.0365 44022PYRAZINAMIDE TABLET 500MG 0.8719 * 41790PYRIDOSTIGMINE BROMIDE TABLET 60MG 0.4489 * 18530

M QUINAPRIL HCL TABLET 10MG 0.2500 0.2500 * 27570M QUINAPRIL HCL TABLET 20MG 0.2500 0.2500 * 27571M QUINAPRIL HCL TABLET 5MG 0.2500 0.2500 * 27572M QUINAPRIL HCL TABLET 40MG 0.2500 0.2500 * 27573

QUINAPRIL/HYDROCHLOROTHIAZIDE TABLET 10-12.5MG 0.9175 54160QUINAPRIL/HYDROCHLOROTHIAZIDE TABLET 20-12.5MG 0.9170 54161QUINIDINE GLUCONATE TABLET SA 324MG 0.6431 * 01011QUINIDINE SULFATE ALL ALL *RAMIPRIL CAPSULE 1.25MG 0.4590 * 48541RAMIPRIL CAPSULE 2.5MG 0.4877 * 48542RAMIPRIL CAPSULE 5MG 0.5117 * 48543RAMIPRIL CAPSULE 10MG 0.5987 * 48544

M RANITIDINE HCL TABLET 150MG 0.0691 0.0691 * 10200M RANITIDINE HCL TABLET 300MG 0.0768 0.0768 * 10201M RANITIDINE HCL SYRUP 15MG/ML 0.1903 0.1903 * 12090M RANITIDINE HCL CAPSULE 150MG 0.6472 0.6472 * 19551

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RANITIDINE HCL ALL ALL *RESERPINE ALL ALL *

M RIBAVIRIN CAPSULE 200MG 4.6920 4.6920 14179M RIBAVIRIN TABLET 200MG 2.7368 2.7368 18969

RIFAMPIN CAPSULE 300MG 1.5081 * 41261RIFAMPIN ALL ALL *

M RIMANTADINE HCL TABLET 100MG 1.5120 1.5120 00730RISPERIDONE SOLUTION 1MG/ML 2.0864 16135RISPERIDONE TABLET 1MG 1.0011 16136RISPERIDONE TABLET 2MG 1.3994 16137RISPERIDONE TABLET 3MG 1.3752 16138RISPERIDONE TABLET 4MG 1.4438 16139

M RISPERIDONE TABLET 0.25MG 0.9810 0.9810 92872M RISPERIDONE TABLET 0.5MG 1.0765 1.0765 92892

ROPINIROLE HCL TABLET 0.25MG 0.6042 * 34100ROPINIROLE HCL TABLET 1MG 0.6042 * 34101ROPINIROLE HCL TABLET 2MG 0.6042 * 34102ROPINIROLE HCL TABLET 5MG 0.6236 * 34103ROPINIROLE HCL TABLET 0.5MG 0.6042 * 34104ROPINIROLE HCL TABLET 4MG 0.6266 * 93038ROPINIROLE HCL TABLET 3MG 0.6263 * 93048SALICYLIC ACID CRM SR(GM 6% 0.1825 22581SALICYLIC ACID LOTION SR 6% 0.1763 24624SALICYLIC ACID SHAMPOO 6% 0.1729 97292SALSALATE TABLET 500MG 0.0457 16801SALSALATE TABLET 750MG 0.0563 16802SELEGILINE HCL ALL ALL *SELENIUM SULFIDE SHAMPOO 2.50% 0.0570 24341

M SERTRALINE HCL TABLET 25MG 0.1283 0.1283 16373M SERTRALINE HCL TABLET 50MG 0.1283 0.1283 16374M SERTRALINE HCL TABLET 100MG 0.1283 0.1283 16375

SILVER SULFADIAZINE CREAM(GM) 1% 0.1183 31630M SIMVASTATIN TABLET 5MG 0.1750 0.1750 26531M SIMVASTATIN TABLET 10MG 0.1750 0.1750 26532M SIMVASTATIN TABLET 20MG 0.1567 0.1567 26533M SIMVASTATIN TABLET 40MG 0.1567 0.1567 26534M SIMVASTATIN TABLET 80MG 0.2044 0.2044 26535

