Charge Master 02-01-24

Chargemaster as of 02/01/2024
Item Number Item Description Revenue Code

560912 DRAPE SHOULDER-BEACH CHAIR 270
919171 ..TEST FUNGAL STAIN-LAB CORP 300
919172 ..TEST VIRAL CULTURE 300
919173 ..TEST O & P STOOL 306
919174 TEST BORDETELLA PERTUSSIS-NASOPHAR 306
919175 ..TEST MTB SUSCEPTIBILITY BROTH REF 302
919176 ..TEST NON TB MYCOBACTERIUM MIC REF 302
919177 ..TEST CSF CRYPTOCOCCUS ANTIGEN REF 300
919178 ..TEST MYCOBACTERIA CULTURE (TB)/SM 306
919179 ..TEST HERPES SIMPLEX VIRUS CULTURE 306
919180 ..TEST CULTURE FUNGUS (NOT BLD) ALL OTH 306
2401218 US DEFINITY PER ML (CONTRAST FOR ECHOS) 483
4552000 HEP B VIRUS DNA QUANT 300
4552001 FACTOR IX ASSAY 300
4552002 FACTOR XI ASSAY 300
4552003 BK BY PCR - QUANT(PLASMA) (REF) 300
4552004 CMA-INT AND REPORT 300
4552006 METHANOL(REF) 300
4552008 ANTI-IgE RECEPTOR AB(REF) 302
4552009 CU HISTAMINE 301
4552010 IGE-EGG WHITE 300
4552011 IGE-EGG YOLK 300
4552012 STREP PNEUMO ANTIGEN URINE 300
4592008 IBD IST STEP,INDIRECT IMMUNOFL 312
5000058 SODIUM CHLORIDE 0.9% : 10ML SDV 250
5000059 CLARITHROMYCIN (BIAXIN) 250MG TAB 637
5000062 CALCIUM CARBONATE SUSP : 1250MG/5ML 637
5000064 TIMENTIN (TICARCILLIN/CLAV)VIAL : 3.1 GM 258
5000069 SYNTHROID (LEVOTHYROXINE) 0.1MG TAB 637
5000074 GLYCOPYRROLATE (ROBINUL) INJ : 0.2MG/20m 250
5000096 INSULIN 70/30 (humuLIN) 100UNIT/ML PEN 637
5000097 INSULIN NPH (humuLIN) 100UNITS/ML PEN 250
5000098 INSULIN GLARGINE (LANTUS) 100UNIT/ML PEN 637
5000099 INSULIN ASPART (NovoLOG) 100UNITS/ML PEN 637
5000114 DABIGATRAN (PRADAXA) 75MG CAP 637
5000117 LITHIUM CARBO ER: 300MG TAB 637
5000121 HYDROXYCHLOROQUINE (PLAQUENIL) 200MG 637
5000148 ZOLEDRONIC ACID (ZOMETA) 4MG/100ML RTU* 636
5000164 phenyleprine 10mg/1ml vials 250
5000165 GLIMEPIRIDE (AMARYL) 1MG TABLET* 637
5000168 PROPYLTHIOURACIL (PTU) : 50MG TAB 637
5000169 LUGOL'S SOLUTION(STRONG IODINE): 8ML* 637
5000174 TOPIRAMATE (TOPAMAX) 50MG TAB 637
5000179 LACTULOSE (ENULOSE) 10GM/15ML UD CUP* 637
5000184 OSELTAMIVIR (TAMIFLU) 6MG/ML 60ML SUSP* 637
5000185 LIDOCAINE 1%/EPI 1:200,000 30ML SDV 250
5000194 LABETALOL (NORMODYNE) 100MG/20ML MDV 250
5000196 cefTAZidime (FORTAZ) 2GM ADDV 636
5000212 WATER FOR INJECTION (STERILE) 10ML SDV 250
5000217 PROPRANOLOL ER (INDERAL LA) 120MG CAP* 637
5000220 PROPRANOLOL ER (INDERAL LA) 60MG CAPSULE 637
5000246 ACETYLCYSTEINE 20% (200MG/ML) 4ML NEB 250
5000247 ATROPINE SULFATE 1MG/ML SDV* 636
5000248 DEXAMETASONE (DECADRON) : 4MG/ML NEB 637
5000257 LIDOCAINE MPF 1% 10MG/ML 2ML SDV 250
5000262 MAGIC MOUTHWASH (FIRST WSH) SUSP 637
5000265 SIMETHICONE (MYLICON) 40MG/0.6ML 30ML 637
5000267 HYDROmorphone (DILAUDID) 2MG/ML 1ML SDV* 636
5000270 INSULIN REG (humuLIN R) 100UNITS/ML* 637
5000278 AMINOPHYLLINE 250MG/10ML (25MG/ML) SDV 636
5000289 LIDOCAINE (XYLOCAINE) 1% 10MG/ML 10ML 250
5000291 COMBIGAN(BRIM/TIMOL) 0.2%-0.5%: 5ML OPHT 637
5000297 guaiFENesin (ROBITUSSIN) 200MG/10ML UD* 637
5000321 AMPICILLIN/SULB (UNASYN) 1.5GM PWVL 636
5000327 HALOPERIDOL (HALDOL) : 5MG TAB* 637
5000333 HYDROXYUREA (HYDREA) 500MG CAP 637
5000363 VANCOMYCIN (VANCOCIN) 125MG CAPSULE 637
5000366 NALBUPHINE (NUBAIN) 20MG/ML SDV* 636
5000409 PHENYTOIN (DILANTIN) INJ : 100MG/2ML 258
5000415 SULFAMETHOX/TRIMETH INJ : 80MG-16MG/ML 258
5000432 BENZTROPINE (COGENTIN) 1MG TABLET* 637
5000433 PANTOPRAZOLE (PROTONIX) 40MG SDV 250
5000441 METHOTREXATE (RHEUMATREX) 2.5MG TAB* 637
5000448 amoxicillin (Amoxil) susp 400mg/5ml 637
5000456 TIMOLOL (TIMOPTIC) 0.25% OPHTH 10ML* 637
5000458 ALTEPLASE (ACTIVASE) 100MG SDV 636
5000469 PHENOL SWABLS-(EAR ONLY)* 250
5000470 MORPHINE SULFATE (SDV) : 50MG/ML 258
5000496 BACITRACIN : 28.4GM OINT* 637
5000499 DEXAMETH (DECADRON) (PT) 4MG/ML: 5ML MDV 250
5000513 cefTAZidime (FORTAZ) 1GM PWVL 636
5000526 PROTAMINE 10MG/ML 5ML SDV 636
5000533 DAPSONE (ACZONE) : 25MG TAB* 637
5000548 BICILLIN LA 600,000UNITS/ML PFS* 636
5000570 ACETYLCYSTEINE (ACETADOTE) 6GM/30ML SDV 636
5000574 CIPRO/DEXA 0.3%/0.1% 7.5ML EAR DROP* 637
5000576 PIPER-TAZO (ZOSYN) 4.5GM ADDV 636
5000578 OSELTAMIVIR (TAMIFLU) 30MG CAP 637
5000590 CYCLOPENTOLATE (CYCLOGYL) 2% 2ML OPHTH* 637
5000592 CEFEPIME (MAXIPIME) 2GM PWVL 636
5000606 TICAGRELOR (BRILINTA) 90MG TAB 637
5000609 guaiFENesin/COD (ROB AC) 200-20MG/10ML* 637
5000654 QUEtrapine(SEROquel) 50MG TAB* 637
5000672 FENOFIBRATE (TRICOR) 48MG TABS 637
5000702 HYDROCORTISONE (CORTEF) 10MG TABLET* 637
5000708 FERRLECIT 62.5MG/5ML SDV* 636
5000713 DARBEPOETIN (ARANESP) 100MCG/0.5ML PFS* 636
5000714 AMPICILLIN/SULB (UNASYN) 3GM PWVL 636
5000718 AMIKACIN (AMIKIN) : 250MG/ML 2ML SDV 636
5000745 VARIVAX (VARICELLA - LIVE) 0.5ML SDV* 636
5000748 ibuprofen (Motrin) Dept Only : 200mg* 637
5000751 methylPREDNISolone (DEPO-medrol) 40MG/ML 636
5000752 ePINEPHrine (EPI PEN)JR 0.15MG AUTO: MOB 636
5000756 M-M-R II VACCINE 0.5ML SDV* 636
5000776 SODIUM CHLORIDE 0.9%/KCL 40mEq 1000ML 258
5000778 HAVRIX (HepA - INACTIVATED) 0.5ML PFS* 636
5000787 PREVNAR 13 (PNEUMOCOCCAL 13) 0.5ML PFS 636
5000793 tiZANidine (ZANAFLEX) 4MG TABLET 637
5000804 HYOSCYAMINE SL : 0.125MG TAB 637
5000814 HIBERIX (PRP-T) VACCINE (Hib) 0.5ML SDV* 636
5000818 ZOLEDRONIC ACID (ZOMETA) 4MG/5ML SDV 636
5000826 ATORVASTATIN (LIPITOR) 40MG TAB 637
5000834 MIRTAZAPINE (REMERON ODT) 15MG ODT 637
5000842 guaiFENesin/DM :200MG/20MG-10ML 637
5000905 ADENOSINE (ADENOCARD) 6MG/2ML PFS 636
5000906 ATROPINE (PED) 0.1mg/ml 5ML PFS 636
5000909 INVANZ (ERTAPENEM) 1GM PWVL 636
5000920 TOBRAMYCIN 80MG/2ML SDV 636
5000942 GLASSIA (ALPHA-1 PROTEINASE INHIB) IVPB 636
5000954 ceFAZolin (ANCEF) 2GM/50ML D5W PREMIX 636
5000981 CILOSTAZOL (PLETAL) 100MG TABLET 637
5000984 ACYCLOVIR (ZOVIRAX) 500MG/10ML SDV 636
5000988 ACTEMRA (TOCILIZUMAB) 400MG/20ML COVID19 636
5000994 ARIPiprazole (ABILIFY) 5MG TAB 637
5001016 DEXAMETHASONE (DECADRON) 10MG/ML 1ML SDV 636
5001041 MYCAMINE 100MG/NS 100ML IVPB 636
5001042 OFLOXACIN (FLOXIN) 0.3% OTIC 5ML* 637
5001074 hydrOXYzine PAMOATE (VISTARIL) 25MG CAP 637
5001086 zNF-Sennosides USP tab : 25mg 637
5001113 PROVOCHOLINE (METHACHOLINE) 100MG SDV* 636
5001114 Rota Teq (RV5) ORAL LIQUIDR 2ML* 636
5001119 DARBEPOETIN (ARANESP) 500MCG/1ML PFS* 636
5001126 SODIUM CHLOR 0.9% 100ML (VIAL BAG) 258
5001160 cefTRIAXone (ROCEPHIN) 2GM PWVL 636
5001163 DOBUTamine 250MG/250ML D5W PREMIX 636
5001167 MORPHINE (ROXANOL) 10MG/0.5ML ORAL CONC 637
5001193 CALCIUM-VIT D (OSCAL+D) 500MG-200 TAB 637
5001203 ACYCLOVIR (ZOVIRAX) 200MG CAP 637
5001217 HYLENEX (HYALURONIDASE) 150 UNITS/ML 636
5001219 DARBEPOETIN (ARANESP 150MCG/0.3ML PFS* 636
5001235 MAGNESIUM SULF : 25GM/50ML SDV 250
5001249 BOTOX (BOTULINUM TOXIN) 100 UNITS SDV 636
5001267 MIDAZOLAM (VERSED) 5MG/ML 2ML SDV 636
5001308 PIPER-TAZO (ZOSYN) 3.375GM PWVL 636
5001376 MAGNESIUM 2GM/50ML WATER PREMIX BAG 636
5001391 ELIQUIS (APIXABAN) 2.5MG TAB 637
5001474 OXACILLIN (BACTOCILL) 2GM PWVL 636
5001487 cefTAZidime (FORTAZ) 2GM PWVL 636
5001585 KINRIX (DTaP-IPV) 0.5ML PFS* 636
5001593 ACETIC ACID(THERAPY ONLY): 15ML OTIC* 637
5001661 CEFEPIME (MAXIPIME) 1GM PWVL 636
5001685 ORPHENADRINE(NORFLEX) 30MG/ML 2ML SDV 636
5001690 OLANZapine (ZYPREXA) 5MG TAB 637
5001705 VALGANCICLOVIR (VALCYTE) TAB: 450MG 637
5001735 DULoxetine (CYMBALTA) 20MG CAP 637
5001741 PROPAFENONE ER (RYTHMOL SR) 325MG CAP 637
5001767 TEFLARO (CEFTAROLINE) : 600MG PWVL 636
5001826 MORPHINE (ROXANOL) 20MG/ML ORAL SOL 15ML 637
5001827 VITAMIN K (PHYTONADIONE) 1MG/0.5ML AMP* 636
5001838 ALBUKED 25 (ALBUMIN 25%) 100ML RTU 636
5001845 NAROPIN (ROPIVACAINE) 0.5% 150MG/30MLSDV 636
5001851 VANCOMYCIN (VANCOCIN) 750MG ADD 636
5001859 KALETRA (LOPINAVIR/RITONAVIR) 100/25 TAB 637
5001864 clotrim/calmosept(antifung) topical:30gm 637
5001865 COSYNTROPIN (CORTROSYN) 0.25MG SDV 636
5001868 WATER FOR INJ(STERILE) 50ML(Dantroline)* 250
5001899 INFANRIX (DTaP) 0.5ML PFS* 636
5001923 chlordiazePOXIDE (LIBRIUM) 10MG CAP* 637
5001960 APAP/ASA/CAFFEINE(EXCEDRIN MIGRAINE) TAB 637
5001971 TOBRAMYCIN INHAL SOLU: 300MG/5ML 250
5001972 POTASSIUM CHLORIDE ER 20mEq TAB/CAP 637
5002012 DAKIN'S SOLN 0.25% HALF STRENGTH 480 ML* 637
5002022 ENTACAPONE (COMTAN) 200MG TAB 250
5002032 TAO (NEOSPORIN): 15GM TUBE (DR OFFICE)* 637
5002033 GOLYTELY PEG-3350 4000ML PREP 637
5002072 PRAMIPEXOLE (MIRAPEX) 1.5MG TAB* 637
5002093 KLOR-CON (POTASSIUM CHLORIDE) 10mEq TAB* 250
5002104 ROSUVASTATIN (CRESTOR) 20MG TAB* 637
5002105 LORazepam (ATIVAN) 2MG/ML ORAL SOLN 30ML 637
5002111 NYSTATIN 1000,000UNITS/GM: 30GM TUBE* 637
5002118 MONUROL (FOSFOMYCIN TROMETHA) 3GM PKG 637
5002126 HEPARIN LOCK FLUSH 100 UNITS/ML 5ML PFS 636
5002129 ACETAMINOPHE (OFIRMEV) 1000MG/100ML RTH* 636
5002133 MELATONIN 3MG TABLET 637
5002162 FLUCONAZOLE (DIFLUCAN) 200MG TAB 637
5002169 EXPAREL (BUPIVAC-LIPO) 266MG/20ML 250
5002170 MINOCYCLINE (MINOCIN) 100MG CAPSULE 637
5002176 ProQuad (MMRV) 0.5ML SDV* 636
5002177 PEDIARIX (DTaP-HepB-IPV) 0.5ML PFS* 636
5002185 risperidone (Risperdal) tab: 0.5mg 637
5002187 LEVOTHYROXINE (SYNTHROID) 200MCG SDV 250
5002188 risperiDONE (RISPERDAL) 0.5MG TAB 637
5002204 CHLORHEXIDINE (PERIDEX) 0.12% ORAL RINSE 637
5002216 ENALAPRIL (VASTOEC) 5MG TAB 637
5002289 GARDASIL 9 (HPV) 0.5ML PFS* 636
5002293 XIFAXAN (RIFAXIMIN) 550MG TABLET 637
5002303 NAFCILLIN : 2GM PWVL 250
5002321 FIRMAGON (DEGARELIX) : 80MG PFS* 636
5002323 SOTALOL (BETAPACE) 80MG TAB 637
5002325 DOXAZOSIN (CARDURA) 8MG TAB 250
5002327 FLUAD (INFLUENZA AD) 0.5ML 65+ PFS* 636
5002368 LIDOCAINE 3.5% GEL 1ML TUBE OPHTH 637
5002377 VIMPAT (LACOSAMIDE) 50MG UNIT DOSE TABS 637
5002381 DEXT 5% / 0.2% NACL IV : 500ML 258
5002388 FAMOTIDINE (PEPCID) 20MG/ML SDV* 250
5002389 AMPHOTERICIN B (AMBISOME) : 50MG SDV 636
5002414 CETIRIZINE (ZYRTEC) 10MG TABLET 637
5002491 BROVANA (ARFORMOTEROL) 15MCG/2ML NEB 637
5002493 HYDROmorphone (DILAUDID) 1MG/ML PFS 636
5002510 LIDOCAINE (XYLOCAINE) 1% 10MG/ML 20ML 250
5002515 MOXIFLOXACIN (AVELOX) : 400MG TAB 637
5002530 TRI-MOXI (TRIAM/MOXI) 15-1MG/ML 0.6ML 637
5002536 LIDO 0.5% PF(BEIR BLOCK) :250MG/50ML SDV 250
5002539 VELTASSA (PATIROMER) 8.4GM PACKET* 637
5002573 Dex 5% : 100ML ADDV* 258
5002585 OCTREOTIDE (sandoSTATIN) 100MCG/ML SQ 250
5002590 SIMPLEX HV WITH GENTAMICIN :BONE CEMENT* 250
5002606 LIDOCAINE(XYLOCAINE)2%: 20MG/ML MDV 20ML 250
5002614 ORPHENADRINE (NORFLEX) ER 100MG TAB 637
5002617 ACUVAIL(KETOROLAC)PF:0.45%OPHT SOL 0.4ML 637
5002640 ESTRACE VAGINAL : 0.1MG/1GM CREAM* 258
5002641 GLUCOSE INSTA-GEL : 37.5GM TUBE 637
5002647 OXACILLIN (BACTOCILL) 1GM ADDV* 636
5002656 MOXIFLOXACIN (VIGAMOX) 0.5% 3ML OPHTH 637
5002657 MORPHINE SULFATE 4MG/ML SDV 636
5002666 HURRICAINE ONE(BENZOCAINE)20% : 0.5ML UD 250
5002693 BUPIVAcain/dex(MARcaine)SPINAL 0.75% SDV 250
5002694 PRENATAL 19 TAB* 250
5002710 FOSPHENYTOIN (CEREBYX) 500MG PE/10ML SDV 636
5002768 LIDOCAINE(XYLOCAINE)2% MDV 20MG/ML: 50ML 250
5002790 TRIAM/HCTZ (MAXZIDE) 37.5MG/25MG TAB/CAP 637
5002799 VANCOMYCIN (VANCOCIN) 500MG PWVL 636
5002804 BIOTENE MOIST MOUTH SPRAY 45ML 637
5002823 VIBATIV (TELAVANCIN) : 750MG PWVL 636
5002827 ADRENALIN (ePINEPHrine) 30MG/30ML NASAL* 250
5002828 medroxyPROGESTERon(DEPO-PROV) 150MG SDV* 636
5002829 raNITIdine (ZANTAC) : 15MG/ML SYRUP 5ML* 637
5002851 FAMOTIDINE (PEPCID) 20MG TAB 637
5002861 BUPIVAcaine (SENSORcaine) 0.25% 30ML SDV 250
5002865 DEXTROSE 5% WATER IV : 150ML 258
5002866 TRANEXAMIC (CYKLOKAPRON) 1000MG/10ML SDV 250
5002867 miSOPROStol (CYTOTEC) : 200MCG TAB 637
5002868 METHYLERGONOV (METHERGINE) 0.2MG/ML SDV 636
5002872 ALBUTEROL (PROVENTIL) 2.5MG/0.5ML CONC 637
5002880 PROPOFOL (DIPRIVAN) 10MG/ML 100ML RTH 636
5002887 HYDROmorphone (DILAUDID) 0.5MG/0.5ML* 636
5002915 TRIAMCINOLONE (KENALOG) 80MG/ML SDV 636
5002935 ORENCIA (ABATACEPT) 250MG SDV 636
5002937 LIDOCAINE 0.5%/EPI 1:200,000 50ML MDV 250
5002946 GRANIX (TBO-FILGRASTIM) 480MCG/0.8ML PFS 636
5002953 PHENYL-LIDO(PHENYL/LIDO):1.5-1% OPHT SDV 637
5002961 diazePAM (VALIUM) 5MG/ML 10ML MDV* 636
5002962 metFORMIN (GLUCOPHAGE) 850MG TAB 637
5002964 INVanz (ERTAPENEM) 1GM/100ML NS ADDV* 636
5002965 REFRESH CLASSIC EYE DROPS UD 637
5002994 LIDOCAINE 1%/EPI 1:100,000 30ML MDV 250
5003008 ERYTHROMYCIN EC (ERY-TAB) 250MG TAB 637
5003014 DEXTROSE 10% WATER IV 250ML 258
5003018 TROPICAMIDE (MYDRIACYL) 1% 3ML OPHTH 637
5003019 ENTRESTO (SACUBITRIL/VALSARTAN) 24/26* 637
5003022 LIDOCAINE MPF(XYLOCAINE) 1% : 50ML MDV 250
5003039 FLUZONE QUAD (FLU VAC) 0.5ML PFS* 636
5003040 FLUZONE HIGH DOSE 0.5ML 65+ PFS* 636
5003041 FLUZONE PED QUAD (FLU VAC) 0.25ML PFS* 636
5003044 DAKIN'S SOLN 0.125% QTR STRENGTH 480ML 637
5003057 NEUPOGEN (FILGRASTIM) 480MCG/0.8ML SQ 636
5003089 levETIRAcetam(KEPPRA) 500MG/5ML UD CUP 637
5003109 PRAMIPEXOLE (MIRAPEX) 0.5MG TAB 637
5003114 CITALOPRAM (CELEXA) 40MG TABLET* 637
5003128 TRIAMCINOLONE (KENALOG) 200MG/5ML MDV 636
5003139 QUEtiapine (SEROquel) 100MG TAB 637
5003142 OMEPRAZOLE (PRILOSEC) 40MG CAPSULE* 637
5003172 ZARXIO (FILGRASTIM-SNDZ) 300MCG/0.5ML SQ 636
5003187 BUPIVAcaine MPF (SENSOR) 0.25% 50ML MDV 250
5003191 BUTALbital/Aceta/CAFFeine (FIORICET) CAP 637
5003192 KAYEXALATE (SPS) BTL 15GM/60ML (473ML) 637
5003195 BUPIVA / EPI MPF0.5% 1:2000000: 30ML SDV 250
5003196 ZINC OXIDE (DESITIN) 56.7GM OINT* 637
5003208 CEFADROXIL (DURICEF) 500MG CAPSULE 637
5003209 KETAMINE (KETALAR) 10MG/ML 20ML MDV 250
5003216 BRIMONIDINE (ALPHAGAN) 0.2% 15ML OPHTH* 637
5003219 MORPHINE SULFATE 2MG/ML PFS* 636
5003222 OXYMETAZOLINE (AFRIN) 0.05% NASAL 30ML 637
5003247 GLUCAGON (GLUCAGEN) 1MG KIT (2 VIALS) 636
5003260 SIMPONI ARIA (GOLIMUMAB) 50MG/4ML SDV* 636
5003272 PSYLLIUM HUSK (METAMUCIL) 0.52GM CAP 637
5003278 HYDROCORTISONE (CORTEF) 5MG TAB 637
5003279 FLECAINIDE (TAMBOCOR) 100MG TAB 637
5003289 MAXZIDE 37.5MG/25MG TAB(TRIAMTERINE/HCTZ 637
5003290 NUCALA (MEPOLIZUMAB) 100MG SDV 636
5003291 SODIUM BICARB 8.4% 50ML SDV 250
5003294 ePINEPHrine (ADRENALIN) 1MG/ML 30ML MDV 250
5003334 METHYLENE BLUE 0.5% 5MG/ML SDV 250
5003385 INTRALIPID 20% (FAT EMULSION) 250ML BAG 258
5003386 CLINIMIX E (AMINO/DEX/LYT) 4.25/5 1000ML 258
5003417 AZTREONAM (AZACTAM) 2GM PWVL 636
5003449 BUPIVA/EPI 0.25% MPF 1:200000 30ML SDV 250
5003455 ENTYVIO (VEDOLIZUMAB) 300MG/NS 250ML 636
5003475 dilTIAZem (CARDIZEM) 125MG/125ML NS* 250
5003477 HYDROmorphone (DILAUDID) 1MG/ML SDV* 636
5003478 ceFAZolin (ANCEF) 2GM/100ML NS IVPB* 636
5003479 HEPARIN LOCK FLUSH 100 UNITS/ML 3ML PFS* 636
5003483 LIDOCAINE (XYLOCAINE) 4% 5ML AMP TOPICAL 250
5003484 NEVANAC (NEPAFENAC) 0.1% OPHTH SUSP 3ML 637
5003514 FLUBLOK QUAD (FLU VAC) 0.5ML PFS* 636
5003548 MOMETASONE (ELOCON) 0.1% 15GM CREAM 637
5003650 AMINOPHYLLINE 500MG/20ML (25MG/ML) SDV 636
5003658 BRIDION (SUGAMMADEX) 100MG/ML 2ML SDV 250
5003659 PRECEDEX (DEXMEDETOMIDINE) 80MCG/20ML 250
5003683 HYDROCORTISONE BUTYRATE 0.1% TOP SOLN* 637
5003696 MYXREDLIN (INSULIN DRIP) 100UNITS/100ML 250
5003701 ALPRAZolam (XANAX) 0.5MG ODT 637
5003722 NITROglycerin SL 0.4MG TAB 25 CT BOTTLE* 637
5003723 DOPamine 400MG/10ML SDV (EMT ONLY)* 636
5003724 DOPamine 400MG/10ML SDV (EMT)* 636
5003726 METAXALONE (SKELAXIN) 800MG TAB 637
5003729 ASCORBIC ACID SDV: 25,000 MG/50ML 250
5003730 DEXMEDETOMIDINE/NS 400MCG/100ML RTU 250
5003733 ALBUTEROL SULFATE 90MCG 200 METERED* 637
5003735 ALBUTEROL (PROVENTIL) HFA PER PUFF 637
5003737 IPRATROPIUM (ATROVENT) HFA PER PUFF 637
5003738 FLUTICASONE 220MCG HFA PER PUFF 637
5003739 SYMBICORT 160-4.5MCG MDI PER PUFF 637
5003745 LEVALBUTEROL (XOPENEX) HFA PER PUFF* 637
5003753 EXPAREL (BUPIVAC-LIPO) 133MG/10ML 250
5003754 DESMOPRESSIN (DDAVP) 4MCG/ML SDV 636
5003755 TRELEGY (FLUTIC/UMECLID/VILANTEROL) DPI 637
5003777 ATORVASTATIN 5MG (1/2 TAB OF 10MG) TAB 637
5003778 TRIAMCINOLONE (KENALOG) 0.1% 30GM CREAM 637
5003787 BACITRACIN OPHTH OINT 3.5GM* 637
5003789 RILUZOLE (RILUTEK) 50MG TABLET* 637
5003791 CENTRUM LIQUID 236ML BOTTLE* 637
5003803 MANNITOL (OSMITROL) 20% 500ML PREMIX 636
5003813 SODIUM BICARB (INFANT) 4.2% 5ML SDV* 250
5003815 LILETTA INTRAUTERINE INSERT 52MG 636
5003816 SODIUM CHLOR 3% 4ML NEB - SPUTUM INDUCT 637
5003832 REMDESIVIR (VEKLURY) 100MG/100ML NS IVPB 636
5003842 FERAHEME (FERUMOXYTOL) 510MG/17ML SDV 636
5003856 PROPOFOL (DIPRIVAN) 10MG/ML RTH 50ML 636
5003899 REMDESIVIR (VEKLURY) 100MG/20ML SDV* 636
5003901 RHOPRESSA (NETARSUDIL) OPHTH 0.02% 2.5ML 637
5003905 AMANTADINE (SYMMETREL) 100MG CAPSULE 637
5003906 BENZTROPINE (COGENTIN) 0.5MG TAB 637
5003916 HYDROmorphone (DILAUDID) HP 50MG/5ML SDV 636
5003937 norEPINEPHrine (LEVOPHED) 4MG/250ML D5W* 250
5003955 NEXIUM (ESOMEPRAZOLE) 40MG SDV 250
5003990 ARIDOL (BRONCHIAL CHALLENGE TEST KIT) 637
5003998 INJECTAFER (FERRIC CARBOX) 750MG/15ML* 636
5004008 DOPamine 400MG/250ML D5W PREMIX-EMT 40 636
5004015 BUPIVAcaine/Epi (SENSOR) 0.25% 50ML MDV 250
5004030 ORTHOVISC (HYALURONATE) 15MG/ML 2ML PFS 636
5004031 EUFLEXXA (HYALURONATE) 1% 20MG/2ML PFS 636
5004032 VISCO-3 (HYALURONATE) 10MG/ML 2.5ML PFS 636
5004035 GELSYN-3 (HYALURONAN) 16.8MG/2ML PFS 636
5004036 PROCTOFOAM (PRAMOXINE HCL) 1% 15GM 637
5004050 methylPREDNISolone (DEPO) 80MG/ML 5ML* 636
5004054 NEXPLANON (ETONOGESTREL) 68MG IMPLANT 636
5004059 DROPERIDOL (INAPSINE) 5MG/2ML SDV 636
5004098 PHOSPHORUS SOD POTASSIUM (PHOS-NAK) PKG 637
5004103 MIRENA INTRAUTERINE SYSTEM INSERT 52MG 636
5004104 PARAGARD T380A INTRAUTERINE COPPER 176MG 636
5004114 PHENYLEPHRINE 1000MCG/10ML NS PFS (ANES) 250
5004119 MORPHINE SULFATE 2MG/ML CPJ* 636
5004124 RADICAVA (EDARAVONE) 30MG/100ML PREMIX 636
5004135 PRIVIGEN (IMMUNE GLOBULI) 10% 40GM/400ML 636
5004190 ACETAMIN (TYLENOL ES) 500MG *Dept Only* 637
5004192 LINEZOLID (ZYVOX) 600MG TAB 637
5004193 ESMOLOL HYD(BREVIBLOC) 100MG/10ML*CARTS* 250
5004219 TRANEXAMIC ACID (LYSTEDA) 650MG TABLET 637
5004243 CALCIUM GLUCONATE 1000MG/50ML NS PREMIX 636
5004244 5% DEXTROSE IV : 100ML (VIAL BAG) 258
5004252 diazePAM (VALIUM) 10MG/2ML PFS-ER Dept 636
5004253 OLUMIANT (BARICITINIB) 2MG TABLET 637
5004256 OLUMIANT (BARICITINIB) 2MG TAB 637
5004303 GAMMAGARD S/D LOW IgA 5% 10GM PWDER 636
5004317 FLUZONE QUAD (FLU VAC) 0.5ML VIAL* 636
5004324 ENGERIX-B PEDS (HEP B) 10MCG/0.5ML PFS 636
5004352 LUGOL'S SOLUTION (STRONG IODINE) 5% 14ML 637
5004360 norEPINEPHrine/D5W 4MG/250ML PREMIX 250
5004372 CLINIMIX E(AMIN/DEX/LYT) 4.25/10 1000ML* 258
5004374 MESALAMINE DR (LIALDA) 1.2GM TAB 637
5004375 LOKELMA (SOD ZIRCONIUM CYCL) 10GM PACKET 637
5004384 INTRALIPID 20% (FAT EMULSION) 500ML BAG* 258
5004386 DOTAREM PFS 15ML/10EA (XRAY) 636
5004390 BUPIVAcaine MPF(SENSOR) 0.25% 30ML SDV* 250
5004408 HEPARIN-D5% 25,000 UNITS/250 ML PREMIX 636
5004430 ZARXIO (FILGRASTIM-SNDZ) 480MCG/0.8ML SQ 636
5004432 BUPIVA / EPI 0.5% 1:2000000 50ML MDV 250
5004438 DICYCLOMINE (BENTYL) 20MG/2ML AMP* 636
5004440 PREVNAR 20 (PNEUMOCOCCAL 20) 0.5ML PFS 636
5004447 NIMODIPINE (NIMOTOP) 30MG CAPSULE 637
5004466 SOD CHLOR 0.9% IV 50ML (VIAL BAG) XRAY* 258
5004470 EVENITY 105MG/1.17ML (2 PFS = 210MG) 636
5004474 DICYCLOMINE (BENTYL) 20MG/2ML SDV 636
5004475 AVSOLA (inFLIXimab-axxq) 100MG SDV 636
5004522 NIVESTYM (FILGRASTIM-PFZ) 480MCG/0.8ML 636
5004529 BUPIVAcaine MPF(SENSOR) 0.5% 30ML SDV 250
5004538 SURGICEL ABSORB HEMO (ER DEPT)* 637
5004539 DIFICID (FIDAXOMICIN) 200MG TAB 637
5004575 ZOLEDRONIC (RECLAST) 5MG/100ML PREMIX 636
5004588 FLUAD (FLU VACCINE HD) 0.5ML 65+ PFS* 636
5004589 FLUCELVAX (FLU VAC) EGG FREE 0.5ML PFS* 636
5004590 AFLURIA QUAD (FLU VAC) 0.5ML PFS 636
5004613 LORazepam (ATIVAN) 2MG/ML 1ML CPJ* 636
5004634 CAFFEINE 20MG/ML 3ML SDV 250
5004643 MenQuadfi (MenACWY-TT) 0.5ML SDV-MOB 636
5004664 TIVICAY (DOLUTEGRAVIR) 50MG TAB* 637
5004675 CHLORASEPTIC THROAT SPRAY 1.4% 637
5004701 FUROSEMIDE (LASIX) 100MG/100ML NS IVPB 636
5004712 ERYTHROCIN 500MG/100ML NS IVPB* 636
5004716 IBUPROFEN (MOTRIN) SUSP 200MG/10ML CUP 637
5004719 AMOXICILLIN (AMOXIL) 400MG/5ML 75ML BTL 637
5004721 DESCOVY 200MG/25MG TAB BLISTER PACK 637
5004727 NYSTATIN/TRIAMCI (MYCOLOG-II) 15GM OINT 637
5004737 IMOVAX (RABIES VACCINE) 1ML PFS 636
5004740 AMOX/CLAV (AUGMENTIN) 400MG/5ML 75ML BTL 637
5004741 SODIUM CHLOR 0.9% 250ML (Urology)* 258
5004745 ACETYLCYSTEINE 10% (100MG/ML) 4ML NEB* 637
5004748 ATOVAQUONE (MEPRON) 1500MG/10ML UD CUP* 637
5004765 SYNVISC (HYLAN G-F 20) 16MG/2ML PFS 636
5004769 VITAMIN K (PHYTONADIONE) 1MG/0.5ML SDV 636
5004770 VIT K (PHYTONADIONE) PED 1MG/0.5ML PFS 636
5004808 FAMOTIDINE (PEPCID) 20MG/NS 50ML PREMIX 250
5004811 PRAZOSIN (MINIPRESS) 1MG CAPSULE* 637
5004812 ACETAMINOPHEN (OFIRMEV) 1GM/100ML PREMIX 636
5004817 LEQVIO (INCLISIRAN) 284MG/1.5ML PFS* 636
5004818 VANCOMYCIN 750MG/150ML WATER PREMIX 636
5004827 NEXTERONE 360MG/DEXTROSE 200ML PREMIX* 636
5004838 SODIUM CHLORIDE 7% 4ML NEB 637
5004857 methylPREDNISolone SODIUM SUCC 40MG SDV* 636
5004860 LACTULOSE (ENULOSE) 20GM/30ML UD CUP 637
5004865 guaiFENesin/COD (ROB AC) 100-10MG/5ML 637
5004885 SOLU-medrol (methylPRED) 125MG SDV 636
5004908 L.E.T. (LIDO/EPI/TETRA) 3ML PFS TOPICAL 250
5004960 ceFAZolin (ANCEF) 1GM/100ML NS IVPB (OR) 636
5004961 ceFAZolin (ANCEF) 1GM/100ML NS IVPB 636
5004962 TOLVAPTAN (SAMSCA) 15MG TABLET* 637
5004987 FILGRASTIM (NEUPOGEN) 300MCG/ML SQ PFS 636
5004998 PROVOCHOLINE (METHACHOLINE) INHALE KIT 250
5005016 humuLIN R (REG INSULIN) 100UNITS/1ML 3ML 250
5005018 SODIUM THIOSULFATE 12.5GM/50ML SDV 250
5005019 SODIUM NITRITE 300MG/10ML SDV 250
5005025 POTASSIUM ALUM 30GM/300ML KIT FOR CBI 250
5005032 PuraPly AM 5X5 (25sq cm) EACH 636
5005035 CYCLOGYL (CYCLOPENTOLATE) 2% 15ML OPHTH 637
5005036 INFLECTRA LYO (inFLIXimab-dyyb) 100MG 636
5005044 STELARA (USTEKINUMAB) 130MG/26ML SDV 636
5005045 STELARA (USTEKINUMAB) 390MG/NS 250ML 258
5005047 LIPASE/PROTEASE/AMYLASE (CREON) CAPSULE 637
5005053 PHENYTOIN (DILANTIN) 100MG/4ML SUSP CUP 637
5005054 ePINEPHrine (ADRENALIN) 1MG/NS 250ML 636
5005067 PEDvaxHIB 636
5005073 PROPAFENONE (RYTHMOL) 150MG TAB 637
5005096 CEFPODOXIME PROXETIL 200MG TABLET 637
5005100 CRITICAL CARE PER HOUR 30 TO 74 MIN 233
5005103 INTUBATION 233
5005105 CENTRAL LINE INSERTION 369
5005148 SMZ/TMP DS 800MG/160MG PER 20ML SUSP UD 637
5006151 IV INF DX OR THERAPUTIC UP TO ONE HOUR 260
5006152 IV INF DX EACH ADD HOUR 260
5006153 INJ INTRAVENOUS INITIAL SUBSTANCE 260
5006154 IV INF HYDRATION UP TO ONE HOUR 260
5006155 IV INFUSION HYDRATION EACH ADD HOUR 260
5006156 INJECTION THERAPUTIC OR DIAGNOSTIC 920
5006157 IV PUSH NEW SUBSTANCE 260
5006158 ADD SEQUENTIAL INF UP TO ONE HOUR 260
5006159 IV CONCURRENT INFUSION 260
5006160 OP RECOVERY RM SERVICES PER HOUR 710
5006162 IV INF CASIRIVIMAB & IMDEVIMAB 1200 MG 771
5006500 INCENTIVE SPIROMETRY INITIAL 410
5006501 COLLECTION OF BLOOD IMPLANTABLE DEVICE 761
5006502 COLLECTION OF BLOOD CENTRAL/PICC LINE 761
5006750 PICC LINE INSERTION, AGE 5 AND OVER 761
5007000 OP VISIT LEVEL 1 761
5007100 BLOOD TRANSFUSION ADMIN 1 UNIT 391
5007750 MIDLINE INSERTION, AGE 3 AND OVER 761
5008750 PICC LINE INSERTION, UNDER AGE 5 761
5071498 CARBAMAZEPINE 100MG/5ML UD CUP 637
5091078 DORZOLAMIDE (TRUSOPT) 2% SOL: 10ML OPHT 637
5091548 RELAFEN 750 MG TAB (Nabumetone) 637
5091628 DAKINS SOLN 16 OZ (sodium hypochlorite) 637
5091638 ZEBUTAL 500-50-40 MG CAPS (ESGIC PLUS) 637
5091674 DICLOXACILLIN 500 MG BTL* 637
5091679 ALOMIDE 0.1% OPH SOLN 10ML (lodoxamide) 250
5091997 Permethrin (Nix) Lotion : 1% 250
5091998 PERMETHRIN 5% : 60GM CREAM 637
5093750 PRECAUTIONARY ISOLATION 270
5096482 PHENYLEPHRINE 1% SYRINGE: 100MCG/ML 10ML 250
5097151 IPRATROPIUM + ALBUTEROL NEB SOLN 3ML 250
5097681 HYDROCODONE BIT/APAP 7.5MG-500MG 637
5125471 CYCLOBENZAPRINE 10 MG 250
5971718 PYRAZINAMIDE (PZA) : 500MG TAB 637
6070000 INJECTION SUBCUTANEOUS OR INTRAMUSCULAR 940
6071000 CAST REMOVAL 761
6071001 ADMINISTRATION VACCINE 771
6071002 ADMINISTRATION PNEUMOCOCCAL VACCINE 771
6071010 IV INFUSION DIAGNOSTIC UP TO ONE HOUR 260
6071011 IV INF UP TO ONE HOUR, HYDRATION 761
6071012 IV INF EACH ADD HOUR, HYDRATION 260
6071015 IV INFUSION DIAGNOSTIC EACH ADD HOUR 260
6071020 IV PUSH INITIAL SUBSTANCE 260
6080354 OBSERVATION, PER HOUR 762
6080355 OBSERVATION, FIRST HOUR 762
6080356 OBSERVATION DIRECT ADMISSION 762
6080358 ADM VAC EACH ADDITIONAL 771
6080360 IV PUSH, ADDITIONAL SAME SUBSTANCE 260
6080700 OUTPATIENT TREATMENT ROOM 761
6080701 REMOVAL OF SUTURES UNDER ANESTHESIA 761
6080705 IRRIGATION IMPLANTED ACCESS DEVICE 940
6081018 SPLINT APPLICATION - CC OR TREATMENT RM 761
10070100 CONTROL NASAL HEMORRHAGE COMPLEX 450
10070101 FOREIGN BODY REMOVAL CORNEA W/O SLIT LAM 510
10070104 INJECTION ANES AGENT TRIGEMINAL NERVE 510
10079007 LEG SPLINT- KNEE LENGTH-METAL 270
10079008 LEG SPLINT - HIP LENGTH - CHILD 450
10079009 LEG SPLINT - HIP LENGTH - ADULT 450
10079010 DERMABOND ADHESIVE 270
10079011 SPLINT-ARM-COLLES 270
10079018 REMOVAL FOREIGN BODY UPPER ARM/ELBOW SUB 450
10079020 BROSELOW MODULE 450
10079050 EYE IRRIGATION-MORGAN LENS 270
10079055 GLIDESCOPE BLADES 270
10079060 BRONCHOSCOPE-GLIDESCOPE 270
10079070 STYLET-GLIDESCOPE 270
10079075 IO NEEDLE 270
10079080 CATH-WORD-BARTHOLIN 10 FR. 270
10079085 UMBILICAL VESSEL CATHETER 270
10079212 ER LEVEL ONE 450
10079213 ER LEVEL ONE 450
10079224 ER LEVEL TWO 450
10079226 ER LEVEL TWO 450
10079236 ER LEVEL THREE 450
10079238 ER LEVEL THREE 450
10079248 ER LEVEL FOUR 450
10079249 ER LEVEL FOUR 450
10079250 ER LEVEL FIVE 450
10079252 ER LEVEL FIVE 450
10079260 VACCINE ADMINISTRATION INFLUENZA 771
10079269 CARDIAC RESUSCITATION 450
10079270 VACCINE ADMINISTRATION HEPATITIS B 771
10079277 CRITICAL CARE 30-74 MINUTES 450
10079278 CRITICAL CARE EACH ADDITIONAL 30 MINUTES 450
10079280 BLOOD REAGENT STRIP (SUGAR STRIP) 301
10079286 CAST ROLLS-PLASTER 2 450
10079300 OB KIT 270
10079341 REM FOREIGN BODY EYE EXTERNAL 450
10079366 I & D OF THE GUM 981
10079367 I & D OF THE GUM 450
10079368 I & D THROMBOSED EXT HEMORRHOID 450
10079369 LACER RPR COMPLEX EA ADD 5CM OR LESS 450
10079371 LACER RPR COMPLX EA ADD 5CM OR LESS 981
10079372 INJ ANESTHETIC AGENT NERVE BLOCK 981
10079373 INJ ANESTHETIC AGENT NERVE BLOCK 450
10079374 EXCISION LESION .6CM - 1.0CM 450
10079375 EXC BENIGN LESION 0.5 CM OR LESS 450
10079377 I & D PILONIDAL CYST: SIMPLE 450
10079378 DEBRID DRESS PART THICKNESS BURNS 450
10079379 CLSD METACARPAL FX W/MANIPULATION 450
10079380 CLSD TX CARPOMETACARPAL DISLOCATION 450
10079381 CLSD RED FRAC RAD W/MANIPULATION 450
10079382 CLSD TX RAD HD SUB CHLD NURSEMD ELBOW 450
10079383 CLSD TX ELBOW DISLOC W/OUT ANES 450
10079384 REM FOREIGN BODY CORNEAL W/LAMP 450
10079385 I & D BARTHOLIN'S GLAND ABSCESS 450
10079386 I & D OF ABSCESS EYELID 450
10079387 I & D OF EPIDIDYMIS TESTIS OR SCROTAL 450
10079388 CHEST TUBE PLACEMENT 450
10079389 INJ TRIGGER POINTS 1 OR 2 MUSCLES 450
10079390 BLADDER CAPACITY MEASUREMENT 450
10079391 I & D HAND/FINGER COMPLICATED 450
10079392 I & D FINGER ABSCESS SIMPLE 450
10079393 REMOVAL FB EAR W/O ANES 450
10079394 CLSD TX ULNAR STYLOID FX 450
10079395 CLSD TX ARTICULAR FX W/MANIPULATION 450
10079396 I & D EXT EAR ABSCESS; SIMPLE 450
10079397 CLSD TX FX PHALANX W/MANIPULATION 450
10079398 REALIGN DISLOCATED SHOULDER 450
10079400 NON-EMERGENCY/SCREENING CHG - MEDICAID 0
10079406 MEDIUM DRESSING 450
10079410 TUBE-ESOPH. VARICES-BLAKEMORE 270
10079443 REMOVAL IMPACTED CERUMEN, ONE OR BOTH EA 450
10079444 REM IMPACTED CERUMEN, IRRIGATION UNILAT 450
10079445 INJ SINGLE/MULTIPLE TRIGGER PTS 3 OR MOR 450
10079446 REMOVAL OF IUD 450
10079447 DRAINAGE EXT EAR COMPLICATED 450
10079448 REMOVAL FOREIGN BODY FOOT 450
10079449 REPLACE GASTROSTOMY TUBE 450
10079450 CLSD TX RADIAL SHAFT FX W/MANIPULATION 450
10079451 Closed treatmt of ankle dislocation 450
10079480 EYE - REMOVE FOREIGN BODY 450
10079492 REMOVAL FOREIGN BODY 450
10079509 FOREIGN BODY - SKIN 450
10079510 CLSD TX IP JOINT DISLOCATION 450
10079533 INC/RML FOREIGN BODY SIMPLE 450
10079534 I & D OF HEMATOMA 450
10079535 CLSD REDUCT SHOULDER DISLOC W/O ANES 450
10079536 INC/RML FOREIGN BODY COMPLICATED 450
10079583 JOINT ASPIRATION/INJECTION 450
10079618 REMOVAL FOREIGN BODY INTRANASAL W/ANESTH 450
10079637 NASAL CAUTERIZATION/PACKING POSTERIOR 450
10079640 NASAL CAUTERIZATION/PACK POSTERIOR SUBSE 450
10079686 RECTAL EXAM 450
10079716 TREATMENT DISLOCATION/FRACTURE 450
10079717 Closed trmt fx of distal tibia w/manipul 450
10079741 ER-B FINGER SPLINT/ALUMINUM 450
10079753 ER-C SPLINT-FREDDIE FROG 450
10079765 ER-D SPLINT-HAND-TO-WRIST 450
10079790 VENOUS CUT-DOWN 450
10079819 REMOVAL OF NAIL 450
10079825 STRAPPING ANY SITE 450
10079826 IRRIGATION OF BLADDER 450
10079827 EVACUATION SUBUNGUAL HEMATOMA 450
10079828 AVULSION OF NAIL PLATE EA ADDTIONAL 450
10079829 AVULSION OF NAIL PLATE PART/COMPLETE 450
10079832 DEBRIDEMENT WOUND 20CM OR LESS 450
10079870 PARACENTESIS OF ABDOMEN 450
10079881 THORACENTESIS 450
10079885 THORACENTESIS WITH TUBE INSERTION 450
10079886 CLSD TX ANKLE FRACTURE W/MANIPULATION 450
10079893 LUMBAR PUNCTURE ADULT 450
10079923 TRACHEOSTOMY 450
10079930 TRACH TUBE 270
10079935 TELEMETRY MONITOR 450
10079947 WOUND IRRIGATION 450
10079948 ASPIRATION - ABSCESS, HEMATOMA OR CYST 450
10079996 EVALUATION 450
10080002 INJECTION OF ANTIBIOTIC IM/SQ 940
10080003 IV INFUSION HYDRATION 31-60 260
10080005 INJECTION THERAPEUTIC OR DIAGNOSTIC 940
10080007 IM INJECTION ONLY 450
10080009 IV INFUSION HYDRATION EACH ADD HOUR 260
10080010 IV INFUSION DX/TX 1ST DRUG MIN 16 MINS 260
10080011 IV INFUSION DX/TX SAME DRUG EA ADD HOUR 260
10080012 ADD SEQUENTIAL INFUSION NEW DRUG MIN 16 260
10080013 IV CONCURRENT INFUSION 260
10080015 INJ INTRAVENIOUS NEW SUBSTANCE 260
10080019 ER PHYSICIAN LEVEL ONE 981
10080020 ER PHYSICIAN LEVEL TWO 981
10080032 ER PHYSICIAN LEVEL THREE 981
10080044 ER PHYSICIAN LEVEL FOUR 981
10080045 I & D PERIRECTAL ABSCESS PHYSICIAN 981
10080100 ER-R.B. SUB Q TISSUE PHYSICIAN 981
10080111 ER-FINGER DISLOCATION PHYSICIAN 981
10080135 I & D ABSCESS SIMPLE 450
10080136 I & D PERIRECTAL ABSCESS 450
10080137 BURN 1ST DEGREE INITIAL TX 450
10080138 I & D HEMATOMA 981
10080139 INJ SINGLE OR MULTIPLE TRIGGER POINTS 981
10080140 I & D PERIANAL ABSCESS 450
10080141 I & D ABSCESS COMPLICATED OR MULTIPLE 450
10080142 ANOSCOPY DIAGNOSTIC 450
10080146 CLSE NAVICULAR FX W/O MANIPULATION 981
10080147 I & D HEMATOMA 981
10080148 I & D VULVA OR PERINEAL ABSCESS 981
10080159 ER-S. LACERATION PHYSICIAN 981
10080160 LACER RPR > 30 CM BODY SCALP 981
10080172 LACER RPR 20.1-30.0 CM NECK HAND FEET 981
10080184 NASAL CAUTERIZATION/PACK POSTERIOR INITI 981
10080185 NASAL CAUTERIZATION/PACKING POST SUB 981
10080196 ER-FOREIGN BODY NOSE PHYSICIAN 981
10080202 CRITICAL CARE EACH ADD 30 MINUTES PHYSIC 981
10080214 ER-SHOULDER DISLOCATION PHYSICIAN 981
10080238 SPLINT APPLICATION - FINGER 981
10080240 SPLINT APP SHORT ARM PHYSICIAN 981
10080263 ER-MANDIBLE DISLOCATION PHYSICIAN 981
10080275 ER-VAGINAL DELIVERY PHYSICIAN 981
10080287 ANOSCOPY DIAGNOSTIC 981
10080299 ER-TRACHEOTOMY PHYSICIAN 981
10080305 ER-THORACENTESIS PHYSICIAN 981
10080306 APPLICATION LONG LEG SPLINT 450
10080421 ER PHYSICIAN LEVEL FIVE 981
10080433 CRITICAL CARE 30-74 MINUTES PHYSICIAN 981
10080469 REMOVAL FOREIGN BODY PHARNYX 981
10080470 VAGINAL DEL WITH/WITHOUT FORCEPS 981
10080494 REMOVAL FOREIGN BODY EXTERNAL EAR W/O AN 981
10080495 REMOVAL FOREIGN BODY INTRANASAL PHYSICIA 981
10080499 REMOVAL FOREIGN BODY MOUTH 981
10080500 CONTROL ANT/NASAL HEMORRHAGE 981
10080512 REMOVAL FOREIGN BODY FOOT 981
10080524 REM FOREIGN BODY CORNEAL W/SLIT LAMP 981
10080536 CORNEAL FB REMOVAL W/O SLIT LAMP 981
10080550 DRAINAGE EXT EARR HEMATOMA 981
10080556 REM TUNNEL CENTRAL VENOUS ACCESS W/PORT 450
10080561 REMOVAL TOENAIL 981
10080562 REM IMPLANT SUPERFICIAL 981
10080573 CARDIOVERSION 982
10080585 AVULSION OF NAIL PLATE PAR/COM 981
10080586 AVULSION OF NAIL PLATE EA ADD PLATE 981
10080603 INSERTION CENTRAL VENOUS LINE 981
10080615 GASTRIC INTUBATION OR LAVAGE 981
10080627 I & D ABSCESS SIMPLE 981
10080639 I & D PILONIDAL CYST 981
10080640 INTUBATION ENDOTRACHEAL 981
10080652 CHEST TUBE INSERTION 981
10080664 LUMBAR PUNCTURE 981
10080676 CERUMEN REMOVAL 981
10080688 INTRAOSSEUS LINE 981
10080690 ARTHROCENTESIS LG JOINT/BURSA 981
10080691 ARTHROCENTESIS SM JOINT/FINGERS OR TOES 981
10080695 ASPIRATION INTER/JOINT/BURSA 450
10080706 ASPIRATION INTER/JOINT/BURSA 981
10080718 SPLINT APPLICATION - LONG ARM 981
10080720 SPLINT APPLICATION - LONG LEG 981
10080731 SPLINT APPLICATION-SHORT LEG 981
10080754 CLSD TX DISTAL RADIAL FX W/MANIPULATION 450
10080755 CLOSED FX CLAVICLE W/O MANIPUL 981
10080767 CLOSED FX FING/THUM W/O MANIPULATION 981
10080780 CLOSED FX GREAT TOE W/O MANIPUL 981
10080790 CLOSED FX OTHER TOE W/MANIPULATION 981
10080792 CLOSED FX OTHER TOE W/O/ MANIPUL 981
10080793 CLSD TX ANKLE FRACTURE W/MANIPULATION 981
10080808 CLSD TX HIP DISLOCATION 981
10080809 CLOSED TX DISLOCATION 981
10080810 CLOSED FX PROXIMAL HUMERAL W/O MANIPULAT 981
10080811 CLSD TX HIP DISLOCATION 450
10080822 CLSD TX MCP DISLOCATION W/O ANES 981
10080860 CLOSED RADIAL HEAD FX W/O MANIPUL 981
10080862 CLSD TX MCP DISLOCATION W/O ANES 450
10080871 CLOSED RADIAL SHAFT FX W/O MANI 981
10080875 ENDOTRACH INTUBATION 981
10080883 CLOSED METACARPAL FX W/O MANIPUL 981
10080895 CLOSED METACARPAL FX WITH MANIPUL 981
10080901 CLOSED RX AC JOINT DISL W/O MANIPUL 981
10080902 DEBRIDEMENT WOUND 20CM OR LESS 981
10080925 REDUCT SHOULDER DISLOC W/ANES 981
10080937 REDUCTION SUBLUX RAD HEAD CHIL 981
10080949 CLSD TX IP JOINT DISLOCATION 981
10080950 RED DISLOC IP JOINT WITH ANEST 981
10080951 TX FRACTURE WITH MANIPULATION 981
10080952 EXCISION LESION .6 - 1.0CM 981
10080960 TRACHEA, BRONCHI PROCEDURE 981
10080961 REM TUNNELED CENTRAL DEVICE W/PORT 981
10080962 CLSD TX KNEE DISLOC W/O ANESTHESIA 981
10080974 DRAINAGE OF ABSCESS MOUTH 981
10080998 LACER RPR SIMPLE 2.5CM OR LESS 981
10080999 DERMABOND APPLICATION BY PHYSICIAN 981
10081000 LACER RPR SIMPLE 2.6 to 7.5 CM 981
10081001 INCISION/REMOVAL FOREIGN BODY, SUBCUTANE 981
10081011 INCISION/REMOVAL FOREIGN BODY, COMPLICAT 981
10081012 LACER RPR SIMPLE 7.6 TO 12.5 CM 981
10081013 LACER RPR 2.5 OR < FLR OF MOUTH/TONGUE 981
10081015 I & D HEMATOMA SEROMA OR FLUID COLLECTED 981
10081016 REMOVAL FOREIGN BODY UPPER ARM/ELBOW SUB 981
10081017 REMOVAL FOREIGN BODY EYE EXTERNAL 981
10081020 DEBRIDMENT W/FB REM OPEN FX, SKIN SUBQ 981
10081024 LACER RPR SIMPLE 12.6 to 20.0 CM 981
10081025 DEBRIDMENT SKIN & SUBCUTANEOUS TISSUE 981
10081027 LACER RPR SIM 7.6-12.5 CM FACE CHIN EAR 981
10081028 LACER RPR COMPLEX 1.1CM TO 2.5CM 450
10081029 LACER RPR SIM 12.6-20.0 CM FACE EAR CHIN 981
10081030 LACER RPR COMPLEX 2.6CM-7.5CM FOREHEAD 450
10081031 LACER RPR SIM 20.1-30.0 CM FACE EAR CHIN 981
10081033 LACER RPR SIM > 30 CM FACE CHIN EAR 981
10081034 LACER RPR COMPLX 2.6-7.5CM FOREHEAD 981
10081035 LACER RPR LAYER 12.5-20.0CM NECK HAND FT 981
10081036 LACER RPR SIMPLE 20.1 - 30 CM 981
10081037 LACER RPR LAYER > 30 CM NECK HAND FEET 981
10081038 LACER RPR COMPLX CHIN, NECK 1.1CM -2.5CM 981
10081039 LACER RPR COMPLX EA ADD 5CM OR LESS 450
10081040 LACER RPR LAYER 7.6-12.5CM FACE EARS EYE 981
10081041 EXPLORATION OF WOUND 981
10081042 LACER RPR LAYER 12.6-20.0CM FACE EARS EY 981
10081044 LACER RPR LAYER 20.6-30.0CM FACE EARS EY 981
10081045 LACER RPR LAYER > 30 CM FACE EARS EYELID 981
10081047 LACER RPR COMPLX 1.1-2.5CM SCALP,ARMS,LE 981
10081048 LACER RPR SIMPLE OVER 30 CM 981
10081049 LACER RPR COMPLX 2.6-7.5CM SCALP,ARMS,LE 981
10081050 LACER RPR SIMPLE 2.5 CM OR LESS 981
10081051 EXC LESION 3.1 TO 4.0CM 981
10081052 BURN INITIAL TX 1ST DEGREE 981
10081054 DEBRIDE & DRESS, SMALL, UNDER ANESTHESIA 981
10081055 LACER RPR COMPLX EC ADD 5CM 981
10081056 FOREIGN BODY REMOVAL, MUSCLE, SIMPLE 981
10081058 FOREIGN BODY REMOVAL, MUSCLE, COMPLEX 981
10081061 LACER RPR SIMPLE 2.6 TO 5.0 CM 981
10081073 LACER RPR SIMPLE 2 5.1 - 7.5 981
10081085 LACER RPR LAYER 2.5 CM OR LESS 981
10081097 LACER RPR LAYER 2.6 TO 7.5 CM 981
10081103 LACER RPR LAYER 7.6 to 12.5CM 981
10081145 ASPIRATION ABSC, HEMATOMA OR CYST-PHYS 981
10081190 VISUAL ACCUITY 450
10081218 EYE PATCH APPLICATION 450
10081220 TUBE GAUZE APPLICATION 270
10081231 LACER RPR SIMP 2.6-7.5CM SCALP, HANDS 450
10081243 SPONGE FOR TEMP 450
10081255 LACER RPR SIMP 2.5 CM OR LESS FACE, EARS 450
10081267 CARDIOVERSION 480
10081279 PACEMAKER EXT 450
10081301 APPLICATION SHORT LEG SPLINT 450
10081302 APPLICATION LONG ARM CAST 761
10081303 APPLICATION SHORT ARM SPLINT 761
10081304 APPLICATION SHORT ARM SPLINT 450
10081305 INJ INTRAVENOUS INITIAL SUBSTANCE 260
10081309 PULSE OXIMETRY 460
10081311 ARTHROCENTESIS LARGE JOINT OR BURSA 450
10081315 APPLICATION OF SPLINT 450
10081316 DRAINAGE OF ABSCESS MOUTH 450
10081317 APPLICATION FINGER SPLINT STATIC 450
10081321 GASTROSTOMY TUBE PLACEMENT 450
10081322 GASTRIC INTUBATION OR LAVAGE 750
10081324 INSERT NON-INDWELLING BLADDER CATHETER 450
10081325 DRESSING OF A BURN 450
10081326 INSERT TEMP INDWELLING BLADDER CATH;SIMP 450
10081327 REMOVAL FOREIGN BODY INTRANASAL 450
10081328 CLSD NAVICULAR FX W/O MANIPULA 450
10081329 I & D VULVA OR PERINEAL ABSCESS 450
10081330 EXPLORATION OF WOUND 450
10081331 MINOR PROCEDURE (ER) 450
10081332 TEMPORARY TRANSCUTANEOUS PACING 480
10081340 CLSD TX KNEE DISLOCATION 450
10081341 CLSD TX INTERPHALANGEAL JOINT DISLOCATIO 450
10081342 APPLICATION LONG ARM SPLINT 450
10081344 REM TUNNELED CENTRAL DEVICE W/PORT 761
10081345 CLSD TX METACARPEL FX 450
10081358 URIN CATH FEMALE - MINI 450
10081360 URIN CATH MALE - MINI 450
10081371 REIN S-P CATH/FEED TUBE 450
10081395 NASAL CAUTERIZATION/PACKING ANTERIOR 450
10081401 PACKING REMOVAL 450
10081413 SPLINT W/FIBERGLASS - WRIST 450
10081437 SPLINT W/FIBERGLASS - SHORT LEG 450
10081449 SPLINT W/FIBERGLASS - LONG LEG 450
10081450 SPLINT -TOE 450
10081474 METAL LEG/ARM SPLINT 450
10081486 PLASTER SPLINT APP 450
10081498 LUMBAR PUNCTURE FOR DRAINAGE 450
10081504 NEURO CHECKS 450
10081516 VAGINAL DEL WITH/WITHOUT FORCEPS 450
10081525 SCREENING PAP SMEAR OBTAINING & PREP. 450
10081526 BREAST & PELVIC SCREENING EXAM 450
10081528 FETAL HEART MONITOR 450
10081541 BLOOD TRANSFUSION START 391
10081553 INSERTION NON-TUNNEL CENTRAL VENOUS CATH 761
10081555 INS CENTRAL VENOUS CATH NON-TUNNEL 450
10081559 INS TUNNELED CENTRAL VEN CATHETER OVER 5 450
10081590 NAIL PUNCTURE 450
10081619 SPLINTER REMOVAL 450
10081620 GLUCOSCAN 450
10081632 LACER RPR SIMP 2.5CM OR LESS SCALP, NECK 450
10081644 LACER RPR SIMP 7.6-12.5CM SCALP, NECK 450
10081656 LACER RPR SIMP 12.6-20 CM SCALP, NECK 450
10081668 LACER RPR SIMP 20.1-30 CM SCALP, NECK 450
10081670 LACER RPR SIMP >30 CM SCALP, NECK, EXTRE 450
10081681 LACER RPR SIMP 2.6-5.0 CM FACE, EAR 450
10081682 LACER RPR SIMP 7.6-12.5 CM FACE, EARS 450
10081683 LACER RPR SIMP 12.6 - 20 CM FACE, EARS 450
10081693 LACER RPR SIMP 5.1-7.5 CM FACE, EARS 450
10081700 LACER RPR LAYER 2.5 CM OR LESS SCALP, TR 450
10081711 LACER RPR LAYER 1 2.6-7.5 CM SCALP/TRUNK 450
10081712 SIMPLE CLOSURE BY DERMABOND 450
10081723 LACER RPR LAYER 7.6-12.5 CM SCALP/TRUNK 450
10081735 LACER RPR LAYER 2.5 CM OR LESS NECK, HND 450
10081736 LACER RPR COMPLEX 1.1CM TO 2.5CM 450
10081737 LACER RPR COMPLEX 2.6 TO 7.5CM 450
10081738 UNLISTED DENTAL PROCEDURE 450
10081739 LACER RPR COMPLEX EC ADD 5CM OR LESS 450
10081741 PACKING OF SUPERFICIAL WOUND 981
10081747 LACER RPR LAYER 2.6-7.5 CM NECK/HANDS/FT 450
10081759 LACER RPR LAYER 7.6-12.5 CM NECK/HANDS 450
10081760 LACER RPR LAYER 2.5CM OR LESS FACE, EARS 450
10081772 LACER RPR LAYER 2.6-5.0 CM FACE, EARS 450
10081785 LACERATION OF MOUTH 2.5CM OR LESS 450
10081786 LAC REPAIR 2.5 OR < MOUTH FLR OR TONGUE 450
10082001 ARTHORCENTESIS ASP OR INJ SM JOINT 981
10082010 CLSD TX DISLOCATION 450
10082013 CLSD TX SCAPULAR FRAC W/O MANIPULATION 981
10082017 CLSD TX SHOULDER DISLOC W/MAN NO ANESTH 981
10082019 CLSD TX ELBOW DISLOC W/O ANESTHESIA 981
10082021 CLSD RED FRAC RAD W/MANIPULATION 981
10082023 CLSD TX FRAC W/MANIPULATION 981
10082025 CLSD TX ANKLE DISLOC W/O ANESTHESIA 981
10082030 CLSD TX METATARSAL FX W/MANIPULATION, EC 981
10082050 THORACENTESIS 981
10082075 PROTOSIGMOIDOSCOPY 981
10082077 TRANSVENOUS PACEMAKER 981
10082100 INTRAOSSEOUS IV 981
10082110 CONTROL NASAL HEMORRHAGE COMPLEX 981
10082116 REMOVAL SKIN TAG 981
10084143 LACERATION REPAIR MOUTH 981
10094006 CONVENIENT CARE ESTABLISHED LEVEL 2 983
10094019 CONVENIENT CARE NEW LEVEL 2 983
10094024 TX SHOULDER DISLOCATION W/MANIPULATION 981
10900001 CLSD TX DISTAL RADIAL FX & ULNA W/MAN 981
10900002 EXC BENIGN LESION 0.5 CM OR LESS 981
10900003 LAC RPR COMPLX EA ADD 5CM OR LESS 981
10900005 DEBRID-DRESS PART THICKNESS BURN 981
10900006 CLSD TX CARPOMETACARPAL DISLOCATION 981
10900007 CLSD TX INTERPHALANGEAL JT DISLOCATION 981
10900008 I & D BARTHOLIN'S GLAND ABSCESS 981
10900009 I & D OF ABSCESS EYELID 981
10900010 I & D OF EPIDIDYMIS TESTIS OR SCROTAL 981
10900011 I & D HAND/FINGER COMPLICATED 981
10900012 I & D PERIANAL ABSCESS 981
10900013 I & D FINGER ABSCESS SIMPLE 981
10900014 I & D ABSCESS COMPLICATED MULTIPLE 981
10900015 CLSD TX ULNAR STYLOID FX 981
10900016 CLSD TX ARTICULAR FX W/MANIPULATION 981
10900017 EXC MALG LES O-4.0CM FACE, EAR, NOSE 981
10900018 PUNCH BIOPSY SKIN SNG LESION 981
10900019 PUNCH BIOPSY SKIN ADD LESION 981
10900020 CLSD TX FX PHALANX W/MANIPULATION 981
10900021 REM IMPACTED CERUMEN IRRIGATION UNILAT 981
10900025 REP COMPLEX TRUNK EC ADD 5CM OR LESS 981
10900026 DRAINAGE EXT EAR COMPLICATED 981
10900027 REPLACEMENT GASTROSTOPY TUBE 981
10900028 CLSD TX RADIAL SHAFT FX W/MANIPULATION 981
10912116 LACER RPR 20.1-30.0 CM BODY SCALP 981
10912117 TB TEST INTRADERMAL 450
10912118 CLOSED REDUCTION HIP WITHOUT ANESTHESIA 450
11005140 EXTRICATION COLLAR PEDI 270
14014412 BASE UNIT 964
14014515 TIME UNIT 964
14014516 ANESTHESIA PATIENT EXTREME AGE 964
14014709 EMERGENCY INTUBATION 370
14015156 NEEDLES-SPINAL 272
14015571 TUBE-ESOPH/TRACH 272
14015650 NEEDLE-NERVE BLOCK 270
14015830 SUCT. CATH. TUB. 272
14015854 02 CANNULA 272
14015889 PULSE OXIMETRY SPOT CHECK 370
14015921 AIRWAY (NASAL) 270
14016032 SUBLIMAZE 2CC 370
14016081 ATRROPINE .4MG 370
14016410 PAUVULON 4CC 370
14016433 VAS0XYL 370
14016457 NEOSYNEPHRINE 1CC 370
14016615 ROBINUL 0.2 MG 370
14017000 ADDUCTOR CANAL BLOCK FAC FEE 361
14017001 MONITORED ANESTHESIA FACILITY FEE 370
14017005 GEN ANEST FACILITY FEE 1ST 30 MINUTES 370
14017010 GEN ANEST FACILITY FEE EA ADDTL 15 MIN 370
14017012 ADDUCTOR CANAL BLOCK INJECTION 964
14017013 INTERSCALENE BLOCK 964
14017014 INTERCOSTAL NERVE BLOCK 964
14017015 TAP BLOCK UNILATERAL W/GUIDANCE 964
14017016 TAP BLOCK BILATERAL W/GUIDANCE 964
14017018 MIDLINE AGE>3YEARS 964
14017019 ARTERIAL LINE 964
14017020 PICC LINE AGE>5 W/GUIDANCE 964
14017021 LUMBAR PUNCTURE DIAGNOSTIC 964
14017022 DIFFICULT IV LINE ASSISTANCE 964
14017100 INTERCOSTAL NERVE BLOCK FAC FEE 361
14017101 INTERSCALENE BLOCK FAC FEE 361
14017102 ADDUCTOR CANAL BLOCK FAC FEE 361
14017103 TAP BLOCK UNILATERAL W/GUIDANCE FAC FEE 361
14017104 TAP BLOCK BILATERAL W/GUIDANCE FAC FEE 361
14017106 ARTERIAL LINE FAC FEE 761
14017108 LUMBAR PUNCTURE ADULT FAC FEE 361
15010012 CHLORAPREP SURGICAL PREP 270
15010014 VASCULAR ACCESS POWER PORT-8 FR. 270
15010015 INTRODUCER SET-SUBCLAVIAN 270
15010016 ARTHROSCOPY PUMP TUBING 270
15010017 ARTHROSCOPY BLADE-INCISOR PLUS/RADIUS 270
15010018 ARTHROSCOPY BLADE-INCISOR PLATINUM 270
15010019 ARTHROSCOPY BURR/DISSECTORS 270
15010020 ARTHROSCOPY BLADE-CURVED 270
15010022 CATH TESIO 270
15010023 VASCULAR GRAFT-40CM 270
15010026 SURGICAL LOOPS 270
15010027 MESH-POLY 3 X 6 CM 278
15010028 CORD-ELECTROSURGICAL-DISP. 270
15010029 ENDO CLOSE 270
15010030 BLADE-DISSECTING HOOK 5MM 270
15010031 BLADE-COAG. SHEARS 270
15010032 BLADE-DISSECTING HOOK 10CM 270
15010033 HERNIA PATCH-SMALL 270
15010034 HERNIA PATCH-MEDIUM 270
15010035 LAP COAG SHEAR-15MM 270
15010036 BLADE-ULTRACISION-CURVED-32CM 270
15010037 BLADE-ULTRACISION-CURVED-14CM 270
15010038 PLATE-ORTHO-1/3 TUBULAR 270
15010039 GASTROSTOMY KIT PEG 20 FR.-PULL 270
15010040 GASTROSTOMY TUBE-MAGNA PORT 270
15010041 SURGICEL 2X3 SMALL 270
15010042 SURGICEL 4X8 LG 270
15010043 COLOSTOMY KIT 270
15010044 STAPLER-HERNIA-VERSATACK 4MM 270
15010045 STAPLER REFILLS-VERSATACK 4MM 270
15010046 MESH-SURGIPRO 1 X 4 278
15010049 SPECIMEN COLLECTION TRAP 270
15010050 ENDOPATH-PISTOL GRIP HAND CONTROL 270
15010051 ENDOPATH-PENCIL GRIP HAND CONTROL 270
15010052 ENDOPATH-HOOK ELECTRODE 5MM SHAFT 270
15010053 ENDOPATH-SPATULA ELECTRODE 5MM SHAFT 270
15010054 ENDOPATH-CANNULA OPEN END SUCT/IRRGT 270
15010055 NEEDLE COUNTER 270
15010056 DRESSING-SCARLET RED 270
15010057 MESH-DUAL-LAP 10X15 278
15010058 MESH-DUAL-LAP 15X19 278
15010059 MESH-DUAL-LAP 18X24 278
15010060 MESH-DUAL-LAP 26X34 278
15010061 SURGICAL STAYS-ELASTIC 5MM 270
15010062 MESH-VISILEX 4.5 X6 278
15010063 BIOPSY FORCEP-HOT- DISP. 270
15010064 PIN GUARD-K-WIRE 270
15010065 DRAPE-U LONG-SURGICAL 270
15010067 UNFOLDER-IOL 270
15010069 WRISTJACK SYSTEM-STERILE 270
15010070 MESH-HERNIA-KUGEL 5.5X7 278
15010071 MESH-HERNIA VENTRALEX-MED CIRCLE 278
15010072 MESH-OVAL KUGEL 7X9 278
15010073 MESH-HERNIA-KUGEL 4.3X5.5 278
15010075 MESH-HERNIA VENTRALEX-LG 278
15010078 MESH-HERNIA VENTRALEX-SMALL CIRCLE 278
15010080 VISION BLUE 270
15010082 MESH-HERNIA-TINTRA 15CM 278
15010084 MESH-HERNIA-TINTRA 10CM 278
15010085 CAPSULAR TENSION RING 270
15010087 IRIS RING-MALYUGIN 270
15010090 PAIN MGT. PUMP-ON-Q/270ML/4ML 270
15010093 ISOVUE-M 200 270
15010094 ENDOPATH-SCISSORS CVD 5MM/CAUTERY 270
15010095 MESH-PROLENE 3X6 278
15010097 GLAUCOMA VALVE-AHMED 270
15010099 GASTROSTOMY TUBE 18-28FR. 270
15010100 NEEDLES-SPINAL 22X5 270
15010101 MESH-HERNIA SYSTEM-LG. 278
15010104 MESH 10X14-HERNIA 278
15010105 NEEDLES-EPIDURAL-HUSTEAD 270
15010108 NEEDLE-CYSTOSCOPIC INJECTION 270
15010110 NEEDLE-EPIDURAL 6 -TUOHY 270
15010113 NEEDLE-EPIDURAL 20X3 1/2-TUOHY 270
15010120 VISCOELASTIC-HEALON/VISCOAT 270
15010121 VISCOELASTIC-PROVISC 270
15010125 IRIS RETRACTORS 270
15010130 NEEDLES-SPINAL 22X7 270
15010133 MESH-BARD PERFIX PLUG-SM. 278
15010134 MESH-BARD PERFIX PLUG-MED. 278
15010135 MESH-BARD PERFIX PLUG-LG. 278
15010136 MESH-BARD PERFIX PLUG-XL 278
15010137 15X30 PHASIX OPS - BARD MESH 278
15010139 VENTRIO ST 22X27 - BARD MESH 278
15010140 LAP ENDO L HOOK 270
15010142 SKIN/NASAL PREOP PREP KIT 270
15010150 STAPLER-CIRCULAR 28MM 270
15010158 ACL REPAIR KIT 360
15010160 LAG SCREW-CANNULATED SCREW SYSTEM 270
15010163 PNEUMOTHORAX TRAY-WAYNE 270
15010165 SCREW COUNTERSINK-CANNULATED 270
15010167 STAPLER-HEMORROID 33MM 270
15010170 GUIDE WIRES-CANN. SCREW SYSTEM 270
15010175 BONE ANCHOR-SOFT TISSUE 270
15010180 CATHETER-CHOLANGIOGRAM 5MMX23CM 270
15010185 BIOPSY FORCEP-DISP. 270
15010190 MESH-HERNIA-PHASIX OPS 15X30 278
15010192 SUCTION IRRIGATOR W/O TIP 270
15010194 SUCTION IRRIGATOR SPATULA TIP 270
15010197 ESOPHAGEAL DILATOR 270
15010200 ELECTRODE-BUGBEE 5 FR. 270
15010202 MASK-FACE-T-MAX 270
15010205 TOURNIQUET CUFF STERILE 270
15010208 TOURNIQUET CUFF-DUAL-STERILE 270
15010210 STENT-URETERAL-CONTOUR VL 270
15010215 GUIDEWIRE-STENT-STRAIGHT 270
15010218 GUIDEWIRE-POWER PORT 270
15010220 ELECTRODE-BUGBEE 8 FR. 270
15010225 ELECTRODE-ROLLER BALL 24-26 FR. 270
15010230 ELECTRODE-LOOP 24FR. 270
15010235 ELECTRODE-KNIFE-UROLOGY 270
15010240 ELECTRODE-GROOVED-UROLOGY 270
15010242 OSTOMY KIT 2-3/4 270
15010245 CAUTERY BLADE-LAP L HOOK 270
15010250 TROCAR WOUND CLOSURE 270
15010252 MESH-HERNIA-RESTRATA 278
15010255 ANCHOR-ORTHO-ALL THREAD 270
15010260 BONE SCREW-MINI-CORTICAL 270
15010265 DRILL BIT-ORTHO-QUICK CONNECT 270
15010270 VAGINAL TVT W/OBTURATOR SYSTEM 270
15010275 INSTRUMENT PURSTRING 65-DISP. 270
15010280 NEEDLE-CONTRAST-25G 270
15010285 GASTROSTOMY TUBE REPL. 20 FR. 270
15010290 ENDO UNIVERSAL GIA HANDLE 12MM 270
15010295 ENDO GIA 2.5-30MM 270
15010300 ENDO GIA 3.5-30MM 270
15010305 NEEDLE INSUFFLATION 14G 120MM 270
15010310 VERSASTEP DIALATOR 5MM 270
15010315 VERSASTEP DIALATOR 12MM 270
15010318 RETRIEVAL NET-ROTATABLE 270
15010320 ENTEROSCOPIC RETRIEVER 270
15010332 ELECTRODE PLASMA LOOP-RESECTION 270
15010335 SUBMUCOSAL LIFTING AGENT-ORISE GEL 270
15010340 ENDOSCOPIC MARKER- SPOT 270
15010345 LAP HANDPIECE TIP-MARYLAND 270
15010350 LAP HANDPIECE TIP-METZ 270
15010355 HEMOSTATIC CLIPPING DEVICE 270
15010357 NEEDLE INJECTION 25G 270
15010360 NEEDLE SCLEROTHERAPY 270
15010365 BALLOON DILATORS 270
15010370 BAND LIGATOR 270
15010375 INFLATION SYRINGE/GAUGE ASSY. 270
15010380 CATHETER INJECTION 2.3MM/3.3MM 270
15010385 IMPLANT-MENISCAL REPAIR 270
15010390 KNOT PUSHER/SUTURE CUTTER 270
15010395 HEMOSTAT-ABSORBABLE-ARISTA 270
15010400 CATH-FILIFORM-STR. TIP 270
15010403 STAPLER GIA80-INTERNAL-MEDIUM 270
15010404 STAPLER GIA80-INTERNAL-RELOAD 270
15010405 STAPLER LINEAR 3.5MM 270
15010406 STAPLER-LIGASURE-OPEN 270
15010408 STAPLER LINEAR 3.5MM-RELOAD 270
15010410 BALLOON DILATORS-COLONIC 270
15010415 CYTOLOGY BRUSH 270
15010425 CAUTERY TIP 270
15010430 SNARE-DISP. 7 FR. 1.5 CM 270
15010435 SNARE-DISP. 7 FR. 3 CM 270
15010440 ORTHOCORD-VIOLET 270
15010445 SET IRRIGATION-CBI 270
15010450 SNARE-DISP.-MED. OVAL-MED. STIFF 270
15010455 LIGASURE DEVICE-5MM-MARYLAND JAW 270
15010460 SNARE-DISP.-MED. OVAL-FLEXIBLE 270
15010475 PLATE-ORTHO-S&N 270
15010480 SCREW-ORTHO-S&N 2.0MM 270
15010485 SCREW-ORTHO-LOCKING-S&N 2.0MM 270
15010500 OS PUTTY 5CC-PODIATRY 270
15010505 C PLATE-PODIATRY 270
15010510 SCREW-FIXATION PODIATRY 270
15010515 DRILL BIT-PODIATRY 270
15010520 SCREW & WASHER-PODIATRY 270
15010525 WASHER-PODIATRY 270
15010530 PLATE-ORTHO-SYNTHES 270
15010535 DRILL BIT-ORTHO-SYNTHES 270
15010540 SCREW-SELF TAPPING-ORTHO-SYNTHES 270
15010545 SCREW-LOCKING-ORTHO-SYNTHES 270
15010548 K-WIRE-PODIATRY-150MM 270
15010550 CORD-BIPOLAR-DISP. 270
15010560 PLATE-ORTHO-1/3 TUBULAR-W/COLLAR 270
15010565 DRILL BIT-ORTHO-QC-SYNTHES 270
15010570 SCREW-SELF TAPPING-CORTEX/CANC 270
15010575 ARTHROSCOPY PUMP TUBING-MAIN 270
15010580 SHAVER BLADE/BONE CUTTER/BURR-ORTHO 270
15010585 PAD-ABSORBENT-DRI-SAFE 270
15010590 FLUID DIAMOND 270
15010600 SHAVERDRILL BIT-ORTHO 270
15010605 OBTURATOR W/TROCAR-ORTHO 270
15010610 GASTROSTOMY KIT PEG 20 FR.-PUSH 270
15010615 DRAIN-BLAKE 270
15010620 J-VAC RESERVOIR BULB 270
15010625 DRESSING-STERI-STRIP-LAP 270
15010627 DRESSING-PROVENA 20CM 270
15010630 MESH-HERNIA-INGUINAL-OVAL 278
15010635 MESH-HERNIA-INGUINAL-MED. 278
15010640 MESH-HERNIA VENTRALIGHT 6 278
15010642 MESH-HERNIA VENTRALIGHT 6 X8 278
15010645 TACKING DEVICE-HERNIA 272
15010650 HARMONIC LAP SHEAR 272
15010655 OSTEOSET-RESORBABLE MINI BEADS 272
15010660 MESH-HERNIA VENTRALIGHT 4.5 278
15010665 SCISSORS INSERT- CVD 5MM 270
15010670 TRIMANO BEACH CHAIR KIT 270
15010675 HEAD POSTIONER-UNIV. 270
15010680 BREAST BINDER 270
15010685 ARTHROSCOPY COBLATION WAND 270
15010690 HAND FRACTURE SET 270
15010695 MESH-HERNIA VENTRALIGHT 4 X6 278
15010700 SPECIMEN CONT.-GRIDVIEW 270
15010705 SURGIFOAM 100 270
15010710 LEG HOLDER CUSHION 270
15010715 MANIFOLD-SINGLE PORT-NEPTUNE 270
15010720 MANIFOLD-DUAL PORT-NEPTUNE 270
15010725 SURGICAL HOOD-STRYKER 270
15010790 MESH-HERNIA VENTRIO-MED. OVAL 278
15010795 CRYSTAL CANNULA 270
15010797 PLUME-AWAY ULTRA FLOW LAP 270
15010800 MESH-HERNIA VENTRIO-LG. OVAL 278
15010810 MESH-HERNIA VENTRIO-XL OVAL 278
15010820 OPTIFIX ANCHOR-OPEN 272
15010830 CYSTOSCOPE - DISPOSABLE 272
15010835 CYSTO GRASP FORCEP 272
15010840 URETEROSCOPE - DISPOSABLE 272
15010845 NEEDLE CHIBA 22G X 20CM 272
15010850 RHINOSCOPE - DISPOSABLE 272
15010855 URETERAL SHEATH-NAVIGATOR 272
15010860 URETERAL SHEATH-NAVIGATOR 13/15 36CM 272
15010865 URETERAL SHEATH-NAVIGATOR 11/13 36CM 272
15010870 STONE RETRIEVAL BASKET-ZERO TIP 272
15010875 PUMPING SYSTEM-SAPS-UROLOGY 272
15010880 GUIDEWIRE-ZIPWIRE-UROLOGY 272
15010885 STENT-URETERAL 278
15010888 GUIDEWIRE-FLEXIBLE 15CM 272
15010890 UROLOK ADAPTOR-UROLOGY 272
15010895 BIOPSY FORCEP-DISP.-JUMBO 270
15013100 FLEXIBLE COLONOSCOPY W/ REGULAR BIOPSY 360
15013120 CAST PADDING-3 ,4 -WEBRIL 270
15013175 FLEXIBLE COLONSCOPY, W/ HOT BIOPSY 360
15013400 FLEXIBLE COLONSCOPY, IMCOMPLETE 360
15013450 SMOKE EVAC-IONWAND 270
15013481 FLEXIBLE COLONSCOPY, IMCOMPLETE W/ANESTH 360
15014200 COLONOSCOPY W/BIOPSY/POLYPECTOMY/ELECTRO 360
15015287 DIOD LASER PROCEDURE - 1 PT/DAY 360
15015600 FLEXIBLE COLONSCOPY, W/CONTROL BLEEDING 360
15016000 BOUGIE ESOPHAGEAL DILITATION W/0- ENDOSC 360
15016050 FLEXIBLE SIGMOIDOSCOPY,W/ REGULAR BIOPSY 360
15016099 FLEXIBLE SIGMOIDOSCOPY W/BIOPSY/POLYPECT 360
15016175 FLEXIBLE SIGMOIDOSCOPY, W/ HOT BIOPSY 360
15016280 FLEXIBLE SIGMOIDOSCOPY,CONTROL BLEEDING 360
15016298 FLEXIBLE SIGMOIDOSCOPY, REM FOREIGN BODY 360
15016320 ESOPHOGASCOPY, W/REGULAR BIOPSY 360
15016323 ESOPHOGASCOPY, W/ DILITATION 360
15016348 ESOPHOGASCOPY, SCREENING 360
15016398 ESOPHOGASCOPY, W/ HOT BIOPSY 360
15016399 INSERTION TRIPLE LUMEN CATHETER 360
15016400 ASPIRATION BREAST CYST 360
15016402 GASTROSCOPY, W/REGULAR BIOPSY 360
15016422 GASTROSCOPY WITH BIOPSY/POLYPECTOMY/ELEC 360
15016476 GASTROSCOPY, W/HOT BIOPSY 360
15016492 CATARACT SURGERY PROCEDURE INCLUDING LEN 360
15016501 GASTROSCOPY, W/CONTROL OF BLEEDING 360
15016525 GASTROSCOPY, W/DILITATION 360
15016530 GASTROSCOPY, W/DILITATION&BIOPSY 360
15016598 GASTROSCOPY,W/REM OF STENT/FOREIGN BODY 360
15016722 ESOPHOGASCOPY,W/REMOVAL OF FOREIGN BODY 360
15016797 ESOPHOGASCOPY, W/CONTROL OF BLEEDING 360
15016798 EGD PLACE GASTROSTOMY TUBE 360
15016810 MAJOR 1ST 1/2 HOUR 360
15016813 CATHETER HOLDER 270
15016814 TROCAR 12MM 272
15016822 MAJOR EA ADD 1/4 HOUR 360
15016834 MINOR 1ST 1/2 HOUR 360
15016846 MINOR EA ADD 1/4 HOUR 360
15016858 MINOR MISC TIME 1/4 HOUR 360
15016883 MAJOR PROCEDURE CANCEL FEE 360
15016895 MINOR EXCISION 360
15016901 CAUTERIZATION 360
15016910 PROBE ASPIRATION & LAVAGE 270
15016913 PROCTOSCOPY EXAM 360
15016925 PLASTIC REPAIR & DENTALS 270
15016937 GASTROSCOPY, SCREENING 360
15016938 GASTROSCOPY, DIAGNOSTIC 360
15016949 CYSTOSCOPY 360
15016950 FLEXIBLE SIGMOIDOSCOPY, SCREENING 360
15016952 FLEXIBLE SIGMOIDOSCOPY, DIAGNOSTIC 360
15016962 VASECTOMY 360
15016974 BLADE, BEAVER 6600 270
15016986 BACK-UP SYSTEM 270
15016998 FILTER STORZ 270
15017000 BOUGIE ESOPHAGEAL DILITATION W/O ENDOSCO 360
15017085 EXTRA PREP SET 270
15017116 CYSTOSCOPIC INJ. NEEDLE 270
15017118 HEMOVAC COMPONENT KIT 270
15017125 INCISE DRAPE-IOBAN-23X33 270
15017127 POOLE SUCTION 270
15017176 ELECTROCAUTERY 360
15017188 PILLING RETRACTOR 270
15017218 BONE SCREW-CORTICAL/CANCELLOUS 270
15017279 COMPRESSION SCREW 270
15017280 LIGACLIP 200 270
15017292 LIGACLIP 400 270
15017295 DRAIN-HUBLESS W/TROCAR 270
15017332 STAPLER PROTACK 5MM 270
15017333 STAPLER GIA 55 MM-CUTTER 270
15017334 STAPLER GIA 55-CUTTER LOADING UNITS 270
15017346 SURGICAL STAPLES-LINEAR 30 3.5MM 270
15017347 CHOLANGIOCATH - LAP 270
15017348 DRAPE, TOWEL - EYE 270
15017349 STAPLER GIA 75-CUTTER 270
15017350 STAPLER GIA 75-CUTTER LOADING UNITS 270
15017365 GRASPER-3 PRONG-TRIPOD 270
15017414 AIRWAY SPLINT, NASAL 270
15017450 CATH-URETERAL-CONE TIP 270
15017460 CATH-URETERAL-OPEN-END-FLEXI-TIP 270
15017470 CHOLANGIOGRAPHY SET-MIXTER 270
15017486 URO-JET JELLY 270
15017498 RENO-M-60 270
15017499 OPTHAMOLOGY FULL BODY DRAPE 270
15017500 BLADE, VACUUM TREPHINE 8.0 MM 270
15017501 BLADE, SUPRA 270