SOD/POT/K CIT/SOD CIT/CIT ACID ALL ALL *SODIUM CHLORIDE/NAHCO3/KCL/PEG'S SOLN RECON 420G 0.0042 25865SODIUM FLUORIDE CREAM(GM) 1.10% 0.1000 * 02820SODIUM FLUORIDE GEL 1.10% 0.1061 * 07358SODIUM FLUORIDE TAB CHEW 0.5(1.1)M 0.0240 * 07511SODIUM FLUORIDE TAB CHEW 1MG(2.2MG 0.0379 * 07512SODIUM FLUORIDE ALL ALL *SODIUM POLYSTYRENE SULFONATE ALL ALL *SOTALOL HCL TABLET 160MG 2.9250 * 39511SOTALOL HCL TABLET 80MG 1.3788 * 39512SOTALOL HCL TABLET 120MG 2.3486 * 39516

M SPIRONOLACTONE TABLET 100MG 0.8820 0.8820 * 27690

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MGR


Generic MAC

EDL

GCN

M SPIRONOLACTONE TABLET 25MG 0.1729 0.1729 * 27691M SPIRONOLACTONE TABLET 50MG 0.5010 0.5010 * 27692M SPIRONOLACTONE/HCTZ TABLET 25-25MG 0.2580 0.2580 * 82330

SPS ORAL SUSP 15GM/60ML 0.0560 * 01710STANNOUS FLUORIDE ALL ALL *

M SUCRALFATE TABLET 1G 0.2603 0.2603 08200SULFACETAMIDE SODIUM/SULFUR LOTION 10-5%(W/W 0.8000 15221SULFACETAMIDE SODIUM/SULFUR LOTION 10-5%(W/V 1.8557 15411SULFACETAMIDE SODIUM/SULFUR CLEANSER 10-5%(W/W 0.1582 48810SULFACETMIDE DROPS 10% 0.1648 33340

M SULFAMETHOXAZOLE/TRIMETHOPRIM ORAL SUSP 200-40MG/ 0.0621 0.0621 90150M SULFAMETHOXAZOLE/TRIMETHOPRIM TABLET 400-80MG 0.1325 0.1325 90161M SULFAMETHOXAZOLE/TRIMETHOPRIM TABLET 800-160MG 0.2884 0.2884 90163M SULFASALAZINE TABLET 500MG 0.1328 0.1328 41611M SULFASALAZINE TABLET DR 500MG 0.2729 0.2729 41620M SULINDAC TABLET 150MG 0.2653 0.2653 * 35800M SULINDAC TABLET 200MG 0.3431 0.3431 * 35801

SUMATRIPTAN KIT-REFILL 6MG/0.5ML 138.3300 24708SUMATRIPTAN SUCCINATE TABLET 50MG 2.1120 05700SUMATRIPTAN SUCCINATE TABLET 100MG 2.1120 05701SUMATRIPTAN SUCCINATE TABLET 25MG 2.2720 05702TACROLIMUS ANHYDROUS ALL ALL *TAMOXIFEN CITRATE TABLET 10MG 0.4570 38720TAMOXIFEN CITRATE TABLET 20MG 0.9140 38721

M TEMAZEPAM CAPSULE 15MG 0.1092 0.1092 13840M TEMAZEPAM CAPSULE 30MG 0.1369 0.1369 13841M TERAZOSIN HCL CAPSULE 1MG 0.1425 0.1425 * 47124M TERAZOSIN HCL CAPSULE 2MG 0.1425 0.1425 * 47125M TERAZOSIN HCL CAPSULE 5MG 0.1425 0.1425 * 47126M TERAZOSIN HCL CAPSULE 10MG 0.1425 0.1425 * 47127M TERBINAFINE HCL TABLET 250MG 0.6564 0.6564 60823