15017502 CORNEA, PROCESSING FEE 360
15017528 DERMATOME HEAD DISP 270
15017530 DERMATOME BLADE 270
15017541 COLOSTOMY SET 270
15017553 STEINMANN PIN 270
15017589 CYTOLOGY BRUSH 270
15017590 CHOLANGIOGRAPHY CATHETER 270
15017607 T-TUBE 270
15017620 J-TUBE-OVER THE GUIDEWIRE 270
15017621 ELECTROHYDROLIC LITHOTRIPSY RENTAL FEE 270
15017622 ELECTROHYDROLIC LITHOTRIPSY PROBE 270
15017623 J-TUBE-OPEN-14 FR. 270
15017632 DENNIS TUBE 270
15017656 CATH-PEZZER/MUSHROOM 270
15017693 GELFOAM SPONGE-SIZE 100 270
15017700 GELFOAM-12X7 270
15017814 BLOOD PRESSURE MONITOR 360
15017838 TROCAR CATHETER 270
15017840 DRAINAGE STAND 270
15017851 LARGE SYRINGE 270
15017852 ENDOPATH REDUCER CAP-1SEAL 270
15017853 ENDO RETRIEVAL BAG 5MM/10MM 270
15017854 ENDO LOOP 270
15017860 ENDOPATH BLUNT TIP DISSECTOR 270
15017899 STERILE CONNECTOR 270
15017905 TIP CLEANER 270
15017906 THROMBIN 270
15017910 SUTURE PASSER 270
15017915 TOE FUSION 270
15017917 NEEDLE COUNT PAD 270
15017918 TOE IMPLANT 270
15017919 MICROSAW BLADE-ARTHREX/STRYKER 270
15017920 BURR - ORTHO 270
15017921 MICROSAW RENTAL 270
15017922 ENDO UNIVERSAL LINEAR CUTTER 55 270
15017923 ENDO UNIVERSAL 65 4MM-LOADING UNIT 270
15017924 MESH-SURGIPRO 3 X 5 278
15017925 VERSAPORT 5-12 270
15017926 TROCAR SLEEVE 12MM 270
15017929 STOCKINETTE 270
15017930 BLADE ELECTRODE 6 INCH 270
15017931 MESH-SURGIPRO 14 X 9 278
15017935 BURR-BONE-PODIATRY 270
15017938 BLADE-SAGITTAL-TOTAL KNEE/ARTH. 270
15017940 BLADE-RECIPROCATING-TOTAL KNEE 270
15017942 EMBOLECTOMY CATHETER 270
15017966 PROCTO SUCTION 270
15017991 LAG SCREW 270
15018000 IMPLANT SYSTEM-MINI-FOOT 270
15018004 COMPRESSION TUBE & PLATE 270
15018016 BONE SCREWS 3/8 TO 2 270
15018028 BONE SCREWS 2 & LONGER 270
15018030 K-WIRE 270
15018041 K-WIRE 9 270
15018042 K-WIRE-PODIATRY 270
15018043 GUIDE PIN-PODIATRY 270
15018044 DRILL BIT-CANN.-PODIATRY 270
15018045 DRILL ATTACH.-PODIATRY 270
15018046 UNI-CLIP-PODIATRY 270
15018050 DRILL BIT-TWIST-PLAIN SHANK 270
15018053 THREADED K-WIRE 270
15018065 GEGLI SAW BLADE 270
15018077 VEIN STRIPPER 270
15018090 POSTERIOR SPLINT 270
15018107 BELOW ELBOW CAST 270
15018119 ABOVE ELBOW CAST 270
15018120 BELOW KNEE CAST 270
15018132 ABOVE KNEE CAST 270
15018133 SHUNT, DENVER 272
15018144 UNILATERAL HIP SPICA 270
15018156 BILATERAL HIP SPICA 270
15018168 ENDO RETRACT 270
15018170 BUTTERFLY 270
15018181 STAPLER-CIRCULAR-CDH 270
15018182 ROTICULATOR STAPLER 55 4.8MM 270
15018185 SURGICAL STAPLES-LINEAR 30 3.5MM-LOADING 270
15018190 SEALANT-SKIN-INTEGUSEAL 270
15018193 GASTROSTOMY FEEDING TUBE 270
15018195 GASTROSTOMY SET-PEG-PUSH 270
15018198 FEEDING TUBE-JEJUNAL 270
15018200 IVPB TUBING 270
15018211 VISCERA RETAINER 270
15018215 ARM CRADLE 270
15018223 CARDIAC MONITOR 360
15018235 TOPICAL THROMBIN 250
15018272 LDS STAPLER 15W-POWERED 270
15018284 STONE RETRIEVER 270
15018314 MERSILENE MESH 6 X 12 270
15018326 MERSILENE MESH 12 X 12 270
15018340 VALIUM 2CC 10MG 250
15018351 GLUCAGON 270
15018363 REGLAN 270
15018375 KEFLIN GM. 1 360
15018387 KEFLIN GM. 2 360
15018417 OR SUTURE CATEGORY A 270
15018429 OR SUTURE CATEGORY B 270
15018430 OR SUTURE CATEGORY C 270
15018442 OR SUTURE CATEGORY D 270
15018454 OR SUTURE CATEGORY E 270
15018466 OR SUTURE CATEGORY F 270
15018478 TOURNIQUET 270
15018480 FOGARTY BILIARY CATH 270
15018491 LENS-OPTHALMIC-RESTOR 276
15018492 LENS-OPTHALMIC 276
15018493 LENS-OPTHALMIC-ALCON 276
15018500 LENS-OPTH.-AMO-TORIC 276
15018505 LENS-OPTH.-ALCON-PANOPTIX 276
15018512 FLEXIBLE COLONOSCOPY 360
15018515 LENS-OPTH TECNIS 276
15018522 ARTHROSCOPY 360
15018545 GELFOAM SPONGE 12.7MM 270
15018563 PROCEDURE VISUALIZATION DOCUMENTATION 360
15018594 NEEDLE BIOPSY-TRUCUT 14GAX4.5 270
15018600 NEEDLE-CYSTOSCOPE 270
15018605 NEEDLE BIOPSY-JAMSHIDI 8G 270
15018612 COLLAGEN SHIELD 270
15018636 CAUTERY-ERASER TIP 270
15018648 EYE SPEARS 270
15018650 ANTERIOR CHAMBER CANNULA 27GA. 270
15018661 KNIFE BLADE - 6700 270
15018673 MICRO BLADE - 7513 270
15018685 INCISE DRAPE - EYE 270
15018764 ADRENALIN 360
15018776 IODINE TINCTURE 3.5% 250
15018806 TOBRADEX 5 ML 270
15018820 MARCAINE 0.5% W/ EPINEPHRINE 250
15018821 ENDO SHEAR 270
15018822 ENDO CLIP APPLIER-L 270
15018823 ENDO STITCH-LAP 270
15018824 ENDO STITCH-LOADING UNIT 270
15018825 VISIPORT-OPTIVIEW 270
15018826 ENDO LINEAR CUTTER 45MM 270
15018827 ENDO LINEAR CUTTER 45MM-RELOAD 270
15018828 SURGICLIP L 13.0 270
15018829 SURGICLIP APPLIER 9.375/11.5 270
15018830 ENDO UNIVERSAL 65 4.8MM 270
15018831 ENDO DISSECTOR 270
15018832 TROCAR 5MM 270
15018833 SURGICAL STAPLES TA90 4.8MM 270
15018834 SURGICAL STAPLES TA90 4.8-LOADING UNIT 270
15018835 TUBING SET W\ HYDROVALVE HANDPIECE 270
15018836 ENDO CLIP APPLIER-ML 270
15018837 ENDO UNIVERSAL 65 4.8MM-LOADING UNIT 270
15018838 SURGIVIEW 270
15018839 VERSAPORT 5-10 LONG 270
15018840 TROCAR SLEEVE 5MM 270
15018841 ENDO BABCOCK 270
15018844 BALLOON DISSECTOR-SPACEMAKER 270
15018845 BALLOON DISSECTOR-EXTRA VIEW 270
15018846 BALLOON DISSECTOR-TROCAR 270
15018867 TROCAR ENDOPATH 10/11 MM 270
15018879 TROCAR BLUNT TIP 12MM 270
15018890 ENDO CLIP APPLIER-5MM 270
15018895 LAPAROSCOPIC INSTR.-THUNDERBEAT 20CM,35C 270
15018905 ENDO PADDLE RETRACTOR 12MM 270
15018910 LIGACLIP APPLIER 270
15018911 T-TUBE, INFLATABLE 270
15018912 SUMP TUBE, WEIGHTED 270
15018922 PUMP VAC IRRG TUBING 270
15018940 LAPAROSCOPIC TUBING-STERILE 270
15018946 BLADES SURGICAL 270
15018950 INJECTION PROCEDURE, LUMBAR OR SACRAL 360
15018960 ENDO CHOLE KIT 270
15018971 ABDUCTION PILLOW 270
15018980 LAP/CHOLE PACK STOCK 270
15018983 LAP/CHOLE PACK 270
15018985 LAP/CHOLE TRAY 272
15018995 EYE CAUTERY 270
15019008 ASPIRATION TRAY 270
15019010 BASINS 270
15019015 TROCAR 11MM 270
15019021 DRESSING TRAY 270
15019045 IRRIGATION SETS 270
15019050 INJECTION PROCEDURE,LMBR/SCRL - EXTENDED 360
15019070 STERNAL PUNCTURE TRAY 270
15019082 SUTURE SET 270
15019094 TRACHEOTOMY TRAY 270
15019100 VAGINAL SPECULUMS 270
15019112 VENOUS CUTDOWN 270
15019148 BURN LINEN 270
15019150 INFANT LINEN 270
15019173 TRACH TUBE-LPC 270
15019185 TRACHEOTOMY TUBE PED 270
15019197 EYE TRAY 270
15019198 SURGINEEDLE 120MM 270
15019199 BSS ADMINISTRATION SET 270
15019200 SURGINEEDLE 150MM 270
15019215 CATHETER SET-SUPRAPUBIC 270
15019227 MARCAINE 25% 250
15019240 EQUIPMENT COVERS 270
15019252 CAMERA COVERS 270
15019264 URETERAL DBL PIGTAIL SET 270
15019276 URETERAL BRUSH BIOPSY SET 270
15019288 UROLOGICAL CONNECTING TUBE 270
15019306 WHISTLE TIP URETERAL CATH 270
15019318 STAMEY URETERAL CATH W/STYLET 270
15019320 POLYU URET CATH SPIRAL TIP 270
15019331 URETHRAL FILIFORM W/OLIVE TIP 270
15019343 CATH 5CC COUDE TIP 270
15019350 CATH-URETHRAL-COUDE TIP 270
15019355 MALECOT DRAIN 270
15019367 CATH 5CC COUNCIL MODEL 270
15019370 CATH 30CC FOLEY 270
15019379 FILIFORM CATH - OLIVE TIP 270
15019380 FILIFORM CATH - SPIRAL TIP 270
15019392 FOLLOWERS - STRAIGHT TIPS 270
15019409 CATH-URETERAL-OLIVE TIP 270
15019410 TURP 270
15019422 CATH 22FR 30CC CONT IRRG. 270
15019434 CATH 24FR 30CC CONT. IRRG. 270
15019446 BARD URETERAL OLIVE TIP 270
15019450 CATHETER WEDGE 270
15019458 ENDOSCOPY BIOPSY 360
15019471 OXYCEL 250
15019483 EAR TUBE T-GROMMET 270
15019495 COTTONOID SURG PATTIES 1/2X3 270
15019501 EAR TUBE-ARMSTRONG VENT 270
15019513 NASAL SPLINT - EXTERNAL 270
15019525 ELECTRODE FLAT L 270
15019537 KNIFE BLADES - ENT 270
15019604 DEPOMEDROL 40 MG/ML 270
15019628 EPNPHRNOPTH 1.1 360
15019689 I/A PACK 270
15019720 MEROCEL SPEARS 270
15019732 INSTRUMENT WIPES 270
15019744 CYSTOTOME NEEDLE 25GA. 270
15019768 EYE DRAPE - IRRG 270
15019770 EYE DRAPE - INCISE 270
15019800 KNIFE-OPTH.-15 DEG. 270
15019805 KNIFE-OPTH.-CRESCENT ANGLED 270
15019810 KNIFE-OPTH.-LRI-CRESTPOINT 270
15019811 CRYOPHAKE 270
15019815 KNIFE-OPTH.-SLIT CLEAR CORNEA 45DEG. 270
15019859 WET FIELD CAUTERY 270
15019860 OR SUTURES OPTHALMICS 270
15019872 MAXITROL OP OINTMENT 250
15019884 COCCAINE SOLUTION 4% 5CC 360
15019885 ARTHROSCOPY SUPPLIES 272
15019886 ARTHROSCOPY SUPPLIES IMPLANTABLE 278
15019887 CONNECTIVE TISSUE, HUMAN 278
15019888 ARTHRO JOINT DEVICE (IMPLANTABLE) 278
15019889 ORTHO SURGERY IMPLANTABLE 278
15019902 ENT HEADLIGHT 270
15019914 PROSTHESIS-HIP 270
15019938 MARCAINE HCL 0.75% INJECTION 250
15019999 DRAPE INCISE-HIP 270
15020000 2.4 CORTEX SCREW SLF-TPNG T8 SD REC 18 278
15020001 2.7 CORTEX SCREW SLF-TPNG T8 SD REC 278
15020002 1.5 DRILL BIT W/DEPTH MARK MINI QC/96 272
15020003 1.8 DRILL BIT W/DEPTH MARK QC/110MM 272
15020004 2.0 DRILL BIT W/DEPTH MARK QC/140MM 272
15020005 CLEARMIX SINGLE DOUBLE MIX 272
15020006 BIOMET BONE CEMENT R 1X40US 278
15020007 HEADLESS TROCAR DRILL PIN75MM 272
15020008 PSN 2.5MM FEMALE SCREW 25MM QT 278
15020009 TOTAL KNEE IMPLANT 278
15020011 TOTAL KNEE IMPLANT 278
15020013 BONE CEMENT DEPUY CMW 2 20G 278
15020014 QUICK-VAC MIXING BOWL SINGLE 272
15020015 2.7 VA LCKNG SCR SLF-TPNG T8 SD REC 12 278
15020018 2.7 VA LCKNG SCR SLF-TPNG T8 SD REC 278
15020019 2.4/2.7 VA FIRST MTP FUSN PL/SM/5DEG/RT 278
15020020 1.6 COMP WIRE 15 THREAD/150/LENGTH 272
15020021 1.6 COMP WIRE 20 THREAD/150/LENGTH 272
15020022 2.0 CORTEX SCREW SLF-TPNG T8 SD REC 14 278
15020023 2.0 CORTEX SCREW SLF-TPNG SD REC 12 278
15020024 2.0 CORTEX SCREW SLF-TPNG SD REC 14 278
15020026 2.0MM TI CORTEX SCREW SELF-TAPPING 278
15020027 2.0MM TI STRAIGHT PLATE 6 HOLES/35MM 278
15020029 1.5MM DRILL BIT STRYKER J-LATCH/75MM 272
15020200 8MM SINGLE USE OATS DISPOSABLE KIT 278
15020201 12MM SINGLE USE OATS DISPOSABLE KIT 278
15020202 SCORPION NEEDLE 272
15020203 SCREW CANN. INT.,W/DISP SHTH 278
15020204 SCORPION NEEDLE - SUREFIRE 272
15020205 SCORPION NEEDLE - MULTIFIRE 272
15020206 DBL LOADED 4.75MM BIO-COMP SWIVELOCK 278
15020207 4.75MM BC SWIVELOCK 278
15020208 CANNULA TWIST IN 272
15020209 TRIPLEDAM CANNULA 7MM ID X 7CM VALVED 272
15020210 SPEEDBRG IMP SYS W/BIO-COMP SWVLK & NDL 278
15020211 FW BPD #2 SUTR BLU W/NDL 272
15020212 SUTURETAPE 1.2MM W/NEEDLE WHITE/BLUE 272
15020213 SUTURETAPE 1.3 BLK/WH W/TPR NDL 36.6 272
15020214 2-0 SUTURETAPE 272
15020215 2-0 SUTURETAPE MNISCUS REPAIR NEEDLES 272
15020216 MID POST CANNULA LEFT ZONENAVIGATOR 272
15020217 SABRETOOTH 3.5MM X 13CM 272
15020218 PORTAL SKID 272
15020219 FIBERSTICH IMPLANT STRAIGHT 272
15020220 KNOT PUSHER/SUTURE CUTTER W/PORTAL SKID 272
15020221 REAMER LOW PROFILE 272
15020222 ANKLE DISTRATOR STRAP 272
15020223 DISPS KIT TRANS-TIB ACL W/SAWBLD 272
15020224 LNT IMPLANT SYSTEM 4.75 BC SWIVELOCK 278
15020225 PROXIMAL TENODESIS IMPLANT SYSTEM 278
15020226 DISPS KIT TRANS-TIB ACL W/O SAWBLD 272
15020227 FIBERTAPE 272
15020230 LNT IMPLANT SYSTEM, 2.9 BC PUSHLOCK 278
15020231 PERC INSERT KIT FOR 2.9MM P-LCK 272
15020232 SUTR ANCH,BIO-COMP P-LCK,2.9X 12.5MM 278
15020233 QUICKPASS LASO 272
15020234 LABRALTAPE, WHITE 1.5MM 36 272
15020235 APOLLO RF 50 272
15020236 TENODESIS GRAFT SIZING KIT W/FL ST 272
15020237 IB KIT, MINI,PEEK,CC FT, W/JUMPSTART 278
15020238 BC IF SCRW, VENTED 278
15020240 SUTURETAPE FIBERLINK 272
15020241 2-0 FIBERSTICK, 2-0 FIBERWIRE 272
15020242 ANTERIOR CANNULA, ZONENAVIGATOR 272
15020243 5.5MM CORKSCREW FT W/SUTURETAPE 278
15020244 IMPLANT SYSTEM, SWIVELOCK 278
15020245 TIGERLINK SUTURETAPE 0.9MM WH/BLK 272
15020246 MENISCAL ROOT KIT 278
15020248 LOOP ELECTRODE 26 FR. 30 DEG. 272
15020250 RESECTION ELECTRODE 24-28FR.-12/30 DEG 272
15020251 2.9 MM HIP PUSHLOCK DISPOSABLES KIT 272
15020252 BURR, ROUND, HL, 8 FLUTE, 4.0MM X 19cm 272
15020253 CURVED, HL 4.2MM X 19CM 272
15020254 HIP ARTHRSCPY MSTR DISP KIT W/BLD 272
15020255 DISPOSABLE CAPSULOTOMY BLADE 272
15020256 HDS DISPOSABLE PAD KIT 272
15020257 TRIM-IT CUSTOM HIP CANNULA 272
15020258 CAPSULESTITCH SUTURE PASSER 272
15020259 #2 FIBERSTICK, #2 FIBERWIRE 272
15020260 COMP REV SHLDR 9 IN STEINMANN 278
15020261 COMP VS 2.7MM DIA DRL 272
15020262 COMPR AUG REAM GD SCREW 272
15020263 COMPR AUG 2.7 DRL W/STOP 272
15020264 COMPR AUG REAM GD BUSHING 272
15020265 COMP RVS 3.2MM DRL 272
15020266 COMP LK SCR 3.5HEX 4.75X15ST 278
15020267 COMP RVS CNTRL 6.5X25MMST/RST 278
15020270 COMPR AUG BSPLT W ADP SM 278
15020271 COMP RVRS SHLDR GLNSP STD 36MM 278
15020272 MB COBRAID #2 1/2 CIR NDL BX12 272
15020273 COMP PRIMARY STEM 11MM MINI 278
15020274 HMRL TRAY STD STD 278
15020275 HMRL BEARING 36MM STD VITE 278
15020276 ZONE NAVIGATOR 272
15020277 BC IF SCRW, VENTED 278
15020278 MINERVA SURGICAL HANDPIECE 272
15020279 FLD KIT SYMPHION MGMT 272
15020281 WASHER, SPIKED 278
15020282 BI-CORTICAL POST 278
15020283 DRILL - BI-CORTICAL POST 272
15020284 HD SCORPION NEEDLE 272
15020285 BIO-COMP SWIVELOCK CLD 278
15020287 SUTURETAPE FIBERLINK 272
15020300 ACHILLES TENDON, PRESHAPED 10MM 278
15020301 TENDON, SPEEDGRAFT 278
15020302 BUTTON, CORACOID 278
15020303 BIOCOMPOSITE, MENISCAL ROOT REPAIR KIT 278
15020304 MICRO SUTURELASSO, STRAIGHT 272
15020305 DISPOSABLES KIT, T3 AMZ 272
15020306 IMPLANT SYSTEM, MPFL, BIOCOMPOSITE 278
15020307 DISP KIT FOR DX SWIVELOCK 278
15020308 TENDON, VERSAGRAFT 278
15020350 2.4/2.7 VA FIRST MTP FUSN PL/SM/10DEG/RT 278
15021010 LEVEL 1 1ST 1/2 HOUR - SURGERY 360
15021015 LEVEL 1 EA ADD 1/4 HOUR - SURGERY 360
15040005 LIGATION OF HEMORRHOIDS 490
15040010 ESOPHAGEAL BALLOON DILATATION 360
15078578 MESH-KNITTED FABRIC 4X4 278
15078580 PEN BALL 270
15083013 CATARACT SURGERY 360
15085017 CAST, SHORT ARM, FIBERGLAS 270
15085029 CAST, LONG ARM, FIBERGLAS 270
15085030 CAST, SHORT LEG, FIBERGLAS 270
15085042 CAST, LONG LEG, FIBERGLAS 270
15085043 Surgical removal of the umbilicus 360
15100001 BLEPHAROPLASTY LOWER EYELID 360
15100002 BLEPHAROPLASTY UPPER EYELID 360
15100003 ABDOMINOPLASTY 2 HOUR 360
15100006 LIPECTOMY, ARM 360
15100007 LIPECTOMY, BELT 360
15100008 BREAST AUGMENTATION WITH IMPLANTS 360
15100009 BREAST REDUCTION 360
15100010 BROW LIFT ENDOSCOPIC 360
15100011 RHYTIDECTOMY, CHEEK AND CHIN 360
15100012 RHYTIDECTOMY, NECK WITH TIGHTENING 360
15100013 BREAST REDUCTION FOR GYNECOMASTIA 360
15100014 LIPOSUCTION HEAD AND NECK 360
15100015 LIPOSUCTION LOWER EXTREMITY 360
15100016 LIPOSUCTION UPPER EXTREMITY 360
15100017 LIPOSUCTION TRUNK 360
15100018 MASTOPEXY, BILATERAL 360
15100019 OTOPLASTY, PROTRUDING EAR 360
15100020 RHINOPLASTY 360
15100021 THIGH LIFT 360
15100022 BLEPHAROPLASTY LOWER EYELID MINOR 360
15100023 BLEPHAROPLASTY UPPER EYELID MINOR 360
15100024 ABDOMINOPLASTY 2 HOUR MINOR 360
15100027 LIPECTOMY, ARM MINOR 360
15100028 LIPECTOMY, BELT MINOR 360
15100029 BREAST AUGMENTATION WITH IMPLANTS MINOR 360
15100030 BREAST REDUCTION MINOR 360
15100031 BROW LIFT ENDOSCOPIC MINOR 360
15100032 RHYTIDECTOMY, CHEEK AND CHIN MINOR 360
15100033 RHYTIDECTOMY, NECK WITH TIGHTENING MINOR 360
15100034 BREAST REDUCTION FOR GYNECOMASTIA MINOR 360
15100035 LIPOSUCTION HEAD AND NECK MINOR 360
15100036 LIPOSUCTION LOWER EXTREMITY MINOR 360
15100037 LIPOSUCTION UPPER EXTREMITY MINOR 360
15100038 LIPOSUCTION TRUNK MINOR 360
15100039 MASTOPEXY, BILATERAL MINOR 360
15100040 OTOPLASTY, PROTRUDING EAR MINOR 360
15100041 RHINOPLASTY MINOR 360
15100042 THIGH LIFT MINOR 360
16021003 RECOVERY ROOM 1ST 1/2 HOUR 710
16021015 REC RM EACH ADD 1/2 HOUR 710
20074002 ELECTROENCEPHALOGRAPHY EXT MON >60 MIN 740
20074004 ELECTROENCEPHALOGRAPHY WAKE/DROWSY 21-40 740
20074007 ELECTROENCEPHALOGRAPHY WAKE SLEEP 21-40 740
20074008 ELECTROENCEPHALOGRAPHY SLEEP/COMA 21-40 740
20074010 ELECTROENCEPHALOGRAPHY EXT MON 41-60 MIN 740
20074012 ELECTROENCEPHALOGRAPHY CEREBRAL DEATH E 740
20074016 ELECTROENCEPHALOGRAPHY AT SURGERY 740
21000001 BIOPSY EXTERNAL EAR 982
21000002 EXC TISSUE HIDRADENITIS, ING W/COMPLEX 982
21000003 CHEMODENERVATION INT ANAL SPHINCTER 982
21000004 HEMORRHOIDECTOMY INTERNAL 982
21000005 EXCISION MALG LESION 2.1 TO 3.0 CM 982
22001117 EYE DETECTION FOREIGN BODY 320
22001118 INJECTION, MYELOGRAPHY 320
22001119 ENEMA THERAPEUTIC 320
22001121 KNEES AP STANDING BILAT 320
22005623 ACROMIOCLAVICULAR JOINTS BILAT 320
22008000 CT BIOPSY ABDOMINAL MASS BY SITE 360
22008010 CT BIOPSY LIVER MASS BY SITE 360
22008030 CT BIOPSY RENAL MASS BY SITE 360
22008040 CT UE WO CONTRAST 352
22008050 CT UE W/ CONTRAST 352
22008051 CT ANGIO AIF RUNOFF BILAT 350
22008052 CT ANGIO AIF RUNOFF UNI 350
22008060 CT UE W+WO CONTRAST 352
22008070 CT LE WO CONTRAST 352
22008080 CT LE W/ CONTRAST 352
22008090 CT LE W+WO CONTRAST 352
22008110 CT FACIAL BONES W/ CONTRAST 351
22008111 CT ANGIO CAROTID ARTERIES 351
22008112 CT ANGIO HEAD/COW W+WO CONTRAST 351
22008115 CT ANGIO PELVIS W+WO CONTRAST 351
22008120 CT FACIAL BONES W+WO CONTRAST 351
22008130 CT IAC'S W/O CONTRAST 351
22008140 CT IAC'S/PAROTID W/ CONTRAST 351
22008149 CT ORBITS W+WO CONTRAST 351
22008150 CT IAC'S W+WO CONTRAST 351
22008160 CT PELVIC W/O CONTRAST 352
22008170 CT PELVIC W/ CONTRAST 352
22008180 CT PELVIC W+WO CONTRAST 352
22008185 CT VENOUS W/CONTRAST UNILAT 350
22008186 CT VENOUS W/CONTRAST BILAT 350
22008190 CT 3D 350
22008200 US VENOUS RIGHT LE 921
22008201 US VENOUS LEFT LE 921
22008202 US VENOUS RIGHT UE 921
22008203 US VENOUS LEFT UE 921
22008240 MM MAMMOGRAM SURGICAL SPECIMEN 320
22008250 INJECTION PROCEDURE/SHOULDER ARTHROGRAPH 360
22008260 INJECTION PROCEDURE/CONTRAST VENOGRAPHY 361
22008289 RIBS RIGHT 320
22008290 RIBS RIGHT W/ 1V CHEST 320
22008291 RIBS LEFT W/ 1V CHEST 320
22008292 RIBS LEFT 320
22008300 RIBS BILAT W/ 1V CHEST 320
22008301 RIBS BILAT 320
22008310 SPINE 1V 320
22008311 TRIPANEL LEFT 320
22008312 TRIPANEL RIGHT 320
22008313 TRIPANEL BILATERAL 320
22008320 INJ PROC CYSTOGRAPHY 320
22008330 INJECTION PROCEDURE/RENAL CYST 360
22008500 NM TC 99M PYP 255
22008510 NM DIAG IMAG AGNT-TECHNETIUM TC99M TETRO 255
22008520 NM TC 99M SULFUR COLLOID 343
22008530 NM TC 99M MEBROFENIN 343
22008540 NM DIAG IMAG AGENT DTPA 255
22008550 NM TC 99M MAA 343
22008570 TECHNETIUM TC 99M DISOFENIN 255
22008580 NM DIAG IMAG AGENT MAG 3 343
22009593 FLUOROSCOPY <ONE HOUR 320
22009600 FLUOROSCOPY W/SPOT FILM 30 MIN 320
22009611 MANDIBLE PARTIAL 320
22009612 BONE DENSITY STUDY DEXA HIP OR SPINE 320
22009613 BONE DENSITY STUDY, WRIST 320
22009614 SKELETAL SURVEY - INFANT 320
22009635 MANDIBLE 320
22009659 MASTOIDS PARTIAL 320
22009672 MASTOIDS COMPLETE 320
22009696 FACIAL BONES PARTIAL 320
22009700 FLUOR GUIDANCE SPINE INJECTION 320
22009705 FLUOR GUIDANCE NEEDLE PLACEMENT 320
22009706 INJ HIP ARTHROGRAM 510
22009710 FLUORO GUIDANCE VENOUS ACCESS 320
22009714 FACIAL BONES COMPLETE 320
22009715 INJ ANKLE ARTHROGRAM 320
22009716 INJ KNEE ARTHROGRAM CONTRAST 320
22009738 NASAL BONES 320
22009751 ORBITS 4 VIEWS 320
22009775 SINUS PARTIAL 320
22009799 SINUS COMPLETE 320
22009817 SELLA TURCICA 320
22009830 SKULL PARTIAL 320
22009854 SKULL COMPLETE 320
22009878 NECK SOFT TISSUE 320
22009891 PHARYNX LARYNX 320
22009910 CLAVICLE 320
22009933 SCAPULA RIGHT 320
22009934 SCAPULA LEFT 320
22009957 SHOULDER 1V RIGHT 320
22009958 SHOULDER 1V LEFT 320
22009970 SHOULDER-2 VIEWS, RIGHT 320
22009971 SHOULDER-2 VIEWS, LEFT 320
22009982 SHOULDER MIN 2V RIGHT 320
22009983 SHOULDER MIN 2V LEFT 320
22009994 ACROMIOCLAVICULAR JOINTS 320
22010016 HUMERUS MIN 2V LEFT 320
22010017 HUMERUS MIN 2V RIGHT 320
22010018 CHIBA NEEDLE 320
22010019 LUNG BIOPSY SET 320
22010020 LOCALIZER NEEDLE-KOPANS 20GA 9.0 270
22010021 BIOPSY NEEDLE-X-RAY 21 GA. 320
22010029 ELBOW 2V RIGHT 320
22010042 ELBOW MINIMUM 3V RIGHT 320
22010043 ELBOW MINIMUM 3V LEFT 320
22010066 FOREARM RIGHT 320
22010067 FOREARM LEFT 320
22010108 WRIST 2V RIGHT 320
22010109 WRIST 2V LEFT 320
22010121 WRIST 3V RIGHT 320
22010122 WRIST 3V LEFT 320
22010157 HAND 2V RIGHT 320
22010158 HAND 2V LEFT 320
22010170 HAND 3V RIGHT 320
22010171 HAND 3V LEFT 320
22010194 FINGER FIRST DIGIT RIGHT 320
22010195 FINGER FIRST DIGIT LEFT 320
22010196 FINGER SECOND DIGIT RIGHT 320
22010197 FINGER THIRD DIGIT RIGHT 320
22010198 FINGER FOURTH DIGIT RIGHT 320
22010199 FINGER SECOND DIGIT LEFT 320
22010200 FINGER FIFTH DIGIT RIGHT 320
22010201 FINGER THIRD DIGIT LEFT 320
22010202 FINGER FOURTH DIGIT LEFT 320
22010203 FINGER FIFTH DIGIT LEFT 320
22010236 HIP 1V RIGHT 320
22010238 PELVIS W/UNI LT HIP 2/3 V 320
22010239 PELVIS W/BIL HIP 2 VIEWS 320
22010240 FEMUR 1V RIGHT 320
22010241 FEMUR 1V LEFT 320
22010242 FEMUR RT 2 VIEWS 320
22010243 FEMUR LT 2 VIEWS 320
22010244 PELVIS BIL HIPS 3-4 VIEWS 320
22010245 PELVIS W/HIP 1 VIEW RT 320
22010246 SCOLIOSIS STUDY 1 VIEW 320
22010247 SCOLIOSIS STUDY 2 OR 3 VIEWS 320
22010248 PELVIS W/UNI RT HIP 2/3 V 320
22010249 LUMBAR SPINAL PUNCTURE 320
22010252 PELVIS BIL HIPS MIN 5 VIEWS 320
22010253 HIPS BIL 3-4 VIEWS 320
22010254 HIP LT 2 OR 3 VIEWS 320
22010255 HIP RT 2 OR 3 VIEWS 320
22010256 PELVIS W/HIP 1 VIEW LT 320
22010257 HIP 4V RIGHT 320
22010258 HIP 4V LEFT 320
22010376 KNEE 1-2V RIGHT 320
22010377 KNEE 1-2V LEFT 320
22010390 KNEE 3V RIGHT 320
22010391 KNEE 3V LEFT 320
22010418 KNEE 4V RIGHT 320
22010419 KNEE 4V LEFT 320
22010431 KNEE 5V 320
22010455 TIBIA+FIBULA RIGHT 2 VIEWS 320
22010456 TIBIA+FIBULA LEFT 320
22010479 ANKLE 2V RIGHT 320
22010480 ANKLE 2V LEFT 320
22010492 ANKLE 3V RIGHT 320
22010493 ANKLE 3V LEFT 320
22010510 FOOT 2V RIGHT 320
22010511 FOOT 2V LEFT 320
22010534 FOOT 3V RIGHT 320
22010535 FOOT 3V LEFT 320
22010558 HEEL RIGHT 320
22010559 HEEL LEFT 320
22010571 TOE GREAT RIGHT 320
22010572 TOE GREAT LEFT 320
22010573 TOE SECOND DIGIT RIGHT 320
22010574 TOE THIRD DIGIT RIGHT 320
22010575 TOE FOURTH DIGIT RIGHT 320
22010576 TOE FIFTH DIGIT RIGHT 320
22010577 TOE SECOND DIGIT LEFT 320
22010578 TOE THIRD DIGIT LEFT 320
22010579 TOE FOURTH DIGIT LEFT 320
22010580 TOE FIFTH DIGIT LEFT 320
22010595 TOES RIGHT 320
22010596 TOES LEFT 320
22010637 CERVICAL SPINE 2 OR 3 VIEWS 320
22010650 CERVICAL SPINE MIN 4 VIEWS W/OBL 320
22010674 TOMMOGRAPHY FLAT FEE 320
22010680 FISTULAOGRAM 320
22010698 THORACOLUMBAR SPINE 320
22010716 THORACIC SPINE 3V 320
22010717 THORACIC SPINE 2V 320
22010718 PC L-S TRANSFORAMINAL INJ - RIGHT 360
22010719 PC LUMBAR FACET BLK/INJ 1ST SITE-RT 360
22010720 PC LUMBAR FACET BLK/INJ 3 OR MORE- BIL 360
22010721 PC LUMBAR FACET BLK/INJ 1ST SITE-BIL 360
22010722 PC LUMBAR FACET BLK/INJ 2ND SITE-BIL 360
22010723 PC SI JOINT INJ - BILATERAL 360
22010724 PC TRIGGER POINT INJ 3 OR MORE MUSCLES 360
22010725 PC TRIGGER POINT INJ 1 OR 2 MUSCLES 360
22010726 PC L-S TRANSFORAMINAL INJ - LEFT 360
22010727 PC L-S TRANSFORAMINAL INJ - BIL 360
22010730 LUMBAR SPINE 320
22010753 CONE DOWN SPINE 320
22010777 LUMBAR SPINE & 2V OBLIQUE 320
22010790 LUMBAR SPINE 6 VIEWS 320
22010795 FLUOR GUID VEN ACC < 1 HR 320
22010832 PELVIS MINIMUM OF THREE VIEWS 320
22010844 PUBIC BONES 320
22010856 PELVIS 320
22010868 SACRO-ILIAC JOINTS >3V 320
22010881 SACRUM+COCCYX 2 VIEWS 320
22010935 METASTATIC BONE SURVEY 320
22010959 IVP 320
22010972 IVP-HYPERTENSIVE 320
22010996 IVP INFUSION DRIP 320
22011034 IVP-TOMO 320
22011046 VENOGRAM BILAT 320
22011058 PYLEOGRAM RETROGRADE CYSTO 320
22011060 VENOGRAM ONE LEG RIGHT 320
22011061 VENOGRAM ONE LEG LEFT 320
22011063 VENOGRAM ONE LEG LEFT ATTEMPT PROCEDUR 320
22011083 UPPER EXTERMITY INFANT/CHILD 320
22011095 CYSTOGRAM 320
22011101 LOWER EXTREMITY INFANT 320
22011113 VOIDING CYSTOGRAM 320
22011125 PELVIMETRY 320
22011137 RENAL CYST STUDY 320
22011150 CHEST 1V 324
22011174 CHEST 2V 324
22011253 CHEST 3V 324
22011278 CHEST 4V 320
22011290 FAILED COLON 320
22011334 DIG MAM SCREENING BILATERAL 403
22011335 DIG MAM DIAG BILATERAL 401
22011336 DIG MAM DIAG R UNILATERA 401
22011339 DIG MAM DIAG L UNILATERA 401
22011340 DIG MAM SPECIAL SCREENING 403
22011341 DIG MAM SCREENING UNILATERAL RIGHT 403
22011342 DIG MAM SCREENING UNILATERAL LEFT 403
22011343 3D SCREENING 403
22011344 3D DIAGNOSTIC 401
22011345 DIG 3D MAM SCREENING BILATERAL 403
22011346 DIG 3D MAM DIAG L UNILATERA 401
22011347 DIG 3D MAM DIAG R UNILATERA 401
22011348 DIG 3D MAM DIAG BILATERAL 401
22011349 DIG 3D MAM SPECIAL SCREENING 403
22011350 DIG 3D MAM SCREENING L UNILATERAL 403
22011351 DIG 3D MAM SCREENING R UNILATERAL 403
22011393 RIBS - UNILATERAL 320
22011411 RIBS - BILATERAL 320
22011434 SHUNT SERIES 320
22011435 STERNUM 320
22011459 STERNOCLAVICULAR JOINTS 320
22011496 TEMPOROMANDIBULAR JOINTS 320
22011514 ABDOMEN 1V OR FLAT PLATE 320
22011524 MYELOGRAPHY 320
22011525 UPPER WO KUB AIR CONTRAST 320
22011527 INJ SHOULDER ARTHROGRAM 320
22011528 INJ WRIST ARTHROGRAM 320
22011529 INJ ELBOW ARTHROGRAM 320
22011538 ABDOMEN 2V 320
22011551 ABDOMEN 3V 320
22011575 Pharynx Study w Speech 320
22011599 ESOPHAGUS 320
22011617 PHARYNX ONLY 320
22011630 UPPER W/FILMS SINGLE CONTRAST 320
22011654 UPPER GI WITH SMALL INTESTINE 320
22011655 SMALL INTESTINE FOLLOW-THROUGH STUDY 320
22011678 SMALL BOWEL ONLY 320
22011710 BARIUM ENEMA 320
22011733 COLON W/AIR 320
22011757 GALLBLADDER 320
22011770 GALLBLADDER OPERATIVE 320
22011836 GALLBLADDER SURGICAL S/FILM 320
22011845 CHOLANGIOGRAPHY INTRAOP ADD-ON 320
22011940 PORTABLE CHG - NURS HOME - 1 PATIENT 320
22011941 PORTABLE CHG-NURS HOME-MORE THAN 1 PATIE 320
22011976 COMPARISON 320
22011988 30% CONTRAST - CT 350
22011990 ABDOMINAL BLEEDING SCAN 320
22012014 CT BRAIN W/ CONTRAST 351
22012026 CT BRAIN WO CONTRAST 351
22012038 CT MASTOIDS WO CONTRAST 351
22012040 CT FACIAL BONES WO CONTRAST 351
22012063 CT SINUS W/O CONTRAST 351
22012064 CT SINUS W/ CONTRAST 351
22012075 CT ORBITS W/ CONTRAST 351
22012087 CT ORBITS WO CONTRAST 351
22012099 CT SELLA TURCICA W/ CONTRAST 350
22012117 CT SELLA TURCICA W/O CONTRAST 350
22012129 CT SOFT TISSUE NECK W/ CONTRAST 351
22012130 CT SOFT TISSUE NECK W/O CONTRAST 351
22012135 CT SOFT TISSUE NECK W+WO CONTRAST 351
22012142 CT CERVICAL SPINE WO CONTRAST 352
22012143 CT CERVICAL SPINE W/ CONTRAST 352
22012154 CT THORACIC SPINE WITH 350
22012166 CT LUMBAR SPINE W/O CONTRAST 352
22012168 CT THORACIC SPINE W+WO CONTRAST 352
22012170 CT BONY STERNUM 352
22012176 CT LUMBAR SPINE W/ CONTRAST 352
22012178 CT ABDOMEN W/ CONTRAST 352
22012180 CT ABDOMEN WO CONTRAST 352
22012181 BONE SURVEY ADULT/PEDS 320
22012188 CT ANGIO ABD W+WO CONTRAST 352
22012208 CT THORACIC SPINE WITHOUT 350
22012221 CT CHEST/LUNG WO CONTRAST 352
22012230 CT CHEST/LUNG W+WO CONTRAST 352
22012233 CT CHEST/LUNG W/ CONTRAST 350
22012235 CT CHEST PE ANGIO W/ CONTRAST 350
22012260 CT UNLISTED PROCEDURE/KIDNEY 350
22012269 CT NEEDLE GUIDANCE 350
22012270 60% CONTRAST - CT 350
22012278 CT CERVICAL SPINE W+WO CONTRAST 352
22012282 CT LIMITED FOLLOW-UP 350
22012312 SHOULDER-4 VIEWS, RIGHT 320
22012313 SHOULDER-4 VIEWS, LEFT 320
22012324 CT BRAIN W+WO CONTRAST 351
22012336 CT ABDOMEN W+WO CONTRAST 352
22012348 ARTHOGRAM, RIGHT 320
22012349 ARTHOGRAM, LEFT 320
22012361 SINOGRAM 350
22012375 C-ARM FLUROSCOPY <1 HOUR 350
22012385 OBSTRUCTION SERIES 320
22012397 C-SPINE MIN 6 VIEWS W/OBL/FLEX/EXT 320
22012403 ZYGOMATIC ARCHES 350
22012413 STRESS VIEW 320
22012415 BONE AGE 320
22012430 ABDOMEN 2V W/ CHEST 1 V 320
22012434 LUM FLEX & EXT 2 OR 3 VIEWS 320
22012439 CYSTOGRAFIN 320
22013602 VENOUS DUPLEX SCAN B/W 921
22013614 US VENOUS BIL LE 921
22013615 US VENOUS BIL UE 921
22014250 NM TUMOR LOCALIZATION 2 OR MORE DAYS 341
22015634 CHEST/ABD FB CHILD 320
22015635 LOOPOGRAM 320
22015636 CT LUMBAR W+WO CONTRAST 352
22015638 JOINT SURVEY SINGLE VIEW 320
22015640 CT ABD/PEL WO CONTRAST 352
22015641 CT ABDOMEN W+WO CONTRAST 352
22015644 CT ABD/PEL W/ CONTRAST 352
22015645 CT Enterography 352
22015646 CT ABD/PEL W+WO CONTRAST 352
22015652 CT THORACIC SPINE W/ CONTRAST 352
22015654 HANDS BILAT PA ONLY 320
22015656 SPINAL PUNCTURE 320
22015658 US THORACENTESIS GUIDED 320
22015700 US PLCMT OF BREAST LOCALIZATION DEVICE 320
22015702 US PLCMT OF BREAST LOCALIZATION DEVICE + 320
22018117 CT ANGIO ABD/PEL W+WO CONTRAST 352
22018120 CT ANGIO UE 352
22019456 FLUOR GUID VEN ACC >1 HR 320
22099101 ELBOW 2V LEFT 320
23000050 MRI SET W/SIDEPORT 270
23000060 MRI BRAIN W+WO CONTRAST 611
23000065 MRI THORACIC W+WO CONTRAST 612
23000066 MRA HEAD W/ CONTRAST 618
23000080 MRI LE ANY JOINT W/ CONTRAST 610
23000177 MRA HEAD WO CONTRAST 615
23000178 MRA NECK WO CONTRAST 610
23000180 MRA NECK W/ CONTRAST 610
23000182 MRA NECK W+WO CONTRAST 610
23001070 MRI CHEST (CLAVICLE) WO CONTRAST 610
23001073 MRI CHEST W+WO CONTRAST 610
23001075 MRI LUMBAR W+WO CONTRAST 612
23001076 MRI PELVIS W+WO CONTRAST 610
23002080 MRA CHEST 618
23002085 MRA SPINAL CANAL 618
23003080 MRI PELVIS WO CONTRAST 610
23003090 MRI CERVICAL WO CONTRAST 612
23003095 MRI PELVIS W/CONTRAST 610
23004000 MRI CERVICAL W/ CONTRAST 612
23004050 MRA PELVIS 618
23004052 MRI UE OTHER THAN JOINT WO CONTRAST 610
23004054 MRI UE OTHER THAN JOINT W/ CONTRAST 610
23004060 MRI UE OTHER THAN JOINT W+WO CONTRAST 610
23004065 MRI UE JOINT WO CONTRAST 610
23004070 MRA UPPER EXTREMITY 618
23004075 MRI LE OTHER THAN JOINT W+WO CO 610
23004077 MRI LE OTHER THAN JOINT WO CONT 610
23004080 MRI LE ANY JOINT WO CONTRAST 610
23004085 MRA LE 616
23004090 MRI ABDOMEN W/O CONTRAST 610
23004091 MRI ABDOMEN W+WO CONTRAST 610
23004095 MRA ABDOMEN W+WO CONTRAST 618
23004100 MRCP 610
23004130 MRI BREAST UNILAT W+WO CONTRAST 610
23004135 MRI BREAST BILAT W+WO CONTRAST 610
23004140 MRI ORBIT FACE NECK W+WO CONTRAST 610
23004141 MRI SPECTROSCOPY 610
23004148 MRI CARDIAC FLOW MAPPING 615
23004150 MRI CONTRAST-PROHANCE 255
23004152 MRI CARDIAC W+WO CONTRAST/STRESS IMAG 615
23004155 MRI CARDIAC W+WO CONTRAST 615
23004160 MRI CARDIAC W/ CONTRAST/STRESS IMAGING 615
23004165 MRI CARDIAC WO CONTRAST 615
23004170 MRI ABDOMEN W/ CONTRAST 615
23004175 MRI LE JOINT W+WO CONTRAST 610
23004180 MRI LE NONJOINT W/ CONTRAST 610
23004185 MRI UE JOINT W/ CONTRAST 610
23004190 MRI CHEST W/ CONTRAST 615
23004195 MRI ORBIT FACE NECK W CONTRAST 615
23005010 MRI TMJ 610
23005015 MRI THORACIC WO CONTRAST 612
23005075 MRI UE JOINT W+WO CONTRAST 610
23006020 MRI ORBIT/FACE/NECK WO CONTRAST 610
23006025 MRI THORACIC W/ CONTRAST 612
23007030 MRA HEAD W+WO 611
23007031 MRV HEAD W+WO 611
23007035 MRI LUMBAR WO CONTRAST 612
23008040 MRI BRAIN WO CONTRAST 611
23008045 MRI LUMBAR W/ CONTRAST 612
23009050 MRI BRAIN W/CONTRAST 611
23009055 MRI CERVICAL W+WO CONTRAST 612
24005069 US PROSTATE NEEDLE BIOPSY, GUIDANCE 402
24005070 US ABI WITH SEGMENTAL MEASUREMENTS 921
24008202 US BIOPHYSICAL PROFILE NON-STRESSING 402
24008203 US POST-VOID BLADDER 402
24012506 US OB COMPLETE 402
24012507 US ECHO W/ COLOR 483
24012510 US OB ADD FETUS 14 OR MORE WEEKS 402
24012512 US ABD LIMITED 402
24012513 US LIVER 402
24012514 US ARTERIAL LE BILATERAL 921
24012515 US CAROTID DOPPLER 921
24012517 US INFANT HIP W/MANIPULATION 402
24012518 US ARTERIAL UE BILATERAL 921
24012519 US PERCUTANEOUS DRAINAGE 402
24012520 US OB LIMITED 402
24012521 US GUIDANCE VASCULAR ACCESS 402
24012522 US INJ MAJOR HIP, SHOULDER OR KNEE 402
24012523 US BREAST RT COMPLETE 402
24012524 US BREAST LEFT COMPLETE 402
24012525 US BREAST RIGHT LTD 402
24012526 US BREAST LEFT LTD 402
24012527 US ARTERIAL RENAL DUPLEX COMPLETE 921
24012528 US BREAST BILAT LTD 402
24012529 US BREAST BILAT COMPLETE 402
24012543 US ABDOMEN COMPLETE 402
24012545 US THYROID BIOPSY 402
24012547 US LYMPH NODE BX 402
24012550 US BREAST BX/ASPIRATION NEEDLE PLACEMENT 402
24012551 US ASPIRATION NEEDLE PLACEMENT 402
24012556 US GUIDED NEEDLE LOCALIZATION 402
24012560 US ARTERIAL LE UNILATERAL 921
24012563 US ARTERIAL UE UNILATERAL 921
24012567 US GALLBLADDER 402
24012580 US AORTA 402
24012585 US AORTA - ILIAC 921
24012602 VENOUS DUPLEX SCAN B/W 921
24012609 US ECHOGRAPHY SOFT TISSUES HEAD+NECK 402
24012610 US PROSTATE TRANSRECTAL 402
24012611 US TRANSVAG NON OB 402
24012612 US SOFT TISSUE HEAD AND NECK 402
24012613 US ECHO W/COLOR W/CONTRAST 483
24012614 US ECHO LIMITED WITH CONTRAST 483
24012615 US PAROTID BIOPSY 360
24012616 US ABD AORTIC ANEURYSM (AAA) SCREENING 402
24012617 US ECHO - STRESS 483
24012622 US PANCREAS 402
24012646 US KIDNEYS 402
24012650 US KIDNEY TRANSPLANT 402
24012660 US PELVIS 402
24012683 ULTRASOUND HEPATIC 402
24012710 US THYROID 402
24012711 US BLADDER 402
24012712 US CHEST WALL 402
24012713 US TRANSVAGINAL OB 402
24012715 US ABDOMINAL LIMITED 402
24012716 US UNLISTED PROC 402
24012762 US SPLEEN 402
24013006 ULTRASOUND EMER PROC 402
24013020 ULTRASOUND STAT PROCEDURE 402
24013031 US SCROTUM & CONTENTS 402
24013562 US PAROTID RIGHT 402
24013563 US PAROTID LEFT 402
24013565 US PAROTID 402
24013566 ULTRASOUND PELVIC-LIMITED 402
24013567 ULTRASOUND CAROTID DOPPLER/UNILATERAL 921
24013568 US OB <14WKS 402
24013569 US ANKLE/BRACHIAL INDICES 921
24013570 US CAROTID UNILATERAL 921
24013572 US KIDNEY AND BLADDER 402
24013574 US OB ADD FETUS <14WKS 402
24014000 ENDOCAVITY NEEDLE GUIDE 270
24014005 ENDOCAVITY COVER-STERILE 270
24014010 AQUAFLEX STANDOFF PADS 270
24014014 US EXT NON-VASCULAR COMP 402
24014015 LATEX COVER 5X30 270
24014016 US ECHO LIMITED 480
24014018 US EXT NON-VASCULAR LMT 402
24014019 US BREAST BIOPSY 1ST LESION 402
24014020 BIOPSY NEEDLE 18G X 10CM 270
24014021 US BREAST BIOPSY ADD LESION 401
24014025 BIOPSY NEEDLE 14G X 10CM 270
24014028 BIOPSY NEEDLE-BREAST-ACHIEVE 270
24014030 BREAST TISSUE MARKER COIL 270
24014032 BIOPSY NEEDLE-MISSION 16G X 10CM 270
24014035 BIOPSY NEEDLE 16G-QUICK-CORE 270
24014040 BIOPSY NEEDLE 18G-QUICK-CORE 270
24014045 BIOPSY NEEDLE-ASPIRATION 270
24014050 DEFINITY CONTRAST US 270
24014055 BIOPSY NEEDLE 13G X 7.8CM 270
24014060 US SOFT TISSUE 402
24015223 US INJ SMALL FINGERS, TOES 402
24015224 US INJ INTERM WRIST, ELBOW OR ANKLE 402
25012284 CT THORACIC SPINE WO CONTRAST 352
25012286 VISIPAQUE-(NF FOR PHARMACY) 255
25012287 CT CHEST CA SCREEN 350
25012288 CT CHEST CA SCREEN F/U 352
25013000 CT SINUS W+WO CONTRAST 351
26013213 BONE MARROW 341
26013225 NM BONE SCAN ENTIRE BODY 341
26013226 NM BONE SCAN THREE PHASE 341
26013237 NM BONE SCAN ONE AREA 341
26013249 BLEEDING SCAN 341
26013262 VASCULAR FLOW ONLY 341
26013286 NM MUGA - CARDIAC BLOOD IMAGING 341
26013298 NM MYOCARDIAL INFARCT PLANAR 341
26013316 NM BOWEL MECKEL'S 341
26013318 STAT CHARGE 341
26013328 NM ACUTE GASTRO BLOOD LOSS 341
26013377 LIVER STATIC ONLY 341
26013389 NM LIVER+SPLEEN IMAGE ONLY 341
26013390 NM HEPATOBILIARY W/ PHARM 341
26013419 LUNG PERFUSION STUDIES 341
26013481 NM KIDNEY W/VASCULAR FLOW 341
26013493 NM SALIVARY SINGLE IMAGE 341
26013500 NM SPLEEN IMAGE ONLY 341
26013523 NM THYROID IMAGE ONLY 341
26013572 NM TESTICULAR FLOW 341
26013586 NM BONE SCAN MULTIPLE AREAS 341
26013587 NM KIDNEY W/O PHARM 341
26013589 NM TUMOR LOCALIZATION WHOLE BODY 341
26013593 NM GATE/WALL/REST+STRESS/PLANAR 341
26013594 NM LUNG PERFUSION 341
26013596 VENOGRAM/LUNG SCAN 341
26013638 ANY ADD FLOW STUDIES 341
26013640 BONE SCAN STAT ORDER 341
26013651 STAT CHARGE CONCURRENT 341
26014005 ADRENAL IMAGE 341
26014025 KIDNEY W/O PHM 341
26014030 NM KIDNEY W/PHM 341
26014035 URETERAL REFLUX STUDY 341
26014040 CARDIAC SHUNT DETECTION 341
26014060 EJECTION FRACTION FIRST PASS 341
26014065 IMAGING SPECT MYOCARDIAL 341
26014075 BLOOD POOL - REST 341
26014076 NM SPECT PERT REST OR STRESS SINGLE STUD 341
26014080 BLOOD POOL - REST AND STRESS 341
26014081 NM SPECT PERF REST+STRESS MULTI 341
26014085 NM MYOCARD PERF REST OR STRESS 341
26014090 NM MYOCARD PERF REST+STRESS PLANER 341
26014100 NM THYROID MULTI IMAGE+DETERMINATIONS 341
26014110 NM THYROID CARCINOMA METASTESES ONE 341
26014120 NM THYROID CARCINOMA METASTESES BODY 341
26014125 NM PARATHYROID IMAGING 341
26014155 BONE MARROW ONE AREA 341
26014160 BONE MARROW MULTIPLE AREAS 341
26014165 BONE MARROW WHOLE BODY 341
26014175 LYMPH GLANDS 341
26014180 LIVER W/VASCULAR FLOW 341
26014185 NM LIVER+SPLEEN W/VASCULAR FLOW 341
26014190 NM HEPATOBILIARY DUCT 341
26014195 NM SALIVARY SERIAL IMAGES 341
26014200 ESOPHOGEAL MOTILITY 341
26014205 NM GASTRIC MUCOSA IMAGING 341
26014215 NM GASTRIC EMPTYING 341
26014240 TUMOR LOCALIZATION ONE AREA 341
26014245 TUMOR LOCALIZATION MULTIPLE AREAS 341
26014250 NM TUMOR LOCALIZATION SPECT 341
26014270 NM LUNG AEROSOL MULTI 341
26014285 NM VENOUS THROMBOSIS UNILAT 341
26014290 NM VENOUS THROMBOSIS BILAT 341
26014295 BRAIN LIMITED STATIC 341
26014300 BRAIN LIMITED STATIC W/VASCULAR FLOW 341
26014306 NM STRESS TEST SUPERVISION 985
26014310 CEREBRAL BLOOD FLOW 341
26014315 CEREBROSPINAL FLUID FLOW 341
26014320 VENTRICULOGRAPHY 341
26014325 SHUNT EVALUATION 341
26014335 CSF LEAK LOCALIZATION 341
26014340 CALL BACK FEE <2 HRS 341
26014345 CALL BACK FEE ADDITIONAL PER HOURS 341
26014350 STAT RADIOPHARMACEUTICAL CHARGE 341
26014365 DIAGNOSTIC IMAG AGENT EG MAA DTPA 255
26014370 NM TC 99M SESTAMIBI PER UNIT DO 343
26014375 NM TC 99M MEDRONATE < 030 mCi 343
26014390 I-123 PER UCI DX USE 255
26014391 I-131 SODIUM IODIDE CAPSULE PER MCI 344
26014395 ULTRATAG KIT 621
26014400 PYROPHOSPHATE (CIS) 255
26014405 NM Kinevac (sincalide) 255
26014410 VENTILATION TUBING (AEROTECH I) 621
26014414 NM KIDNEY W+WO PHARM 341
26014416 NM PARATHYROID SPECT 341
26015698 NM TC 99M LABELED RBCS 343
26015699 NM TC 99M ABSCESS DOSE 343
33005001 MULTIPLE SLEEP LATENCY TESTING 920
33005005 READ-MULTIPLE SLEEP LATENCY TESTING 982
33005050 SLEEP STUDY ATTENDED 920
33005051 SLEEP STUDY UNATTENDED 920
33006000 POLYSOMNOGRAPHY, 4 OR MORE PAR, DIAG 920
33006050 POLYSOMNOGRAPHY, 4 OR MORE W/ CPAP 920
33006060 READ-POLYSOM,4 OR MORE W/CPAP 982
33006061 HOME SLEEP STUDY 920
34008032 CONTINUOUS NEB TREATMENT ADDL HOUR 410
34010001 AMBULATORY BP MONITORING RECORDING ONLY 410
34010003 AMBULATORY BP MONITORING WITH REPORT 410
34010005 CONTINUOUS NEB TREATMENT FIRST HOUR 410
34010010 CPAP CONTINUOUS POSITIVE PRESSURE VENTIL 410
34010012 BIPAP BILEVEL POSITIVE AIRWAY PRESSURE 410
34050018 SMOKING CESSATION INTERMEDIATE 3-10 MIN 942
34050019 SMOKING CESSATION GREATER THAN 10 MIN 942
34050020 PULMONARY REHAB PHASE III 410
34050024 PULMONARY REHAB MULTIPLE PATIENTS 948
34072013 TRACH TUBE INNER CANNULA 270
34072020 CIRCUIT KIT-AIRVO-ADULT 270
34072025 CANNULA-NASAL-AIRVO-S,M,L 270
34072059 AIRWAY DISP 270
34072080 TAG AQUA PACK SET UP 410
34072096 CPT/FLUTTER VALVE POST DRAINAGE INITIAL 410
34072097 CPT POST DRAINAGE SUBSEQUENT 410
34072114 CROUPETTE HOURLY AIR/02 410
34072138 NEB SET UP & EQUIPMENT CHARGE 270
34072151 CROUPETTE INITIAL 410
34072175 ETHYL ALCOHOL 1CC 410
34072199 STAT CHARGE 410
34072205 INCENTIVE SPIROMETRY 270
34072210 6 MINUTE WALK 460
34072217 INC SPIR DEMO 410
34072218 SPIROMETRY TOTAL & TIMED VITAL CAPACITY 460
34072219 INC SPIR SUBS 410
34072242 NEBULIZER 410
34072260 INTUBATION - IP 410
34072261 CARDIOPULMONARY RESUSCITATION 410
34072262 INTUBATION - EMERGENCY ROOM 450
34072278 ISUPREL 1/2CC 250
34072291 FACE TENT 270
34072325 OPTICHAMBER W/MASK 270
34072333 NEB TX DEMONSTRATION 410
34072337 NEB TREATMENT INITIAL 410
34072338 NEB TREATMENT ER INITIAL 410
34072355 DETERMIN OF MALDISTRIBUTION INSPIRED GAS 460
34072360 PLETHYSMOGRAPHY 460
34072370 STANDBY O2 410
34072382 O2 DISP BOTTLE INTER 270
34072390 BRONCHOSPASM PROVOCATION EVALUATION 460
34072394 O2 PER HOUR 270
34072395 OXYGEN UPTAKE; REST, INDIRECT 460
34072425 MASK-VENT 270
34072436 MASK O2 SIMPLE 270
34072461 PULMONARY FUNCTION W/ BRONCHO DIALATOR 460
34072490 OXYGEN UPTAKE,EXPD GAS ANALYSIS,REST/EXE 460
34072495 OXYGEN UPTAKE;INC CO2 OUTPUT PRCNT O2 EX 460
34072497 PULMONARY FUNCTION SCREEN 460
34072498 CARBON MONOXIDE DIFFUSING CAPACITY 460
34072509 EzPAP - HYPERINFLATION THERAPY INITIAL 410
34072511 EzPAP - HYPERINFLATION THERAPY SUBSEQUNT 410
34072513 MDI (METERED DOSE INHALER) INITIAL 410
34072552 ROOM HUMIDIFIER DAILY 410
34072566 PEAK FLOW 460
34072576 SPUTUM INDUCTION 410
34072590 FACE TENT 270
34072655 ULTRA NEB INITIAL DEMONSTRATION 410
34072692 VENTILATOR S/U 410
34072709 RESP TECH ASSISTANCE/HOUR 410
34072710 VENTILATION ASSIST FIRST DAY 410
34072715 VENTILATOR SUBSEQUENT DAY(S) 410
34072722 INTAL 1 AMPUL 250
34072734 ATROPINE 20ML 250
34072746 BRONCOSCOPY 410
34072758 PULMONARY REHAB MAINTENANCE 410
34072760 AMBU BAG W/MASK 270
34072771 PULSE OXIMETRY SINGLE DETERMINATION 460
34072772 PULSE OX MULTIPLE DETERMINATION 460
34072775 PULSE OX CONTINUOUS OVERNIGHT MONITORING 460
34072776 PULSE OXIMETRY DAILY 460
34072783 PULSE OXIMETRY 1/2 DAY MONITOR 410
34072795 PULSE OXIMETRY FULL DAY MONITOR 410
34072801 PULSE OXIMETRY SET-UP CHARGE 410
34072825 PATIENT INSTRUCTION 410
34073000 THERAPEUTIC ACTIVITIES EACH 15 MINUTES 410
34073002 PHYSICAL PERFORMANCE TEST EACH 15 MIN 410
34073143 PULMONARY SCREENING TEST 460
34073456 SPIROMETRY 460
34073460 SPIROMETRY W/ BRONCHO DIALATOR 460
34073470 RESPIRATORY FLOW VOLUME LOOP 460
34073475 VITAL CAPACITY, TOTAL 460
34073480 MAXIMUM BREATHING CAPACITY 460
34080000 THERAPUTIC PROC INC ENDURANCE PER 15 MIN 410
34080005 THERAP PROC IMPROVE RT FUNCTION PER 15 M 410
34080010 THERAP PROC IMPROVE RT OR INCREASE GROUP 410
34080011 PULSE OX SINGLE DETERMINATION 460
34080012 PULSE OX MULTIPLE DETERMINATION 460
34080016 CPT POST DRAIN INITIAL 410
34080017 CPT POST DRAIN SUBSEQUENT 410
34080024 30 DAY EVENT MONITOR WITH INTERPRETATION 731
34080025 30 DAY EVENT MONITOR 731
34080026 30 DAY EVENT MONITOR DOWNLOAD 731
34080028 24-48 HR HOLTER MONITOR HOOK UP 731
34080029 24-48 HR HOLTER SCANNING 731
34080030 48 HR UP TO 7 DAYS HOLTER MONITOR 731
34080033 NITRIC OXIDE EXPIRED GAS DETERMINATION 460
34080038 7 DAYS UP TO 15 DAYS HOLTER MONITOR 731
34080040 ASTHMA EDUCATION ONE ON ONE 410
34080042 ASTHMA EDUCATION GROUP 460
36070830 TRAVEL FEE - EKG 483
36073003 EKG 730
36073040 STRESS TEST 482
36073076 EXERCISE STRESSING 482
36073090 CAROTID DOPPLER STUDY 921
36073106 INTERPRETATION CAROTID DOPPLER 976
36073118 DUPLEX SCAN LOWER EXTREMITY BILATERAL 921
36073119 DUPLEX SCAN LOWER EXTREMITY UNILATERAL 921
36073120 INTERPRETATION ARTERIAL VASCULAR STUDY 976
36073131 UPPER ARTERIAL VASCULAR STUDY 921
36074251 HOLTER MONITER 369
36074263 CARDIOLOGY HARDWIRE MONITOR 489
36074317 TELEMETRY ER MONITOR 732
36074329 TELEMETRY ER MONITOR/STRIP 732
36074500 EKG INTERPRETATION FEE 730
36075000 US ARTERIAL RENAL DUPLEX LIMITED 921
36076000 CARDIAC REHAB PHASE II INITIAL VISIT 943
36076010 CARDIAC REHAB PHASE II 943
36076020 CARDIAC REHAB PHASE III-PACKAGE 943
36076021 CARDIAC REHAB PHASE III SINGLE VISIT 943
36083120 DUPLEX SCAN UE BILAT 921
36083125 DUPLEX SCAN UE UNILAT 921
37073027 CARDIOLOGY CLINIC 943
37073039 CARDIOLOGY REVISIT 943
37073052 CARDIAC REHAB-PHASE II 943
37073064 CARDIAC REHAB PHASE I 943
37074019 CARDIO BOOKLET 943
39055000 CANALITH REPOSITIONING 940
39065290 SPLINT-NIGHT RESTING 290
39065291 WALKING BOOT-AIRCAST 290
39066300 PT-THERAPUETIC ACT, PHY THER, EA 15MIN 420
39066301 PT-THERAPUETIC ACT, PT TELEHLTH, EA 15MN 420
39068550 HYPNOTHERAPY 420
39069826 EXERCISE I-PER 1/4 HOUR 420
39069998 HEALTH PROMOTION EXERCISE, PER 15 MINUTE 420
39069999 HEALTH PROMOTION EXERCISE, PER 1/2 HOUR 420
39070014 BACK BRACE EZ WRAP 420
39070040 BACK BRACE SPENCER 290
39070055 DEBRIDEMENT NON-SELECTIVE 420
39070135 GLOVE-ANTI-VIBRATION 270
39070260 TENS UNIT, ARISTA 2000 290
39070275 TENS UNIT, CENTURY SD+ 290
39070453 PT- ORTHO SUBS PROS FIT/TRAIN PR 15 MIN 420
39070607 TRACTION - MECHANICAL HYDRO/ICE 420
39070612 ELECTRICAL STIM HYDRO/ICE 420
39070614 PT - PHYSICAL THERAPY EVAL LOW COMPLEX 424
39070615 PT - EVALUATION MODERATE COMPLEXITY 424
39070616 PT - EVALUATION HIGH COMPLEX 424
39070618 PT - PHYSICAL THERAPY RE-EVALUATION 424
39070619 PT - PT EVAL LOW COMPLEX TELEHEALTH 424
39070620 PT - PT EVAL MODERATE COMP TELEHEALTH 424
39070621 PT - EVAL HIGH COMPLEX TELEHEALTH 424
39078455 SPEECH THERAPY, EACH SESSION 440
39078456 AAC EVAL SPEECH GENERATING DEVICE 940
39078457 TX FOR USE OF SPEECH GENERATING DEVICE 440
39078458 AAC EVAL SPEECH GEN DEVICE EA ADD 30 MIN 940
39090103 PT - PHYSICAL THERAPY EVALUATION 424
39092507 EVALUATION OF SPEECH FLUENCY 441
39092508 EVALUATION OF SPEECH SOUND PRODUCTION 440
39092509 EVAL OF SPC & PROD W/EVAL OF LANG & EXPR 440
39092511 BEHAV & QUAL ANALYSIS OF VOICE & RESONAN 440
39092512 TLH - EVAL OF SPEECH SOUND PROD 440
39092513 TLH - EVAL OF SPC & PROD W/EVAL OF LANG 444
39092515 TLH - SPCH THERAPY, EACH SESSION 440
39092516 TLH - TREATMENT SWALLOWING DYSFUNCTION 441
39092517 TLH -BEHAV & QUAL ANALYSIS VOICE & RES 440
39095455 CLINICAL SWALLOWING EVALUATION 444
39095460 MOTION FLUOROSCOPIC SWALLOWING EVAL 444
39095461 FLEXIBLE ENDOSCOPIC SWALLOWING EVAL 444
39095462 SPEECH THERAPY, EACH SESSION + 440
39095463 TREATMENT OF SWALLOWING DYSFUNCTION + 441
39095464 EVAL OR FITTING VOICE PROSTHETIC DEVICE 424
39096455 TREATMENT OF SWALLOWING DYSFUNCTION 441
39097012 TRACTION - MECHANICAL 420
39097014 ELECTRICAL STIMULATION - TENS 420
39097016 VASOPNEUMATIC DEVICES 420
39097024 DIATHERMY 420
39097032 ELECTRICAL STIM ATTENDED EACH 15 MIN 420
39097033 IONTOPHORESIS, EACH 15 MINUTES 420
39097034 CONTRAST BATHS - PER 15 MINUTES 420
39097035 ULTRASOUND - PER 15 MINUTES 420
39097110 THERAPEUTIC EXERCISE PROC - PER 15 MIN 420
39097111 THERAPEUTIC EXERCISE PLUS- PER 15 MIN 420
39097112 NEUROMUSCULAR REEDUCATION PER 15 MIN 420
39097113 THERAPEUTIC EXERCISE AQUATIC PER 15 MIN 420
39097114 THERAPEUTIC EX TELEHEALTH- PER 15 MIN 420
39097115 GROUP THERAPY, LEVEL 1 420
39097116 GAIT - PER 15 MINUTES 420
39097117 GAIT - TELEHEALTH - PER 15 MIN 420
39097122 MANUAL THERAPY MOBILIZATION/MANIPULATION 420
39097123 APP OF MODALITY; HOT OR COLD PACKS 420
39097126 MANUAL THERAPY LYMPHEDEMA 420
39097265 JOINT MOBILIZATION PER 15 MINUTES 420
39097504 PT- ORTHOTICS FITTING & TRAIN PER 15 MIN 420
39097520 PT-PROSTHETIC TRAINING INITIAL PR 15 MIN 420
39097535 SELF CARE - ADL, PAT EDUC, PER 15 MIN 420
39097542 WHEELCHAIR MANAGEMENT - PER 15 MINUTES 420
39097544 WORK HARDENING INITIAL 2 HOURS 420
39097546 WORK HARDENING EA ADDITIONAL HOUR 420
39097750 SPECIFIC TESTING - EVAL PER 15 MINUTES 420
39098000 CANALITH REPOSITIONING - KX 940
39098001 PT-THERAPUETIC ACT, PHY THER, E 15MIN KX 420
39098002 PT- ORTHO SUBS PROS FIT/TRN PR 15 MIN KX 420
39098003 ELECTRICAL STIM HYDRO/ICE - KX 420
39098004 PT - PHYSICAL THERAPY EVAL LW COMPLEX KX 424
39098005 PT - EVALUATION MODERATE COMPLEXITY KX 424
39098006 PT - EVALUATION HIGH COMPLEX KX 424
39098007 PT - PHYSICAL THERAPY RE-EVALUATION KX 424
39098008 SPEECH THERAPY, EACH SESSION KX 440
39098009 PT - PHYSICAL THERAPY EVALUATION KX 424
39098010 EVALUATION OF SPEECH SOUND PRDCTION KX 440
39098011 EVAL OF SPC&PROD W/EVAL OF LANG&EXPR KX 440
39098012 BEHAV & QUAL ANALYS OF VOICE&RESONAN KX 440
39098013 TLH - SPCH THERAPY, EACH SESSION KX 440
39098014 TLH - TREATMENT SWALLOW DYSFUNCTION KX 441
39098015 CLINICAL SWALLOWING EVALUATION KX 444
39098016 MOTION FLUOROSCOPIC SWALLOWING EVAL KX 444
39098017 FLEXIBLE ENDOSCOPIC SWALLOWING EVAL KX 444
39098018 SPEECH THERAPY, EACH SESSION + KX 440
39098019 TREATMENT OF SWALLOW DYSFUNCTION + KX 441
39098020 EVAL OR FIT VOICE PROSTHETIC DEVICE KX 424
39098021 TREATMENT OF SWALLOWING DYSFUNCTION KX 441
39098022 TRACTION - MECHANICAL KX 420
39098023 ELECTRICAL STIMULATION - TENS KX 420
39098024 VASOPNEUMATIC DEVICES KX 420
39098025 ELECTRICAL STIM ATTENDED EACH 15 MIN KX 420
39098026 IONTOPHORESIS, EACH 15 MINUTES KX 420
39098027 ULTRASOUND - PER 15 MINUTES KX 420
39098028 THERAPEUTIC EXERCISE PROC -PER 15 MIN KX 420
39098029 THERAPEUTIC EXERCISE PLUS- PER 15 MIN KX 420
39098030 NEUROMUSCULAR REEDUCATION PER 15 MIN KX 420
39098031 GAIT - PER 15 MINUTES KX 420
39098032 MANUAL THERAPY MOBILIZATN/MANIPULATN KX 420
39098033 MANUAL THERAPY LYMPHEDEMA KX 420
39098034 PT- ORTHOTICS FIT & TRAIN PER 15 MIN KX 420
39098035 SELF CARE - ADL, PAT EDUC, PER 15 MIN KX 420
39098036 PT - PT EVAL LOW COMPLEX TELEHEALTH - KX 424
39098037 PT - EVAL MODERATE COMP TELEHEALTH - KX 424
39098038 PT - EVAL HIGH COMPLEX TELEHEALTH - KX 424
39098039 AAC EVAL SPEECH GENERATING DEVICE - KX 940
39098040 TX FOR USE OF SPEECH GENERATNG DEVICE KX 440
39098041 EVALUATION OF SPEECH FLUENCY - KX 441
39098045 THERAPEUTIC EXERCISE AQUATIC 15 MIN - KX 420
39098048 PT-PROSTHETIC TRAINING PER 15 MIN - KX 420
39098049 WHEELCHAIR MANAGEMENT - 15 MINUTES - KX 420
39098051 PT EDUCATION-SELF MANAGEMENT 30 MIN - KX 420
39098960 PT EDUCATION-SELF MANAGEMENT EA 30 MIN 420
39911307 PT NO CALL NO SHOW 420
40000130 SCAN WITHOUT MANUAL DIFF 300
40029105 APPLICATION OF LONG ARM SPLINT 430
40029125 APPLICATION OF SHORT ARM SPLINT 430
40029130 APPLICATION OF FINGER SPLINT 430
40097003 OT-OCCUPATIONAL THERAPY EVALUATION 434
40097004 OT-OCCUPATIONAL THERAPY REEVALUATION 434
40097005 OT- EVALUATION LOW COMPLEXITY 434
40097006 OT- EVALUATION MODERATE COMPLEXITY 434
40097007 OT- EVALUATION HIGH COMPLEXITY 434
40097009 OT- RE-EVALUATION 434
40097012 OT- ORTHO SUBS PROS FIT/TRAIN PR 15 MIN 430
40097013 OT- COGNITIVE SKILLS DEV 1ST 15 MIN 430
40097016 OT- COGNITIVE SKILLS DEV ADD 15 MIN 430
40097018 OT-PARAFFIN BATH 430
40097020 OT- LYMPHEDEMA 430
40097024 DIATHERMY;SUPERVISED 430
40097032 OT-ELECTRICAL STIM ATTENDE, EACH 15 MIN 430
40097033 OT-IONTOPHORESIS, EACH 15 MINUTES 430
40097034 CONTRAST BATHS, EACH 15 MINUTES 430
40097035 OT-ULTRASOUND, EACH 15 MINUTES 430
40097103 OT-THERA EXERCISE AQUATIC PER 15 MIN 420
40097110 OT-THERAPEUTIC PROC, OCC THER,PER 15 MIN 430
40097111 OT-THERAPEUTIC PROC, OCC PLUS,PER 15 MIN 430
40097112 OT-NEUROMUSCULAR REEDUCATION PER 15 MIN 430
40097113 OT-THERAPEUTIC OCC TELEHEALTH PER 15 MN 430
40097124 OT-MANUAL THERAPY-PER 15 MINUTES 430
40097504 OT-ORTHOTICS FITTING & TRAIN PER 15 MIN 430
40097530 OT-THERAPUETIC ACT, OCC THER, EA 15MIN 430
40097531 OT-THERAP ACT, TELEHEALTH EA 15MIN 430
40097533 OT-SENSORY INTEGRATION 430
40097535 OT-SELF CARE TRAIN, OCC THER, EACH 15 MI 430
40097537 OT-COMMUNITY INTEGRATION TRAIN, EA 15 MI 430
40097542 OT-WHEELCHAIR MANAGEMENT TRAIN PER 15 MI 430
40098000 OT- EVALUATION LOW COMPLEXITY - KX 434
40098001 OT- EVALUATION MODERATE COMPLEXITY - KX 434
40098002 OT- EVALUATION HIGH COMPLEXITY - KX 434
40098003 OT- RE-EVALUATION - KX 434
40098004 OT- ORTHO SUBS PROS FIT/TRN PR 15 MIN KX 430
40098005 OT-PARAFFIN BATH - KX 430
40098006 OT- LYMPHEDEMA - KX 430
40098007 OT-ELECTRIC STIM ATTENDE, EACH 15 MIN KX 430
40098008 OT-IONTOPHORESIS, EACH 15 MINUTES - KX 430
40098009 OT-ULTRASOUND, EACH 15 MINUTES - KX 430
40098010 OT-THERAP PROC, OCC THER,PER 15 MIN - KX 430
40098011 OT-THERAP PROC, OCC PLUS,PER 15 MIN - KX 430
40098012 OT-NEUROMUSCULAR REDUCTN PER 15 MIN - KX 430
40098013 OT-MANUAL THERAPY-PER 15 MINUTES - KX 430
40098014 OT-ORTHOTICS FTNG & TRAIN PER 15 MIN -KX 430
40098015 OT-THERAPUETC ACT, OCC THER, EA 15MIN KX 430
40098016 OT-SELF CARE TRN, OCC THER, EA 15 MIN KX 430
40098017 OT-WHEELCHAIR MNGEMNT TRAIN PER 15 MI KX 430
40098018 OT- COGNITIVE SKILLS DEV ADD 15 MIN - KX 430
40098019 OT- COGNITIVE SKILLS DEV 1ST 15 MIN - KX 430
40098020 OT-COMMUNITY INTEGRTN TRAIN, EA 15 MI KX 430
40098021 OT-SENSORY INTEGRATION - KX 430
40098022 OT-THERA EXERCISE AQUATIC PR 15 MIN - KX 420
42001112 DEVLP THER-EVAL-OFFSITE-NEW PT/15MIN 420
42001452 DEVLP THER-EVAL-ONSITE-NEW PT/15MIN 420
42001493 DEVLP THER-EVAL-OFFSITE/15MIN 420
42002974 DEVLP THER-GROUP DT/15MIN 420
42004215 DEVLP THER-INDIVIDUAL DT-ONSITE/15MIN 420
42005416 DEVLP THER-INDIVIDUAL DT-OFFSITE/15MIN 420
42008728 DEVLP THER-EVAL-ONSITE/15MIN 420
42008730 DEVLP THER-ASSESSMENT-ONSITE/15MIN 420
42009993 DEVLP THER-IFSP DEVELOPMENT-ONSITE/15MIN 420
42009994 DEVLP THER-IFSP DEVELOPMENT-OFFSIT/15MIN 420
42011578 PHYS THERAPY-EVAL-ONSITE/15 MIN 420
42011598 PHYS THERAPY-IFSP DEVELOP-ONSITE/15 MIN 420
42013592 PHYS THERAPY-IND THERAPY-OFFSITE/15 MIN 420
42016978 PT-IND THERAPY-ONSITE/15 MIN 420
42017495 PHYS THERAPY-EVAL-ONSITE-NEW PT/15 MIN 420
42018400 PT-EVAL-OFFSITE/15MIN 420
42018736 PHYS THERAPY-GROUP THERAPY/15 MIN 420
42018738 PHYS THERAPY-IFSP DEV-OFFSITE/15 MIN 420
42018754 PHYS THERAPY-ASSESSMENT-ONSITE/15 MIN 420
42019536 PHYS THERAPY-EVAL-OFFSITE-NEW PT/15 MIN 420
42019537 PHYS THERAPY-EVAL EI 420
44523279 ASSOC CHG MITOGEN & AG INDUCED LYMPH 300
44552214 SULFA LEVEL NM LAB #4245SP 300
44552226 LYME TITER CSF PCR 301
45000001 BENZODIAZEPINES URINE REF 300
45000003 CYTOMEGALOVIRUS IGM REF 302
45000004 24HR URINE CREATININE 300
45000006 CA-125 REF 302
45000008 24HR CREATININE CLEARANCE 301
45000009 CA 15-3 REF 302
45000012 ALK PHOSP 301
45000013 URINE 24 HOUR PROTEIN 300
45000014 MYCOPLASMA ANTIBODY IGG & IGM(REF) 302
45000015 CYCLOSPORINE 301
45000016 ACETAMINOPHEN 301
45000017 24HR URINE METANEPHRINES (REF) 301
45000020 ## DO NOT USE ## 300
45000023 RSV 306
45000024 SGPT (ALT) 301
45000025 ESTROGEN LEVEL TOTAL 300
45000027 INFLUENZA A RAPID 306
45000028 INFLUENZA B RAPID 306
45000029 NORTRIPTYLINE 301
45000030 COLLECTION FEE 300
45000031 HLA-B27 DISEASE ASSOCIATION 310
45000033 THYROID STIMULATING IMMUNE GLOB (TSI) 301
45000034 ACETYLCHOLINE RECEPTOR BINDING ANT(REF) 301
45000036 GASTRIC OCCULT BLOOD 301
45000040 URINE CYTOLOGY 311
45000041 SALICYLATE LEVEL 301
45000043 HEPATITIS C AB (HCV Ab) 300
45000045 VIRAL CULTURE 300
45000048 DILANTIN 300
45000049 ROTAVIRUS 306
45000050 GC SMEAR (SPECIFY SOURCE) 300
45000051 HEMOGLOBINOPATHY FRACTIONATION CASCADE 301
45000052 OSTEOCALCIN 300
45000054 1 25 DIHYDROXY VITAMIN D (REF) 301
45000056 ACID FAST SMEAR(REF) 300
45000057 BODY FLUID CELL BLOCK (REF) 311
45000058 HEP PANEL ACUTE HEP A HEP B HEP C 300
45000060 HUMAN GROWTH HORMONE 300
45000063 TOTAL PROTEIN BODY FLUID 300
45000064 BODY FLUID GLUCOSE (REF) 300
45000065 AMMONIA REF 301
45000066 TOXS SCRN BLOOD & URINE 301
45000073 THROAT CULTURE 300
45000075 POST VASECTOMY SEMEN 300
45000076 KOH-EXAM OF SKIN, HAIR OR NAILS 306
45000078 STOOL REDUCING SUBSTANCES 300
45000079 FECAL FAT- QUANT-72 HR 300
45000085 CULTURE URINE 306
45000090 MEASLES ANTIBODY IGG(REF) 302
45000092 HYDROXYPROGESTERONE 17 LCMS 300
45000093 DHEA-S04 301
45000096 ANCA PANEL(REF) 302
45000098 INSULIN TOTAL 301
45000099 SEROTONIN 301
45000100 CATECHOLAMINES URINE REF 301
45000103 ALDOLASE(REF) 300
45000104 COXSACKIE VIRAL CULTURE 300
45000106 IONIZED CALCIUM NOVA WHOLE BLOOD 300
45000107 ZINC PLASMA OR SERUM 301
45000108 24HR URINE 5HIAA (REF) 301
45000109 XANAX 300
45000111 CKMB 301
45000112 TRANSFERRIN 301
45000114 COCKATIEL DROPPINGS MMC 300
45000118 RUBELLA ANTIBODY 302
45000126 ALPHA-1 ANTITRYPSIN TOTAL(REF) 301
45000129 BARTONELLA HENSELAE ANTIBODY IGM(REF) 302
45000132 FLOW CYTOMETRY FIRST MARKER 311
45000133 FLOW CYTOMETRY/EACH ADDITIONAL MARKER 311
45000139 AMYLASE 300
45000140 SODIUM 301
45000141 ALBUMIN 300
45000144 IGE-PARAKETTE FEATHERS 300
45000164 FERRITIN 300
45000176 ## DO NOT USE !!!! ## 300
45000177 IGE- ASPERGILLUS FUMIGATUS 302
45000179 ACTH(REF) 301
45000185 PLATELET ASSO IMMUNOGLOBULIN ASSAY 302
45000186 MORPHOMETRIC TUMOR ANALYSIS MANUAL 310
45000187 MORPHOMETRIC ANALYSIS COMP ASSIST 310
45000189 MORPHOMETRIC ANALYSIS IN SITU 310
45000206 LIVER PROFILE 301
45000207 HEPATITIS B SURFACE Ab (HBsAb) 302
45000209 NON-DOT UDS(ONLY FOR EMPLOYMENT) 300
45000210 HEP B CORE IGM 302
45000231 ELECTROLYTE PANEL 300
45000233 TESTOSTERONE FREE 300
45000252 BARTONELLA HENSELAE ANTIBODY IGG(REF) 302
45000255 BILIRUBIN TOTAL 300
45000267 URIC ACID 301
45000279 URINALYSIS w/Microscopy/C&S if indicated 307
45000309 IGA QUANT 301
45000310 IGG QUANT(REF) 301
45000312 5 NUCLEOTIDASE 300
45000322 IGM QUANT 301
45000323 PERTUSSIS BY PCR(REF) 306
45000334 IRON 300
45000336 ACETONE (LABCORP) 300
45000359 CAROTENE REF 300
45000360 PHENOBARBITAL 300
45000361 24HR URINE SODIUM 301
45000362 24HR URINE POTASSIUM 301
45000371 ARTERIAL BLOOD GAS 301
45000395 URINALYSIS DIPSTICK AUTO READ 307
45000437 IMMUN ELECT 302
45000449 IRON BINDING CAP 300
45000450 GLUCOSE TOL.TEST ADD SPECIME 301
45000462 BACTERIAL ID 306
45000463 CULTURE BACTERIAL ID 300
45000498 PKU 301
45000504 CBC, W/AUTO DIFF 300
45000516 CHOLESTEROL 301
45000522 RED BLOOD CELL FOLATE 301
45000528 IGE TOTAL 301
45000541 CULTURE STOOL 306
45000542 SICKLE CELL SCREEN 300
45000544 MECLIVINE LEVEL 300
45000553 PROTEIN ELECTROPHORESIS SERUM 300
45000589 ANTI TPO (MICROSOMAL ABG) 302
45000590 NON-COVERED VENIPUNCTURE 300
45000619 BUN SERUM 301
45000620 HDL 300
45000632 URINE MICROSCOPIC EXAM (ADD ON) 307
45000644 HGB A1C -GLYCOHEMOGLOBIN 300
45000740 TESTOSTERONE TOTAL 300
45000741 ESTRADIOL 301
45000742 CORTISOL 300
45000743 LH LUTEINIZING HORMONE 301
45000744 FSH 301
45000745 PROLACTIN 300
45000747 HEMOGLOBIN 305
45000851 CALCIUM 300
45000863 HEMATOCRIT 305
45000875 NASAL SMEAR FOR EOS 301
45000887 LIPASE 300
45000896 TB INHIBITORY IMMUNOGLOBIN 301
45000978 LIPID PANEL 301
45000980 WBC COUNT 305
45000982 FTA - ABS 300
45000992 HEPATITIS Be ANTIBODY 300
45001025 DRAWING & EXTRAORDINARY HANDLING FEE - 300
45001028 CARBOXYHEMOGLOBIN 300
45001029 ASSOC CHG MYSOLINE (PRIMIDONE)(REF) 300
45001030 METHEMOGLOBIN QUAN 300
45001039 AMYLASE BODY FLUID 300
45001041 OXYGEN SATURATION MEASURED 300
45001053 HEMOGLOBIN TOT COLORIMETRIC 305
45001090 CHLORIDE 300
45001100 ALPHA FETAL PROTEIN SERUM(REF) 301
45001109 CHLAMYDIA SLIDE REF 300
45001119 TB TO STATE (COLLECTION FEE) 306
45001121 IGE-MILK 302
45001122 ADH (VASOPRESSIN)(REF) 300
45001211 BETA HCG-QUANT 301
45001212 IMMUNO G SUBCLASS 1-4 300
45001213 CSF CRYPTOCOCCUS ANTIGEN REF 300
45001223 PLATELET COUNT AUTOMATED 305
45001238 ENDOMYSAL AB 302
45001248 PARASITE ID (REF) 300
45001289 C-PEPTIDE(REF) 301
45001338 CPK 300
45001340 CBC W/O DIFF 300
45001342 FREE T3 300
45001344 ANTI-RETICULIN ANTIBODY(REF) 300
45001346 25 HYDROXY VITAMIN D 301
45001351 CULTURE BLOOD 306
45001363 MAGNESIUM 301
45001453 GLUCOSE 2HR PP 300
45001454 GLUCOSE 300
45001455 HAPTOGLOBIN 301
45001496 VITAMIN B-2 WB 300
45001570 CARE PANEL #2 300
45001582 GLUCOSE MEASUREMENT STRIP 301
45001583 ACE LEVEL(REF) 300
45001591 CULTURE SPUTUM 306
45001592 CULTURE WOUND 306
45001593 CULTURE GENITAL 306
45001594 CULTURE ROUTINE 306
45001595 CULTURE BODY FLUID 306
45001596 CULTURE CSF 300
45001600 THEOPHYLLINE 301
45001654 GLIADIN AB IGG 300
45001655 GLIADIN AB IGA 300
45001697 GGT 301
45001715 CULTURE ANAEROBIC 306
45001727 PTH 301
45001794 C1Q BINDING IMMUNO COMPLEX REF 300
45001818 LDH 301
45001819 CLOZARIL-CLOZAPINE REF 300
45001820 SED RATE, AUTOMATED (CHARGE) 305
45001822 BETA HCG TUMOR MARKER(REF) 301
45001831 WET PREP EXAM 306
45001843 TSH 300
45001855 SENSITIVITY CHG (DISK METHOD) 306
45001958 GRAM STAIN 306
45001959 HIV VIRAL LOAD 300
45001960 TRIGLYCERIDES 301
45001964 LEAD TO STATE 300
45001974 BK VIRUS, QUAL PCR 300
45001979 CAPILLARY GASES 300
45001985 CAP BLOOD SPEC-FINGER/HEEL/EAR/ CHG 300
45002057 PHOSPHORUS 301
45002069 BLEEDING TIME 305
45002070 CULTURE GC SCREEN 300
45002173 POTASSIUM 301
45002185 PTT 300
45002190 HOMOCYSTEINE VITAMIN PANEL-CYANOCCOBALA 300
45002192 TSINHIBITOR 301
45002196 LAMICTAL LEVEL 300
45002197 CREATININE 300
45002198 URINE MYOGLOBIN 300
45002290 SGOT (AST) 301
45002291 HEPATITIS A ANTIBODY TOTAL 302
45002292 CERULOPLASMIN REF 301
45002306 PROTIME 300
45002345 CYTOMEGALOVIRUS IGG REF 302
45002348 TOXOPLASMA IGM 300
45002353 C REACTIVE PROTEIN 302
45002355 SYNOVIAL FLUID CELL COUNT & DIFF NO CRYS 300
45002410 DIGOXIN 301
45002422 TOTAL PROTEIN (SPINAL) 300
45002465 HISTOPLASMA ANTIBODY BY ID 302
45002466 BLASTOMYCES BY ID (REF) 300
45002467 T4 FREE 301
45002470 APOA1-OA 301
45002472 APOB-LA 301
45002512 GCMS BENZODIAZEPINES 301
45002546 CHROMIUM REF 301
45002547 DILUTE RUSSELL VIPER VENOM TIME 305
45002548 LA-THROMBOPULASTIN INHIBITOR-TISSUE 305
45002550 DRUG ABUSE SCREEN II 301
45002551 COMPLEMENT ACTIVATION PANEL 2 REF 300
45002578 24HR URINE MAGNESIUM 301
45002587 MUMPS TITER IGG(REF) 302
45002593 GRAM STAIN CHARGE ONLY 306
45002665 RA TEST QUANT 300
45002679 DHEA 301
45002731 BB LEWIS B UNIT AG TYPE 300
45002893 INSULIN ANTIBODIES 300
45002896 T4 (TOTAL) REF 300
45002897 TOPIRAMATE (TOPAMAX)* 301
45002898 OXCARBAZEPINE 300
45002964 COAG PROFILE/ANTICARDIO A.B. X3 (REF) 300
45002965 PT (COAG PROFILE) 300
45002966 APTT-LA (REF) 300
45002967 COAG PROFILE / SCREEN FOR DVVT REF 305
45002970 FV LEIDEN SEPERATION GEL/ELECT EC NA 301
45002972 FV LEIDEN ISOLATION OR EXTRAC/NA 301
45002973 COAG PROFILE/SCREEN FOR APc REF 300
45002976 COAG PROFILE/SCREEN FOR ATIII 305
45002977 BODY FLUID PROTEIN (REF) 301
45002980 LACTIC ACID 300
45002983 APOLIPOPROTEIN B (REF) 301
45003017 BILIRUBIN DIRECT 300
45003038 ANTI THYROGLOBULIN ANTIBODY (REF) 302
45003040 HERPES SIMPLEX VIRUS CULTURE 306
45003130 O & P STOOL 306
45003141 BB ABO GROUP 300
45003144 TOTAL PROTEIN 301
45003153 URINE 24 HR URIC ACID 301
45003257 COMPLEMENT C4 REF 302
45003263 ANTITHROMBIN III ANTIGEN (AT3-AG)(REF) 300
45003264 METHYLMALONIC ACID 300
45003270 24HR URINE VMA(REF) 301
45003299 24HR URINE CITRATE (REF) 301
45003384 CICBC (DAT) ONLY ORDER BY LAB 300
45003396 BONE MARROW ASPIRATION ONLY(REF) 300
45003499 ASO TITER(REF) 302
45003505 BB ANTIBODY SCREEN EACH SERUM TECHNIQUE 300
45003610 FEBRILE AGG (x 8) 300
45003645 COMPAT TEST EACH IMMED SPIN 300
45003657 COMPAT TEST EACH: INCUBATION 300
45003658 CF CARRIER-1 ISOLATION BY NUCLEIC ACID 310
45003669 COMPAT TEST EACH: ANTIGLOBULIN 300
45003748 PHLEBOTOMY THERAPEUTIC 940
45003750 ACID PHOSPHATASE PROSTATIC(REF) 300
45003852 MONO TEST 302
45003853 FLUOXITINE 300
45003855 RENIN 301
45003864 BB RH TYPE 300
45003865 DESIPRAMINE 300
45003876 ETHANOL (ALCOHOL) 301
45003877 IMMUNOFIXATION ELECTROPHORESIS 302
45003878 BIOTINIDASE(REF) 300
45003880 URINE FOR EOSINOPHILS 307
45003881 CARDIOLIPIN AB IGM(REF) 302
45003910 24HR URINE OXALATE (REF) 301
45003979 PREGNANCY TEST SERUM 301
45003987 CICBC ANTIBODY SCREEN 300
45003992 ALK PHOSP (ISO)(REF) 301
45004005 HELICOBACTER PYLORI BY BIOPSY 306
45004091 RPR 302
45004092 TOTAL T-3 (REF) 300
45004110 ANTI-MITOCHONDRIAL ANTIBODY 300
45004201 1 HR GESTATIONAL GLUCOSE SCREEN 301
45004212 OCCULT BLOOD (DIAGNOSTIC) FIT/HEMOSURE 300
45004236 ANA (REF) 302
45004261 BONE MARROW FLOW CYTOMETRY 311
45004339 STOOL LEUKOCYTES (WBC'S) 301
45004341 URINARY CALCULI QUANT 301
45004455 CELL COUNT RBC-WBC-DIFF (SPINAL) REF 300
45004479 COMPLEMENT TOTAL(CH50) REF 302
45004500 CRYSTALS - SYNOVIAL FLUID 300
45004512 CALIFORNIA ENCEPHALITIS REF 300
45004564 GC BY DNA PROBE(REF)NON ORDERABLE 306
45004587 URINE 24 HR MAGNESIUM (REF) 300
45004595 CEA REF 301
45004698 GLUCOSE (CSF) 300
45004704 24HR URINE CALCIUM, REF 301
45004705 NEURONTIN(REF) 301
45004716 COLD AGG TITER REF 300
45004720 SEX HORMONE BINDING GLOBULIN 301
45004730 CULTURE NOSE 306
45004741 VITAMIN B-12 301
45004742 VITAMIN E 300
45004753 FOLIC ACID (SERUM) 301
45004765 PSA-SCREENING 301
45004797 CATECHOLAMINES FRACTIONATED-PLASMA REF 300
45004807 VALPROIC ACID 300
45004808 ALDOSTERONE(REF) 300
45004819 CARBAMAZEPINE 301
45004820 QUINIDINE 300
45004825 PSA-DIAGNOSTIC 300
45004832 PROGESTERONE 301
45004856 HEP B SURFACE AG 306
45004881 GASTRIN 300
45004902 HEPATITIS C GENOTYPING 300
45004932 FK-506 301
45004935 FUNGUS CULTURE, OTHER 306
45004947 CYTOLOGY (BODY FLUID) 300
45004959 LEAD BLOOD (ADULT)(REF) 300
45004960 OSMOLALITY SERUM 301
45004972 OSMOLALITY URINE 301
45004975 IGE- FOR CATS 300
45004984 CYTOLOGY NGYN SPUTUM 311
45004996 URINE DRUG SCREEN PANEL 7 301
45005000 KLONOPIN 300
45005001 EPSTEIN-BARR VIRUS EARLY ANTIGEN 302
45005003 PARVOVIRUS B19 DNA BY PCR 300
45005004 EPSTEIN-BARR VIRUS NUCLEAR ANTIGEN 302
45005005 EPSTEIN-BARR VIRUS/VCA IGG 302
45005010 EPSTEIN-BARR VIRUS/VCA IGM 302
45005050 AMITRIPTYLINE(REF) 301
45005249 HEMOSIDERIN - URINE QUANTITATIVE 300
45005252 VDRL CSF 300
45005269 SEXUAL ASSAULT COLLECTION 300
45005287 TEICHOIC ACID ANTIBODY 300
45005297 VARICELLA ZOSTER IGM (QUANT) 302
45005298 TESTOSTERONE % FREE & WB (W/TOTAL) 300
45005498 NUCLEIC ACID PROBE 301
45005533 SCLERODERMA(Scl-70)ANTIBODY(REF) 302
45005534 ANTI-SINGLE STRAND DNA (REF) 302
45005535 HEPATITIS B CORE ANTIBODY (HBcAb)TOTAL 300
45005536 HEPATITIS B SURFACE ANTIBODY 302
45005606 ASPERGILLUS AB QB DID)(REF) 300
45005610 ANDROSTENEDIONE(REF) 300
45005611 C-TELOPEPTIDE SERUM (REF) 302
45005612 URINE 24 HOUR AMMONIA(REF) 301
45005633 TCA LEVEL 301
45005679 H. GALACTOMANNAN AG UR 300
45005719 VARICELLA BY IFA 300
45005814 CYTOGENETICS TISSUE CULTURE SKIN BX 311
45005815 CYTOGENETICS CHROMOSOME ANLY COUNT 15- 300
45005816 CYTOGENETICS INTERPRETATION & REPORT 311
45005926 MYCOBACTERIA CULTURE (TB)/SMEAR(REF) 306
45005928 ASSOC CHG HISTOPLASMA AB YEAST 302
45005935 HISTOPLASMA MYCELIAL 302
45005966 D-XYLOSE ABSORPTION 300
45006000 BONE MARROW SMEAR INTERPRETATION(REF) 310
45006003 WEST NILE IGM 302
45006004 WEST NILE IGG 302
45006256 ISLET CELL ANTIBODY(REF) 300
45006262 VITAMIN B-6 301
45006278 AMIODARONE (REF) 300
45006432 ARTERIAL PUNCTURE 450
45006434 ARTERIAL PUNCTURE 761
45006496 CULTURE AEROBIC 306
45006497 CULTURE THROAT 306
45006517 IGF-BP3 300
45006520 C-PEPTID 300
45006521 ERYTHROPOIETIN 301
45006522 THYROID BINDING GLOBULIN (TBG) 301
45006543 CPK ISOENZYMES REF 300
45006612 BLASTOMYCOSIS IMM DF (REF) 300
45006635 COCCIDIODES BY CF (REF) 302
45006895 CRYPTOCOCCUS ANTIGEN REF 300
45006923 FRUCTOSAMINE (GLYCATED PROTEIN) 301
45006952 LDL DIRECT MEASURED 301
45006958 ANTI RNP ANTIBODY IGG(REF) 300
45006970 PARASITOLOGY MISCELLANEOUS (REF) 300
45007000 CULTURE FOR GROUP B STREP 300
45007186 MIC SENSITIVITY 306
45007231 INHIBITOR ID 305
45007400 CULTURE MRSA (NARES/ THROAT/ RECTUM) 306
45007412 ANTI ACETYLCHOLINE RECEPTOR ANTIBODY REF 300
45007413 BLASTOMYCES BY CF (REF) 300
45007428 IGF-1 (REF) 301
45007456 LEAD VENIPUNCTURE COLLECT SPECIMEN/BLOOD 300
45007469 24HR URINE MICROALBUMIN 301
45007496 TROPONIN LEVEL 301
45007854 ANTI-STREPTOKINASE ANTIBODY (REF) 300
45007855 SS-A(RO) ANTIBODY IGG(REF) 302
45007856 SS-B(LA) ANTIBODY IGG(REF) 302
45007858 SMITH(SM) ANTIBODY IGG(REF) 302
45007896 C1 ESTERASE INHIBITOR (REF) 302
45008114 GLUCOSE TOLERANCE TEST 2HR 301
45008118 SED RATE 300
45008122 HEMOGRAM CHARGE ONLY 305
45008123 CBC W/AUTO DIFF CHARGE ONLY 300
45008176 FIBRIN DEGRADATION PRODUCT 305
45008187 CHLAMYDIA CULTURE REF 300
45008188 PREALBUMIN 301
45008250 VANCOMYCIN TROUGH 301
45008256 URINE DRUG - CONFIRM BY GC/MS 301
45008269 BLADDER TUMOR ANTIGEN(REF) 300
45008270 VANCOMYCIN PEAK 301
45008271 SULFONAMIDE 301
45008277 FREE DILANTIN LEVEL 300
45008389 MOLECULAR ISOLATION 301
45008395 STRONGYLOIDES, AB 302
45008396 THROMBIN TIME 300
45008436 CICBC ABO GROUP 300
45008438 CICBC RH TYPE 300
45008493 VOLUME MEASUREMENTS FOR TIMED URINES 307
45008496 VON WILLEBRAND FACTOR-RISTOCEIN COFACTOR 300
45008522 URINE PROTEIN RANDOM in-house 300
45008525 HEPATITIS C RNA NAA for diagnosis 306
45008526 D-DIMER (TRIAGE) 305
45008527 G6PD 300
45008529 HEPATITIS A IGM (HAV) 302
45008553 REFERENCE LAB COURIER CHARGE 300
45008569 BASIC METABOLIC PANEL 300
45008570 COMPREHENSIVE METABOLIC PANEL 301
45008572 MUMPS TITER, IGM(REF) 300
45008574 ROCKY MOUNTAIN SPOTTED FEVER IGG 300
45008590 BB REF LAB EXTENDED ANTIBODY ID 302
45008597 RENAL FUNCTION PANEL 301
45008611 OSMOTIC FRAGILITY RBC 300
45008622 CA 19-9 REF 302
45008649 HSV-1 IGG 302
45008650 HSV-2 IGG 302
45008652 HSV-2 IGM 300
45008664 TROPONIN I 301
45008669 CK MB 301
45008670 PROTEIN S TOTAL 305
45008671 PROTEIN C FUNCTIONAL 305
45008672 VITAMIN K 1 300
45008674 VENOUS BLOOD GAS 300
45008677 FACTOR V LEIDEN 310
45008679 LIPOPROTEIN a (LPa)(REF) 301
45008681 AFP3-HCG 300
45008682 AFP3-AFP 300
45008683 FIBRINOGEN 305
45008684 PORPHOBILINOGEN (PBG) URINE 300
45008685 ALA-5 AMINOLEVULINIC ACID UR RANDOM(REF) 300
45008686 PARVOVIRUS AB, IGG 300
45008687 PARVOVIRUS AB, IGM 300
45008688 INFLUENZA A AG. DFA 300
45008689 INFLUENZA B AG. DFA 300
45008690 SHELL VIAL DFA 306
45008691 CULTURE TYPING 300
45008692 INSULIN FREE AND TOTAL 300
45008693 AMPHETAMINE CONFIRMATION URINE LABCORP 300
45008694 CULTURE TISSUE 300
45008695 CULTURE FUNGUS BLOOD 306
45008696 CULTURE FUNGUS, BLOOD 306
45008697 TISSUE GRINDING 300
45008698 AFB ST FLOUROCHROME(REF) 306
45008699 CULTURE EAR 306
45008700 CULTURE EYE 306
45008703 GRAM STAIN SEND OUT 306
45008704 PROTHROMBIN GENE MUTATION(REF) 310
45008705 PGM-SEPERATION EACH NA 301
45008706 PGM-ENZYME DIGESTION 301
45008707 PGM-AMPLIFICATION EACH NA SEQUENCE 301
45008708 PGM-MOLE DIAG;ISO EX 301
45008710 CARDIOLIPIN ANTIBODY IGG(REF) 302
45008712 BB REF LAB CROSSMATCH 300
45008713 ACETYLCHOLINE RECEPTOR BLOCKING ANT(REF) 301
45008714 FACTOR VIII ASSAY 300
45008716 VON WILLEBRAND FACTOR ANTIGEN(REF) 300
45008717 ANTITHROMBIN III FUNCTIONAL (AT3)(REF) 305
45008718 FACTOR Xa CHROMOGENIC 305
45008719 PROTEIN S FREE ANTIGEN 300
45008720 CARDIOLIPIN ANTIBODY IGA REF 302
45008722 CITRULLINE AB IGG/IGA (CCP)(REF) 302
45008723 CYTOMEGALOVIRUS/QUANT BY PCR-PLASMA RE 306
45008724 CHROMOSOME ANALYSIS, PART 1 OF 3 311
45008725 CHROMOSOME ANALYSIS, PART 2 CHROMOSOME A 311
45008726 CHROMOSOME ANALYSIS, PART 3 OF 3 311
45008731 VITAMIN A 301
45008733 THYROGLOBULIN ACC (CHARGE) 301
45008762 CHLAMYDIA TRACH DNA PR(REF) NON ORDERABL 306
45008763 HEPATITIS Be ANTIGEN 300
45008764 PURINE & PYRIMIDINE PANEL UR 300
45008765 ANTIBASEMENT MEMBRANE(REF) 300
45008766 GMS STAIN 300
45008767 CHYLOMICRON SCREEN - BODY FLUID REF 300
45008768 N-TELOPEPTIDE URINE(REF) 301
45008779 PH 24HR URINE 301
45008780 SULFATE 24HR URINE 301
45008781 PHOSPHATE 24HR URINE (REF) 301
45008888 UR IMMUNOFIX. ELECTROPHORESIS 302
45008889 SENSORY NEUROPATHY PROFILE 301
45008943 ACETYLCHOLINE RECEPTOR MODULATING ANT(RF 301
45008954 MYOGLOBIN SERUM (REF) 301
45008956 24HR URINE CYSTINE 300
45008966 VARICELLA ZOSTER IGG 302
45009167 HEMOCROMATOSIS MUTATION BY PCR 310
45009360 CULTURE VRE 306
45009552 FUNGAL STAIN-LAB CORP 300
45009641 MERCURY BLOOD(REF) 300
45009642 TISSUE TRANSGLUTAMINASE AB IGA(REF) 300
45009643 TISSUE TRANSGLUTAMINASE AB IGG(REF) 300
45009645 HERPES SIMPLEX 1&2 BY PCR 306
45009646 IGE- ALTERNARIA ALTERNATE (MOLD)(REF) 302
45009647 AMERICAN ELM IGE(REF) 300
45009648 WHITE OAK IGE 300
45009649 BOX-ELDER TREE (MAPLE) IGE (REF) 302
45009654 HOUSE DUST MITE(D. FARINAE) IGE 300
45009655 CAT DANDER,IGE 300
45009656 DOG DANDER IGE 300
45009658 HISTOPLASMA ANTIGEN SERUM 300
45009685 ANTI-CENTROMERE ANTIBODY(REF) 300
45009856 CRYOGLOBULIN 301
45018562 ANTIBODY VIRUS NES(REF) 300
45018563 FISH 22Q11, CHROMOSOMAL 300
45018564 FISH - 22Q11 - DNA PROBE 300
45018565 FISH - 22Q11 - MICRODELETION 300
45050003 RAPID STREP SCREEN 306
45050017 CLOMIPRAMINE(REF)RT 301
45050039 GRAM STAIN (SPECIFY SOURCE) 300
45050052 OTHER ROUTINE CULTURE 300
45050160 GIARDIA ANTIGEN STOOL EIA 300
45050234 CULTURE, STOOL, ADDITIONAL PATHOGENS 306
45050432 ANTI-SMOOTH MUSCLE AB (ONLY) 300
45050434 ANTI DOUBLE STRANDED DNA AB 302
45050436 BERMUDA GRASS IGE(REF) 300
45050438 ALLERGEN SPECIFIC IGE EACH ALLERGEN (R) 300
45050452 PEANUT IGE 300
45050461 HOMOCYSTEINE PLASMA 301
45050462 FATTY ACIDS NONSTERIFIED (FREE) 300
45050463 PNEUMOCOCCAL ANTIBODY 7 SEROTYPE 302
45050464 LATEX-SPECIFIC IGE(REF) 300
45050466 DIPHTHERIA ANTIBODY 300
45050468 TETANUS TOXOID ANTIBODIES 300
45050469 HAEMOPHILUS INFLUENZEA B AB IGG 300
45050519 PREGNANCY TEST URINE 307
45050568 SED RATE, MANUAL (CHARGE) 305
45050570 SGOT 300
45050600 T3 UPTAKE 301
45050660 TRIGLYCERIDES 300
45050696 MANUAL DIFFERENTIAL 305
45050702 GENTAMYCIN TROUGH REF 300
45050704 COPPER PLASMA 300
45050706 HISTONE AUTO ANTIBODIES(REF) 302
45050708 CRP - CARDIAC(LABCORP) 302
45050710 CA 27-29 REF 302
45050714 TOBRAMYCIN 300
45050726 PTT 300
45050751 ANA 300
45050775 O & P STOOL 300
45050787 HGB 300
45050799 SENSITIVITY 306
45050805 NOSE CULTURE 300
45050806 STOOL FECAL FAT - QUALITATIVE 301
45050817 HMCT 300
45050829 OCCULT BLOOD 300
45080001 VET 18 W/CBC 300
45080002 VET CBC 300
45080003 VET CHEM 18 300
45080004 CULTURE ENVIRONMENTAL 306
45080005 CENTRAL IL DRUG SCREEN 300
45080006 HAYES DRUG SCREEN 300
45080007 SPECIAL COLLECTION & HANDLING 300
45080009 BUS DRIVER DRUG SCREEN 300
45080012 MONTEREY COLLECTION 300
45080014 URINE DRUG SCREEN PANEL 5 301
45080015 WAL-MART COLLECTION FEE 300
45080016 DOT DRUG SCREEN 301
45520010 CU AB ID (LEUKO) 302
45520013 PROTIEN C ANTIGEN 300
45520015 MYELOPEROXIDASE (MPO) AB.(REF) 301
45520016 SERINE PROTEASE 3 (PR3) 301
45520018 REVERSE T3 301
45520020 24HR URINE CALCIUM 301
45520021 FREE T3 301
45520022 SELENIUM 301
45520023 ARSENIC(REF) 300
45520026 CICBC ENZYME TREATMENT 300
45520027 MRSA SCREEN (NASAL ONLY) 306
45520033 A PHAGOCYTOPHILUM ASSOC CHRG 300
45520034 EHRLICHIA PROFILE DNA PCR 300
45520035 D DIMER (REF) 300
45520036 MUCOPOLYSACCHARIDES (URINE)QUANT(REF) 300
45520037 TRICHINELLA ANTIBODY 300
45520040 FREE KAPPA 300
45520041 FREE LAMBDA 300
45520042 LEGIONELLA PNEUMOPHILIA AG. UR(REF) 300
45520043 CALPROTECTIN FECAL REF 300
45520044 STREPTOCOCCUS PNEUMONIAE AG. UR 300
45520045 CARNITINE FREE&TOTAL(INC. ESTERIFIED) R 300
45520046 EBV BY PCR QUANT 300
45520048 ADENOVIRUS AB IgG(REF) 300
45520049 ADENOVIRUS AB IgM(REF) 300
45520051 COXSACKIE B1 ANTIBODY(REF) 300
45520057 SOLUBLE LIVER ANTIGEN AB, IgG(REF) 300
45520058 COXSACKIE A9 VIRUS AB BY CF(REF) 300
45520059 BONE SPECIFIC ALK PHOS(REF) 300
45520060 DEOXYPYRIDINOLINE CROSSLINKS-UR 300
45520061 C-PEPTIDE 24 HR URINE(REF) 300
45520062 CHROMOSOME MICROARRAY 300
45520063 CMA-ISOLATION OF DNA 300
45520065 HEINZ BODY STAIN 305
45520066 ZONISAMIDE (ZONEGRAN) 301
45520068 ISO ENZYMES ASSOC CHARGE 300
45520073 BB REF JKA UNIT AG TYPE 300
45520075 AFP L3 (TOTAL AND %)(REF) 301
45520076 HYDROMORPHONE QUANT. 301
45521315 MIC LABCORP REF 300
45521316 ANAEROBIC ID LABCORP REF 301
45522013 ACYGLYCINES URINE(REF) 300
45522014 CRYOGLOBULIN QUAL-REFLEX TO QUANT 300
45522015 QUANTIFERON GOLD SINGLE TUBE 300
45522016 AMMONIA 300
45522017 LITHIUM 300
45522018 COPPER URINE(RANDOM OR 24HR) REF 301
45522019 URINE CREATININE, REF 300
45522020 TOBRAMYCIN PEAK 301
45522021 TOBRAMYCIN TROUGH 301
45522022 GENTAMICIN PEAK REF 301
45522023 JAK2 V617F MUTATION ANALYSIS(REF) 310
45522024 JAK2 ISOLATION NUCLEIC ACID 300
45522028 PROTEIN ELECTROPHORESIS CSF 301
45522029 CELIAC DISEASE PANEL(REF) 300
45522032 BK VIRUS - URINE QUANT BY PCR(REF) 300
45522033 INHIBIN B 301
45522036 ROCKY MOUNTAIN SPOTTED FEVER IGM 300
45522040 PANCREATIC ELASTASE FECAL (REF) 301
45522041 ADENOVIRUS (TYPE 40/41) DD EIA(REF) 301
45522042 INFLUENZA A H1N1 BY PCR 301
45522044 STRIATIONAL ANTIBODIES(REF) 300
45522045 PH STOOL 301
45522046 ALLERGEN PROFILE, REGIONAL ZONE10 300
45522048 18-HYDOXYCORTICOSTERONE, SERUM (REF) 300
45522049 N-TELOPEPTIDE CROSS-LINKS SERUM(REF) 301
45522052 LEAD BLOOD (PEDIATRIC)(REF) 301
45522055 FLOW MARKERS X1 BLD 301
45522056 FLOW MARKERS FIRST BLD 311
45522057 FLOW INTERPRETATION 2-8 301
45522058 FLOW INTERPRETATION 9-15 301
45522059 FLOW INTERPRETATION 16 OR MORE 311
45522064 HTLV-1 300
45522065 HTLV-II 300
45522066 URINE PROTEIN ASSOC CHG REF 300
45522067 TOTAL PROTEIN REF 301
45522068 TOTAL PROTEIN CSF REF 301
45522069 ASSOC ALK PHOS TOTAL 301
45522070 LIPOPROTEIN-ASSOC PHOSPHLIPASE A2(REF) 301
45522071 SALIVARY CORTISOL MS 300
45522072 CAT HAIR/DANDER IGE REF 302
45522073 HLA-ISOLATION, NUCLEIC ACID, DNA 300
45522076 HLA-AMPLIFICATION EA NA SEQUENCE 300
45522078 ESTRONE 302
45522079 PROTEIN S FUNCTIONAL 300
45522080 SCABIES EXAMINATION 300
45522081 CYTOMEGALOVIRUS (CMV)QUANT BY PCR REF 300
45522082 CORTISOL/ AM REF 300
45522083 CORTISOL PM REF 300
45522085 OPIATE BLOOD-SCREEN ONLY 302
45522089 LA-SUBSTITUTION PLASMA 300
45522091 DIPHTHERIA ANTITOXOID ANTIBODIES 302
45522093 T7-T3U 300
45522094 T7-TT4 300
45522095 NICOTINE & METABOLITE QUAN. PLASMA(REF) 300
45522097 GLUTEN All. Spec. IgE 300
45522098 URINE CALCIUM W/CREATININE RATIO 302
45522099 GC-NAA GEN OR URINE 306
45522101 CD4:CD8 RATIO PROFILE(INCLUDES CBC W/DIF 300
45522102 URINE 24 HR PORPHYRINS QUANT 300
45522104 ANTICHROMATIN ANTIBODIES(REF) 300
45522105 RHEUMATOID ARTHRITIS (RA) FACTOR REF 300
45522106 BB ANTIGEN TYPING SPECIFIC PT 300
45522108 ANTI-SS-A (Ro) 300
45522109 ANTI-SS-B (La)(REF) 300
45522110 HOMOCYSTINE (COAG) 300
45522111 CULTURE BETA STREP (THROAT) 306
45522112 PTT-LA MIX-(CHARGE ONLY) 300
45522113 PTT-LA INCUB MIX (CHARGE ONLY) 300
45522114 dRVVT MIX (CHARGE ONLY) 300
45522115 CELLULAR ENHANCEMENT(REF) 311
45522116 AMIKACIN TROUGH (REF) 302
45522117 SEZARY CELL EXAM 302
45522118 5 PANEL DRUG SCREEN W/ECSTASY(REF) 301
45522119 ALUMINUM PLASMA OR SERUM(REF) 300
45522122 FLUVOXAMINIE 300
45522123 API UR DRUG SCREEN 301
45522124 ANTIPHOSHATIDYLSERINE IGA(REF) 300
45522125 ANTIPHOSPHATIDYLSERINE, IGG 300
45522126 ANTIPHOSPHATIDYLSERINE, IGM 300
45522128 BETA-2 GLYCOPROTEIN 1 AB, IGA 302
45522129 BETA-2 GLYCOPROTEIN 1 AB, IGM 302
45522130 BETA-2 GLYCOPROTEIN 1 AB, IGG 302
45522132 PYRUVIC ACID WHOLE BLOOD 301
45522133 URINE PROTEIN W/CREATININE RATIO 300
45522134 ASSOC CHARGE URINE CREATININE 300
45522136 B CELLS TOTAL(REF) 300
45522137 NATURAL KILLER CELLS TOTAL 300
45522138 ASSOC CHG T CELLS TOTAL 300
45522140 MANNOSE BINDING LECTIN (MBL)(REF) 300
45522141 ANTISKIN AUTOANTIBODIES QUANT (REF) 300
45522144 BORDETELLA PERTUSSIS SMEAR(REF) 300
45522146 CD HLA ISOLATION DNA EA NA REF 302
45522147 CD SEPERATION BY GEL REF 302
45522148 CD NA PROBE EACH(REF) 302
45522149 CD AMPLIFICATION TARGET EA NA REF 302
45522154 FUNGUS IGA 300
45522156 FUNGUS IGG 300
45522158 PNEUMOMOCCAL IMMUNOASSAY 302
45522159 PRO BNP 300
45522163 TISSUE PLASMINOGEN ACTIVATOR 307
45522168 ALCOHOL, BLOOD 301
45522169 HISTAMINE DETERMINATION PLASMA 300
45522171 CLAM IGE REF 302
45522172 CRAB IGE(REF) 302
45522173 SHRIMP IGE(REF) 302
45522174 SCALLOP IGE(REF) 302
45522175 OYSTER IGE(REF) 302
45522176 LOBSTER IGE(REF) 302
45522177 ASPERGILLUS FUMIGATUS IGE(REF) 302
45522178 ENGLISH PLANTAIN IGE 302
45522179 CLADOSPORIUM HERBARUM IGE REF 302
45522180 COCKROACH AMERICAN - IGE REF 302
45522181 COTTONWOOD IGE REF 302
45522182 DERMATOPHAGOIDES FARINAE IGE(REF) 302
45522183 DERMATOPHAGOIDES PTERONYSSINUS IGE REF 302
45522185 JOHNSON GRASS/ IGE(REF) 302
45522186 RAGWEED SHORT IGE(REF) 302
45522187 RED CEDAR IGE (REF) 302
45522188 MULBERRY / WHITE / IGE(REF) 302
45522189 KENTUCKY BLUE GRASS / IGE(REF) 302
45522190 HICKORY WHITE IGE(REF) 302
45522191 PENICILLIUM NOTATUM IGE 302
45522192 MAPLE RED IGE(REF) 302
45522193 PIGWEED ROUGH IGE(REF) 302
45522194 RUSSIAN THISTLE IGE(REF) 302
45522195 SHEEP SORREL IGE(REF) 302
45522196 STEMPHYLIUM BOTRYOSUM IGE(REF) 302
45522197 SYCAMORE, IGE(REF) 302
45522199 ALTERNARIA ALTERNATA IGE(REF) 302
45522200 SULFAMETHOXAZOLE BASAL FUNCTION REF 302
45522201 MUCOR RACEMOSUS IGE(REF) 302
45522202 NETTLE IGE(REF) 302
45522203 CULTURE FUNGUS (NOT BLD) ALL OTHER(REF) 306
45522204 YEAST ID 306
45522205 FUNGAL STAIN-MMC(REF) 306
45522206 LACTOFERRIN STOOL (REF) 300
45522207 ACACIA IGE(REF) 300
45522208 BAHIA GRASS IGE(REF) 300
45522209 COCKLEBUR IGE (REF) 300
45522210 QUEEN PALM IGE(REF) 300
45522211 EUCALYPTUS IGE(REF) 300
45522212 CEDAR-MOUNTAIN IGE REF 300
45522213 OLIVE TREE IGE(REF) 300
45522214 SALT BUSH IGE 300
45522217 ANGELMAN & PRADER-WILLI SYND. DNA(REF) 302
45522218 A&P MOLECULAR ISO OR EXTRACT EACH(REF) 300
45522219 A&P ISOLATION NA EACH TYPE(REF) 300
45522220 A&P SEPERATION BY GEL ELECTROPHORESIS(R) 300
45522221 A&P INTERPRETATION AND REPORT(REF) 300
45522224 SHIGA TOXIN 1 300
45522225 SHIGA TOXIN 2 300
45522226 BROTH ENRICHMENT 300
45522227 RAPID CAMPY 300
45522228 BEEF IGE(REF) 302
45522229 CHOCOLATE IGE REF 302
45522230 CORN IGE REF 302
45522231 EGG (WHOLE) IGE(REF) 302
45522232 FISH/SHELL MIX IGE(REF) 302
45522233 PORK IGE(REF) 302
45522234 SOYBEAN IGE(REF) 302
45522235 WHEAT IGE 302
45522236 FACTOR X ACTIVITY 305
45522237 FISH MOLE DNA PROBE 310
45522238 FISH INTERPHASE IN SITU 310
45522239 FISH CYTOGEN INT AND REPORT 310
45522241 CICBC STROMAL ALLO-ADSORPTION 300
45522242 ALDOSTERONE/RENIN RATIO(REF) 300
45522243 C1Q COMPLEMENT QUANT REF 302
45522245 PARROT FEATHERS IGE (REF) 302
45522246 URINE VMA RANDOM 301
45522248 PROTHROMBIN ANTIBODIES IGG 300
45522252 URINALYSIS w/Microscopy 307
45522253 C1 ESTERASE INHIBITOR- FUNCT 300
45522254 HISTAMINE DETERMINATION URINE 24HR 300
45522255 PROTEIN ELECTROPHORESIS 24HR URINE 301
45522256 NICOTINE METABOLITE SCREEN URINE(REF) 300
45522257 ANTIPROTEINASE 3 (PR3) ANTIBODIES(REF) 302
45522258 VITAMIN B-1 WHOLE BLOOD 301
45522259 OB PANEL 300
45522260 CORTICOSTERONE SERUM REF 302
45522261 ANTI NUERONAL CELL ANTIBODY(REF) 302
45522263 THERMOACTINOMYCES/ MICROPOLYSPORA IGG 300
45522264 PIGEON SERUM PERCIPITATING ANTIB IGG 300
45522265 SIROLIMUS BLOOD 302
45522274 CORTISOL URINARY FREE 24HR 301
45522275 TOXOPLASMOSIS AB IGG 300
45522276 TOXOPLASMOSIS AB IGM 300
45522278 CALICUM REF 300
45522281 TIMOTHY GRASS IGE 302
45522282 MANUAL UROVISION 310
45522283 COCKATIEL FEATHERS IGE(MMC) 302
45522284 LOVEBIRD FEATHERS IGE(MMC) 302
45522285 LOVEBIRD DROPPINGS MMC 300
45522287 COBALT PLASMA REF 300
45522288 A FUMIGATUS PRECIPITATING AB IGG(REF) 302
45522289 ASPERGILLUS NIGER IGG(REF) 302
45522290 ASPERGILLUS FLAVUS IGG(REF) 302
45522294 FISH MICRODELETION SYNDROME ANALYSIS 310
45522297 DAILY CBC W/O DIFF 300
45522298 DAILY PROTIME 300
45522300 DAILY COMPREHENSIVE METABOLIC PANEL 301
45522301 DAILY BASIC METABOLIC PANEL 301
45522308 CHICKEN IGE 300
45522309 PORK IGE 302
45522312 BORDETELLA PERTUSSIS-NASOPHARYNGEAL CUL 306
45522313 pANCA (REF) 302
45522314 cANCA REF 302
45522319 TULAREMIA 300
45522320 BARTONELLA QUINTANA ANTIBODY IGG(REF) 302
45522322 BARTONELLA ANTIBODY PROFILE(REF) 302
45522323 ALLERGEN PROFILE PEDI 3 TO 6 YEARS(REF) 306
45522325 COD FISH IGE REF 302
45522327 CHLAMYDIA-NAA GEN OR URINE (REF) 306
45522334 URINE PHOSPHATE RANDOM 301
45522335 BARTONELLA BY PCR(REF) 301
45522336 ITRACONAZOLE LEVEL 300
45522337 NON-GYN CYTOLOGY SLIDE FOR HERPES(MMC) 300
45522338 STOOL OCCULT BLOOD 1-3 CARDS 300
45522339 HEPARIN ANTI-Xa(REF) 300
45522342 TESTOSTERONE FREE AND TOTAL 300
45522343 ACYLCARNITINE PROFILE QUANT PLASMA(FRZ 300
45522344 AMINO ACID PROFILE QUANT PLASMA (REF) 300
45522345 ORGANIC ACID ANALYSIS URINE 301
45522348 (ANEMIA PROFILE ASS CHARGE) 306
45522351 MANUAL DIFF (ADD ON) 300
45522353 DAILY PTT 300
45522356 URINE HOMOVANILLIC ACID (HVA) RANDOM 301
45522357 ASS CHARGE CREATININE (REF) 300
45522358 URINE OROTIC ACID 301
45522359 ENZYME BIOTINIDASE DEFICIENCY SERUM(REF 302
45522360 STONE ANALYSIS (MMC REF) 301
45522361 CICBC COMPAT TEST IMMED SPIN 300
45522362 CICBC AHG CROSSMATCH 300
45522363 CICBC HGB S NEGATIVE SCREEN 300
45522364 CICBC RARE UNIT IMPORTING FEE 302
45522372 CICBC HISTORICALLY ANTIGEN NEGATIVE 302
45522373 CICBC ANTIGEN TYPE TIER I (PT) 300
45522374 CICBC ANTIGEN TYPE TIER II (PT) 300
45522375 CICBC ANTIGEN TYPE TIER IV (PT) 300
45522376 CICBC ANTIGEN TYPE TIER III (PT) 300
45522377 CICBC ANTIGEN SCRENING WITH PT PLASMA 300
45522378 ASSOC CHARGE QUICK ID CICBC 302
45522380 ASSOC CHARGE ANTIGEN TYPE (UNIT) 300
45522381 CICBC RH PHENOTYPE 302
45522382 CICBC ANTIBODY TITER 302
45522383 CICBC AUTOADSORPTION 300
45522384 CICBC ALLOGENEIC ADSORPTION 300
45522385 CICBC CHEMICAL TREATMENT OF RBCS 300
45522386 CICBC CHEMICAL TREATMENT OF PLASMA 300
45522387 CICBC CMV ANTIBODY SCREEN MICROPLATE 302
45522388 CICBC DRUG STUDY 302
45522389 CICBC LEWIS/P1 PLASMA NEUTROPHILS 302
45522390 CICBC PLASMA NEUTRALIZATION 302
45522391 CICBC SUPER DAT 300
45522392 CICBC RETICULOCYTE/ SICKLE CELL SEPARATI 300
45522393 CICBC ELISA ANTIB ID QUICK-ID 302
45522396 COOMBS' DIRECT REF 300
45522397 IBD ASSOCIATED CHARGE 300
45522404 STOOL OCCULT BLOOD HEMOSURE (2 SPECIMEN) 300
45522405 BLASTOMYCES URINARY ANTIGEN (REF) 300
45522406 ESCREEN COLLECTION FEE 300
45522407 FLUNITRAZEPAM CONFIRMATION-SERUM/PLASMA 302
45522410 MEDICAL PROFESSIONAL PROFILE (11) 300
45522411 DRUG SCREEN ASSOC CHARGE ONLY 300
45522413 HIV VIRUS 1 GENOTYPING PLUS PHENOTYPE 302
45522416 RETICULOCYTE COUNT SYSMEX 305
45522417 DESMOGLEIN ANTIBODY 300
45522418 ASPERGILLUS NIGER IGE(REF) 302
45522420 ASSOC CHG FREE PSA 301
45522423 INFLUENZA ANTIBODIES A & B QUANT 300
45522424 SCLERODERMA SCL-100(MMC) 302
45522425 FECAL POTASSIUM AC (MMC) 302
45522426 FECAL SODIUM AC (MMC) 302
45522427 FECAL CHLORIDE AC (MMC) 302
45522431 DIHYDROTESTOSTERONE (DHT) REF 301
45522432 OBJECTIVE AND DIFFERENTIATED READER 306
45522434 APPLE IGE REF 302
45522435 BANANA IGE REF 302
45522436 GRAPE IGE REF 302
45522437 PEACH IGE REF 302
45522438 PEAR IGE REF 302
45522440 LACTOFERRIN (FECAL) ELISA (ARUP) 301
45522443 AFB ID BY DNA PROBE(REF) 306
45522445 INDIA INK PREPARATION 300
45522446 WEST NILE VIRUS CSF 300
45522447 LDH / BODY FLUID 300
45522448 CHROMOSOME ANALYSIS HIGH RESOLUTION 300
45522449 RETT SYNDROME MECP2 SEQUENCING 302
45522450 VOLTAGE-GATED CA CHANNEL AB 302
45522452 ASSOC CHARGE AFP TETRA 300
45522453 LIVER-KIDNEY MICROSOMAL ANTIBODIES 300
45522454 INTERLEUKIN 28B (REF) 300
45522455 TRIGLYCERIDES BODY FLUID 300
45522456 CHOLESTEROL BODY FLUID 300
45522457 PH - BODY FLUID 300
45522458 DIALYSIS/MS FT4(REF) 300
45522459 PH URINE (RANDOM) 307
45522461 FISH CLL DNA PROBE 310
45522462 ANA W REFLEX 302
45522463 FAMILIAL MEDITERRANEAN FEVER SEQUENCING 302
45522464 DO NOT ORDER D-DIMER (QUAL) 302
45522465 FIBRIL U3 RNP 302
45522467 BRUCELLA AB IgG 302
45522468 BRUCELLA AB IgM 302
45522469 Q FEVER AB IgG 302
45522470 CRYPTOCOCCUS AB QUANT 302
45522472 BETA 2 TRANSFERRIN 302
45522476 URINE 24 HR UREA NITROGEN CLEARANCE REF 301
45522477 ASSOC CHG CREATININE 301
45522478 ASSOC CHG URINE PROTEIN,REF 300
45522479 URINE PROSTATE CANCER ANTIGEN PCA3 300
45522480 DRUGS OF ABUSE W ETOH WHOLE BLOOD 301
45522484 ASSOC CHG MG FECAL CATHARTIC LAX PANEL 301
45522485 VITAMIN C ASCORBIC ACID 301
45522486 SESAME SEED IGE 300
45522487 WALNUT IGE 300
45522489 AMIKACIN PEAK (REF) 302
45522490 PROMETHEUS TPMT 3320 301
45522491 CHROMOGRANIN A REF 300
45522492 HUMAN EPIDIDYMIS PROTEIN 4 300
45522495 ASSOC CHARGE WARFARIN DME GENOTYPING 300
45522496 ASSOC CHARGE WARFARIN DME GENOTYPING 300
45522497 PTH PEPTIDE(PTH-rP) 300
45522498 PREGNENOLONE(MASS SPECTROMETRY) 300
45522499 CYTOKINE PANEL 12 300
45522500 LYSOZYME 300
45522501 URINE 24 HR ALDOSTERONE REF 300
45522503 LACOSAMIDE 300
45522505 ASSOC CHG EHRLICHIOSIS TITER IGM 300
45522506 ASSOC CHG EHRLICHIOSIS TITER IGG 300
45522507 CHILDHOOD ALLERGY PANEL-DR BASS 300
45522509 IL-12p709 SERUM/INTERLEUKIN 300
45522511 PENICILLIN G IGE REF 300
45522512 PENICILLIN V IGE REF 300
45522513 A1-ANTITRYPSIN DEF DNA ANALYSIS 310
45522515 ASSOC CHG ANTISARCOLEMMA 300
45522516 ASSOC CHG ANTIMYOCARD AB 300
45522518 ASSOC CHG SOLUBILITY 300
45522519 ASSOC CHG FRACTIONATION 300
45522520 VORICONAZOLE REF 300
45522521 URINE 24 HR CHLORIDE REF 301
45522523 ASSOC CHARGE DRUG SCREEN 5 PANEL 301
45522524 IFE(IMMUNOFIXATION REFLEX ONLY) 302
45522525 PROTEIN ELECTRO/REFLEX TO IFE 300
45522527 ASSOC CHG PROTEIN ELEC WITH IFE REFLEX 300
45522529 ASSOC CHG ESTRADIOL-TOTAL(REF) 300
45522530 ASSOC CHG ESTRADIOL-FREE(REF) 300
45522532 GROUP A STREP BY PCR 306
45522533 BB RETYPE ABO TYPE 300
45522534 HEMOGLOBIN FETAL QUANT 300
45522536 MANGANESE WB REF 300
45522537 VITAMIN B3 REF 300
45522538 VITAMIN B7 REF 300
45522539 ASSOC CHG CAT SCRATCH FEVER, REF 300
45522540 ASSOC CHG Q FEVER IGG/ IGM 300
45522542 ASSOC CHARGE FRANCISELLA TULARENSIS AB 300
45522544 ASSOC CHG EHRLICHIA EQUI IGM IGG 300
45522546 ASSOC CHG HISTOPLASMA AB IGM & IGG 300
45522549 ASSOC CHG BLASTOMYCES AB PANEL, ID & CF 300
45522551 MANGANESE PLASMA (REF) RT 300
45522552 POTASSIUM STOOL QUANT(REF) 300
45522553 SODIUM STOOL QUANT(REF) 300
45522554 MYCOBACTERIUM TUBERCULOSIS NAA NO CULTUR 300
45522555 COPPER WB REF 300
45522557 DRUG SCREEN 10 DRUGS SER DO NOT ORDER 300
45522558 DRUG SCREEN PANEL-10 DRUGS SERUM 300
45522559 SCHISTOSOMIASIS IGG AB REF 300
45522560 PARROT DROPPINGS MMC 300
45522561 COCKATOO DROPPINGS MMC 300
45522562 VANCOMYCIN RANDOM 301
45522564 HYDROXYITRACONAZOLE MISC TEST 300
45522565 CF PROFILE - 32 MUTATIONS DNA 310
45522566 TRICHOMONAS CULTURE POUCH 300
45522567 SEPTIN 9 310
45522568 HELPER T LYMPH MARKER CD4 302
45522571 ASSOC CHG APOLIPROTEIN A1 300
45522572 ASSOC CHG TOTAL BILI 300
45522573 ASSOC CHG GGT 300
45522574 ASSOC CHG HAPTOGLOBIN 300
45522575 ASSOC CHG ALPHA 2 MACROGLOBULIN 300
45522576 ASSOC CHG ALT 300
45522578 LYME DISEASE TOTAL AB TEST WITH REFLEX 302
45522582 ASSOC CHG WESTERN BLOT/ LYME/CONFIRM 300
45522583 ASSOC CHG GROUP B STREP AG DETECTION 300
45522584 ASSOC CHG H INFLUENZA AG DETECTION 300
45522585 ASSOC CHG N MENINGITIDIS AG DETECTION 300
45522586 ASSOC CHG S PNEUMONIAE AG DETECTION 300
45522588 ASH WHITE IGE 300
45522589 COCKROACH GERMAN IGE REF 300
45522590 MAPLE/BOX ELDER IGE 300
45522591 MOUSE URINE REF 300
45522592 PECAN HICKORY REF 300
45522593 PENCILLIUM chrysogenum REF 300
45522594 ROUGH MARSHELDER REF 300
45522597 MSH2 KNOWN MUTATION REF 300
45522598 ENTEROVIRUS RT-PCR REF 300
45522599 HONEYBEE IGE REF 300
45522600 HORNET WHT FACE IGE REF 300
45522601 YELLOW JACKET IGE REF 300
45522602 PAPER WASP IGE REF 300
45522603 BUMLEBEE IGE (REF) 300
45522604 HORNET YELLOW IGE REF 300
45522607 POLIOVIRUS I AB (IMMUNE STATUS) REF 300
45522608 POLIOVIRUS II AB (IMMUNE STATUS) REF 300
45522609 POLIOVIRUS III AB (IMMUNE STATUS) REF 300
45522611 MYCOPLASMA PNEUMONIAE RESP CULTURE 300
45522616 TREPONEMA PALLIDUM CASCADE 300
45522617 AZATHIOPRINE (6-MP) 300
45522619 ZINC WHOLE BLOOD 300
45522620 TISSUE CULTURE B MARROW/BLD CELLS 310
45522621 MOLECULAR CYTO/DNA PROBE FISH 310
45522622 ASPERGILLUS NIGER PRECIPITATING AB IGG 300
45522623 H PYLORI BREATH TEST ALL AGES 300
45522625 ETHOSUXIMIDE/SERUM 300
45522632 HEMOGLOBIN A2 QUANT 300
45522633 SOLUBLE TRANSFERRIN RECEPTOR REF 300
45522639 URINE UREA NITROGEN RANDOM REF 301
45522640 MEASLES AB (GERMAN) IGM REF 302
45522641 HEP B SURFACE AB QUANT REF 302
45522642 THIOPURINE METABOLITES 300
45522643 THYROID CASCADE PROFILE REF 300
45522644 ASSOC CHG FREE T3 REF 302
45522645 ASSOC CHG FREE T4 REF 302
45522646 ASSOC CHG TPO AB REF 302
45522647 ASSOC CHG TOTAL T4 REF 302
45522648 ASSOC CHG PNEUMOCOCCAL PANEL 23 REF 302
45522649 DRUG SCREEN CLASS B (ASSOC CHG ONLY) 300
45522652 ASSOC CHG IBD EXPANDED PROFILE ACCA 300
45522654 ASSOC CHG IBD EXPANDED PROFILE AMCA 300
45522655 ASSOC CHG IBD EXPANDED PROFILE AMCA 300
45522656 ASSOC CHG IBD EXPANDED PROFILE gASCA 300
45522657 ASSOC CHG IBD EXPANDED PROFILE pANCA 300
45522659 ASSOC CHG CASHEW REF 302
45522660 ASSOC CHG BRAZIL NUT REF 302
45522661 ASSOC CHG ALMOND REF 302
45522662 ASSOC CHG HAZELNUT REF 302
45522664 ASSOC CHG WALNUT REF 302
45522665 CORTICOSTERIOID-BINDING GLOBULIN REF 302
45522666 FISH CHROMOSOME LEUKEMIA/LYMPHOMA- REF 310
45522667 FISH ANALYSIS 100-300 CELLS REF 310
45522668 FISH CML REF 310
45522669 ASSOC CHG ANTI-DNA DOUBLE STRAND(REF) 302
45522670 ASSOC CHG SS-A (REF) 302
45522671 ASSOC CHG SS-B (REF) 302
45522672 ASSOC CHG SMITH AB (REF) 302
45522673 ASSOC CHG ANTI-RNP AB(REF) 300
45522674 FRAGILE X SYNDROME WITH REFLEX REF 302
45522676 HEMOGLOBIN FREE PLASMA REF 302
45522677 NON TB MYCOBACTERIUM MIC REF 302
45522678 NMR LipoProfile W/O Lipids (W/O Graph) 301
45522679 ANTI-Jo-1 302
45522680 CHROMOSOME ANAL- HIGH RES-ADD. STUDY 311
45522681 PROINSULIN REF 302
45522684 IONIZED CALCIUM SEND OUT 300
45522685 FENTANYL AND METABOLITE (REF) 302
45522686 HEMOGLOBIN A1C WITH eAG 300
45522687 DRUG SCREEN 7 PANEL NON COC WITH CONFIRM 301
45522688 DRUG SCREEN ETOH NON COC/ CONFIRM REF 301
45522689 ESTRADIOL-SENSITIVE BY LC/MS 301
45522691 ASSOC CHG PAP LIQ BASE PREP IG REF 310
45522692 ASSOC CHG PAP HPV REFLEX REF 301
45522693 ASSOC CHG PAP HPV/ASCU REF 310
45522694 ASSOC CHG HPV/APTIMA THIN PREP REF 300
45522695 ASSOC CHG HPV/APTIMA REFLEX 300
45522696 ASSOC CHG HPV/APTIMA HPV 16 18 45 301
45522697 PAP GYNE AGE BASED IMAGE GUIDED REF 310
45522698 ASSOC CHG PHYSICIAN READ GYNE PAP REF 301
45522700 PINWORM PREP REF 301
45522701 ASSOC CHG HPV/ REFLEX 16 18 45 310
45522702 OPIATES CONFIRMATION URINE REF 301
45522703 ASSOC CHG GHP & CMP REF 300
45522704 ASSOC CHG GHP & TSH REF 300
45522705 ASSOC CHG GHP & CBC/AUTO DIFF REF 300
45522709 ASSOC CHG LIPID PANEL REF 301
45522710 ASSOC CHG LIPOPROTEIN ANALYSIS REF 301
45522711 ASPERGILLUS GALACTOMANNAN AG SERUM 300
45522712 EOSINOPHIL COUNT BLOOD 302
45522713 JAK2 MUTATION ANALYSIS/RFLX EXON12-15 310
45522714 REFLEX TO EXON12 charge only 310
45522715 CYSTIC FIBROSIS - CFTR REF 310
45522716 ASSOC CHG TRICH-NAA GEN/URINE 306
45522718 POLIOVIRUS AB NOT IMMUNE STATUS(REF) 300
45522820 CRYPTOCOCCUS AG TITER-REFLEX CHG ONLY 300
45522821 CORTISOL / DEXAMETHASONE SUPPRESSION 300
45522822 REFLEX CHG ONLY DEXAMETHASONE 300
45522823 URINE DRUG SCREEN 12 PANEL RAPID 300
45522824 MUSK ANTIBODY TEST REF 301
45522826 SCHLICHTER TEST MMC REF 301
45522827 AMINO ACID PROFILE QUANT URINE,REF 301
45522828 HEPARIN INDUCED PLATELET AB REF 301
45522829 ASSOC CHG IBD EXPANDED PROFILE IA/MULT 300
45522830 ASSOC CHG IBD EXPANDED PROFILE FINA AB 300
45522831 ASSOC CHG IBD EXPAND PROFILE AB FUNGUS 300
45522832 ASSOC CHG IBD PROFILE ELISA 300
45522833 ASSOC CHG IBD PROFILE CHEMILLUM ASSAY 300
45522834 ASSOC CHG IBD PROFILE CRP 300
45522835 ASSOC CHG IBD PROFILE INDIRECT pANCA 300
45522836 ASSOC CHG IBD PROFILE SNP 300
45522937 METANEPHRINES FRACTION. 24 HR URINE REF 301
45522938 BUPRENORPHINE SCREEN & CONFIRM URINE REF 301
45522939 OAT IGE REF 302
45522940 ASSOC CHG ACTH STIMULATION CORTISOL REF 300
45522942 ASSOC CHG BUPRENORPHINE CONFIRM URINE 301
45522947 DIRECT BILIRUBIN NEOBILI 300
45522948 TOTAL BILIRUBIN NEOBILI 300
45522949 CALCITONIN 301
45522950 INTRINSIC FACTOR BLOCKING AB REF 300
45522952 HEPATITIS C RNA QUAL NAA REF 301
45522953 DEXAMETHASONE REF 300
45522954 MAGNESIUM RBC (REF) 301
45522955 PEANUT IGE WITH COMPONENT REFLEX REF 300
45522956 ASSOC CHG PEANUT REFLEX REF 301
45522961 ASSOC CHG PT MIX STUDY DILUTION REF 300
45522962 ASSOC CHG PTT MIX STUDY DILUTION REF 300
45522963 CORN, CULTIVATED IGE 300
45522964 TRICHOMONAS-NAA GEN/URINE 306
45522965 MTB SUSCEPTIBILITY BROTH REF 302
45522966 POSACONAZOLE SERUM 302
45522967 ALMOND IGE(REF) 302
45522968 BUCKWHEAT IGE(REF) 302
45522969 CARROT IGE(REF) 302
45522970 CASEIN IGE(REF) 302
45522971 CELERY IGE(REF) 302
45522972 COCONUT IGE(REF) 302
45522973 GARLIC IGE(REF) 302
45522974 GREEN PEA IGE(REF) 302
45522975 HAZELNUT IGE(REF) 302
45522976 KIWI FRUIT/ IGE(REF) 302
45522977 LEMON IGE(REF) 302
45522978 MELON IGE(REF) 302
45522979 MUSSEL IGE(REF) 302
45522980 ONION IGE(REF) 302
45522981 ORANGE IGE(REF) 302
45522982 PINEAPPLE IGE(REF) 302
45522983 POTATO WHT IGE(REF) 302
45522984 SALMON IGE(REF) 302
45522985 STRAWBERRY IGE(REF) 302
45522986 TOMATO IGE(REF) 302
45522987 WHITE BEAN IGE(REF) 302
45522988 YEAST IGE BAKER'S & BREWER'S (REF) 302
45522989 BARLEY IGE(REF) 302
45522990 RICE IGE(REF) 302
45522991 RYE IGE(REF) 302
45522993 BRAZIL NUT IGE(REF) 302
45522994 CANARY PERCIPITATING AB IGE MMC 300
45522995 ASSOC CHG INFLIXIMAB CONCENTRATION 302
45522996 ASSOC CHG ANTI-INFLIXIMAB AB 300
45522998 BILIRUBIN INDIRECT 300
45523000 HALIBUT IGE 302
45523001 HOPS IGE 302
45523002 PUMPKIN/SQUASH IGE 302
45523003 LIDOCAINE BASAL FUNCTION SEE INSTRUCTION 302
45523004 BETAHYDROXYBUTYRATE 300
45523005 ASSOC CHG PT (REF) 300
45523006 ASSOC CHG PTT (REF) 300
45523009 MOPATH PROCEDURE 310
45523010 LDLR 401
45523012 PCSK-9 401
45523014 NEUTROPHIL OXIDATIVE BURST FLOW 300
45523015 MOSQUITO IGE 302
45523016 HEP C NS5A DRUG RESISTANCE 301
45523017 ASSOC CHG HEP C NS5A 301
45523019 BCR-ABL1 KINASE DOMAIN MUTATION ANALYSIS 302
45523020 ASSOC CHG VON WILLEBRAND AMINOASSAY 300
45523022 LEAD LEVEL BY FINGERSTICK (PEDIATRIC) 301
45523023 THYROGLOBULIN BY RIA 301
45523024 ASSOC CHG HIV-1 301
45523025 ASSOC CHG HIV-2 301
45523027 ADENOVIRUS AB QUANT SERUM 302
45523028 CMV PCR QUAL FECAL 302
45523029 MUSHROOM IGE 302
45523030 GELATIN IGE 302
45523031 GREEN PEPPERCORN F263 302
45523032 BING CHERRY IGE 302
45523033 COFFEE IGE 302
45523034 EPICOCCUM PURPUR IGE IGE 302
45523035 SETOMELANOMMA ROSTRATA IGE 302
45523036 PHOMA BETAE IGE 302
45523037 FUSARIUM PROLIFERATUM IGE 302
45523039 IA 2 AUTOANTIBODIES REF 302
45523040 ALFALFA IGE 302
45523041 GREEN BEAN IGE 302
45523042 CHICK PEA IGE 302
45523043 WHITE BEAN IGE 302
45523044 KIDNEY BEAN IGE 302
45523046 MRSA NAA REF 302
45523047 ASSOC CHG BIRD FANCIERS PROF IMMUNO DIFF 302
45523049 CHICKEN FEATHERS IGE 302
45523050 GOOSE FEATHERS IGE 302
45523051 HYALURONIC ACID REF 302
45523052 BILE ACIDS REF 300
45523053 ASSOC CHG ACETAMINOPHEN 301
45523054 ASSOC CHG SALICYLATE LEVEL 301
45523055 OD PANEL-ACETAMINOPHEN-SALICYLATE-ETOH 300
45523056 HLA DR 1/3/4/5 DQ INTERMED. RESOLUTION 401
45523057 ANTI-MULLERIAN HORMONE REF 300
45523058 ANALGESIC PANEL-ACETAMINOPHEN-SALICYLATE 301
45523059 CYSTATIN C REF 302
45523061 BRCA1/2 DELETION/DUPLICATION ANALYSIS 302
45523062 BRCA1/2 COMPREHENSIVE ANALYSIS 302
45523063 URINE CYTOLOGY 311
45523065 BODY FLUID CYTOLOGY MMC 311
45523066 ANGIOTENSIN II 311
45523067 SALIVARY CORTISOL 1 SPECIMEN REF 300
45523068 FACTOR VII ACTIVITY 300
45523070 ASSOC CHG FREE TESTOSTERONE EQUILBRIUM 300
45523071 ASSOC CHG CRYPTOCOCCUS AG TITER 306
45523072 HLA B INTERMEDIATE RESOLUTION 311
45523074 CARBOHYDRATE DEF. TRANSFERRIN ADULTREF 300
45523076 ASSOC CHG AMINO ACID METABOLIC SCREEN UR 301
45523077 ASSOC CHG URINE CREATINE 301
45523080 ASSOC CHG DNASE SENSITIVITY IBD PROFILE 302
45523085 GHP in-house CBC W/O DIFF 300
45523086 GHP in-house CBC W/DIFF 300
45523087 GHP in-house TSH 300
45523088 GHP in-house CMP 301
45523089 YEAST MIC REFLEX TESTING REF 302
45523091 TYROSINE QUANT REF 302
45523092 PROCALCITONIN 300
45523094 D DIMER 305
45523095 PREGABALIN REF 302
45523096 PARASITE EXAM WHOLE BLOOD EDTA REF 302
45523097 MTHFR REF 300
45523098 CANDIDA ALBICANS IGE REF 302
45523099 FELBAMATE REF 300
45523100 ANTIFUNGAL SUSCEPTIBITY 9 DRUG PANELREF 302
45523103 H PYLORI STOOL ANTIGEN 300
45523104 KETAMINE & METABOLITE REF 302
45523108 ASSOC CHG FLU A EIA REF 301
45523109 ASSOC FLU B EIA REF 301
45523111 IMMUNOGLOBULIN D REF 301
45523112 TRIAGE TROPONIN I 301
45523113 METHOTREXATE REF 300
45523114 IGG SUBCLASS 4 REF 301
45523115 OLIVE BLACK & GREEN IGE 302
45523116 PISTACHIO IGE 302
45523117 LIMA BEAN IGE 302
45523118 SPUTUM CYTOLOGY LABCORP 302
45523119 SULFONYLUREA SERUM REF 302
45523120 SULFONYLUREA URINE REF 302
45523124 CULTURE ANAEROBIC LABCORP REF 300
45523125 BIRD FANCIERS PANEL IGG REF 300
45523126 HLA-A29 UVETIS REF 301
45523127 FILARIA AB IGG4 REF 301
45523128 CADMIUM WHOLE BLOOD REF 301
45523130 PHOSPHATIDYLETHANOL (PEth) REF 300
45523132 .CBC NO DIFF CHG ONLY 300
45523133 ASSOC CHG CADMIUM URINE REF 301
45523134 MONITOR SCREEN 13-DRUG URINE 300
45523135 FIRE ANT IGE (REF) 300
45523136 ASSOC CHG MILK ALPHA LACTALBUMIN IGE 302
45523137 ASSOC CHG MILK BETALACTOGLOBULIN IGE 302
45523138 ASSOC CHG MILK CASEIN IGE 302
45523140 ASSOC CHG EGG OVALBUMIN IGE 302
45523141 ASSOC CHG EGG WHITE IGE 302
45523143 ASSOC CHG LYMPH SUBSET PANEL 6 300
45523144 ASSOC CHG LYMPH SUBSET PANEL 6 300
45523147 GOAT EPITHELIUM IGE REF 302
45523148 IMIPRAMINE REF 300
45523150 CINNAMON IGE REF 302
45523151 CARBOHYDRATE DEF. TRANSFERRIN CHILD REF 300
45523152 CASHEW NUT IGE REF 302
45523153 MONOMERIC PROLACTIN REF 300
45523156 CRP QUANT REF 302
45523157 SWEET POTATO IGE REF 302
45523158 ALPHA GAL IGE REF 302
45523159 INDICAN URINE REF 302
45523160 ANTIGLOMERULAR BASEMENT MEMBRANE REF 300
45523163 CELL COUNT SEROUS FLUID REF 300
45523165 FACTOR V ACTIVITY REF 300
45523168 H 19 REF 310
45523169 KCNQ1OT1 REF 310
45523170 IFOBT-FIT NON DNA HEMOSURE 300
45523171 OPIOID CYP2D6 GENOTYPING REF 300
45523172 CYTOCHROME P450 3A4 REF ASSOC CHG 300
45523173 CYTOCHROME P450 3A5 REF ASSOC CHG 300
45523175 THYROGLOBULIN AB & QUANT RIA/IMA 300
45523176 ASSOC CHG THYROGLOBUILIN QUANT BY IMA 300
45523177 ASSOC CHG THYROGLOBUILIN QUANT BY RIA 300
45523179 ZnT8 ANTIBODIES REF 300
45523181 TESTOSTERONE LC/MS, TOTAL 300
45523182 BRCA2 TARGETED ANALYSIS 310
45523183 HUMAN HERPESVIRUS 6 IGM REF 300
45523184 HUMAN HERPESVIRUS 6 IGG REF 300
45523185 HIV 4TH GEN & REFLEX TO CONFIRMATION REF 301
45523186 ASSOC CHG CHLAMYDIA PNEUMO PCR 300
45523187 ASSOC CHG RSV PCR 300
45523188 ASSOC CHG MYCOPLASMA PNEUMO PCR 300
45523189 ASSOC CHG B PERTUSSIS & PARAPERTUSS PCR 300
45523191 COLLECTION FEE FRESH IDEAS 300
45523192 HCV GENOTYPING 1a reflex to NS5a REF 300
45523193 PLASMINOGEN ACTIVITY REF 300
45523194 DILUTE PROTHROMBIN TIME REF 300
45523196 IgVH SOMATIC HYPERMUTATION REF 310
45523197 ALPHA- L-IDURONIDASE REF 300
45523198 ASSOC CHG CHLAMYDIA NAA PHARYNGEAL 306
45523199 ASSOC CHG GC NAA PHARYNGEAL 306
45523202 ASSOC CHG VIRAL ID 306
45523203 COXSACKIE A7 IGG (REF) 300
45523207 COXSACKIE A7 IGM (REF) 300
45523212 5 HIAA PLASMA REF 306
45523213 CALRETICULIN CALR MUTATION (REF) 310
45523214 MPL MUTATION ANALYSIS REF 310
45523215 AVOCADO REF 310
45523216 WATERMELON IGE REF 310
45523217 MYOTONIC DYSTROPHY 1 (DMPK) REF 310
45523218 MEASLES (RUBEOLA) IGM 310
45523219 HORSEFLY IGE REF 310
45523220 LIME IGE REF 300
45523221 GRAPEFRUIT IGE REF 300
45523222 HLA CLASS I AB ID (REF) 302
45523223 HLA CLASS II AB ID (REF) 302
45523224 WHEY IGE REF 302
45523225 RABBIT MEAT 302
45523226 DUCK MEAT IGE TO MMC 302
45523227 MATERNIT21 + CORE (CHR. 21 18 13 SEX REF 310
45523228 CARNITINE RANDOM URINE 300
45523229 VENISON IGE 302
45523230 LAMB IGE 302
45523231 TURKEY MEAT 302
45523232 ANTIPARIETAL CELL AB REF 300
45523234 ALPHA GALACTOSIDASE A SERUM REF 300
45523235 1 3 BETA-D-GLUCAN REF 300
45523236 LORAZEPAM URINE REF 300
45523237 URINE PROTEIN ELECTROPHORESIS 300
45523238 ASSOC CHG ADALIMUMAB LEVEL REF 300
45523239 ASSOC CHG ADALIMUMAB AB REF 300
45523241 INHIBIN A REF 300
45523242 CRANBERRY IGE REF 302
45523243 CUCUMBER IGE REF 302
45523244 APRICOT IGE REF 302
45523245 CICBC MOLECULAR TESTING 310
45523246 BMP BACKUP WITH IONIZED CA NOVA 300
45523247 ABG BACKUP EPOC 301
45523248 LACTIC ACID BACKUP NOVA 300
45523251 COPEPTIN REF 302
45523252 COVID-19 IgG REF 302
45523253 CHLAMYDIA PNEUMONIAE AB IgM REF 300
45523254 MYCOPLASMA PNEUMONIAE AB IgM REF 300
45523255 CHLAMYDIA PNEUMONIAE AB IgG REF 300
45523257 IODINE PLASMA REF 300
45523261 LEPTIN SERUM REF 300
45523262 LENTIL IgE REF 300
45523263 MACADAMIA NUT IGE REF 302
45523264 PINE NUT IGE REF 302
45523265 FLOUNDER IGE REF 302
45523266 TUNA IGE REF 302
45523267 TROUT IGE REF 302
45523268 WALLEYE PIKE PERCH IGE REF 302
45523269 CATFISH IgE REF 300
45523272 RESPIRATORY PATHOGEN PANEL + SARS PCR 300
45523273 GI PATHOGEN STOOL PANEL PCR 310
45523274 GUINEA PIG EPITHELIUM IGE REF 302
45523275 HORSE DANDER IGE REF 302
45523276 PROSTAGLANDIN D2 RANDOM URINE 401
45523277 SARS ANTIGEN RAPID 306
45523279 ASSOC CHG MITOGEN & AG INDUCED LYMPH P 300
45523280 ANCHOVY IGE REF 302
45523282 DAILY CRP NON SPECIFIC 302
45523283 DAILY CPK 300
45523284 DAILY FERRITIN 300
45523285 DAILY D DIMER 305
45523286 ASSOC CHARGE ANTI GBM AB RDL 301
45523287 ANTI PR 3 AB RDL 301
45523288 ANA BY IFA 302
45523289 ANTI dsDNA BY FARR 302
45523290 ANCA BY IFA RDL 300
45523291 RHEUMATOID FACTOR BY TURBIDITY RDL 300
45523294 PAP GYNE LIQ BASED 310
45523295 OMEGA CHECK REF 310
45523296 MACKEREL IGE REF 310
45523297 AUREOBASISI PULLULANS IGE 302
45523298 PENICILLIUM CHRYSOGEN IGE 302
45523299 COVID-19 NUCLEIC ACID BIOFIRE 306
45523300 24HR URINE N-METHYLHISTAMINE QUANT REF 301
45523301 URINE PORPHYRINS QUANT RANDOM 301
45523302 ASSOC CHG BULLOUS PEMPHIGOID 180 REF 300
45523303 ASSOC CHG BULLOUS PEMPHIGOID 230 REF 300
45523305 EUROPEAN HORNET IGE REF 302
45523307 ASSOC CHG O&P SMEAR REF 306
45523308 ASSOC CHG GIARDIA AG REF 306
45523310 PHENYLALANINE QUANT REF 300
45523311 HBV HCV HIV NAT REF 300
45523312 ASSOC CHG AIAES MAYO 86255 300
45523317 COCCIDIODES AB IGM ELISA(NOT DID) 302
45523318 COCCIDIODES AB IGG ELISA (NOT DID) 302
45523320 PORPHYRINS WHOLE BLOOD REF 300
45523322 JAK2V617F EXON 12-15 300
45523323 STACHYBOTRYS CHARTARUM/ATRA IgG 300
45523324 STACHYBOTRYS CHARTARUM/ATRA IgA 300
45523325 STACHYBOTRYS CHARTARUM/ATRA IgE 300
45523327 ANTI-PLA2R IGG REF 300
45523328 MENINGITIS/ENCEPH. CSF PCR/ST. JOHNS 300
45523329 BACK UP VENOUS BLOOD GAS EPOC 300
45523330 SARS CoV2 AB NUCLEOCAPSID REF 300
45523331 ARTHROPOD ID REF 300
45523332 BLACK PEPPERCORN IGE 310
45523333 HCV AB WITH REFLEX TO QUANT PCR 300
45523334 ASSOC CHG REFLEX HCV QUANT PCR 310
45523335 ASSOC CHG REFLEX HCV RNA QUAL PCR 310
45523337 SARS COV2 SEMI-QUANT TOTAL AB SPIKE REF 310
45523338 BENZODIAZEPINES SERUM CONFIRM QUANT 310
45523340 DES-y-CARBOXY PROTHROMBIN REF 310
45523341 SPINAL MUSCULAR ATROPHY REF 310
45523342 ASSOC CHG HGB FRACTIONATION HPLC 300
45523343 ASSOC CHG HGB FRACTION HPLC/SOLUBILITY 300
45523344 CF PROFILE - 97 MUTATIONS DNA 310
45523345 SARS COV2 PCR 300
45523346 ASSOC CHG FREE PSA % 301
45523347 TOTAL BILI BODY FLUID 300
45523349 ASSOC CHG VEDOLIZUMAB CONCENTRATION 302
45523350 ASSOC CHG ANTI-VEDOLIZUMAB AB 300
45523351 JC VIRUS DNA QUANT SERUM REF 310
45523352 HORNET WHT FACE IgG REF 300
45523353 ASSOC CHG HLA DQ2 REF 300
45523354 ASSOC CHG HLA DQ8 REF 300
45523355 PHYSICIAN READ PAP GYNE REF 310
45523356 VECTRA REF 310
45523357 ASPERGILLUS FLAVUS IgE (REF) 302
45523358 CALCIUM-SENSING RECEPTOR GENE SEQUENCING 302
45523359 ASSOC CHG HEPATITIS C RNA QUANT PCR 306
45523360 BILE ACIDS FRACTIONATED & TOTAL 300
45523361 NEUROMYELITIS OPTICA IgG AUTO AB 300
45523362 BIRCH IGE 300
45523363 LAMB'S QUARTERS IGE 310
45523364 BOTRYTIS CINEREA IGE 300
45523365 WALNUT POLLEN IGE 310
45523366 MUGWORT IGE 300
45523367 FEATHER MIX IGE 310
45523368 ACID FAST ANTIBIOTIC SUSCEPTIBILITIES 310
45523369 ANTI-MYELIN OLIGO GLYCOPROTEIN 310
45523370 PECAN NUT IGE 310
45523371 CAULIFLOWER IGE 310
45523372 RASPBERRY IGE 310
45523373 BLUEBERRY IGE 310
45523374 BASS BLACK IGE 310
45523375 BIPOLARIS IGE 300
45523376 ZIPRASIDONE 300
45523377 ASPERGILLUS FUMIGATUS IGG 302
45523378 IONIZED MAGNESIUM NOVA WHOLE BLOOD 301
45523379 N-TERMINAL PROPEPTIDE TYPE 1 PROCOLLAGEN 302
45523381 ORGANISM ID BY SEQUENCE ANALYSIS REF 300
45523382 ORGANISM ID BY SEQUENCE ANALYSIS REF 300
45523383 Fluoroquinolone resist. gram neg culture 306
45523384 HIV 4th GEN Ab 1&2 p24 Ag in-house 300
45523385 ASSOC CHG RF FACTOR ISOTOPES IgG 310
45523386 ASSOC CHG RF FACTOR ISOTOPES IgA 310
45523387 ASSOC CHG RF FACTOR ISOTOPES IgM 310
45523389 XARELTO 300
45523390 PROSTAGLANDIN D2 SERUM 300
45523391 THYROGLOBULIN QUANT BY LCMS 300
45523392 FACTOR II ACTIVITY REF 300
45523393 RESPIRATORY 4 PLEX COVID FLU RSV PCR 300
45523395 ANTI RNA POLYMERASE III 310
45523396 MLH1 FG 310
45523397 MLH1 DD 310
45523398 MSH2 FG 310
45523399 MSH2 DD 310
45523400 MSH6 FG 310
45523401 PMS2 FG 310
45523402 EPCAM DD 310
45523403 MSH6 DD 310
45523405 WHEAT, CULTIVATED IGE 302
45523406 HUMAN MOUSE AB REF 302
45523407 C DIFF TOXIN/EPI STOOL PCR CEPHEID 306
45523408 RPR with rflx QUANT RPR rflx TREPONEMA 302
45523410 ANTIRIBOSOMAL P ANTIBODIES 302
45523411 ASSOC HSV 1 NAA 302
45523412 ASSOC HSV 2 NAA 302
45523414 ASSOC CT genital swab/urine PCR CEPHEID 306
45523415 ASSOC NG genital swab/urine PCR CEPHEID 306
45523417 TV Trich genital swab/urine PCR CEPHEID 306
45523418 UREAPLASMA MYCOPLASMA hominis Culture 306
45523419 ANTI CENTROMERE AB RDL 302
45523421 AEROBIC ID & SENSITIVITY REF 306
45523422 CARMINE RED DYE IGE 302
45523424 PHOSPHOLIPID NEUTRAL. PLT. 302
45523425 PHOSPHOLIPID HEXAGONAL PHASE 302
45523427 ANA BY IFA REFLEX 11 BIOMARKER MULTIPLE 302
45523429 THALLIUM SERUM OR PLASMA 301
45523430 CRAYFISH FRESH WATER IGE 302
45523431 SUNFLOWER SEED IGE 302
45523433 ANTI-IGE 302
45523434 ASSOC CHG HPV 16 18 45 311
45523435 CANDIDA ANTIBODIES IGM 302
45523436 CANDIDA ANTIBODIES IGA 302
45523437 CLOBAZAM 300
45523438 MUMPS PCR SWAB 300
45523440 ASSOC CHG BRAF GENE VARIANTS 300
45523441 LUTEINIZING HORMONE PEDIATRIC 301
45523442 WEST NILE PCR PLASMA 302
45523443 MEASLES RUBEOLA PCR SWAB 306
45523445 HLA B 5701 311
45523446 HTVL-1/HTLV-2 QUAL 311
45523507 LABCORP CLINICAL CONSULT 300
45552261 VITAMIN D2+D3 FRACTIONATED REF 300
45600000 CMA PART 3 300
45910020 HEPATITIS C RNA QUANT PCR 306
45910024 FRAGILE X DNA 300
45910026 FLOW CYTOMETRY ASSOC CHG 311
45910027 WET PREP NON GYN 300
45910030 VON WILLEBRAND MULTIMERS 300
45910031 FACTOR XIII (FIBRIN STABILIZING)SCREEN 300
45910032 BONE MARROW PROCESS/STAIN(REF) 300
45910034 6-TGN 300
45910035 6-MNPN 300
45910036 GLUTAMIC ACID DECARBOXYLASE AUTOANTIBOD 300
45910038 BCR/ABL ISOLATION 310
45910039 BCR/ABL REVERSE TRANSCRIPTION 310
45910040 BCR/ABL AMPLIFICATION 301
45910041 BCR/ABL NUCLEIC ACID PROBE 301
45910043 METANEPHRINES FRACT PLASMA FREE 301
45910044 KEPPRA 300
45910045 CICBC ANTIBODY ELUTION 300
45910047 NORWALK VIRUS PCR 300
45910048 BETA 2 MICROGLOBULIN SERUM(REF) 301
45920001 PRO-PREDICT GENE-ISOLATION 300
45920003 PRO-PREDICT GENE-NA PROBE 300
45920005 CREATININE BODY FLUID 300
45920006 BORDETELLA PERTUSSIS ABS- IGA&IGG&IGM(RE 300
45920009 BONE MARROW PARTICLE SECTION(REF) 300
45920010 MERCURY URINE RANDOM OR 24 HR 300
45920011 ANTI-RETICULUM IGG AB (REF) 300
45920012 ANTI-RETIC AB TITER(REF) 300
45920013 CRP NON SPECIFIC 302
45920014 MICROALBUMIN 301
45920015 BB ABO TYPE, GEL 300
45920021 URINE CREATININE 300
45920036 dPT-LA 300
45920037 aPTT-LA 305
45920038 LA-DILUTE RUSSELL VENOM 305
45920039 ACTIVATED PROTEIN C RESISTANCE ASSAY(REF 305
45920040 LA-ANA 302
45920041 LA-INHIBITOR ID (IID) 305
45920051 URINE SODIUM 301
45920052 URINE POTASSIUM 301
45920053 URINE CHLORIDE REF 301
45920055 CRYPTOSPORIDIUM ANTIGEN BY EIA 306
45920056 CONCENTRATION FOR INFECTIOUS AGENT 300
45920057 ANA TITER 302
45920058 MAG ANTIBODY(REF) 301
45920060 URINE CALCIUM 301
45920061 URINE URIC ACID 24 HOUR OR RANDOM 300
45920062 TRYPTASE 301
45920063 URINE 24 HOUR N-METHYL HISTAMINE 301
45920119 VERY LONG CHAIN FATTY ACID REF 300
45930005 MITOCHONDRIAL ANTIBODY(REF) 302
45930006 GHB 300
45930008 HEPATITIS A IGM 300
46008000 BB PRBC TRANSFUSED 390
46008001 CICBC ANTIBODY IDENT PANEL 300
46008002 STAT FEE, MMC 391
46008003 BB SPECIFIC UNIT ANTIGEN TYPE 300
46008005 COURIER CHARGE PER HOUR 300
46008059 WHOLE BLOOD TRANSFUSED 390
46008060 BLOOD TRANSFUSION ADMINISTRATION 391
46008072 PLATELETS TRANSFUSED 390
46008102 BB FRESH FROZEN PLASMA 390
46008103 BB PLATELET PHERESIS LEUKOREDUCED 390
46008150 BB RBC LEUKOCYTES REDUCED 390
46008520 BB SPECIFIC ANTIGEN TYPING, UNIT 300
46008521 ANTIBODY ELUTION 300
46008563 BB FFP THAWING 300
47059036 PATHOLOGY - CATEGORY 4B - TECH FEE 310