TERBUTALINE SULFATE ALL ALL *TERCONAZOLE SUPP.VAG 80MG 12.2350 48370

M TERCONAZOLE CREAM/APP 0.4% 0.6822 0.6822 48380M TERCONAZOLE CREAM/APP 0.8% 1.5281 1.5281 48381

TETRACYCLINE HCL CAPSULE 250MG 0.0381 40072TETRACYCLINE HCL CAPSULE 500MG 0.0670 40073THEOPHYLLINE ANHYDROUS TAB.SR 12 100MG 0.1634 * 00410THEOPHYLLINE ANHYDROUS TAB.SR 12 200MG 0.2481 * 00411THEOPHYLLINE ANHYDROUS TAB.SR 12 300MG 0.2985 * 00413THEOPHYLLINE ANHYDROUS ALL ALL *THIORIDAZINE HCL ALL ALL *THYROID ALL ALL *THYROID,PORK ALL ALL *

M TICLOPIDINE HCL TABLET 250MG 0.2732 0.2732 26491M TIMOLOL MALEATE DROPS 0.25% 0.5580 0.5580 * 32820M TIMOLOL MALEATE DROPS 0.5% 0.7140 0.7140 * 32821

TIMOLOL MALEATE ALL ALL *TIMOLOL MALEATE/DORZOLAM HCL DROPS 0.5%-2% 9.1868 * 95919

Page 23


MGR


Generic MAC

EDL

GCN

M TIZANIDINE HCL TABLET 2MG 0.2080 0.2080 * 14690M TIZANIDINE HCL TABLET 4MG 0.2560 0.2560 * 14693M TOBRAMYCIN SULFATE DROPS 0.3% 0.6144 0.6144 33630M TOBRAMYCIN SULFATE/DEXAMETH DROPS SUS 0.3-0.1% 12.0735 12.0735 92280

TOLAZAMIDE ALL ALL *TOLBUTAMIDE ALL ALL *TOLMETIN SODIUM ALL ALL *TOPIRAMATE TABLET 50MG 0.3874 * 36550TOPIRAMATE TABLET 100MG 0.5306 * 36551TOPIRAMATE TABLET 200MG 0.6210 * 36552TOPIRAMATE TABLET 25MG 0.1948 * 36553TOPIRAMATE ALL ALL *

M TORSEMIDE TABLET 5MG 0.4500 0.4500 * 21130M TORSEMIDE TABLET 10MG 0.4800 0.4800 * 21131M TORSEMIDE TABLET 20MG 0.5250 0.5250 * 21132M TRAMADOL HCL TABLET 50MG 0.0699 0.0699 07221M TRAMADOL HCL/ACETAMINOPHEN TABLET 37.5-325M 0.7200 0.7200 13909M TRANDOLAPRIL TABLET 1MG 0.6666 0.6666 * 32191M TRANDOLAPRIL TABLET 2MG 0.6666 0.6666 * 32192M TRANDOLAPRIL TABLET 4MG 0.6666 0.6666 * 32193M TRAZODONE HCL TABLET 50MG 0.0569 0.0569 16391M TRAZODONE HCL TABLET 100MG 0.0864 0.0864 16392M TRAZODONE HCL TABLET 150MG 0.2193 0.2193 16393

TRAZODONE HCL TABLET 300MG 3.9085 16394M TRETINOIN GEL (GM) 0.01% 1.4003 1.4003 22870M TRETINOIN GEL (GM) 0.025% 1.4120 1.4120 22871M TRETINOIN CREAM(GM) 0.05% 1.2618 1.2618 22880M TRETINOIN CREAM(GM) 0.1% 1.4710 1.4710 22881M TRETINOIN CREAM(GM) 0.025% 0.9417 0.9417 22882M TRIAMCINOLONE ACETONIDE CREAM(GM) 0.025% 0.0225 0.0225 * 31231M TRIAMCINOLONE ACETONIDE CREAM(GM) 0.1% 0.0800 0.0800 * 31232M TRIAMCINOLONE ACETONIDE CREAM(GM) 0.5% 0.1650 0.1650 * 31233M TRIAMCINOLONE ACETONIDE OINT.(GM) 0.025% 0.1520 0.1520 * 31241M TRIAMCINOLONE ACETONIDE OINT.(GM) 0.1% 0.0281 0.0281 * 31242