47059049 PATHOLOGY - CATEGORY 11- TECH FEE 310
47059057 PATHOLOGY - CATEGORY 4 - TECH FEE 310
47059060 CYTOPATHOLOGY/NON-GYNE/EXTENDED-TECH FEE 310
47059063 PATHOLOGY CONSULT CYTO INITIAL SITE 310
47059065 PATHOLOGY - DECALCIFICATION - TECH FEE 310
47059071 CYTOPATHOLOGY/NON-GYNE/LIMITED TECH FEE 310
47059075 FINE NEEDLE ASPIRATE 310
47084235 PATHOLOGY SPECIAL STAIN W/FROZEN SECTION 310
47084236 PATHOLOGY - TECH FEE 310
47084237 PATHOLOGY - TECH FEE 310
47084238 PATHOLOGY IN SITU HYBRID I & R 310
47084239 PATHOLOGY IN SITU HYBRID I & R 310
47084240 PATHOLOGY - MDM2 GEN AMPLIFICATION-B 310
47084241 PATHOLOGY - MICRODISSECTION 310
47084242 PATHOLOGY - ONOSIGHT COLORECTAL DNA 310
47084243 PATHOLOGY - MSI-H BIOMARKER TUMOR 310
48000010 PSYCH DIAG EVALUATION 900
48000011 PSYCH THERAPY INDV 16-37 MIN 914
48000012 PSYCH THERAPY INDV 38-52 MIN 914
48000013 PSYCH GROUP THERAPY 915
48000014 PSYCH THERAPY INDV 60 MIN 914
48000015 PSYCH OUTPT ASSESSMENT 510
48000016 PSYCH FAMILY W/O PATIENT 916
48000017 PSYCH FAMILY W/PATIENT 916
48000018 PSYCH DIAG EVAL W/MED SERVICES 900
50000002 IM SYRINGES MIXED - REFRIGERATED 258
50000004 HYPERAL MIXED - REFRIGERATED 258
50005105 ACCUCHEK NURSING DEPARTMENT 300
50010911 GASTROGRAFIN DYE 270
50010912 ORAGRAFIN 500MG (GASTROGRAFIN) UD* 255
50010950 GASTROGRAFIN DYE - CT SINGLE DOSE 270
50012350 ISOVUE 370 : 50ML 255
50018740 TROPICAMIDE (MYDRIACYL) 1% 15ML OPHTH 637
50018752 FLURBIPROFEN (OCUFEN) 0.03% 2.5ML OPHTH 637
50018790 CARBACHOL (MIOSTAT) 0.01% 1.5ML OPHTH 637
50019239 CARBOCAINE 1% 50ML 250
50019586 POLOCAINE 2% 20ML=Carbocaine/mepivacaine 250
50019598 CYCIOGYL 1% 2 ML 250
50019630 BUPIVAcain MPF(SENSOR) 0.75%: 10ML SDV 250
50019677 TETRACAINE 0.5% OPHTH 4ML BOTTLE 637
50019793 OCUCOAT (INTRAOCULAR USE) SURGERY 250
50019940 CARBOCAINE 2% STER 20 ML INJ 250
50019951 CIPROFLOXACIN (CILOXAN) 0.3% OPHTH 2.5ML 637
50019963 CELESTONE SOLU-6MG/ML-CHG BY ML -BRAND 250
50019975 NEO SYNEPHRINE 2.5% OPTH 250
50019999 VISCOAT* 250
50020000 ONE DOSE EYEDROPS 250
50020011 ISOPTIN SR 120 MG 250
50020023 PROPOFOL (DIPRIVAN) 10MG/ML SDV 20ML 636
50020035 BUPIVACAINE 0.25% 30ML =Sensorcaine 250
50020047 SENSORCAINE W/EPI .5%50ml=bupivacaineEpi 250
50020059 SENSORCAINE-MPF 0.75% 30ML STPK 250
50020060 MIDAZOLAM 5 MG/ML 250
50020072 MIDAZOLAM 1 MG/ML 10ML 250
50020084 ROMAZICON 0.5MG/5ML*(MAZICON) 250
50020096 MAZICON 1 MG/10 ML 250
50020114 KANAMYCIN 1GM/3ML* 250
50020126 LIDOCAINE 2% 50ML BTL* 250
50020138 LIDOCAINE 1% 3 ML (FOR OUTPATIENT ONLY) 250
50020151 ARAMINE 1% 10ML INJ (metaraminol bitart) 250
50020163 MIDAZOLAM 1MG/ML 10ML (VERSED) 250
50020175 PHENYLEPHR(NEOSYNEPHR) 0.5%: 15ML NASAL 637
50020187 ROBINUL 0.4 MG/2 ML 250
50020205 MUCOSIL - 10 4 ML 250
50020217 METHERGINE 0.2MG/1ML AMP (METHYLERGONOVI 250
50020229 MAXAIR INHALER* (PIRBUTEROL) 637
50020230 BLEPH-10 15ML 250
50020266 TOBRAMYCIN (TOBREX) 0.3%OPHT OINT 3.5GM 637
50020280 BEN GAY 2OZ TUBE 250
50020291 ANBESOL GEL (benzocaine compound) 637
50020308 DOMEBORO 250
50020321 ELOCON CREAM 0.1% 15GM (mometasone) SP/O 637
50020333 ELOCON OINTMENT 15 GM* 250
50020345 FEMSTAT PREFILL* 250
50020357 LOTRISONE CREAM 45 GM* 637
50020370 TOPICORT 0.25% 60 GM 250
50020382 ALTACE 1.25MG 250
50020394 QUINAPRIL (ACCUPRIL) 10MG TAB* 637
50020400 AMPICILLIN 500MG CAP 637
50020412 ASCRIPTIN AD 250
50020436 BIAXIN 250MG TAB =clarithromycin 637
50020448 BLOCADREN 10MG BTL* 637
50020450 DOXAZOSIN (CARDURA) 1MG TAB 637
50020461 CAROID 250
50020503 DEPAKENE 250 MG CAP(VALPROIC ACID) 637
50020515 DIASORB TABS 637
50020527 PYRIDOSTIGMINE 60MG TAB (MESTINON) 637
50020539 CEFADROXIL 500MG CAP* (DURICEF) 637
50020540 ENTEX PSE 250
50020552 GUAIFENESIN LA 600MG *(MUCINEX) 637
50020590 PLENDIL 5 MG BTL* 637
50020606 PRAVACHOL 20 MG 250
50020620 CALCITRIOL (ROCALTROL) 0.25MCG CAP 637
50020631 RUTUSS DE 250
50020643 RESERPINE W/HCTZ 125MG/50MG 250
50020667 SENNA (SENOKOT) 8.6MG TAB 637
50020679 SOD BICARB 10 GM 250
50020680 SUPRAX 400MG BTL* 637
50020709 THEODUR 450MG 250
50020710 KETOROLAC (TORADOL) 10MG TAB 637
50020722 CLORAZEPATE 7.5 MG * 637
50020734 PERPHENAZINE/AMITRP/HCI 2/10MG BTL* 250
50020758 UROCET-K BTL* 637
50020760 VITAMIN C 250 MG 250
50020771 WELLBUTRIN 100 MG BTL* 637
50020783 WYTENSIN 4 MG 250
50020795 SERTRALINE (ZOLOFT) 50MG TABLET* 637
50020801 CHARCOAL/AQUA(INSTA-CHAR):50GM/240ML BTL 637
50020813 charcoal aqua (Insta Char) : 25 GM/120ML 250
50020862 MYTUSSIN AC-30ML BTL*(ROBITUSSIN AC) 637
50020863 IMMUNIZATION 250
50020874 RANITIDINE (ZANTAC) SYRUP: 15MG/ML 5ML 637
50020886 NITROGLYCERIN PREMIX* 250
50020904 LEUKERAM 2 MG 637
50020928 SSD 1% CR 50GM 250
50020930 SENSORCAINE-.5% EPI 30ML STERIILE PAK 250
50020965 D5 1/4 NACL 20MEQ KCL 1000ML* 258
50020977 DEX 5%/0.45% Nacl 20mEq KCL IV 1000ML 258
50020989 ACYCLOVIR 500MG/10ML INJ.*(ZOVIRAX) 250
50020990 CIPRO 200 MG IVBP 250
50021052 ZANTAC 25MG/ML SYRUP 250
50021064 CIPRO: 400 MG IVBP* SPECIAL ORDER ONLY 258
50021076 PROCHLORPERAZINE 10MG/2ML Inj(Compazine) 250
50021088 metroNIDAZOLE (FLAGYL) 500MG/100ML IVPB 636
50021106 CHLORTHALIDONE 25MG TAB (HYGROTON) 637
50021118 predniSONE (DELTASONE) 10MG TAB 637
50021120 ENALAPRIL 5MG TAB (VASOTEC) 637
50021155 OXACILLIN 500 IV 250
50021167 METHOCARBAMOL 750MG 250
50021179 ESTROGENS CONJUGATED .3 MG 250
50021192 PYRIDIUM 100MG (PHENAZOPYRIDINE) 637
50021209 SUFENTA 1CC 250
50021210 NITROFURANTOIN (MACROBID) 100MG CAP 637
50021222 CHLORTHALIDONE 100MG 250
50021234 CHLORTHALIDONE 50MG 250
50021246 ALFENTA 2ML-(ALFENTANIL)-500MCG/ML 250
50021258 HEPARIN 5000 UNITS/ML 1ML SDV 636
50021271 AMYL NITRITE AMPS* 250
50021283 HEXACHLOROPHENE 3% 150 ML 250
50021295 AMOXICILLIN 50MG/ML DROPS 30ML 637
50021301 BACI/NEO/POLY (NEOSPORIN) : 1GM OINT* 637
50021313 SPIRONOLACTONE (ALDACTONE): 25MG TAB 637
50021325 DRC CREAM 15 GM* 637
50021337 NYSTATIN ORAL SUSP UD 637
50021349 ATROPINE 1% OPTH SOL 250
50021362 BETOPTIC 0.5% OPTH SOL (BETAXOLOL) 637
50021374 TROPICAMIDE 1% OPTH 250
50021386 ISOPTO CARPINE 1% 15ML 250
50021404 PILOCARPINE 3% 15ML (Isopto Carpine) 637
50021416 PREDNISOLONE OPTH SOL 250
50021428 DIPIVEFRIN 0.1% OPTH SOL 10ML (PROPINE) 637
50021430 TIMOLOL .25% OPTH SOL 5ML 250
50021441 KETOPROFEN 50MG 250
50021453 OXAZEPAM 15MG-(Serax) 637
50021465 RUTUSS TAB 250
50021477 ARTANE 2MG tab (trihexyphenidyl) 637
50021489 INDOMETHACIN 50MG (INDOCIN) 637
50021490 cloNIDine (CATAPRES) TTS 0.1MG PATCH 637
50021507 POTASSIUM CL 10% 30 ML 250
50021519 ADENOSINE (ADENOCARD) 6MG/2ML SDV 636
50021532 fentaNYL (DURAGESIC) PATCH 25MCG/HR 637
50021556 HEALON 55ML 250
50021570 DIGIFAB (DIGOXIN IMMUNE FAB) 40MG SDV 636
50021581 digoxin EL 2.5 ML 250
50021593 SANDOSTATIN 100MCG/ ML AMP* 637
50021600 AMPHOTERICIN B 50MG INJ 250
50021611 ACETAMINOPHEN (TYLENOL) 120MG SUPP 637
50021623 ACETAMINOPHEN 325MG SUPP (1/2 OF 650MG) 637
50021635 ACETAMINOPHEN (TYLENOL) 650MG SUPP 637
50021659 CARDIZEM INJ 1MG/ML 250
50021660 ACTHAR GEL 80 UNITS 250
50021673 ORAL CONTRAST-VANILLA 255
50021696 ACTIFED 637
50021726 ePINEPHrine (ADRENALIN) 1MG/ML SDV 636
50021738 OXYMETAZOLINE (AFRIN) 0.05% NASAL 15ML* 637
50021740 ALBUMIN SERUM 12.5GM/50ML SDV* 636
50021775 ATROPINE 0.1MG/ML 10ML PFS 636
50021787 METHYLDOPA 250 MG UD* 637
50021817 PNEUMCOCCYL VACCINE 250
50021829 CAFERGOT SUPP* 637
50021830 DIGOXIN EL 5 ML 250
50021842 SUPRAX 400MG 250
50021854 ALUPENT ORAL INHALER*(metaproterenol) 637
50021866 AMBENYL EXP 60ML 250
50021878 BENZOCAINE OINT 30 MG 250
50021880 BENZOCAINE OTIC SOLUTION 15 ML 250
50021891 NABUMETONE (RELAFEN) 500MG TAB 637
50021910 FOSINOPRIL (MONOPRIL) : 10MG TAB 637
50021921 TORADOL 30 MG IM 250
50021933 TERAZOSIN (HYTRIN) CAP : 2MG 637
50021945 FORTAZ 500MG VIAL (CEFTAZIDIME) 250
50021957 TORADOL 10 MG PO 250
50021969 DIVALPROEX (DEPAKOTE DR) 250MG TAB 637
50021970 LOTENSIN 20MG U/D * (BENAZEPRIL) 637
50021982 AMINOPHYLLINE 250MG/10ML 250
50022007 AMOXICILLIN (AMOXIL) 250MG CAP* 637
50022019 AMOXICILLIN (AMOXIL) 500MG CAP 637
50022032 AMOXICILLIN 125MG/5ML 80ML* 637
50022044 AMOXICILLIN 250MG/5ML (AMOXIL)-100ML BTL 637
50022056 WYGESIC 250
50022070 AVEENO BATH PACKETS 637
50022081 AMOX/CLAV (AUGMENTIN) 500MG/125MG TAB 637
50022093 NORPACE CR 100 MG 250
50022100 TIAZAC 180MG (CARDIZEM CD/DILTIAZEM CD) 637
50022135 HYDREA 500MG BTL*(HYDROXYUREA) 637
50022159 MECLIZINE (ANTIVERT): 25MG TAB 637
50022172 HYDROCORTISONE ACETATE 25MG SUPP* 637
50022184 ACTIDOSE/SORBITOL 50 GM/240 ML* 250
50022196 TUBERCULIN SKIN TEST(MANTOUX): 0.1ML MDV 250
50022202 CHARCOAL/SORBITOL 25 GM/120 ML 250
50022214 hydrALAZINE (APRESOLINE) 10MG TAB 637
50022226 HYDRALAZINE 25MG UD* 637
50022238 HYDRALAZINE 50MG TABS (APRESOLINE) 637
50022240 HYDRALAZINE 20 MG/ML* 250
50022251 PHYTONADIONE 10MG/ML 250
50022263 BETOPTIC S 0.25% OPTH SOL=betaxolol 10ML 637
50022287 CARDURA 1 MG 250
50022305 CARDURA 2 MG 250
50022317 ASPIRIN/MAALOX 650 MG 250
50022329 BACLOFEN 10MG TAB (LIORESAL) 637
50022330 ASPIRIN 650 MG 250
50022342 ASPIRIN/MAALOX 325 MG 250
50022354 HEPARIN 50U/ML 500ML D5W* 250
50022366 ASPIRIN CHEWABLE 81MG TAB 637
50022378 ASPIRIN 120 MG SUPP* 637
50022380 ASPIRIN 300 MG SUPP* 637
50022391 ASPIRIN 600MG SUPP* 637
50022408 ASPIRIN (ASA) 325MG TAB 637
50022410 VISTARIL (HYDROXYZINE HCL) 10MG 250
50022421 HYDROXYZINE PAMOATE 50MG (VISTARIL) 250
50022445 LORazepam (ATIVAN) 0.5MG TAB 637
50022457 LORazepam (ATIVAN) 1MG TABLET 637
50022469 Ativan (LORazepam) 2MG 250
50022470 HEPARIN 50 UNITS/ML 500ML/.45NACL 258
50022482 CLOFIBRATE 500 MG 250
50022494 IV ADMIXTURE FEE- PRIMARY IV 258
50022512 ALLERGAN OTIC SOL 15ML* 250
50022536 SULFASALAZINE 500MG TAB (Azulfidine) 637
50022548 IV ADMIXTURE FEE-HYPERALS OR TPA 258
50022550 B & 0 SUPP 30MG (belladonna & opium) 250
50022573 DILANTIN 100MG/4ML 637
50022585 DILATIN 125MG/5ML U/D 250
50022597 AMOXICILLIN 125 MG/BTL U/D* 637
50022615 AMOXICILLIN 250 MG/BTL U/D* 637
50022627 CEPHALEXIN 250MG/BOTTLE U/D 250
50022639 FERROUS SULFATE 5ML U/D 250
50022640 diphenhydrAMINE (BENADRYL) 25MG CAP 637
50022652 diphenhydrAMINE 50MG (Benadryl) 637
50022664 PHISOHEX FOR SCRUB 4OZ* (hexachlorophene 250
50022688 PHYSOSTIGMINE OPTH OINTMENT 3.5G* 637
50022706 LIDOCAINE 2%/EPI-MPF 1:200000 20ML SDV 250
50022718 DICYCLOMINE (BENTYL) 10MG CAP 637
50022720 ATIVAN LIQUID 250
50022767 NITROGLYCERIN 10MG PATCH 250
50022779 SOD CH 0.45:1000ML 258
50022780 HEPARIN 100U/ML 20 ML 250
50022792 POVIDONE IODINE OINT 30 MG 250
50022809 CARDIZEM CD 240 MG (Diltiazem CD) 637
50022810 TAVIST SYRUP 250
50022822 THIAMINE (VIT B1) 200MG/2ML VIAL 636
50022834 BICILLIN CR 900/300* 250
50022895 TIMOLOL 10 MG 250
50022901 ASPIRIN EC (ECOTRIN) 325MG TAB 637
50022913 ASPIRIN ENTERIC COATED 650 MG 250
50022925 BRETHINE 2.5MG TAB = terbutaline 637
50022937 TERBUTALINE 5MG 250
50022962 BUTIBEL TAB 250
50022974 GASTROGRAPHIN 120ML 250
50023000 VERAPAMIL 80MG (Isoptin/Calan)*non-form* 637
50023024 VERAPAMIL LIFESHIELD 2.5MG/ML (CALAN) 250
50023036 CALCIUM CHLORIDE 1 GM/10 ML IC 250
50023048 CALCIUM CHLORIDE: 1GM/10ML PFS 250
50023050 CA GLUCONATE 0.465MEQ/ML 250
50023073 CAPOTEN 25MG UD* (captopril) 637
50023085 CAPTOPRIL 50MG UD* (CAPOTEN) 637
50023103 SUCRALFATE (CARAFATE): 1GM TAB 637
50023115 DILTIAZEM 30MG B 250
50023127 DILTIAZEM 60MG (CARDIZEM PROMPT RELEASE) 637
50023139 CLONIDINE .1MG BTL* 250
50023140 CLONIDINE .2MG 250
50023152 CEFACLOR 125MG/5ML (CECLOR) 75ML 637
50023176 CEFACLOR 250MG CAP (CECLOR) 637
50023188 CEFACLOR 500 MG 250
50023243 PRAZEPAM 5 MG 250
50023267 CEPASTAT LOZENGES(NON-FORM) USE NICE LOZ 250
50023279 CEPASTAT LOZENGES/BX* 250
50023309 CETACAINE SPRAY BTL* 250
50023346 CHLORASEPTIC LOZ/BX 25 250
50023528 CLINDAMYCIN (CLEOCIN) 150MG CAP 637
50023590 CODEINE SULFATE 30 MG INJ. 250
50023619 CODEINE PHOSPHATE 60 MG/ML INJ *SP ORDER 250
50023644 DSS 100 MG 250
50023693 COLYMYCIN S OTIC 5ML* 250
50023747 COMPAZINE 10MG (PROCHLORPERAZINE) 637
50023772 PROCHLORPERAZONE 25 MG SUPP 250
50023802 PIROXICAM 20MG CAP (Feldene) 637
50023826 NADOLOL 40 MG 250
50023851 HYDROCORTISONE ENEMA*(COLOCORT) 250
50023863 NEO/POLY/HC (CORTISPORIN) 10ML EAR SUSP 637
50023875 CORTISPORIN OPTH 7.5ML SUSP(NEO/POLY/HC) 250
50023887 WARFARIN (COUMADIN) 2MG TAB 637
50023899 WARFARIN (COUMADIN): 5MG TAB 637
50023905 COUMADIN 7.5MG TAB (WARFARIN) 637
50023917 COUMADIN 10MG UD* 250
50023930 PIROXICAM 10 MG 250
50023954 CYANOCOBALAMIN(B-12) 1000MCG/ML 1ML SDV 636
50023991 CYCLOPENTOLATE (CYCLOGEL) 1% : 2ML OPHT 250
50024028 FLURAZEPAM 15MG (DALMANE) 637
50024053 PROPOXY /ACET100/650 (DARVOCET-N100) 637
50024065 DARVON 65MG BTL* 250
50024089 DARVON COMPOUND 65MG CAPSULE 637
50024181 DEXAMETHASONE 0.75 MG 250
50024193 DEXAMETHASONE 0.5 MG/5 ML 60 M 250
50024200 DEXAMETHASONE OPHTH SOL 250
50024223 DEXAMETHASONE/NEOMYCIN OPHTH 250
50024247 DECONAMINE SR 637
50024272 PREDNISONE 5 MG 250
50024338 SOLU MEDROL (METHYLPREDNISOLONE) 40MG 250
50024340 DEPO-MEDROL 40MG/ML 10ML VIAL* 250
50024405 DEXAMETHASONE (DECADRON) 4MG/ML 1ML SDV 636
50024417 DEXTROSE 50% 25GM/50ML PFS 250
50024429 CIMETIDINE 400MG 250
50024430 CHLORPROPAMIDE 250 MG 250
50024478 DILANTIN 100MG/2ML INJ * (PHENYTOIN) 250
50024510 PHENYTOIN (DILANTIN) 100MG CAP 637
50024521 DILAUDID 2MG/ML INJ. 250
50024533 HYDROmorphone (DILAUDID) 2MG TAB 637
50024569 DIMETAPP EXTENTAB 250
50024636 DOBUTAMINE 250 MG/20 ML 250
50024648 BACLOFEN (LIORESAL) : 10MG TAB 637
50024661 DOLOBID 250 250
50024715 DONNATAL U/D * 637
50024727 BELLADONNA ALKALOIDS SR 250
50024740 DOPamine 400MG/250ML D5W PREMIX 636
50024855 BISACODYL 5 MG BTL* 637
50024867 BISACODYL (DULCOLAX) 10MG SUPPOSITORY 637
50024910 TRIAMTER/HCTZ (MAXZIDE) TAB: 37.5MG/25MG 637
50024934 ERYTHROMYCIN ES 400 MG BTL* 637
50024971 ELASE OINT 10 GM * 637
50024983 AMITRIPTYLINE (ELAVIL) 10MG TAB 637
50024995 AMITRIPTYLINE (ELAVIL) 25MG TAB 637
50025008 ELAVIL (AMITRIPTYLINE 50MG) 250
50025010 ELAVIL (AMITRIPTYLINE 75MG) 250
50025057 BACLOFEN 10 MG 250
50025070 ASPIRIN/CODEINE 30 MG 250
50025100 ERYTHROMYCIN BASE 250 MG 250
50025136 METHYCLOTHIAZIDE 5 MG BTL*(ENDURON) 637
50025161 ePINEPHrine 1:10,000 SYR 1MG/10ML PFS 636
50025173 EPINEPHrine 1 10000 10 ML IC 250
50025239 ERYTHROMYCIN ENTERIC CAP 250 M 250
50025379 SENSORCAINE-MPF 0.25% 10ML(MARCAINE)* 250
50025409 FERROUS SULFATE 325MG TABLET 637
50025410 FIORICET 637
50025434 BUTALBITAL/ASA/CAF/CODEINE=FIORINAL/COD 637
50025471 CYCLOBENZAPRINE (FLEXERIL) 10MG TAB 637
50025513 FOLIC ACID (FA) : 1MG TAB 637
50025598 GENTAMICIN (GENTAK) 0.3% OPHTH SOLN 5ML 637
50025653 GLUCAGON HYPOKIT (GLUCAGEN) 1MG/ML PFS 636
50025677 GLYCERIN SUPP--INFANT* 637
50025689 GLYCERIN ADULT SUPPOSITORY 637
50025719 HALCION .25MG TAB*NON-FORMULARY 637
50025732 HALOPERIDOL 5 MG/ML 250
50025744 HALOPERIDOL 0.5MG (HALDOL) 637
50025756 HALOPERIDOL (HALDOL) 1MG TAB 637
50025768 haloperidol 2 MG/ML 15 ML 250
50025859 hydroCHLOROthia (HYDRODIURIL) : 25MG TAB 637
50025860 hydrochlorothiazide 50 MG (Hydrodiuril) 637
50025896 HYDROXYZINE HCL 25 MG/ML 250
50025902 HYDROXYZINE 50MG/ML VIAL (VISTARIL) 250
50025940 DIAZOXIDE 300 MG/20 ML 250
50025999 LOPERAMIDE (IMODIUM) : 2MG CAP 637
50026025 PROPRANOLOL 10MG TAB (Inderal) 637
50026037 PROPRANOLOL (INDERAL) 20MG TAB 637
50026049 PROPRANOLOL 40MG UD 637
50026074 PROPRANOLOL 1MG/ML INJ (INDERAL INJ) 250
50026098 INDOMETHACIN (INDOCIN) 25MG CAP 637
50026116 INDOMETHACIN 75MG ER *(INDOCIN SR) 637
50026128 HUMULIN R* 637
50026130 INSULIN HUMAN NPH 250
50026165 INSULIN NPH 250
50026189 INTAL ORAL INHALER* (CROMOLYN) 637
50026207 IPECAC SYRUP 30 ML 637
50026256 ISORDIL 2.5MG SL 250
50026270 ISORDIL 5MG 250
50026281 ISOSORBIDE 10MG BTL* 250
50026293 ISOSORBIDE DINITRATE 20MG BTL 637
50026300 ISOSORBIDE DINITRATE 40MG ER (ISORDIL)ER 637
50026311 ISOPROTERENOL 1MG/5ML 250
50026396 CEPHALEXIN 125 MG/5ML (KEFLEX) 100ML 637
50026402 CEPHALEXIN 250 MG/5 ML 200 ML 250
50026414 CEPHALEXIN (KEFLEX) 250MG/5ML 100ML SUS* 637
50026426 CEPHALEXIN (KEFLEX) 500MG CAP 637
50026475 triamcinolone dental (Kenalog Paste):5gm 637
50026487 TRIAMCINOLONE (KENALOG) 0.025% 15GM CRM* 637
50026505 TRIAMCINOLONE 40 MG/ML 250
50026529 TRIAMCINOLONE 0.1% CR 15 GM 637
50026580 LABETALOL 200MG TAB 250
50026621 POTASSIUM BICARBONATE 25 MEQ 250
50026669 LINDANE 1% LOTION 60ML (KWELL) 637
50026670 LACTINEX GRANULES/PK 250
50026682 LACTINEX TAB 250
50026712 LANOXIN 0.5MG/2ML AMPS (DIGOXIN) 250
50026724 DIGOXIN (LANOXIN) 0.125MG TAB 637
50026761 FUROSEMIDE 40MG/4ML 250
50026773 FUROSEMIDE (LASIX) 100MG/10ML SDV 636
50026785 FUROSEMIDE (LASIX) 20MG TAB 637
50026797 FUROSEMIDE (LASIX) 40MG TAB 637
50026803 Lasix (furosemide) 80MG TAB 637
50026815 NOREPINEPHRINE 4 MG/4 ML 250
50026827 CHLORD/CLININ (LIBRAX) 5MG/2.5MG CAP* 637
50026839 CHLORDIAZEPOXIDE 10MG UD* 250
50026840 CHLORDIAZEPOXIDE 5MG CAP (LIBRIUM) 637
50026852 LIBRIUM 25MG 250
50026864 LIBRIUM 100MG/2ML INJ*(CHLORDIAZEPOXIDE) 250
50026906 LIDOCAINE (XYLOCAINE) 2% 100MG/5ML PFS 636
50026918 LABETALOL 300MG TAB 250
50026955 DIPHENOXYLATE-ATROPINE (LOMOTIL) TAB 637
50026967 diphenoxylate/atropine 60 ML (N.F.) 637
50026979 GEMFIBROZIL 300MG 250
50026980 METOPROLOL TARTR (LOPRESSOR) 50MG TAB 637
50026992 METOPROLOL 100 MG 250
50027017 CLOTRIMAZOLE CREAM 15 GM 250
50027054 FLUDRICORTISONE 0.1 MG 250
50027091 NITROFURANTOIN 50MG 250
50027110 MAGNESIUM SULF 4.06mEq/ML SDV 2ML* 636
50027133 MANNITOL 25% 50ML (12.5GM/50ML) RTU* 636
50027170 METHYLPREDNISOLONE 4MG* 250
50027273 MEPERIDINE 50 MG 250
50027364 PSYLLIUM PWD (METAMUCIL) 3.4GM PKG 637
50027390 MICRO K 8 MEQ BTL* 637
50027406 MILK OF MAGNESIA 30 ML UD* 637
50027420 PRAZOSIN 1MG (Minipress) 637
50027480 MILK OF MAG/MINERAL OIL 30 ML UD* 637
50027522 AMILORIDE/HCTZ 5/50 TAB (Modurectic) 637
50027534 MORPHINE SULFATE 4MG/ML PFS* 636
50027571 PRILOSEC 20MG UD* 637
50027583 IBUPROFEN (MOTRIN) 400MG TAB* 637
50027595 ibuprofen 600MG BTL* 250
50027613 diphenhydrAMINE (BENADRYL) 50MG/ML SDV 636
50027637 MULTIPLE VITAMIN (MVI-12) 10ML SDV 250
50027662 NYSTATIN 100,000 UNITS/GM 15GM CREAM 637
50027704 NYSTATIN POWDER 15 GM 250
50027789 SIMETHICONE 40 MG 250
50027790 SIMETHICONE (MYLICON): 80MG CHEW TAB 637
50027856 FENOPROFEN 600MG (FENOPROFEN CALCIUM) 637
50027868 NAPROXEN 250MG 250
50027870 NAPROXEN 375MG TAB UD* 637
50027881 NAPROXEN (NAPROSYN) 500MG TAB 637
50027893 NALOXONE (NARCAN) 0.4MG/ML SDV 636
50027935 PENTOBARBITAL SUPP 30 MG 250
50027960 NEOMYCIN 500MG 250
50027984 TRIPLE ANTIBIOTIC OINT 30G 250
50028009 TRIPLE ANTIBIOTIC OPHTH SOL 10 250
50028010 TRIPLE ANTIBIOTIC OPHTH OINT 250
50028083 SODIUM NITROPRUSSIDE 50 MG VIAL =Nipride 250
50028095 NITROGLYCERIN 0.6MG/HR PATCH 637
50028101 NITROGLYCERIN 2.5MG PATCH 250
50028113 NITROGLYCERIN 2% OINT 30 GM 250
50028186 CHLORAL HYDRATE 500MG/5ML LIQUID 5ML 250
50028228 NORGESIC FORTE BTL* 637
50028241 DISOPYRAMIDE PHOSPHATE 100MG BTL* 250
50028289 NOVAHISTINE DH 120 ML 250
50028307 DIBUCAINE 1% OINT 1 OZ (NUPERCAINAL) 637
50028319 OCEAN NOSE SPRAY 250
50028320 NICARDIPINE 20MG CAP 250
50028332 MEZLOCILLIN 2 GM INJ 250
50028344 ADALAT CC 30MG (PROCARDIA/nifedipine ER) 637
50028411 ALCAINE 0.5% OPTH SOL 15ML* 250
50028423 IODINATED GLYCEROL 120 ML 250
50028435 TOLBUTAMIDE 500 MG 250
50028502 CHLORZOXAZONE 500 MG UD* 250
50028538 ISOSORBIDE 40 MG SA 250
50028540 PANCURONIUM 1 MG/ML 250
50028563 ERYTHRO/SULFASOXAZOLE 200/600 100ML* 637
50028599 PENICILLIN G/POT 5 MILLION UNITS* 250
50028617 PENICILLIN VK 125MG/5ML 100ML (Veetids) 637
50028629 PENICILLIN VK 250 MG/5 ML 100 250
50028630 PENICILLIN VK (PEN-VEE K) 250MG TAB 637
50028666 OXYCODONE/ACETAMIN 5/500MG 250
50028691 cyproheptadine 2 MG/5 ML 120 M 250
50028708 PERICOLACE 30ML SYRUP*(docusate sod/cas) 637
50028733 DIPYRIDAMOLE 25MG TAB (PERSANTINE)*NF 637
50028745 DIPYRIDAMOLE 50 MG BTL* 637
50028757 DIPYRIDAMOLE 75 MG BTL* 637
50028782 PROMETHAZINE (PHENERGAN) 25MG/ML SDV 636
50028836 PROMETHAZINE/CODEINE EXP 60 ML 250
50028848 PROMETHAZINE VC/CODEINE EXP 60 250
50028873 PHENOBARBITAL 100 MG 250
50028885 PHENOBARBITAL 15 MG 250
50028915 PHENOBARBITAL 30 MG/ML 250
50028990 THEOPHYLLINE 50 MG CAP 250
50029002 POTASSIUM CHLORIDE 20 MEQ/10 M 250
50029014 POTASSIUM CHLORIDE : 40mEq / 20ML SDV* 258
50029063 PREMARIN 0.625MG 250
50029087 PROCAINAMIDE 500 MG SR 250
50029099 NIFEdipine (PROCARDIA) 10MG CAP 637
50029130 PROCAINAMIDE 250 MG 250
50029154 PROCAINAMIDE 500 MG 250
50029166 PROCAINAMIDE (PRONESTYL) 1GM/10ML MDV 636
50029191 THEOPHYLLINE 100 MG CAP 250
50029208 OXACILLIN 500 MG 250
50029210 OXACILLIN 250 MG/5 ML 100 ML 250
50029245 ALBUTEROL 2MG (PROVENTIL) 637
50029257 ALBUTEROL 4MG 250
50029269 ALBUTEROL INHALER-(VENTOLIN ) 637
50029294 PHENAZOPYRIDINE/HYOSCYAMINE 250
50029300 SUCCINYLCHOLINE 20MG/ML 10ML MDV 636
50029350 QUINIDINE GLUCONATE ER 324MG=QUINAGLUTE 637
50029385 QUINIDINE SULFATE 200MG BTL* 637
50029397 QUININE 300 MG 250
50029439 METOCLOPRAMIDE (REGLAN) 10MG/2ML SDV 636
50029464 TEMAZEPAM (RESTORIL) 15MG CAP* 637
50029469 TEMAZEPAM 15MG 250
50029531 THEO-24 300MG UD* 637
50029543 GLYCOPYRROLATE (ROBINOL) 0.2MG/ML SDV 250
50029634 IODINATED GLYCEROL/COD 60 ML 250
50029725 TRIMETHOPRIM/SMX DS BTL* 637
50029762 SILVER SULFADIAZINE 50 GM 250
50029786 SILVER NITRATE STICKS 637
50029804 CARB/LEVODOPA ER (SINEMET CR) 25-100MG 637
50029816 CARBIDOPA/L-DOPA 25-250 PROMPT (SINEMET) 637
50029853 SINGLET FOR ADULTS BTL* 637
50029890 SODIUM BICARBONATE 50 MEQ/50 BTL* 250
50029920 SODIUM CHLORIDE 50 MEQ/20 ML 250
50029956 BLEPHAMIDE OPTH SOL=sulfacetamide na 5ML 637
50029981 HYDROCORTISONE (Solu-CORTEF) 100MG SDV 636
50029993 HYDROCORTISONE (solu-CORTEF) 250MG SDV 636
50030016 SOLU-medrol (methylPRED) 40MG/ML AOV 636
50030028 SOLU-medrol (methylPRED) 125MG/2ML AOV 636
50030030 methylPREDNISolone (SOLU-medrol) 500MG* 636
50030041 METHYLPREDNISOLONE SS 1 GM 250
50030053 CARISOPRODAL 350 MG TAB (SOMA) 637
50030065 CARISOPRODAL CPD 250
50030144 STADOL 2MG/2ML(butorphanol) INJ NF 250
50030247 PSEUDOEPHEDRINE (SUDAFED): 30MG TAB* 637
50030248 PHENYLEPHRINE (SUDAFED PE) 10MG TAB* 250
50030260 TETRACYCLINE 250MG 250
50030296 EPINEPHRINE 1 200 .3 ML 250
50030302 AMANTADINE 100MG (SYMMETREL) 637
50030363 levothyroxine 0.2 MG 250
50030417 CIMETIDINE 300MG UD*(TAGAMET) 637
50030480 HYPO TEARS 15ML* 637
50030521 TEGRETOL 200MG UD* 250
50030569 ATENOLOL (TENORMIN) 50MG TAB* 637
50030636 TETANUS TOXOID, ADSORBED 0.5ML VIAL 250
50030650 TETANUS/DIPHTHERIA - TD- (CHILD) 250
50030685 THEOPHYLLINE 200 MG UD 637
50030697 THEOPHYLLINE 300MG UD* 637
50030727 VITAMINS THERAPEUTIC 250
50030739 CHLORPROMAZINE 25 MG/ML 250
50030740 chlorproMAZINE (THORAZINE) 25MG/ML SDV* 636
50030752 chlorproMAZINE 10 MG (Thorazine) 637
50030776 chlorproMAZINE (THORAZINE) 25MG TAB* 637
50030788 chlorproMAZINE 50MG BTL*(Thorazine) 637
50030806 THROMBIN TOPICAL (BOVINE) 5000 UNITS* 250
50030818 THYROID U.S.P. 1GR (65MG) BTL* 637
50030867 TIGAN 200MG/2ML * 250
50030880 TIGAN 250MG (TRIMETHOBENZAMIDE) BTL* 637
50030892 TRIMETHOBENZAMIDE 100 SUPP (TIGAN) 637
50030909 TRIMETHOBENZAMIDE 200MG (TIGAN)SUPP 637
50030946 TOBRAMYCIN (TOBREX) 0.3% OPTH SOLN 5ML 637
50030971 TOLMETIN 400 MG 250
50030995 TOLINASE 250MG BTL* 637
50031008 TOLAZAMIDE 500 MG 250
50031010 DESOXYMETISONE 0.025% CREAM 15 250
50031021 LIDOCAINE 0.5% 50 ML 250
50031057 TRIAMINIC ORAL DROPS 15 ML 250
50031070 ZANTAC 300MG (RANITIDINE) UD* 637
50031082 TRIAMINIC SYRUP 120 ML 250
50031124 TUBOCURARINE 3 MG/ML 250
50031148 ACETAMINOPHEN/CODEINE 15 MG 250
50031173 ACETAMINOPHEN 325MG TAB BOX* 637
50031185 ACETAMINOPHEN 650MG 250
50031197 ACETAMINOPHEN 80MG CHEW TAB (TYLENOL) 637
50031203 ACETAMINOPHEN 160 MG/5 ML 120 250
50031215 ACETAMINOPHEN 650MG/20ML-UD CUP-TYLENOL 637
50031288 BETHANECHOL 10 MG 250
50031331 DIAZEPAM 2MG BTL* 250
50031343 diazePAM (VALIUM) TAB 5MG 637
50031355 diazepam 10 MG 250
50031367 diazePAM (VALIUM) 10MG/2ML CPJ 636
50031380 VANCENASE AQ NASAL INHALER 25G 250
50031392 BECLOVENT INH(beclomethasone)NON-FORMULA 637
50031409 EPINEPHRINE RACEMIC 2.25% 250
50031513 DOXYCYCLINE 100 MG VIAL* 250
50031525 DOXYCYCLINE 50 MG (VIBRAMYCIN) SP ORDER 637
50031537 DOXYCYCLINE (VIBRAMYCIN) 100MG TAB/CAP 637
50031562 HYDROXYZINE PAMOATE 25 MG 250
50031653 STERILE WATER FOR INJECT 20ML SDV* 250
50031719 XANAX 0.5MG UD 637
50031720 ALPRAZOLAM 1MG TAB (XANAX) 637
50031768 LIDOCAINE MPF 1% 10MG/ML- 5ML SDV 250
50031770 LIDOCAINE 1% 50 ML VIAL 250
50031793 LIDOCAINE (XYLOCAINE) 5% OINT 35GM 637
50031800 lidocaine 1% EPI 1:100000 20ML 250
50031811 ZANTAC 150MG UD* 250
50031823 METOLAZONE 2.5 MG 250
50031835 METOLAZONE 5 MG 250
50031872 ALLOPURINOL (ZYLOPRIM) 100MG TAB 637
50031884 ALLOPURINOL (ZYLOPRIM) 300MG TAB 637
50031896 MICONOZOLE CREAM 15 GM 250
50031940 WARFARIN (COUMADIN) 2.5MG TAB 637
50031951 METAPROTERENOL 10 MG 250
50031963 CAFFEINE/ERGOTAMINE 250
50031975 MICONAZOLE 3 SUPPS 250
50031987 HEPARIN LOCK 10 UNITS/ML FLUSH 30ML 250
50031999 NACL 0.9% 50ML PF 258
50032000 SODIUM CHLORIDE 0.9% IV : 50ML PF*XRAY 258
50032050 TRIAZOLAM 0.25MG/HALCION**USE TEMAZEPAM* 637
50032098 PREMARIN 1.25MG TAB(conjugated estrogen) 637
50032116 AUGMENTIN 250MG TAB(amoxicillin/clav) 637
50032165 NAPROXEN SODIUM 275MG 250
50032207 THIAMINE (VITAMIN B-1) 100MG TAB 637
50032232 CIMETIDINE 300MG (TAGAMET) NON-FORMULARY 637
50032268 NITROGLYCERIN 7.5MG PATCH 250
50032293 CARBOFED DM SYRUP 5ML (=Rondec DM) 637
50032360 ENSURE (1 CAN)* 637
50032372 ENSURE PLUS (1 CAN) * 637
50032384 OSMOLITE RTH BTL 1000ML*(Using Isosourse 637
50032396 COMPLETE 250
50032426 BRETYLIUM 500 MG/10ML ANSYR * 250
50032487 TEGRETOL 100MG CHEWABLE BTL* 637
50032505 CORTISPORIN CREAM 7.5 GM 250
50032529 HYDROCORTISONE SS 500 MG 250
50032542 CICLOPIROX CREAM 1% 15 GM 250
50032566 BUMETANIDE 0.5 MG 250
50032591 PENTOXIFYLLINE 400MG TAB (TRENTAL)NF 637
50032608 LIDOCAINE VISCOUS (XYLOCAINE) 2% 15ML UD 637
50032621 HALOPERIDOL 2MG U/D* 637
50032657 XANAX 0.25MG UD* 637
50032682 DIGOXIN 0.1 MG 250
50032712 BUMETANIDE 0.25 MG/ML 250
50032761 ENTEX LA (MIRAPHEN LA)* 637
50032785 MICRONASE 5MG UD* 637
50032840 CLOTRIMAZOLE/BETAMETHASONE 15 250
50032888 CAPOTEN 12.5MG UD* 250
50032890 TRIAMTER/HCTZ (MAXZIDE) TAB : 75MG/50MG 637
50032918 SELDANE 60MG BTL* 637
50032931 HYDROCORTISONE (CORTIZONE) 1% 30GM CREAM 637
50032943 AEROBID INHALER-(FLUNISOLIDE) 637
50032955 TERBUTALINE INHALER, ORAL 250
50032967 AMOX/CLAV (AUGMENTIN) SUSP : 125MG/5ML 637
50032980 NITROGLYCERIN PREMIX 250
50032992 PNEUMOCOCCAL VACCINE POLYVALENT* 5DOSE V 250
50033005 BITOLTEROL INHALER ORAL 250
50033017 VERSED 5MG/ML 250
50033110 CEFAZOLIN 2 GM 250
50033170 ACETAMINOPHEN 160 MG/5 15 ML 250
50033182 ACETAMINOPHEN/CODEINE EL 120ML BTL* 637
50033194 ACETAMINOPHEN/CODEINE EL 30 ML 250
50033200 ACETAMINOPHEN/CODEINE EL 5ML UD CUPS* 250
50033224 TRIPROLIDINE/PSEUDOEPH 30 ML 250
50033273 AMBENYL EXP 120ML 250
50033315 diphenhydrAMINE (BENADRYL) 12.5MG/5ML 637
50033327 diphenhydrAMINE 12.5 MG/5 15 M 250
50033340 DICYCLOMINE 10MG/ML 2ML INJ. (BENTYL)NF 250
50033388 diphenhydrAMINE syrup 15 ML 250
50033420 OXTRIPHYLLINE PED 120 ML 250
50033431 OXTRIPHYLLINE PED 30 ML 250
50033467 LACTULOSE (ENULOSE) SYRUP UD : 20G/30ML 637
50033492 CIMETIDINE 300MG/5ML 10 ML 250
50033522 DEXAMETHASONE 0.5MG/5ML 30 ML 250
50033571 DIMETAPP ELIXIR 60 ML 250
50033583 DIMETAPP ELIXIR 30 ML 250
50033613 DIPHENOXYLATE/ATROPINE UD 250
50033625 DIPHENOXYLATE/ATROPINE 15 ML 250
50033650 DONNAGEL 5 ML 250
50033704 BELLADONNA-ANTISPAS ELIX 30ML (DONNATAL) 637
50033716 BELLADONNA ALKALOIDS 15 ML 250
50033765 DSS 100MG/30ML 30 ML 250
50033790 DSS/CASANTHRANOL SYRUP 30 ML 250
50033819 ERYTHROMYCIN ES 400MG/5ML 120M 250
50033820 ERYTHROMYCIN ES 400MG/5ML 30ML* 637
50033844 ERYTHROMYCIN ES 200MG/5ML 120M 250
50033856 ERYTHROMYCIN 200MG/5ML 100ML SUSP (EES) 637
50033870 FERROUS SULFATE 220MG/5ML ELIXIR 30ML* 637
50033923 LASIX ORAL 10MG/ML 60ML LIQ (FUROSEMIDE) 637
50033947 VISTARIL (HYDROXYZINE HCL) 10MG/5ML 30ML 250
50033972 HYDROXYZINE PAM 25MG/5ML 30 ML 250
50034009 KAOLIN/PECTIN 30ML (K-PEK)* 637
50034060 M O HALEY'S 30 ML 250
50034095 METAPROTERENOL 10 MG/5 ML 30M 250
50034113 NALDECON PED SYRUP 120ML 250
50034216 BELLADONNA/OPIUM SUPP 60MG 250
50034241 IODINATER GLYCEROL 30 ML 250
50034253 IODIANTED GLYCEROL 15 ML 250
50034332 CYPROHEPTADINE 2 MG/5 ML 30ML =Periactin 637
50034368 PHENOBARBITAL 20MG/5ML 120ML 250
50034370 PHENOBARBITAL 20MG/5ML 15 ML 250
50034447 PREDNISOLONE 5 MG/5ML 120 ML 250
50034450 PEDIAPRED (predniSOLONE 5MG/5ML) 30 ML 637
50034514 PROMETHAZINE VC PLAIN 30 M =Phenergan VC 637
50034538 PROMETHAZINE/CODEINE 120 ML 250
50034540 PROMETHAZINE/CODEINE 30 ML 250
50034563 PROMETHAZINE VC/CODEINE 120 ML 250
50034575 PROMETHAZINE VC/CODEINE 5 ML UD 637
50034599 PROMETHAZINE EXP 120 ML 250
50034605 PROMETHAZINE EXP 30 ML 250
50034630 THEOPHYLLINE/GUAIFENESIN 30 ML 250
50034654 GUAFENESIN DM 60ML 250
50034666 GUAIFENESIN DM 5 ML UD CUPS* 637
50034691 GUAIFENESIN 100MG/5ML 120ML (ROBITUSSIN) 637
50034708 GUAFENESIN 100MG/5ML 15ML 250
50034721 GUAFENESIN PE 30ML 250
50034812 SULFA/TRIMETH (SEPTRA) 200MG/40MG 5ML* 637
50034861 AMANTADINE 50MG/5ML 120ML 250
50034873 AMANTADINE 50MG/5ML 30ML 250
50034897 VITAMINS THERAPEUTIC LIQ 120 M 250
50034939 TRIAMINIC EXP 30 ML 250
50034964 TRIAMINIC SYRUP 30 ML 250
50035038 AMINOPHYLLINE 1GM/40ML 250
50035087 CAPTOPRIL 6.25 MG 250
50035154 AMPICILLIN 500MG 250
50035166 AMPICILLIN VIAL: 1 GM 258
50035178 AMPICILLIN 2GM PWVL 636
50035180 CLINDAMYCIN 300 MG INJ * 250
50035181 CLINDAMYCIN 600MG ADD-VANTAGE* 250
50035191 CLEOCIN 600MG/5% DEX PREMIX * 250
50035208 CLINDAMYCIN 900 MG INJ 250
50035210 CEFOXITIN 1GM INJ (MEFOXIN) VIAL 258
50035233 IMIPENEM-CILASTIN 250MG INJ 250
50035245 PRIMAXIN 500MG IV ADDV 250
50035257 CIMETIDINE 300 MG INJ 250
50035282 ERYTHROMYCIN 1 GM INJ* 250
50035294 OXACILLIN 1 GM ADV (Prostaphlin) 258
50035300 OXACILLIN 2 GM ADV*(Prostaphlin) 258
50035312 ceFAZolin (ANCEF) 1GM PWVL 636
50035324 CEFAZOLIN 1GM ADD*(KEFZOL/ANCEF) 250
50035336 CEFTRIAXONE 1GM/50ML NACL (ROCEPHIN) 250
50035348 CEFTRIAXONE 2 GM INJ VIAL 250
50035350 PROVENTIL REPETABS 4MG UD * 637
50035373 TOBRAMYCIN 80MG/2ML INJ*(Nebcin) 258
50035403 TRACE ELEMENTS VIAL : 5ML 250
50035440 LORCET PLUS 7.5/650 (HYDOCODONE/APAP) 637
50035452 MORPHINE CR (MS CONTIN) TAB : 30MG 637
50035464 MORPHINE SO4 CR 60MG* 637
50035506 ALKA SELTZER 12'S 250
50035518 MICONAZOLE 7 CREAM 250
50035520 DICLOFENAC 25MG (VOLTAREN) 250
50035531 VOLTAREN 75MG TAB (DICLOFENAC) 250
50035543 VOLTAREN 50MG UD (DICLOFENAC)* 637
50035555 TIMOLOL 0.5% 5ML SOL (TIMOPTIC) OPHTH 637
50035567 GLYOXIDE 250
50035579 TUBEX EMPTY 2 ML* 250
50035580 metroNIDAZOLE (FLAGYL) 250MG TAB 637
50035592 PROPYLTHIOURAUL 50 MG 250
50035610 TEMOVATE CREAM 0.05% 15GM (clobetasol) 637
50035622 EUCERIN 20 OZ TUB 637
50035634 OPIUM TINC 4 OZ 250
50035646 FAMOTIDINE 20MG INJ 250
50035660 PROMETHAZINE/CODEINE 30ML=Phenergan/Cod 637
50035683 IODINATED GLYCEROL 10ML 250
50035701 ENALAPRILAT 2 ML INJ 250
50035713 GUAIFENESIN (ROBITUSSIN) 10ML CUPS 637
50035725 PENICILLIN G/BENZ 1.2 MO 250
50035737 PENICILLIN G/POT 12 MILLION UNITS 250
50035749 CALAMINE LOTION 4 OZ 250
50035750 AZACTAM 1GM (Aztreonam) NON-FORMULARY 250
50035762 SALSALATE 500MG BTL*(Disalcid) 637
50035786 MAALOX R/S (MAG HYDROX/AL HYDR)-5 OZ NF 637
50035798 MYLANTA 5 OZ BTL(MAG & AL HYDROX-SIMETH) 637
50035804 MYLANTA II 30 ML UD 250
50035828 ACETAMINOPHEN 160 MG/5ML 10ML 250
50035830 RUTUSS/HYDROCODONE 30 ML* 637
50035841 RETIN-A GEL 0.01% 45G 250
50035853 IODINATED GLYCEROL/DM 30ML 250
50035865 RETIN-A GEL 0.025% 20GM 250
50035877 VASOTEC 2.5MG UD* 637
50035889 NALDECON TABLETS BTL*(NON-FORMULARY) 637
50035890 ERYTHROMYCIN 0.5% 3.5GM OPHTH OINT 637
50035907 SOMA CMPD/CODEINE (carisoprodol+asa+cod) 637
50035919 MISOPROSTOL 200 MCG 250
50035920 PROBUCOL 250MG TAB 250
50035944 CLAFORAN 250
50035956 CLAFORAN 2 GM 250
50035968 VANTIN 100 MG/5 ML 250
50035970 VANTIN 50 MG/5 ML 250
50035981 DIFLUCAN 200 MG IVPB 250
50035993 ISMO 20MG (ISOSORBIDE MONONITRATE 20MG) 637
50036006 ZOCOR 10 MG BTL* 637
50036018 UNIPHYL 400 MG 250
50036020 HUMULIN 50/50* 637
50040010 NACL 0.9% 100ML PF* 258
50040022 NACL 0.9% 250ML 250
50040034 NACL 0.9% 500ML 250
50040046 .. 250
50040060 .. 250
50040083 .. 250
50040101 .. 250
50040125 D5/W 500ML* 258
50040149 .. 250
50040186 .. 250
50040241 DEXT 5% / 0.45% NACL 1000ML IVF 258
50040289 DEXT 5% / 0.9% NaCL IV 1000ML 258
50040320 D5/LR 1000ML 258
50040344 LACTATED RINGERS IV 1000ML 258
50040587 .. 250
50040599 NACL 5% 500ML* 258
50041609 GENTAMICIN 60MG INJ. 250
50041610 GENTAMICIN (GARAMYCIN) 80MG/2ML SDV 636
50042249 HISMANAL 10MG BTL* 637
50042262 REGLAN (METOCLOPRAMIDE 5MG) BTL* 637
50042274 GUANAFACINE 1 MG TAB 250
50042341 CYTOTEC 100MCG BOTTLE* 637
50042353 UNASYN 1.5GM ADV.(ampicillin/sulbactam) 250
50042365 AMPICILLIN/SULBACTAM VIAL: 3GM (UNASYN) 258
50042730 EMPTY CONT. 500ML* 270
50043000 IPRATROPIUM (ATROVENT) HFA 17MCG MDI* 637
50043011 INHALER EXTENDER 250
50043035 DESOXIMETASONE CREAM 0.05% 250
50043047 ALBUTEROL INH SOL UD 0.083%(60) 250
50043059 ACETYLCYSTEINE (MUCOMYST) :200MG/ML 10ML 250
50043060 ACETYLCYSTEINE 20% FOR RT 30 M 250
50043072 AEROBID NASAL SPRAY 250
50043084 HYDROCORTISONE CREAM 0.5% 30 G* 637
50043096 BRONKOSOL 1% 10ML*(INHALER) 250
50043102 TRIAMCINOLONE CREAM 0.1% 60 GM* 637
50043114 EYE DROPS (EMERGENCY ROOM) 250
50043126 EAR DROPS (EMERGENCY ROOM) 250
50043138 TOPICAL APPL (EMERGENCY ROOM)* 250
50043163 PROMETHAZINE DM SYRUP 30ML* 637
50043217 KAYEXALATE (SPS) SUSP 15GM/60ML UD 637
50043242 NALDECON EX SYRUP 30 ML 250
50043291 NAPROXEN 125MG/5ML 30ML* (NAPROSYN SUSP) 637
50043333 DIMENHYDRINATE 50 MG/ML* 250
50043357 THIPENTAL 500 MG (ANESTHESIA) 250
50043370 METOPROLOL (LOPRESSOR) 5MG/5ML SDV 250
50043382 CROMOLYN 20 MG/2ML NEB SOL* 250
50043394 LIDOCAINE 2% 20 ML MDV(XYLOCAINE) 250
50043412 ePHEDrine SULFATE 50MG/ML 1ML SDV 250
50043436 ENFLURANE 125 ML (ANESTHESIA) BTL* 250
50043448 FENTANYL 250 MCG/5ML INJ-CHARGE PER ML 250
50043450 OSOFLURANE 100 ML (ANESTHIA) 250
50043485 DILTIAZEM 90 MG 250
50043497 DILTIAZEM 120 MG 250
50043503 HYOSCYAMINE 0.125MG (LEVSIN) 637
50043515 ACETAMINOPHEN (TYLENOL) 500MG TAB 637
50043527 PROPRANOLOL LA 60MG CAP (Inderal LA) NF 637
50043539 VITAMIN B COMPLEX 250
50043552 METHOCARBAMOL 500 MG UD*( 637
50043564 MEXITIL 150MG UD* 637
50043576 MEXITIL 200MG 250
50043588 CHLORPROPAMIDE 100 MG 250
50043590 DILANTIN 50MG CHEWABLE U/D* 250
50043606 FLUORETS OPTH STRIPS * 250
50043620 CLOTRIMAZOLE 10 MG TROCHE 250
50043631 AZMACORT ORAL INHALER 20G*=triamcinolone 637
50043655 CIPROFLOXACIN (CIPRO) 500MG TAB 637
50043667 MONISTAT DUAL PAK (MICONAZOLE) 250
50043692 ALL BEE W/C* 250
50043771 HALOPERIDOL 10 MG 250
50043850 LITHIUM CARB (ESKALITH CR) TAB : 450MG 637
50043862 BUSPIRONE HCL 5MG 250
50043886 PRIMIDONE (MYSOLINE) 250MG TAB 637
50043898 cefTAZidime (FORTAZ) 1GM ADDV 636
50043904 ALUDROX 30ML 250
50043916 ALUPENT INH SOLUTION 5%*(metaproterenol) 250
50043928 METAPROTERENOL 20MG TAB 250
50043930 AMERICAINE LUB-(benzocaine) 250
50043953 AMIDATE (2MG/ML) 40MG AMP (etomidate) 250
50043977 AMPHOJEL SUSP. 320MG/ML 250
50043990 ANECTINE POWDER 250
50044003 HYDROCORTISONE (ANU-HC ) 2.5% 28GM CREAM 637
50044027 AMOXAPINE 25MG 250
50044039 MOTRIN 600MG UD (BRAND NAME) ibuprofen 637
50044040 ALOPHEN 250
50044064 BACTROBAN NASAL OINT* 637
50044076 BELLADONNA&OPIUM 1EA 250
50044090 BUSPAR 10MG UD*(buspirone) 637
50044120 DICYCLOMINE 20MG 250
50044143 DICYCLOMINE W PB TAB 250
50044167 TERBUTALINE AMP 250
50044192 CALADRYL CLEAR LOTION 6OZ (CALLERGY) 637
50044209 CALCIUM GLUOCONATE 7.5 GR TAB 250
50044210 CARA KLENZ 6OZ * 250
50044246 CLONIDINE TTS 3 250
50044258 CERUMENEX OTIC DROPS (NON-FORMULARY) 637
50044271 CHLORTRIMETON 4MG 250
50044295 MAGNESIUM CITRATE (MAG CITR) 300ML BTL 637
50044337 BENZTROPINE MESYLATE 0.5MG (Cogentin) 637
50044362 COLCHICINE 0.6MG TAB 637
50044374 COLLODION 120ML 250
50044385 COMPAZINE 15MG SPAN (PROCHLORPERAZINE) 637
50044386 PROCHLORPERAZINE SPAN 15MG 250
50044398 PROCHLORPERAZINE (COMPAZINE) 5MG TABLET 637
50044404 PROCHLORPERAZINE SPAN 10MG 250
50044416 PROCHLORPERAZINE 5MG SUPP 250
50044428 PROCHLORPERAZINE SYRUP 30ML 250
50044430 CORRECTOL * 637
50044453 CHLORTRIMETON 8MG 250
50044465 cloNIDine (CATAPRES) TTS 0.2MG PATCH 637
50044477 NADOLOL/BENDROFLUMETH 40/5MG 250
50044489 NADOLOL/BENDROFLUMETH 80/5MG 250
50044490 DACRIOSE (EYE STREAM) 4 OZ 250
50044507 PROPOXYPHENE NAP/ACETAMIN 50 250
50044519 CARBAMIDE PEROX (DEBROX) 6.5% 15ML OTIC 637
50044520 DEXAMETHASONE 4MG TAB 250
50044532 DEXAMETHASONE OPHT OINT 250
50044556 DEMAZIN REPTAB 250
50044568 DEPOTESTADIOL 10CC 250
50044570 DESYREL 50MG UD* 250
50044581 DHE AMP INJ 250
50044593 DIAMOX SEQUEL 500MG BTL* 637
50044600 ATTAPULGITE LIQ 30ML 250
50044623 DILANTIN (PHENYTOIN 100MG/4ML PO) 250
50044647 DITROPAN 5MG UD* 250
50044702 ACETAZOLAMIDE 500MG TAB 250
50044714 ELASE/CHLOROMYCETIN OINT 30 GR 250
50044763 MEPROBAMATE/ASA 200/325 250
50044775 MEPROBAMATE 400MG BTL*(EQUANIL) 637
50044799 LITHIUM CARBONATE 300MG (SPECIAL ORDER) 637
50044805 EUCERIN CREAM 2OZ 250
50044817 ACETAMIN/ASA/CAF 250/250/65 250
50044829 EX-LAX TABS MAX STRENGTH (BOX) 637
50044854 POLYCARBOPHIL 500MG TAB 250
50044866 ACETAMIN/BUTALB/CAF 325/50/40 250
50044891 GENTAMICIN (GARAMYCIN) 0.1% 15GM CR 637
50044908 GAVISCON 30ML 250
50044921 MICRONASE 5MG 250
50044933 MICRONASE 10MG 250
50044957 TBC 4 OZ (GRANULEX)* 637
50044969 ERGOLOID MESYLATE 1MG 250
50044994 HYDROXYUREA 500MG CAP 250
50045020 PROPRANOLOL LA 80MG CAP (Inderal LA) NF 637
50045032 INDIGO CARMINE 250
50045044 HUMULIN L U100* 637
50045056 DOPAMINE 80MG/ML INJ 250
50045068 GLUTOSE 80GM 250
50045081 POTASSIUM CHLORIDE 20MEQ TAB 250
50045100 TRIAMCINOLONE 40MG/ML INJ(KENALOG)* 250
50045111 KERI LOTION 250
50045123 KETAMINE (KETALAR) 50MG/ML 10ML MDV 250
50045135 LINDANE 1% SHAMPOO 60ML*(KWELL) 637
50045172 LONITEN 10MG (MINOXIDIL) 637
50045184 CLOTRIMAZOLE 1% SOL 10 ML 250
50045196 INDAPAMIDE 2.5 TAB (LOZOL) 637
50045202 ISONIAZID 300 MG BTL* 637
50045214 MAALOX TC 30ML 250
50045226 MAALOX PLUS TAB 250
50045238 MAALOX PLUS 30ML 250
50045251 METHYLPREDNISOLONE 4MG DOSEPAK 250
50045263 MELLARIL 10MG (THIORIDAZINE) 637
50045305 LOVASTATIN (MEVACOR) 20MG TAB* 637
50045329 MYCOSTATIN VAG TAB 250
50045330 MYOFLEX CREAM 8 OZ* 250
50045342 NALDECON DX PED EXPECT 30ML 250
50045354 KETOCONAZOLE 200MG (NIZORAL)* 637
50045366 NORGESIC BTL* 637
50045378 CROLOLYN SODIUM NASAL SOLUTION 250
50045380 THIOTHIXENE 5MG (NAVANE) NON-FORMULARY 637
50045408 DEXAMETH/NEOMYCIN OPTH OINT 250
50045410 TRIPLE ANTIBIOTIC OINT 1/2OZ TUBE 250
50045433 NICOTINE GUM 250
50045445 POLYSACCHARIDE-IRON ELIXIR 30ML 250
50045457 NITROGLYCERIN 15MGG PATCH 250
50045469 VECURONIUM BROMIDE 10MG/5ML 250
50045482 TAMOXIFEN 10MG TAB (NOLVADEX) 637
50045512 IODINATED CLYCEROL TAB 250
50045524 ORA JEL BABY 1/3 OZ 250
50045536 KETOPROFEN 75MG 250
50045548 CALCIUM/VIT D 250MG/125IU 250
50045585 PARLODEL 2.5MG TAB(BROMOCRIPTINE) 637
50045627 PHAZYME 125MG (simethicone) 637
50045639 PROMETHAZINE 50MG TUBEX 250
50045640 PROMETHAZINE 25MG SUPP 250
50045652 PROMETHAZINE 25MG/5ML FORTIS 250
50045676 DESPIPRAMINE 25MG 250
50045690 POTASSIUM PHOSPHATE 250
50045706 LISINOPRIL (ZESTRIL) 10MG TAB 637
50045731 FLUPHENAZINE 1MG 250
50045743 ALBUTEROL 2MG/5ML SYRUP (PROVENTIL) 637
50045755 MEDROXYPROGESTERONE 5MG BTL* 637
50045779 FAMOTIDINE 20MG (PEPCID) 637
50045780 QUININE SULFATE 260MG TAB (Quinamm) 637
50045792 QUININE SULFATE (QUALAQUIN) CAP : 324MG 637
50045810 HYDROXYCHLOROQUINE 200MG (NF) 637
50045822 AURANOFIN 3MG 250
50045846 GUAFEN/CODEINE 100/10 30ML 250
50045860 RONDEC DROPS 250
50045871 RUTUSS EXPEC 30ML* 637
50045883 RYNATAN PED SUSP 30ML (TRI-TANNATE)* 637
50045895 RIFAMPIN (RIFADIN) 300MG BTL* 637
50045901 TRI-TANNATE (RYNATAN) BTL* 637
50045913 SENNA 187MG TAB 250
50045925 RESERPINE/HYDRALAZINE 0.2/50MG 250
50045937 SILVER SULFADIAZINE 400GM 250
50045950 CLORAZEPATE 3.75 MG 250
50045962 PHERPHENAZINE/AMITRIP 2/10 250
50045974 PHERPHENAZINE/AMITRIP 4/25 250
50046000 TUSS ORNADE SPAN 250
50046024 ACETAMINOPHEN 160MG 250
50046036 BETHANECHOL (URECHOLINE) 25MG TAB 637
50046050 BECONASE NASAL INH 0.042% 25G 250
50046061 VISKIN 5MG (PINDOLOL) 250
50046073 PHYRIDOXINE 50MG 250
50046115 XYLOCAINE 2.5% OINT 35GR* 250
50046127 ACYCLOVIR 200MG CAP 250
50046140 SINEMET 25-100 PROMPT (CARBIDOPA/L-DOPA) 637
50046152 DOXEPIN 25MG BTL* 637
50046164 FERROUS SULFATE SR 160MG 250
50046176 SODIUM BICARB 5GR (325MG)TAB 637
50046188 SODIUM CHLORIDE (SALT) 1GM TAB 637
50046190 SOLGANOL 50MG/ML*(gold) 250
50046220 STREPTOKINASE 1.5M UNITS 5 ML* 250
50046243 fentaNYL (SUBLIMAZE) 100MCG/2ML SDV 636
50046267 DOCUSATE CALCIUM 240MG UD*(SURFAK) 637
50046310 CLEMASTINE FUMARATE 1.34MG 250
50046334 THIOTEPA 15 MG VIAL 250
50046360 TIGAN 100MG BTL* 637
50046371 TIMOLOL (TIMOPTIC) 0.5% 5ML OPHT SOLN 637
50046383 IMIPRAMINE 25MG (TOFRANIL) 637
50046401 TOLAZAMIDE 100MG 250
50046413 ATRACURIUM BESY. 10MG/ML (TRACRIUM)* 250
50046425 SCOPOLAMINE - TRANSDERMAL 1.5MG 250
50046437 ACTIVASE 100MG (TPA) (STROKE BOX) 250
50046462 HYDROCOD/CHLORPH (TUSSIONEX) SYR: 5ML 637
50046474 CALCIUM CARB (TUMS) 200 EL: 500MG TAB 637
50046486 AMINOSYN 3.5/DEX 5% 1000ML * 250
50046504 AMINOSYN 4.25%/DEX 10% 1000ML* 250
50046528 TERBUTALINE (BRETHINE) 1MG/ML SDV 636
50046541 NALBUPHINE (NUBAIN) 10MG/ML SDV* 636
50046553 PHENYLPROPANOLAMINE 75MG 250
50046565 SODIUM CHLORIDE 100 MEQ 250
50046590 METHYLDOPA/HCTL 250/15 250
50046607 METHYLDOPA/HCTL 250/25 250
50046619 DOXEPIN 10MG 250
50046656 HALOPERIDOL 5MG BTL* 637
50046668 MAPROTILINE 25MG 250
50046693 PAMELOR 25MG (NORTRIPTYLINE) 637
50046700 PYRIDOXINE 50MG 250
50046747 CLEMASTINE FUMARATE 2.68MG 250
50046759 TAVIST 2.68MG BTL* 637
50046760 TOLMENTIN 200MG 250
50046784 DURATEARS NAUTRALE 637
50046796 NEOMYCIN/DEXAMETH OPTH OINTMENT 250
50046838 ANUSOL CREAM 250
50046840 ANSAID 100MG BTL* 637
50046851 MEZLOCILLIN 4 GRAM 250
50046863 RESTORIL 30MG 250
50046875 MELLARIL 25MG (THIORIDAZINE HCL) 637
50046887 PENTAZOCINE/APAP 25/650 250
50046899 CIPROFLOXACIN (CIPRO) 250MG TAB 637
50046905 ACTIFED SYRUP 30ML 250
50046929 DELSYM 30CC 250
50046954 LEVOBUNOLOL OPTH 5ML 250
50046966 FLUOXETINE 20 MG 250
50046978 PCA PUMP EQUIPMENT CHARGE* 250
50047004 ASCORBIC ACID (VITAMIN C) : 500MG TAB 637
50047016 BENZONATATE (TESSALON) 100MG CAP 637
50047028 URISED BTL (USEPT)* 637
50047041 TRINALIN 250
50047053 TRIAMCINOLONE 4 MG 250
50047077 PERPHENAZINE/AMITRIP 2MG/10MG (Triavil) 637
50047089 ACEBUTOLOL 200 MG 250
50047090 PROPAFENONE 150 MG 250
50047119 SOMA COMP / CODEINE 250
50047120 DIMETANE DX 30 ML 250
50047168 NUCOFED PEDIATRIC 30ML* 637
50047193 PEPTO BISMOL TAB 24'S 250
50047200 TUMS ROLL 250
50047235 SIMETHICONE DROPS 250
50047247 CHLORPROMAZINE 30MG/ML 120 CC 250
50047284 TOBRAMYCIN/DEXAMETHASONE 5ML 250
50047296 GENTAMYCIN OPTH SOLUTION 15ML 250
50047302 VISINE 15 ML 250
50047314 TRIAMCINOLONE CR 0.5% 15 MG 250
50047338 CORN HUSKERS LOTION 7 OZ 250
50047351 NIZORAL 2% CREAM 15G*(KETOCONAZOLE) 637
50047375 TUCKS PADS 100 250
50047387 XYLOCAINE 2.5% OINT 35 GM * 250
50047399 LIDOCAINE 2% JELLY 30 ML 250
50047405 CAPSAICIN 0.025% CR 60 GM*(ZOSTRIX) 637
50047417 FLUCONAZOLE 200 MG IV - INJ 250
50047429 COMPAZINE SUPP 25MG (PROCHLORPERAZINE)* 637
50047430 CALCITONIN-SALMON 800 IU/2ML 250
50047442 QUINIDINE SULFATE 300 MG SR TA 250
50047454 AMINOPHYLLINE 200MG 250
50047466 ASPIRIN/CODEINE 60 MG 250
50047478 AXID 150MG UD * 637
50047480 CAPTOPRIL/HCTZ 25/15 250
50047491 ISOPTIN SR 180MG UD* 250
50047508 CHAPSTIC* 250
50047545 ZINC 30 MG 637
50047557 VITAMIN E 200 IU BTL* 637
50047569 GENTAMICIN (GENTAK) : 3.5GM OPHT OINT* 637
50047594 ETHAMBUTAL 250
50047600 AMILORIDE 5MG 250
50047612 MIDRIN 250
50047624 NITROGLYCINE 6.5MG TR 250
50047636 THIOTHIXENE 2 MG (NAVANE) NON-FORMULARY 637
50047648 METHAZOLAMIDE 50 MG 250
50047650 METOLAZONE 0.5 MG 250
50047661 KINESED 250
50047739 RUTUSS EXP 120 ML 250
50047776 RYNATAN PED SUSP 120ML 250
50047790 IODINATED GLYCEROL/DM 120 ML 250
50047818 DELSYM 90 CC 250
50047820 DEXAMETHASONE 4MG/ML 30ML INJ 250
50047880 LOPERAMIDE 1MG/5 ML 30 ML 250
50047892 LOPERAMIDE 1MG/5 ML 60 ML 250
50047934 POTASSIUM GLUC 20MEQ/15ML 30M 250
50047971 GUAFEN/CODEINE 100/10 120ML 250
50047983 ALBUTEROL SYRUP 60ML 250
50047995 ALBUTEROL SYRUP 120ML 250
50048008 THEOPHYLLINE 80MG/15ML-30ML* 637
50048057 TRIAMTERINE 50 MG 250
50048069 QUAZEPAM 15 MG 250
50048070 QUAZEPAM 7.5 MG 250
50048082 CORRECTAL TAB 15'S 250
50048094 EXTENDRYL SR 250
50048124 HALLS COUGH DROPS BAG * 250
50048150 DIUPRESS 500 MG 250
50048161 CHLOROHIAZIDE : 250 MG TAB* 250
50048185 fluconazole 200MG 250
50048197 DICLOXACILLIN 250 MG CAP (DYNAPEN) 637
50048203 PROMETHAAINE 12.5 MG 250
50048215 PAMELOR 50MG (NORTRIPTYLINE) 637
50048227 OXACILLIN 250 MG 250
50048239 FLUPHENAZINE 5 MG 250
50048240 TRIMETHOPRIM 100 MG TAB (Trimpex) 637
50048252 PROBENICID 500 MG BTL* 250
50048264 ESTROGENS CONJUGATED .9 MG 250
50048276 RAUZIDE 250
50048290 ACETAZOLAMIDE 125 MG 250
50048306 VALPORIC ACID 250MG 250
50048318 DEXAMETHASONE 1MG TAB (Decadron) 637
50048331 ACTIGALL 300MG (URSODIOL) CAP 637
50048343 SUPRAX 200MG TABLETS 250
50048355 SUPRAX 100MG/5ML 50ML 250
50048367 DIFLUNISAL 250 MG 250
50048379 DILITIAZEM 60MG SR 637
50048392 SELEGILINE 5 MG 250
50048409 GEMFIBROZIL (LOPID) 600MG TAB 637
50048410 MAPROTILINE 50 MG 250
50048446 MEGESTROL 40MG TAB (MEGACE) NF 637
50048460 clonazePAM (KlonoPIN) 0.5MG TAB 637
50048495 ENTEX 250
50048501 PROPRANOLOL LA 120MG (INDERAL LA 120MG) 637
50048525 CEFTRIAXONE 250MG IM-(ROCEPHIN)-VIAL 250
50048549 VANCOMYCIN 250 MG 250
50048550 VANCOMYCIN 400 MG 250
50048598 HUMULIN 70/30* 637
50048604 D 5 1/2 N.S. 20 KCL 250
50048616 NULYTELY* (PEG-3350,NaCl,NaBicarb,KCl) 637
50048628 MIDAZOLAM 5MG/ML 1ML (VERSED) PER VIAL 250
50048677 LODINE 200MG BTL* 250
50048689 LODINE 300MG BTL* (ETODOLAC) 637
50048690 VERAPAMIL AMP 250
50048707 PROSOM (ESTAZOLAM 1MG) *** non-formulary 637
50048719 DYNACIRC 2.5MG CAP (ISRAPINDINE) 637
50048720 LACTAID TABLET 250
50048744 SELDANE D BTL* 637
50048756 TEGRETOL 100MG/5ML 30CC (carbamazepine) 637
50048781 VANCOMYCIN 125 MG UD CAPSULE 637
50048811 NALDECON DX 4 OZ PED 250
50048835 TROLEANDOMYCIN 250 MG 250
50048847 CARB/LEVODOPA ER (SINEMET CR) 50-200MG* 637
50048872 TIMENTIN 3.1GM ADD* 250
50048884 FLOXIN 200MG U/D* 637
50048896 FLOXIN 300MG 250
50048902 EX-LAX TAB * 250
50048914 LIDOCAINE (XYLOCAINE) 2% UROJET 10ML 637
50048926 TORADOL 10MG 250
50048938 TRIAMCINOLONE NASAL INH 250
50048940 NICODERN 21MG 250
50048951 MAALOX TAB 250
50048963 A & D OINTMENT 250
50048987 TICLID 250MG BTL* 637
50049001 COL BENEMID 250
50049025 MESORIDAZINE 25MG 250
50049037 BENAZAPRIL 20MG 250
50049049 NABUMETONE 500MG 250
50049050 DILTIAZEM CD 180 MG 250
50049086 FOSINIPRIL 10MG 250
50049098 DISOPRYAMIDE 100MG CR CAP 250
50049104 oxyCODONE/APAP (PERCOCET) 5/325MG TAB 637
50049116 LISINOPRIL (ZESTRIL) 5MG TAB 637
50049128 KETOROLAC (TORADOL) 30MG/1ML SDV 636
50049130 GAVISON LIQUID (GENATON LIQUID) 12OZ 637
50049153 THEOPHYLLINE 400MG 250
50049165 NITROglycerin (NITRODUR) 0.1MG/HR PATCH 637
50049177 DILTIAZEM CD 240MG 250
50049189 REFRESH EYE DROPS 250
50049505 KETAMINE 25MG 250
50049517 LIFESHIELD CONNECTOR 250
50049529 UNIVERSAL ADAPTOR PIN* 250
50049530 MAALOX PLUS ES 30ML 250
50049542 CEFAZIOLIN 1GM IM 250
50049554 SUPRAX 100MG/5ML 75 ML*(CEFIXIME) 637
50049566 CEFZIL 125MG/5ML 75ML 250
50049578 CEFTRIAXONE 1GM-(ROCEPHIN)-VIAL 250
50049580 CEFZIL 250MG/5ML 75ML 250
50049591 AMIDATE SYRINGE 20ML 250
50049608 BUPIVACAINE 0.5% 30ML 250
50049610 IMITREX 6 MG 250
50049621 GLUCERNA FEEDING (CAN) 250
50049633 JEVITY FEEDING (CAN) 250
50049645 PULMOCARE FEEDING (CAN) 250
50049657 DIPHENHYDRAMINE 12.5/5ML CUPS (Benadryl) 637
50049669 TYLOX CAPS 5/500 (oxycodone/apap) 637
50049670 HYDERGINE LC 1 MG CAPS 250
50049682 OGEN .625 MG 250
50049694 FINASTERIDE (PROSCAR) : 5MG TAB 637
50049700 INDIGO CARMINE DYE : 5ML AMP 250
50049712 LABETALOL 100MG TAB (NF) 637
50049724 ACLOVATE 0.05% CR 15 GM 250
50049736 ACLOVATE 0.05% OINT 15 GM 250
50049748 PARoxetine (PAXIL) 20MG TAB 637
50049750 VIOKASE 250
50049761 DIPROLENE 0.05% OINT 15 GM 250
50049773 BUMEX 1 MG BTL*(BRAND NAME) 637
50049785 CLINDAMYCIN VIAL: 600MG/4ML (CLEOCIN) 258
50049797 BLACK WIDOW ANITVENON (NOT-AVAILABLE) 250
50049803 LEVODROMORAN 2 MG TAB* (LEVORPHANOL) 637
50049815 NEO/POLY/DEX(MAXITROL) : 3.5GM OPHT OINT 637
50049827 CARBOCAINE 2% 50ML 250
50049839 BETAMETHASONE (CELESTONE) 6MG/ML 5ML SDV 636
50049840 PURIFIED WATER (EYE SREAM) : 98.6% SOLN 637
50049852 PHISOHEX SCRUB 250
50049864 CETACAINE SPRAY X 1 250
50049888 SENSORCAINE-MPF 0.5% 10ML*(bupivacaine) 250
50049890 MARCAINE 0.5% EPI 1:200000 50ML*BUPIVICA 250
50049906 VIVONEX FEEDING 250
50049920 CHLORAL HYDRATE 500 MG/5 ML 250
50049931 TORADOL 60 MG 250
50055001 ACCUPRIL 20MG 637
50055013 AMPICILLIN 250MG CAPSULES 637
50055025 PENNEEDLE 637
50055037 CORGARD 20MG 637
50055049 DALLERGY 637
50055050 DIURIL 500MG BTL* 637
50055074 INSULIN SYRINGE 1/2CC 637
50055086 ERGAMISOL 637
50055090 ISOVUE 370 100 ML 255
50055098 NECON 1/35-28 (GENORA)* 637
50055116 NAPHCON A 637
50055141 PREMARIN VAG CR 637
50055153 LISINOPRIL-HCTZ 20/12.5 (PRINIZIDE) BTL* 637
50055156 NAPHCON A 637
50055165 medroxyPROGESTERone (PROVERA):2.5MG TAB* 637
50055177 CYCRIN 5MG BTL* 637
50055189 SLO-PHYLLIN 250MG GYRO 637
50055190 TENEX 1MG TAB (GUANFACINE HCL) NON-FORM* 637
50055207 TEMOVATE CREAM 0.05% 45G (clobetasol) 637
50055220 ACYCLOVIR 200MG CAP 637
50055232 ALPRAZOLAM 637
50055256 AMITRIPTYLINE 50MG UD*(ELAVIL) 637
50055268 AMOXICILLIN 250MG 637
50055270 ASCRIPTIN 325MG UD* 637
50055311 CARBAMAZEPINE 200MG 637
50055335 CEPHALEXIN (KEFLEX) 250MG CAP 637
50055360 ENALAPRIL 5MG 637
50055384 ESTROGENS CONJUGATED 0.625MG 637
50055396 ESTROGENS CONJUGATED 0.9 MG 637
50055414 FUROSEMIDE 40MG 637
50055426 GEMFIBROZIL 500MG 637
50055438 HALOPERIDOL 2MG 637
50055440 HYDROCHLOROTHIAZIDE 25MG BTL* 637
50055463 IMIPRAMINE 25MG 637
50055475 INDAPAMIDE 2.5MG TAB 637
50055505 LITHIUM 300MG CAP 637
50055517 LORAZEPAM 1 MG 637
50055530 MEDROXYPROGESTERONE 10MG 637
50055542 METHOTREXATE 2.5 MG 637
50055554 METOPROLOL 50MG 637
50055566 NADOLOL 40MG 637
50055578 NAPROXEN 275MG 637
50055580 NIFEDIPINE 30MG XL 637
50055608 POTASSIUM CHLORIDE 20MEQ UD* 637
50055610 ZANTAC (RANITIDINE 150MG) 637
50055657 TETRACYCLINE 250MG CAP (Sumycin) 637
50055682 TRAZODONE 50MG 637
50055694 TRIAMTERENE 75/HCTZ 50 (MAXZIDE) UD* 637
50055761 MOTRIN 300 MG 637
50074550 .. 250
50074639 SET EXTENSION 20* 250
50074652 ANGIOCATH 18 X 2 250
50074834 SET PUMP, CHG SITE, ABB & DRSG* 250
50074998 SET VENOSET 78 250
50075036 .. 250
50075156 NON FORMULARY MISCELLANEOUS 250
50075449 ABBOCATH 24 X 3/4* 258
50075474 .. 250
50075516 .. 250
50075553 D5/.225NACL 1000ML-NF 258
50075577 BUTTERFLY 19* 270
50075590 .... 250
50075619 BUTTERFLY 21* 258
50075632 DEXTROSE 5% GLASS BOTTLE IV : 250ML 258
50075656 BUTTERFLY 23* 270
50075670 DEXTROSE 5% WATER 100ML IVPB 258
50075693 BUTTERFLY 25* 270
50075711 DEXTROSE 5% WATER 250ML IVPB 258
50075759 .. 250
50075796 DEXTROSE 5% IV 1000ML 258
50075838 .. 250
50075887 IV START KIT 270
50076004 IV CATHETER REP 22x1 250
50076077 SODIUM CHLOR 0.9% 100ML ADDV 258
50076119 SODIUM CHLOR 0.9% 250ML 250
50076156 SODIUM CHLORIDE 0.9% 500ML 250
50076193 SODIUM CHLOR 0.9% 1000ML 258
50076200 SOLUTION D5 1/2 NS 500 CC 250
50076314 SOLUTION NORMOLSOL R 250
50076820 IV SEC SET 250
50077318 RINGERS :1000ML* 258
50077458 STOPCOCK, 3 WAY * 250
50078025 IV PUMP EQUIPMENT CHARGE* 272
50078037 SOLUTION, NS 1/2 1000CC 250
50078104 IV PUMP SET 250
50085054 IV-REGULATOR 250
50091902 ZINC OXIDE (DESITIN) 30GM OINT* 637
50094913 SET SECONDARY 250
50097165 CLINDAMYCIN ADV: 600MG(CLEOCIN) 258
50191190 NON FORMULARY MISCELLANEOUS 250
50616577 CELEBREX 100MG CAP* 637
50910004 phenol SWABS-Toe Nails Only 637
50911905 AMICAR 500MG TAB (aminocaproic acid) 637
50911914 NON FORMULARY ORAL SOLID 250
50911951 NON FORMULARY MULTI DOSE PKG 250
50912650 NIACIN 100MG-(VIT B-2) 637
50914201 TETANUS/DIPHTHERIA (CHILD) PER VIAL 250
50914205 ACCUPRIL 5MG BTL* 637
50914206 SODIUM CHLORIDE 0.9% 250ML ADDV 258
50914207 ADALAT CC 30MG 250
50914208 ALTACE 2.5MG UD* 250
50914209 ALTACE 5MG UD* 250
50914210 sulfaSALAzine (AZULFADINE) 500MG TAB 637
50914212 AMBIEN 10MG 250
50914213 AMBIEN 5MG UD* 637
50914214 ATIVAN 2MG/ML INJ.*(LORAZEPAM) 250
50914215 ATROPINE 1% OPHT OINT 250
50914216 IPRATROPIUM (ATROVENT) 0.5MG/2.5ML NEB 637
50914217 BIAXIN 250MG/5ML 100ML =clarithromycin 637
50914218 CLARITHROMYCIN (BIAXIN) 500MG TAB* 637
50914219 CALCIUM 950MG 250
50914220 CARDIZEM CD 300MG (DILTIAZEM CD) 637
50914221 CATAFLAM 50MG (diclofenac pot.) 637
50914222 CEFZIL 250MG TABS 250
50914223 CILOXIN 0.3% OPTH SOL 3ML 250
50914224 EMPTY CONT. 50ML 258
50914226 COLCHICINE 0.5MG 250
50914227 CODICLEAR DH SYRUP 120ML* 250
50914228 COUMADIN 1MG 250
50914996 MEFOXIN 2GM ADD (CEFOXITIN) 250
50914999 ZOSYN 3.375 GM 250
50915012 ROCEPHIN 250MG/ .9ML LIDOCAINE 258
50915014 ROCEPHIN 1GM / 3.6ML LIDOCAINE 258
50915015 CLINDAMYCIN 600MG/NS 100ML ADD (Cleocin) 258
50915016 CLINDAMYCIN ADV: 900MG (CLEOCIN) 258
50915020 PROSTAPHLIN 2 GM/ NS 100ML 258
50915022 DOXYCYCLINE (VIBRAMYCIN) 100MG SDV 250
50915023 IMIPENEM/CILAS (PRIMAXIN) 500MG ADDV* 636
50915026 AMPICILLIN 2 GM/NS 100ML 250
50915027 ceFAZolin (ANCEF) 1GM ADDV 636
50915029 CEFOTAXIME (CLAFORAN) 1GM PWVL 636
50915031 CLEOCIN 300MG/ NS 50ML 258
50915032 FORTAZ (TAZICEF) 1GM/50ML NACL* 250
50915033 CEFTAZIDIME (TAZICEF/FORTAZ) ADDV : 2GM 258
50915038 cefTRIAXone (ROCEPHIN) 1GM ADDV 636
50915039 ROCEPHIN 2GM/NS 50ML 258
50915040 TIMENTIN 3.1GM/NS 50ML* 258
50915050 SEREVENT INHALER 120 DOSES 637
50915051 metFORMIN (GLUCOPHAGE) 500MG TAB 637
50915052 ROBITUBBIN DM (GUAIFENESIN DM) 30ML 250
50915053 COLACE SYRUP 30ML (DOCU LIQ) 50MG/5ML 637
50915054 COLACE 100MG UD* 250
50915055 HUMULIN N 100U/ML* 637
50915056 traMADol (ULTRAM) 50MG TAB 637
50915057 HYDROCODONE BIT/APAP 7.5/750(VICODIN ES) 637
50915058 DYNACIRC 5MG BTL* 637
50915059 THEOPHYLLINE ER (THEODUR) : 200MG TAB* 637
50915060 ZOSYN 3.375GM VIAL (piperacillin/tazobac 258
50915061 PREDNISONE 20MG 250
50915062 SODIUM CHLOR 0.45% 1000ML 258
50915064 PREVACID 30MG CAP (LANSOPRAZOL)* 637
50915066 LORABID 400MG BTL* (LORACARBEF) 637
50915067 SENNA/DOCU(SENNA S) 8.6/50MG TAB 637
50915068 BETAGAN .5% 10ml 250
50915069 POTASSIUM CHLORIDE ORAL SOL 40MEQ UD* 637
50915070 TOPICORT CREAM 0.25% 15GM 250
50915071 NITROglycerin (NITRODUR) 0.2MG/HR PATCH* 637
50915072 SET Y BLOOD PUMP* 250
50915073 POTASSIUM PHOSPHATE 3MMOL/ML SDV 258
50915076 CALCIUM GLUCONATE 100MG/ML 10ML SDV* 636
50915077 POLYSACCHAR IRON (NIFEREX) 150MG CAP 637
50915078 NORVASC (AMLODIPINE BESYLATE) 2.5MG 250
50915079 amLODIPine (NORVASC) 5MG TAB 637
50915080 CEFTIN 250MG UD* 637
50915081 MALE/FEMALE IV STERILE CAP * 272
50915082 PRINIVIL 20MG (LISINOPRIL) UD* 637
50915083 ACETAMINOPHEN (TYLENOL) 325MG TAB 637
50915085 ISOCAL 32OZ BTL* 250
50915087 CEFZIL 125MG/5ML 50ML 250
50915088 CLAFORAN 500MG 250
50915089 ACETAMINOPHEN 80MG/0.8ML (TYLENOL) 15ML 637
50915090 NALDECON PEDIATRIC DROPS EX 250
50915091 PEDIATRIC ELECTROLYTE ORAL SOLN 1 LITER 637
50915092 ROCEPHIN 125MG/.9ML LIDOCAINE 258
50915093 ROCEPHIN 250MG/ .9ML LIDOCAINE 258
50915094 NALDECON PED DROPS DX 250
50915096 ACET/COD #3 (TYL/COD#3) 300MG/30MG TAB 637
50915097 SYNTHROID 0.2 MG (LEVOTHYROXINE 0.2MG) 250
50915098 NITROglycerin (NITRO-BID) 2% 1GM OINT UD 637
50915099 VOLMAX 8MG (ALBUTEROL) BTL* 637
50915100 ZAROXOLYN 5MG TAB (METOLAZONE) 637
50915101 ROCURONIUM (ZEMURON) 10MG/ML 5ML MDV 250
50915102 VASOXYL 20MG/ML 1ML (methoxamine) 250
50915103 DILANTIN 250MG/5ML INJ * 250
50915104 GLUCOTROL 5MG BTL* 637
50915105 SULFAMETHOX/TRIMETHO DS 800MG/160MG TAB 637
50915107 METOPROLOL SUCCINATE ER 100MG (TOPROL XL 637
50915108 VERAPAMIL 120MG SR (ISOPTIN/CALAN SR) 637
50915109 PEDIA-CARE DECON.DROPS 15ML(pseudoephed) 637
50915110 VASORETIC 10/25 TAB=enalapril 10/hctz 25 637
50915111 ROCEPHIN 100MG/LIDOCAINE 250
50915112 SER-AP-ES TAB=reserpine/hydralazine/hctz 637
50915113 IMITREX 25MG (SUMATRIPTAN) 637
50915114 BACTROBAN OINT 15GM* 637
50915115 ISOCAL 8OZ CANS* 250
50915116 VITRAX 250
50915117 NITROglycerin (NITODUR): 0.4MG/HR PATCH* 637
50915118 LESCOL 20MG CAP (FLUVASTATIN) 637
50915119 PRAVACHOL 20MG 250
50915120 CHROMAGEN CAPS 250
50915122 LORATADINE (CLARITIN) 10MG TAB* 637
50915123 PERICOLACE (DSS PLUS) GENASOFT BTL* 637
50915124 LISINOPRIL-HCTZ 20/25 (PRINIZIDE ) 637
50915125 CEFZIL 125MG/5ML 100ML* 250
50915126 EFFEXOR 37.5MG TAB U/D* 250
50915128 PILOPINE HS GEL 4% (PILOCARPINE) 637
50915129 TWO CAL HN PER CASE* 637
50915130 ULTRACAL 32OZ 1000ML 250
50915131 BETADINE OINTMENT 30G 250
50915132 BISOPROLOL/HCTZ (ZIAC) : 5MG-6.25MG TAB 637
50915135 LIDOCAINE/PRILOCAINE (EMLA) 2.5/2.5% 5GM 637
50915137 TRANXENE 7.5MG (CLORAZEPATE) NF 637
50915138 LEVSIN DROPS 0.125% 250
50915139 ADVIL SUSP (IBUPROFEN) 4OZ BTL* 250
50915140 PROPULSID 10MG (CISAPRIDE 10MG) UD* 637
50915141 RISPERDAL 2MG TAB (risperidone) 637
50915142 IMDUR 60MG UD* 637
50915143 AZATHIOPRINE 50MG TAB (IMURAN) 637
50915144 EXCEDRIN EXTRA STRENGTH * 250
50915147 HYDROCODONE BIT/APAP 5/500 TAB (VICODIN) 637
50915149 MULTIVITAMIN (THERAGRAN) TAB 637
50915151 TOBRADEX OPTH 5.0ML* 637
50915152 SORBITOL 70% 30ML * 637
50915153 NYSTATIN/TRIAMCINOLONE CR 15GM (Mycolog) 637
50915154 VITAMIN B6 100MG TAB = pyridoxine 637
50915155 VITAMIN B6 50 MG TAB = pyridoxine 637
50915156 ACEBUTOLOL 200MG CAP (SECTRAL) 637
50915157 SERZONE 100MG TAB (Nefazodone) 637
50915158 SERZONE 150MG TAB (Nefazodone) 637
50915159 SULFATRIM PEDIATRIC SUSP 30ML* 250
50915160 FOSAMAX 10MG TAB 637
50915161 PERPHENAZINE/AMITRIPTYLINE HCI 2/10 250
50915162 TUSSI-ORGANIDIN (GUIATUSS AC) * 637
50915163 ATROVENT NASAL SPRAY 0.06%*(ipratropium) 637
50915164 OXAPROZIN 600MG (DAYPRO) TAB 637
50915165 TRILISATE 500MG (CHOLINE MAG) 637
50915166 PROMETHAZINE SYRUP 6.25MG/5ML-30ML* 637
50915167 LOVENOX 10MG/0.1ML (ENOXAPARIN) 250
50915168 ORGANIDIN 250
50915169 ORGANIDIN TABS 250
50915170 ZANTAC 15MG/ML*(PER ML) 250
50915171 UNIPHYL 400MG 250
50915172 LOTREL 5/10MG (AMLODIPINE/BENAZEPRIL) 637
50915174 ZOSTRIX 60G TUBE* 250
50915175 VERAPAMIL 40MG 250
50915176 ENTEX LIQUID 30ML* (QUINTEX) 637
50915177 VITAMIN K (PHYTONADIONE) 10MG/ML AMP 636
50915178 FLOXIN 400MG (OFLOXACIN) 637
50915180 NORPACE CR 150MG (DISOPYRAMIDE) 637
50915181 DURAGESIC 75MCG/HR PATCH (NON-FORMULARY) 637
50915182 ORAP 2MG TAB (pimozide) 637
50915183 ROCEPHIN 400MG/LIDOCAINE IM 250
50915184 cefTRIAXone (ROCEPHIN) 2GM ADDV 636
50915185 ISOPTO CARPINE .5% 15ML 250
50915186 PENICILLIN G (BICILLIN LA) 1.2MIL/2ML 636
50915187 DIASORB LIQUID 120ML BTL* 637
50915188 ACULAR 0.5%-5ML OPTH (KETOROLAC TROMETH) 637
50915189 PREMARIN 0.9 MG TAB(conjugated estrogen) 637
50915190 NALDECON PED SYRUP 250
50915191 ISOSOURCE 8OZ CANS 250
50915192 GABAPENTIN (NEURONTIN) 300MG CAP 637
50915194 MYLANTA GEL CAPS BTL* 637
50915195 POTASSIUM 25MEQ EFFERVESCENT TAB* 637
50915196 TOPICORT 0.05% 15GM (DESOXIMETASONE)* 637
50915197 FLAREX OPHT SUSP 5ML(FLUOROMETHOLONE) 637
50915198 CARAFATE 1GM/LIDOCAINE 120ML* 250
50915199 ALAVERT D-12HR (CLARITIN D12/LORATADINE) 637
50915200 ONE TOUCH BASIC * 250
50915201 LOPRESSOR 5MG/5ML INJ 250
50915202 SALIVA SUBSTITUTE 120ML 637
50915203 CLOZARIL 100MG (CLOZAPINE)SPECIAL ORDER 637
50915204 CLOMIPRAMINE 25MG (ANAFRANIL) CAP *N/F 637
50915205 ANAFRANIL 50MG 250
50915206 HALOPERIDOL LACTATE (HALDOL) 5MG/ML SDV 636
50915207 POLYSPORIN OINT UD PKT(DoubleAntibiotic) 637
50915208 BUTALBITAL/ASPIRIN/CAFFEINE (FIORINAL)NF 637
50915209 VASOTEC 20MG UD* 637
50915210 MORPHINE ER (MS CONTIN) 15MG TAB 637
50915211 CARISOPRODOL 325MG UD* 250
50915212 VITAMIN E (400 IU) SOFTGELS 250
50915213 BETAGAN 0.25% 5ML =levobunolol 637
50915215 LOTENSIN HCT 20/12.5*(BENAZEPRIL/HCTZ) 637
50915216 MS CONTIN 100MG (MORPHINE SULFATE)* 637
50915217 risperiDONE (RISPERDAL) : 1MG TAB* 637
50915218 TEMAZEPAM (RESTORIL) 7.5MG CAP* 637
50915219 MELLARIL (THIORIDAZINE HCI) 30MG/ML 250
50915222 DIPHENHYDRAMINE 25MG/10ML 250
50915223 ZANTAC 300MG (RANITIDINE HYDROCHLORIDE) 250
50915224 TILADE INHALER* 637
50915225 ZOCOR 20MG BTL* 250
50915226 ACETAMINOPHEN(TYLENOL) 160MG/5ML UD 637
50915227 TUSSI-ORGANDIDIN DM (GUAIFENESIN) 30ML* 250
50915228 ORUVAIL 200MG (KETOPROFEN SR) NON-FORM 637
50915229 ZOCOR 5MG 250
50915230 TERAZOSIN (HYTRIN) 1MG CAP 637
50915231 CALCITONIN(MIACALCIN): 200 UNIT NASL SP 637
50915232 PROTEGRA 250
50915233 CEFZIL 250MG/5ML (Cefprozil) 100ML 637
50915234 ISOSORBIDE MONO (IMDUR) ER 30MG TAB 637
50915235 VITAMIN B12 1000MCG TAB BTL* 250
50915236 VIT.BCOMPLEX/C WITH B12 250
50915237 ISOSOURCE HN 32OZ 250
50915238 SANTYL OINT 15GM*(COLLAGENASE) 637
50915239 COZAAR 50MG (LOSARTAN KCL) 637
50915240 ISOSOURCE HN CANS 250
50915241 HYTRIN 10MG BTL* 250
50915242 SULINDAC 200MG TAB (Clinoril) 637
50915243 POLYSPORIN POWDER 10G* 250
50915244 VICODIN TUSS 30ML=hydrocodone/guaifensin 637
50915245 MICRONASE 2.5MG BTL* 637
50915246 AZITHROMYCIN (ZITHROMAX) 250MG TAB 637
50915247 metOLazone (ZAROXOLYN) 2.5MG TAB 637
50915248 EXTENDRYL CHEWABLES BTL* 637
50915249 SALAGEN 5MG TAB (pilocarpine) 637
50915250 AMIODARONE (PACERONE) 200MG TABLET 637
50915251 DDAVP NASAL SPRAY 5ML REFRIGERATE 250
50915252 GLUCOTROL XL 5MG TAB (GLIPIZIDE ER) 637
50915253 BUPROPION 75MG PROMPT (WELLBUTRIN) 637
50915254 METHYLPHENIDATE 10MG BTL*(RITALIN) 637
50915255 NAPROXEN EC 500MG BTL*NF 637
50915256 ACETAMINOPHEN 160MG/5ML-120ML 250
50915257 FERRO SEQUELS TABLET 637
50915258 DILACOR XR 180MG CAP 637
50915259 CLOZARIL 25MG* 250
50915260 HYOSCYAMINE 0.375MG ER (LEVSINEX) 637
50915261 HYDROXYZINE 25MG BTL* 637
50915262 RYTHMOL 150MG UD* 637
50915263 DYAZIDE (HCTZ50/TRIA25MG) 250
50915265 SYNTHROID 0.15MG (LEVOTHYROXINE 0.15MG) 250
50915266 ENSURE HN (1) CAN 250
50915267 DOBUTAMINE INJ 250MG* 250
50915268 FLUMAZENIL(ROMAZICON) : 0.5MG/5ML MDV 250
50915269 GARLIC OIL* 250
50915270 TEMOVATE GEL 0.05% 15GM 250
50915271 OSMOLITE HN BTL*(Using Isosourse HN) 637
50915272 GLUCERNA 1000ML RTH 250
50915273 PRIMIDONE (MYSOLINE) : 50MG TAB 637
50915274 ROWASA ENEMA 4GM/60ML (mesalamine) 637
50915275 FLUoxetine (PROzac) 10MG CAP 637
50915276 ACETYLCHOLINE(MIOCHOL-E)KIT: 1:100 OPHT* 637
50915277 PRECOSE 50MG BTL* (acarbose) 637
50915278 NADOLOL 40MG BTL*(CORGARD) 637
50915279 ELDEPRYL 5MG* 637
50915280 EXCEDRIN 250
50915281 VITAMIN C 100MG UD* 637
50915282 DIPROLENE 0.05% LOTION 30ML 250
50915283 THEO - 24 200MG BTL* 637
50915285 SYNTHROID 0.175MG 250
50915286 AK-CON-A 15ML DROPS 250
50915287 HYDROCODONE BIT./ACET 7.5/650 250
50915288 ENSURE W/ FIBER 250
50915289 CARBAMOXIDE EAR DROPS 250
50915290 DIAMOX 250MG TAB UD* 637
50915292 OCUVITE 250
50915293 TYLENOL PM 250
50915294 THEOPHYLLINE 800MG D5 W 1000ML 250
50915295 DILACOR XR 240MG CAP 637
50915296 VITRAX O.S. 250
50915297 METHYLENE BLUE1% 10MG/ML SDV* 250
50915298 DRAMAMINE TABS 50MG 250
50915299 PREDNISONE 2.5MG 250
50915300 CLEOCIN PEDIATRIC SUSP 75MG/5ML* 250
50915301 MOTRIN CHEWABLE 100MG BTL* 637
50915302 MOTRIN CHEWABLE 50MG BTL* 637
50915303 NEOSPORIN OPTH SOL 7.5ML 250
50915304 MS CONTIN 60MG (MORPHINE SULFATE EXT-REL 637
50915305 CLOTRIMAZOLE 1% 15GM 637
50915306 FLUDROCORTISONE (FLORINEF) 0.1MG TAB 637
50915307 BENAZEPRIL (LOTENSIN) 10MG TAB 637
50915308 PREMPRO 0.625/2.5MG (DIAL PACK) 637
50915309 dilTIAZem (CARDIZEM) 25MG/5ML SDV 250
50915310 VOLTAREN XR 100MG (DICLOFENAC SODIUM) 250
50915311 HALOPERIDOL ORAL SOLUTION 2MG/ML 250
50915312 BACTRIM 800/160 IV 5ML VIAL *smz/tmp 250
50915313 JEVITY 32OZ BTL* 637
50915315 MIVACRON INJ. 2MG/ML*(MIVACURIUM CL) 250
50915317 NASALCROM NASAL SPRAY 250
50915318 DIHISTINE EXP 120ML BTL* 637
50915319 D5/.225NACL:500 ML* 258
50915320 GLYNASE 6MG BTL* 637
50915321 HYZAAR 50/12.5 637
50915322 NIACIN 500MG ER (NIASPAN) 637
50915323 MONOPRIL 20MG UD* 637
50915325 ISOPROTERENOL 2MG ABBOJECT* 250
50915326 SYNTHROID 0.088MG 250
50915327 AMOX/CLAV (AUGMENTIN) 875MG/125MG TAB 637
50915328 FEEDING SET(FOR IV PUMPS) 250
50915329 METHYLPREDNISOLONE DOSE PACK*(Medrol) 637
50915330 PERPHENAZINE 4MG TAB (Trilafon) 637
50915331 IODOFORM GAUZE* 250
50915332 ORNADE SPANULE 250
50915333 CYLERT 37.5MG TAB* 637
50915334 DIMENHYDRINATE INJ. (DRAMAMINE) 250
50915335 ATENOLOL 25MG 250
50915336 MOM CASCARA SUSP 118ML 250
50915337 HALEY'S MO 354ML 250
50915338 BETAGAN 0.5% 5ML O.S. (LEVOBUNOLOL) 637
50915339 SODIUM BICARB(INFANT) 4.2% : 10ML SYR 250
50915340 DEXTROSE 25% INFANT 250MG/ML 10ML SYRING 250
50915342 LORABID 200MG BTL*(LORACARBEF) 637
50915343 TRIACET CREAM 1% 250
50915345 ESGIC PLUS 250
50915346 ZOSTRIX HP 250
50915347 SILVER SULFA(THERMAZENE) 1%: 50GM CREAM 637
50915348 UROKINASE 5,000 UNITS 1ML VIAL* 250
50915349 SUCRALFATE 1GM/10ML CUPS (CARAFATE) 637
50915350 TYLENOL W/ CODEINE EL 5ML UD CUPS* 250
50915351 CETAPRED OPTH OINT 3.5G * 250
50915352 FLEET PHOSPHO-SODA ORAL LAX 45ML (CS) 637
50915353 hydrOXYzine HCl (ATARAX) 10MG TAB 637
50915354 ORUVAIL 150MG BTL* 637
50915355 TACE 12MG BTL* 637
50915356 HYDROMORPHONE (DILAUDID) 4MG TAB 637
50915357 PREDFORTE 1% 5ML (PREDNISOLONE ACET)* 250
50915358 ISOPTO ATROPINE 1% OPTH SOL 250
50915359 HEMORRHOIDAL OINT 2 OZ* 637
50915360 TENORETIC 50/25 BTL* 250
50915361 PHENAZOPYRIDINE 200MG TAB (PYRIDIUM) 637
50915362 BETAMETHASONE VAL 0.1% CR (VALISONE)45GM 637
50915363 GENAPAP CHEWABLE 80MG 250
50915400 SYNTHROID 0.125MG 250
50915401 CREON-10 * 250
50915402 AEROCHAMBER 250
50915403 ASTRAMORPH 1MG/2ML INJ*(morphine P.F.) 250
50915404 ASTRAMORPH 10MG/10ML INJ*(morphine P.F.) 250
50915405 PREVACID 15MG SOLUTAB (lansoprazole) 637
50915406 ANASPAZ 0.125mg tab (L-hyoscyamine sulf) 637
50915407 SPS 30GM/120ML ENEMA * (Kayexalate) 637
50915408 ACYCLOVIR 800MG (ZOVIRAX) 637
50915409 BIAXIN 125MG/5ML 50 ML =clarithromycin 637
50915410 LOTREL 2.5/10MG (AMLODIPINE/BENAZEPRIL) 637
50915411 TYLENOL #4 250
50915412 ASPIRIN 81MG ENTERIC COATED* 250
50915413 PILOCARPINE 4% OPTH 250
50915414 DIFLUCAN 150MG TAB 250
50915415 VISKIN 10MG (PINDOLOL) 250
50915416 AMARYL 1MG 250
50915417 SULAR 20MG UD* 637
50915418 PHYSOSTIGMINE(ANTILIRIUM) : 1MG/ML AMP 250
50915421 DIETHYLSTILBESTROL 5MG 250
50915422 SULAR 40MG TABLET 250
50915423 CLONAZEPAM 1MG UD*(KLONOPIN) 637
50915424 RISPERDAL 3MG 250
50915425 RISPERADAL 4MG 250
50915426 RISPERDAL 4 MG 250
50915427 VERMOX 100MG CHEWABLE (mebendazole) 250
50915428 GUAIFENESIN DM (ROBITUSSIN DM) 10ML UD* 637
50915429 BENTYL 10MG/ML 2ML AMP 250
50915430 COLCHICINE 1MG/2ML INJ. SPECIAL ORDER 250
50915431 COVERT 0.1MG/ML 250
50915432 CORTROSYN 0.25MG/2ML 250
50915433 SUMAtriptan (IMITREX) 6MG/0.5ML SDV 636
50915434 KENALOG-10 10MG/ML 250
50915435 BUPIVACINE 0.25% EPI 1:200000 10ML 250
50915436 BUPIVA / EPI MPF0.5% 1:2000000: 10ML SDV 250
50915437 PROTOPAM CHLORIDE 1GM 20ML 250
50915438 PITOCIN 10 UNITS/ML (OXYTOCIN)* 250
50915439 SODIUM CHLORIDE BACTERO 0.9% 30ML 250
50915440 SODIUM BICARB 8.4% 50ML PFS 250
50915441 UROKINASE 5,000 UN/ML 1.8ML VIAL* 250
50915442 ENALAPRILAT (VASOTEC) 1.25MG/ML SDV 250
50915443 STERILE WATER BACTERIOSTAT : 30ML BTL 250
50915444 XYLOCAINE 1% 10ML VIAL* 250
50915445 XYLOCAINE-MPF 1% 5 ML VIAL* 250
50915446 XYLOCAINE-MPF 0.5% 50ML VIAL* 250
50915447 LIDOCAINE 1% 20ML VIAL (XYLOCAINE)-NF 250
50915448 LIDOCAINE 2% EPI 1:200000 20ML 250
50915449 XYLOCAINE-MPF 2% EPI 1:200000 20ML SP* 250
50915450 LIDOCAINE 1.5% 15MG/ML 250
50915451 ONDANSETRON (ZOFRAN) 2MG/ML 2ML SDV 636
50915452 AMMONIA INHALANT 637
50915453 IPRATROPIUM NASAL SPRAY 0.03%(ATROVENT) 637
50915454 RACEPINEPHRINE (ASTHMANEFRIN) 0.5ML NEB 250
50915455 BECONASE INH AEROSOL 7GM NON-FORMULARY 637
50915456 NASACORT NASAL INHALER*(triamcinolone) 637
50915457 DEEP SEA NASAL SPRAY (SEA SOFT) 637
50915458 NEOMYCIN POLY/SULF 10ML SUSPENSION 250
50915460 CORTISPORIN O.O.4GM(NEOM/POLY/BAC/HC) 637
50915461 BACITRACIN OPTH OINT 4GM 637
50915462 EFUDEX 5% TOPICAL SOL (FLUOROURACIL) 250
50915463 IOPIDINE 0.5% 5ML 250
50915464 ISOPTO CARBACHOL 1.5% 15ML 250
50915465 MURO 128 5% OPTH OINT*(sodium chloride) 637
50915466 NEO/POLY/GRAM(NEOSPORIN): 10ML OPHT SOLU 637
50915467 PHENYLEPHRINE 2.5% OPTH 5ML(REFRIGERATE) 250
50915468 LIVOSTIN .05% 10ML* (LEVOCABASTINE) 637
50915469 NEO/POLY/BAC(NEOPOLYCI): 3.5GM OPHT OINT 637
50915470 OCUPRESS 1% 5ML (CARTEOLOL HCI) 250
50915471 SULAMYD 10% OPTH SOL 15ML (sulfacetamide 637
50915472 VOLTAREN OPTH SOL .1% 2.5ML (NON-FORM) 637
50915473 AEROZOIN SKIN COND 4OZ 250
50915474 VITAMIN A/VITAMIN D OINT 250
50915476 BACITRACIN OINTMENT 30G 637
50915478 CYCLOCORT .1% CREAM 15G* 637
50915479 DESOWEN OINT .05% 15G* 250
50915480 GENTIAN VIOLET 1% 59ML SOLN* 250
50915482 AMMONIUM LACTATE 12% LOT 227G(LACHYDRIN) 637
50915483 NIX LICE TREATMENT 250
50915484 NIZORAL 2% CREAM 30G (KETOCONAZOLE) 637
50915485 NUPERCAINAL PAIN RELIEF CR 1.5OZ 250
50915486 NYSTATIN OINTMENT 100,000U 15G 250
50915487 BETAMETHASONE VAL 0.1% LOT(VALISONE)60ML 637
50915488 SCARLET RED OINT DRESSING 5 X9 * 250
50915489 XYLOCAINE 10% ORAL SPRAY 250
50915490 LIDOCAINE (XYLOCAINE) 4% 5GM CREAM 637
50915491 ZEPHIRAN CHLORIDE 17% BTL* 250
50915492 TERAZOL 3 80MG VAG SUPP 250
50915493 ISOFLURANE USP 100ML* 637
50915494 PULMO-AIDE LT MACHINE ** 250
50915495 LOCKING BLUNT CANNULA*(NEVER REORDER) 250
50915496 HALOPERIDOL 20MG 250
50915497 GLUCOTROL 5MG U/D*(GLIPIZIDE) 637
50915499 NYSTATIN 100,000 UNIT VAG TABLET 250
50915500 HUMIBID DM 250
50915501 SANDIMMUNE 25MG GELCAPS UD* 637
50915502 SERENTIL 25MG TAB(mesoridazine) 637
50915503 SKELAXIN 400MG (METAXALONE) 637
50915504 STRESS-600 W/ ZINC TABS 250
50915505 METOPROLOL SUCCINATE ER 50MG (TOPROL XL) 637
50915507 SYN-RX UD* 637
50915508 COVERA HS 180MG (VERAPAMIL ER) *SPECIAL 637
50915509 SLO-BID 200MG BTL* 637
50915510 TORECAN 10MG 250
50915511 TRILISATE 750MG 250
50915513 IMDUR 120MG UD* 250
50915514 LOPERAMIDE 2MG (IMMODIUM) 637
50915515 URISPAS 100MG UD (flavoxate) 637
50915516 KU-ZYME 250
50915517 VERELAN SR 120MG CAP (NON-FORMULARY) 637
50915519 MAGNESIUM OXIDE (MAG-OX) 400MG TAB 637
50915520 COVERA HS 240MG (VERAPAMIL ER) *SPECIAL* 637
50915521 LIMBITROL 5MG/12.5MG (NON FORMULARY) 637
50915522 DANTROLENE (REVONTO) SURGERY: 20MG IV 258
50915523 STRONG IODINE SOLUTION (LUGOL'S SOL) 250
50915524 ANACIN 250
50915525 LOXITANE 10MG (LOXAPINE SUCCINATE) 637
50915526 LUDIOMIL 50MG BTL*(MAPROTILINE) 637
50915527 LURIDE 0.5MG BTL* 637
50915528 BRONTEX TABS (CODEINE/GUAIFENESIN) N/F 637
50915529 OS-CAL 250 + D (calcium carbonate +D) 637
50915530 CENTRUM (MULTIVITAMIN) NON-FORMULARY 637
50915531 CLOMID 50MG UD* 637
50915532 DEMADEX 10MG (TORSEMIDE) 250
50915533 LUVOX 50MG 250
50915534 DIDRONEL 200MG* 250
50915535 MEVACOR 40MG 250
50915536 FAMVIR 500MG (FAMCICLOVIR) 637
50915538 NAPRELAN 500MG BTL* 637
50915539 NAPRELAN 375MG BTL* 637
50915540 EMYCIN 250MG BTL* 637
50915542 OXAZEPAM 10MG -(Serax) 637
50915543 PAPAVERINE HCL E.R. 150MG BTL*SPECIAL OR 637
50915544 SORBSAN DRESSING PAD 4X4* 637
50915545 PEDI-BORO SOAK PACKETS(Aluminum acetate) 637
50915546 lamoTRIgine (LaMICtal) 25MG TAB 637
50915547 valACYclovir (VALTREX) 500MG TAB 637
50915548 DAKINS SOL 1/2 STRENGTH 250
50915549 RHINOCORT INHALER* 637
50915550 PROBENECID/COLCHICINE 500/.5MG BTL* 250
50915551 EMPTY CONT. 150ML 258
50915552 SEVOFLURANE (ULTANE):250ML BTL (Surgery) 370
50915554 DEXAMETHASONE (DECADRON) 4MG TAB 637
50915555 VANCERIL 16.8G INHALER (beclomethasone d 637
50915556 PERDIEM GRANULES* 637
50915557 ZYPREXA 10MG BTL* 250
50915558 EFFEXOR 50MG TAB 250
50915559 D5W 10ML AMP 250
50915560 ROWASA 500MG SUPPOSITORY *(mesalamine) 637
50915561 ALLEGRA 60MG TAB(FEXOFENADINE)NONFORMULA 637
50915562 CARISOPRODAL CPD/CODEINE 250
50915563 cefTRIAXone (ROCEPHIN) 500MG PWVL 636
50915564 FORTAZ 500MG/50ML NS 250
50915565 ARNICA 6X* 637
50915566 SALSALATE 750MG BTL (Disalcid) 637
50915567 PERCODAN TAB (oxycodone 5mg/aspirin 325) 637
50915569 GI COCKTAIL 50 ML (MYL II/LIDO) 637
50915570 BUTALBITAL/APAP/CAFF/CODEINE =FIORICET#3 637
50915571 DEXTRAN 10% LMD X 500ML (NS) 258
50915572 MANNITOL 20% IV 500ML 258
50915573 BLUNT CANNULA (BOX OF 100)* 258
50915574 NU-GAUZE* 258
50915575 PENICILLIN VK (PEN-VK) 250MG/5ML 100ML* 637
50915576 SUS-PHRINE * 250
50915577 CEFTRIAXONE 1 GRAM (ROCEPHIN) IM KIT 250
50915578 AXID AR 75MG 250
50915579 ALEVE 220MG 250
50915580 IV START BOX (NO SET)* 250
50915581 IV START BOX/PUMP SET X 1* 250
50915582 GLUCOPHAGE 850MG 250
50915583 SNAKE ANTIVENIN (CROTALIDAE)* 250
50915586 INSULIN NPH (NOVOLIN N) INJ: 100 UNIT/ML 637
50915587 INSULIN 70/30 (NOVOLIN 70/30):100UNIT/ML 637
50915588 NEUTRA-PHOS-K PKTS* 637
50915589 ALCOHOL 5%/DEX.5% 1000ML IV 250
50915591 ALTEPLASE RECOMBINANT (TPA) 250
50915593 B&T COUGH & BRONCHIAL SYRUP * 637
50915594 GUAIMAX-D BTL*(GUAIFENESIN600/P-EPHED120 637
50915595 EXTENDRYL SR. BTL* 637
50915596 SENOKOT GRANULES * 637
50915597 ENDAL HD SYRUP* 250
50915598 PEPCID AC 10MG 250
50915599 NADOLOL (CORGARD) 20MG TAB 637
50915600 TRITEC 400MG BTL* 637
50915601 DIETHYLSTILBESTROL 1MG (DES) BTL* 637
50915602 RIMANTADINE 100MG TAB (FLUMADINE) 637
50915603 NIZORAL SHAMPOO 370
50915604 REDUX 15MG BTL* 370
50915606 CYANOKIT (HYDROXOCOBALAMIN) 5GM/NS 200ML 250
50915607 TRIPLE SULFA VAG. CREAM*(Sultrin Vag Cr) 637
50915608 VANTIN 200MG TAB (cefpodoxime) NON-FORM 637
50915609 DIVALPROEX (DEPAKOTE)DR SPRINKLES 125MG 637
50915610 BROMANYL SYRUP 30ML*(CODEINE)SPECIAL ORD 637
50915611 DEPAKOTE 500MG BTL* 637
50915612 CLARITIN D 24 637
50915613 DESITIN OINTMENT 28G * 250
50915614 A&D OINT-ZINC OXIDE* 250
50915615 NICOTROL STARTER KIT 250
50915616 SILVER SULFA (THERMAZINE) 1% CR 400GM 637
50915617 SYMPHYTUM OFFICINALE 30X* 637
50915620 AMARYL 1MG BTL* 250
50915621 TYLENOL #2 BTL* 637
50915622 MORPHINE SULFATE 30MG IMMEDIATE RELEASE* 637
50915623 IMODIUM AD LIQUID * 250
50915624 PROCHLORPERAZINE (COMPAZINE) SPAN : 10MG 637
50915625 MORPHINE IR (MSIR) 15MG TAB 637
50915626 BRETHINE 5MG BTL* 250
50915627 DIHISTINE DH EXP 120ML BTL* 637
50915628 AMINOSYN 15% 500 ML 258
50915630 PROBENECID/COLCHICINE 500/0.5MG 250
50915631 LO/ORVAL-28* 637
50915632 MENTHOL (COUGH DROP) LOZENGE PER BAG/BOX 637
50915633 FOSPHENYTOIN (CEREBYX) 100MG PE/2ML SDV 636
50915634 MEDROXYPROGESTERONE INJ SUSP 150MG 250
50915635 DOLOBID 500MG TAB (DIFLUNISAL) NON-FORM 637
50915636 WESTCORT CREAM 0.2% 45GM 250
50915637 NIFEREX ELIXIR 30ML (NU-IRON)* 637
50915638 BRIMONIDINE (ALPHAGAN P) 0.15% 5ML OPHT 637
50915639 WATER STERILE/INJ 250ML BTL* 258
50915640 BETAPACE 80MG tab =sotalol NON-FORMULARY 637
50915641 VANCENASE POCKET NASAL 7GM* 637
50915642 PROCANBID ER 1000MG (PROCAINAMIDE) 637
50915643 VASOCIDIN OPHTHALMIC OINT 10%/0.5% 250
50915644 HELIDAC THERAPY KIT* 637
50915645 DARVOCET-N 50 BTL* 637
50915646 MURINE EYE DROPS 250
50915647 DOBUTAMINE 250MG/20ML X 2 VL (DOUBLE STR 258
50915648 DEPO-TESTOSTERONE 200MG/ML SDV 250
50915649 SUMYCIN 125MG/5ML(TETRACYCLINE) 30ML 250
50915651 MORPHINE ORAL CONC 20MG/ML 30ML 637
50915652 DURAGESIC 100MCG/HR PATCH* 637
50915653 FLUTICASONE (FLONASE) NASAL 50MCG SPRAY 637
50915654 VERELAN 180MG CAP 250
50915655 SPORANOX 100MG CAP (itraconazole) 637
50915656 STADOL NASAL SPRAY (BUTORPHANOL TARTRATE 637
50915657 OXISTAT 1 % LOTION 250
50915658 PROMETHZINE/CODEINE 30ML 250
50915659 ROBITUSSIN CF 4OZ * 637
50915660 BROMFED-PD * 250
50915661 LOTRISONE CREAM 15 GM* 637
50915662 TRIAMCINOLONE DENTAL PASTE* 250
50915663 DICLOFENAC SODIUM DR 75MG 250
50915664 ESTRACE 1MG 250
50915667 SODIUM CHLORIDE 3% 1000ML SOLUTION * 258
50915668 FLUTICASONE (FLOVENT) HFA 220MCG* 637
50915669 FLOVENT (FLUTICASONE) 44MCG HFA PER PUFF 637
50915670 EEMT DS 1.25/2.5 (NF) 637
50915671 PREDNISONE 1MG BTL* 250
50915672 ACCOLATE 10MG 637
50915674 NEUPOGEN 300MCG/ML SYRINGE 250
50915676 BLISTEX 6GM TUBE* 250
50915677 HYDROCORTONE 20MG* 250
50915678 MITOMYCIN 20MG VIAL 250
50915679 GLYNASE 6MG UD * (GLYBURIDE MICRONIZED) 637
50915680 PANCRELIPASE DR 12000 CAP (LIPRAM 10) 637
50915682 EPSOM SALT 4 OZ BTL* 637
50915683 VEXOL 1% 250
50915684 levoFLOXacin (LEVAQUIN) 500MG TAB 637
50915685 ZYRTEC 5MG TAB=autosub w/loratadine 10mg 637
50915687 SUR-FIT FLEXABLE 70MM OSTOMY 250
50915688 SUR-FIT POUCH 12 OSTOMY 250
50915689 LACRI-LUBE NP SINGLE DOSE 637
50915690 METROGEL 0.75% GEL 45GM*(METRONIDAZOLE) 637
50915691 NATALINS RX (PRE NATAL VIT) BTL* 637
50915692 GLUCOPHAGE 850MG BTL*(METFORMIN) 637
50915693 BUMETANIDE 0.5MG BTL (Bumex) 637
50915694 ZANTAC 150MG (RANITIDINE) 637
50915695 REZULIN 200MG BTL* 637
50915696 PROPOXYPHENE NAPS/ACET 100/650MG TAB* 250
50915697 TYLENOL EXTRA STRENGTH GELCAP(APAP 500MG 637
50915698 EUCERIN CREAM* 250
50915699 LINI-MIST* 250
50915700 AEROCHAMBER PLUS-LG 637
50915702 levoFLOXacin 500MG/100ML D5W PREMIX IVPB 636
50915703 DILANTIN 100MG BTL * 637
50915704 AXID 150MG CAPSULE* 250
50915705 ORTHO-NOVUM 1/35-21* 637
50915706 NICODERM CQ 21MG PATCH 14/BOX 637
50915708 PHOSPHOLINE IODIDE 0.25% (echothiophate) 637
50915709 TOPROL XL 100MG TABLET* 250
50915710 FLUoxetine (PROzac) 20MG CAP 637
50915711 PHOSPHOLINE IODIDE 0.125% 250
50915712 PROPULSID SUS 1MG/ML 30ML* 637
50915713 RISPERDAL ORAL SOLN 30 ML (risperidone) 637
50915714 HYDROCODONE/ACET 250
50915715 RAMIPRIL (ALTACE) 2.5MG CAP 637
50915716 VITAMIN E 400IU CAPSULES* 250
50915717 PHENTERMINE 15MG BTL* G-Y 637
50915718 ORTHO-CEPT* 637
50915720 EPIPEN 0.3MG INJ SYRINGE 250
50915721 BLEPHAMIDE OPTH OINT=sulfacetamide na/4G 637
50915722 CELLUVISC EYE DROPS* 250
50915723 PAXIL 30MG TAB (Paroxetine) 637
50915724 BENZAMYCIN 23.3G=erythro/benzoyl peroxid 637
50915725 LORAZEPAM 2MG BTL* 637
50915726 SIMVASTATIN (ZOCOR) 20MG TAB* 637
50915727 ALKA-SELTZER 24TABS 250
50915729 LOPRESSOR 100MG BTL (BRAND NAME)* 637
50915730 ZYFLO 600MG BTL* 637
50915731 NIFEdipine ER (PROCARDIA XL) 30MG TAB 637
50915732 SYNTHROID 0.150MG (LEVOTHYROXINE) 637
50915733 EFFEXOR 100MG BTL* 637
50915734 FLUPHENAZINE DECANOATE 25MG/ML 5ML VIAL* 250
50915735 CALCIUM 600MG +D* 250
50915736 SENOKOT-S* 250
50915738 BRETHINE 5MG TAB = terbutaline 637
50915739 GENASAL (NASAL SPRAY) 15ML (AFRIN) 637
50915740 LACTICARE-HC* 637
50915741 EXTENDRYL JR.* 250
50915742 COZAAR 50MG BTL* 637
50915743 DONEPEZIL (ARICEPT) 5MG TAB 637
50915744 LEXXEL 5-5 TAB*(ENALAPRIL MAL-FELODIPINE 637
50915745 DO NOT USE THIS 637
50915746 ALCOHOL 5%/DEX 5% 1000ML IV 258
50915747 LOPRESSOR 50MG (BRAND NAME) BTL* 637
50915748 MINOCYCLINE 100MG BTL* 250
50915749 DEPAKENE 250MG CAPS* 250
50915750 BUMETANIDE 0.5MG TAB (BUMEX) 637
50915751 IBUPROFEN (MOTRIN) 600MG TAB 637
50915752 SUDAFED 12 HOUR CAPLETS * (20 TABS) 250
50915753 LAMISIL AT CREAM 24GM TUBE* 637
50915754 ACET/COD #2 TAB (TYL/COD#2) NON-FORM 637
50915755 PONDIMIN 20MG BTL* 637
50915757 LIPITOR 20MG BTL* 637
50915758 MOTRIN IB 200MG* 250
50915759 LORCET 10/650 UD*(HYDROCODONE/APAP) 637
50915760 NIZORAL SHAMPOO 4FL OZ*(KETOCONAZOLE) 637
50915761 PROVERA 5MG (MEDROXYPROGESTERONE) 637
50915762 DEXATRIM* 250
50915763 PARoxetine (PAXIL) 10MG TAB 637
50915764 XANAX 0.5MG BTL* 637
50915765 ALPRAZolam (XANAX) 0.25MG TAB 637
50915766 CYCRIN 2.5MG TAB* 637
50915767 VISTARIL 100MG/ML* 250
50915768 PREMARIN 1.25MG TAB* 637
50915769 PERIDEX ORAL RINSE*(CHLORHEXIDINE) 637
50915770 FIBERCON TABS 637
50915771 CIPRO 750MG TABS BTL* 637
50915772 ORTHO-NOVUM 7/7/7-28* 637
50915774 CHLORTHALIDONE 25MG BTL* 250
50915775 THYROLAR 3 (LIOTHYRONINE,T3) NON-FORMUL. 637
50915776 ZESTRIL 20MG BTL* 637
50915778 SYNALAR 0.01% SOLN 60ML (fluocinolone) 637
50915779 PHENTERMINE 30MG*YELLOW 637
50915780 19SOPYRAMIDE 100MG CAPSULE-(NORPACE) 637
50915781 VANCENASE AQ 84MCG (beclomethasone dipro 637
50915782 PRILOSEC 20MG BTL* 250
50915783 HUMULIN N* 637
50915784 AMLODIPINE/BENAZEPRIL 5/20 (LOTREL) 637
50915785 LASIX 20MG (FUROSEMIDE) BTL* 637
50915786 TUBERCULIN SKIN TEST 1ML VIAL(Mantoux) 250
50915787 LESCOL 40MG BTL* 637
50915788 NAPROXEN SODIUM 550MG DS* (ANAPROX) 250
50915789 COLESTID 1GM TABS (COLESTIPOL) SP ORDER 637
50915790 FUROSEMIDE 80MG* 250
50915791 predniSONE (DELTASONE) 5MG TAB* 637
50915793 MUSE 250MCG* 250
50915794 CELESTONE 6MG/ML 5ML VIAL * 250
50915795 ATARAX 25MG (HYDROXYZINE HCL) BTL 637
50915796 ACET/COD #3 BTL*(TYL/COD #3) 637
50915797 LESCOL 20MG BTL* 250
50915798 WITCH HAZEL PADS* 250
50915799 CLEARASIL MAX* 250
50915800 ORTHO TRI-CYCLEN* 637
50915801 NAVANE 5MG* 250
50915802 TRIPHASIL-28*(levonorgestrel/eth.estradi 637
50915803 IBUPROFEN 100MG/5ML (MOTRIN) SUSP 120ML 637
50915805 ALLERGAN (ANTIPYRINE/BENZOCAINE)OTIC* 637
50915806 AMBIEN 10MG BTL* 637
50915807 PHENYL/HYDRO/GUAIF* 637
50915808 HYDR/APAP 10/650 BTL* 637
50915809 INSULIN SYRINGES 1/2CC ULTRA FINE* 250
50915810 DEMULEN 1/35-28 * 637
50915811 ERYTHROMYCIN 1GM ADDVANTAGE * 250
50915812 BIAXIN 500MG TAB* 250
50915813 SEMPREX-D BTL non-formulary 637
50915814 SERTRALINE (ZOLOFT) 100MG TABLET 637
50915815 TERAZOL 7 0.4% VAG CREAM 250
50915816 BECONASE AQ 0.042%* =beclomethasone N.F. 637
50915817 MEDROL 4MG DOSE-PAK*(METHYLPREDNISOLONE) 637
50915819 DEPO-MEDROL 40MG INJ* 250
50915821 CEFPROZIL 250MG TAB (Cefzil) 637
50915822 PREDNISOLONE SYR 5MG/5ML-30ML(PEDIAPRED) 637
50915823 TRIAZ 6% GEL 45GM * 637
50915824 SYNTHROID 0.175MG (LEVOTHYROXINE) 637
50915825 SYNTHROID 0.2MG BTL* 637
50915826 PREVACID 30MG BTL* 250
50915827 POTASSIUM CL 10MEQ (K-DUR)UD* 637
50915828 PRAVASTATIN (PRAVACHOL) 20MG TAB* 637
50915829 GLUCOPHAGE 500MG BTL* 250
50915830 carBAMazepine (TEGretol) 200MG TAB 637
50915831 KLONOPIN 2 MG (CLONAZEPAM) 637
50915832 ERYTHROMYCIN 500MG IV VIAL (ERYTHROCIN) 250
50915833 TRIAM/HYDRO 75MG/50MG (MAXZIDE) 637
50915834 AMBIEN 5MG BTL* 637
50915835 TRIAMCINOLONE 0.1% CR 30GM 637
50915836 GLUCOTROL XL 5 TAB* 250
50915837 VOLTAREN 75MG TAB (diclofenac ) 637
50915840 OXYBUTYNIN (DITROPAN) 5MG TAB 637
50915841 DEPAKOTE 250MG BTL* 637
50915842 LOTENSIN 20MG *(BENAZEPRIL) 637
50915843 PREMPHASE BOX*(estrogen&medroxyprogest.) 637
50915844 DOVONEX 0.005% 60G* 637
50915845 PHENTERMINE HCL 30MG*BLUE 637
50915846 ATIVAN 1MG BTL*(BRAND NAME) 637
50915847 DEXTROSE 70% IV* 250
50915848 FOLIC ACID 1MG BTL* 250
50915849 TRAZODONE 100MG (DESYREL) 637
50915850 ATENOLOL 50MG BTL*(TENORMIN) 637
50915851 MICRO-K 10 MEQ BTL* 637
50915852 TUSSI-ORGANIDIN DM 30ML* (HALOTUSSIN) 637
50915853 MERREM 500MG VIAL - (MEROPENEM) 250
50915854 DIFLUCAN 200MG TAB (fluconazole) 637
50915855 BIAXIN 250MG TAB* 250
50915857 FLURAZEPAM 30MG BTL* 250
50915859 dilTIAZem CD (CARDIZEM) 120MG CAP 637
50915860 LUBRIDERM LOTION* 637
50915861 IMIPRAMINE 25MG BTL* 250
50915862 LORAZEPAM 0.5MG BTL*(ATIVAN) 637
50915863 MONOPRIL 10MG TAB BTL OF 30* 250
50915864 ORTHO-CYCLEN 28* 637
50915865 ANCEF 2MG/50ML NACL 250
50915866 MEROPENEM (MERREM) 1GM PWVL 636
50915867 CARDURA 1MG BTL* 250
50915868 CORTISPORIN OPTH SUSP 7.5ML* 250
50915869 DIFFERIN GEL TUBE 15 GM* 637
50915870 SEROMYCIN 250MG CAP(cycloserine) NON-FOR 637
50915871 TRECATOR-SC 250MG (ethionamide) NON-FORM 637
50915872 IMITREX 50MG (SUMATRIPTAN) 637
50915873 ORTHO-NOVUM 1/35-28* 637
50915874 DIDREX 50 MG BTL* 637
50915875 PRENATE 90 BTL* 637
50915876 FLUTICASONE (FLOVENT) HFA 110MCG 637
50915877 D.H.E. 45 INJ 1MG/ML- SPECIAL ORDER ONLY 250
50915878 PRAVACHOL 10MG (PRAVASTATIN SODIUM) 637
50915879 INSULIN NPH PORK 100U/ML* 250
50915880 NOVOLOG INSULIN 100U/ML* 250
50915881 CHLORPROMAZINE 100MG (THORAZINE) 637
50915882 NAPROXEN 375MG BTL* 637
50915883 VITAL HN BOX OF 6 PKG* 637
50915884 DESOGEN * 637
50915885 COZAAR 25MG BTL* 250
50915886 CLARITIN 10MG/10ML SYRUP 4 OZ=LORATADINE 637
50915887 PRENATAL 1MG + IRON BTL* 637
50915888 PURALUBE TEARS* 637
50915889 REZULIN 400MG BTL OF 90* 250
50915890 ORAZINC 220MG TAB* 250
50915892 NITROFURANTOIN 50MG UD* 637
50915893 SYNTHROID 0.1MG (LEVO-T)*0 250
50915894 AMOXICILLIN 500MG CAPS BTL* 250
50915895 OLOPATADINE (PATANOL) 0.1% : OPHTH 5ML 637
50915896 ENSURE PLUS (1 CASE-BILL) * 250
50915897 WELLBUTRIN SR 100MG BTL* 637
50915898 CECLOR CD 500MG (CEFACLOR) 637
50915899 COREG 6.25MG TAB (CARVEDILOL) 637
50915900 buPROPion SR (WELLBUTRIN ER) 150MG TAB 637
50915901 VENTOLIN INH SOL 20MG BTL* 637
50915902 DEMULEN 1/35-28* 250
50915903 IONAMIN 15MG* 250
50915904 MERREM 1 GM VIAL* 250
50915905 CLOTRIMAZOLE(MYCELEX) TROCHE: 10MG TAB 637
50915906 Mycelex troche BTL*(clotrimazole) 637
50915907 LASIX 40MG TABLET BTL* 637
50915908 HYDRALAZINE 100MG BTL* 637
50915909 CYANOCOBALAMIN 1MG/ML MDV 10ML* 250
50915910 DEPO-MEDROL 40MG/ML 1 ML VIALS* 250
50915911 ALTACE 10MG CAP (ramipril) 637
50915912 TRIPLE ANTIBIOTIC OINTMENT 15G 250
50915913 DEPAKENE 250MG/5ML SYRUP PER/OZ* 250
50915914 BUSPAR 5MG BTL* 637
50915915 ZYBAN BTL OF 60 STARTER PACK* 637
50915916 URO-MAG BTL* 637
50915918 FUROSEMIDE 80MG TAB-(LASIX) 637
50915919 SYNTHROID 0.3MG/GARCIA * 637
50915920 AUGMENTIN 400MG/5ML 50 ML BTL*=amox/clav 637
50915921 AUGMENTIN 400MG CHEWABLE TAB=amox/clav 637
50915922 METHOCARBAMOL 500MG BTL* 637
50915923 MECLIZINE 12.5MG BTL* (ANTIVERT) 637
50915924 LORAZEPAM 0.5MG BTL* 250
50915925 AUGMENTIN 200MG/5ML 50 ML BTL*(amox/clav 637
50915926 BETADINE OINT UD PKG* (Povidone) 637
50915927 BUSPAR 5MG UD (BUSPIRONE HCL) 637
50915928 ACYCLOVIR 200MG (ZOVIRAX) 637
50915929 CAPTOPRIL (CAPOTEN) : 12.5MG TAB 637
50915930 CAPOTEN 25MG BTL* 250
50915931 TESTOSTERONE CYPIONATE: 200MG/ML* 250
50915932 ISOSOURCE HN CANS* 637
50915933 FELBATOL 400MG BTL* 637
50915934 FELBATOL 600MG BTL* 637
50915935 ALLOPURINOL 300MG BTL*(ZYLOPRIM) 637
50915936 BICITRA 15ML UD LIQ* 637
50915937 ZINC SULFATE (ORAZINC) 220MG CAP 637
50915938 PRENATE ADVANCE*(prenatal vitamin) 637
50915939 IPRATROP/ALBUTEROL (COMBIVENT) RESPIMAT* 637
50915940 ESTRATAB 0.625MG BTL* 637
50915941 BENADRYL 50MG/ML VIAL= diphenhydramine 250
50915942 COMPAZINE INJ 10MG/2ML*TRADE NAME 250
50915944 BENZAC AC WASH 10* 637
50915945 FLUOCINOLONE 0.025% CREAM 15GM (Synalar) 637
50915946 POLY-VI-FLOR 0.25MG W/IRON CHEWABLE* 637
50915948 CARISOPRODAL 350MG BTL*(SOMA) 637
50915949 CEFACLOR 500MG CAP (CECLOR) 637
50915951 CHLORPROMAZINE 25MG BTL* 637
50915952 CHLORZOXAZONE (PARAFON FORTE) 500MG N/F 637
50915953 NOVACET LOTION 30GM* 637
50915954 CLARITIN 10MG BTL* 637
50915955 CLONIDINE 0.1MG BTL* 637
50915956 CLONIDINE 0.2MG UD (CATAPRES)* 637
50915957 DOCUSATE SODIUM (COLACE) 100MG CAP 637
50915959 COUMADIN 10MG UD* 637
50915960 COUMADIN 1MG BTL* 637
50915961 COUMADIN 2.5MG BTL* 637
50915962 COUMADIN 4MG BTL* 637
50915963 HEPATITIS A VACCINE(HAVRIX) 1ML* 250
50915964 BENZAC 5% GEL 60G= benzoyl peroxide 637
50915965 QUIBRON T/SR 300MG 250
50915966 AZELEX 20% CREAM * 250
50915967 ZOSYN 3.375GM ADV (piperacillin/tazobact 258
50915968 DARVOCET N 100 BTL* 250
50915969 VITAMIN E 200 IU CAP=dl-alpha tocopheryl 637
50915970 TOLNAFTATE CREAM 1% TUBE* 637
50915971 MMR INJECTION* (MUMPS,MEASLES,RUBELLA V. 250
50915972 metroNIDAZOLE (FLAGYL) : 500MG TAB* 637
50915973 DIVALPROEX (DEPAKOTE) DR 500MG TAB 637
50915974 DEXAMETHASONE 4MG BTL* 637
50915975 acetaZOLAMIDE (DIAMOX ER) 500MG CAP* 637
50915976 POTASSIUM CHLORIDE ORAL 20mEq/15ML CUP 637
50915977 EPINEPHRINE INJ 1:1000 30ML MDV AMBULANC 250
50915978 DIAZEPAM 5MG BTL* 637
50915979 VALIUM 5MG/ML 10 ML VIAL* 250
50915981 PHENYTOIN (DILANTIN) CHEW 50MG TAB 637
50915982 DIPHENHYDRAMINE 25MG (GENAHIST)* 637
50915983 DIPHENHYDRAMINE 50MG BTL* 637
50915984 DIPYRIDAMOLE 25MG BTL* 637
50915985 ESTRACE 0.5MG (ESTRADIOL) 637
50915986 DOCUSATE CALCIUM 240MG BTL*(SURFAK) 637
50915988 DICLOFENAC (VOLTAREN) : 75MG TAB 637
50915990 DURACT 25MG BTL* 637
50915991 TRIA37.5/HCTZ25 BTL* 637
50915992 AMITRIPTYLINE 25MG BTL* 250
50915993 AMITRIPTYLINE 50MG BTL*(ELAVIL) 637
50915994 AMITRIPTYLINE 75MG BTL*(ELAVIL) 637
50915995 AMITRIPTYLINE 100MG BTL* 250
50915996 ERYTHROMYCIN 250MG TAB=ERYTHROCIN/ERYTAB 637
50915997 ERYTHROMYCIN 250MG/5ML 30ML* 637
50915998 ESTRATAB 0.625MG * 250
50915999 METRONIDAZOLE 500MG*(FLAGYL) 637
50916000 FLEXERIL 10MG TABS BTL* 250
50916001 FLOXIN 200MG (OFLOXACIN) 637
50916002 FLOXIN 400MG BTL* 637
50916004 glyBURIDE (MICRONASE) 5MG TAB* 637
50916005 glipiZIDE 10MG UD * (Glucotrol) 637
50916006 Glucotrol 10MG BTL* 250
50916007 HALOPERIDOL 1MG BTL* 637
50916008 LUVOX 100MG U/D* 637
50916009 FILGRASTIM (NEUPOGEN) 300MCG/ML SQ* 636
50916010 INDERAL 10MG BTL* 250
50916011 MIACALCIN 200 IU/ML 2ML VIAL (CALCIMAR) 250
50916012 VITAMIN D 250
50916013 PHENOBARBITAL 97.2MG (1 1/2GR)JKV* 637
50916014 FLUOXYMESTERONE 10MG JKV* 250
50916015 DEMADEX IV 20MG/2ML AMP-UNAVAILABLE 250
50916016 DEMADEX IV 50MG/5ML AMP-UNAVAILABLE 250
50916017 ADVIL 200MG (IBUPROFEN) 637
50916018 NOROXIN 400MG UD * 637
50916019 AMITRIPTYLINE 75MG UD* 250
50916020 ORGAN-I NR BTL* 637
50916021 COGNEX 10MG* 258
50916022 MAVIK 2MG TAB (TRANDOLAPRIL) 637
50916023 MYLANTA II-5OZ BTL* 258
50916024 CHLORDIAZEPOXIDE 10MG BTL* 258
50916026 FOLIC ACID 400MCG 637
50916027 TRAZODONE 50MG BTL*(DESYREL) 637
50916028 traZODone (DESYREL) 50MG TAB 637
50916029 RETIN A GEL 0.025% 15GM* 637
50916030 MINOCYCLINE 100MG CAPS (MINOCIN) 637
50916031 KERI LOTION * 637
50916032 WESTCORT 0.2% CREAM 15GM* 258
50916033 TYLENOL ES EMPLOYEE* 637
50916034 ZYRTEC 10MG TAB (auto sub w/loratadine 637
50916035 ISOPTIN SR 240MG* 250
50916036 HYOSCYAMINE 0.675MG* 637
50916037 KLONOPIN 0.5MG (CLONAZEPAM) 637
50916038 LANOXIN 0.25MG BTL* 250
50916039 LAMISIL 250MG (TERBINAFINE) 637
50916040 BACLOFEN 10MG BTL*(LIORESAL) 637
50916041 CHLORDIAZEPOXIDE 10MG UD * 637
50916043 LIDOCAINE 2% 5ML VIAL* 250
50916045 LOTENSIN 40MG BTL* (BENAZEPRIL) 637
50916046 HEPATITIS B ADULT : 20MCG/ML PFS 250
50916047 TRIMOX 250MG/5ML 100ML* 637
50916048 VITAMIN E (ALPHA-TOCOPHEROL) 400 UNITS 637
50916049 TRIMOX 500MG CAPS UD* 637
50916051 ASPIRIN 325MG BTL*(RUTHERFORD) 637
50916052 PROVENTIL INHALER REFILL* 637
50916053 PRAVACHOL 40MG BTL* 637
50916054 RYTHMOL 150MG BTL* 637
50916055 SECTRAL 200MG BTL* 637
50916056 SECTRAL 400MG BTL* 637
50916057 NIFEDIPINE (PROCARDIA 10MG) CAP* 637
50916058 SENSORCAINE-MPF 0.25% STERILE PAK* 250
50916059 SENSORCAINE-MPF 0.5% STERILE-PAK *30ML 250
50916060 SENSORCAINE-MPF 0.5% (BOX) 30ML* 250
50916061 CARB/LEVODOPA IR (SINEMET) 25-100MG TAB 637
50916062 SINEMET 50-200 CR (CARBIDOPA/L-DOPA) 637
50916063 CARISOPRODOL 325MG BTL* 250
50916064 SOMA COMPOUND (carisoprodol + aspirin) 637
50916065 CECLOR 500MG (cefaclor) 637
50916066 SPIRONOLACTONE 25MG BTL* 637
50916067 GLUCAGON EMERGENCY KIT RED 637
50916068 ALDACTAZIDE 50/50 BTL* 637
50916069 SULAR 10MG 19L* 637
50916070 AZULFIDINE-EN 500MG TAB*=sulfasalazine 637
50916071 YOHIMBINE 5.4MG BTL* 637
50916072 NAPHCON A=5ML (NAPHAZOLINE/PHENIR) 637
50916073 OS-CAL 500 +D BTL* 637
50916075 lamiVUDine/zidov (COMBIVIR) 150MG/300MG* 637
50916077 HYDROCODONE/BIT/ACET 7.5/750MG BTL* 637
50916078 CARBAMAZEPINE 100MG-CHEW BTL*(TEGRETOL) 637
50916080 TEMAZEPAM 15MG BTL* 637
50916081 TEMAZEPAM 30MG (BTL OF 500)*(RESTORIL) 637
50916082 PEDIACON DX 30ML BTL*(PHENADEX) 637
50916083 TRUSOPT 2% 10ML* 637
50916084 QUINDAL-HD 30ML* 637
50916085 THYREL TRH 0.5MG 250
50916086 FLU VACCINE (PER VIAL)* DOC OFFICE 250
50916087 ESTRACE 1MG BTL* 637
50916088 THERA-PLUS LIQUID BTL (Theragran Liquid) 637
50916089 LEUKERAN 2MG (CHLORAMBUCIL) 637
50916090 ECONOPRED PLUS 1%* 250
50916092 PILOCARPINE 1% 15ML (IsoptoCarpine) 637
50916093 THIAMINE 100MG/ML INJ* 250
50916094 VERAPAMIL 180MGBTL*(ISOPTIN/VERAPAMIL) 637
50916095 CORTISPORIN OINTMENT 1/2OZ* 250
50916096 RANITIDINE 150MG BTL*(ZANTAC) 637
50916097 VANCOCIN ORAL LIQ * 637
50916098 UNIVASC 15MG TAB (moexipril) 637
50916099 SLO-BID 300MG UD* 637
50916100 PREDNISONE SOL 5MG/5ML-30ML (DELTASONE) 250
50916101 TENORMIN 25MG BTL* 637
50916102 NEUTROGENA HAND CREAM*EMP OTC 637
50916103 PROSOM 2MG BTL* 250
50916104 PROVENTIL SYRUP 2MG/ML (30CC)* 637
50916105 VITAMIN 400IU (BOTTLE OF 100)* 250
50916106 VANOXIDE-HC* 637
50916107 LACTICARE LOTION 12OZ*(BRAND NAME) 637
50916108 THIOTHIXENE 1MG (NAVANE) NON-FORMULARY 637
50916109 NASALCROM NASAL SPRAY 13ML*(Cromolyn) 637
50916110 TIMOLOL 0.25% OPTH 5ML*(Timoptic 0.25%) 637
50916111 FLU VACCINE SYRINGES (EACH)* 250
50916112 BUTALBITAL/ASA/CAFFEINE (FIORINAL) BTL* 637
50916113 BUTALbital/Aceta/CAFFeine(FIORICET) TAB* 637
50916114 OCCLUSAL-HP BTL*(salicylic acid 17% top) 250
50916115 THYROID-ARMOUR 2 GRAIN BTL* 637
50916116 THYROID-ARMOUR 1 GRAIN (60MG) 637
50916117 TOPROL-XL 200MG (METOPROLOL SUCCINATE) 637
50916118 dilTIAZem CD (CARDIZEM) 180MG CAP 637
50916119 PHYSOSTIGMINE OPTH OINT 1/4%* 250
50916120 MICRONASE 5MG BTL* 637
50916122 CHLORPROPAMIDE 250MG BTL*DIABINESE 637
50916124 VENTOLIN HFA INHALER*(Albuteral HFA)18GM 637
50916125 EXTENDRYL JR. BTL* 637
50916126 AQUAPHOR CREAM 140Z JAR* 637
50916127 TETANUS/DIP TOXOID: 0.5ML PFS 636
50916128 DESITIN OINTMENT 1OZ* (ZINC OXIDE 40%) 637
50916129 TEMAZEPAM 30MG (BTL OF 100)* 637
50916130 NALDELATE PED. SYR 4OZ (NON-FORMULARY) 637
50916131 NORVASC 2.5MG BTL* 637
50916132 triple antibiotic(Neosporin) oint : 1oz 637
50916133 TRITEC 400MG UD* 637
50916134 ATENOLOL (TEMORMIN) 25MG TAB 637
50916135 neomycin sulfate tab : 500mg 637
50916136 PEPTO-BISMOL CAP=bismuth subsalicylate 637
50916137 GEL-KAM 4.3OZ* 250
50916138 TEARS NATURAL (ARTIFICIAL TEARS) : 15ML* 637
50916139 OGEN 1.25MG TAB (Estropipate) 637
50916140 PHENERGAN 12.5MG SUPP(Promethazine) 637
50916141 CEDAX 400MG (CEFTIBUTEN) SP.ORDER 637
50916142 LOPRESSOR 100/25 HCT BTL* 637
50916143 VERAPAMIL 40MG BTL* 637
50916144 RITALIN SR-20MG TAB (METHYLPHENIDATE SR) 637
50916145 CAPTOPRIL 25MG TAB (CAPOTEN) 637
50916146 DILTIAZEM ER 60MG CAPSULES BTL* 637
50916147 ANTI-DIARRHEAL (loperamide) btl 637
50916148 VITAMIN B WITH C 300MG (ALLBEE-C) BTL* 637
50916149 CALAN SR 240 BTL*(ISOPTIN/VERAPAMIL) 637
50916150 ZYPREXA 7.5MG BTL* 637
50916154 CARDURA 8MG UD* 250
50916155 SORBSAN WOUND PACKING* 250
50916156 FOLIC ACID 5MG/ML 10ML-FOR SINGLE PT USE 250
50916157 MEVACOR 40MG BTL* 637
50916159 diltiazem CD 300MG (Cardizem/Tiazac) 637
50916160 FEEN-A-MINT BOX* 637
50916161 glyBURIDE (MICRONASE) 2.5MG TAB 637
50916162 AMITRIPTYLINE 100MG HCL UD *(ELAVIL) 637
50916163 FEEN-A-MINT BOX* 250
50916164 AMANTADINE SYRUP 30ML*(SYMMETREL) 637
50916165 CORVERT INJ 1MG/10ML SPECIAL ORDER 258
50916166 PREVIDENT DENTAL CREAM* 637
50916167 IBUPROFEN (MOTRIN) 200MG TAB 637
50916169 MYLANTA II-(AL/MG HYDROX+SIME) UD CUPS 637
50916170 FLAGYL 500MG UD* 637
50916171 PLAQUENIL 200MG (HYDROXYCHLOROQUINE) 637
50916173 IONAMIN 30MG BTL* 637
50916174 LOTENSIN 5MG TAB*(BENAZEPRIL) 637
50916175 PROVERA 5MG BTL* 637
50916176 NAPROXEN 500MG BTL* 637
50916179 ACCOLATE 20MG (ZAFIRLUKAST) TAB 637
50916180 ALBUTEROL (PROVENTIL) 0.5% : 5MG/ML NEB* 250
50916181 LEVOXYL (SYNTHROID) 0.1MG (LEVOTHYROXINE 637
50916182 ERGAMISOL* 250
50916183 POLYTINE DM (30ML)* 637
50916184 DIBUCAINE OINTMENT 1% 30GM* 637
50916185 VICOPROFEN =HYDROCODONE BIT/IBUPROFEN 637
50916186 MANNITOL 25% INJ-ABBOJECT 250
50916187 AZELEX 20% CREAM 30GM* 250
50916188 DOVONEX 0.005% CREAM 100G* 637
50916189 KANTREX 500MG/2ML* (KANAMYCIN) 250
50916190 KANTREX 1GM/3ML* (KANAMYCIN) 250
50916191 DEXTROSE 70% 500ML (1000ML PARTIAL FILL) 250
50916192 ARISTOCORT CR 1% (MR P)* 637
50916193 ONE TOUCH STRIPS (50)* 250
50916194 ZOCOR 5MG UD* 637
50916195 METHERGINE 0.2MG TAB (METHYLERGONOVINE) 637
50916196 PROPULSID 20MG BTL* 637
50916197 RETIN-A GEL 0.01% 15GM* 637
50916198 ALPRAZolam (XANAX) 0.5MG TAB* 637
50916199 PERPHENAZINE/AMITRIP 2/25 (Triavil) tab 637
50916200 AMBIEN 10MG UD* 637
50916201 AVC CREAM 4OZ TUBE* 250
50916202 BETADINE VAG SUPPOSITORIES* (povidone) 637
50916203 SODIUM CHLORIDE INHALATION SOL 3ML* 250
50916204 IMITREX NASAL SPRAY 5 MG*(SUMATRIPTAN) 637
50916205 CORTISPORIN OINT 1/2OZ (NEO/POLY/BAC/HC) 637
50916206 IMIPRAMIME HCL 25MG BTL*(TOFRANIL) 637
50916207 THIOTEPA 15 MG VIALS (SPECIAL ORDER) 250
50916208 VITAMIN C 1000MG BTL* 637
50916209 SET Y MICRODRIP (AMBULANCE)* 250
50916210 RITALIN 20MG (METHYLPHENIDATE) BTL* 637
50916211 CLOMIPHENE CITRATE 50MG (CLOMID) 637
50916212 ACET/COD ELIXIR 30ML (TYLENOL/COD) 637
50916213 METAMUCIL BTL* 637
50916214 PROVENTIL HFA* 250
50916215 PILOCARPINE 0.5% 15ML (IsoptoCarpine) 637
50916217 IBUPROFEN 200MG-500 TABS 637
50916218 DARVON 65MG PULVULE 637
50916219 LACTAID DROPS 7ML BTL * 637
50916220 HABITROL 14MG PATCH* 637
50916221 GRISACTIN 500MG BTL (GRISEOFULVIN)* 637
50916222 TYPHOID VACCINE ORAL (VIVOTIF) 4 CAPS* 637
50916223 NITRO-BID OINT 20 GRAMS (TUBE)* 637
50916224 HYDROCOD5MG/GUAI100MG SYR*30ML=VICO TUSS 637
50916225 CEDAX LIQ 90mg/5ml 120ml (CEFTIBUTEN) 637
50916226 ESGIC PLUS (BUTA/ACET/CAFF 50-500-40)BT* 637
50916228 timolol GFS (Timo XE) 0.5% eye: 5ml* 637
50916229 EUCERIN CREAM 113GM 637
50916231 TAVIST-D* 637
50916232 NYSTATIN/TRIAMCINOLONE CR 60GM(Mycolog) 637
50916233 TRIAMCINOLONE CREAM 0.1% 30GM NON-FORM. 637
50916234 LACTINEX SUPPLEMENT* 637
50916235 XYLOCAINE 10% ORAL SPRAY* 250
50916236 VIVELLE 0.05MG* 637
50916237 TRIAMTERENE/HCTZ 50/25* 637
50916238 LARIAM 250MG*(MEFLOQUINE) 637
50916239 MONUROL SACHETS* 637
50916240 PERICOLACE-(SENNA PLUS) 637
50916241 NAPROXEN 375MG EC BTL* 637
50916243 PROPANTHELINE 15MG BTL* 637
50916244 WESTCORT 0.2% CREAM --USE FLUCINOLONE 637
50916245 CEPACOL LOZENGES* 637
50916247 ALDOMET 500MG (METHYLDOPA)-NON-FORM 637
50916248 FLORONE .05% 15GM* 250
50916250 PSORCON 0.05% 15GRAM TUBE**non-formulary 637
50916251 PROCARDIA XL 90 MG TAB (Nifedipine E.R.) 637
50916252 ROLAIDS-ORIG-PEP-ROLL* SPECIAL ORDERED 637
50916253 VOLTAREN XR 100MG UD * 637
50916254 TUBEX INJECTOR 250
50916255 PROCTOFOAM HC (hydrocortisone-pramoxine) 637
50916256 EFFEXOR 37.5MG TAB (VENLAFAXINE) 637
50916257 TET/DIPH-PED MDV*GARCIA 250
50916258 POLIO VACCINE* (IPOL) 250
50916259 GENASYME DROPS 637
50916260 VENLAFAXINE XR (EFFEXOR ER) 37.5MG CAP 637
50916261 ZOLADEX * 250
50916262 ERYTHROMYCIN 1GM ADDVANTAGE * 250
50916263 LOTRIMIN AF POWDER* 250
50916264 AZELEX 20% CR(azelaic acid) 30 GM N/F 637
50916265 MONOJECT 1CC SYRINGE* 250
50916266 VITAMIN E 400IU BTL OF 1000* 637
50916267 LOTRIMIN AF POWDER(CLOTRIMAZOLE) 637
50916268 THEOPHYLLINE 300MG TAB (Theo-Dur) 637
50916269 ENTEX LA BTL* (BRAND NAME) 637
50916270 AVAPRO 300MG BTL* 637
50916271 MUCOMYST 10% 30ML VIAL *ACETYLCYSTEINE 250
50916272 MUCOMYST 20% 100ML VIAL* 250
50916273 TOPICORT LP 0.05% 15GM(BRAND NAME)* 637
50916274 ZINC LOZENGES BOTTLE OF 100 637
50916275 GELATIN CAPSULES 100 CAPS/BTL* 250
50916276 NYSTATIN PWD 100,000 UNIT/GM 15GM BTL 637
50916277 ISOPTO HYOSCINE 0.25% 5ML(SCOPOLAMINE) 637
50916278 MYCOSTATIN 100,000USP POWDER (nystatin) 637
50916279 DIAZEPAM 10MG UD (VALIUM) 250
50916280 GUAIFEN PSE TAB*(GUAIFENESIN+PSEUDOEPHED 637
50916281 POTASSIUM CHLORIDE 20MEQ UD CUPS* 250
50916282 POTASSIUM CHLORIDE 20MEQ BTL* 637
50916283 AMLACTIN 12% 8 OZ (LAC-HYDRIN) 637
50916284 SODIUM SILICATE 14OZ BTL* 250
50916285 LATANOPROST (XALATAN) 0.005% : 2.5ML 637
50916286 THYROID 1/2 GRAIN BTL* 637
50916287 DRAMAMINE CHEWABLE* 637
50916288 ZITHROMAX 200MG/5ML 15ML BTL* 637
50916289 MYSOLINE 250MG/5ML BTL* 637
50916290 ROCEPHIN 2GM ADD-VANTAGE-(CEFTRIAXONE) 250
50916291 VENTOLIN 0.5% SOLUTION* 637
50916292 HYDROCORT ACET (ANUCORT HC) 25MG SUPP 637
50916293 THERAPEUTIC TABLETS BTL* 637
50916294 ESTRADERM 0.1 TRANSDERMAL PATCH* 637
50916295 APAP DROPS 15ML BTL (TYLENOL/ ASA FREE) 637
50916296 NALDECON DX SYRUP 118ML BTL* 637
50916297 MONOJECT 3CC SYRINGE BOX OF 100* 250
50916298 TERAZOSIN (HYTRIN) 5MG CAP 637
50916299 NICORETTE GUM 2MG BX OF 108* 637
50916301 GUIATUSS DM 30ML* 637
50916302 SALINE (OCEAN) 45ML NASAL SPRAY 637
50916303 NIFEREX-PN FORTE* 637
50916305 DESIPRAMINE 25MG* 637
50916306 OFLOXACIN (OCUFLOX) 0.3% 5ML OPHTH 637
50916307 levoFLOXacin (LEVAQUIN) 250MG TAB 637
50916308 PENICILLIN VK 500MG (VEETIDS, PEN-VEE K) 637
50916309 UROCIT-K 5MEQ (POTASSIUM CITRATE) 637
50916310 VALSARTAN (DIOVAN) 80MG TAB 637
50916311 NEPTAZANE 50MG (METHAZOLAMIDE) NON-FORM 637
50916312 NICOTROL 15MG PATCH* 637
50916313 PHENOBARBITAL 20MG/5ML ELIX 30ML*NF 637
50916314 MIDRIN (ISOPAP)-SP ORDER 637
50916315 ARTHROTEC 50MG (diclofenac/misoprostol) 637
50916317 SLOW-K 8MEQ (600MG)* 637
50916318 AMARYL 2MG* 637
50916319 DIAZEPAM ORAL SOLUTION 1MG/ML 30ML 637
50916321 Diastat (diazepam) rectal gel 10 MG* 250
50916322 ACETIC ACID/HC OTIC=Vosol HC *NF 637
50916324 VASELINE LIP THERAPY* 637
50916325 DIASTAT RECTAL GEL 5.0MG* 250
50916326 HYDERGINE LC 1MG * 637
50916327 ALLEGRA-D 12HR NF 637
50916328 NASCOBAL* (CYANOCOBALAMIN 500MCG/0.1ML) 637
50916331 GLUCOFILM TEST STRIPS* 250
50916332 OVCON 35 * 637
50916333 ANSWER OV-KIT* 637
50916334 NEO/POLY/HC (CORTISPORIN):7.5ML EYE SUSP 637
50916336 GUIATUSS AC (ROBITUSSIN W/ CODEINE)120ML 637
50916337 PSEUDOEPHEDRINE 120MG TAB (SUDAFED-12HR) 637
50916339 NITROSTAT 0.3MG (1/200GR)* 637
50916340 AZITHROMYCIN (ZITHROMAX) 500MG PWVL 636
50916342 XYLOCAINE 1% MPF-10MG/ML-2ML VIAL 250
50916343 CEFZIL 500MG TAB (Cefprozil) 637
50916344 VIAGRA 50MG BTL* 637
50916345 ADDITIVE CAPS (IV-RED)* 250
50916347 CLOTRIMAZOLE 1% 30GM (LOTRIMIN AF) 637
50916348 ZOFRAN 4MG TABS (ondansetron) 637
50916349 COCAINE 4%-10 ML MDV (CHARGE PER ML)* 250
50916350 COLLAGENASE (SANTYL) 30GM OINT 637
50916351 PROCAINAMIDE 750 MG SR (Procan SR) 637
50916352 SYNALAR CREAM .025% 15GM (FLUOCINOLONE) 637
50916354 ACETIC ACID 2% 60ML* 250
50916355 PINDOLOL 10MG BTL* 637
50916356 LIPRAM PN 16 CAPS (PANCREASE PN 16) 637
50916357 ACET/COD #4 TAB (TYL/COD #4) 637
50916358 CHOLESTYRAMINE (QUESTRAN) 4GM PKG 637
50916359 POLYTRIM OPTH SOL 10ML(TMP/POLYMYXIN B) 637
50916360 PLENDIL 10MG BTL* 637
50916361 HEPARIN LOCK 100 UNITS/ML 30ML 250
50916362 RANITIDINE 25MG/ML (CHG PER ML) ZANTAC 258
50916363 TAMSULOSIN (FLOMAX) 0.4MG CAP 637
50916365 TEGRETOL XR 200MG (carbamazepime extende 637
50916366 PRANDIN 2MG BTL (repaglinide) NF 637
50916367 TIGAN 200MG/2ML AMP* 250
50916368 NEOMYCIN/DEXAMETHASONE O.O.(NEODECADRON) 637
50916369 ENSURE PLUS HN 1000ML RTH* 637
50916370 METOPROLOL 100MG UD *(LOPRESSOR) 637
50916371 glipiZIDE (GLUCOTROL) : 5MG TAB 637
50916372 PERMETHRIN (NIX) 1%: 60ML CREAM KIT 637
50916373 chlordiazePOXIDE (LIBRIUM) 25MG CAP 637
50916374 PREDFORTE 1% 10 ML BTL*(SPECIAL ORDER) 637
50916375 LINDANE 1% SHAMPOO 30ML* 250
50916376 LINDANE 1% LOTION 2OZ* 250
50916377 hydrOXYzine HCl (ATARAX) 25MG TAB 637
50916378 CHIGARID* 637
50916379 BENYLIN COUGH SYRUP (ADULT FORM) 4OZ * 637
50916380 BELLERGAL S BTL* 637
50916381 CLOPIDOGREL (PLAVIX) 75MG TAB 637
50916382 POSICOR 100MG UD* 637
50916383 PROCAINAMIDE 500 MG SR (PROCANBID) 637
50916384 NYSTATIN 500,000 UNIT/DOSE FOR COMPOUND 250
50916385 ASPIRIN EC 5GR BTL OF 1000* 637
50916386 DIFLUCAN 400MG IVPB (fluconazole) 250
50916389 COPAXONE 20MG INJ 32VIALS/BX* 250
50916390 CHROMIUM PICOLINATE 200MCG TAB* 637
50916391 MILK OF MAGNESIA BULK BTL* 637
50916392 ANAFRANIL 75MG (CLOMIPRAMINE)*NON-FORM** 637
50916393 MERIDIA 10MG BTL* 637
50916394 MELLARIL 30MG/ML 4OZ BTL*(THIORIDAZINE) 637
50916395 NITROglycerin (NITROSTAT) SL 0.4MG TAB 637
50916396 RABAVERT (RABIES VACCINE) 1ML PFS 636
50916397 OXYCONTIN 20MG (Oxycodone sustain-releas 637
50916398 NEURONTIN 100MG CAPSULE* 637
50916399 ZOVIRAX SUSP 200MG/5ML 30ML (acyclovir) 637
50916401 synthroid (Brand) tab: 0.125mg 637
50916402 ZOSYN 2.25 ADD-VAN (piperacillin/tazobac 258
50916403 ASPIRIN EC (ECOTRIN) 81MG TAB 637
50916404 LACTAID 637
50916405 HYDROXYZINE HCL SYRUP 10MG/5ML*ATARAX 637
50916406 DOXAZOSIN 4MG TAB (CARDURA) 637
50916407 BICITRA LIQ.(CITRIC ACID/SOD) 16OZ 637
50916408 VASOTEC 10MG BTL* 637
50916409 ENGLAND MIX 4 OZ(TRIAMCINOLONE-KERI LOT) 637
50916410 TRICOR 67MG CAPSULE * 637
50916411 TAPAZOLE 5MG TAB (methimazole) 637
50916412 METROGEL 0.75% VAGINAL (METRONIDAZOLE) 637
50916413 LODINE XL 500MG BTL* 637
50916414 DIPROLENE(BETAMETH DIPR)0.05%OI 45GM *NF 637
50916415 CENTRUM SILVER (SR MULTIVIT)NON-FORMULAR 637
50916416 GINSANA (BOX OF 60) 637
50916417 NORTRIPTYLINE 10MG CAP 637
50916418 PYRIDOXINE 100MG/ML* 250
50916419 PREDNISONE 2.5 MG (DELTASONE) 637
50916420 TAMOXIFEN 10MG TAB*(NOLVADEX) 637
50916421 LASIX (FUROSEMIDE 40MG) BTL* 637
50916422 ALPRAZOLAM 0.5MG (XANAX) 637
50916423 ELOCON OINT 0.1% 15GM (mometasone) SP/O 637
50916424 VANCERIL DS 84MCG (beclomethasone diprop 637
50916425 BETAMETHASONE DIPROPIONATE CR 0.05% 45GM 637
50916426 CLOBETASOL CR 0.05% 45GM(TEMOVATE) *N/F 637
50916427 ENSURE (CASE)* 637
50916429 ENSURE PLUS (CASE)* 637
50916430 AMARYL 4MG (GIIMEPIRIDE) TABLET 637
50916431 EXCEDRIN PM 637
50916432 TYLENOL PM #24 (NIGHT TIME SLEEP) 637
50916433 EPIPEN JR 0.15MG SYRINGE 250
50916434 LINIMIST* 637
50916435 EPTIFIBATIDE (INTEGRILIN) : 2MG/ML SDV* 250
50916437 THERAPEUTIC-M BTL* 637
50916438 ATROPINE SULFATE 1% 2ML OPHTH SOLN 637
50916439 DAPSONE 25MG TAB* 637
50916440 VITAMIN E 400IU BTL OF 300* 637
50916441 VITAMIN C 500MG BTL OF 250* 637
50916442 ASPIRIN 81MG EC* 637
50916443 ULTRAVATE 0.05% OINT 15G* 637
50916444 TYLENOL #3 BTL* 637
50916445 POTASSIUM CITRATE 10MEQ (UROCIT-K)* 637
50916446 UROCIT-K 10 MEQ (potassium citrate) NF 637
50916447 DANTRIUM 50MG BTL* 250
50916448 # 637
50916449 METHYLPHENIDATE 20MG * 637
50916450 PROPYLTHIOURACIL 50MG TAB (PTU) 637
50916451 MYDFRIN 2.5% 3ML O.S.BOX(phenylephrine) 250
50916452 VALTREX 1 GM BTL* 637
50916453 NATAFORT PRENATAL VITAMIN * 637
50916454 XEROFORM 5 X9 DRESSING 250
50916455 MINOCYCLINE 50MG CAPSULE BTL* 637
50916456 DETROL 1MG BTL* 637
50916457 MOMETASONE (NASONEX) NASAL 50MCG SPRAY* 637
50916459 CEFDINIR (OMNICEF) 300MG CAP 637
50916460 DESOXIMETASONE 0.25% 60GM *SPECIAL ORDER 637
50916461 LIDOCAINE 4% 50ML* 250
50916462 PROTAMINE 10MG/ML 25ML SDV* 636
50916463 ALEVE BTL OF 100* 637
50916464 RETIN-A CREAM 0.1% 20G* 637
50916466 GUIATUSS AC 4OZ (ROBITUSSIN AC) 637
50916467 ZYBAN 150MG REFILL* 637
50916469 METHOTREXATE 25MG/ML 2ML SINGLE DOSE VIA 250
50916470 hydroCHLOROthia(HYDRODIURIL) :12.5MG CAP 637
50916471 HYALGAN (HYALURONATE) 10MG/ML 2ML PFS 636
50916473 MERIDIA 15MG BTL* 637
50916474 CLINDAMYCIN 1% SOLUTION* 637
50916475 BETASEPT SCRUB 4% (chlorhexidine) 16OZ 250
50916476 APHTHASOL 5%ORAL PASTE 5GM*(amlexanox) 250
50916477 ZYPREXA 5MG TAB (olanzapine) 637
50916478 GOLD BOND POWDER 4OZ* 637
50916481 CITALOPRAM 20MG (CELEXA) 637
50916482 PHENYLEPHRINE HCl INJ 10MG/ML SDV 636
50916483 BAG BALM 10 OZ.(NON-FORMULARY) 637
50916484 POLYCARBOPHIL(FIBERCON) 625MG TAB/CAP 637
50916485 ZOMIG 2.5MG TABS (zolmitriptan) 637
50916486 PAXIL 40MG BTL* 637
50916487 NICODERM CQ 21MG BOX* 637
50916488 NICOTINE (NICODERM CQ) 14MG/24HR PATCH 637
50916489 NICODERM CQ 7MG BOX* 637
50916490 ACETAMINOPHEN ES 500MG GEL CAP BOX* 637
50916491 TROVAN 200MG TABS * 250
50916492 TROVAN 100MG TABS * 250
50916493 ELDEPRYL 5MG (SELEGILINE) SPEC ORDER 637
50916495 TROVAN 200MG IVPB 250
50916496 TROVAN 300MG IVPB 250
50916497 ESTRATEST TAB* 637
50916498 CARDURA 2 MG TAB (DOXAZOSIN) 637
50916499 ARNICA 30X* 637
50916500 HYDROCODONE/APAP 10/650 (LORCET) 637
50916501 CAPTOPRIL 25MG/HCTZ 15MG*(CAPOSIDE) 637
50916502 PROBENECID/COLCH (COLBENEMID)*500/.5MG 637
50916503 TERAZOL 3 VAG SUPP 80MG (TERCONAZOLE) NF 637
50916504 MIRAPEX 0.125MG (PRAMIPEXOLE DI-HCL) 637
50916505 METHOCARBAMOL 750MG 637
50916506 MURO 128 5% OPTH SOLN (AK-NACL) 15ML 637
50916507 AMOXIL 250MG/ML 150ML BTL* 637
50916508 DYAZIDE 37.5/25 BTL* 637
50916509 BISACODYL EC (DULCOLAX) 5MG TAB 637
50916510 MIDAZOLAM (VERSED) 1MG/ML 2ML SDV 636
50916511 AMOXICILLIN 125MG/5ML (Amoxil)-150ML BTL 637
50916512 DEMEROL 50MG TAB (meperidine)*special or 637
50916514 cloNIDine (CATAPRES) 0.1MG TAB 637
50916515 ORAGRAFIN 500MG* (X-RAY) 637
50916516 TRIAMINIC INFANT 15ML* 637
50916517 ZOCOR 40MG BTL* 637
50916519 OVRAL-28* 637
50916520 CLIMARA 0.05MG PATCH* 637
50916521 TOBRADEX OINT (tobramycin/dexamethasone) 637
50916522 PREVPAC*(Prevacid+Amoxicillin+Biaxin) 637
50916524 LOPERAMIDE ORAL SOL 1MG/5ML (Imodium) 637
50916525 LANCETS ONE TOUCH 250
50916528 ZITHROMAX 250MG #6 (Z-PAK) 250
50916529 MELATONIN 3MG BTL* 637
50916530 NIFEREX FORTE 150MG* (FE-TINIC) CAPSULE 637
50916531 BACTROBAN CREAM 30GM* =mupirocin 637
50916532 DUOFILM * 637
50916533 PULMICORT 200MCG INHALER-NF 637
50916534 OXYCEL SPECIAL ORDER ONLY 250
50916536 REZULIN 400MG BTL* 637
50916538 DESOXIMETASONE 0.05% 60GM *SPECIAL ORDER 637
50916539 DESOXIMETASONE CR 0.05% 15G * 250
50916540 ELIMITE CREAM 5% (PERMETHRIN) SP/O 637
50916541 HALEY'S M-O 12OZ* 637
50916542 CODICLEAR DH 30ML* 637
50916544 ALLOPURINOL 100MG BOT*(ZYLOPRIM) 637
50916545 DESITIN OINTMENT 4OZ* 637
50916546 SCOPOLAMINE (TRANSDERM SCOPE) PATCH 637
50916547 ECHINACEA 637
50916548 MAXALT-MLT 10MG* (RIZATRIPTAN) 637
50916549 PERI-CARE OINT 5 OZ* 637
50916551 BENYLIN EXPECTORANT 118ML BTL* 637
50916552 DEPO-TESTADIOL* 250
50916554 IRBESARTAN (AVAPRO) 150MG TAB 637
50916555 DEPO-MEDROL 40MG/ML VIAL* 250
50916556 NICODERM CQ 14MG (7 PATCHES)* 637
50916557 DPT (DIPHTHERIA/PERTUSSIS/TET) 250
50916558 ACTHIB-NON-FORM 250
50916559 MONTELUKAST (SINGULAIR) 10MG TAB 637
50916561 TUCKS MEDICATED PADS* 637
50916562 CARB/LEVODOPA IR (SINEMET) 10/100MG TAB 637
50916563 ENDRATE 150MG/ML 20ML (edetate disodium) 250
50916564 POTASSIUM IODIDE ORAL SOLN (SSKI)30ML* 637
50916565 SELEGILINE 5MG (ELDEPRYL) NF 637
50916566 ALUMINUM CHLORID (DRYSOL)SOL : 37.5ML 637
50916568 TRIAZ 10% GEL* 637
50916569 TRIAZ 10% CLEANSER* 637
50916570 NAPROXEN SODIUM 275MG* 637
50916571 MAG/ALUM/SIMETH (MYLANTA) 30ML UD CUP 637
50916572 CEFAZOLIN 10 GRAM BULK BTL* 250
50916573 CANDESARTAN (ATACAND) 16MG TABLET* 637
50916574 AZITHROMYCIN (ZITHROMAX) 200MG/5ML 15ML 637
50916575 AZITHROMYCIN (ZITHROMAX) 100MG/5ML 15ML* 637
50916577 EURAX CREAM 60G* 637
50916578 GLUCERNA CANS (CASE)* 637
50916579 CLIMARA 0.1MG PATCH* 637
50916580 ROCEPHIN 1GM IM KIT (NICK)* 250
50916581 PREMARIN VAGINAL CREAM* (conj.estrogen) 637
50916582 TERAZOL 7 VAG CREAM (terconazole) 637
50916583 CLINDAMYCIN PED GRAN 75MG/5ML (N.F.) 637
50916584 PROAMATINE 2.5MG* 250
50916585 COUMADIN 3MG TAB (WARFARIN) 637
50916586 ORPHENADRINE 100MG* 637
50916588 VANCOCIN 10G ORAL* 637