TRIAMCINOLONE ACETONIDE OINT.(GM) 0.50% 0.2440 * 31244M TRIAMCINOLONE ACETONIDE LOTION 0.1% 0.5303 0.5303 * 31261

TRIAMCINOLONE ACETONIDE PASTE (GM 0.10% 9.6645 31870TRIAMCINOLONE ACETONIDE ALL ALL *

M TRIAMTERENE/HCTZ TABLET 37.5-25MG 0.1225 0.1225 * 88741M TRIAMTERENE/HYDROCHLOROTHIAZID CAPSULE 37.5-25MG 0.2444 0.2444 * 88731

TRIAOLAM TABLET 0.125MG 0.3012 14282M TRIAZOLAM TABLET 0.25MG 0.3251 0.3251 14280

TRIFLUOPERAZINE HCL ALL ALL *M TRIHEXYPHENIDYL HCL TABLET 2MG 0.0908 0.0908 * 17561M TRIHEXYPHENIDYL HCL TABLET 5MG 0.1836 0.1836 * 17563

TRIHEXYPHENIDYL HCL ALL ALL *M TRIMETHOPRIM TABLET 100MG 0.3726 0.3726 42200

TROPICAMIDE ALL ALL *UREA GEL (ML) 40% 3.1600 15916

Page 24


MGR


Generic MAC

EDL

GCN

UREA CREAM(GM) 40% 0.3175 24774M URSODIOL CAPSULE 300MG 0.8394 0.8394 01070

URSODIOL TABLET 250MG 2.0118 01072VALPROATE SODIUM SYRUP 250MG/5ML 0.0342 * 17280VALPROIC ACID CAPSULE 250MG 0.4411 * 17270

M VENLAFAXINE HCL TABLET 25MG 0.9326 0.9326 16811M VENLAFAXINE HCL TABLET 37.5MG 0.9602 0.9602 16812M VENLAFAXINE HCL TABLET 50MG 0.9893 0.9893 16813M VENLAFAXINE HCL TABLET 75MG 1.0488 1.0488 16814M VENLAFAXINE HCL TABLET 100MG 1.1113 1.1113 16815M VERAPAMIL HCL TABLET 120MG 0.0918 0.0918 * 02341M VERAPAMIL HCL TABLET 80MG 0.0618 0.0618 * 02342M VERAPAMIL HCL CAP24H PE 180MG 0.6960 0.6960 * 03001M VERAPAMIL HCL CAP24H PE 240MG 0.7920 0.7920 * 03002M VERAPAMIL HCL CAP24H PE 120MG 0.6600 0.6600 * 03003M VERAPAMIL HCL TABLET SA 240MG 0.3674 0.3674 * 32470M VERAPAMIL HCL TABLET SA 180MG 0.3870 0.3870 * 32471M VERAPAMIL HCL TABLET SA 120MG 0.7225 0.7225 * 32472M VERAPAMIL HCL CAP24H PE 200MG 1.8941 1.8941 * 94123M VERAPAMIL HCL CAP24H PE 300MG 2.7540 2.7540 * 94124

VERAPAMIL HCL ALL ALL *VITAMIN D CAPSULE 50,000 UNIT 1.0923 94422WARFARIN SODIUM TABLET 10MG 0.3270 * 25790WARFARIN SODIUM TABLET 2MG 0.2044 * 25791WARFARIN SODIUM TABLET 1MG 0.1899 * 25792WARFARIN SODIUM TABLET 5MG 0.2072 * 25793WARFARIN SODIUM TABLET 2.5MG 0.2108 * 25794WARFARIN SODIUM TABLET 7.5MG 0.3048 * 25795WARFARIN SODIUM TABLET 3MG 0.2117 * 25796WARFARIN SODIUM TABLET 4MG 0.2059 * 25797WARFARIN SODIUM TABLET 6MG 0.3031 * 25798

M ZALEPLON CAPSULE 5MG 0.5753 0.5753 92713M ZALEPLON CAPSULE 10MG 0.5909 0.5909 92723M ZIDOVUDINE TABLET 300MG 0.9110 0.9110 44533

ZINC SULFATE ALL ALL *M ZOLPIDEM TARTRATE TABLET 5MG 0.0950 0.0950 00870M ZOLPIDEM TARTRATE TABLET 10MG 0.0840 0.0840 00871

ZONISAMIDE CAPSULE 100MG 0.4998 * 92219ZONISAMIDE ALL ALL *

Page 25

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