50916589 GLYSET 25MG* 637
50916590 ZOCOR 80MG* 637
50916591 TECZEM 5MG/180MG TAB=ENALAPRIL/DILTIAZEM 637
50916592 OCUVITE * (NON-FORMULARY VITAMIN) 637
50916593 NATURE'S REMEDY 637
50916596 INTRASITE GEL 25G DRESSING (BOX) 250
50916597 MERIDIA 5MG CAPSULE BTL 637
50916598 LYMERIX VACCINE SYRG *SPECIAL ORDER 250
50916600 RHUS TOX. 30X * 637
50916601 ALESSE-28* 637
50916602 CHROMAGEN 637
50916603 SULFACET-R LOTION 637
50916605 AUGMENTIN 125MG/5ML 150ML BTL* 637
50916606 DYNACIRC CR 5MG TAB * 637
50916607 DYNACIRC CR 10MG TAB* 637
50916608 PONTOCAINE (TETRACAINE) 1% 2ML AMP-REFRI 250
50916609 VIACTIV CALC CHEWS (NON-FORMULARY) 250
50916610 TPA KIT.. SEE STROKE BOX 250
50916612 CYTOTEC 200MCG BTL* 250
50916614 VOSPIRE ER 4MG (ALBUTEROL ER/Proventil)N 637
50916615 DACRIOSE (EYE STREAM) 250
50916616 GENOPTIC 0.3% 1ML * 250
50916617 GENTAMICIN 40MG/ML 20ML MDV* 250
50916619 XENICAL 120MG CAPS BTL 250
50916620 AMOXICILLIN (AMOXIL) 875MG TAB 637
50916621 PROMETHAZINE (PHENERGAN) 25MG TAB 637
50916622 ALKA-SELTZER (12 TABLETS) 250
50916623 HALOPERIDOL ORAL SOL 2MG/ML 250
50916624 ELAVIL 10MG* (BRAND NAME) 250
50916625 TORNALATE INHALER 250
50916626 ENBREL INJ 25MG (REFRIGERATOR) 250
50916627 NAFCILLIN 2GM NON-FORMULARY 250
50916628 MICRONOR 28 250
50916629 PREMARIN 0.625MG BTL* 250
50916630 VENLAFAXINE XR (EFFEXOR XR) 75MG CAP 637
50916631 DEXAMETHASONE 0.1% OPTH SOL* 250
50916632 HYOSCYAMINE 0.375MG SR TABS (LEVBID) 637
50916633 DOMEBORO OTIC* 250
50916634 POLYSPORIN OINT (DOUBLE ANTI OINT) 1 OZ 250
50916635 AVALIDE 150/12.5MG *=irbesartan/hctz 250
50916636 VIOXX 25MG (rofecoxib) TAB 250
50916637 ACETAMINOPHEN/CODEINE #4 (TYLENOL/COD) 250
50916638 DESONIDE CR 0.05% 15GM *SPECIAL ORDER 250
50916639 METHYLPHENIDATE 10MG TAB (RITALIN) 250
50916641 ALCOHOL DENATURED 473ML BOTTLE 637
50916642 ELOCON OINT 0.1% 45GM 250
50916643 NEURONTIN 400MG BTL* 250
50916644 LAMISIL AT CR 1%-12GM* 250
50916645 TOPAMAX 100MG (topiramate) 250
50916646 VERELAN 180MG * (NON-FORMULARY) 250
50916647 HEMORRHOIDAL HC 25MG SUPP(HYDROCORTISONE 250
50916648 PULMOCARE CANS (PER CAN) *SPECIAL ORDER* 250
50916649 REFRESH PLUS * 250
50916651 CITRUCEL ORNG SF 8.6OZ BOTTLE* 250
50916652 CYANOCOBALAMIN 1000MCG TAB (VIT B-12) 250
50916653 RYNATAN TABS*(phenylephrine/chlorphen/py 250
50916654 LUSTRA 4%* 250
50916656 NICOTROL INHALER* (nicotine) 250
50916657 FRAGMIN (DALTEPARIN SOD)* 250
50916658 AMPICILLIN 500MG BTL* 250
50916661 LamoTRIgine (LaMICtal) 100MG TAB 637
50916662 INSULIN SYRINGE 1/2CC MICRO-FINE 250
50916663 OXYGEN TANK* 250
50916664 OXYGEN TANK REGULATOR* 250
50916665 CANNULA FOR OXYGEN 15 FT* 250
50916666 ACETAMINOPHEN 650MG/20.3ML (TYLENOL) 250
50916667 INDOCIN 50MG SUPP.* (INDOMETHACIN) 250
50916668 BAYCOL 0.3MG TABLETS* 250
50916669 DIFFERIN GEL 0.1% 45GM (adapalene) NF 250
50916671 OXYBUTYNIN XL (DITROPAN (ER) 5MG TAB 637
50916672 POTASSIUM HYDROXIDE 10% STANDARD* 250
50916673 MYCOLOG-II 30GM*(nystatin-triamcinolone) 250
50916674 DENAVIR 1% 2G* 250
50916676 CHORIONIC GONADOTROPIN 10,000 UNITS*SPEC 250
50916677 ERYTHROMYCIN 0.5% OPTH OINT 637
50916678 ONE TOUCH TEST STRIPS #200 250
50916680 NYSTATIN/TRIAMCINOLONE 30GM (Mycolog) NF 637
50916681 XYLOCAINE 2% EPI 1:100,000 10ML* 250
50916682 DARANIDE 50MG BTL* 250
50916683 AVANDIA 4MG TAB (Rosiglitazone) 250
50916684 VICODIN ES (BRAND NAME) TABLETS 250
50916685 AMOXICILLIN 250MG CHEW TABS 250
50916686 RISPERDAL 4MG * (NON-FORMULARY) 250
50916687 CAPSAICIN CREAM 0.075% 2OZ (Zostrix) 250
50916688 DENAVIR CREAM 1% 1.5GM (NON-FORMULARY) 637
50916689 POLYSPORIN POWDER*(double antibiotic) 250
50916690 PROSOM 1MG(ESTAZOLAM) NON-FORMULARY SP/O 250
50916691 PILOCARPINE 4% 15ml (IsoptoCarpine) 637
50916693 ST. JOHN'S WORT*(SELL PER BTL) 250
50916694 NU-IRON V BTL* 250
50916695 BUPIVA/EPI 0.25% MPF 1:200000 :10ML SDV 250
50916696 AUGMENTIN 250MG/5ML (amox/clav) 100ML BT 250
50916697 SULFACETAMIDE(SULAMYD) 10% SOLN OPHTH 637
50916699 ALEVE BOTTLE OF 24 TABS 250
50916700 DEXTROSE 10% 5ML AMP 250
50916701 KETOPROFEN 50MG CAPSULES (ORUDIS) 250
50916702 BICILLIN LA 2.4 MU ( IM ONLY !!!!!) 250
50916703 EPOGEN 2000 UNITS/ML 250
50916704 FLOXIN OTIC 0.3% 5ML* 637
50916705 OVCON 50 28 DAY* 250
50916706 PENTOTHAL 25MG/ML 500MG VIAL 250
50916707 DORZOL/TIMOL (COSOPT) OPHT SOLN UD* 637
50916708 AUGMENTIN 250MG/5ML 150ML* 250
50916709 methylPREDNISolone (DEPO-medrol) 80MG/ML 636
50916710 DEPO-MEDROL 80MG 5ML MDV=DR OFFICE ONLY 250
50916712 BELLERGAN S TABLETS* 250
50916713 SYNTHROID 0.1MG BRAND NAME(LEVOTHYROXINE 250
50916714 SEREVENT DISKUS 50MCG*28 (salmeterol) 637
50916715 ZOSYN 3.375 GM VIAL (piperacillin/tazoba 250
50916716 KETOPROFEN 75MG* (ORUDIS) 250
50916717 SONATA 5MG (DISPENSE AS WRITTEN ONLY) 250
50916718 QUEtiapine (SEROquel) 25MG TAB 637
50916719 VIROPTIC 1% OPTH (trifluridine)(REFRIG) 250
50916720 LIDODERM 5% PATCHES 30/BOX 250
50916721 CLARITIN REDITABS 10MG (PER BOX OF 30) 250
50916722 CEFEPIME 1GM (MAXIPIME) VIAL NF 258
50916723 METOPROLOL 50MG BTL* 250
50916724 ACTOS 45MG (PIOGLITAZONE) 637
50916725 PIOGLITAZONE (ACTOS) : 15MG TAB 637
50916726 R&C SPRAY LICE CONTROL 250
50916728 DURICEF 250MG/5ML LIQUID (CEFADROXIL) 637
50916729 POLYETHYLENE GLYCOL (MIRALAX) : 17GM PKG 637
50916730 BENGAY (GREASELESS ANALGESIC BALM) 1 OZ 250
50916731 ARNICA 200CK 250
50916733 HYDROCODONE BIT./ACET 10/650MG(LORCET) 250
50916734 ADVIL 100MG/5ML SUSP 120ML (ibuprofen) 250
50916736 MOTRIN 600MG BTL* 250
50916739 MICONAZOLE NITRATE CREAM 2%*(micatin) 250
50916740 DYAZIDE (TRIAMTERENE 37.5MG/HCTZ 25MG) 250
50916742 TRIAMCINOLONE (KENALOG) 40MG/ML SDV 636
50916744 DIPYRIDAMOLE 50MG/10ML IV (PERSANTINE) 250
50916745 TIMOPTIC-XE 0.25% 5ML 250
50916746 CYANOCOBALAMIN 1000MCG/ML 30ML MDV=B-12 250
50916747 FAST TAKE SYSTEM (ONE TOUCH)* 250
50916748 FAST TAKE STRIPS #100* 250
50916750 OXACILLIN 250MG CAPS BTL*(Prostaphlin) 250
50916751 ONE TOUCH TEST STRIPS BOX OF 100 250
50916752 LAC-HYDRIN 12% 385G*(AMLACTIN) 250
50916753 FAST TAKE MACHINE 250
50916754 FAST TAKE STRIPS 250
50916755 SEA OMEGA 50 BTL* 250
50916756 MICONAZOLE 3 (MONISTAT) : 15GM SUPP/CRM* 637
50916757 KLARON LOTION 10% 2OZ 250
50916758 oxyCODONE CR (OXYCONTIN) 10MG TAB 637
50916759 DYNABAC 250MG 250
50916760 REPLICARE DRESSING 4 X4 1 BOX 250
50916761 SPECTRAZOLE 1% 15GM CREAM(econazole) 250
50916762 RONDEC DM DROPS 30ML 637
50916763 METRONIDAZOLE 250MG BTL* 250
50916764 ZOMIG 5MG TAB (zolmitriptan) 250
50916765 CAPTOPRIL 12.5MG BTL* 250
50916766 CELECOXIB (celeBREX) 100MG CAP 637
50916768 ERYTHROMYCIN TOPICAL GEL2% 30GM 250
50916769 GLUCERNA VANILLA SHAKE (HOSPICE) 24CS 250
50916770 ORNADE SPANSULES 250
50916771 MENOMUNE *MENINGOCOCCAL VAC A C Y W-135 250
50916772 LEVLITE 28 DAY* 250
50916773 ENSURE HIGH PROTEIN (CAN)* 250
50916774 LODINE XL 400MG 250
50916775 NYSTATIN VAGINAL TABS* 250
50916776 PINDOLOL 5MG* 250
50916777 THIORIDAZINE 50MG UD(MELLARIL)* 250
50916778 KINEVAC 5MCG/VIAL* 250
50916779 BUPIVACAINE 0.25% W/ EPI 1:200000 30ML* 250
50916780 HISTEX HC 30ML* 250
50916781 ESTRADIOL 2MG (ESTRACE) 250
50916782 AVELOX 400MG (NON-FORUMULARY) 250
50916783 CYSTOSPAZ 0.15MG (hyoscyamine) NON-FORM 250
50916784 COLOCORT 100MG/60ML ENEMA (CORTENEMA)NF 250
50916785 CLOBETASOL OINT 0.05% 30GM NON-FORMULARY 250
50916786 VITAMIN C 500MG BTL OF 1000** 250
50916788 PRAZOSIN 5MG CAP (Minipress) 250
50916789 PROMETRIUM 100MG* SPECIAL ORDER 250
50916790 RELENZA 5MG/PUFF 20/BOX*SPECIAL ORDER 250
50916791 PROTUSS DM 250
50916793 FOLIC 1MG BTL* 250
50916795 ALDARA: 5 %, CREAM-BOX OF 12 250
50916796 BUTENAFINE 1% 30GM (LOTRIMIN ULTRA) 637
50916797 CARDEC SYRUP 30ML* (Rondec) 250
50916798 MAALOX MAX STRENGTH 5OZ 250
50916799 ULTRA FINE B-D SYRINGE 3/10..INSULIN 250
50916800 LANCETS ULTRA FINE II B-D 250
50916802 CORTISPORIN CREAM 7.5GM (NEO/POLY/HC) 250
50916803 NORTRIPTYLINE (PAMELOR) 25MG CAP 637
50916804 AMOXIL 200MG/5ML 50ML*(amoxicillin) 250
50916805 FELODIPINE ER (PLENDIL) 5MG TAB 637
50916807 BAYCOL 0.4MG * 250
50916808 PROCRIT 1000 U/0.025ML (CHRG BY 1000 UN) 250
50916809 LEVALBUTEROL (XOPENEX) 0.63MG/3ML NEB* 637
50916810 IC-GREEN (INDOCYANINE 25MG)*SPECIAL ORDE 250
50916811 ACCUZYME OINT 30GM (KOVIA) 250
50916812 PERSANTINE IV 50MG/10ML VIAL (brand)* 250
50916813 PENLAC 8% * (Ciclopirox nail lacquer) 250
50916814 DERMAGRAN OINT* SPECIAL ORDER 250
50916815 BUSPIRONE 15MG TAB (BUSPAR) 637
50916816 glipiZIDE ER (GLUCOTROL XL) 2.5MG TAB 637
50916817 LUSTRA-AF* 250
50916818 INSULIN SYRINGE B-D 3/10CC* 250
50916819 ALLEGRA 180MG*FEXOFENADINE*NONFORMULARY 250
50916820 PRILOSEC 10MG* 250
50916821 LUBRI-GEL *(CHLORHEX GL/GLYCERIN/HE-CELL 250
50916822 LOTRONEX 1MG* 250
50916823 DOPRAM (DOXAPRAM) 20MG/ML 20ML (CHG/ML) 250
50916824 UNIPHYLL 400MG (theophylline) N.F. 637
50916825 NIASPAN 1000MG (NIACIN ER) 250
50916826 REGRANEX GEL 0.01% 15G *SPECIAL ORDER** 250
50916827 MIRCETTE 28* 250
50916828 BIAXIN XL PAC 500MG* 250
50916830 HYDROCORTONE 10MG* 250
50916831 TEVETEN 600MG (eprosartan) 250
50916832 MIDAMOR 5MG 250
50916833 DYRENIUM 50MG CAPSULE 250
50916834 MAPROTILINE 25MG (LUDIOMIL)* 250
50916836 CIPRO HC OTIC (ciprofloxacin/hydrocortis 250
50916837 AVALIDE 300/12.5MG (irbesartan/hctz) 637
50916838 ACIPHEX 20MG*NON-FORMULARY!!!!! 250
50916839 BENOQUIN CREAM 20% 637
50916840 PHENTOLAMINE (OraVerse) 5MG SDV 636
50916841 ENSURE PLUS HN CANS* 637
50916843 DEPAKOTE SPRINKLES: 125 MG 637
50916844 OPTIPRANOLOL 0.3% 5ML O.S(metipranolol) 637
50916845 REFRESH LUBRICANT EYE DROPS-30 UD 637
50916846 RENOVA: 0.05 %, CREA, 20 GM, TUBE 637
50916847 LIDEX 0.05% GEL 15GM (NON FORMULARY) 637
50916848 EXELON 1.5MG (RIVASTIGMINE) 637
50916849 CILOSTAZOL 100MG TAB (PLETAL) 637
50916850 GUANFACINE 1MG TAB (TENEX) 637
50916851 PYRIDIUM PLUS 637
50916852 DOXEPIN (SINEquan) 25MG CAP* 637
50916853 doxepin 50MG UD 637
50916855 NIZORAL CREAM 60GM* 637
50916857 CYCLOGYL 2% 5ML (cyclopentolate) 250
50916858 NEO-SYNEPHRINE 10% (AK-DILATE)O.S. 5ML 250
50916859 ACULAR 0.4ML (KETOROLAC TROMETHAMINE) UD 250
50916860 MAXITROL OPTH SUSP 5ML (BRAND NAME) 637
50916861 BETADINE 5% 30ML* (Povidone) 637
50916863 EPOGEN 20,000 UNITS/ML 634
50916864 DEFEROXAMINE (DESFERAL) 500MG SDV 636
50916865 PRALIDOXIME (PROTOPAM) : 1GM/20ML 250
50916866 PLEDGET SOLUTION (FOR DR ULLRICH) 637
50916867 VARIVAX (VARICELLA VIRUS VACCINE LIVE) 637
50916869 PERGONAL 75 IU 250
50916870 DIPROLENE AF(BETAMETH DIPR) 0.05%CR 15GM 250
50916871 HALOPERIDOL 2MG UD* 250
50916872 BIAXIN XL 500MG =clarithromycin XL 250
50916873 K-PHOS (POTASSIUM ACID PHOSPHATE) 250
50916874 NITROGLYCERIN 2.5MG SLOCAPS* 250
50916875 RESPALOR 8OZ CANS* special order only* 250
50916876 LEVALBUTEROL (XOPENEX) 1.25MG/3ML NEB 637
50916877 HUMALOG MIX 75/25 PEN* 637
50916878 BD ULTRAFINE PEN NEEDLES BOX* 637
50916879 LIDOCAINE 2% 5ML VIAL 20MG/ML* 637
50916880 BETAMETHASONE VAL 0.1% 15GM=valisone *NF 637
50916881 DEXAMETHASONE 0.1% OPTH 5ML (Decadron) 637
50916882 CALAMINE LOTION 4OZ 637
50916883 HYDROCODONE BIT/ACET 10/660MG* 637
50916884 BUPIVAcain MPF(SENSORcain)0.25%:10ML SDV 250
50916886 DIOVAN HCT 80MG/12.5MG (VALSARTAN/HCTZ) 637
50916887 FEMHRT 1/5: 1-5 MG-MCG, TABS, 28 EA, PAC 637
50916888 BETAMETHASONE VAL 0.1%OINT(VALISONE)45GM 637
50916889 GLUCOVANCE 5/500 TAB 637
50916890 OLIVE OIL PINT* 637
50916891 TRIVORA-28 ( 637
50916892 GLUCOSE TABS* 637
50916893 GLUCOVANCE 2.5MG/500MG* 637
50916894 PNEUMOCOCCAL (PNEUMOVAX)-23 0.5ML PFS 636
50916895 ARAVA 20MG (leflunomide) 637
50916896 DAKINS: 0.4-0.5 %, SOLN, 3840 ML, BOTTLE 637
50916897 DYNEX 90/1200MG (GUAIF/EPHED) 637
50916898 SPECTAZOLE 1% CREAM 30GM*(econazole) 637
50916900 DESONIDE CR 0.05% 60GM 637
50916901 CALCIUM CARBONATE 1250MG TABS* 250
50916902 MORPHINE 50MG/ML 20ML SDV 258
50916903 CARMEX: , OINT, 7.500 GM, JAR 250
50916904 CLOTRIMAZOLE (LOTRIMIN) 1% 15GM CREAM 637
50916905 EXCEDRIN ASP FREE CAPLET 250
50916906 KINDERCAL LIQ. 8OZ CANS*SPECIAL ORDER 250
50916907 VITAMIN B COMPLEX W/ B-12 637
50916908 AMARYL 1MG (GLIMEPIRIDE) TABLET 250
50916909 VANIQA 13.9% 30G CREAM* 250
50916910 OXISTAT 1% CREAM 30GM* 250
50916911 ESKALITH CR 450MG (LITHIUM CONTROL-RELEA 250
50916912 HISTEX IE TAB *NON-FORMULARY* 250
50916914 MIRAPHEN PSE: 600-120 MG, TB12, 100 EA, 250
50916915 ISOPTO HOMATROPINE 5% OPHT 250
50916916 GLUCOVANCE 1.25/250MG 637
50916917 AQUAPHOR OINT 420 GM JAR (OINTMENT BASE) 250
50916918 LOTEMAX 0.5% OPHT(LOTEPREDNOL)NON-FORM. 250
50916919 PHENYLEPHRINE (AK-DILATE) 10% 5ML OPHTH 637
50916920 HYDROXYZINE 10MG TAB (ATARAX) 250
50916921 DIOVAN HCT 160MG/12.5MG*(VALSARTAN/HCTZ) 250
50916922 AQUAPHOR 1.7 OZ TUBE 637
50916925 SORIATANE 25MG* (acitretin) 250
50916926 GUAIFENESIN 400mg/PSE 120mg (ENTEX PSE) 637
50916927 MINERAL OIL -TOPICAL 30ML* 250
50916928 VITAPLEX * (BEROCCA) BTL 250
50916929 TRIAMCINOLONE (KENALOG) 0.1% 15GM OINT* 637
50916930 DURATUSS (ENTEX PSE) 250
50916931 NORCO 10-325MG * 250
50916932 EUCERIN CREAM BY THE GM 637
50916933 ATROPINE SULFATE 1% : 4GM OPHT OINT 637
50916934 FLUCONAZOLE 200MG IVPB (DIFLUCAN) 258
50916935 ADRUCIL 500MG/10ML*(5-FLUOROURACIL/5-FU) 250
50916936 NITROFURANTOIN 100MG UD*(MacroBID) 637
50916937 VITAMIN B-12: 500 MCG, TABS, 100 EA, BOT 637
50916939 FENOFIBRATE (TRICOR) 145MG TAB 637
50916940 ARNICA 200SK * 637
50916942 CLOBETASOL CR 0.05% 60GM (TEMOVATE) 637
50916943 FERRIC SUBSULFATE SOLUTION 637
50916944 PSEUDOEPHEDRINE (SUDAFED 12 HR) #10 637
50916945 CEFTAZIDIME 1GM VIAL(Tazicef/FORTAZ) 258
50916947 CILOXAN 0.3% OPTH SOL 5 ML=CIPROFLOXACIN 250
50916948 SEA MIST NASAL SPRAY (Ocean,saline spray 637
50916949 IMODIUM 2MG BOX OF 6* 637
50916951 DOUBLE ANTIBIOTIC OINT UD (POLYSPORIN) 250
50916952 BUPIVAcaine (SENSORcaine) 0.5% 10ML SDV 250
50916954 NALEX-A*(phenylephrine/phentol/chlorph) 637
50916956 LANSINOH FOR HEALTHY FEET*SPECIAL ORDER 637
50916957 TOLTERODINE (DETROL) ER 4MG CAP 637
50916959 LAMISIL AT 1% SOLUTION 30ML 637
50916960 BUDESONIDE (PULMICORT) 0.5MG/2ML NEB 637
50916961 LIDOCAINE MPF (XYLOCAINE) 1% 30ML SDV 250
50916962 ABREVA (docosanol 10% cream) 637
50916963 metFORMIN XR (GLUCOPHAGE XR) 500MG TAB 637
50916965 FERROUS GLUCONATE 300MG TAB 637
50916966 VITAMIN B-12 1000MCG TAB=cyanocobalamine 637
50916968 ALENDRONATE (FOSAMAX): 70MG TAB 637
50916969 NICORETTE 2MG GUM (NICOTINE) 250
50916970 DIPHENHYDRAMINE 12.5MG/5ML ELIX(BENADRYL 637
50916971 PHENYLEPHRINE HYDRO OPTH 2.5% 15ML 250
50916972 PHENYLEPHRINE OPTH 2.5% 3ML(NEOSYNEPHRN) 250
50916973 NYSTATIN OINT 100,000 UNIT/GM 30GM (NF) 637
50916974 BOOST CHOCOLATE (CAN) 250
50916975 BETASEPT SCRUB 4% (chlorhexidine) 32OZ 250
50916976 ACET+COD (TYL+COD) 120MG-12MG/5ML UD 637
50916977 TRANDOLAPRIL (MAVIK) : 1MG TAB 637
50916978 UNISOM (BOX OF 16) 250
50916979 ALTACE 1.25MG CAP (ramipril) 637
50916980 LIDOCAINE 2% JELLY 30ML (XYLOCAINE) 637
50916981 FIXODENT ORIGINAL 1.4 OUNCE TUBE* 637
50916982 HYDROXYZINE PAMOATE 25MG (VISTARIL) 637
50916983 BETAMETHASONE 6MG/CC (PER CC)*Celestone 637
50916984 HYALURONIDASE 150U/ML (WYDASE)* 637
50916985 SODIUM BICARBONATE 10GR 650MG TAB 637
50916986 MELOXICAM (MOBIC) TAB : 15MG 637
50916987 PANTOPRAZOL DR (PROTONIX) 40MG TAB 637
50916988 CITRACAL + D 250-62.5 MG-IU TAB (N.F.) 637
50916989 NASACORT AQ NASAL SPRAY (triamcinolone) 637
50916990 DIPHENHYDRAMINE INJ 50MG/ML 637
50916991 SURFAK *(BRAND NAME) 637
50916992 PIPRACIL 3GM VIAL*(piperacillin)non-form 258
50916993 LOTRISONE LOT.30ML(CLOTRIMAZOLE/BETHAMET 637
50916994 MEGACE ORAL SUSP 40MG/ML*(MEGESTROL)30ML 637
50916996 THEO-24: 300 MG, CP24, 100 EA, BOTTLE 637
50916997 LOVENOX 10MG/ML (ENOXAPARIN) 250
50916998 ACCUPRIL 5MG 637
50916999 ADENOSCAN 60MG/20ML (ADENOSINE) 250
50917000 DEXFERRUM (IRON DEXTRAN) 100MG/2ML VIAL 250
50917002 BUPIVACAINE 0.5% =Sensorcaine 30ML 637
50917003 TETRACAINE 0.5% OPH 15ML (for ambulance) 637
50917004 LORazepam (ATIVAN) 2MG/ML 1ML SDV 636
50917005 PERATIVE 1000ML RTH*SPECIAL ORDER ITEM* 250
50917006 CLOTRIM/BETAMETH (LOTRISONE) 15GM CREAM 637
50917007 clotrim/betameth/dirpo (Lotrisone) 637
50917008 ADENOSCAN 30MG/10ML*(ADENOSINE) CHG/30MG 250
50917009 ZOLADEX 10.8MG SYRINGE (goserelin acet) 250
50917010 ULTRACAL: , LIQD, 240 ML, CAN 637
50917011 HUMALOG MIX 75/25 VIAL 250
50917012 ADVAIR DISKUS 100/50 (FLUTICASONE) (28) 637
50917013 BETASEPT 4% (chlorhexidine) 4OZ 250
50917014 NEXIUM 20MG 250
50917015 DEXAMETHASONE 4MG/ML 5ML MDV -PT ONLY 250
50917017 FOLTX 1-2.5-25 MG TAB--USE FOLGARD RX2.2 250
50917018 VERAPAMIL ER (CALAN SR) 180MG TAB 637
50917019 ISOSORBIDE DINITRATE (ISORDIL) 10MG TAB 637
50917020 ANUSOL HC-1 1 %, OINT, 19.800 GM, TUBE 250
50917021 ANUSOL HEMORRHOIDAL OINT 637
50917024 LIDOCAINE 2% 30ML MDV 637
50917025 AZACTAM 2 GRAMS/NS 100ML 258
50917026 MILK OF MAGNESIA (MOM) : 30ML CUP 637
50917027 VISICOL TABS (mono&dibasic sod phosphate 637
50917028 SEPTI-SOFT CONC 637
50917029 L.E.T. TOPICAL SOLUTION : 2ML 250
50917030 PHENOBARBITAL 100MG TAB 250
50917031 LANTUS 100 UNITS/ML*(INSULIN GLARGINE) 637
50917033 BECONASE 42MCG/ACT AERS 16.8GM NON-FORM 250
50917034 REMICADE (inFLIXimab) 100MG SDV 636
50917035 MIRAPEX 0.5MG (PRAMIPEXOLE DI-HCL) 250
50917036 HALLS COUGH DROPS * 250
50917037 TRIAMCINOLONE OINT 0.1% 30GM NON-FORM. 250
50917038 GENTEAL 0.3% 3ML 250
50917040 DICLOXACILLIN 500 MG BTL* 637
50917042 VENTOLIN 17G INHALER 637
50917043 EPTIFIBATIDE(INTEGRILIN): 0.75MG/ML SDV* 250
50917045 oxyCODONE IR (OXY IR) 5MG TAB 637
50917046 CENESTIN 0.625MG TAB (conj estrogen)N/F 637
50917047 MORPHINE SULFATE 2MG/ML SDV 636
50917048 ORAJEL 7G GEL 250
50917049 PREVACID 3MG/ML 50ML (SPECIAL COMPOUND) 637
50917050 TENECTEPLASE (TNkase) : 50MG SDV 636
50917052 HEART BOX ---- TNKASE 50MG 250
50917059 PROBENECID 500MG TAB* (Benemid) 637
50917060 MAGNACAL RENAL FEEDING* 637
50917061 ORAPRED 15MG/5ML 30ML*(predniSOLONE) 637
50917062 AEROCHAMBER PLUS-SMALL 637
50917063 GUAIFENESIN DM SYRUP 10ML 637
50917064 DEXTROSE: 5 %, SOLN, 250 ML, GLASS 637
50917065 ULTRACET (tramadol 37.5/apap 325mg) 637
50917066 MILK OF MAG 355ML BTL 637
50917068 NIACIN CR 250MG CAP(NIASPAN) 637
50917069 TROJANS (FOR RADIOLOGY DEPT USE ) 637
50917071 NEXIUM 40MG CAP* 637
50917072 DIVALPROEX ER (DEPAKOTE ER) 500MG TAB 637
50917073 EXELON 4.5MG (RIVASTIGMINE) NON-FORM 637
50917075 TIGAN 100MG/ML 20ML MDV 250
50917076 DEPO-TESTOSTERONE 100MG/ML 10ML MDV 250
50917077 CALCET: 300-200 IU, TABS, 100 EA, BOTTLE 250
50917078 ANTACID 12 OUNCE (MYLANTA) 250
50917081 TELMISARTAN (MICARDIS) 80MG TAB* 637
50917082 DEPO-TESTOSTERONE 200 MG/ML, MDV-DR.OFF 250
50917083 ADAPTIC NON-ADHERING DRESSING: 3 X 3 250
50917085 CORTISONE 25MG TAB*(cortisone acetate) 250
50917086 AMOX/CLAV (AUGMENTIN) 600MG/5ML 75ML* 637
50917088 DUONEB 3ML* 250
50917090 AMERGE 2.5 MG (naratriptan)-NON-FORM 250
50917091 TIMOLOL 0.5% GFS (Timoptic XE) 250
50917092 NICOTINE (NICODERM CQ) 21MG/24HR PATCH 637
50917093 NITROglycerin IV 50MG/250ML PREMIX 250
50917096 AMOXICILLIN (AMOXIL) 400MG/5ML 50ML BTL* 637
50917097 CEFPROZIL 250MG/5ML (Cefzil) 50ML 250
50917098 CEFDINIR (OMNICEF) 125MG/5ML 60ML SUSP 637
50917099 WATER FOR INJ-STERILE-1000ML 258
50917100 INSTA GLUCOSE GEL 250
50917102 ACTONEL 5MG TAB (RISEDRONATE) 250
50917103 TRICOR 54MG (fenofibrate) TAB 637
50917104 VERELAN PM 200MG CAP (NON-FORMULARY) 637
50917106 ENSURE/FIBER: , LIQD, 240 ML, CAN 637
50917107 CLOMIPRAMINE HCL: 25 MG, CAPS, 100 EA, B 637
50917108 JEVITY PLUS RTH 1000ML 637
50917109 ACEON 2MG=perindopril erbumine NON-FORM 637
50917110 ACLOVATE CREAM 0.05%-NON-FORM 637
50917111 DIPROLENE AF 0.05% 50GM* 637
50917113 NALEX DH 2.5-5MG/5ML LIQD 30ML(NON-FORM) 637
50917114 PYRAZINAMIDE: 500 MG, TABS, 500 EA, BOTT 637
50917115 ISONIAZID (INH) 300MG TAB 637
50917116 RIFAMPIN 150 MG (Rifadin,Rimactane) 637
50917117 LESCOL XL 80MG (FLUVASTATIN) 637
50917118 TIMENTIN 3.1GM ADDVANTAGE 637
50917121 COREG 3.125MG TABLET 637
50917122 ETHAMBUTOL (MYAMBUTOL) 400MG TAB* 637
50917123 ALBUTEROL INH SOL UD 0.083%(25) 637
50917124 TIMENTIN 3.1 GRAM VIAL (ticarcillin/clav 258
50917125 ESTRATEST 1.25/2.5 (SYNTEST) 637
50917126 TEGRETOL 100MG CHEW TAB (carbamazepine) 637
50917127 FLUOCINOLONE CREAM 0.025% 60GM (Synalar) 637
50917128 TOBRA/DEXAM (TOBRADEX) 2.5ML OPHTH SUSP 637
50917129 PROZAC 90MG WEEKLY* (fluoxetine) 637
50917130 TRILEPTAL 150MG (oxcarbazepine) 637
50917131 DICYCLOMINE 20MG TABS (BENTYL)NON-FORM 637
50917132 DEXAMETHASONE 0.75MG TAB (DECADRON)NF 637
50917134 FORADIL AEROLIZER 12 MCG (60 EA) 637
50917135 MARCAINE 0.75% 5 AMP 30ML (BUPIVACAINE) 637
50917136 ACEBUTOLOL 200MG (SECTRAL) 637
50917139 VERAPAMIL (CALAN) 10MG/ 4ML SDV 250
50917140 TEQUIN 400MG (gatifloxacin) NON-FORM* 637
50917141 DOBUTAMINE 250MG/20ML VIAL (NON-FORM) 258
50917143 HYDROCORTONE 10MG TAB***NOT FORMULARY 637
50917144 GAVISCON 80-20 MG, CHEW 637
50917146 DIMETAPP: 1-15 MG/5ML, ELIX, 118 ML, BOT 610
50917147 PRILOSEC SUSP 2MG/ML 50ML (omeprazole) 610
50917148 PIROXICAM 10MG CAP (Feldene) 637
50917149 CLEAR EYES (NAPHCON) 637
50917150 KRISTALOSE 20GM *SPECIAL ORDER(LACTULOSE 637
50917151 ONDANSETRON ODT (ZOFRAN) 4MG TAB 637
50917152 MAGTAB 84MG SR TAB (MAGNESIUM SALT) 637
50917153 CLARINEX 5MG TAB (NON-FORMULARY) 637
50917154 MELOXICAM (MOBIC) : 7.5MG TAB 637
50917155 LUPRON DEPOT-3 MONTH 22.5MG (LEUPROLIDE) 250
50917156 VASOTEC 2.5MG UD (ENALAPRIL)*NOT STOCKED 637
50917157 NIACIN ER (NIASPAN ER) 500MG TAB 637
50917158 ZANAFLEX 4MG (TIZANIDINE) NF 637
50917159 DEPO-MEDROL 80MG 10ML VIAL* 250
50917160 FAMOTIDINE 10MG (PEPCID AC) 637
50917161 TORSEMIDE 20MG (DEMADEX) 250
50917162 SONATA 10 MG(DISPENSE AS WRITTEN ONLY) 250
50917163 PREPARATION H -COOLING GEL-HEMORRHOIDAL 637
50917164 GRIFULVIN V: 125 MG/5ML, SUSP, 120 ML, B 637
50917165 CHAPSTICK 637
50917166 DILANTIN 125MG/5ML SUSP 8OZ NON=FORM 637
50917167 MORPHINE SULFATE 10MG IR (NF) 637
50917169 AMINOSYN II 10%-500ML 258
50917170 PREVACID 30 MG, PACKET (LANSOPRAZOLE) 637
50917171 EMLA CREAM 30GM (LIDOCAINE/PRILOCAINE) 250
50917172 FLEET ENEMA - TWIN PACK 250
50917175 ENSURE FIBER W/ FOS 250
50917177 MUPIROCIN (BACTROBAN) 2%: 22GM OINT 637
50917178 CARBOCAINE 2%-20ML VIAL =mepivacaine 637
50917179 HEPATITIS A VACCINE-CHILD 637
50917180 GLUCOMETER ELITE TEST STRIPS 100/BOX 250
50917181 ZYRTEC-D 12 HR(5-120) sub w/Claritin D12 250
50917182 BIMATOPROST(LUMIGAN) 0.01% : 2.5ML OPHT 637
50917183 BRONCHO SALINE 90ML BTL 250
50917184 FAMOTIDINE (PEPCID) 20MG 637
50917185 DIPHENHYDRAMINE 1% CREAM (BENADRYL) 637
50917186 FLU VACCINE 10 SYRINGES/BX 250
50917187 NAPROXEN (NAPROSYN) 375MG TAB 637
50917188 CORTANE-B 10ML OTIC(HYDROCORTISONE/PRAM) 637
50917189 BEXTRA 20MG TAB (valdecoxib) 250
50917191 AMARYL 2MG (GLIMEPIRIDE) TABLET 250
50917192 KAOPECTATE 8 OZ (BISMUTH SUBSALICYLATE) 637
50917193 COZAAR: 25 MG, TABS, 100 EA, BOTTLE 250
50917194 PRAMIPEXOLE (MIRAPEX) 0.25MG TAB 637
50917195 DAPTACEL: 10-15-5 , SUSP, 2.500 ML, VIAL 250
50917196 KAOPECTATE 3 OUNCE 250
50917197 DISTILLED WATER -- GALLON 250
50917199 ESCITALOPRAM (LEXAPRO) 10MG TAB 637
50917200 O'CONNER SOLUTION-LIDO/BENA/MAALOX 250
50917204 CARVEDILOL (COREG) 6.25MG TABLET 637
50917205 ELIDEL 1% CR 30GM (pimecrolimus) 637
50917206 ZIOX (PANAFIL)OINT 30GM 250
50917209 ACTONEL 30MG TAB(RISEDRONATE)NOT STOCKED 250
50917210 HYDROCORTISONE 10MG TAB (CORTEF) 250
50917211 MONISTAT-DERM 2 % CREAM (MICONAZOLE) 250
50917212 ELIDEL 30GM 250
50917213 CASODEX 50MG TAB (Bicalutamide) SP.ORDER 250
50917214 ZELNORM 6MG (TEGASEROD) 637
50917216 BUTLER'S EYE MIX** 250
50917217 OLMESARTAN (BENICAR) 20MG TAB 637
50917218 CYANOCOBALAMIN (VIT B-12) : 500MCG TAB 637
50917219 BETADINE 10 % SOLN, 118.25 ML BTL 250
50917220 TERBINAFINE 1% CR 12 GM TUBE (LAMISIL) 250
50917222 NEO-SYNEPHRINE 10% VISCOUS-5ML 250
50917224 SODIUM CHLOR 0.9% 3ML NEB 637
50917227 TRILEPTAL 300 MG (OXCARBAZEPINE) 250
50917228 SILTUSSIN SA:100MG/5ML-118ML-GUAIFENESIN 250
50917230 NIZATIDINE 150MG CAP(AXID) NON-FORMULARY 250
50917231 MYOFLEX 16OZ JAR-trolamine salicylate10% 250
50917233 BICILLIN C-R 900/300 (IM USE ONLY!!) 2ML 250
50917234 WALKER W/WHEELS-1198100 250
50917235 ACTIDOSE-AQUA (CHARCOAL 50 GM) 250
50917236 OXYCONTIN 80MG CR TAB(OXYCODONE)NON-FORM 637
50917237 DILTIAZEM (CARDIZEM) VIAL : 125MG/25ML 258
50917238 ISOSORBIDE DINITRATE 5MG SL (ISORDIL) SL 250
50917239 SINGULAIR 4MG CHEW TAB (montelukast) 637
50917242 LEVOXYL 137MCG TAB (NON-FORMULARY STR) 637
50917243 GEODON: 40 MG, CAPS, 60 EA, BOTTLE 637
50917244 GEODON 40MG CAPS (NON-FORMULARY ITEM) 637
50917247 SPS SUSP 15G/60ML-(30ML BULK BTL) 637
50917248 LIFT CHAIR-TMR348 250
50917249 GLUCERNA 240 ML CAN 250
50917250 WATER FOR INJ-20ML STERILE 250
50917251 ADENOSINE (ADENOSCAN) 60MG/20ML SDV* 636
50917252 BISMUTH SUBSAL(PEPTO-BISMAL): 262MG TAB 637
50917253 WATER FOR INJ-STERILE-50ML 250
50917254 empty FLEX BAG: 250ML 258
50917255 BOOST DRINK 8OZ 637
50917256 OPTICHAMER VLV W/MASK MED PED 250
50917257 DEMADEX IV 10MG/5ML AMP-TORSEMIDE 637
50917260 COUMADIN 10MG TAB (WARFARIN) 637
50917265 NUTRITIONAL SUPPLEMENT 270
50917267 GLIMEPIRIDE (AMARYL) 2MG TABLET 637
50917268 WALKER 4 WHEELS-BLUE-W1650B 250
50917269 CANE QD MD BASE 250
50917270 ACTIDOSE-SORBITOL (CHARCOAL 50GM) 250
50917271 POSTERIOR LEAF SPLINT-A368-LM 250
50917272 AUGMENTIN 250MG/5ML (amox/clav) 75ML BTL 250
50917273 WALKER SKI GLIDE RM A805CO 250
50917275 PRECISION PCX/PG TEST STRIPS-2ND FLOOR 250
50917276 SODIUM CHLORIDE OPHT OINT, 5%, 3.5G 250
50917277 prednisoLONE (PRED FORTE) 1% OPHTH SUSP 637
50917278 SEREVENT DISKUS 500MCG*60 (salmeterol x) 250
50917279 ANK SUPP LACEUP LTWT 250
50917282 BATH BENCH W/BK 250
50917283 BATH SEAT W/BACK TRL INV85-3 250
50917284 AIRCAST 05A ARMBAND 250
50917285 AMARYL 4MG (GLIMEPIRIDE) 637
50917286 FAMVIR 250MG (FAMCICLOVIR) 637
50917287 TED HOSE WHITE-THIGH-MED-SHORT 637
50917289 FREE STYLE TEST STRIPS 637
50917290 FREE STYLE MACHINE 637
50917291 REACHER, ALUM 27 637
50917292 NEBULIZER FILTERS 637
50917293 NEBULIZER MACHINE 637
50917294 HOLLISTER 3734 637
50917295 HOLLISTER 3812 637
50917296 NEW SKIN-ER DEPT (NON-FORM) 637
50917297 GAUZE 4X4 NON STERILE 637
50917298 COHESIVE SEALS 637
50917299 STOMAHESIVE POWDER 637
50917300 TRIAMCINOLONE (KENALOG) 0.1% 80GM CREAM 637
50917301 PLARETASE 8000 TABS (VIOKASE) 637
50917302 MEGESTROL SUSP 40MG/ML (MEGACE) UD CUPS 637
50917303 FIBERSOURCE HN 637
50917304 AMARYL 1MG TAB (Glimepiride) 637
50917305 DYNACIRC CR 5MG (ISRAPINDINE EXT REL) 637
50917306 AVANDIA 2MG (ROSIGLITAZONE) 637
50917307 CHLORDIAZEPOXIDE 10MG CAP (LIBRIUM) 637
50917308 PHENYTEK 200 MG (phenytoin extended-rel) 250
50917309 MENTHOL/METHYL SALI (BENGAY) TUBE OINT 637
50917310 ALIMENTUM LIQD 946ML CAN-NON-FORMULARY 250
50917311 NOVOLIN N 250
50917312 NOVOLIN R 250
50917313 NOVOLIN 70/30 250
50917314 UROQUID ACID #2=methenamine mal/sod ac p 250
50917315 VITAMIN C 500 MG/5ML, SYRP, 473 ML, BOT 250
50917317 BUPIVACAINE 0.5% 50ML MDV (MARCAINE) 250
50917318 COHOSIVE SEAL 250
50917319 NOVOLIN L 250
50917320 PAXIL CR 12.5MG (paroxetine CR) 637
50917321 SEROQUEL 100MG TAB (Quetiapine) 250
50917322 AMOXICILLIN 200MG/5ML-50ML-(Amoxil) 250
50917323 AUGMENTIN 200MG/5ML (AMOX/CLAV)-50ML BTL 250
50917324 VOLTAREN 50MG (diclofenac) TAB 250
50917325 TORADOL 60MG/2ML SYRINGES (KETOROLAC) 250
50917326 ACET/CODEINE ELIX 30ML (TYLENOL/COD) 250
50917327 GAS RELIEF 40 MG/0.6ML, SUSP, 30 ML 637
50917328 AUGMENTIN XR 1000-62.5MG (amox-clav XR) 250
50917329 VIROPTIC: 1 %, SOLN, 7.500 ML, BOTTLE 250
50917330 KRISTALOSE 10GM (LACTULOSE) PACKET 637
50917331 UNIRETIC 15-25MG TAB (MOEXIPRIL/HCTZ) 637
50917332 OXACILLIN (BACTOCILL) 1GM PWVL 636
50917333 PHENAZOPYRIDINE (PYRIDIUM) 100MG TAB 637
50917334 ALTOPREV 60MG (lovastatin ER) 637
50917335 TRIMETHOBENZAMIDE (TIGAN) : 300MG CAP 637
50917336 DEMADEX 10MG TAB (torsemide) 637
50917339 RE/NEPH: , LIQD, 118 ML, BOX 250
50917340 LOVENOX 30MG/0.3ML SYRINGE (BRAND NAME) 637
50917341 ENOXAPARIN (LOVENOX) 40MG/0.4ML PFS 636
50917342 Lovenox 60MG/0.6ML syringe (brand name) 637
50917343 Lovenox 80MG/0.8ML syringe (brand name) 637
50917344 Lovenox 100MG/1ML syringe (brand name) 637
50917345 DEMECLOCYCLINE 150MG TAB (DECLOMYCIN) NF 637
50917346 TRAVOPROST (TRAVATAN-Z)0.004% 2.5ML OPHT 637
50917347 PRECISION QID MACHINE 637
50917349 METHOCARBAMOL (ROBAXIN) 500MG TAB* 637
50917350 LESCOL 40MG CAP (fluvastatin) 637
50917351 MULTIVITAMIN/MINERALS (THERAGRAN M) TAB 637
50917352 TEVETEN 600 MG (EPROSARTAN MESYLATE) 637
50917354 buPROPion SR (WELLBUTRIN ER) : 100MG TAB 637
50917355 MEDROL 4MG(METHYLPREDNISOLONE) 637
50917356 MAXIPIME 2GM (CEFEPIME) 637
50917357 SODIUM ACETATE 2MEQ/ML 20 ML SDV* 250
50917358 NATALCARE GLOSSTABS TAB 1MG-90MG 250
50917360 PEPCID 20MG/2ML(FAMOTIDINE)MDV CHG/ML*SP 637
50917361 ACIPHEX 20MG (RABEPRAZOLE) NON-FORM 637
50917362 ESTRATEST HS BTL* 637
50917366 PROLEX D 637
50917367 D5/W 250ML (GLASS BTL) 258
50917368 DEXTROSE 50% (500ML GLASS BTL) 250
50917369 CALCITRIOL (ROCALTROL) 0.5MCG CAP* 250
50917370 NOVASOURCE RENAL DRINK 80Z-27 EA CS 250
50917371 LACTOBACILLUS ACIDOPHILUS (BACID) CAP 637
50917372 VASOPRESSIN (VASOSTRICT) 20UNITS/ML SDV* 250
50917374 CEFIZOX 2GM ADV (CEFTIZOXIME)NON-FORMULA 258
50917375 PRECISION Q.I.D. TEST STRIPS #50 250
50917376 FEXOFENADINE 60MG TAB NON-FORMULARY 637
50917377 CRESTOR 10MG TAB (rosuvastatin) 637
50917378 ALUMINUM HYDROXIDE (ALUDROX) 250
50917379 ZELNORM 2MG (tegaserod) 637
50917380 cefOXitin (MEFOXIN) 2GM PWVL 636
50917381 PROPRANOLOL LA 160MG (INDERAL LA 160MG) 637
50917382 HETASTARCH (HESPAN) 6% 500ML PREMIX BAG 258
50917384 IMIPENEM/CILAS (PRIMAXIN) 500MG PWVL 636
50917385 methylPREDNISolone 1000MG/250ML NS IVPB 636
50917386 ZOCOR 80MG (SIMVASTATIN) NON-FORMULARY 637
50917387 AMBIEN 10MG TAB-(zolpidem)-NON-FORM 637
50917388 AMLODIPINE/BENAZEPRIL 10/20 (LOTREL) 637
50917389 PILL CUTTER 637
50917390 DOXEPIN 10MG/ML SOLN (SINEQUAN) 4 OZ BTL 637
50917391 VIROPTIC 1% OPTH SOL (REFRIGERATE) 637
50917392 NAMENDA TITRATION PACK (memantine)SP ORD 637
50917393 DESITIN OINT 16 OUNCE 637
50917394 LACRILUBE (AKWA TEARS) OINT 3.5GM OPHTH* 637
50917395 ZYMAR 0.3% (GATIFLOXACIN)5ML 250
50917396 guaiFENesin ER (MUCINEX) : 600MG TAB 637
50917397 DEXTROSE 30% 1000ML 250
50917398 CATHFLO ACTIVASE (ALTEPLASE) 2MG SDV 636
50917399 OVIDE LOTION 0.5% 2OZ (MALATHION) 637
50917400 LORAZEPAM INTENSOL 2MG/ML (ATIVAN) 637
50917401 MINOXIDIL 10MG (LONITEN) 637
50917402 TOPIRAMATE (TOPAMAX) 25MG TAB 637
50917403 levETIRAcetam (KEPPRA) 500MG TAB 637
50917404 PERMETHRIN CREAM 5% 60GM (ELIMITE) N.F. 637
50917405 DEXAMETHASONE (DECADRON) : 0.5MG TAB 637
50917406 CHLORHEXIDINE GLUC.LIQ 0.12% (PERIDEX) 637
50917407 NAMENDA 10MG (MEMANTINE) 637
50917409 TOPAMAX TAB 100MG (TOPIRAMATE) 637
50917410 HYDROMORPHONE 2MG/ML 20ML VIAL 637
50917411 ARICEPT 10MG (donepezil) 637
50917412 CALCIUM GLUCONATE 100MG/1ML SOL 10ML 637
50917413 SPIRIVA (TIOTROPIUM) 18MCG/CAP INHALER 637
50917414 WELLBUTRIN XL 150MG (BUPROPION 24HR XL) 637
50917415 triamcinolone (kenalog) vial:40mg/ml 250
50917416 ICY HOT CREAM 1.25OZ 637
50917417 NOVOLIN R (LOW DOSE REGIMEN) --CHG/UNIT 637
50917418 NOVOLIN R (MEDIUM DOSE REGIMEN)-CHG/UNIT 637
50917419 NOVOLIN R (HIGH DOSE REGIMEN) CHG/UNIT 637
50917420 NOVOLIN R (VERY HIGH DOSE)-CHG/UNIT 637
50917422 OXYTOCIN (PITOCIN) 10 UNITS/ML SDV 636
50917424 METOCLOPRAMIDE (REGLAN) 5MG TAB 637
50917425 COGENTIN 1MG/ML-2ML AMP (BENZTROPINE)SP 637
50917426 SPIRIVA INH/NEB CAP 18MCG #30 637
50917427 PREVACID 30MG IV (LANSOPRAZOLE) 250
50917428 DULoxetine (CYMBALTA) 30MG CAP 637
50917430 AK-TAINE 0.5% OPTH SOL (ALCAINE) 637
50917431 VYTORIN 10/40-(EZETIMIBEL/SIMVASTATIN) 637
50917432 OLANZapine (zyPREXA) IM 10MG SDV 636
50917433 ALFUZOSIN (UROXATRAL) ER : 10MG TAB* 637
50917434 BROMI-LOTION (OUT PATIENT)-NON FORMULARY 637
50917435 METADONE : 10MG TAB 637
50917436 GABITRIL 4MG (TIAGABINE) TABLET 637
50917437 VITAMIN E OIL 1OZ 637
50917438 VITAMIN E CREAM 3000IU/2 OZ 637
50917439 CELEXA 10MG (CITALOPRAM) 637
50917440 BISOPROLOL-HYDROCHLOROTHIAZIDE TAB 2.5MG 637
50917441 CYCLOBENZAPRINE 5MG (FLEXERIL) 637
50917442 BRIMZOLAMIDE(AZOPT) 1% : 10ML OPHT SUSP 637
50917443 DIPENTUM 250MG (OLSALAZINE) 637
50917444 ropinirole (Requip) tab: 0.25mg 637
50917445 OPIUM TINCTURE 10MG/ML 118ML BTL 637
50917446 PROCHLORPERAZINE (COMPAZINE) 10MG/2ML 636
50917447 hydraLAZINE (APRESOLINE) : 25MG TAB 637
50917449 DERANIAN'S STERILE EYE SOLUTION 637
50917450 ENSURE PLUS VANILLA (HOSPICE)-24CS 637
50917451 ENSURE CHOC PUDDING (HOSPICE)-48CS 637
50917452 ENSURE VAN PUDDING (HOSPICE)-48CS 637
50917453 LEVOFLOXACIN (LEVAQUIN) TAB : 750MG 637
50917454 ENSURE PLUS STRAWBERRY (HOSPICE)-24CS 637
50917455 RESOURCE ORANGE (HOSPICE)-27CS 637
50917456 RESOURCE PEACH (HOSPICE)-27CS 637
50917457 RESOURCE CRMY STRAWBERRY (HOSPICE)-27CS 637
50917458 DEXAMETHASONE INJ 10MG/ML (SURGERY & PT) 250
50917460 ZOLPIDEM (AMBIEN) 5MG TAB 637
50917461 TRIHEXYPHENIDYL 2MG TAB (ARTANE) NF 637
50917462 SCANDI SHAKE STRAWBERRY (4-3 OZ)PKG 637
50917463 METOPROLOL TARTR (LOPRESSOR) 25MG TAB 637
50917464 IBUPROFEN (MOTRIN) SUSP 100MG/5ML CUP 637
50917465 PREDNISOLONE SYR 6.7MG/5ML UD- PEDIAPRED 637
50917466 ALTOPREV 40MG (LOVASTATIN ER) 637
50917468 RED (NEEDLE) BOX 637
50917469 AMOXIL 200MG/5ML-(AMOXICILLIN)- UD BTL 637
50917470 AMOXIL 400MG/5ML-(AMOXICILLIN)- UD BTL 637
50917471 ENSURE BUTTER PECAN (HOSPICE)-24CS 637
50917472 RESOURCE WILD BERRY (HOSPICE)-27CS 637
50917473 NORVASC 2.5MG TAB (AMLODIPINE BES.) 637
50917474 TEVETEN 400 MG (EPROSARTAN MESYLATE) 637
50917475 DIGOXIN 0.25MG/1ML SYRINGE (LANOXIN) 250
50917476 ENSURE PLUS BUTTERPECAN (HOSPICE)-24CS 637
50917477 RESOURCE DIAB MIXED BERRY (HOSPICE)-27CS 637
50917478 RESOURCE DIAB CRMY STRAW (HOSPICE)-27CS 637
50917480 ENTOCORT EC 3MG (BUDESONIDE) NON-FORM 637
50917481 PEDIALYTE (PLAIN FLAVOR)-8OZ (PURCHASING 637
50917482 DOXEPIN 10MG CAP (NF) 637
50917483 MAG-AL OXIDE REG 1200/1200/30ML UD CUPS 637
50917484 SIMVASTATIN 10MG (ZOCOR) 637
50917485 AQUA CEL DRESSING..NON FORMULARY.. 637
50917486 ATENOLOL/CHLORTHALIDONE 50-25=TENORETIC 637
50917487 PROM/COD (PHEN/COD) 6.25MG-10MG/5ML UD 637
50917488 guaiFENesin (ROBITUSSIN) 100MG/5ML UD 637
50917489 TORSEMIDE (DEMADEX) 20MG TAB 637
50917490 SENSIPAR 30MG (CINACALCET) DR.OFFICE 637
50917491 EL BITAR DEPO-MEDROL SUSP 80MG/ML 1ML 250
50917492 ACETAMINOPHEN 160MG/5ML 118ML (TYLENOL) 637
50917493 ALUMINUM HYDROXIDE SUSPENSION 600MG/5ML 637
50917496 VENLAFAXINE (EFFEXOR XR) 150MG CAPSULE* 637
50917497 MIDODRINE 5MG TAB (SPECIAL PURCHASE BULK 637
50917498 hYDROcodone/APAP (Norco) 10/325 MG TAB 637
50917500 NALOXONE (NARCAN) 2MG/2ML PFS 636
50917501 NEURONTIN 600MG TAB (gabapentin) 637
50917502 CHARCOAL/AQUEOUS 25 GM/120ML 250
50917503 atropine vial (amb): 1mg/ml 250
50917507 PONARIS NASAL EMOLIENT 637
50917508 RENAGEL 800MG (SEVELAMER) 637
50917509 DIOVAN 160MG TAB (VALSARTAN) 637
50917510 BETAPACE 80MG (SOTALOL) 637
50917511 DIOVAN HCT 160/25 TAB(VALSARTAN/HCTZ) 637
50917512 POTASSIUM 10MEQ ER TAB (KLOR-CON) 637
50917513 SYRINGE 1ML 27G/12 B-D (AMBULANCE BOX) 637
50917514 SYRINGE 3ML 21g 1 1/2 (AMBULANCE BOX) 637
50917515 dimenhyDRINATE (DRAMAMINE) : 50MG TAB* 637
50917516 SUPARTZ 25MG/2.5ML(SOD.HYALURONATE)SPEC. 250
50917517 DIVALPROEX (DEPAKOTE) ER 250MG TAB 637
50917518 TRILEPTAL 150MG TAB (OXCARBAZEPINE) 250
50917519 ASPIRIN 81MG CHEWABLE BTL (#36) 637
50917520 CEFTRIAXONE 1GM/50ML NS GEN-(ROCEPHIN) 250
50917521 CEFTRIAXONE 2GM/50ML NS GEN-(ROCEPHIN) 250
50917522 ZYPREXA 10MG TAB (olanzapine) 637
50917523 REQUIP 4MG TAB (ROPINIROLE) NF ITEM 637
50917524 ADVICOR 500MG/20MG(NIACIN ER LOVASTATIN) 637
50917525 MIDAZOLAM 5ML : 2MG/ML SYRUP* 250
50917526 methylPREDNISolone DOSEPAK 4MG (ER ONLY) 637
50917527 AMITRIPTYLINE 100MG (ELAVIL) NF 637
50917528 DAPTOmycin (CUBICIN) 500MG PWVL 636
50917529 MORPHINE 15MG/1ML CARP(AMBULANCE CHG #) 250
50917530 PROPARACAINE (ALCAINE) 0.5% 15ML OPHTH 637
50917531 ALPRAZOLAM 2MG TAB (XANAX) 637
50917532 KENALOG- 10MG/ML 5ML VIAL 250
50917533 BETHANECHOL 5MG TAB (URECHOLINE) 637
50917534 MIDAZOLAM 2MG/2ML (VERSED) PYXIS ONLY 250
50917535 OXISTAT 1% CREAM 30GM* 250
50917536 FERROUS SULFATE LIQUID 75MG/0.6ML {75MG/ 637
50917537 SEROQUEL TAB 200MG {200MG, TABLET, 100 E 250
50917539 PRAVACHOL 80MG TAB (PRAVASTATIN) 637
50917540 TEMAZEPAM 30MG CAP (RESTORIL) 637
50917541 LIDOCAINE (XYLOCAINE) 2% 5ML JELLY 637
50917542 CARTEOLOL 1% OPHTH SOLN (OCUPRESS) 5ML 637
50917543 FA/PYRI/CYAN(FOLGARD):0.8/10/0.11MG TAB* 637
50917545 D5/.45 500ML (SURGERY) 258
50917546 INSULIN ASP PROT/ASP (novoLOG MIX 70/30) 250
50917547 METAGLIP 5MG/500MG (GLIPIZIDE/METFORMIN) 637
50917548 PANAFIL OINT 30GM (PAPAIN, UREA, CHLORO) 637
50917551 CANDESARTAN (ATACAND) 4MG TABLET* 637
50917552 LIDODERM FILM 5% {5%, PATCH, EXTENDED RE 637
50917553 SULAR TABLET ER 10MG (NISOLDIPINE) 637
50917554 COREG 25MG TABLET (CARVEDILOL) 250
50917555 LUNESTA TAB 3MG (ESZOPICLONE) NON-FORM 637
50917558 BUDESONIDE (PULMICORT) 0.25MG/2ML NEB 637
50917560 PROMETHAZINE/DM SYRUP 5 ML =PHENERGAN DM 637
50917562 NOVOLOG-(HIGH DOSE) CHRG/UNIT 637
50917563 NOVOLOG-(LOW DOSE) CHRG/UNIT 637
50917564 NOVOLOG-(MEDIUM DOSE) CHRG/UNIT 637
50917565 NOVOLOG-(VERY HIGH DOSE) CHRG/UNIT 637
50917566 AMITRIPTYLINE 50MG TAB (ELAVIL) 637
50917567 OPTIVAR 0.05% OPTH 6ML (SPECIAL ORDER) 637
50917568 SPIRONOLACTONE 50MG TAB (ALDACTONE) 637
50917569 NEVANAC 0.1% O.S.(NEPAFENAC OTH SUSP)3ML 250
50917570 VIGAMOX 0.5% OPTH (MOXIFLOXACIN) 3ML 250
50917571 DOXEPIN 50MG (SINEQUAN) CAP 637
50917572 XENADERM OINT 60GM 637
50917573 RHINACON A ER 4/20/40 TAB (NALEX A) 637
50917574 TRAZODONE 150MG TAB (DESYREL) 637
50917575 CLINDAMYCIN ADV: 300MG (CLEOCIN) 258
50917576 FLUOCINOLONE ACETONIDE CREAM 0.01% {0.01 637
50917577 OMEGA 3 ETHL ESTER (FISH OIL) 1000MG CAP 637
50917578 FENTANYL 250 MCG/5ML INJ-(PYXIS ONLY) 250
50917579 ONDANSETRON 4MG/2ML (PYXIS ONLY)(ZOFRAN) 250
50917581 FLUCONAZOLE 200MG/100ML NS PREMIX 636
50917582 KINEVAC (SINCALIDE) 5MCG SDV* 636
50917583 MODURETIC 5-50 TABLET (AMILORIDE/HCTZ) 637
50917584 TOPROL-XL 200MG (METOPROLOL SUCCINATE) 637
50917585 LOTENSIN 40MG TAB (BENAZEPRIL) 637
50917586 CALCIUM CARB. 1250MG/5ML SUSP( N.F.) 637
50917587 DEXTROSE 10% WATER IV 500ML* 258
50917588 cefTRIAXone (ROCEPHIN) 1GM PWVL 636
50917589 PEDIALYTE RTF 8OZ (PURCHASING STOCK) 637
50917590 PROCTOSOL-HC RECTAL CREAM 2.5% {2.5%, CR 250
50917592 prednisoLONE (PRELONE) : 15MG/5ML SUSP 637
50917593 ACULAR 0.5%(KETOROLAC TROMETHAMINE) 3ML 637
50917595 AMPICILLIN 2GM VIAL/100ML NACL 258
50917596 PROPOXYPHENE 65MG PLAIN (DARVON CAP) 637
50917597 CETAPHIL MOISTURIZER CREAM: CREAM, 480 G 637
50917598 LIP BALM (CHAPSTICK) TUBE 637
50917600 PREGABALIN (LYRICA) 50MG CAP 637
50917601 LEVAQUIN 750MG/100ML IVPB*(LEVOFLOXACIN) 250
50917602 VECURONIUM (NORCURON) 10MG SDV 250
50917603 ZIDOVUDINE (RETROVIR) 200MG SDV* 636
50917663 PINDOLOL 5MG (VISKEN) 637
50917666 EL BITAR NAROPIN(ROPIVACAINE) : 0.5% SDV 250
50917842 VEGETABLE OIL-DOCUSATE-SALINE ENEMA 637
50917844 MENTHOL-ZINC TUBE 120GM OINT 637
50917845 ONDANSETRON (ZOFRAN) IVPB : 32MG/50ML 258
50917846 REGADENOSON 0.4MG/5ML PFS MEITHEAL ONLY 636
50917848 AZITHROMYCIN (ZITHROMAX) 500MG ADDV 636
50918001 METOPROLOL SUCCINATE ER 25MG (TOPROL XL) 637
50918100 AMPHOTERICIN B 50MG VIAL FOR INJ 250
50929140 GONIOSOL 2.5% 15ML* 250
50929141 SEMPREX D 250
50955555 SEMPREX-D 250
50971010 TICARCILLIN/CLAV (TIMENTIN) VL : 3.1 GM 258
50971604 BUMETANIDE (BUMEX) 0.5MG TABLET 637
50971605 LEVONOGESTREL (PLAN B) TABLET 637
50971606 BICALUTAMIDE (CASODEX) : 50MG TAB* 637
50971607 NORVASC 2.5MG TAB (AMLODIPINE BES.) 637
50971608 LEXAPRO 20MG TAB (ESCITALOPRAM) EMP ONLY 637
50971611 DIOVAN 160MG TAB (VALSARTAN) 637
50971612 BENAZEPRIL (LOTENSIN) 20MG TAB* 637
50971613 D5/WATER W/KCL 20MEQ 1000ML 258
50971614 DEXT 5%/0.45% Nacl 30mEq KCL IV : 1000ML 258
50971617 D5/WATER W/KCL 40 MEQ 1000ML 258
50971618 DEX 5%/0.45% NACL 40mEq KCL IV 1000ML 258
50971619 SODIUM CHLORIDE 0.9%/KCl 20mEq 1000ML 258
50971621 DEXT 5%/0.9% Nacl 20mEq KCL IV 1000ML 258
50971622 D5 / 0.9% NACL 40mEq KCL IV 1000ML 258
50971623 POTASSIUM CHLORIDE PREMIX 20mEq/100ML 636
50971624 MAGIC MOUTHWASH (FIRST WASH) SUSP 637
50971625 MEXILETINE (MEXITIL) 150MG CAP* 637
50971626 PREGABALIN (LYRICA) 75MG CAP 637
50971632 LINEZOLID (ZYVOX) 600MG/300ML PREMIX 636
50971633 SODIUM CHLORIDE 0.9% 100ML 258
50971635 NOSE BETTER GEL (SPECIAL ORDER) 637
50971638 SENSORCAINE/EPI 0.5% 50ML MDV (MARCAINE) 250
50971639 FLUARIX QUAD (FLU VACCINE) 0.5ML PFS* 636
50971640 SODIUM CHLORIDE 0.45%/KCl 20mEq 1000ML 258
50971646 SOD CHLORIDE: 0.9% 50ML (XRAY ONLY) SDV 255
50971647 THICK-IT (DIETARY) 250
50971648 GG 200NR TAB(GUAIFENESIN) NON-FORMULARY 637
50971649 VITAMIN E 200IU 637
50971650 AMOXICILLIN 200MG CHEW TAB-(AMOXIL) 637
50971651 MIDODRINE (PROAMATINE) 2.5MG TAB 637
50971652 pilocarpine 5mg TAB 637
50971654 DEXTROSE 25% INFANT 2.5GM PFS 250
50971655 PROPOXY/ACET 50/325 (DARVOCET N 50) 637
50971656 MEROPENEM (MERREM) 500MG PWVL 636
50971657 SOD CHLOR 3% (HYPERTONIC) 500ML PREMIX 258
50971658 RIVASTIGMINE (EXELON) 1.5MG CAP 637
50971659 PHENOBARBITAL 100MG (JKV OFFICE USE) 637
50971660 FOLIC ACID 1MG (JKV OFFICE USE) 637
50971661 methylPREDNISolone (MEDROL) : 4MG TAB 637
50971662 GENTAMICIN 80MG/50ML NS PREMIX BAG 636
50971664 ASPIRIN (ASA) 300MG SUPP 637
50971666 COMTAN 200MG (ENTECAPONE) SPECIAL ORDER 637
50971667 MEGESTROL (MEGACE) 400MG/10ML UD CUP 637
50971669 FILGRASTIM (NEUPOGEN) 480MCG/1.6ML SQ* 636
50971670 ATENOLOL/CHLORTHALIDONE 50/25(TENORETIC) 637
50971673 CUPRIC CHLORIDE 1.07MG/ML 10ML VIAL NF 258
50971675 NYSTATIN ORAL SUSP 5ML CUP 637
50971676 chlordiazePOXIDE (LIBRIUM) 5MG CAP 637
50971677 IPRATROPIUM (ATROVENT) :0.03% NASAL SPR* 637
50971678 RIMSO-50 (SPECIAL ORDER ONLY) 250
50971679 GLYCOPYRROLATE 2MG (ROBINUL) 637
50971680 dilTIAZem (CARDIZEM) 100MG/100ML NS ADD 250
50971683 SACCHAROMYCES (FLORASTOR) 250MG CAP 637
50971684 SOTALOL 80MG (BETAPACE) 637
50971686 ACYCLOVIR ORAL SUSPENSION 200MG/5ML 30ML 637
50971687 VISIPAQUE 320MG/ML 100ML BTL 255
50971688 ELIDEL 30GM CREAM (PIMECROLIMUS)NF 637
50971689 MARCAINE 0.25% 50ML MDV (OUT PATIENTS) 250
50971690 hYDROcodone/APAP (NORCO) 5/325 MG TAB 637
50971692 CAPZASIN-P 1.5 OZ CREAM 250
50971694 VENOFER (IRON SUCROSE) 20MG/ML 5ML SDV 636
50971695 BUPROPION HCL 75MG (WELLBUTRIN) 637
50971696 ZIDOVUDINE (RETROVIR) 50MG/5ML SYRUP* 637
50971697 METOPROLOL TARTR 100MG (LOPRESSOR)-JKV 637
50971699 ZOLEDRONIC ACID (RECLAST) 5MG/100ML RTU 636
50971700 CHANTIX STARTER PAK (53 TABS/BX) 637
50971701 HEPARIN 100 UNITS/ML 10ML( DO NOT USE) 250
50971702 BACI/NEO/POLY/PRAM(NEOSPOR +):30GM OINT* 637
50971704 MENTHOL-ZINC (GOLD BOND) : 0.15-1% PWD* 637
50971705 ALBUTEROL (PROVENTIL) 2.5MG/3ML NEB 637
50971706 PHENYLEPHRINE (AK-DILATE) 2.5% 2ML BTL 250
50971707 CLONAZEPAM 0.25MG ODT SPEC.ORD(KLONOPIN) 637
50971709 FAMOTIDINE (PEPCID AC): 10MG TAB* 637
50971710 SYMBICORT (BUDESO/FORM) 160-4.5MCG MDI* 637
50971711 ERGOCALCIFEROL (VIT D) 50,000 UNITS CAP 637
50971713 CHLORTHALIDONE (HYGROTON) 25MG TAB 637
50971714 eye MULTI VIT (PROSIGHT-OCUVITE) TAB 637
50971716 BUDESON/FORMO (SYMBICORT) 80-4.5MCG MDI* 637
50971717 rifAMPin (RIFADIN) 300MG CAP 637
50971723 GLIPIZIDE/METFORMIN 5/500MG (METAGLIP) 637
50971724 LISINOPRIL 20MG (PRINIVIL/ZESTRIL)-JKV 637
50971725 GLYBURIDE 5MG/METFORMIN 500MG-JKV 637
50971729 MORPHINE ORAL CONC 10MG/0.5ML CHG/DOSE 637
50971731 ARIMIDEX 1MG TAB (NF) 637
50971732 CHOLECALCIFEROL (Vit D 3) 1000 UNIT TAB 637
50971733 NEORAL 100MG CAP (CYCLOSPORINE) SP ORD 637
50971734 LIDOCAINE (XYLOCAINE) 2% 5ML SDV 250
50971738 NEOSTIGMINE (METHYLSULFA) 1MG/ML 10ML 250
50971741 risperiDONE (RISPERDAL) : 0.25MG TAB* 637
50971743 MEMANTINE (NAMENDA) : 5MG TAB 637
50971744 CITALOPRAM (celeXA) 10MG TABLET 637
50971745 LEXAPRO 5MG (ESCITALOPRAM:1/2 OF 10MG) 637
50971747 BENAZEPRIL 5MG (LOTENSIN: 1/2 OF 10MG) 637
50971748 AMIODARONE 100MG (1/2 OF 200MG TAB) 637
50971749 TOPROL XL 12.5MG (1/2 OF 25MG) 637
50971753 BAZA ANTIFUNGAL (MICONAZOLE 2%) CREAM 637
50971756 NAPROXEN (NAPROSYN) : 250MG TAB 250
50971757 BELLADONNA-ANTISPAS ELIX 5 ML (DONNATAL) 637
50971758 SITagliptin (JANUVIA) : 50MG TAB* 637
50971759 PHENOBARBITAL 15MG TAB (1/4 GR) JKV* 637
50971764 TRADJENTA (LINAGLIPTIN) 5MG TAB 637
50971767 FLEET PHOSPHO-SODA ORAL LAX 45ML (EA) 637
50971769 BRIMONIDINE (ALPHAGAN) 0.2% 5ML OPHTH 637
50971770 CARTEOLOL 1% OPHTH SOLN (OCUPRESS)NF 637
50971771 RIVASTIGMINE (EXELON): 9.5MG/24HR PATCH* 637
50971772 AMLODIPINE BESYLATE 5MG BTL (NORVASC) 637
50971773 CEFUROXIME AXETIL (CEFTIN) 250MG TAB 637
50971775 PRAVASTATIN 10MG (1/2 OF 20MG) 637
50971776 VITAMIN C 250MG (DISPENSE AS 1/2 OF 500) 637
50971777 FERROUS SULFATE ELIX 220MG/5ML 637
50971780 DILTIAZEM 30MG (DISP AS 1/2 TAB OF 60MG) 637
50971782 SERTRALINE (ZOLOFT) 25MG TABLET 637
50971783 ABILIFY 5MG (DISPENSE AS 1/2 OF 10MG TAB 637
50971784 MINOXIDIL (LONITEN) : 2.5MG TAB 637
50971785 OXACILLIN (BACTOCILL) 2GM ADDV* 636
50971786 ZYPREXA 2.5MG (olanzapine)(1/2 OF 5MG) 637
50971787 SIMVASTATIN (ZOCOR) 5MG TAB* 637
50971788 AMPICILLIN 2GM ADDV* 636
50971789 ROSUVASTATIN (CRESTOR) 5MG TAB* 637
50971790 busPIRone (BUSPAR) 5MG TABLET 637
50971791 FLUTICA/SALMETEROL (ADVAIR) 500/50 DISK 637
50971792 GLIMEPIRIDE 2MG (AMARYL) BTL 637
50971794 LIDOCAINE (LIDODERM) 5% PATCH 637
50971795 PAROXETINE 30MG (Paxil) 637
50971796 PROSED DS TAB (NON-FORMULARY DRUG) 637
50971797 TETanus/DIP/PERTUSSIS (ADACEL) 0.5ML PFS 636
50971798 MICONAZOLE (BAZA) 2% : 5 OZ TUBE CREAM 637
50971801 MUCINEX DM (GUAIFENESIN ER/DEXTRO) NF 637
50971802 GUAIFEN/PSEUDO (MUCINEX D) TAB: 600/60MG 637
50971803 METOPROLOL SUCC (TORPOL XL) 50MG TAB 637
50971804 SODIUM BICARB 4.2% INJ : 5ML 250
50971805 rOPINIRole (REQUIP) 0.5MG TAB 637
50971806 PANAFIL OINT UD (PAPAIN, UREA, CHLORO) 637
50971807 AMIODARONE 50MG (1/4 OF 200MG TAB) 637
50971808 NEULASTA (PEGFILGRASTIM) 6MG/0.6ML PFS 636
50971809 ACYCLOVIR 200MG (ZOVIRAX) (NON-FORM.) 637
50971811 METOPROLOL SUCC (TOPROL XL) 25MG TAB 637
50971813 METOPROLOL SUCC (TOPROL XL) 100MG TAB 637
50971814 TYGACIL (TIGECYCLINE) 50MG PWVL 636
50971817 ALBUTEROL (PROVENTIL) HFA 8GM MDI (ER)* 637
50971820 RIVASTIGMINE (EXELON) 4.6MG/24HR PATCH* 637
50971821 NEBIVOLOL (BYSTOLIC) 2.5MG TAB* 637
50971822 cefOXitin (MEFOXIN) 1GM PWVL 636
50971823 CARVEDILOL 6.25 MG TAB (COREG) - JKV 637
50971824 ATENOLOL 50 MG TAB (Tenormin)-JKV 637
50971825 INFED (IRON DEXTRAN) 100MG/2ML SDV* 636
50971826 PENICILLIN VK (PEN-VEE K) : 500MG TAB* 637
50971827 FEXOFENADINE 180MG BTL-VILLEGAS 637
50971828 MEDI PADS (TUCKS) 637
50971829 ANBESOL 637
50971830 OPIUM TINCTURE 10MG/ML: 0.6ML UD* 637
50971831 OSELTAMIVIR (TAMIFLU) SUSP SNS : 12MG/ML 637
50971832 PETROLATUM (WHITE) OINT : 30GM 637
50971835 CARVEDILOL 12.5MG TAB (COREG)-JKV 637
50971838 ULORIC (FEBUXOSTAT) 40MG TAB* 637
50971840 ORAGEL REGULAR STR GEL (BENZOCAINE 10%) 637
50971847 DYNACIRC CR 5MG TAB (ISRAPINDINE) NF 637
50971849 AMOXICILLIN (AMOXIL) 125MG/5ML 80ML BTL* 637
50971850 ACYCLOVIR 400MG (ZOVIRAX) (NON-FORM.) 637
50971852 ERAXIS: 100MG INJ (ANIDULAFUNGIN) N.F. 258
50971853 MORPHINE(ROXANOL) 5MG/0.25ML ORAL CONC* 637
50971854 CANOLA OIL 30ML 637
50971855 IBUPROFEN/PSEUDOEPHEDRINE 200MG/30MG NF 637
50971856 rOPINIRole (REQUIP) 1MG TAB 637
50971857 MORPHINE 10MG/ML-10ML MDV 258
50971858 MORPHINE 50MG/ML 50ML SDV 258
50971860 buPROPion XL (WELLBUTRIN XL) :300MG TAB* 637
50971861 GLIMEPIRIDE 1MG (AMARYL) 637
50971864 IPRATROP/ALBUTE (DUONEB) 0.5MG/2.5MG 3ML 637
50971865 VERAPAMIL ER (CALAN SR) 120MG TAB/CAP 637
50971866 DICLOFENAC (VOLTAREN) 1% 100GM GEL 637
50971868 RAMIPRIL (ALTACE): 1.25MG CAP* 637
50971869 OSELTAMIVIR (TAMIFLU) 75MG CAP 637
50971870 DICLOXACILLIN (DYNAPEN) 500MG CAP* 637
50971876 hydrALAZINE (APRESOLINE) 20MG/ML SDV 636
50971877 CLINDAMYCIN (CLEOCIN) 600MG/50ML PREMIX 636
50971878 SULFAMETHOX/TRIMETH 80MG-16MG/ML 30ML 250
50971880 CLOPIDOGREL (PLAVIX) 300MG TAB 637
50971882 ISOSORBIDE MONO (ISMO) 10MG TAB 637
50971884 norEPINEPHrine (LEVOPHED) 4MG/4ML SDV 250
50971885 BUPIVACAINE (MARCAINE) : 0.5% 10ML SDV 250
50971887 MEPIVACAINE (CARBOcaine) 2%: 20MG/ML SDV 250
50971888 Premarin vaginal CR (conj. estrogen)NF 637
50971890 hYDROcodone/APAP (NORCO) 7.5/325MG TAB 637
50971891 AMOX/CLAV (AUGMENTIN) 400MG/5ML 50ML* 637
50971892 dextrose 50% vial : 25gm/50ml 250
50971893 DOCOSANOL (ABREVA) 10% CREAM : 2GM 637
50971894 HEPARIN LOCK (PED) 10 UNITS/ML 5ML PFS 636
50971897 OCTREOTIDE (sandoATATIN) 500MCG/ML SDV* 250
50971898 DARBEPOETIN (ARANESP) 200MCG/0.4ML PFS 636
50971900 PHENYTOIN (DILANTIN) : 250MG/5ML SDV* 250
50971901 PHENYTOIN (DILANTIN) : 100MG/2ML SDV 258
50971903 levETIRAcetam (KEPPRA) 500MG/5ML SDV 636
50971904 DIGOXIN (LANOXIN) 0.5MG/2ML AMP 636
50971908 ENOXAPARIN (LOVENOX) 100MG/ML PFS 636
50971911 OXcarbazepine (TRILEPTAL) 150MG TAB 637
50971912 MAGNESIUM 1GM/100ML D5W PREMIX BAG 636
50971913 Barrier Ring (Hollister) 7805 - NF 250
50971915 WAFER 413183 (CONVATEC) NF 250
50971916 CONVATEC EAKIN COHESIVE SEALS (NF) 250
50971917 CONVATEC ALLKARE ADHESIVE REMOVER WIPES 250
50971918 CONVATEC ALLKARE BARRIER WIPES (NF) 250
50971919 CONVATEC STOMAHESIVE POWDER (NF) 250
50971920 dilTIAZem (CARDIZEM) 30MG TAB 637
50971921 ePINEPHrine (EPI PEN) AUTO-INJ 0.3MG 636
50971922 OSTOMY BAG HOLLISTER 8460 (NF) 250
50971923 DENOSUMAB (PROLIA) 60MG/ML PFS 636
50971924 SYSTANE ULTRA EYE DROPS 15ML(NON-FORM) 637
50971925 CLINDAMYCIN VIAL: 600MG (CLEOCIN) 258
50971928 PILL CRUSHERS (MEDSURG STOCK) 637
50971933 CLINDAMYCIN 900MG/6ML (CLEOCIN) VIAL 258
50971936 EPOETIN ALPHA (PROCRIT) 20,000 UNITS/ML 636
50971940 HEPARIN-0.45% NACL 25,000 UNITS/250 ML 636
50971942 LIDOCAINE (XYLOCAINE) 2% 2ML SDV 250
50971943 ETOMIDATE(AMIDATE) 20MG/10ML 2MG/ML SDV 250
50971944 AZTREONAM (AZACTAM) 1GM PWVL 636
50971946 ARANESP (DARBEPOETIN) 300MCG/0.6ML PFS* 636
50971947 ACTOPLUS MET 15MG-850MG (N.F.) 637
50971950 PHCY CMPD-NYSTATIN/TMC/SILVADENE 250
50971951 LOSARTAN (COZAAR) 25MG TAB 637
50971956 MORPHINE ORAL CONC 3MG/0.15ML CHG/DOSE 637
50971958 LIDOCAINE MPF 1% STERILE PAK 10ML* 250
50971959 XYLOCAINE MPF 2% STERILE PAK: 10ML 250
50971960 Zicam Rapid Melt Tabs (Zinc) 637
50971965 CLINDAMYCIN (CLEOCIN) 300MG/50ML PREMIX 636
50971966 PROPRANOLOL (INDERAL) : 10MG TAB* 637
50971967 PIPERACIL/TAZ2.25GM VIAL (Zosyn) 258
50971968 PIPER-TAZO (ZOSYN) 3.375GM/100ML NS ADDV 250
50971970 PANTOPRAZOLE (PROTONIX) 40MG GRANULES 637
50971972 DOBUTamine (DOBUTREX) : 250MG/20ML SDV 636
50971973 NEBIVOLOL (BYSTOLIC) : 10MG TAB* 637
50971974 BROMFENAC(XIBROM) 0.09%: 1.7ML OPHT SOLN 250
50971979 SYNTHROID 0.112MG (BRAND NAME) 637
50971980 CARB/LEVODOPA IR (SINEMET) 25-250MG TAB 637
50971981 SUCRALFATE (CARAFATE) 1GM/10ML UD 637
50971983 CLINDAMYCIN (CLEOCIN) 900MG/50ML PREMIX* 636
50971984 COLCHICINE (COLCRYS) 0.6MG TAB/CAP 637
50971985 DEXT 5% / LACTATED RINGER IV: 1000ML 258
50971987 PHENYTOIN (DILANTIN) 125MG/5ML SUSP* 637
50971989 PROSTAT 15GM LIQ 637
50971990 GAMMAGARD (IMMUNE GLOBULIN) 10% 20GM 636
50971991 AMIODARONE (CORDARONE) 150MG/3ML SDV 636
50971994 HEALTHYLAX 17GM PACKETS 637
50972000 RIVAROXABAN (XARELTO) 10MG TAB 637
50972002 FENOFIBRATE (TRICOR) 160MG TAB* 637
50972003 methIMAzole (TAPAZOLE) 10MG TAB 637
50972004 LIPASE/PROTEASE/AMYLASE (CREON) CAPSULE* 637
50972006 EPOETIN ALFA (PROCRIT) 10,000 UNITS/ML 636
50972007 LABETOLOL (TRANDATE) 100MG TAB 637
50972009 SUMATRIPTAN (IMITREX) : 100MG TAB 637
50972010 FAMICICLOVIR (FAMVIR) : 250MG TAB* 637
50972011 busPIRone (BUSPAR) 10MG TABLET* 637
51000000 SEAT ATTACHMENT FOR WALKER 290
51000001 ENHANCEMENT ACCESSORY FOR WALKER 290
51000002 NEBULIZER WITH COMPRESSOR 290
51000003 NEBULIZER WITH COMPRESSOR (RENTAL) 290
51000005 CERVICAL TRACTION (PRONEX-PURCHASE) 290
51000006 SACROILIAC BRACE 290
51000007 KNEE ORTHOSIS ADDITION 290
51000008 COLD PACK-SMALL 290
51000009 COLD PACK-LARGE 290
51000010 HEEL CUPS 290
51000011 THUMB SPLINT-WRAP-CMC 290
51000012 KNEE BRACE PATELLA STABILIZER 290
51000013 ANKLE SUPPORT-LACEUP STABILIZING 290
51000014 ANKLE SUPPORT-GEL 290
51000015 CERVICAL TRACTION (SAUNDERS-HOMETRAC) 290
51000016 THUMB SPICA SPLINT 290
51000017 WRIST SPLINT-CTS OR COCK-UP 290
51000018 POSITION HAND SPLINT-ORTHOSIS 290
51000019 POSITION HAND SPLINT(LYNX WHFO) 290
51000020 ANKLE WALKER (CAM) 290
51000021 WALKER-WHEELED(RENTAL PER MONTH) 290
51000022 TENNIS ELBOW SUPPORT 290
51000023 TENS UNIT 290
51000024 NIGHT SPLINT-PLANTAR FASCIITIS 290
51000025 NEBULIZER SUPPLIES 290
51000026 CATHETER 2WAY 22FR 290
51000028 KNEE BRACE (HINGED) 290
51000029 NEBULIZER,MOUTHPIECE,TUBING 290
51000030 WALKER-FOLDING (NO WHEELS) 290
51000031 KNEE SUPPORT 290
51000032 ANKLE WALKER WITH AIR 290
51000033 WALKER 4 WHEELED HEAVY DUTY 290
51000034 POSTERIOR LEAF SPLINT (AFO) 290
51000035 CAST PROTECTOR SHORT LEG 290
51000036 KNEE STABILIZER 290
51000037 KNEE RANGER II 290
51000038 TRACTION UNIT-OVERDOOR 290
51000039 KNEE BRACE ACTION 290
51000040 WALKER 4-WHEELED 290
51000041 KNEE STRAP 290
51000042 TUB TRANSFER BENCH 290
51000043 CRUTCHES-FOREARM (PAIR) 290
51000045 KNEE BRACE-PATELLA SUPPPORT 290
51000050 CONVATEC 22771 ONE PIECE DRAINABLE POUCH 290
51000051 CONVATEC 125260 TWO PIECE FEXIBLE BARRIE 290
51000052 CONVATEC 401513 TWO PIECE DRAINABLE POUC 290
51000053 KNEE BRACE EVERYDAY 290
51000054 BACK SUPPORT W/COMP. STRAPS 290
51000055 BACK SUPPORT 270
51000056 KNEE BRACE-REDDIE 270
51000057 ANKLE SUPPORT-V-LOCK STABILIZING 290
51000060 KNEE BRACE-ACL SHORT-LG/L 290
51000061 HAND FLEXSION GLOVE 290
51000062 SPLINT-HAND-IN-LINE 290
51000063 KNEE BRACE WEEKENDER 290
51000064 WRIST SUPPORT-LMB 290
51000065 ANKLE SUPPORT-STRAP 290
51000066 THUMP SPLINT 290
51000067 PATELLAR STRAP 290
51000068 SPLINT-HAND-ULNAR-MED./R 290
51000069 KNEE BRACE-PLAYMAKER 290
51000070 SHOULDER BRACE-DORSAL VEST 290
51000071 IMMOBILIZER SHOULDER-POSTURE 290
51015111 CEFTIN 125MG/5ML 100ML* 250
51257440 HALOPERIDOL 0.5 MG 250
51329310 HYDROCORTISONE 2.5% 30G* 637
51915127 OPTIPRANOLOL 0.3% OPHT 250
54000001 LAP CHOLECYSTECTOMY 975
54000002 LAP CHOLE WITH CHOLANGIOGRAM 975
54000003 NEW OFFICE VISIT 2, STRAIGHTFORWARD -PC 983
54000004 NEW OFFICE VISIT 3, LOW MDM -PC 983
54000005 NEW OFFICE VISIT 4, MODERATE MDM -PC 983
54000006 NEW OFFICE VISIT 5, HIGH MDM -PC 983
54000007 EST OFFICE VISIT 2, STRAIGHTFORWARD -PC 983
54000008 EST OFFICE VISIT 3, LOW MDM -PC 983
54000009 EST OFFICE VISIT 4, MODERATE MDM -PC 982
54000010 EST OFFICE VISIT 5, HIGH MDM -PC 983
54000016 INPATIENT CONSULT, PROBLEM FOCUSED 988
54000017 IP or OBS CONSULT, STRAIGHTFORWARD 988
54000018 IP OR OBS CONSULT, LOW 988
54000019 IP or OBS CONSULT, HIGH 988
54000020 INPATIENT CONSULT, COMPR, HIGH 988
54000021 LAP CHOLE WITH COMMON DUCT EXPLORATION 975
54000022 LAP APPENDECTOMY 975
54000023 GASTROINTESTINAL ENDOSCOPY 975
54000024 GASTROINTESTINAL ENDOSCOPY WITH BIOPSY 975
54000025 GASTROINTESTINAL ENDOSCOPY W/ INJECTION 975
54000026 COLONOSCOPY, SINGLE OR MULTIPLE 975
54000027 COLONOSCOPY, REMOVAL BY FORCEPS, CAUTERY 975
54000028 LAPAROSCOPY, DIAGNOSTIC 975
54000029 LAPAROSCOPY, TUBAL LIGATION 975
54000030 LAPAROSCOPY, TUBAL LIG W OOPHORECTOMY,SA 975
54000031 LAPAROSCOPY, ECTOPIC PREGNANCY 975
54000032 LAPAROSCOPY, HERNIA REPAIR, INITIAL INGU 975
54000033 LAPAROSCOPY, HERNIA REPAIR, REC INGUINAL 975
54000034 COLECTOMY, PARTIAL WITH ANASTOMOSIS 975
54000035 COLECTOMY, TOTAL, ABDOMINAL 975
54000036 COLECTOMY, TOTAL, ABDOMINAL W PROTECTOMY 975
54000037 COLECTOMY, PARTIAL W REMOVAL OF TERM ILI 975
54000038 TOTAL HYSTERECTOMY 975
54000039 TAH, MARSHALL-MARCHETTI 975
54000040 TAH, WITH PARTIAL VAGINECTOMY 975
54000041 VAGINAL HYSTERECTOMY W REMOVAL OF TUBES, 975
54000042 CHOLECYSTECTOMY 975
54000043 CHOLECYSTECTOMY W CHOLANGIOGRAM 975
54000044 CHOLECYSTECTOMY W EXPLORATION OF COMM D 975
54000045 VENTRAL HERNIA REPAIR, REDUCIBLE 975
54000046 VENTRAL HERNIA REPAIR, INCARCERATED 975
54000047 VENTRAL HERNIA REPAIR, RECURRENT REDUCIB 975
54000048 VENTRAL HERNIA REPAIR, RECURRENT INCARCE 975
54000049 OPEN INGUINAL HERNIA REPAIR, INITIAL 975
54000050 INGUINAL HERNIA REPAIR, INT INCARCERATED 975
54000051 INGUINAL HERNIA REP, RECURRENT REDUCIBLE 975
54000052 INGUINAL HERNIA REP, RECURR INCARCERATED 975
54000053 NEUROPLASTY MEDIAL NERVE CARPAL TUNNEL 975
54000054 RELEASE OF TRIGGER FINGER 975
54000055 D&C 975
54000056 INSERTION OF INFUSION PORT 975
54000057 HEMORRHOIDECTOMY - PPH 975
54000058 HEMORRHOIDECTOMY - SIMPLE 975
54000059 HEMORRHOIDECTOMY - COMPLEX 975
54000060 TEMPORAL ARTERY BIOPSY 975
54000061 EXCISION BENIGN LESION 0.5 CM OR LESS 975
54000062 EXCISION BENIGN LESION 0.5cm OR LESS 975
54000063 EXCISION MALIGNANT LESION < .50 CM 975
54000064 EXCISION MALIGNANT LESION SCALP, NECK, 975
54000065 EXCISION MALIGNANT LESION, FACE, EARS, 975
54000066 I AND D ABSCESS 975
54000067 INCISION DRAINAGE OF PILONIDAL CYST, SIM 975
54000068 FOREIGN BODY REMOVAL, SIMPLE 975
54000069 AMPUTATION, LEG AT THIGH 975
54000070 AMPUTATION, BELOW KNEE 975
54000071 DEBRIDMENT CLOSURE DECUBITIS 975
54000072 WOUND REPAIR 2.5 CM OR LESS 975
54000073 WOUND REPAIR, COMPLEX, 1.1 CM TO 2.5 CM 975
54000074 EXCISION PILONDIAL CYST 975
54000075 EXCISION PILONDIAL CYST, EXTENSIVE 975
54000076 EXCISION PILONDIAL CYST, COMPLICATED 975
54000078 ABDOMINAL PARACENTESIS, INITIAL 975
54000079 ABDOMINAL PARACENTESIS, SUBSEQUENT 975
54000080 HIP ORIF 975
54000081 OPEN REDUCTION TROCHANTERIC FRACTURE WIT 975
54000082 MASTECTOMY FOR GYNECOMASTIA 975
54000083 MASTECTOMY, PARTIAL 975
54000084 MASTECTOMY, SIMPLE, COMPLETE 975
54000085 MASTECTOMY, MODIFIED RADICAL 975
54000086 MASTECTOMY, RADICAL 975
54000087 VASECTOMY 975
54000088 COLONOSCOPY, REMOVAL OF TUMOR, SNARE 975
54000090 GASTROSTOMY TUBE CHANGE 975
54000091 APPENDECTOMY 975
54000092 ESOPHAGOGASTRODUODENOSCOPY FEX 975
54000094 UMBILICA HERNIA REP, INCARC OR STRANGU 975
54000095 COLONOSCOPY 975
54000096 REMOVAL OF SKIN TAGS 975
54000097 EXCISION BENIGN LESION 1.1 TO 2.0CM 975
54000099 UMBILICAL HERNIA REPAIR - REDUCIBLE 975
54000101 COLONOSCOPY FLEX W/BAND LIGATIONS 975
54000105 BIOPSY, BY NEEDLE, SUPERFICIAL 975
54000106 INJECTION, SINGLE OR MULT TRIGGER, 975
54000107 INJECTION, ILIOINGUINAL, ILIOHYPOGASTRIC 975
54000108 I & D ABSCESS, COMPLICATED 975
54000109 FINE NEEDLE ASPIRATION, NO IMAGING GUIDA 975
54000110 EXCISION, MALIGNANT LESION, .6CM - 1.0CM 975
54000111 EGD WITH BIOPSY (SINGLE OR MULTIPLE) 975
54000112 GASTROSTOMY TUBE REPLACEMENT 975
54000113 DESTRUCTION, PREMALIGNANT LESIONS, FIRST 975
54000114 HEMORRHOIDECTOMY, BY SIMPLE LIGATURE 975
54000115 ESOPHAGOSCOPY, W TRANSENDOSCOPIC TUBE 975
54000116 COLORETAL CANCER SCREENING NO HIGH RISK 975
54000117 COLORETAL CANCER SCREENING HIGH RISK PT 975
54000119 COLONOSCOPY, FLEX, W/ ABLATION OF TUMOR, 975
54000120 EXCISION BENIGN LESION 2.1 TO 3.0 CM 975
54000121 DEBRIDMENT REMOVAL OF FOREIGN BODY;SKIN 975
54000122 BIOPSY, MUSCLE; DEEP 975
54000124 INJECTION, METHYLPREDNISOLONE ACET 40 MG 975
54000125 SHAVING OF LESION, TRUNK, .6 TO 1.0 CM 975
54000126 SHAVING OF LESION, FACE, 0.5 CM OR LESS 975
54000127 Initial IP or OBS care, level 1 987
54000128 PUNCTURE ASPIRATION, ABSCESS, HEMATOMA 975
54000129 EXCISION BENIGN LESION 0.6CM TO 1.0CM 975
54000130 ARTHROCENTECIS, ASPIRATION OR INJ, JOINT 975
54000132 EXCISION, BENIGN LESION, 0.6 CM - 1.0 CM 975
54000133 EXCISION, BENIGN LESION, 3.1 CM - 4.0 CM 975
54000134 ANOSCOPY, DIAGNOSTIC 975
54000135 IMPLANTATION OF MESH FOR HERNIA REPAIR 975
54000136 Subsequent IP or OBS care, level 1 987
54000137 SPHINCTEROTOMY, ANAL, DIVISION OF SPHINC 975
54000138 EXCISION, INCL SCALP, OTHER .6CM - 1.0CM 975
54000140 EXCISION BENIGN LESION 3.1 TO 4.0 CM 975
54000141 EXCISION, OTHER BENIGN, 1.1CM - 2.0 CM 975
54000142 INSERT CENTRAL VENOUS CATHETER, > 5 YRS 975
54000143 LAYER CLOSURE OF WOUND, 2.5 CM OR LESS 975
54000144 SIGMOIDOSCOPY, FLEXIBLE, W BIOPSY 975
54000145 BIOPSY OR EXCISION OF LYMPH NODES;OPEN 975
54000146 PROCTOSIGMOIDOSCOPY; W BIOPSY 975
54000147 LAYER CLOSURE OF WOUND, 20.1 - 30.0 CM 975
54000148 DESTRUCTION OF HEMORRHOIDS, INTERNAL 975
54000149 BIOPSY OF BREAST, PERCUTANEOUS 975
54000150 DILATION OF ESOPHAGUS 975
54000151 INSERT CENTRAL VENOUS CATHETER, => AGE 5 964
54000152 EXCISION, BENIGN LESION, 0.6 - 1.0 CM 975
54000153 NURSING FACILITY CARE, SUBSEQUENT, LEV 3 960
54000154 REMOVAL, IMPLANTABLE CONTRACEPTIVE CAPSU 975
54000155 EXCISION, BENIGN LESION, 1.1 - 2.0 CM 975
54000156 EXPLORATORY LAPAROTOMY, W OR W/O BIOPS 975
54000157 ENTEROTOMY, SMALL INTESTINE, EXC DUODEND 975
54000158 EXCISION BENIGN LESION OVER 4 CM 975
54000159 UNLISTED PROCEDURE, MALE GENITAL SYSTEM 975
54000160 PUNCTURE ASPIRATION OF HYDROCELE 975
54000161 INJECTION, SUBCUTANEOUS OR IM 940
54000162 EXC MAL LESION TRUNK 2.1 TO 3.0 CM 975
54000163 EXC MAL LESION SCALP NECK 1.1 TO 2.0 CM 975
54000164 THORACOSTOMY TUBE 975
54000165 INSERTION CENTRAL VENOUS ACCESS OVER 5 975
54000166 I & D EPIDIDMYIS TESTES SCROTAL SPACE 975
54000167 FLUOROSCOPIC GUIDANCE CENTRAL VENOUS 975
54000168 UPPER GI ENDOSCOPY WITH REMOVAL OF TUMOR 975
54000169 BIOPSY MUSCLE SUPERFICIAL 975
54000170 INSERTION NON-INDWELLING BLADDER CATHE 975
54000171 INSERTION OF PICC 5 YRS OR OLDER 975
54000172 EXCISION OF BREAST CYST 1 OR MORE LESION 975
54000173 FITTING/INSERTION OF PESSARY 975
54000174 SMALL INTESTINE ENDOSCOPY WITH BIOPSY 975
54000175 I AND D BARTHOLINS ABSCESS 975
54000176 ILEOSCOPY 975
54000177 PROCTO, RIGID 975
54000178 CLOSURE OF ENTEROSTOMY 975
54000179 CLOSURE OF ENTEROSTOMY WITH RESECTION 975
54000180 ENTEROLYSIS 975
54000181 REOPENING OF RECENT LAPAROTOMY 975
54000182 EXCISION BENIGN LESION OVER 4 CM FACE EA 975
54000183 UPPER GI ENDOSCOPY W/REMOVAL OF FB 975
54000184 DISCHARGE DAY MANAGEMENT 975
54000185 DISCHARGE DAY MANAGEMENT 975
54000186 EXCISION, BENIGN LESION, 2.1 TO 3.0 CM 975
54000187 CIRCUMCISION OLDER THAN 28 DAYS 975
54000188 REMOVAL CENTRAL VENOUS DEVICE 975
54000189 REMOVAL CENTRAL VENOUS DEVICE W/O PORT 975
54000190 DESTRUCTION BENIGN LESIONS UP TO 14 LESI 975
54000191 APPLICATION OF UNNA BOOT 975
54000193 EXC MAL LESION TRUNK 1.1 TO 2.0 CM 975
54000194 EXCISION BARTHOLINS CYST OR GLAND 975
54000195 REMOVAL CENTRAL VENOUS DEVICE 975
54000196 EXCISION TUMOR ABDOMINAL WALL SUBFASCIAL 975
54000197 I AND D ISCHIORECTAL/PERIRECTAL ABSCESS 975
54000198 UNLISTED E AND M SERVICE 975
54000199 LAP REPAIR INC HERNIA INCARCERATED 975
54000200 IRRIGATION IMPLANTED VENOUS ACCESS DEVIC 975
54000201 REPAIR FEMORAL HERNIA REDUCIBLE 975
54000202 INGUINAL HERNIA REPAIR, INT INCARCERATED 975
54000203 LAP UMBILICAL HERNIA REPAIR INCARCERATED 975
54000205 NURSING FACILITY VISIT SUBSEQUENT 975
54000207 INITIAL OBSERVATION CARE 982
54000208 AVULSION OF NAIL PLATE PARTIAL OR COMPLE 975
54000212 REMOVAL FOREIGN BODY PELVIS OR HIP SUBCU 975
54000213 LIVER BIOPSY DONE IN ADDITION TO PROC 975
54000214 SIGMOIDOSCOPY FLEXIBLE DIAGNOSITC 975
54000215 TUBAL LIGATION UNILATERAL OR BILATERAL 975
54000217 EXC MAL LESION FACE 0.6 TO 1.0 CM 975
54000218 REPAIR COMPLEX TRUNK 2.6CM TO 7.5 CM 975
54000219 REPAIR COMPLEX TRUNK EC ADD 5CM OR LESS 975
54000221 EXC OF GANGLION, WRIST DORSAL OR VOLVAR 975
54000222 NURSING HOME VISIT INITIAL 975
54000223 LAP CHOLECYSTECTOMY 975
54000224 EXC TUMOR FOREARM LESS THAN 3 CM 975
54000225 Treat broken hand 983
54000226 EXC NEUROFIBROMA CUTANEOUS NERVE 975
54000227 EXC LESION 3.1 TO 4.0 CM 975
54000230 AVULSION OF NAIL PLATE EA ADDTL NAIL 987
54000232 SCHOOL CAMP OR SPORTS PHYSICAL 987
54000234 AMPUTATION TOE METATARSOPHALANGEAL 987
54000236 INJ, SUBCU OR IM, DIAGNOSTIC OR THERAPEU 975
54000238 EMERGENCY DEPT VISIT EXPANDED 975
54000240 MASTOTOMY 975
54000242 NURSING FACILITY VISIT SUBSEQUENT 975
54000244 WELL CHECK INITIAL UP TO ONE YEAR 975
54000245 WELL CHECK INITIAL ONE YEAR TO FOUR YEAR 975
54000246 WELL CHECK INITIAL 5 YEARS TO 11 YEARS 975
54000247 WELL CHECK INITIAL12 YEARS TO 17 YEARS 975
54000248 WELL CHECK INITIAL18 YEARS TO 39 YEARS 975
54000249 WELL CHECK INITIAL 40 YRS THRU 64 YRS 975
54000250 WELL CHECK INITIAL 65 YRS AND OLDER 975
54000251 WELL CHECK EST UP TO ONE YR 975
54000252 WELL CHECK EST 1 YR THRU 4 YRS 975
54000253 WELL CHECK EST 5 YRS THRU 11 YRS 975
54000254 WELL CHECK EST12 YRS THRU 17 YRS 975
54000255 WELL CHECK ESTAB 18 YRS THRU 39 YRS 975
54000256 WELL CHECK ESTAB 40 YRS THRU 64 YRS 975
54000257 WELL CHECK ESTAB 65 YRS AND OLDER 975
54000258 EXC TUMOR ABD WALL 3 CM OR GREATER 975
54000259 Closure of enterostomy 975
54000260 INCISION EXT THROMBOSED HEMORRHOID 975
54000262 EXC MAL LESION TRUNK 3.1 CM TO 4.0 CM 975
54000264 APPLICATION SPLINT ANKLE OR FOOT 975
54000266 EMERGENCY DEPT VISIT DETAILED 975
54000268 SMOKING CESSATION UP TO 10 MINUTES 975
54000270 SHAVING OF LESION TRUNK 0.5 CM OR LESS 975
54000271 PARING BENIGN LESION 2 TO 4 LESIONS 975
54000273 SCREENING PAP SMEAR 923
54000274 EXC MAL LESION OVER 4 CM 975
54000280 FOREIGN BODY REMOVAL FOOT SUBCUTANEOUS 975
54000288 IP or OBS care, one day stay, level 1 987
54000294 ADMINISTRATION FLU VAC 771
54000296 ADMINISTRATION PNE VACCINE 987
54000298 EXPLORATION PENETRATING WOUND EXTREMITY 987
54000300 NURSING FACILITY CARE 987
54000302 SMOKING CESSATION INTENSIVE OVER 10 MINU 987
54000304 REPOSITION PLACED CENTRAL VENOUS CATH 987
54000306 FLUOROSCOPY SEPARATE PROCEDURE ONE HR 987
54000308 NURSING FACILITY DISCHARGE MANAGEMENT 987
54000310 SHAVING OF LESION TRUNK OVER 2 CM 987
54000312 ALLERGY INJECTIONS TWO OR MORE 987
54000314 ULTRASONIC GUIDANCE FOR NEEDLE PLACEMENT 987
54000316 EMERGENCY DEPARTMENT VISIT COMPREHENSIVE 987
54000318 SHAVING LESION SCALP NECK 0.5 CM OR LESS 987
54000320 EXC BENIGN LESION SCALP OVER 4.0 CM 987
54000321 EXC BENIGN LESION TRK ARM LEG OV 4.0 CM 987
54000324 DISCHARGE MGMT OBSERVATION 982
54000326 SHAVING SKIN LESION 1.1-2.0 CM 987
54000328 ENTERECTOMY WITH ANASTOMOSIS 987
54000330 EXC MAL LESION FACE 1.1 TO 2.0 CM 987
54000332 INSERTION OF IUD 987
54000333 Remove drug delivery unit 975
54000338 WET MOUNT 309
54000340 MIRENA 52 MG 987
54000344 1/2% MARCAINE 10 ML 250
54000346 EPOETIN ALFA 1000 ML 987
54000348 EXC TUMOR ABD WALL 5 CM OR GREATER 987
54000350 DILATION OF ESOPHAGUS WITH BALLOON 975
54000351 EXC LESION TENDON SHEATH OR JOINT CAP 975
54000354 NURSING HOME INIT VISIT COMPREHENSIVE 987
54000356 DEBRIDEMENT BONE FIRST 20 SQ CM OR LESS 987
54000358 SPORTS PHYSICAL 987
54000360 I AND D ABSCESS VULVA 987
54000362 EXC NAIL OR NAIL MATRIX PARTIAL OR COMPL 987
54000364 DEBRIDEMENT OPEN WOUND 20 SQ CM OR LESS 987
54000366 DECLOTTING OF DEVICE OR CATHETER BY THRO 987
54000370 IMMUNIZATION ADMINISTRATION 771
54000372 INJECTION PUDENDAL NERVE 987
54000374 DESTRUCTION PREMALIGNANT LESION 2-14 LES 987
54000376 INCISIONAL BREAST BIOPSY 987
54000378 ELECTRODESICCATION ANAL LESION 987
54000380 REPAIR WOUND INTERMEDIATE 2.5 CM OR LESS 987
54000384 INJECTION TRIAMCINOLONG ACETONIDE 10 MG 987
54000386 INJECTION BUPIVICAINE HYDROCHLORIDE 987
54000388 WELL EXAM ESTABLISHED PATIENT 983
54000392 NURSING HOME VISIT COMPREHENSIVE 987
54000394 URINALYSIS DIP NON-AUTOMATED 307
54000396 REMOVAL IMPACTED CERUMEN 987
54000398 OCCULT BLOOD 987
54000400 WELL EXAM NEW PATIENT 987
54000404 SOLUMEDROL 40 MG 987
54000406 SUTURE REMOVAL BY OTHER MD 987
54000408 URINE PREGNANCY TEST 987
54000410 TDAP VACCINE 7 YEARS OR OLDER 250
54000412 INJ CEFTRIAXONE PER 250 MG 987
54000416 INITIAL PREVENTATIVE PHYSICAL EXAM 770
54000418 SHAVING LESION SCALP HANDS 0.6 CM TO 1.0 987
54000420 PNEUMONIA VACCINE 987
54000422 VACCINE ADMIN EA ADDTL 771
54000424 MEDICARE WELL WOMAN EXAM 770
54000432 ADMINISTRATION HEP B VACCINE 987
54000434 VITAMIN B 12 UP TO 1000 MCG 987
54000436 SPLINT LONG LEG 975
54000438 HPV VACCINE 987
54000440 CYTOPATHOLOGY CERVICAL OR VAGINAL 987
54000442 HPV AMPLIFIED PROBE TECHNIQUE 987
54000444 PATHOLOGY LEVEL IV 987
54000446 MENINGITIS VACCINE 987
54000448 VARICELLA VACCINE 987
54000450 SOLUMEDROL 80 MG 987
54000452 GLUCOSE BLOOD TEST 987
54000458 PARING BENIGN SINGLE LESION 975
54000462 SCREENING CYTOPATHOLOGY 770
54000464 NEBULIZER TREATMENT 770
54000468 ALBUTEROL SOLUTION 987
54000472 TD VACCINE 7 YEARS OR OLDER 987
54000480 HEMOGLOBIN 987
54000482 URINALYSIS DIP AUTOMATED 300
54000484 PREGNANCY TEST AUTOMATED 300
54000500 SCHOOL CAMP OR SPORTS PHYSICAL 987
54000501 COLONOSCOPY, FLEX W/DIRECT SUB INJEC 975
54000502 COLONOSCOPY, STOMA W/BIOPSY SNG/MUL 975
54000503 SMALL INTESTINE ENDOSCOPY 975
54000504 COLONOSCOPY, STOMA W/DIR SUBMUC INJEC 975
54000505 COLONOSCOPY THROUGH STOMA; DIAGNOSTIC 975
54000506 Scope exam of anus or rectum 975
54000507 Remove skin tag near anus 975
54000508 Remove noncancerous growth 3.1-4.0 cm 975
54000530 Skin substitute graft 975
54000600 RPR INTERMEDIATE 2.6 TO 7.5 CM 981
54000601 EXCISION LESION OF SPERMATIC CORD 975
54000602 EXCISION TUMOR SUBQ 3CM OR GREATER 975
54000603 EXC BEN LES TRUNK ARMS LEGS 1.1 TO 2.0 C 975
54000604 EXCISION, BENIGN LESION 975
54000605 ANORECTAL EXAM SURGICAL REQ ANESTHESIA 975
54000606 FISTULOTOMY 975
54000607 PLACEMENT OF SETON 975
54000608 PROSTATE GLAND BIOPSY 975
54000609 HYSTEROSCOPY D & C 975
54000610 INSERTION OF IUD 975
54000611 PLACEMENT OF SETON 975
54000612 HYSTEROSCOPY SURG WITH BIL FALLOPIAN 975
54000613 EXC BENIGN LESION TRK ARM LEG 2.1 TO 3CM 987
54000614 ASPIRATION OR INJ JOINT W/O ULTSD GUIDE 975
54000615 ASPIRATION OR INJ JOINT W ULSD GUIDANCE 975
54000616 INSERTION NEXPLANON 975
54000617 ARTHROSCOPY KNEE SURG W/MENISCECTOMY 975
54000618 NEUROPLASTY ULNAR NERVE ELBOW 975
54000619 HEMORRHOIDECTOMY INT & EXT 2 OR MORE GRP 975
54000620 ARTHROSCOPY SHOULDER W/ROTATOR CUFF REP 975
54000621 ARTHROSCOPY SHOULDER DECOMPRESSION SUB 975
54000622 ARTHROSCOPY SHOULDER EXT DEBRIDE 975
54000623 ARTHROPLASTY KNEE TOTAL 975
54000624 BIOPSY ENDO ANY METHOD 975
54000625 ARTHROPLASTY KNEE 1ST ASSIST 975
54000626 COLPOSCOPY CERVIX W BIOPSY 975
54000627 LAPAROSCOPY, HERNIA VENTRAL REP 975
54000628 CYSTOURETHROSCOPY 975
54000629 CHROMOTUBATION OF OVIDUCT 975
54000630 ARTHROSCOPY SHOULDER W/LYSIS & RESEC 975
54000631 MANIPULATION ANES SHOULDER JOINT 975
54000632 GASTRORRHAPHY 975
54000633 EXC THROMBOSED HEMORRHOID EXT 975
54000634 ARTHROSCOPY KNEE SURG LOOSE BODY 975
54000635 ENDOSCOPY W/BIOP CERVIX & ENDOCERVICAL 975
54000636 COLPOSCOPY CERVIX INC UPPER/ADJ VAGINA 975
54000637 ENDOSCOPY W/ENDOCERVICAL CURETTAGE 975
54000638 ENDOSCOPY W/BIOPSY OF CERVIX 975
54000639 INSERTION PESSARY 975
54000640 LAPAROSCOPY REP INC HERNIA W/MESH 975
54000641 GASTROSTOMY OPEN W/O CONSTR GASTRIC TUBE 975
54000642 Surgical removal of the umbilicus 975
54000643 Knee arthroscopy with meniscus repair 975
54000644 Arthroscopic ACL Repair 975
54000645 HYSTEROSCOPY; LYSIS OF ADHESIONS 975
54000646 LAP; REMOVAL LESIONS OF OVARY, PELVIC VI 975
54000647 Removal of implant; deep 975
54000648 Excision, olecranon bursa 975
54000649 Manipulation of knee joint w/gen anesth 975
54000650 Anorectal EUA; diagnostic 975
54000651 Shouldr arthroscopy;distl claviculectomy 975
54000652 Arthroscopic ACL Repair 1st Assist 975
54000653 Knee scope; debridement/chondroplasty 975
54000655 Knee scope; debridement/chondroplasty 975
54000656 Autologous chondrocyte implantation knee 975
54000657 Shoulder scope; biceps tenodesis 975
54000658 Shoulder scope; biceps tenodesis -assist 975
54000660 Open treatment of metacarpal fracture 975
54000661 Repair anterior abd hernia, initial 975
54000662 Reconstruct torn knee ligament 975
54000663 Reconstruct torn knee ligament 975
54000664 ARTHROSCOPY SHOULDER EXT DEBRIDE ASSIST 975
54000665 Shouldr arthroscopy; distl clavice assis 975
54000666 ARTHROSCOPY SHOULDER DECOMP ASSIST 975
54000667 ARTHROSCOPY RTC REPAIR ASSIST 975
54000668 ARTHROSCOPY HIP W/LABRAL RPR ASSIST 975
54000669 EXCISE WRIST GANGLION RECURRENT 975
54000700 Bladder stone destruction; < 2.5 cm 975
54000701 Cystourethroscopy, with biopsy(s) 975
54000702 Cystourethroscopy 975
54000703 Aspiration of bladder 975
54000704 CYSTO W/INSERT OF INDWELLING STENT 975
54000705 Enlarge interior of intestines 975
54000706 Scope exam of urinary tract 975
54000707 Hernia repair surgery 975
54000708 Hernia repair surgery - ASSIST 975
54000709 Hemorrhoid procedure 975
54000711 Scope exam of stomach 975
54000712 Intestinal exam (colonoscopy) 975
54000713 Shoulder surgery with a scope 975
54000800 Bx/Excise inguinofemoral nodes 975
54000801 Bx/Excise inguinofemoral nodes ASSIST 975
54000803 Hernia repair surgery ASSIST 975
54000804 Remove torn knee cartilage 975
54000805 Remove torn knee cartilage ASSIST 975
54000806 Drain cyst near tailbone 975
54000807 Imaging of digestive tract - GL 982
54000808 Imaging of digestive tract - PC S&I 982
54000809 IMAGING OF DIGESTIVE TRACT - TC 750
54000810 Remove knee joint lining ASSISTANT 975
54000811 Shoulder surgery with scope ASSISTANT 975
54000812 Shoulder replacement surgery 975
54000813 Shoulder replacement surgery ASSISTANT 975
54000814 Remove urinary stones 975
54000815 Remove abdominal growth 975
54000816 Scope exam of stomach or bowel 975
54000817 Remove object from bladder 975
54000818 Remove knee joint linning 975
54000819 Repair muscle or tendon in upper arm 975
54000820 Remove urinary stones 975
54000821 Prostate surgery 975
54000823 Hernia repair surgery - ASSIST 975
54000824 Corrective surgery on leg bone 975
54000825 Corrective surgery on leg bone ASSIST 975
54000826 Kneecap surgery 975
54000827 Kneecap surgery ASSIST 975
54000828 Immobilize broken wrist 983
54000829 Needle biopsy of liver 975
56000001 GLUCOSE TOLERANCE TEST DRINK 270
56000100 WALKER WHEELS 290
56000608 LAPAROSCOPY FULGURATION OF OVIDUCTS 975
56015816 BREATHING CIRCUIT PEDI 270
56015819 OSTOMY FLANGE 2 1/4 270
56015820 OSTOMY POUCH 2 1/4 270
56015839 INTRODUCER NEEDLE W/SPRING WIRE 270
56015841 SHOE POST-OP WOMEN SM 270
56015842 SHOE POST-OP MEN SM 270
56015845 CAST TAPE 2 FIBERGLAS BLUE 270
56015846 CAST TAPE 2 FIBERGLAS PINK 270
56015855 LAP CHOLANGIOGRAPHY SET 270
56015878 SPINAL TRAY 270
56015879 PER-Q-CATH INTRODUCER NEEDLE 270
56015880 PER-Q-CATH TRAY 270
56015889 IMMOBILIZER-HEAD-AMBULANCE 540
56015905 PULSE-OX SENSOR-FOREHEAD 270
56015906 MASK CAPNOVUE SCOPE-ADULT 270
56015910 GASTRIC LAVAGE 34FR 270
56015912 SCD SLEEVES KNEE REG. 270
56015913 SCD SLEEVES KNEE LG. 270
56015926 MASK LARYNGEAL ADULT-I-GEL 4 270
56015938 MASK LARYNGEAL PEDI 1.0-2.5 270
56015940 CATH SET-PEDI JUGULAR 270
56015945 MASK LARYNGEAL ADULT-I-GEL 5 270
56015955 WOUND VAC DRESSING-MED. 270
56015965 WOUND VAC DRESSING-SMALL 270
56015968 WOUND VAC DRESSING-LG. 270
56015970 WOUND VAC CANISTER 270
56015975 WOUND VAC RENTAL-PER DAY 270
56015980 MASK ANESTHESIA INFANT 270
56015985 MASK ANESTHESIA TODDLER 270
56015990 WOUND VAC DRESSING-TRAC PAD 270
56015995 WOUND VAC DRESSING-LG.-SILVER 270
56016000 WOUND VAC DRESSING-M-SILVER 270
56016005 WOUND VAC DRAPE 270
56016010 WOUND VAC DRESSING-SMALL GRANUFOAM 270
56016050 BIOPSY NEEDLE 18 GA. MAXCORE 270
56016055 STOCKINETTE DRESSING BIAS 270
56016065 STERI-STRIP 270
56016070 GOWN FLEX STD 270
56016072 BLANKET WARMING UNDERBODY 270
56016075 GOWN STD ADULT 270
56016105 DRESSING ACTICOAT 16X16 270
56016120 PULSE-OX SENSOR-NEO/ADULT 270
56016135 DRESSING FOAM HYDROFERA 6X6 270
56017020 DRAPE-ORTHO-C-ARMOUR 270
56017036 KITNER SPONGES 270
56017047 TONSIL SPONGES MED 270
56017048 TONSIL SPONGES LG 270
56017097 CANNISTERS, SUCTION 270
56017100 CANNULA OXYMIZER 270
56017120 PAP SYSTEM-EZPAP 270
56017160 LEG HOLDER-WALL 270
56017206 HEMOVAC 270
56017207 ELECTRODES-PACE PAD R2 270
56017210 DEFIB PAD-ADULT-ZOLL 270
56017215 DEFIB PAD-PEDI-ZOLL 270
56017250 CYSTOGRAPHIN DILUTE 300ML 255
56017255 CATH KIT MULTI-LUMEN (3) 270
56017257 TWIN CATH 2 LUMEN 270
56017265 COMBITUBE 41 FR. ESOPH. 270
56017270 PARACENTESIS TRAY 270
56017275 POLYP TRAP SUCTION 270
56017280 CATHETER-MIDLINE 270
56017285 CATHETER-PICC 4 FR. 270
56017462 CATH RED ROBINSON 8FR 270
56017681 VASOLINE GAUZE 270
56017695 DURAPREP 6ML-STERILE 270
56017826 DRAINAGE BOTTLE CHEST 270
56017978 BASIN SET OR 270
56018580 PENCILETTES SMOKE EVAC 270
56018697 VITRECTOMY PACK 270
56018703 PHACO PACK-SIGNATURE 270
56018715 PHACO TIPS-AMO 270
56018957 AMBU BAG INFANT 270
56018958 AMBU BAG PEDI 270
56018971 ABDUCTION PILLOW 270
56019203 CYSTOMANOMETER SET 270
56019690 EYE PACK 270
56019707 BSS 500 ML 270
56019781 BSS 15 ML 270
56020055 MUCOUS REMOVAL DEVICE FLUTTER 270
56020060 TRACH CARE CLOSED SUCTION ADULT 270
56020065 TRACH CARE CLOSED SUCTION PEDI 270
56020075 BOOT-PODUOS-REG.-UNIV. 270
56020085 BOOT-PODUOS-XL-UNIV. 270
56020090 BIOPSY NEEDLE-14 G-LIVER 270
56072566 COMMODE 290
56072567 WALKER-WHEELED 290
56072575 CANE - STANDARD NEW 290
56072576 CANE - QUAD 290
56072577 KNEE ORTHOSIS ELASTIC 290
56072578 TENS UNIT 290
56074414 PER-Q-CATH TRAY 270
56074421 CRUTCHES ADULT LG 290
56074468 CRUTCHES YOUTH 270
56074469 CRUTCHES CHILDS SM 290
56074475 CHAIR SENSOR PAD 270
56074500 CUSHION RING INVALID 270
56074676 HEP LOCK (DON'T USE) 270
56074718 SET, FEEDING GAVAGE 270
56074720 BLADE-BEVER 5520 270
56074735 DRESSING PROFORE 270
56074740 DRESSING AQUACEL 2 X 45 270
56074755 BSS+ 500ML 270
56074770 DRESSING AQUACEL 4 X5 270
56074785 DRESSING MEPILEX 8X8 270
56074895 BANDAGE GAUZE 1 -KLING 270
56074896 TUBE, STOMACH 5 FR. 270
56074987 EPIDURAL SYRINGE 270
56074988 EPIDURAL TRAY 270
56074995 EPIDURAL TRAY SINGLE SHOT 18GA. 270
56075010 CATHETER SELF 14 FR. 270
56075030 TUBE-FEEDING 10 FR.-DOBBHOFF 270
56075050 OMNI JUG 16000CC 270
56075061 FOAM SEPTISOL 270
56075080 PULSE LAVAGE-PULSAVAC PLUS 270
56075140 IMMOBILIZER KNEE SMALL 270
56075188 IMMOBILIZER KNEE MEDIUM 270
56075210 SHOE-OFFLOADING-REMEDY 270
56075220 IMMOBILIZER KNEE LARGE 270
56075240 IMMOBILIZER KNEE XXL 270
56075267 IMMOBILIZER KNEE XL 270
56075346 HYDRODISSECTION CANNULA 270
56075358 SOLUSET 270
56075395 IA PACK 270
56075401 CRESCENT KNIFE 270
56075486 BONE MARROW TRAY 270
56075589 RHINO ROCKET MED 270
56075590 RHINO ROCKET LARGE 270
56075600 EPISTAXIS DEVICE-5.5CM-RAPID RHINO 270
56075605 EPISTAXIS DEVICE-7.5CM-RAPID RHINO 270
56075630 TRACHEAL TUBE INTRODUCER-PEDI 270
56075644 CATH FOLEY 30FR 270
56075705 CATH 3-WAY 30CC FOLEY-22 FR. 270
56075710 CATH 3-WAY 30CC FOLEY-24 FR. 270
56075712 CATH 3-WAY 30CC COUDE 20 FR. 270
56075723 CATH SUCTION 6.5FR 270
56075745 CATH DRAIN BAG W/UROMETER 270
56075761 THORACENTESIS TRAY 270
56075814 CATH FOLEY 28FR 270
56075820 CATH FOLEY 16 FR. W/TEMP SENSOR 270
56075835 ARTHROSCOPY PACK-SHOULDER 270
56075841 ARTHROSCOPY PACK 270
56075846 BONE MARROW TRAY 270
56075851 CATH KIT FOLEY 12FR(DON'T USE) 270
56075855 PACK SURGICAL 1 270
56075890 CATH KIT FOLEY 5 FR.-PEDI 270
56075899 CATH TRAY 14FR 270
56075917 SOLUTION, GLYCINE IRRIGATION 270
56076020 CATH KIT URETHRAL 14 FR. 270
56076041 LUMBAR PUNCTURE TRAY ADULT 270
56076090 CATH KIT TROCAR 12FR 270
56076234 SOLUTION, NS, IRRIGATION 250CC 270
56076405 TRACHEOSTOMY TUBE QUICKTRACH 270
56076442 LUMBAR PUNCTURE TRAY PEDI 270
56076480 SPECULA ANOSCOPE 270
56076490 SPECULUM DISP.-SMALL-LED 270
56076491 CATH TRAY 16FR 270
56076500 SPLINT CLAVICAL XS 270
56076510 SPLINT CLAVICLE SM 270
56076533 CATH TRAY 18FR 270
56076557 SPLINT CLAVICLE MED 270
56076560 SPLINT CLAVICLE XL 270
56076569 NASAL CATHETER 270
56076582 PADS DUO-THERM LARGE 270
56076647 CAST SHOE X-SM 270
56076648 CAST SHOE SMALL 270
56076649 PERCUTANEOUS PIGTAIL NEPHROSTOMY 270
56076674 STOCKINETTE IMPERVIOUS 12 270
56076727 CAST SHOE LARGE 290
56076776 CRUTCHES ADULT MED 270
56076855 OVER HEAD FRAME 270
56076867 TRACTION 270
56076880 FOOT CRADLE 270
56076915 SPLINT COCKUP WRIST XS LEFT 290
56076922 SPLINT COCKUP WRIST SM LEFT 270
56076958 SPLINT COCKUP WRIST MED RIGHT 270
56076960 SPLINT COCKUP WRIST LG LEFT 270
56076983 SPLINT COCKUP WRIST XL LEFT 270
56076995 SPLINT COCKUP WRIST XL RIGHT 270
56077008 HEAD HALTER CERVICAL 270
56077010 IMMOBILIZER SHOULDER SMALL 270
56077011 PNEUMOTHORAX KIT 270
56077013 VAGINAL SPECULA 270
56077014 SYRINGE-CT 270
56077020 SYRINGE-MRI INJECTOR 270
56077069 SPLINT THUMB LEWIN STERN 270
56077101 WOUND DEBRIDMENT MACHINE 270
56077125 CONNECTOR X-MAS TREE 270
56077155 SPLINT- SAM-ADULT 270
56077160 SPLINT- SAM-PEDI 270
56077240 OSTOMY POUCH 1 3/4 270
56077245 OSTOMY, FLANGE 2 3/4 270
56077252 OSTOMY FLANGE 1 3/4 270
56077260 OSTOMY, FLANGE 4 270
56077264 OSTOMY OR LOOP SET 2 3/4 270
56077270 OSTOMY POUCH 2 3/4 270
56077275 OSTOMY POUCH 4 270
56077280 OSTOMY OR LOOP SET 4 270
56077285 OSTOMY POST-OP KIT 4 270
56077311 SPLINT FINGER #13 270
56077409 SPLINT NASAL 270
56077501 TRACH CARE KIT 270
56077513 SOLUTION, H20, IRRIGATION 250CC 270
56077537 ARTHROGRAM TRAY 270
56077549 BLOOD FILTER (PURCHASING) 270
56077641 PEDIALYTE 270
56077653 OSSEOUS NEEDLE 270
56077777 ANKLE FOOT ORTHOSIS(AFO)BRACE 290
56077793 CAST PADDING 6 FIBERGLASS 270
56077861 CAST TAPE 3 PINK 270
56077884 CAST TAPE 4 FIBERGLAS BLUE 270
56077896 CAST TAPE 2 FIBERGLASS 270
56077939 THORACENTESIS TRAY 270
56077999 SYRINGES 35 CC 270
56078013 SOLUTION, NS, IRRIGATION (DON'T USE) 270
56078086 SET - PCA (DO NOT USE) 270
56078130 PHILADELPHIA COLLAR SMALL 270
56078141 PHILADELPHIA COLLAR MEDIUM 270
56078153 PHILADELPHIA COLLAR LARGE 270
56078155 SPLINT WRIST XS LEFT 270
56078157 SPLINT WRIST XS RIGHT 270
56078161 SPLINT WRIST SMALL RIGHT 270
56078177 SPLINT WRIST MED RIGHT 270
56078189 SPLINT WRIST LARGE LEFT 270
56078215 SPLINT THUMB SPICA-UNIVERSAL 270
56078220 SPLINT THUMB SPICA S/L 270
56078221 SPLINT THUMB SPICA S/R 270
56078222 SPLINT THUMB SPICA M/L 270
56078223 SPLINT THUMB SPICA M/R 270
56078224 SPLINT THUMB SPICA L/L 270
56078225 SPLINT THUMB SPICA L/R 270
56078244 WALKING HEEL 270
56078256 MUCUS TRAP - DELEE - 8FR 270
56078281 SYRINGES 60 CC 270
56078330 LAPAROSCOPY PACK II 270
56078335 LAP PACK IV 270
56078338 GASTRIC LAVAGE 18FR 270
56078347 EENT PACK 270
56078359 LITHO PACK 270
56078360 SIGMOIDOSCOPE, SUCTION 270
56078380 SKIN SCRUB TRAY-CHG 270
56078402 CATH SET-JUGULAR 270
56078414 CORDS ELECTROCAUTERY 270
56078470 ELECTRODES PATIENT RETURN-PEDI 270
56078475 HEMOVAC-MINI 270
56078487 HEMOVAC HYDROCOAT 270
56078505 BARIUM ENEMA KIT 255
56078506 BARIUM ENEMA BAGS 255
56078517 EZ HD GI CUP 270
56078529 EZ PACQUE GI CUP-750 270
56078530 ENEMA BAG XL 270
56078542 POLIBAR LIQUID-BARIUM-L168 270
56078554 READI-CAT 270
56078566 RETENTION TIPS 255
56078591 STOCKINETTE IMPERVIOUS 6 270
56078610 COBAN 6 WRAP 270
56078621 SPECIMEN TRAP 40CC 270
56078633 SWIVEL ADAPTOR 270
56078645 SURE-SLING 270
56080380 SHOULDER IMMOBILIZER 270
56080408 LEUR LOCK CAP 270
56085091 ANKLE BRACE STD LEFT 270
56085108 ANKLE BRACE STD-UNIVERSAL 270
56085110 ANKLE BRACE SMALL 270
56086005 AMBU BAG ADULT 270
56086100 AIR MATTRESS-APM-SMALL 271
56086200 AIR MATTRESS-ALTERNATE-LG 271
58006002 DIETARY CONSULT PER 15 MINUTES 940
58006013 DIETARY CONSULT REASSESSMENT PER 15 MIN 940
58006014 DIETARY CONSULT REASSESSMENT PER 15 MIN 940
58006015 DIETARY CONSULT PER 15 MINUTES FACILITY 940
59015145 NEOMYCIN POLY/SULF OTIC SOL* 250
59015148 INDAPAMIDE 1.25MG TAB (LOZOL) 637
59015149 THERAPEUTIC - MULTI VIT UD* (Theragran) 637
59015150 PROZAC 20MG (FLUOXETINE 20MG) 250
66001000 INITIAL HOSPITAL CARE DETAILED 987
66001001 INITIAL HOSPITAL CARE MODERATE 987
66001002 INITIAL HOSPITAL CARE COMPREHENSIVE 987
66001003 SUBSEQUENT HOSPITAL CARE DETAILED 987
66001004 SUBSEQUENT HOSPITAL CARE MODERATE 987
66001005 SUBSEQUENT HOSPITAL CARE COMPREHENSIVE 987
66001006 DISCHARGE MANAGEMENT 987
66001007 DISCHARGE MANAGEMENT > 30 MINUTES 987
66001008 NEW OP VISIT LEVEL 1 987
66001012 NEW OP VISIT LEVEL5 987
66001013 EST OP VISIT LEVEL 1 987
66001018 INITIAL OBSERVATION CARE DETAILED 982
66001019 INITIAL OBSERVATION CARE MODERATE 987
66001020 INITIAL OBSERVATION CARE COMPREHENSIVE 987
66001021 OBSERVATION DISCHARGE MANAGEMENT 982
66001022 OBS OR IP HOSPITAL CARE DETAILED 987
66001023 OBS OR IP HOSPITAL CARE MODERATE 987
66001024 OBS OR IP HOSPITAL CARE COMPREHENSIVE 987
66001025 INITIAL NF CARE, DETAILED 987
66001026 INITIAL NF CARE, MODERATE 987
66001027 INITIAL NF CARE, COMPREHENSIVE 987
66001028 SUBSEQUENT NF CARE, FOCUSED 987
66001029 SUBSEQUENT NF CARE, DETAILED 987
66001030 SUBSEQUENT NF CARE, MODERATE 987
66001031 SUBSEQUENT NF CARE, COMPREHENSIVE 987
66001035 INCISION AND DRAINAGE SIMPLE 987
66001036 INTUBATION ENDOTRACHEAL 987
66001038 CRITICAL CARE ADDTL 30 MINUTES 981
66001039 SUB OBSERVATION CARE COMPREHENSIVE 982
66001040 SUBSE OBS CARE PROBLEM FOCUSED 982
66001042 SUBSE OBS CARE 982
70916767 TAMIFLU 75MG CAP (OSELTAMIVIR) 637
84000000 DEBRIDE INFECTED SKIN 510
84000001 DEBRIDE INFECTED SKIN ADD ON 510
84000002 DEBRIDE SKIN SBQ TISSUE <=20SQ CM 510
84000003 DEBRIDE SBQ MUSC FASCIA <=20CM 510
84000004 DEBRIDE SKIN SBQ TISS MUSC BO <=20 SQ CM 510
84000005 DEBRIDE SKIN SBQ TISS EA ADD 20 SQ CM 510
84000006 DEBRIDE SKIN SBQ TIS MUSC EA ADD 20 SQ 510
84000007 DEBRIDE SKIN SBQ TIS MUSC BON EA ADL 20 510
84000008 CHEM CAUTERIZATION GRAN TISSUE 510
84000009 NEW PT VISIT LEVEL 1 510
84000011 APP MULTI-LAYER COMPRSN DRSNG 982
84000013 EST PT VISIT LEVEL 2 510
84000014 DEBRID SELECT <= 20CM 510
84000017 STRAPPING UNNA BOOT 510
84000019 NONSELECT DEBRIDMNT DEVITALIZE 510
84000020 WND VISIT MD LEVEL 2 NEW 982
84000021 DEBRD SUB TS F20 MD 982
84000022 WND VISIT MD LEVEL 2 EST 982
84000023 DEBRID TISS F20 MD 982
84000024 DEBRD MUSCLE F20 MD 982
84000027 DEBRD SUBTS A20 MD 982
84000030 DEBRID SELECT EACH ADD 20CM 510
84000031 DEBRD SUBTS A20 MD 982
84000032 APP MULTI LAYER COMPRSN DRSING MD 982
84000033 DEBRD SUBTS EC ADD 20 MD 982
84000037 NEGATIVE WOUND THERAPY <50 CM 510
84000038 DEBRID TISS EA ADD 20 MD 982
84000041 DRESSING/DEBRIDE SMALL <5% BODY 510
84000042 DRESSING/DEBRIDE SMALL <5% BODY 982
84000046 Debridement to bone; <=20 sq cm Pro Fee 982
84000050 SKIN SUBSTITUTE GRAFT 982
89010000 INJECTION SUBQ OR INTRAMUSCULAR 920
89010010 INJECTION THERAPEUTIC OR DIAGNOSTIC 510
89010020 IV INFUSION DIAGNOSTIC UP TO 1 HOUR 260
89010030 IV INFUSION THERAPY EACH ADDITIONAL HOUR 260
89016913 PROCTOSCOPY EXAM 490
89016914 RADIAL KERATOTOMY FACILITY FEE 490
89016915 ANKLE BRACE-ELASTIC STRAP 270
89016917 FOOT ORTHOTIC BFO 270
89016918 SHOE, POST-OP-VECRO-SM.-LG. 270
89016920 IV PUSH INITIAL SUBSTANCE 510
89016925 ORTHOWEDGE SHOE 270
89016930 FOOT PAD-DIGITAL-SILO 270
89016945 SNARE-DISP.-SHORT THROW 270
89016950 FLEXIBLE SIGMOIDOSCOPY 490
89016955 DERMAGRAFT-5CMX7.5CM 270
89017050 ENT SHEATH- SCOPE 270
89018510 FLEXIBLE COLONSCOPY 490
89019458 ENDOSCOPY BIOPSY 490
89021027 PRE-OP PER HALF HOUR 490
89021039 OP RECOVERY RM SERVICES 1ST HOUR 710
89021049 OP RECOVERY RM SERVICES ADDITIONAL HOUR 710
89025000 EMG ONE EXTREMITY 922
89025001 EMG TWO EXTREMITIES 922
89025002 EMG THREE EXTREMITIES 922
89025003 EMG FOUR EXTREMITIES 922
89025004 NERVE CONDUCTION, MOTOR WITHOUT F-WAVE 922
89025005 NERVE CONDUCTION, MOTOR WITH F-WAVE 922
89025006 NERVE CONDUCTION, SENSORY OR MIXED 922
89025007 INJECTION LUMBAR, SACRAL 510
89044118 COCAINE SOLUTION 4% 250
89090003 APPLICATION CAST 510
89090005 DEBRIDEMENT OF TOES 1-5 510
89090006 DEBRIDEMENT OF TOES 6 OR MORE 510
89090007 DEBRIDEMENT OPEN WOUND 20CM OR LESS 510
89090008 MATRIXECTOMY - EXCISON OF NAIL, PERMANEN 510
89090009 AVULSION NAIL PLATE PART OR COMPLETE 510
89090010 CAUTERIZATION 510
89090011 REPAIR OF EARDRUM (MYRINGOPLASTY) 510
89090012 PARING OR CUTTING OF LESION 510
89090013 SILVER NITRATE APPLICATORS 270
89090014 REMOVAL OF FOREIGN BODY 510
89090015 DESTRUCT MALG LESION DIAM FACE EARS NOSE 510
89090016 INJECTION THERAPY SCLEROSING 510
89090018 PARING OR CUTTING 2-4 LESIONS 510
89090019 TRIMMING OF TOENAIL 510
89090020 RECOVERY ROOM 1ST 1/2 HOUR 710
89090021 REC RM EACH ADD 1/2 HOUR 710
89090022 PARING OR CUTTING MORE THAN 4 LESIONS 510
89090025 DILITATION FEE 510
89090037 XYLOCAINE 1% 20ML 250
89090049 MINOR SURGICAL PROCEDURE TIME 490
89090050 EAR DROPS CLINIC 250
89090060 DESTRUCT MALG LESION DIAM TRUNK ARMS 510
89090061 INC & REMOVAL OF FOREIGN BODY 510
89090062 CYSTOMETROGRAM 510
89090065 BIOPSY OF NAIL 510
89090066 INSERTION TEMP INDWELLING CATH COMP 510
89090074 BICHLORACETIC ACID KIT 250
89090086 OB GYN STERILE SURGERY PACK 270
89090087 BIOPSY NEEDLE 490
89090098 BACITRACIN ZINC OINTMENT 250
89090104 ENT STERILE SURGERY PACK 270
89090116 CETACINE SPRAY 270
89090128 PAP SMEAR PROCEDURE 510
89090130 GENTIAN VIOLET 510
89090141 PRED FORTE 1% SOLUTION 5 CC 510
89090153 ENT CART USAGE 270
89090165 XYLOCAINE UROJET 250
89090177 EAR TUBES-VENT COLLAR BUTTON 270
89090189 MINOR PROCEDURE PER 1/4 HOUR 510
89090190 POPE EAR WICKS 270
89090191 VAGINAL EXAM 510
89090207 CARDIAC MONITOR 490
89090208 RHINOSCOPY 490
89090219 NASAL PACKING OR CAUTERIZATION 510
89090220 PODOPHYLLUM APPLICATION 510
89090232 THIOTEPA 15 MG 250
89090244 GAMULIN 510
89090256 LUPORN DETOT 7.5 250
89090268 O2 MONITOR 490
89090270 VIDEO EQUIPMENT USAGE 490
89090281 DRESSING APPLICATION SMALL 510
89090293 DRESSING APPLICATION MEDIUM 510
89090300 DRESSING APPLICATION LARGE 510
89090311 GASTROSCOPY 490
89090312 DILATION URETHRAL STRICTURE 510
89090315 CRYOSURGERY 1ST LESION 510
89090320 CRYOSURGERY EACH ADDITIONAL LESION 510
89090321 REMOVAL IMPACTED CERUMEN/FOREIGN BODY 510
89090323 BLOOD PRESSURE MONITOR 490
89090324 CRYOSURGERY, 15 OR MORE LESIONS 510
89090325 REMOVAL OF SKIN TAGS UP TO & INCLUDE 15 510
89090347 LASER CAPSULOTOMY 490
89090348 REMOVAL OF IMPLANT, SUPERFICIAL 510
89090349 LARYNGOSCOPY, DIAGNOSTIC DIRECT 510
89090353 O2 SET-UP & 1 HOUR O2 270
89090355 BCG VACCINE FOR BLADDER CANCER 510
89090356 BIOPSY OROPHARYNX 510
89090357 APPLICATION NEUROSTIMULATOR 510
89090360 OUTPATIENT TREATMENT ROOM 510
89090361 CYSTOSCOPE EQUIPMENT USAGE 490
89090363 ENEMA/FECAL IMPACTION 490
89090374 FOLEY INSERTION 510
89090385 GASTROCULT 510
89090396 HEMOCULT TESTING 300
89090407 PELVIC EXAM 510
89090418 PAP SMEAR 258
89090429 RECTAL EXAM 510
89090440 EYE PATCH APPLICATION 270
89090446 BIOPSY LABIA 510
89090447 BIOPSY NASAL 510
89090448 INJ INTRALESIONAL UP TO & INC 7 LESIONS 510
89090451 APPLICATION OF SPLINT 510
89090453 APPLICATION OF UNA BOOT 510
89090455 EXCISION TUMOR 510
89090456 EXC LESION TONGUE W/OUT CLOSURE 510
89090462 CAUTERY 490
89090484 JOINT ASPIRATION/INJ. SMALL JOINT/BURSA 510
89090490 JOINT ASPIRATION/INJ. INTERMEDIATE JOINT 510
89090493 JOINT ASPIRATION/INJ. LG JOINT OR BURSA 510
89090494 WEDGE EXCISION OF NAIL FOLD 510
89090495 BONE MARROW ASPIRATION 490
89090498 REMOVAL OF SKIN LESION 510
89090499 AVULSION NAIL PLATE EACH ADDITIONAL 510
89090500 MANOMETRIC STUDIES 510
89090501 IV INF HYDRATION UP TO ONE HOUR 510
89090502 IV INF HYDRATION EACH ADDITIONAL HOUR 510
89090506 PELVIC EXAM 510
89090510 MYRINGOTOMY 510
89090511 NASOPHARYNGOSCOPY 510
89090517 INSERT HEP LOCK 510
89090539 NAIL - INGROWN 490
89090540 HYFRECATOR EQUIPMENT CHARGE 510
89090550 SUTURE REMOVAL 510
89090555 BLADDER INSTILLATION ANTICARCINOGENIC AG 510
89090556 CHEMOTHERAPY INFUSION 335
89090557 EXCISION LESION OF MOUTH 510
89090558 DESTRUCT PREMALG LESION 15 OR MORE 510
89090559 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA 510
89090560 BIOPSY EYELID 510
89090561 BETADINE SOAK 270
89090572 CULTURES 510
89090583 I & D HEMORRHOID EXTERNAL 510
89090584 DESTRUCT LESION BENIGN UP TO 14 510
89090585 SHAVING OF LESION 510
89090586 REM FOREIGN BODY EXT EAR W/O ANESTHESIA 510
89090587 BIOPSY SALIVARY GLAND INCISIONAL 510
89090588 DESTRUCT MALG LESION DIAM SCALP NECK 510
89090589 LARYNGOSCOPY, DIAGNOSTIC INDIRECT 510
89090590 EXCISION LESION 0.6-1.0CM FACE, EARS 510
89090591 IRRIGATION IMP VENOUS ACCESS DEVICE 940
89090592 INSERT TEMP INDWELLING CATHETER 510
89090594 INJECTION ONLY 510
89090595 IV INFUSION ADD SEQUENTIAL 260
89090596 I & D ABSCESS 510
89090597 PUNCTURE ASPIRATION ABSCESS 510
89090598 INJ ANESTHETIC AGENT OTHER NERVE 510
89090599 DEBRIDEMENT MASTOID BOWL, SIMPLE 510
89090600 DESTRUCTION OF LESION LESS THAN 10 SQ CM 510
89090601 DESTRUCTION OF LESION PENIS CRYO SIMPLE 510
89090602 INJECTION ANESTHETIC AGENT AND OR STEROI 510
89090603 SHAVING OF LESION 0.6 CM TO 1.0 CM 510
89090604 SHAVING OF LESION 1.1 TO 2.0 CM 510
89090605 EXC MALIGNANT LESION 1.1 TO 2.0 CM 510
89090606 REPAIR WOUND NECK HANDS FEET UP TO 2.5 C 510
89090607 EXC LESION PALATE UVULA WITHOUT CLOSURE 510
89090608 TYMPANOSTOMY 510
89090609 I AND D HEMATOMA SEROMA FLUID COLLECTION 510
89090610 EXCISION BIOPSY OROPHARYNX 510
89090611 EXPLORATION WOUND EXTREMITY 510
89090613 DESTRUCTION INTRANASAL LESION 510
89090614 CLOSED REDUCTION HIP W/O ANESTHESIA 981
89090615 TB TEST INTRADERMAL 450
89090616 UNLISTED PROCEDURE BOTOX INJECTION 450
89090617 BIOPSY TONGUE ANTERIOR TWO THIRDS 450
89090618 EXCISION TONGUE LESION 510
89090619 FASCIOTOMY 510
89090620 UNLISTED PROCEDURE EXTERNAL EAR 510
89090621 UNLISTED PROCEDURE MIDDLE EAR 510
89090622 IRRIGATION OF FOLEY CATHETER 510
89090624 RESECTION OF PALATE OR MOUTH LESION 510
89090626 EXCISON LESION 0.6 TO 1.0 CM 510
89090628 REPAIR INTERMEDIATE WOUND SCALP 510
89090629 EXC BENIGN LESION 1.1 TO 2.0 CM 510
89090632 LARYNGOSCOPY WITH STROBOSCOPY 510
89090634 BIOPSY VESTIBULE OF MOUTH 510
89090636 FOREIGN BODY REMOVAL CORNEA W/O SLIT LAM 510
89090638 EXC MAL LESION 0.5 CM OR LESS 510
89090640 UNLISTED PROCEDURE TONGUE 510
89090642 CHEMO IV INFUSION UP TO ONE HOUR 335
89090644 CHEMO IV INFUSION EA ADDITIONAL HOUR 335
89090646 UNLISTED PROCEDURE PHARYNX ADENOIDS TONS 510
89090648 ADJACENT TISSUE TRANSFER 10 SQ CM OR LE 510
89090650 REPAIR INTERMEDIATE FACE 2.5 CM OR LESS 510
89090652 CHEMICAL CAUTERIZATION GRANULATION TISSU 510
89090654 DESTRUCTION INTRANASAL LESION EXT APPROA 510
89090656 BIOPSY LIP 510
89090658 DEBRIDEMENT EA ADDL 20 SQ CM 510
89090660 DEBRIDEMENT PARTIAL THICKNESS BURN 5% 510
89090662 UNLISTED PROCEDURE GUM BIOPSY 510
89090664 ADJACENT TISSUE TRANSFER 30 TO 60 SQ CM 510
89090666 ADJACENT TISSUE TRANSFER EA ADD 30 SQ CM 510
89090668 TRACHEOBRONCHOSCOPY THRU TRACH INCISION 510
89090670 DEBRIDEMENT AREA GREATER THAN 50 SQ CM 510
89090676 EXC MAL LESION 2.1 TO 3.0 CM TRUNK 510
89090678 DEBRIDEMENT SUBCU TISSUE 20 SQ CM OR LES 450
89090680 REPAIR INTERMEDIATE TRUNK 7.6 TO 12.6 CM 510
89090682 EXC BENIGN LESION OVER 4 CM TRUNK 510
89090684 EXC MAL LESION 2.1 TO 3.0 CM FACE 510
89090686 EXC MAL LESION 3.1 TO 4.0 CM TRUNK 510
89090688 REPAIR INTERMEDIATE TRUNK 2.6 CM TO 7.5 510
89090690 EXC BENIGN LESION GREATER THAN 4 CM 510
89090700 EXC LESION MUCOSA VESTIBULE W/O REPAIR 510
89090913 TB SKIN TEST INTRADERMAL 510
89091010 CYSTOURETHROSCOPY - PC 983
89091012 CYSTOURETHROSCOPY - TC 510
89091013 CYSTOURETHROSCOPY 983
89091014 CYSTO W/INSERT OF INDWELLING STENT - PC 983
89091016 CYSTO W/INSERT OF INDWELLING STENT - TC 510
89091017 CYSTO W/INSERT OF INDWELLING STENT 983
89091018 Aspiration of bladder - PC 983
89091020 Aspiration of bladder - TC 510
89091021 Aspiration of bladder 983
89091022 PROLONGED EVAL AND MANAGEMENT 15M - PC 983
89091024 PROLONGED EVAL AND MANAGEMENT 15M - TC 510
89091025 PROLONGED EVAL AND MANAGEMENT 15MIN 983
89091026 ASPIRATION OR INJECTION, SMALL JOINT PC 983
89091028 ASPIRATION OR INJECTION, SMALL JOINT -TC 510
89091029 ASPIRATION OR INJECTION, SMALL JOINT 983
89091030 ASPIRATION OR INJECTION, MED JOINT - PC 983
89091032 ASPIRATION OR INJECTION, MED JOINT -TC 510
89091033 ASPIRATION OR INJECTION, MED JOINT 983
89091034 ASPIRATION OR INJECTION, LRG JOINT - PC 983
89091035 ASPIRATION OR INJECTION, LRG JOINT BILAT 983
89091036 ASPIRATION OR INJECTION, LRG JOINT - TC 510
89091037 ASPIRATION OR INJECTION, LRG JOINT 983
89091038 INJECTION, TENDON SHEATH/LIGAMENT - PC 983
89091040 INJECTION, TENDON SHEATH/LIGAMENT -TC 510
89091041 INJECTION, TENDON SHEATH/LIGAMENT 983
89091042 INJECTION, CARPAL TUNNEL - PC 983
89091044 INJECTION, CARPAL TUNNEL - TC 510
89091045 INJECTION, CARPAL TUNNEL 983
89091046 INJECTION, TRIGGER POINT 1-2 -PC 983
89091048 INJECTION, TRIGGER POINT 1-2 -TC 510
89091049 INJECTION, TRIGGER POINT 1-2 983
89091050 INJECTION, TRIGGER POINT 3+ - PC 983
89091052 INJECTION, TRIGGER POINT 3+ - TC 510
89091053 INJECTION, TRIGGER POINT 3+ 983
89093046 TELEHEALTH ORIGINATING SITE 510
89097355 CATHETERIZATION 510
89097356 INJECTION TENDON, LIGAMENT SINGLE 510
89097357 ALLERGY TEST 510
89097358 CHEMOTHERAPY ADMINISTRATION NOT BY INFUS 331
89097365 INJ SINGLE OR MULTIPLE TRIGGER PTS 1-2 510
89097366 TX SUPERFICIAL WOUND DEHISCENCE 510
89097367 CHEMO ADM SUBCUTANEOUS OR IM 331
89097376 IV INF BEBTELOVIMAB INC INJ POST MONT 771
89097388 NEW OFFICE VISIT 2, STRAIGHTFORWARD -GL 983
89097389 NEW OFFICE VISIT 3, LOW MDM - GLOBAL 983
89097390 NEW OFFICE VISIT 4, MODERATE MDM -GLOBAL 983
89097391 NEW OFFICE VISIT 5, HIGH MDM - GLOBAL 983
89097392 EST OFFICE VISIT 2, STRAIGHTFORWARD -GL 983
89097393 EST OFFICE VISIT 3, LOW MDM - GLOBAL 983
89097394 EST OFFICE VISIT 4, MODERATE MDM -GLOBAL 983
89097395 EST OFFICE VISIT 5, HIGH MDM - GLOBAL 983
89097396 OFFICE CONSULT 1, STRAIGHTFOWARD MDM -GL 988
89097397 OFFICE CONSULT 2, STRAIGHTFOWARD MDM -GL 988
89097398 OFFICE CONSULT 3, LOW MDM - GLOBAL 988
89097399 OFFICE CONSULT 4, MODERATE MDM - GLOBAL 988
89097400 OFFICE CONSULT 5, HIGH MDM - GLOBAL 988
89097401 NEW OFFICE VISIT 2, STRAIGHTFORWARD -TC 510
89097402 NEW OFFICE VISIT 3, LOW MDM -TC 510
89097403 NEW OFFICE VISIT 4, MODERATE MDM -TC 510
89097404 NEW OFFICE VISIT 5, HIGH MDM -TC 510
89097405 EST OFFICE VISIT 2, STRAIGHTFORWARD -TC 510
89097406 EST OFFICE VISIT 3, LOW MDM -TC 510
89097407 EST OFFICE VISIT 4, MODERATE MDM -TC 510
89097408 EST OFFICE VISIT 5, HIGH MDM -TC 510
89097409 OFFICE CONSULT 1, STRAIGHTFOWARD MDM -TC 510
89097410 OFFICE CONSULT 2, STRAIGHTFOWARD MDM -TC 510
89097411 OFFICE CONSULT 3, LOW MDM -TC 510
89097412 OFFICE CONSULT 4, MODERATE MDM -TC 510
89097413 OFFICE CONSULT 5, HIGH MDM -TC 510
CPT/HCPCS Code Price
$ 111.00
87206 $ 72.00
87252 $ 348.00
87177 $ 162.00
87070 $ 174.00
87186 $ 374.00
87186 $ 276.00
87899 $ 140.00
87116 $ 227.00
87255 $ 348.00
87101 $ 83.00
Q9957 $ 420.00
87517 $ 343.00
85250 $ 382.00
85270 $ 91.00
87799 $ 961.00
88291 $ 350.00
84600 $ 61.00
86343 $ 238.00
83088 $ 65.00
86003 $ 50.00
86003 $ 50.00
87899 $ 229.00
88346 $ 315.00
$ 9.00
$ 25.00
$ 2.75
$ 63.00
$ 7.00
$ 17.25
J1815 $ 302.00
J1815 $ 302.00
J1815 $ 322.00
J1815 $ 358.00
$ 38.00
$ 3.00
$ 18.00
J3489 $ 3,120.00
$ 11.75
$ 6.00
$ 6.00
$ 93.00
$ 28.00
$ 13.00
$ 482.00
$ 69.00
$ 62.00
J0713 $ 124.00
$ 26.00
$ 13.00
$ 9.00
J7608 $ 76.00
J0461 $ 36.00
J1100 $ 9.00
$ 14.00
$ 93.00
$ 30.00
J1170 $ 9.25
J1815 $ 1.00
J0280 $ 62.00
$ 12.00
$ 548.00
$ 6.00
J0295 $ 64.00
$ 5.00
$ 6.00
$ 95.00
J2300 $ 133.00
$ 5.25
$ 45.50
$ 3.00
$ 38.00
$ 29.00
$ 18.77
$ 31.00
J2997 $ 25,178.00
62280 $ 115.00
J2270 $ 59.00
$ 23.00
J1100 $ 30.00
J0713 $ 61.00
J2720 $ 75.00
$ 6.00
J0561 $ 303.00
J0132 $ 906.00
$ 587.00
J2543 $ 92.00
$ 64.00
$ 135.00
J0692 $ 128.00
$ 35.00
$ 6.00
$ 36.00
$ 8.00
$ 2.00
J2916 $ 141.00
J0881 $ 2,266.00
J0295 $ 142.00
J0278 $ 79.00
90716 $ 459.00
$ 3.00
J1030 $ 57.00
J0171 $ 449.00
90707 $ 257.00
$ 94.00
90632 $ 120.00
90670 $ 650.00
$ 7.00
$ 3.00
90648 $ 59.00
J3489 $ 143.00
$ 3.00
$ 15.00
$ 12.00
$ 8.00
J0153 $ 155.00
J0461 $ 67.00
J1335 $ 416.00
J3260 $ 41.00
J0257 $ 1,320.00
J0690 $ 77.00
$ 9.00
J0133 $ 120.00
Q0249 $ 5,753.00
$ 102.00
J1100 $ 30.00
J2248 $ 851.00
$ 264.00
$ 6.00
$ 3.00
J7674 $ 387.00
90680 $ 275.00
J0881 $ 11,659.00
J7050 $ 80.00
J0696 $ 313.00
J1250 $ 106.00
$ 13.00
$ 3.00
$ 10.00
J3473 $ 239.00
J0881 $ 3,229.00
J3475 $ 69.00
J0585 $ 1,687.00
J2250 $ 9.00
J2543 $ 87.00
J3475 $ 91.00
$ 45.00
J2700 $ 108.00
J0713 $ 124.00
90696 $ 191.00
$ 96.00
J0692 $ 96.00
J2360 $ 109.00
$ 65.00
$ 194.00
$ 38.00
$ 42.00
J0712 $ 1,022.00
$ 51.00
J3430 $ 82.00
P9047 $ 539.00
J2795 $ 86.00
J3370 $ 81.00
$ 23.00
$ 134.25
J0834 $ 317.00
$ 12.00
90700 $ 90.00
$ 3.00
$ 1.00
J7682 $ 412.00
$ 3.00
$ 56.00
$ 20.00
$ 21.00
$ 191.00
$ 15.00
$ 3.00
$ 42.00
$ 158.00
$ 87.00
$ 273.00
J1642 $ 18.00
J0131 $ 154.00
$ 3.00
$ 7.00
C9290 $ 1,101.00
$ 14.00
90710 $ 752.00
90723 $ 264.00
$ 9.00
$ 607.00
$ 20.00
$ 44.00
$ 8.00
90651 $ 772.00
$ 161.00
$ 124.00
J9155 $ 1,426.00
$ 12.00
$ 7.00
90662 $ 141.75
$ 117.00
$ 53.00
$ 76.00
$ 22.00
J0289 $ 641.00
$ 2.00
J7605 $ 91.00
J1170 $ 20.00
$ 15.00
$ 128.00
$ 104.00
$ 69.00
$ 129.00
$ 75.00
J2354 $ 36.00
$ 717.00
$ 20.00
$ 10.00
$ 54.00
$ 772.00
$ 79.00
J2700 $ 108.00
$ 56.00
J2270 $ 14.00
$ 56.00
$ 22.00
$ 4.00
Q2009 $ 316.00
$ 20.00
$ 4.00
J3370 $ 44.00
$ 32.00
J3095 $ 1,231.00
$ 361.00
J1050 $ 298.00
$ 4.75
$ 8.00
$ 30.00
J7060 $ 87.00
$ 255.00
$ 11.00
J2210 $ 107.00
J7611 $ 4.00
J2704 $ 114.00
J1170 $ 18.00
J3301 $ 77.00
J0129 $ 3,065.00
$ 19.00
J1447 $ 1,292.00
$ 104.00
J3360 $ 198.00
$ 5.00
J1335 $ 396.00
$ 3.00
$ 69.00
$ 54.00
$ 84.00
$ 56.00
$ 32.00
$ 14.00
90686 $ 95.00
90662 $ 153.00
90685 $ 86.25
$ 56.00
J1442 $ 1,434.00
$ 41.00
$ 13.00
$ 11.00
J3301 $ 152.00
$ 30.00
$ 30.00
Q5101 $ 856.00
$ 53.00
$ 13.00
$ 57.00
$ 24.00
$ 39.00
$ 16.00
$ 101.00
$ 232.00
J2270 $ 11.00
$ 17.00
J1610 $ 625.00
J1602 $ 4,988.00
$ 3.00
$ 69.00
$ 3.00
$ 24.00
$ 2.75
J2182 $ 7,973.00
$ 104.00
$ 720.00
$ 642.00
J3370 $ 81.00
$ 153.00
$ 187.00
J0457 $ 226.00
$ 46.00
J3380 $ 19,243.00
$ 71.00
J1170 $ 18.00
J0690 $ 74.00
J1642 $ 18.00
$ 22.00
$ 812.00
90682 $ 174.00
$ 82.00
J0280 $ 44.00
$ 531.00
$ 86.00
$ 224.00
$ 118.00
$ 8.00
$ 72.00
J1265 $ 84.00
J1265 $ 29.00
$ 24.00
$ 687.00
$ 251.00
$ 187.00
$ 2.00
$ 11.00
$ 17.00
$ 21.00
$ 2.00
C9290 $ 960.00
J2597 $ 201.00
$ 855.00
$ 2.00
$ 48.00
$ 295.00
$ 104.00
$ 27.00
J2150 $ 192.00
$ 37.00
J7297 $ 2,108.00
$ 3.00
J0248 $ 1,297.00
Q0138 $ 2,673.00
J2704 $ 52.00
J0248 $ 1,081.00
$ 782.00
$ 7.00
$ 3.00
J1170 $ 52.00
$ 81.00
$ 145.00
$ 359.00
J1439 $ 2,929.00
J1265 $ 84.00
$ 65.00
J7324 $ 1,373.00
J7323 $ 1,006.00
J7321 $ 957.00
J7328 $ 1,155.00
$ 264.00
J1040 $ 89.00
J7307 $ 2,051.00
J1790 $ 36.00
$ 3.00
J7298 $ 2,493.00
J7300 $ 1,857.00
J2371 $ 30.00
J2270 $ 10.00
J1301 $ 1,526.00
J1459 $ 14,470.00
$ 1.00
$ 438.00
$ 35.00
J1459 $ 7,085.00
J1459 $ 3,543.00
$ 21.00
J0612 $ 95.00
J7050 $ 80.00
J3360 $ 119.00
$ 258.00
$ 258.00
J1566 $ 4,974.00
90682 $ 174.00
90744 $ 82.00
$ 93.00
$ 81.00
$ 187.00
$ 50.00
$ 83.00
$ 145.00
A9575 $ 146.00
$ 53.00
J1644 $ 68.00
Q5101 $ 1,095.00
$ 78.00
J0500 $ 246.00
90677 $ 729.00
$ 74.00
J7050 $ 70.00
J3111 $ 5,106.00
J0500 $ 132.00
Q5121 $ 1,247.00
Q5110 $ 1,007.00
$ 53.00
$ 317.00
$ 643.00
J3489 $ 1,005.00
90694 $ 221.00
90674 $ 97.00
90686 $ 100.00
J2060 $ 14.00
$ 97.00
90619 $ 448.00
$ 218.00
$ 28.00
J1940 $ 29.00
J1364 $ 269.00
$ 6.00
$ 29.00
$ 5,087.00
$ 268.00
90675 $ 1,164.00
$ 136.00
$ 81.00
J7608 $ 45.00
$ 123.00
J7325 $ 1,139.00
J3430 $ 82.00
J3430 $ 82.00
$ 68.00
$ 4.00
J0134 $ 122.00
J1306 $ 8,312.00
J3372 $ 58.00
J0282 $ 150.00
$ 3.00
J2920 $ 23.00
$ 6.00
$ 6.00
J2930 $ 46.00
$ 332.00
J0690 $ 74.00
J0690 $ 74.00
$ 1,168.00
J1442 $ 959.00
$ 388.00
$ 37.00
$ 256.00
$ 290.00
$ 589.00
Q4196 $ 5,405.00
$ 329.00
Q5103 $ 2,361.00
J3358 $ 4,810.00
$ 4,810.00
$ 19.00
$ 35.00
J0171 $ 79.00
90648 $ 59.00
$ 4.00
$ 34.00
$ 1,111.00
$ 644.00
$ 2,770.00
$ 68.50
96365 $ 482.00
96366 $ 233.00
96374 $ 310.00
96360 $ 426.00
96361 $ 222.00
96372 $ 126.00
96375 $ 249.00
96367 $ 277.00
96368 $ 263.00
$ 452.00
M0243 $ 1,305.00
$ 125.25
36591 $ 56.00
36592 $ 56.00
36573 $ 3,770.00
99211 $ 133.00
99212 $ 154.00
99213 $ 207.00
99214 $ 286.00
99215 $ 364.00
36430 $ 1,268.00
36430 $ 1,638.00
36430 $ 2,008.00
36430 $ 2,377.00
36410 $ 1,444.00
$ 1,789.00
$ 5.75
$ 268.00
$ 7.50
$ 37.75
$ 2.75
$ 2.75
$ 129.50
$ 60.50
$ 520.00
J2543 $ 135.00
$ 80.50
$ 39.50
$ 9.00
$ 2.75
$ 2.75
$ 8.00
96372 $ 126.00
$ 231.00
90471 $ 104.00
G0009 $ 87.00
96365 $ 153.00
96360 $ 426.00
96361 $ 151.00
96366 $ 90.00
96374 $ 310.00
96375 $ 249.00
G0378 $ 96.00
G0378 $ 96.00
G0379 $ 96.00
90471 $ 104.00
90472 $ 33.00
90471 $ 101.00
96376 $ 249.00
99211 $ 223.00
15851 $ 302.00
96523 $ 219.00
$ 64.00
30903 $ 461.00
65220 $ 135.00
64400 $ 234.00
$ 154.75
$ 174.25
$ 206.00
$ 82.00
$ 47.00
24200 $ 410.00
$ 146.00
$ 168.00
$ 158.00
$ 788.00
$ 39.00
$ 452.00
$ 102.00
$ 176.00
99281 $ 403.00
9928125 $ 403.00
99282 $ 557.00
9928225 $ 557.00
99283 $ 1,008.00
9928325 $ 1,008.00
99284 $ 1,397.00
9928425 $ 1,397.00
99285 $ 2,004.00
9928525 $ 2,004.00
G0008 $ 58.00
92950 $ 1,341.00
G0010 $ 58.00
90471 $ 104.00
99291 $ 2,682.00
99292 $ 1,057.00
82948 $ 39.00
9929125 $ 2,122.00
9929225 $ 1,027.00
$ 10.75
$ 12.25
$ 18.00
$ 22.00
$ 32.00
$ 231.00
65205 $ 142.00
41800AQ $ 479.00
41800 $ 519.00
46083 $ 372.00
13122 $ 247.00
96376 $ 249.00
13122AQ $ 197.00
64450AQ $ 479.00
64450 $ 1,726.00
11401 $ 454.00
11420 $ 268.00
10080 $ 336.00
16020 $ 166.00
26605 $ 958.00
26670 $ 403.00
26725 $ 395.00
24640 $ 310.00
24600 $ 1,118.00
65222 $ 172.00
56420 $ 286.00
67700 $ 368.00
54700 $ 676.00
32551 $ 2,300.00
20552 $ 1,222.00
51798 $ 246.00
26011 $ 584.00
26010 $ 337.00
69200 $ 207.00
25650 $ 1,274.00
26742 $ 1,010.00
69000 $ 350.00
28515 $ 585.00
23655 $ 2,061.00
$ 63.00
$ 64.00
$ 828.00
69210 $ 135.00
69209 $ 56.00
20553 $ 184.00
58301 $ 269.00
69005 $ 593.00
$ 440.00
43762 $ 1,293.00
25505 $ 1,795.00
27840 $ 552.00
$ 97.00
$ 152.00
$ 99.25
26770 $ 820.00
10120 $ 368.00
10140 $ 606.00
23650 $ 967.00
10121 $ 839.00
$ 159.00
30310 $ 1,737.00
30905 $ 227.00
30906 $ 227.00
$ 39.00
$ 273.00
27825 $ 2,421.00
$ 28.50
$ 14.50
$ 71.00
$ 188.00
11730 $ 290.00
31500 $ 1,087.00
$ 101.00
51700 $ 152.00
11740 $ 114.00
11732 $ 66.00
11730 $ 264.00
97597 $ 121.00
49083 $ 561.00
$ 625.00
$ 668.00
27818 $ 597.00
62270 $ 1,933.00
$ 602.00
$ 293.00
$ 99.00
$ 147.00
10160 $ 328.00
$ 56.00
96372 $ 124.00
96360 $ 426.00
96372 $ 126.00
$ 21.75
96361 $ 222.00
96365 $ 482.00
96366 $ 233.00
96367 $ 277.00
96368 $ 263.00
96375 $ 249.00
99281AQ $ 206.00
99282AQ $ 299.00
99283AQ $ 358.00
99284AQ $ 401.00
46040AQ $ 566.00
$ 204.00
$ 209.00
10060 $ 1,032.00
46040 $ 558.00
16000 $ 158.00
10140AQ $ 265.00
20552AQ $ 111.00
46050 $ 311.00
10061 $ 903.00
46600 $ 127.00
25622AQ $ 375.00
10140AQ $ 302.00
56405AQ $ 234.00
12001 $ 231.00
12037QB $ 1,089.00
12046 $ 869.00
30905AQ $ 420.00
30906AQ $ 420.00
$ 204.00
99292AQ $ 284.00
$ 336.00
29130AQ $ 98.00
29125AQ $ 207.00
$ 209.00
$ 1,313.00
46600AQ $ 102.00
$ 1,153.00
$ 113.50
29505 $ 418.00
99285AQ $ 657.00
99291AQ $ 912.00
11740AQ $ 92.00
42809AQ $ 437.00
59409AQ $ 3,000.00
69200AQ $ 268.00
30300AQ $ 253.00
40804AQ $ 385.00
30901AQ $ 351.00
28190AQ $ 265.00
65222AQ $ 162.00
65220AQ $ 188.00
69000AQ $ 180.00
$ 1,663.00
$ 442.00
26070AQ $ 524.00
92960AQ $ 302.00
11730AQ $ 168.00
11732AQ $ 69.00
36556AQ $ 794.00
43753AQ $ 206.00
10060AQ $ 596.00
10080AQ $ 323.00
31500AQ $ 628.00
32551AQ $ 653.00
62270AQ $ 446.00
69210AQ $ 114.00
36680 $ 290.00
20610AQ $ 243.00
20600AQ $ 198.00
20605 $ 125.00
20605AQ $ 146.00
29105AQ $ 109.25
29505AQ $ 172.00
29515AQ $ 231.00
25605 $ 1,716.00
23500QB $ 453.00
26720AQ $ 469.00
28490QB $ 238.00
28510QB $ 490.00
28510QB $ 240.00
27818 $ 1,464.00
27265AQ $ 511.00
21480AQ $ 223.00
23600AQ $ 763.00
27265 $ 523.00
26700AQ $ 921.00
24650QB $ 627.00
26700 $ 946.00
25500QB $ 579.00
31500QB $ 338.00
26600AQ $ 631.00
26605QB $ 921.00
23540QB $ 644.00
97597 $ 110.00
23655 $ 593.50
24640AQ $ 313.00
26770AQ $ 622.00
26775 $ 369.75
$ 528.00
11401AQ $ 332.00
31899AQ $ 933.00
36590AQ $ 608.00
27560AQ $ 372.00
40800AQ $ 343.00
12001AQ $ 488.00
$ 152.00
12002AQ $ 589.00
10120AQ $ 380.00
10121QB $ 644.00
12004AQ $ 733.00
41250AQ $ 558.00
10160QB $ 274.00
24200AQ $ 496.00
65205AQ $ 147.00
11010 $ 392.00
12005AQ $ 771.00
11042 $ 306.00
12015AQ $ 626.00
13131 $ 807.00
12016AQ $ 926.00
13132 $ 1,022.00
12017QB $ 1,132.00
12018QB $ 1,307.00
13132AQ $ 1,042.00
12045QB $ 772.00
12006AQ $ 788.00
12047QB $ 979.00
13131AQ $ 823.00
13133 $ 431.00
12054QB $ 795.00
20103AQ $ 427.00
12055QB $ 869.00
12056QB $ 926.00
12057QB $ 926.00
13120AQ $ 544.00
12007AQ $ 909.00
13121AQ $ 641.00
12011AQ $ 356.00
11404AQ $ 356.00
16000AQ $ 252.00
17110QB $ 380.00
13122AQ $ 214.00
20520QB $ 284.00
20525QB $ 827.00
12013AQ $ 499.00
12014AQ $ 563.00
12031AQ $ 375.00
12032AQ $ 477.00
12035 $ 792.00
12034AQ $ 767.00
12041AQ $ 512.00
12042AQ $ 622.00
12044AQ $ 676.00
12051AQ $ 557.00
12035AQ $ 793.00
10160AQ $ 274.00
12052AQ $ 622.00
12053AQ $ 707.00
$ 15.00
$ 21.00
$ 22.00
12002 $ 695.00
$ 44.00
12011 $ 671.00
92960 $ 1,965.00
$ 44.00
29515 $ 532.00
$ 328.00
29125 $ 573.00
29125 $ 573.00
96374 $ 310.00
94760 $ 65.00
20610 $ 725.00
$ 164.00
40800 $ 390.00
29130 $ 148.00
$ 968.00
43753 $ 320.00
51701 $ 141.00
$ 204.00
51702 $ 301.00
30300 $ 104.00
25622 $ 234.00
56405 $ 328.00
$ 485.00
$ 123.50
92953 $ 763.00
27560 $ 234.00
28660 $ 290.00
29105 $ 481.00
36590 $ 1,094.00
26600 $ 234.00
$ 22.00
$ 22.00
$ 44.00
30901 $ 496.00
$ 22.00
$ 15.00
$ 28.50
$ 28.50
$ 22.00
$ 28.50
$ 28.50
$ 407.00
$ 9.00
59409 $ 3,590.00
Q0091 $ 127.00
G0101 $ 102.00
$ 15.00
36430 $ 899.00
36556 $ 2,368.00
36556 $ 2,427.00
$ 1,401.00
$ 32.00
$ 32.00
$ 15.00
12001 $ 671.00
12004 $ 1,073.00
12005 $ 1,079.00
12006 $ 373.00
12007 $ 392.00
12013 $ 695.00
12015 $ 1,073.00
12016 $ 513.00
12014 $ 420.00
12031 $ 511.00
12032 $ 643.00
$ 101.00
12034 $ 683.00
12041 $ 494.00
13100 $ 328.00
13121 $ 504.00
41899 $ 539.00
13122 $ 267.00
12021AQ $ 276.00
12042 $ 658.00
12044 $ 707.00
12051 $ 748.00
12052 $ 672.00
12053 $ 248.00
40830 $ 342.00
41250 $ 493.00
12054 $ 844.00
20600QB $ 141.00
21480 $ 140.00
23570QB $ 413.00
23650AQ $ 914.00
24600AQ $ 653.00
26725QB $ 990.00
$ 424.00
27840AQ $ 827.00
28475QB $ 173.00
$ 218.00
45300QB $ 372.00
33210QB $ 763.00
36680AQ $ 263.00
30903AQ $ 520.00
64400AQ $ 467.00
11200AQ $ 238.00
40830AQ $ 485.00
99212AQ $ 194.00
99213AQ $ 268.00
99214AQ $ 299.00
99215AQ $ 513.00
99202AQ $ 252.00
99203AQ $ 347.00
99204AQ $ 519.00
99205AQ $ 574.00
23655 $ 2,262.00
25605AQ $ 1,641.00
11420AQ $ 263.00
13133AQ $ 447.00
16020AQ $ 186.00
26670AQ $ 1,003.00
28660AQ $ 313.00
56420AQ $ 285.00
67700AQ $ 293.00
54700AQ $ 541.00
26011AQ $ 466.00
46050AQ $ 248.00
26010AQ $ 221.00
10061AQ $ 467.00
25650AQ $ 1,087.00
26742AQ $ 784.00
11646AQ $ 1,164.00
11104AQ $ 147.00
11105AQ $ 80.00
28515AQ $ 498.00
69209AQ $ 48.00
20553AQ $ 146.00
58301AQ $ 230.00
13102AC $ 233.00
69005AQ $ 508.00
43762AQ $ 123.00
25505AQ $ 1,495.00
12036 $ 958.00
86580 $ 44.00
27250AQ $ 1,533.00
64400 $ 560.00
$ 117.00
$ 142.00
$ 14.00
99100 $ 142.00
$ 170.75
$ 21.00
$ 161.00
$ 53.00
$ 17.25
$ 16.50
$ 33.50
$ 21.00
$ 5.50
$ 14.00
$ 33.25
$ 17.25
$ 16.25
$ 18.75
64447 $ 1,702.00
$ 150.00
$ 150.00
$ 30.00
64447 $ 379.00
64415AQ $ 482.00
64420AQ $ 418.00
64486AQ $ 482.00
64488AQ $ 482.00
31500AQ $ 637.00
36410AQ $ 76.00
36620AQ $ 194.00
36573AQ $ 1,659.00
62270AQ $ 547.00
36000AQ $ 123.00
64420 $ 1,702.00
64415 $ 2,207.00
64447 $ 210.00
64486 $ 1,702.00
64488 $ 2,207.00
36620 $ 2,518.00
62270 $ 1,702.00
$ 33.00
$ 1,136.00
$ 303.00
$ 441.00
$ 293.00
$ 660.00
$ 218.00
$ 410.00
$ 1,500.00
$ 1,832.00
$ 2,249.00
$ 2,697.00
$ 27.00
$ 21.00
$ 134.00
$ 403.00
$ 1,422.00
$ 2,792.00
$ 731.00
$ 1,088.00
$ 1,307.00
$ 3,077.00
$ 1,205.00
$ 1,205.00
$ 239.00
$ 595.00
$ 212.00
$ 246.00
$ 258.00
$ 291.00
$ 510.00
$ 327.00
$ 305.00
$ 15.00
$ 599.00
$ 510.00
$ 319.00
$ 319.00
$ 237.00
$ 21.75
$ 27.00
$ 1,629.00
$ 2,981.00
$ 4,059.00
$ 8,290.00
$ 244.00
$ 636.00
$ 272.00
$ 14.00
$ 55.00
$ 28.00
$ 7,154.00
$ 4,248.00
$ 1,982.00
$ 6,086.00
$ 3,397.00
$ 2,345.00
$ 1,616.00
$ 294.00
$ 3,663.00
$ 2,419.00
$ 708.00
$ 512.00
$ 870.00
$ 137.00
$ 551.00
$ 489.00
$ 354.00
$ 2,445.00
$ 137.00
$ 40.00
$ 1,059.00
$ 412.00
$ 55.00
$ 95.00
$ 46.00
$ 46.00
$ 254.00
$ 254.00
$ 406.00
$ 40.00
$ 589.00
$ 853.00
C1781 $ 853.00
$ 942.00
C1781 $ 26,166.00
C1781 $ 4,188.00
$ 213.00
$ 53.00
$ 1,411.00
$ 412.00
$ 10,453.00
$ 544.00
$ 716.00
$ 653.00
$ 1,470.00
$ 64.00
$ 1,307.00
$ 436.00
$ 82.00
C1781 $ 18,900.00
$ 248.00
$ 165.00
$ 713.00
$ 404.00
$ 215.00
$ 85.00
$ 142.00
$ 807.00
$ 404.00
$ 137.00
$ 606.00
$ 404.00
$ 404.00
$ 404.00
$ 560.00
$ 49.00
$ 279.00
$ 467.00
$ 7,875.00
$ 934.00
$ 99.00
$ 234.00
$ 2,667.00
$ 554.00
$ 132.00
$ 367.00
$ 1,538.00
$ 1,612.00
$ 1,612.00
$ 197.00
$ 484.00
$ 586.00
$ 404.00
$ 404.00
$ 1,302.00
$ 246.00
$ 124.00
$ 271.00
$ 191.00
$ 517.00
$ 220.00
$ 220.00
$ 747.00
$ 1,027.00
$ 191.00
$ 1,027.00
$ 2,198.00
$ 660.00
$ 783.00
$ 285.00
$ 1,148.00
$ 473.00
$ 473.00
$ 1,838.00
$ 210.00
$ 788.00
$ 368.00
$ 29.00
$ 71.00
$ 71.00
$ 158.00
$ 59.00
$ 71.00
$ 1,470.00
$ 88.00
$ 1,661.00
$ 207.00
$ 416.00
$ 3,556.00
$ 4,270.00
$ 1,103.00
$ 711.00
$ 995.00
$ 441.00
$ 3,455.00
$ 552.00
$ 207.00
$ 484.00
$ 357.00
$ 28.00
$ 691.00
$ 290.00
$ 103.00
$ 236.00
$ 243.00
$ 95.00
$ 69.00
$ 363.00
$ 307.00
$ 595.00
$ 154.00
$ 21.00
$ 18.00
$ 1,339.00
C1781 $ 1,474.00
C1781 $ 1,474.00
$ 2,457.00
$ 2,953.00
$ 1,289.00
$ 1,842.00
$ 1,842.00
$ 2,150.00
$ 177.00
$ 177.00
$ 59.00
$ 88.00
$ 1,122.00
$ 2,884.00
C1781 $ 1,654.00
$ 82.00
$ 137.00
$ 194.00
$ 68.00
$ 111.00
$ 210.00
$ 2,284.00
$ 105.00
$ 141.00
$ 2,953.00
$ 4,725.00
$ 1,628.00
$ 512.00
$ 512.00
C1747 $ 3,150.00
$ 48.00
$ 512.00
$ 315.00
$ 263.00
$ 289.00
$ 525.00
$ 189.00
$ 173.00
C2617 $ 483.00
$ 70.00
$ 68.00
$ 117.00
$ 4,559.00
$ 10.00
$ 4,552.00
$ 2,176.00
$ 263.00
$ 2,176.00
$ 4,771.00
$ 3,479.00
$ 4,351.00
43450 $ 3,875.00
$ 2,573.00
$ 2,784.00
$ 2,585.00
$ 2,386.00
$ 2,784.00
$ 1,968.00
$ 2,166.00
$ 1,569.00
$ 2,166.00
36558 $ 3,875.00
19000 $ 148.00
$ 4,559.00
$ 4,771.00
$ 4,351.00
$ 2,492.00
$ 4,351.00
$ 4,771.00
$ 4,979.00
$ 4,771.00
$ 2,386.00
$ 1,968.00
43246 $ 4,771.00
$ 3,257.00
$ 34.00
$ 307.00
$ 558.00
$ 1,716.00
$ 421.00
$ 247.00
$ 210.00
$ 660.00
$ 265.25
$ 161.50
$ 331.00
$ 418.25
$ 4,351.00
$ 4,144.00
$ 1,790.00
$ 2,176.00
$ 2,176.00
$ 464.75
$ 110.00
$ 379.00
$ 36.00
$ 437.00
$ 63.00
$ 153.00
$ 131.00
$ 42.00
$ 53.00
$ 38.00
$ 69.00
$ 55.00
$ 297.00
$ 97.50
$ 99.00
$ 278.00
$ 95.00
$ 110.00
$ 95.00
$ 2,430.00
$ 1,084.00
$ 812.00
$ 975.00
$ 426.00
$ 37.25
$ 1,148.00
$ 709.00
$ 1,084.00
$ 431.00
$ 290.00
$ 131.00
$ 50.00
$ 184.00
$ 33.00
$ 127.00
$ 96.50
$ 579.00
$ 429.00
$ 3,140.25
$ 186.00
$ 90.00
$ 227.00
$ 206.00
$ 227.00
$ 105.00
$ 44.00
$ 721.00
$ 1,231.00
$ 1,163.00
$ 1,317.00
$ 164.00
$ 118.00
$ 147.00
$ 122.00
$ 64.50
$ 127.00
$ 14.50
$ 7.00
$ 131.00
$ 337.00
$ 326.00
$ 257.00
$ 8.00
$ 9.00
$ 295.00
$ 400.00
$ 11,337.00
$ 7.25
$ 7,117.00
$ 146.00
$ 64.00
$ 322.75
$ 1,922.00
$ 547.00
$ 436.00
$ 1,002.00
$ 402.00
$ 79.00
$ 72.00
$ 822.00
$ 89.00
$ 252.00
$ 168.00
$ 360.00
$ 36.00
$ 1,027.00
$ 3,533.00
$ 1,936.00
$ 72.00
$ 90.00
$ 109.00
$ 109.00
$ 142.00
$ 158.00
$ 470.00
$ 855.00
$ 1,781.00
$ 470.00
$ 109.00
$ 90.00
$ 105.00
$ 196.00
$ 308.00
$ 359.00
$ 319.00
$ 552.00
A4301 $ 2,506.75
$ 748.00
$ 987.00
$ 1,141.00
$ 21.00
$ 3,226.00
$ 2,405.00
$ 1,841.00
$ 2,038.00
$ 726.00
$ 748.00
$ 1,259.00
$ 973.00
$ 131.00
$ 200.00
$ 541.00
$ 436.00
$ 27.00
$ 137.00
$ 100.00
$ 164.25
$ 124.00
$ 1,792.00
$ 624.00
$ 271.00
$ 434.00
$ 43.50
$ 107.50
$ 26.75
$ 42.00
$ 60.00
$ 44.00
$ 64.00
$ 76.00
$ 120.00
$ 140.00
$ 184.00
$ 336.00
$ 496.00
V2788 $ 158.00
V2632 $ 387.00
V2632 $ 387.00
V2787 $ 158.00
V2788 $ 158.00
$ 4,351.00
V2632 $ 387.00
$ 8,294.00
$ 22.00
$ 80.00
$ 297.00
$ 132.00
$ 87.00
$ 288.00
$ 61.00
$ 8.00
$ 40.00
$ 12.00
$ 48.00
$ 36.00
$ 24.25
$ 6.00
$ 23.50
$ 66.75
$ 680.75
$ 958.00
$ 998.00
$ 131.00
$ 551.00
$ 1,496.00
$ 708.00
$ 539.00
$ 266.00
$ 1,011.00
$ 524.00
$ 276.00
$ 806.00
$ 562.00
$ 434.00
$ 958.00
$ 375.00
$ 1,376.00
$ 584.00
$ 92.00
$ 828.00
$ 1,678.00
$ 925.00
$ 680.00
$ 978.00
$ 307.00
$ 797.00
$ 945.00
$ 341.00
$ 1,252.00
$ 320.00
$ 278.00
$ 522.00
$ 44.00
$ 6.00
$ 2,123.00
$ 4,238.00
$ 326.00
$ 317.00
$ 2,599.00
$ 1,099.00
$ 154.00
$ 276.00
$ 27.00
$ 307.00
$ 110.00
$ 36.00
$ 1,670.00
$ 332.00
$ 132.00
$ 237.00
$ 27.00
$ 237.00
$ 14.50
$ 14.50
$ 387.00
$ 235.00
$ 147.00
$ 343.00
$ 107.00
$ 198.00
$ 352.00
$ 24.00
$ 12.25
$ 50.00
$ 1,084.00
$ 588.00
$ 154.00
$ 77.00
$ 99.00
$ 107.00
$ 72.00
$ 53.00
$ 38.00
$ 206.00
$ 92.00
$ 44.00
$ 107.00
$ 120.00
$ 137.00
$ 109.00
$ 354.75
$ 63.00
$ 63.00
$ 109.00
$ 63.00
$ 160.00
$ 308.00
$ 176.00
$ 62.00
$ 106.00
$ 237.00
$ 506.00
$ 53.00
$ 34.50
$ 8.75
$ 477.00
$ 24.00
$ 22.00
$ 29.00
$ 59.00
$ 50.25
$ 58.00
$ 124.00
$ 114.00
$ 1,136.00
$ 113.00
$ 160.00
$ 75.00
$ 78.75
$ 32.75
A4649 $ 3,631.00
C1713 $ 2,341.00
C1762 $ 3,433.00
C1776 $ 27,524.00
C1713 $ 15,596.00
$ 14.50
$ 4,258.00
$ 40.50
$ 277.00
C1713 $ 360.00
C1713 $ 326.00
$ 856.00
$ 856.00
$ 856.00
$ 788.00
C1713 $ 276.00
$ 853.00
C1713 $ 374.00
C1776 $ 16,512.00
C1776 $ 18,407.00
C1713 $ 315.00
$ 318.00
C1713 $ 814.00
C1713 $ 814.00
C1713 $ 814.00
C1713 $ 971.00
C1713 $ 4,967.00
$ 265.00
$ 265.00
C1713 $ 693.00
C1713 $ 693.00
C1713 $ 347.00
C1713 $ 305.00
C1713 $ 2,854.00
$ 517.00
L8699 $ 2,438.00
L8699 $ 2,625.00
$ 853.00
C1713 $ 504.00
$ 614.00
$ 746.00
C1713 $ 1,861.00
C1713 $ 2,014.00
$ 176.00
$ 197.00
C1713 $ 6,686.00
$ 155.00
$ 210.00
$ 263.00
$ 246.00
$ 504.00
$ 564.00
$ 268.00
$ 276.00
$ 1,859.00
$ 827.00
$ 853.00
$ 237.00
$ 984.00
C1713 $ 3,152.00
C1713 $ 2,658.00
$ 546.00
$ 264.00
C1713 $ 3,544.00
$ 827.00
C1713 $ 1,838.00
$ 701.00
$ 315.00
$ 748.00
$ 1,108.00
$ 4,486.00
C1713 $ 1,108.00
$ 320.00
$ 257.00
$ 656.00
C1713 $ 1,554.00
C1713 $ 2,520.00
$ 417.00
$ 3,919.00
C1747 $ 305.00
C1747 $ 305.00
$ 1,205.00
$ 339.00
$ 444.00
$ 1,969.00
$ 635.00
$ 1,095.00
$ 287.00
$ 1,292.00
$ 263.00
C1713 $ 432.00
$ 549.00
$ 258.00
$ 431.00
$ 258.00
$ 432.00
C1713 $ 232.00
C1713 $ 232.00
C1713 $ 232.00
C1713 $ 232.00
C1776 $ 5,513.00
C1776 $ 4,589.00
$ 992.00
C1776 $ 9,660.00
C1776 $ 4,410.00
C1776 $ 4,830.00
$ 1,094.00
C1713 $ 1,292.00
$ 2,481.00
$ 1,048.00
C1713 $ 439.00
C1713 $ 439.00
$ 334.00
$ 854.00
C1713 $ 1,751.00
$ 286.00
C1713 $ 6,510.00
C1734 $ 4,883.00
C1713 $ 1,533.00
C1713 $ 5,951.00
$ 614.00
$ 2,184.00
C1713 $ 5,206.00
C1713 $ 1,205.00
C1762 $ 4,883.00
C1713 $ 5,914.00
$ 1,666.00
$ 408.00
$ 3,163.00
$ 542.00
$ 4,775.00
$ 812.00
$ 6,610.00
$ 812.00
46221 $ 4,771.00
$ 1,469.00
$ 656.00
$ 6.50
$ 3,666.00
$ 159.00
$ 219.00
$ 252.00
$ 500.00
$ 3,411.00
$ 4,158.00
$ 4,158.00
$ 6,440.00
$ 8,262.00
$ 10,085.00
$ 9,174.00
$ 11,909.00
$ 4,617.00
$ 10,085.00
$ 6,440.00
$ 11,909.00
$ 5,525.00
$ 8,262.00
$ 5,525.00
$ 5,525.00
$ 5,525.00
$ 5,525.00
$ 7,349.00
$ 6,440.00
$ 8,262.00
$ 11,909.00
$ 3,185.00
$ 3,185.00
$ 5,062.00
$ 6,567.00
$ 8,069.00
$ 7,316.00
$ 9,573.00
$ 3,558.00
$ 8,069.00
$ 5,062.00
$ 9,573.00
$ 4,311.00
$ 6,567.00
$ 4,311.00
$ 4,311.00
$ 4,311.00
$ 4,311.00
$ 5,814.00
$ 5,062.00
$ 6,567.00
$ 9,573.00
$ 608.00
$ 164.00
95813 $ 1,149.00
95816 $ 541.00
95819 $ 747.00
95822 $ 541.00
95812 $ 797.00
95824 $ 507.00
95829 $ 507.00
69100AQ $ 133.00
11463AQ $ 1,398.00
46505AQ $ 1,027.00
46945AQ $ 555.00
11623AQ $ 713.00
70030 $ 310.00
62284 $ 122.50
74283 $ 222.50
73565 $ 309.00
73050 $ 371.00
49180 $ 7,135.00
47000 $ 7,135.00
50200 $ 7,135.00
73200 $ 2,709.00
73201 $ 3,772.00
75635 $ 3,866.00
75710 $ 2,542.00
73202 $ 4,031.00
73700 $ 2,631.00
73701 $ 3,662.00
73702 $ 4,031.00
70487 $ 3,662.00
70498 $ 3,819.00
70496 $ 4,076.00
72191 $ 3,115.00
70488 $ 4,031.00
70480 $ 2,860.00
70481 $ 3,773.00
70482 $ 4,031.00
70482 $ 4,031.00
72192 $ 2,537.00
72193 $ 3,662.00
72194 $ 4,031.00
73706 $ 3,654.00
73706 $ 3,866.00
76376 $ 618.00
93971RT $ 1,334.00
93971LT $ 1,334.00
93971RT $ 1,334.00
93971LT $ 1,334.00
76098 $ 134.00
23350 $ 205.75
36005 $ 268.00
71100RT $ 433.00
71101RT $ 695.00
71101LT $ 695.00
71100LT $ 433.00
71111 $ 927.00
71110 $ 527.00
72020 $ 328.00
77073 $ 436.00
77073 $ 436.00
77073 $ 436.00
51600 $ 196.00
50390 $ 699.00
A9538 $ 248.00
$ 137.25
A9541 $ 255.00
A9537 $ 315.00
$ 227.00
A9540 $ 255.00
$ 521.00
A9562 $ 248.00
76000 $ 647.00
76000 $ 647.00
70100 $ 212.00
77080 $ 761.00
77081 $ 388.00
77076 $ 201.00
70110 $ 417.00
70120 $ 277.00
70130 $ 360.00
70140 $ 308.00
77003 $ 706.00
77002 $ 701.00
27093 $ 512.00
77001 $ 788.00
70150 $ 579.00
27648 $ 172.00
27369 $ 172.00
70160 $ 388.00
70200 $ 311.00
70210 $ 373.00
70220 $ 571.00
70240 $ 277.00
70250 $ 458.00
70260 $ 637.00
70360 $ 357.00
70370 $ 320.00
73000 $ 525.00
73010RT $ 434.00
73010LT $ 434.00
73020RT $ 345.00
73020LT $ 345.00
73030RT $ 116.00
73030LT $ 116.00
73030RT $ 517.00
73030LT $ 517.00
73050 $ 199.00
73060LT $ 544.00
73060RT $ 544.00
$ 36.75
$ 85.75
$ 68.25
$ 86.75
73070RT $ 361.00
73080RT $ 504.00
73080LT $ 504.00
73090RT $ 485.00
73090LT $ 485.00
73100RT $ 432.00
73100LT $ 432.00
73110RT $ 491.00
73110LT $ 491.00
73120RT $ 432.00
73120LT $ 432.00
73130RT $ 491.00
73130LT $ 491.00
73140F5 $ 348.00
73140FA $ 348.00
73140F6 $ 348.00
73140F7 $ 348.00
73140F8 $ 348.00
73140F1 $ 348.00
73140F9 $ 348.00
73140F2 $ 348.00
73140F3 $ 348.00
73140F4 $ 348.00
73501RT $ 414.00
73502LT $ 522.00
73521 $ 785.00
73551 $ 438.00
73551 $ 438.00
73552RT $ 528.00
73552LT $ 528.00
73522 $ 679.00
73501RT $ 414.00
72081 $ 348.00
72082 $ 600.00
73502RT $ 522.00
62270 $ 1,933.00
73523 $ 777.00
73522 $ 679.00
73502 $ 522.00
73502 $ 522.00
73501LT $ 414.00
73503 $ 437.00
73503 $ 614.00
73560RT $ 397.00
73560LT $ 397.00
73562RT $ 428.00
73562LT $ 428.00
73564RT $ 478.00
73564LT $ 478.00
73564 $ 417.00
73590RT $ 471.00
73590LT $ 471.00
73600RT $ 347.00
73600LT $ 347.00
73610RT $ 541.00
73610LT $ 541.00
73620RT $ 722.00
73620LT $ 722.00
73630RT $ 459.00
73630LT $ 459.00
73650RT $ 327.00
73650LT $ 317.00
73660T5 $ 348.00
73660TA $ 348.00
73660T6 $ 174.00
73660T7 $ 174.00
73660T8 $ 174.00
73660T9 $ 348.00
73660T1 $ 174.00
73660T2 $ 174.00
73660T3 $ 174.00
73660T4 $ 348.00
73660RT $ 348.00
73660LT $ 348.00
72040 $ 537.00
72050 $ 788.00
$ 241.75
76080 $ 576.00
72080 $ 486.00
72072 $ 518.00
72070 $ 412.00
64483 $ 470.00
64493 $ 332.00
64495 $ 188.00
6449350 $ 332.00
6449450 $ 188.00
2709650 $ 290.00
20553 $ 184.00
20552 $ 164.00
64483 $ 470.00
64483 $ 470.00
72100 $ 537.00
72020 $ 173.00
72110 $ 630.00
72114 $ 785.00
76000 $ 647.00
72190 $ 489.00
72190 $ 100.50
72170 $ 553.00
72202 $ 698.00
72220 $ 757.00
77075 $ 953.00
74400 $ 692.00
74400 $ 334.25
74410 $ 758.00
74415 $ 509.50
75822 $ 1,103.00
74420 $ 868.00
75820RT $ 413.50
75820LT $ 413.50
75820LT $ 143.00
73092 $ 219.00
74430 $ 365.00
73592 $ 268.00
74455 $ 764.00
74710 $ 159.25
74470 $ 147.25
71045 $ 383.00
71046 $ 480.00
71047 $ 406.00
71048 $ 394.00
74270 $ 905.00
77067 $ 429.00
77066 $ 594.00
77065RT $ 441.00
77065LT $ 441.00
77067 $ 403.00
7706752RT $ 429.00
77067LT $ 416.00
77063 $ 125.00
G0279 $ 125.00
77067 $ 429.00
77065LT $ 441.00
77065RT $ 441.00
77066 $ 594.00
77067 $ 403.00
7706752LT $ 429.00
7706752RT $ 429.00
71101 $ 136.00
71111 $ 248.25
75809 $ 341.00
71120 $ 317.00
71130 $ 277.00
70330 $ 320.00
74018 $ 402.00
72265 $ 679.25
74246 $ 966.00
23350 $ 322.00
25246 $ 322.00
24220 $ 322.00
74019 $ 519.00
74021 $ 445.00
74230 $ 805.00
74220 $ 917.00
74210 $ 311.00
74240 $ 1,097.00
74240 $ 953.00
74248 $ 836.00
74250 $ 910.00
74270 $ 978.00
74280 $ 952.00
74290 $ 426.00
74300 $ 1,296.00
74018 $ 236.00
74301 $ 245.00
R0070 $ 141.75
R0075 $ 72.00
$ 23.25
$ 70.75
78278 $ 690.25
70460 $ 3,662.00
70450 $ 2,547.00
70480 $ 2,860.00
70486 $ 2,540.00
70486 $ 2,540.00
70487 $ 3,662.00
70481 $ 3,662.00
70480 $ 2,860.00
70481 $ 3,662.00
70480 $ 2,105.00
70491 $ 3,662.00
70490 $ 2,817.00
70492 $ 4,031.00
72125 $ 3,120.00
72126 $ 3,193.00
72129 $ 1,039.75
72131 $ 2,955.00
72130 $ 4,031.00
71250 $ 2,027.00
72132 $ 3,662.00
74160 $ 3,570.00
74150 $ 3,045.00
77075 $ 962.00
74175 $ 4,106.00
72128 $ 1,039.75
71250 $ 2,705.00
71270 $ 4,095.00
71260 $ 3,542.00
71275 $ 3,780.00
76497 $ 1,202.00
77012 $ 2,032.00
$ 178.25
72127 $ 4,031.00
76380 $ 1,257.00
73030RT $ 180.00
73030LT $ 180.00
70470 $ 4,031.00
74170 $ 4,106.00
73040RT $ 660.25
73040LT $ 508.00
20501 $ 134.00
76000 $ 187.25
74022 $ 321.50
72052 $ 688.00
70150 $ 204.00
77071 $ 180.00
77072 $ 610.00
74022 $ 728.00
72120 $ 332.00
$ 141.75
93970 $ 520.25
93970 $ 1,903.00
93970 $ 1,873.00
78804 $ 2,822.00
76010 $ 394.00
74425 $ 502.00
72133 $ 4,031.00
77077 $ 132.00
74176 $ 4,725.00
74170 $ 4,031.00
74177 $ 5,460.00
74177 $ 3,777.00
74178 $ 5,985.00
72129 $ 3,542.00
77077 $ 555.00
62272 $ 486.00
32555 $ 588.00
19285 $ 2,854.00
19286 $ 2,449.00
74174 $ 6,038.00
73206 $ 3,866.00
77001 $ 893.00
73070LT $ 361.00
$ 71.00
70553 $ 5,920.00
72157 $ 6,325.00
70545 $ 4,198.00
73722 $ 3,229.00
70544 $ 3,906.00
70547 $ 3,552.00
70548 $ 3,363.00
70549 $ 4,796.00
71550 $ 4,434.00
71552 $ 5,085.00
72158 $ 5,671.00
72197 $ 5,469.00
71555 $ 4,434.00
72159 $ 3,928.00
72195 $ 2,835.00
72141 $ 3,984.00
72196 $ 4,266.00
72142 $ 4,258.00
72198 $ 3,709.00
73218 $ 2,722.00
73219 $ 3,522.00
73220 $ 4,341.00
73221 $ 2,576.00
73225 $ 3,491.00
73720 $ 5,494.00
73718 $ 3,881.00
73721 $ 2,651.00
73725 $ 3,275.00
74181 $ 4,386.00
74183 $ 5,070.00
74185 $ 4,187.00
74181 $ 4,386.00
C8905 $ 5,350.00
C8908 $ 5,933.00
70543 $ 5,472.00
76390 $ 4,073.00
75565 $ 337.00
A9576 $ 260.00
75563 $ 3,512.00
75561 $ 2,941.00
75559 $ 3,009.00
75557 $ 1,862.00
74182 $ 3,366.00
73723 $ 3,549.00
73719 $ 3,051.00
73222 $ 4,227.00
71551 $ 4,641.00
70542 $ 3,273.00
70336 $ 3,491.00
72146 $ 3,941.00
73223 $ 5,871.00
70540 $ 4,538.00
72147 $ 4,686.00
70546 $ 4,450.00
70546 $ 4,450.00
72148 $ 3,920.00
70551 $ 3,568.00
72149 $ 4,726.00
70552 $ 3,967.00
72156 $ 6,122.00
76942TC $ 928.00
93923 $ 632.00
76819 $ 311.00
51798 $ 290.00
76805 $ 959.00
93306 $ 3,172.00
76810 $ 558.00
76705 $ 1,214.00
76705 $ 1,214.00
93925 $ 1,691.00
93880 $ 1,663.00
76885 $ 1,040.00
93930 $ 1,288.00
75989 $ 405.00
76815 $ 578.00
76937 $ 772.00
20611 $ 204.00
76641 $ 370.00
76641 $ 370.00
76642 $ 739.00
76642 $ 739.00
93975 $ 1,886.00
7664250 $ 1,000.00
7664150 $ 1,474.00
76700 $ 1,445.00
$ 928.00
38505 $ 2,210.00
76942TC $ 850.00
76942TC $ 928.00
76942 $ 1,240.00
93926 $ 939.00
93931 $ 833.00
76705 $ 1,214.00
76775 $ 1,052.00
93978 $ 1,156.00
93970 $ 561.50
76536 $ 452.00
76872 $ 1,176.00
76830 $ 1,062.00
76536 $ 998.00
93306 $ 3,918.00
C8924 $ 1,779.00
$ 193.00
76706 $ 798.00
93350 $ 3,608.00
76705 $ 1,047.00
76775 $ 1,052.00
76776 $ 1,197.00
76856 $ 1,298.00
76705 $ 1,047.00
76536 $ 998.00
76857 $ 1,077.00
76604 $ 534.00
76817 $ 1,047.00
76705 $ 378.75
76999 $ 380.25
76705 $ 1,047.00
$ 764.00
$ 181.75
76870 $ 1,101.00
76536RT $ 690.25
76536LT $ 950.00
76536 $ 998.00
76857 $ 450.25
93882 $ 1,204.00
76801 $ 691.00
93922 $ 722.00
93882 $ 594.00
76770 $ 1,244.00
76802 $ 368.00
$ 65.00
$ 22.00
$ 28.00
76881 $ 699.00
$ 21.00
93308 $ 788.00
76882 $ 865.00
19083 $ 4,202.00
$ 135.00
19084 $ 2,393.00
$ 149.00
$ 164.00
$ 341.00
$ 164.00
$ 299.00
$ 299.00
$ 29.00
$ 266.00
$ 53.00
76882 $ 601.00
20604 $ 153.00
20606 $ 126.00
72128 $ 3,172.00
$ 375.00
71271 $ 2,087.00
71250 $ 2,705.00
70488 $ 4,152.00
$ 649.00
78306 $ 2,381.00
78315 $ 2,300.00
78300 $ 1,208.00
78290 $ 507.25
78610 $ 378.50
78472 $ 1,872.00
78466 $ 1,748.00
78290 $ 1,673.00
$ 609.25
78278 $ 2,255.00
78201 $ 923.75
78215 $ 1,222.00
78227 $ 2,738.00
78580 $ 883.00
78701 $ 1,393.00
78230 $ 975.00
78185 $ 602.75
78013 $ 945.00
78761 $ 1,821.00
78305 $ 2,040.00
78707 $ 2,247.00
78802 $ 2,472.00
78473 $ 2,910.00
78580 $ 1,998.00
$ 864.00
$ 117.75
$ 1,350.50
$ 241.50
78075 $ 585.25
78725 $ 585.25
78708 $ 2,709.00
78740 $ 1,729.00
78428 $ 1,094.00
78468 $ 801.50
78469 $ 2,075.00
78481 $ 2,317.00
78451 $ 1,703.00
78483 $ 3,928.00
78452 $ 4,635.00
78453 $ 1,754.00
78454 $ 1,703.00
78014 $ 1,715.00
78015 $ 945.00
78018 $ 1,748.00
78070 $ 1,237.00
78102 $ 721.75
78103 $ 1,003.50
78104 $ 1,126.75
78195 $ 1,414.00
78202 $ 1,083.25
78216 $ 1,528.00
78226 $ 2,649.00
78231 $ 1,383.00
78258 $ 1,094.00
78261 $ 1,237.00
78264 $ 1,856.00
78800 $ 1,383.00
78801 $ 1,891.00
78803 $ 2,691.00
78579 $ 1,599.00
78457 $ 1,308.00
78458 $ 2,095.00
78600 $ 657.50
78601 $ 786.50
93016 $ 99.00
78610TC $ 799.00
78630 $ 1,764.50
78635 $ 657.50
78645 $ 721.75
78650 $ 1,324.00
$ 237.00
$ 134.00
$ 137.00
$ 168.00
A9500 $ 804.00
A9503 $ 330.00
$ 474.00
A9517 $ 603.00
A9560 $ 352.00
$ 79.25
J2805 $ 539.00
$ 93.00
78709 $ 2,835.00
78071 $ 1,283.00
A9560 $ 352.00
A9569 $ 4,677.00
95805TC $ 1,152.00
9580526 $ 653.00
95807TC $ 1,523.00
95806TC $ 828.00
95810TC $ 4,965.00
95811TC $ 5,384.00
9581126 $ 1,660.00
95806 $ 1,146.00
94645 $ 135.00
93786 $ 195.00
93788 $ 195.00
94644 $ 405.00
94660 $ 419.00
94660 $ 748.00
99406 $ 33.00
99407 $ 33.00
$ 5.00
94626 $ 238.00
$ 21.00
$ 218.00
$ 82.00
$ 7.00
$ 53.00
94667 $ 206.00
94668 $ 77.00
$ 16.25
$ 15.25
$ 217.00
$ 1.75
$ 35.25
$ 63.00
94618 $ 334.00
$ 32.75
94010 $ 269.00
$ 32.75
$ 463.50
99291 $ 1,214.00
99292 $ 1,214.00
31500 $ 1,087.00
92950 $ 1,214.00
31500 $ 1,087.00
$ 1.75
$ 15.00
$ 57.00
94664 $ 142.00
94640 $ 266.00
94640 $ 266.00
94727 $ 308.00
94726 $ 464.00
$ 45.75
$ 33.00
94070 $ 1,420.00
$ 28.00
94690 $ 668.00
$ 106.00
$ 40.00
94060 $ 358.50
94680 $ 479.00
94681 $ 956.00
94010 $ 142.25
94729 $ 500.00
94640 $ 118.00
9464076 $ 118.00
94640 $ 266.00
$ 46.50
94150 $ 162.00
94664 $ 69.00
$ 29.00
94664 $ 93.00
$ 134.00
$ 40.00
94002 $ 2,786.00
94003 $ 2,379.00
$ 2.00
$ 24.00
$ 191.75
$ 23.25
$ 95.00
94760 $ 86.00
94761 $ 182.00
94762 $ 261.00
94760 $ 90.00
94761 $ 179.50
94761 $ 274.00
$ 42.25
94799 $ 43.75
97530 $ 47.75
97750 $ 47.75
94010 $ 110.00
94010TC $ 392.00
94060 $ 758.00
94375 $ 364.00
94150 $ 307.00
94200 $ 228.00
G0237 $ 111.00
G0238 $ 125.00
G0239 $ 109.00
94760 $ 90.00
94761 $ 117.00
94667 $ 196.00
94668 $ 124.00
93268 $ 604.00
93270 $ 637.00
93271 $ 473.00
93225 $ 400.00
93226 $ 438.00
93242 $ 446.00
95012 $ 55.00
93246 $ 473.00
98960 $ 126.00
98961 $ 105.00
R0076 $ 28.50
93005 $ 344.00
93017 $ 1,607.00
$ 184.75
93880 $ 562.00
93880 $ 239.25
93925 $ 387.00
93926 $ 379.50
93925 $ 55.50
93930 $ 349.00
$ 455.25
$ 193.75
$ 42.75
$ 61.50
93010 $ 60.00
93976 $ 1,128.00
93798 $ 166.75
93798 $ 260.00
$ 150.50
$ 5.00
93930 $ 508.00
93931 $ 379.50
$ 34.50
$ 25.75
$ 51.25
$ 51.25
$ 13.50
95992 $ 217.00
$ 138.75
L4360 $ 241.00
97530GP $ 188.00
97530GP $ 176.00
$ 460.00
97110GP $ 47.75
97110GP $ 52.00
97110 $ 98.50
$ 104.25
$ 258.50
97602GP $ 233.00
$ 220.00
$ 240.00
E0720 $ 104.00
97763GP $ 167.00
97012GP $ 237.00
97014GP $ 245.00
97161GP $ 302.00
97162GP $ 352.00
97163GP $ 423.00
97164GP $ 215.00
97161GP95 $ 299.00
97162GP95 $ 299.00
97163GP95 $ 299.00
92507GN $ 448.00
92607GN $ 558.00
92609GN $ 376.00
92608GN $ 281.00
97001GP $ 320.00
92521GN $ 540.00
92522GN $ 555.00
92523GN $ 589.00
92524GN $ 555.00
92522GN95 $ 540.00
92523GN95 $ 540.00
92507GN95 $ 448.00
92526GN95 $ 364.00
92524GN $ 540.00
92610GN $ 558.00
92611GN $ 599.00
92612GN $ 526.00
92507GN $ 503.00
92526GN $ 417.00
92597GP $ 687.00
92526GN $ 364.00
97012GP $ 301.00
97014GP $ 171.00
97016GP $ 169.00
97024GP $ 70.00
97032GP $ 207.00
97033GP $ 230.00
97034GP $ 59.50
97035GP $ 166.00
97110GP $ 175.00
97110GP $ 203.00
97112GP $ 139.00
97113GP $ 164.00
97110GP $ 164.00
97150GP59 $ 51.75
97116GP $ 173.00
97116GP $ 143.00
97150GP59 $ 188.00
97140GP $ 175.00
97010GP $ 102.00
9715059GP $ 155.75
97140GP $ 222.00
97140GP $ 164.00
97760GP $ 218.00
97761GP $ 125.00
97535GP $ 182.00
97542GP $ 125.00
97545GP $ 315.00
97546GP $ 134.00
97750GP $ 164.00
95992KX $ 217.00
97530GPKX $ 188.00
97763GPKX $ 167.00
97014GPKX $ 245.00
97161GPKX $ 302.00
97162GPKX $ 352.00
97163GPKX $ 423.00
97164GPKX $ 215.00
92507GNKX $ 448.00
97001GPKX $ 320.00
92522GNKX $ 555.00
92523GNKX $ 589.00
92524GNKX $ 555.00
92507GN95 $ 448.00
92526GN95 $ 364.00
92610GNKX $ 558.00
92611GNKX $ 599.00
92612GNKX $ 526.00
92507GNKX $ 503.00
92526GNKX $ 417.00
92597GPKX $ 687.00
92526GNKX $ 364.00
97012GPKX $ 301.00
97014GPKX $ 171.00
97016GPKX $ 169.00
97032GPKX $ 207.00
97033GPKX $ 230.00
97035GPKX $ 166.00
97110GPKX $ 175.00
97110GPKX $ 203.00
97112GPKX $ 139.00
97116GPKX $ 173.00
97140GPKX $ 175.00
97140GPKX $ 222.00
97760GPKX $ 218.00
97535GPKX $ 182.00
97161GPKX $ 299.00
97162GPKX $ 299.00
97163GPKX $ 299.00
92607GNKX $ 558.00
92609GNKX $ 376.00
92521GNKX $ 540.00
97113GPKX $ 164.00
97761GPKX $ 125.00
97542GPKX $ 125.00
98960GPKX $ 257.00
98960GP $ 257.00
$ 64.00
85008 $ 8.50
29105 $ 202.00
29125 $ 148.00
29130 $ 86.00
97003GO $ 331.00
97004GO $ 101.00
97165GO $ 328.00
97166GO $ 385.00
97167GO $ 482.00
97168GO $ 222.00
97763GO $ 167.00
97129GO $ 110.00
97130GO $ 110.00
97018GO $ 157.00
97140GO $ 222.00
97024 $ 59.50
97032GO $ 207.00
97033GO $ 230.00
97034 $ 59.50
97035GO $ 166.00
97113GP $ 164.00
97110GO $ 175.00
97110GO $ 203.00
97112GO $ 139.00
97110GO $ 164.00
97140GO $ 175.00
97760GO $ 218.00
97530GO $ 188.00
97530GO $ 176.00
97533GO $ 147.00
97535GO $ 182.00
97537GO $ 120.00
97542GO $ 163.00
97165GOKX $ 328.00
97166GOKX $ 385.00
97167GOKX $ 482.00
97168GOKX $ 222.00
97763GOKX $ 167.00
97018GOKX $ 157.00
97140GOKX $ 222.00
97032GOKX $ 207.00
97033GOKX $ 230.00
97035GOKX $ 166.00
97110GOKX $ 175.00
97110GOKX $ 203.00
97112GOKX $ 139.00
97140GOKX $ 175.00
97760GOKX $ 218.00
97530GOKX $ 188.00
97535GOKX $ 182.00
97542GOKX $ 163.00
97130GOKX $ 110.00
97129GOKX $ 110.00
97537GOKX $ 120.00
97533GOKX $ 147.00
97113GPKX $ 164.00
96112 $ 95.00
96112 $ 67.00
96112 $ 82.00
T1027 $ 109.00
T1027 $ 151.00
T1027 $ 191.00
96112 $ 56.00
W8730 $ 26.00
99499TL $ 53.00
99499TL $ 63.00
97001 $ 26.00
99499GP $ 38.00
97110 $ 175.00
97110 $ 164.00
97001 $ 133.00
97001 $ 82.00
97150 $ 109.00
99499GP $ 58.00
W8754 $ 26.00
97001 $ 133.00
96112GP $ 97.00
86353 $ 253.00
80299 $ 350.00
87476 $ 779.00
80301 $ 135.00
86645 $ 174.00
82570 $ 142.00
86304 $ 230.00
82575 $ 342.00
86300 $ 217.00
84075 $ 159.00
84156 $ 148.00
86738 $ 172.00
80158 $ 201.00
80329 $ 302.00
83835 $ 132.00
0 $ 83.50
87807 $ 287.00
84460 $ 127.00
82672 $ 157.00
87804 $ 205.00
8780459 $ 205.00
80299 $ 163.00
$ 44.00
81374 $ 271.00
84445 $ 410.00
83519 $ 174.00
82271 $ 56.00
88108 $ 265.00
80329 $ 233.00
86803 $ 233.00
87252 $ 416.00
80185 $ 189.00
87425 $ 198.00
87205 $ 30.50
83020 $ 162.00
83937 $ 134.00
82652 $ 306.00
87206 $ 92.00
88108 $ 252.00
80074 $ 568.00
83003 $ 151.00
84157 $ 137.00
82945 $ 25.00
82140 $ 168.00
80101 $ 256.00
87071 $ 93.75
89321 $ 106.00
87220 $ 49.00
84376 $ 201.00
82710 $ 223.00
87086 $ 149.00
86765 $ 155.00
83498 $ 209.00
82627 $ 135.00
86256 $ 125.00
83525 $ 164.00
84260 $ 291.00
82384 $ 196.00
82085 $ 141.00
87252 $ 300.00
82330 $ 124.00
84630 $ 133.00
83497 $ 123.00
80346 $ 106.00
82553 $ 242.00
84466 $ 249.00
86003 $ 235.00
86762 $ 109.00
82103 $ 135.00
86611 $ 90.00
88184 $ 311.00
88185 $ 154.00
82150 $ 168.00
84295 $ 95.00
82040 $ 138.00
86003 $ 53.00
82728 $ 276.00
$ 65.00
86003 $ 42.00
82024 $ 315.00
86023 $ 76.00
88360 $ 506.00
88361 $ 540.00
88367 $ 891.00
80076 $ 320.00
86706 $ 110.00
80307 $ 329.00
86705 $ 222.00
80051 $ 205.00
84402 $ 150.00
86611 $ 90.00
82247 $ 101.00
84550 $ 104.00
81001 $ 97.00
82784 $ 156.00
82784 $ 156.00
83915 $ 165.00
82784 $ 156.00
87634 $ 333.00
83540 $ 151.00
82010 $ 153.00
82380 $ 60.00
80184 $ 170.00
84300 $ 89.00
84133 $ 95.00
82805 $ 386.00
81003 $ 68.00
86320 $ 465.00
83550 $ 209.00
82952 $ 58.45
87077 $ 100.00
87077 $ 60.75
84030 $ 229.00
85025 $ 169.00
82465 $ 95.00
82747 $ 180.00
82785 $ 174.00
87045 $ 197.00
85660 $ 114.00
80299 $ 156.00
84165 $ 174.00
86376 $ 156.00
36415 $ 26.00
84520 $ 121.00
83718 $ 90.00
81015 $ 74.00
83036 $ 154.00
84403 $ 270.00
82670 $ 245.00
82533 $ 212.00
83002 $ 218.00
83001 $ 235.00
84146 $ 248.00
85018 $ 68.00
82310 $ 129.00
85014 $ 60.00
89190 $ 131.00
83690 $ 182.00
83520 $ 247.00
80061 $ 198.00
85048 $ 56.00
86780 $ 143.00
86707 $ 182.00
$ 96.00
82375 $ 155.00
80188 $ 151.00
83050 $ 135.00
82150 $ 168.00
82810 $ 92.75
85018 $ 53.00
82435 $ 118.00
82105 $ 301.00
87206 $ 92.00
87118 $ 40.00
86003 $ 53.00
84588 $ 373.00
84702 $ 263.00
82787 $ 288.00
87899 $ 140.00
85049 $ 96.00
86231 $ 177.00
87169 $ 176.00
84681 $ 256.00
82550 $ 168.00
85027 $ 148.00
84481 $ 430.75
86255 $ 125.00
82306 $ 289.00
87040 $ 261.00
83735 $ 168.00
82947 $ 102.00
82947 $ 102.00
83010 $ 165.00
84252 $ 290.00
$ 113.00
82948 $ 24.75
82164 $ 86.00
87070 $ 215.00
87070 $ 215.00
87070 $ 215.00
87070 $ 215.00
87070 $ 215.00
87070 $ 215.00
80198 $ 265.00
86258 $ 103.00
86258 $ 103.00
82977 $ 147.00
87075 $ 307.00
83970 $ 386.00
86332 $ 246.00
83615 $ 122.00
80159 $ 188.00
85652 $ 51.50
84702 $ 263.00
87210 $ 92.00
84443 $ 190.00
87184 $ 153.00
87205 $ 98.00
87536 $ 456.00
84478 $ 131.00
83655 $ 95.00
87799 $ 128.50
82803 $ 160.00
36416 $ 33.00
84100 $ 125.00
85002 $ 170.00
87070 $ 204.00
84132 $ 98.00
85730 $ 135.00
82607 $ 121.75
84445 $ 135.00
80175 $ 175.00
82565 $ 118.00
83874 $ 56.00
84450 $ 129.00
86708 $ 197.00
82390 $ 120.00
85610 $ 93.00
86644 $ 149.00
86778 $ 342.00
86140 $ 37.50
89051 $ 172.00
80162 $ 231.00
84157 $ 137.00
86698 $ 102.00
86612 $ 119.00
84439 $ 158.00
82172 $ 135.00
82172 $ 135.00
80154 $ 65.00
82495 $ 140.00
85613 $ 151.00
85670 $ 113.00
80100 $ 173.00
86162 $ 211.00
83735 $ 99.75
86735 $ 124.00
87205 $ 80.00
86431 $ 174.00
82626 $ 142.00
86902 $ 114.00
86337 $ 170.00
84436 $ 97.00
80201 $ 197.00
80183 $ 246.00
86147 $ 109.00
85610 $ 89.00
85730 $ 110.00
85613 $ 86.00
83894 $ 34.00
83891 $ 72.25
85335 $ 240.00
85301 $ 223.00
84157 $ 147.00
83605 $ 88.00
82172 $ 89.00
82248 $ 105.00
86800 $ 125.00
87255 $ 348.00
87177 $ 162.00
86900 $ 105.00
84155 $ 147.00
84560 $ 107.00
86160 $ 124.00
85301 $ 223.00
83921 $ 209.00
84585 $ 83.00
82507 $ 83.00
86880 $ 120.00
38220 $ 103.00
86060 $ 80.00
86850 $ 109.00
86000 $ 293.00
86920 $ 72.00
86921 $ 195.00
81222 $ 317.00
86922 $ 265.00
99195 $ 257.00
84060 $ 98.00
86308 $ 161.00
80299 $ 75.75
84244 $ 138.00
86901 $ 92.00
80299 $ 164.00
80320 $ 343.00
86334 $ 286.00
84311 $ 70.00
81000 $ 18.75
86147 $ 159.00
83945 $ 83.00
84703 $ 171.00
86850 $ 125.00
84080 $ 109.00
87077QW $ 100.00
86592 $ 102.00
84480 $ 285.00
83516 $ 123.00
82950 $ 176.00
82274QW $ 78.00
86038 $ 128.00
88182 $ 251.50
89055 $ 112.00
82365 $ 110.00
86160 $ 153.00
89051 $ 172.00
86162 $ 211.00
89060 $ 102.00
86651 $ 76.00
87800 $ 165.00
83735 $ 168.00
82378 $ 244.00
82945 $ 105.00
82340 $ 126.00
80171 $ 188.00
86157 $ 204.00
84270 $ 174.00
87070 $ 189.00
82607 $ 172.00
84446 $ 121.00
82746 $ 243.00
G0103 $ 234.00
82384 $ 196.00
80164 $ 217.00
82088 $ 386.00
80156 $ 252.00
80194 $ 86.00
84153 $ 227.00
84144 $ 171.00
87340 $ 170.00
82941 $ 62.00
87902 $ 1,236.00
80197 $ 348.00
87102 $ 126.75
88161 $ 165.75
83655 $ 91.00
83930 $ 141.00
83935 $ 137.00
86003 $ 124.75
88161 $ 392.00
G0434 $ 100.00
80346 $ 168.00
86663 $ 69.00
87634 $ 187.00
86664 $ 72.00
86665 $ 103.00
86665 $ 103.00
80335 $ 114.00
83071 $ 95.00
86592 $ 106.00
$ 291.00
86329 $ 48.00
86787 $ 43.00
84410 $ 434.00
83891 $ 50.25
86235 $ 105.00
86226 $ 176.00
86704 $ 148.00
86706 $ 168.00
86606 $ 119.00
82157 $ 72.00
82523 $ 439.00
82140 $ 317.00
80101 $ 142.00
87385 $ 204.00
86787 $ 42.00
88233 $ 668.00
88262 $ 760.00
88291 $ 86.00
87116 $ 227.00
86698 $ 77.00
86698 $ 77.00
84620 $ 246.00
85097 $ 181.00
86788 $ 247.00
86790 $ 101.00
86341 $ 257.00
84207 $ 97.00
80151 $ 179.00
36600 $ 85.00
36600 $ 85.00
87070 $ 204.00
87070 $ 189.00
83520 $ 114.00
84681 $ 85.50
82668 $ 176.00
84442 $ 166.00
82552 $ 118.00
86612 $ 105.00
86635 $ 110.00
87899 $ 134.00
82985 $ 80.00
83721 $ 92.00
86235 $ 202.00
87169 $ 176.00
87081 $ 142.00
87186 $ 114.00
85300 $ 210.00
87070 $ 142.00
84238 $ 103.00
86612 $ 132.00
84305 $ 253.00
36415 $ 26.00
82043 $ 171.00
84484 $ 291.00
86590 $ 95.00
86235 $ 119.00
86235 $ 122.00
86235 $ 212.00
86160 $ 168.00
82951 $ 212.00
82951 $ 212.00
82951 $ 206.00
82951 $ 206.00
85652 $ 91.00
85027 $ 148.00
85025 $ 169.00
85362 $ 202.00
87110 $ 363.00
84134 $ 169.00
80202 $ 290.00
80102 $ 142.00
86294 $ 265.00
80202 $ 290.00
84311 $ 70.00
80186 $ 114.00
83890 $ 85.00
86682 $ 195.00
85670 $ 196.00
86900 $ 108.00
86901 $ 42.00
81050 $ 83.00
85245 $ 212.00
84156 $ 148.00
87522 $ 536.00
85379 $ 265.00
82955 $ 102.00
86708 $ 103.75
$ 108.50
80048 $ 209.00
80053 $ 237.00
86735 $ 63.00
86757 $ 102.00
86870 $ 196.00
80069 $ 217.00
85555 $ 278.00
86301 $ 140.00
86695 $ 124.00
86696 $ 179.00
86696 $ 63.00
84484 $ 174.25
82553 $ 139.75
85305 $ 255.00
85303 $ 256.00
84597 $ 229.00
82805 $ 160.00
81241 $ 453.00
83695 $ 80.00
84702 $ 33.00
82105 $ 55.00
85384 $ 109.00
84110 $ 143.00
82135 $ 250.00
86747 $ 43.25
86747 $ 72.50
87276 $ 198.00
87275 $ 198.00
87254 $ 36.00
87140 $ 80.00
83527 $ 103.00
80324 $ 164.00
87070 $ 204.00
87040 $ 83.00
87103 $ 174.25
87176 $ 42.00
87206 $ 102.00
87070 $ 215.00
87070 $ 215.00
87205 $ 26.00
81240 $ 466.00
83894 $ 92.00
83892 $ 92.00
83898 $ 92.00
83891 $ 92.00
86147 $ 159.00
86920 $ 281.00
83519 $ 174.00
85240 $ 288.00
85246 $ 268.00
85300 $ 213.00
85260 $ 224.00
85306 $ 253.00
86147 $ 135.00
86200 $ 156.00
87497 $ 284.00
88230 $ 307.00
88262 $ 307.00
88291 $ 51.25
84590 $ 79.00
84432 $ 166.00
87800 $ 165.00
87350 $ 229.00
83789 $ 375.00
86341 $ 275.00
87205 $ 80.00
82664 $ 195.00
82523 $ 188.00
83986 $ 97.00
84392 $ 173.00
84105 $ 28.00
86335 $ 191.00
83520 $ 3,897.00
83519 $ 174.00
83874 $ 194.00
8213190 $ 59.75
86787 $ 117.00
81256 $ 457.00
87081 $ 142.00
87206 $ 72.00
83825 $ 170.00
86364 $ 141.00
86364 $ 141.00
87529 $ 264.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 50.00
86003 $ 53.00
87385 $ 281.00
86235 $ 141.00
82595 $ 57.75
86790 $ 101.00
88273 $ 169.00
88271 $ 169.00
88291 $ 51.25
87880 $ 142.00
80335 $ 156.00
87205 $ 43.75
87070 $ 104.00
87329 $ 117.00
87046 $ 70.75
83516 $ 182.00
86225 $ 229.00
86003 $ 53.00
86003 $ 65.00
86003 $ 53.00
83090 $ 150.00
82725 $ 228.00
86317 $ 70.00
86003 $ 46.00
86317 $ 119.00
86317 $ 116.00
86684 $ 157.00
81025 $ 145.00
85651 $ 61.50
84450 $ 37.00
84479 $ 72.00
84478 $ 36.00
85007 $ 83.00
80170 $ 201.00
82525 $ 91.00
86235 $ 109.00
86141 $ 175.00
86300 $ 168.00
80200 $ 289.50
85730 $ 35.75
86038 $ 161.75
87177 $ 130.75
85018 $ 26.00
87184 $ 52.00
87070 $ 83.00
82705 $ 76.00
85014 $ 21.25
82270 $ 23.50
$ 17.75
$ 23.00
$ 29.00
87070 $ 204.00
$ 65.25
$ 64.75
$ 15.75
$ 60.75
$ 29.00
G0478 $ 100.00
$ 31.00
$ 116.00
86021 $ 65.00
85302 $ 271.00
83516 $ 247.00
83516 $ 247.00
84482 $ 322.00
82340 $ 152.00
84481 $ 231.00
84255 $ 62.00
82175 $ 43.00
86971 $ 110.00
87081 $ 75.00
87634 $ 313.00
87634 $ 318.00
85379 $ 260.00
83864 $ 260.00
86784 $ 193.00
83883 $ 191.00
83883 $ 191.00
87449 $ 143.00
83993 $ 631.00
87899 $ 169.00
82379 $ 159.00
87799 $ 734.00
86603 $ 46.00
86603 $ 46.00
86658 $ 61.00
86658 $ 61.00
86658 $ 61.00
86658 $ 61.00
86658 $ 61.00
86658 $ 61.00
86341 $ 188.00
86658 $ 99.00
84080 $ 285.00
82523 $ 207.00
84681 $ 186.00
81229 $ 3,985.00
83891 $ 245.25
85441 $ 35.00
80299 $ 356.00
82552 $ 27.00
86902 $ 193.00
82107 $ 684.00
80361 $ 324.00
87186 $ 70.00
87076 $ 193.00
87899 $ 1,234.00
82595 $ 310.00
86480 $ 350.00
82140 $ 207.00
80178 $ 129.00
82552 $ 146.00
82570 $ 9.75
80200 $ 129.00
80200 $ 129.00
80170 $ 201.00
81270 $ 615.00
83891 $ 123.50
84166 $ 203.00
86341 $ 698.00
87799 $ 734.00
83520 $ 431.00
86757 $ 212.00
83520 $ 431.00
87301 $ 181.00
87634 $ 503.00
86255 $ 180.00
83986 $ 93.00
86003 $ 659.25
82542 $ 279.00
82523 $ 413.00
83655 $ 91.00
88185 $ 60.00
88184 $ 302.00
88187 $ 147.00
88188 $ 246.00
88189 $ 306.00
86687 $ 214.00
86688 $ 214.00
84156 $ 148.00
84155 $ 96.00
84157 $ 5.00
84075 $ 159.00
83698 $ 144.00
82533 $ 113.00
86003 $ 53.00
83890 $ 14.50
83898 $ 14.50
82679 $ 119.00
85306 $ 253.00
87169 $ 143.00
87497 $ 452.00
82533 $ 160.00
82533 $ 160.00
80301 $ 145.00
85732 $ 43.00
86317 $ 116.00
84479 $ 64.00
84436 $ 92.00
80323 $ 145.00
86003 $ 53.00
82340 $ 116.00
87591 $ 217.00
86360 $ 299.00
84120 $ 56.00
86235 $ 56.00
86431 $ 88.00
86905 $ 114.00
86235 $ 83.00
86235 $ 83.00
83090 $ 56.00
87081 $ 151.00
85732 $ 109.00
85732 $ 266.00
85613 $ 91.00
88112 $ 389.00
80150 $ 167.00
85060 $ 238.00
G0434 $ 142.00
82108 $ 56.00
80171 $ 343.00
$ 142.00
85250 $ 91.00
86148 $ 63.75
86148 $ 63.75
86146 $ 131.00
86146 $ 131.00
86146 $ 131.00
84210 $ 132.00
82570 $ 132.00
84156 $ 148.00
86355 $ 231.00
86357 $ 231.00
86359 $ 231.00
83520 $ 221.00
86255 $ 234.00
86757 $ 86.00
83891 $ 28.00
83894 $ 28.00
83896 $ 28.00
83898 $ 28.00
86671 $ 113.00
86671 $ 113.00
86317 $ 116.00
83880 $ 279.00
85415 $ 342.00
80320 $ 241.25
83088 $ 442.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 34.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 53.00
86003 $ 530.00
86003 $ 53.00
86343 $ 165.00
86003 $ 53.00
86003 $ 53.00
87101 $ 85.00
87106 $ 143.00
87206 $ 122.00
83631 $ 241.00
86003 $ 33.00
86003 $ 33.00
86003 $ 33.00
86003 $ 33.00
86003 $ 33.00
86003 $ 53.00
86003 $ 33.00
86003 $ 33.00
81331 $ 712.00
83900 $ 179.00
83891 $ 179.00
83894 $ 179.00
83912 $ 179.00
87899 $ 22.50
87899 $ 78.00
87015 $ 45.00
87899 $ 108.00
86003 $ 53.00
86003 $ 50.00
86003 $ 53.00
86003 $ 33.00
86005 $ 33.00
86003 $ 50.00
86003 $ 53.00
86003 $ 53.00
85260 $ 382.00
88271 $ 179.00
88275 $ 494.00
88291 $ 1.00
86978 $ 271.00
82088 $ 386.00
86160 $ 173.00
86003 $ 48.00
84585 $ 188.00
86849 $ 127.00
81001 $ 97.00
86161 $ 343.00
83088 $ 442.00
84166 $ 235.00
80307 $ 101.00
83520 $ 244.00
84425 $ 177.00
80055 $ 782.00
82528 $ 194.00
83520 $ 151.00
86602 $ 61.00
86331 $ 61.00
80195 $ 217.00
82530 $ 213.00
86777 $ 109.00
86778 $ 152.00
82310 $ 58.00
86003 $ 50.00
88120 $ 2,814.00
86003 $ 76.00
86003 $ 76.00
86331 $ 140.00
83018 $ 257.00
86606 $ 111.00
86606 $ 105.00
86606 $ 105.00
$ 1.00
85027 $ 148.00
85610 $ 93.00
80053 $ 285.00
80048 $ 215.00
86003 $ 50.00
86003 $ 50.00
87070 $ 174.00
86037 $ 125.00
86037 $ 125.00
86668 $ 131.00
86611 $ 95.00
86611 $ 95.00
$ 210.00
86003 $ 50.00
87491 $ 217.00
84105 $ 63.00
87471 $ 554.00
80189 $ 541.00
88160 $ 140.00
82272 $ 138.00
85520 $ 457.00
84402 $ 150.00
82017 $ 469.00
82139 $ 469.00
83919 $ 376.00
82136 $ 59.00
85007 $ 83.00
85730 $ 135.00
83150 $ 109.00
82570 $ 110.00
83921 $ 301.00
82261 $ 243.00
82365 $ 99.00
86920 $ 36.00
86922 $ 162.00
85660 $ 89.00
86999 $ 42.00
86999 $ 59.00
86905 $ 175.00
86905 $ 132.00
86905 $ 175.00
86905 $ 248.00
86904 $ 36.00
86021 $ 89.00
86902 $ 112.00
86906 $ 110.00
86886 $ 125.00
86978 $ 95.00
86978 $ 95.00
86970 $ 114.00
86970 $ 125.00
86644 $ 72.00
86975 $ 521.00
86977 $ 110.00
86977 $ 110.00
86850 $ 125.00
86972 $ 132.00
86021 $ 278.00
86880 $ 105.00
86140 $ 29.00
83520 $ 29.00
82397 $ 29.00
83896 $ 29.00
G0328QW $ 142.00
87449 $ 345.00
$ 29.00
80346 $ 374.00
80307 $ 329.00
80307 $ 88.00
87901 $ 2,199.00
85045 $ 126.00
86341 $ 266.00
86003 $ 46.00
84154 $ 74.00
86710 $ 129.00
86341 $ 285.00
84999 $ 58.00
84302 $ 58.00
82438 $ 58.00
82642 $ 257.00
87999 $ 23.00
86003 $ 50.00
86003 $ 50.00
86003 $ 33.00
86003 $ 33.00
86003 $ 50.00
83630 $ 214.00
87149 $ 255.00
87210 $ 92.00
86789 $ 89.00
83615 $ 55.00
$ 1.00
81303 $ 855.00
86596 $ 588.00
82677 $ 40.00
86376 $ 155.00
81400 $ 711.00
84478 $ 142.00
84311 $ 142.00
83986 $ 142.00
84439 $ 456.00
83986 $ 40.00
88271 $ 191.00
86038 $ 128.00
81404 $ 2,846.00
85379 $ 265.00
86235 $ 214.00
86622 $ 141.00
86622 $ 141.00
86638 $ 191.00
86641 $ 197.00
86335 $ 92.00
84545 $ 102.00
82575 $ 78.50
84156 $ 78.50
81313 $ 809.00
80301 $ 884.00
83735 $ 326.00
82180 $ 130.00
86003 $ 50.00
86003 $ 50.00
80150 $ 167.00
82542 $ 590.00
86316 $ 330.00
86305 $ 454.00
81355 $ 406.00
81227 $ 406.00
82397 $ 252.00
82397 $ 182.00
83520 $ 712.00
85549 $ 164.00
82088 $ 321.00
80339 $ 302.00
86666 $ 130.00
86666 $ 130.00
86003 $ 663.00
83520 $ 456.00
86003 $ 42.00
86003 $ 42.00
81332 $ 407.00
86256 $ 77.00
86256 $ 77.00
83020 $ 138.00
85660 $ 138.00
80285 $ 691.00
82436 $ 53.00
80307 $ 30.00
$ 375.00
84165 $ 174.00
84165 $ 138.00
82670 $ 77.00
84999 $ 77.00
87651 $ 266.00
86900 $ 108.00
82306 $ 164.00
83785 $ 244.00
84591 $ 342.00
84591 $ 342.00
86611 $ 93.00
86638 $ 89.00
86668 $ 129.00
86666 $ 230.00
86666 $ 167.00
86612 $ 176.00
83785 $ 184.00
84999 $ 140.00
84302 $ 140.00
87556 $ 434.00
82525 $ 105.00
80101 $ 36.00
80307 $ 252.00
86682 $ 244.00
86003 $ 97.00
86331 $ 179.00
80202 $ 290.00
80299 $ 406.00
81220 $ 1,066.00
87081 $ 111.00
81401 $ 893.00
86361 $ 188.00
82172 $ 75.00
82247 $ 75.00
82977 $ 110.00
83010 $ 164.00
83883 $ 124.00
84460 $ 127.00
86618 $ 166.00
86617 $ 255.00
87802 $ 233.00
87899 $ 233.00
87899 $ 233.00
87899 $ 233.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
81296 $ 857.00
87498 $ 510.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86658 $ 159.00
86658 $ 159.00
86658 $ 159.00
87109 $ 278.00
86780 $ 134.00
80375 $ 288.00
84630 $ 147.00
88237 $ 330.00
88271 $ 330.00
86606 $ 116.00
83013 $ 443.00
80168 $ 158.00
83020 $ 210.00
84238 $ 246.00
84540 $ 106.00
86762 $ 158.00
86317 $ 116.00
80375 $ 398.00
84443 $ 125.00
84481 $ 252.00
84439 $ 134.00
86379 $ 110.00
84436 $ 110.00
86609 $ 49.00
80307 $ 88.00
86160 $ 143.00
86341 $ 129.00
86341 $ 129.00
86341 $ 129.00
86671 $ 129.00
86255 $ 129.00
86603 $ 50.00
86603 $ 50.00
86603 $ 50.00
86603 $ 50.00
86603 $ 50.00
84449 $ 120.00
88237 $ 571.00
88275 $ 320.00
88271 $ 657.00
86225 $ 229.00
86235 $ 122.00
86235 $ 122.00
86235 $ 208.00
86235 $ 208.00
81243 $ 520.00
83051 $ 121.00
87186 $ 276.00
83704 $ 129.00
86235 $ 170.00
88289 $ 149.00
84206 $ 365.00
82330 $ 120.00
80354 $ 171.00
83036 $ 154.00
80301 $ 216.00
80301 $ 105.00
82670 $ 300.00
$ 121.00
$ 102.00
$ 121.00
87624 $ 272.00
87624 $ 190.00
$ 173.00
88175 $ 170.00
$ 93.00
87172 $ 63.00
88175 $ 190.00
80361 $ 184.00
80053 $ 80.00
84443 $ 80.00
85025 $ 80.00
80061 $ 77.00
83704 $ 77.00
87305 $ 328.00
85048 $ 45.00
81270 $ 567.00
81270 $ 689.00
81223 $ 2,279.00
87661 $ 150.00
86658 $ 137.00
87899 $ 140.00
82533 $ 125.00
80375 $ 152.00
80306 $ 259.00
83519 $ 1,575.00
87197 $ 950.00
82139 $ 887.00
86022 $ 402.00
86341 $ 149.00
86255 $ 149.00
86671 $ 149.00
83520 $ 81.00
82397 $ 81.00
86140 $ 81.00
88346 $ 81.00
81479 $ 81.00
83835 $ 319.00
80301 $ 89.00
86003 $ 50.00
82533 $ 212.00
80348 $ 184.00
82248 $ 105.00
82247 $ 101.00
82308 $ 269.00
86340 $ 176.00
87521 $ 533.00
80299 $ 157.00
83735 $ 143.00
86003 $ 268.00
86003 $ 224.00
85611 $ 61.00
85732 $ 89.00
86003 $ 50.00
87661 $ 182.00
87186 $ 374.00
80299 $ 621.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 76.00
80299 $ 319.00
82397 $ 319.00
82247 $ 101.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86343 $ 284.00
82010 $ 130.00
85610 $ 90.00
85730 $ 135.00
81401 $ 1,107.00
81406 $ 1,107.00
81406 $ 1,107.00
82657 $ 324.00
86003 $ 50.00
$ 1.00
87902 $ 965.00
81170 $ 1,040.00
83520 $ 512.00
83655 $ 63.00
84432 $ 150.00
86701 $ 191.00
86702 $ 191.00
86603 $ 171.00
87496 $ 594.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86341 $ 207.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
87641 $ 162.00
86331 $ 76.00
86003 $ 50.00
86003 $ 50.00
83520 $ 705.00
82239 $ 105.00
80329 $ 302.00
80329 $ 233.00
80330 $ 904.00
81375 $ 737.00
82397 $ 155.00
80329 $ 534.00
82610 $ 244.00
81164 $ 859.00
81162 $ 3,555.00
88108 $ 265.00
88108 $ 193.00
82163 $ 138.00
82533 $ 212.00
85230 $ 320.00
84402 $ 237.00
87804 $ 134.00
81373 $ 307.00
82373 $ 520.00
82128 $ 152.00
82540 $ 152.00
88350 $ 607.00
85027 $ 148.00
85025 $ 177.00
84443 $ 190.00
80053 $ 245.00
87186 $ 940.00
82131 $ 266.00
84145 $ 372.00
85379 $ 273.00
80366 $ 176.00
87207 $ 140.00
81291 $ 461.00
86003 $ 50.00
80299 $ 202.00
87186 $ 2,041.00
87338 $ 261.00
80357 $ 152.00
87804 $ 179.00
87804 $ 179.00
82784 $ 101.00
84484 $ 246.00
80375 $ 176.00
82787 $ 148.00
86003 $ 50.00
86003 $ 50.00
86003 $ 50.00
88108 $ 173.00
80377 $ 238.00
80377 $ 155.00
87075 $ 189.00
86331 $ 103.00
81381 $ 473.00
86682 $ 324.00
82300 $ 194.00
80321 $ 154.00
85027 $ 148.00
82300 $ 160.00
80307 $ 387.00
86003 $ 50.00
86008 $ 52.00
86008 $ 52.00
86008 $ 52.00
86008 $ 50.00
86008 $ 50.00
86356 $ 42.00
86360 $ 42.00
86003 $ 50.00
80335 $ 165.00
86003 $ 50.00
82373 $ 520.00
86003 $ 50.00
84146 $ 148.00
86140 $ 166.00
86003 $ 50.00
86008 $ 90.00
81005 $ 141.00
83516 $ 219.00
89051 $ 183.00
85220 $ 305.00
81401 $ 499.00
81401 $ 499.00
82274QW $ 53.00
81226 $ 670.00
81230 $ 238.00
81231 $ 238.00
86800 $ 164.00
84432 $ 135.00
84432 $ 135.00
86341 $ 246.00
84403 $ 170.00
81217 $ 681.00
86790 $ 237.00
86790 $ 168.00
87389 $ 176.00
87486 $ 230.00
87633 $ 230.00
87581 $ 230.00
87798 $ 230.00
$ 39.00
87902 $ 765.00
85420 $ 204.00
85705 $ 175.00
81263 $ 1,275.00
82657 $ 496.00
87491 $ 134.00
87591 $ 134.00
87253 $ 120.00
86658 $ 42.00
86658 $ 42.00
86658 $ 42.00
86658 $ 42.00
86658 $ 42.00
86658 $ 42.00
86658 $ 42.00
86658 $ 42.00
83497 $ 105.00
81219 $ 649.00
81402 $ 708.00
86003 $ 40.00
86003 $ 40.00
81234 $ 386.00
86765 $ 103.00
86003 $ 40.00
86003 $ 40.00
86003 $ 40.00
86832 $ 524.00
86833 $ 524.00
83003 $ 41.00
86003 $ 40.00
86003 $ 40.00
81420 $ 868.00
82379 $ 79.00
86003 $ 49.00
86003 $ 40.00
86003 $ 40.00
83516 $ 130.00
82657 $ 713.00
87449 $ 324.00
80346 $ 183.00
84156 $ 148.00
80145 $ 263.00
82397 $ 263.00
86336 $ 332.00
86003 $ 40.00
86003 $ 40.00
86003 $ 40.00
81403 $ 597.00
80047 $ 215.00
82805 $ 386.00
83605 $ 161.00
84588 $ 626.00
86769 $ 135.00
86632 $ 134.00
86738 $ 129.00
86631 $ 140.00
83789 $ 81.00
83520 $ 130.00
86003 $ 40.00
86003 $ 40.00
86003 $ 40.00
86003 $ 40.00
86003 $ 40.00
86003 $ 40.00
86003 $ 40.00
86003 $ 40.00
87633 $ 969.00
87507 $ 843.00
86003 $ 40.00
86003 $ 40.00
84150 $ 559.00
87426 $ 263.00
86353 $ 306.00
86003 $ 39.00
86140 $ 166.00
82550 $ 168.00
82728 $ 276.00
85379 $ 273.00
83520 $ 209.00
83520 $ 173.00
86038 $ 128.00
86225 $ 229.00
86255 $ 177.00
86431 $ 88.00
88142 $ 141.00
82542 $ 66.00
86003 $ 40.00
86003 $ 50.00
86003 $ 50.00
U0004 $ 337.00
82542 $ 450.00
84120 $ 124.00
83516 $ 140.00
83516 $ 140.00
86003 $ 93.00
87209 $ 87.00
87209 $ 87.00
82131 $ 236.00
87801 $ 222.00
86255 $ 143.00
84182 $ 143.00
86037 $ 143.00
86635 $ 99.00
86635 $ 99.00
84311 $ 212.00
81279 $ 567.00
86001 $ 82.00
83520 $ 130.00
86003 $ 50.00
83516 $ 252.00
87483 $ 1,511.00
82805 $ 160.00
86769 $ 135.00
87168 $ 61.00
86003 $ 39.00
86803 $ 233.00
87522 $ 536.00
87521 $ 438.00
86769 $ 135.00
80347 $ 193.00
83951 $ 263.00
81329 $ 1,163.00
83020 $ 86.00
83020 $ 210.00
81220 $ 1,082.00
87635 $ 195.00
84154 $ 121.00
82247 $ 101.00
80280 $ 329.00
82397 $ 207.00
87799 $ 734.00
86001 $ 52.00
81377 $ 412.00
81383 $ 412.00
88141 $ 65.00
81490 $ 1,394.00
86606 $ 107.00
81405 $ 1,557.00
87522 $ 710.00
82542 $ 355.00
86051 $ 802.00
86003 $ 39.00
86003 $ 39.00
86003 $ 39.00
86003 $ 39.00
86003 $ 39.00
86003 $ 105.00
87190 $ 525.00
86362 $ 977.00
86003 $ 39.00
86003 $ 39.00
86003 $ 39.00
86003 $ 39.00
86003 $ 47.00
86003 $ 39.00
80299 $ 179.00
86606 $ 91.00
83735 $ 168.00
82523 $ 274.00
87153 $ 420.00
87153 $ 420.00
87081 $ 279.00
87806 $ 176.00
86431 $ 101.00
86431 $ 101.00
86431 $ 101.00
80299 $ 247.00
84150 $ 347.00
84432 $ 210.00
85220 $ 274.00
87631 $ 453.00
86235 $ 459.00
81292 $ 399.00
81294 $ 399.00
81295 $ 399.00
81297 $ 399.00
81298 $ 399.00
81317 $ 399.00
81403 $ 399.00
81300 $ 399.00
86003 $ 53.00
83520 $ 324.00
87493 $ 300.00
86592 $ 102.00
83516 $ 195.00
87529 $ 305.00
87529 $ 305.00
87491 $ 217.00
87591 $ 217.00
87661 $ 182.00
87109 $ 163.00
86256 $ 220.00
87077 $ 100.00
86003 $ 47.00
85597 $ 185.00
85597 $ 185.00
86038 $ 137.00
83018 $ 226.00
86003 $ 53.00
86003 $ 53.00
83516 $ 162.00
87625 $ 269.00
86628 $ 105.00
86628 $ 105.00
80299 $ 268.00
87798 $ 277.00
81210 $ 578.00
83002 $ 218.00
87798 $ 336.00
87798 $ 337.00
81381 $ 307.00
86790 $ 307.00
80503 $ 232.00
82306 $ 475.00
88230 $ 42.25
87522 $ 710.00
88248 $ 855.00
88182 $ 365.00
87210 $ 92.00
85247 $ 452.00
85291 $ 90.00
85999 $ 410.00
82491 $ 474.00
82491 $ 474.00
83519 $ 290.00
81206 $ 471.00
81207 $ 359.00
83898 $ 92.25
83896 $ 35.00
83835 $ 763.00
80177 $ 276.00
86860 $ 191.00
87634 $ 492.00
82232 $ 192.00
83891 $ 93.75
83896 $ 93.75
82570 $ 108.00
86615 $ 269.00
88305 $ 237.00
83825 $ 79.00
86255 $ 90.00
86256 $ 171.00
86140 $ 166.00
82043 $ 171.00
86900 $ 65.75
82570 $ 108.00
85732 $ 30.75
85705 $ 72.00
85613 $ 88.50
85307 $ 159.00
86038 $ 39.25
85300 $ 69.25
84300 $ 89.00
84133 $ 95.00
82436 $ 48.00
87328 $ 198.00
87015 $ 45.00
86039 $ 17.25
86341 $ 126.00
82340 $ 152.00
84550 $ 31.00
83520 $ 247.00
82542 $ 247.00
82726 $ 265.00
86341 $ 178.00
80307 $ 210.00
86709 $ 59.00
P9021 $ 431.00
86870 $ 148.00
$ 364.00
86902 $ 107.00
$ 34.75
P9010 $ 239.75
36430 $ 1,268.00
P9023 $ 1,295.00
P9017 $ 497.00
P9035 $ 2,895.00
P9016 $ 737.00
86902 $ 114.00
86860 $ 182.00
86927 $ 74.00
88305 $ 290.00
88304 $ 176.00
88313 $ 201.00
88305 $ 368.00
88307 $ 632.00
88309 $ 833.00
88162 $ 461.00
88302 $ 214.00
88300 $ 105.00
88333 $ 153.00
88311 $ 108.00
88304 $ 273.00
88342 $ 344.00
88161 $ 257.00
88312 $ 259.00
88173 $ 186.00
84233 $ 293.00
84234 $ 293.00
88302 $ 114.00
84234 $ 293.00
88314 $ 317.00
88341 $ 239.00
88374 $ 665.00
88364 $ 395.00
88365 $ 395.00
88377 $ 838.00
88381 $ 630.00
81445 $ 944.00
81301 $ 701.00
90791 $ 543.00
90832 $ 339.00
90834 $ 379.00
90853 $ 416.00
90837 $ 600.00
G0463 $ 274.00
90846 $ 363.00
90847 $ 363.00
90792 $ 543.00
$ 44.50
$ 44.50
82962 $ 37.00
$ 40.75
$ 1.50
$ 31.00
$ 197.00
$ 163.00
$ 117.00
$ 154.00
$ 14.25
$ 44.50
$ 12.00
$ 28.00
$ 60.00
$ 146.25
$ 1.25
$ 139.00
$ 6.25
$ 8.75
$ 180.50
$ 1.75
$ 1.25
J2704 $ 38.00
$ 9.25
$ 25.25
$ 19.50
$ 1.75
$ 2.75
$ 45.50
$ 60.50
$ 9.00
$ 2.25
$ 3.00
$ 28.50
$ 3.00
$ 22.00
$ 1.75
$ 1.25
$ 6.75
$ 63.50
$ 24.75
$ 711.00
$ 5.25
$ 8.00
$ 2.00
$ 35.75
$ 23.75
$ 22.00
$ 77.00
$ 61.50
$ 1.25
$ 7.00
$ 3.00
$ 1.75
$ 8.00
$ 1.50
$ 7.00
$ 1.75
$ 1.75
$ 1.75
$ 2.75
$ 6.75
$ 94.50
$ 2.50
$ 1.50
$ 1.75
$ 7.00
$ 2.00
$ 2.00
$ 3.00
$ 2.00
$ 13.00
$ 1.25
$ 29.00
$ 1.50
$ 1.25
$ 1.50
$ 1.75
$ 1.50
$ 1.25
$ 15.00
$ 119.00
$ 7.00
$ 6.25
Q0124 $ 1.25
$ 14.75
$ 11.75
$ 2.75
$ 1.75
$ 15.50
$ 40.75
J3480 $ 98.00
$ 118.25
$ 29.75
$ 223.50
$ 83.00
$ 43.25
J1836 $ 22.00
$ 2.75
$ 3.00
$ 3.25
$ 2.75
$ 1.25
$ 4.00
$ 119.50
$ 16.50
$ 29.00
$ 1.25
$ 1.25
$ 51.25
J1644 $ 28.00
$ 1.75
$ 17.50
$ 13.00
$ 3.00
$ 3.00
$ 19.75
$ 3.50
$ 5.25
$ 51.00
$ 119.75
$ 20.75
$ 20.00
$ 31.75
$ 16.25
$ 31.00
$ 21.25
$ 1.25
$ 5.25
$ 2.00
$ 2.50
$ 2.75
$ 101.00
$ 1.25
J0153 $ 78.00
$ 104.00
$ 142.00
$ 1.25
J1162 $ 9,914.00
$ 1.25
$ 15.50
$ 33.50
$ 6.00
$ 2.75
$ 7.00
$ 31.25
$ 4.50
$ 18.50
$ 1.50
J0171 $ 79.00
$ 6.00
P9047 $ 360.00
J0461 $ 55.00
$ 1.50
$ 2.75
$ 7.75
$ 1.25
$ 384.75
$ 57.75
$ 2.50
$ 13.50
$ 25.75
$ 7.00
$ 7.00
$ 11.25
$ 5.75
$ 34.50
$ 1.25
$ 8.00
$ 1.50
$ 1.25
$ 3.00
$ 3.00
$ 5.50
$ 32.75
$ 1.25
$ 10.25
$ 22.00
$ 1.25
$ 5.75
$ 6.25
$ 6.00
$ 1.50
$ 41.00
$ 83.00
$ 15.50
$ 3.00
$ 1.50
$ 2.75
$ 9.25
$ 2.00
$ 47.75
$ 1.25
$ 1.25
$ 0.25
$ 1.50
$ 0.25
$ 1.25
$ 29.75
$ 1.00
$ 1.75
$ 1.75
$ 1.75
$ 1.00
$ 1.25
$ 2.75
$ 3.00
$ 23.00
$ 1.25
$ 41.75
$ 1.25
$ 31.25
$ 6.50
$ 1.75
$ 15.50
$ 6.25
$ 2.00
$ 6.50
$ 1.25
$ 1.75
$ 2.25
$ 1.75
$ 3.00
$ 2.75
$ 86.00
$ 12.50
$ 87.00
$ 3.00
$ 51.50
$ 1.25
$ 24.25
$ 1.50
$ 8.50
$ 5.50
$ 34.75
J3411 $ 68.00
$ 31.00
$ 2.00
$ 1.00
$ 0.25
$ 2.75
$ 1.25
$ 1.25
$ 58.25
$ 2.75
$ 10.00
$ 20.50
$ 47.00
$ 1.25
$ 4.50
$ 2.00
$ 3.00
$ 1.25
$ 3.00
$ 1.25
$ 1.25
$ 41.50
$ 82.00
$ 1.75
$ 6.00
$ 2.00
$ 9.25
$ 3.75
$ 322.75
$ 1.75
$ 3.00
$ 10.75
$ 17.25
$ 1.75
$ 23.25
$ 1.75
$ 2.00
$ 5.50
$ 1.25
$ 18.00
$ 271.00
$ 167.00
$ 12.00
$ 13.00
$ 5.75
$ 1.50
$ 1.75
J3420 $ 59.00
$ 80.00
$ 2.75
$ 2.75
$ 1.25
$ 2.00
$ 1.25
$ 1.25
$ 28.50
$ 28.50
$ 1.75
$ 2.00
$ 7.00
$ 46.50
J1100 $ 13.00
$ 66.00
$ 2.00
$ 1.75
$ 2.75
$ 3.00
$ 6.75
$ 3.00
$ 1.75
$ 1.25
$ 13.00
$ 1.25
$ 1.75
$ 1.25
J1265 $ 84.00
$ 1.75
$ 3.00
$ 2.75
$ 1.50
$ 29.00
$ 3.00
$ 5.00
$ 1.25
$ 126.25
$ 42.75
$ 1.25
$ 3.50
$ 1.75
$ 1.75
J0171 $ 60.00
$ 2.25
$ 5.75
$ 1.75
$ 6.50
$ 3.00
$ 1.50
$ 2.75
$ 6.00
$ 3.00
$ 93.00
J1610 $ 842.00
$ 1.50
$ 3.00
$ 2.25
$ 1.25
$ 1.75
$ 3.00
$ 1.25
$ 3.00
$ 1.75
$ 1.25
$ 9.50
$ 1.50
$ 4.00
$ 1.75
$ 5.00
$ 1.50
$ 90.50
$ 3.00
$ 2.75
$ 42.75
$ 21.75
$ 1.25
$ 79.25
$ 9.75
$ 1.25
$ 1.25
$ 1.25
$ 1.50
$ 1.75
$ 8.00
$ 43.50
$ 41.75
$ 106.00
$ 9.00
$ 183.25
$ 25.00
$ 2.00
$ 14.00
$ 1.25
$ 1.25
$ 27.00
$ 1.75
$ 1.75
$ 12.00
$ 8.00
$ 1.25
J1940 $ 29.00
$ 3.00
$ 3.00
$ 2.75
$ 26.75
$ 117.00
$ 1.25
$ 2.75
$ 1.25
$ 13.50
J2001 $ 29.00
$ 1.75
$ 3.00
$ 44.75
$ 1.25
$ 3.00
$ 1.25
$ 16.00
$ 54.50
$ 1.25
J3475 $ 8.25
J2150 $ 23.00
$ 1.25
$ 7.75
$ 3.00
$ 1.50
$ 1.50
$ 1.75
$ 1.50
$ 1.75
J2270 $ 12.00
$ 6.25
$ 3.00
$ 2.50
J1200 $ 16.00
$ 144.00
$ 96.00
$ 31.25
$ 2.00
$ 1.00
$ 1.75
$ 1.25
$ 1.75
$ 9.00
J2310 $ 116.00
$ 5.00
$ 1.25
$ 3.25
$ 10.25
$ 10.25
$ 1.50
$ 9.50
$ 1.25
$ 16.50
$ 2.75
$ 2.25
$ 1.25
$ 18.50
$ 4.00
$ 4.00
$ 1.75
$ 1.50
$ 2.25
$ 28.25
$ 1.75
$ 1.25
$ 1.25
$ 1.75
$ 2.50
$ 69.50
$ 8.50
$ 9.75
$ 4.50
$ 3.00
$ 1.25
$ 1.25
$ 1.50
$ 1.75
$ 1.50
$ 4.50
J2550 $ 18.00
$ 13.75
$ 1.25
$ 2.00
$ 2.00
$ 2.00
$ 1.25
$ 1.25
J3480 $ 29.00
$ 6.00
$ 2.00
$ 6.00
$ 1.25
$ 1.25
J2690 $ 252.00
$ 1.25
$ 1.25
$ 7.50
$ 1.50
$ 1.25
$ 77.00
$ 2.00
J0330 $ 104.00
$ 5.75
$ 1.75
$ 2.00
J2765 $ 11.00
$ 6.00
$ 1.25
$ 1.50
$ 13.00
$ 1.25
$ 1.50
$ 16.50
$ 3.00
$ 5.00
$ 3.75
$ 2.50
$ 5.25
$ 2.00
$ 52.50
J1720 $ 94.00
J1720 $ 118.00
J2920 $ 36.00
J2930 $ 48.00
J2930 $ 73.00
$ 17.00
$ 2.75
$ 1.75
$ 38.00
$ 3.00
$ 3.00
$ 11.00
$ 1.25
$ 1.75
$ 1.25
$ 1.50
$ 16.50
$ 1.25
$ 7.00
$ 90.25
$ 112.75
$ 1.50
$ 1.50
$ 2.00
$ 1.75
J3230 $ 121.00
$ 1.50
$ 12.00
$ 1.50
$ 234.00
$ 1.50
$ 6.25
$ 1.50
$ 4.00
$ 7.00
$ 104.00
$ 1.50
$ 1.50
$ 2.00
$ 24.75
$ 1.00
$ 24.50
$ 5.25
$ 16.25
$ 1.25
$ 35.25
$ 1.25
$ 74.00
$ 1.50
$ 1.25
$ 5.25
$ 14.50
$ 2.00
$ 1.25
$ 1.25
$ 3.00
$ 1.25
J3360 $ 133.00
$ 54.75
$ 74.50
$ 15.50
$ 22.50
$ 1.75
$ 21.00
$ 1.75
$ 24.00
$ 1.50
$ 4.00
$ 21.00
$ 9.75
$ 135.00
$ 8.50
$ 3.00
$ 1.25
$ 1.25
$ 3.00
$ 4.00
$ 25.25
$ 12.00
$ 1.25
$ 1.25
$ 41.00
$ 4.00
$ 39.25
$ 72.00
$ 1.75
$ 4.50
$ 6.25
$ 1.75
$ 3.00
$ 4.50
$ 1.25
$ 4.25
$ 2.25
$ 2.25
$ 11.75
$ 1.75
$ 14.50
$ 1.50
$ 29.75
$ 1.25
$ 22.75
$ 1.25
$ 3.25
$ 9.00
$ 1.50
$ 1.50
$ 19.75
$ 30.50
$ 1.75
$ 1.50
$ 32.00
$ 1.25
$ 3.50
$ 1.75
$ 19.00
$ 262.25
$ 36.25
$ 105.50
$ 14.50
$ 230.00
$ 15.50
$ 15.50
$ 24.00
$ 1.25
$ 1.50
$ 6.00
$ 1.25
$ 2.00
$ 34.75
$ 11.00
$ 1.25
$ 41.75
$ 1.25
$ 14.50
$ 2.00
$ 11.75
$ 12.25
$ 1.25
$ 1.25
$ 1.75
$ 1.25
$ 1.25
$ 1.50
$ 3.75
$ 1.25
$ 1.75
$ 1.75
$ 1.25
$ 6.25
$ 1.25
$ 33.25
$ 1.75
$ 49.00
$ 2.00
$ 1.75
$ 1.75
$ 1.75
$ 1.25
$ 1.25
$ 4.50
$ 1.75
$ 1.25
$ 15.00
$ 5.00
$ 51.75
$ 1.25
$ 27.50
$ 30.50
$ 1.25
$ 1.75
$ 1.25
$ 1.25
$ 14.50
$ 2.75
$ 1.25
$ 3.00
$ 2.00
$ 1.25
$ 1.50
$ 16.25
$ 1.25
$ 1.75
$ 23.00
$ 1.25
$ 6.25
$ 2.00
$ 2.00
$ 2.00
$ 1.75
$ 17.50
$ 1.25
$ 72.50
$ 32.00
J0290 $ 105.00
$ 2.50
$ 27.00
$ 36.50
$ 36.75
$ 45.00
$ 1.25
$ 47.00
$ 1.25
$ 25.75
$ 45.00
$ 94.50
J0690 $ 66.00
$ 72.75
J0696 $ 171.25
$ 10.25
$ 1.50
$ 9.75
$ 9.00
$ 1.50
$ 6.75
$ 4.75
$ 1.75
$ 15.50
$ 1.75
$ 1.75
$ 1.75
$ 67.00
$ 1.25
$ 2.50
$ 3.00
$ 2.00
$ 50.00
$ 28.50
$ 1.75
$ 1.25
$ 11.25
$ 1.75
$ 1.25
$ 2.00
$ 2.25
$ 25.50
$ 1.75
$ 36.25
$ 1.75
$ 10.50
$ 3.75
$ 1.75
$ 1.25
$ 5.25
$ 63.75
$ 1.75
$ 1.25
$ 1.50
$ 2.00
$ 97.00
$ 3.25
$ 98.50
$ 2.00
$ 14.50
$ 23.50
$ 78.00
$ 42.25
$ 7.25
$ 1.75
$ 3.25
$ 1.25
$ 36.50
$ 13.25
$ 1.25
$ 1.25
$ 1.25
$ 1.25
$ 1.25
$ 1.25
$ 32.25
$ 1.25
$ 1.25
$ 90.00
$ 90.00
$ 62.00
$ 91.00
$ 1.25
$ 46.00
$ 1.25
J1580 $ 19.00
$ 3.25
$ 1.50
$ 1.25
$ 2.25
$ 40.25
$ 70.75
$ 3.25
$ 1,490.00
$ 1.25
$ 13.75
$ 3.25
J7608 $ 75.00
$ 17.75
$ 43.75
$ 4.00
$ 38.25
$ 20.00
$ 1.75
$ 1.75
$ 3.00
$ 1.50
$ 92.00
$ 1.75
$ 6.75
$ 5.75
$ 2.00
$ 97.00
$ 6.50
$ 4.50
$ 238.00
$ 271.75
$ 2.75
$ 1.25
$ 1.75
$ 1.25
$ 3.00
$ 1.00
$ 7.00
$ 2.00
$ 2.00
$ 1.50
$ 1.50
$ 1.25
$ 1.25
$ 1.50
$ 1.25
$ 268.25
$ 34.00
$ 39.50
$ 1.25
$ 3.00
$ 3.00
$ 1.75
$ 6.00
J0713 $ 165.00
$ 1.75
$ 31.75
$ 1.25
$ 97.25
$ 93.75
$ 8.50
$ 19.00
$ 277.00
$ 126.25
$ 1.50
$ 1.75
$ 9.25
$ 2.00
$ 2.25
$ 1.25
$ 1.75
$ 1.25
$ 23.00
$ 1.75
$ 9.50
$ 30.50
$ 53.75
$ 1.75
$ 13.00
$ 2.75
$ 3.50
$ 1.75
$ 3.25
$ 1.25
$ 6.00
$ 1.75
$ 1.75
$ 3.00
$ 1.50
$ 1.25
$ 225.00
$ 1.75
$ 2.25
$ 23.75
$ 1.25
$ 47.00
$ 1.25
$ 17.00
$ 1.75
$ 35.25
$ 1.25
$ 12.50
$ 2.25
$ 1.75
$ 1.75
$ 1.25
$ 1.25
$ 15.50
$ 1.25
$ 1.50
$ 2.75
$ 6.25
$ 10.75
$ 8.00
$ 2.00
$ 1.75
$ 86.00
$ 1.75
$ 1.25
$ 1.75
$ 17.00
$ 1.25
$ 3.00
$ 8.25
$ 1.50
$ 42.75
$ 1.25
$ 1.25
$ 51.75
$ 20.00
$ 14.25
$ 43.00
$ 303.25
$ 1.75
$ 19.00
$ 2.75
$ 1.50
$ 1.75
$ 2.00
$ 2.00
$ 15.00
$ 1.75
$ 14.00
$ 2.50
$ 7.75
$ 15.50
$ 8.50
$ 1.50
$ 37.00
$ 2.75
$ 1.25
$ 2.50
$ 1.25
$ 1.75
$ 1.25
$ 31.50
$ 3.00
$ 1.75
$ 2.00
$ 1.25
$ 1.25
$ 4.50
$ 1.75
$ 2.25
$ 1.75
$ 1.25
$ 1.75
$ 1.25
$ 7.00
$ 1.75
$ 10.75
$ 1.50
$ 5.75
$ 4.75
$ 20.00
$ 6.00
$ 1.25
$ 2.00
$ 33.75
$ 4.50
$ 4.00
$ 2.75
$ 1.50
$ 1.75
$ 2.00
$ 1.75
$ 1.25
$ 2.00
$ 2.00
$ 2.25
$ 1.75
$ 12.00
$ 46.25
$ 1.25
$ 2.00
$ 22.00
$ 140.00
$ 2.50
$ 1.50
$ 1.75
$ 1.75
$ 6.00
$ 305.25
$ 949.75
J3010 $ 10.00
$ 1.75
$ 7.00
$ 1.75
$ 67.00
$ 1.50
$ 96.00
$ 3.50
$ 1.25
$ 43.00
$ 47.00
$ 8,518.25
$ 20.50
$ 1.00
$ 155.50
$ 190.50
J3105 $ 28.00
J2300 $ 9.00
$ 1.25
$ 1.50
$ 62.00
$ 1.75
$ 1.25
$ 1.50
$ 1.75
$ 4.00
$ 2.00
$ 1.75
$ 2.25
$ 1.25
$ 22.50
$ 15.50
$ 23.00
$ 14.25
$ 2.50
$ 2.50
$ 1.75
$ 2.00
$ 1.25
$ 30.00
$ 1.75
$ 1.75
$ 8.50
$ 29.00
$ 45.75
$ 3.00
$ 12.00
$ 1.75
$ 1.25
$ 1.75
$ 1.75
$ 1.25
$ 1.25
$ 1.25
$ 4.00
$ 5.50
$ 4.50
$ 2.00
$ 2.00
$ 16.50
$ 39.50
$ 1.25
$ 2.00
$ 1.25
$ 1.75
$ 33.75
$ 7.25
$ 25.00
$ 24.00
$ 16.75
$ 98.50
$ 15.00
$ 60.75
$ 1.25
$ 1.25
$ 1.25
$ 3.00
$ 1.25
$ 2.00
$ 1.25
$ 2.75
$ 1.50
$ 111.00
$ 2.25
$ 1.25
$ 1.25
$ 25.00
$ 1.75
$ 1.25
$ 1.25
$ 1.75
$ 1.75
$ 43.50
$ 1.75
$ 1.75
$ 28.50
$ 8.00
$ 1.25
$ 13.50
$ 15.25
$ 41.75
$ 14.50
$ 1.75
$ 2.00
$ 2.00
$ 1.25
$ 1.25
$ 1.25
$ 2.00
$ 1.25
$ 10.25
$ 104.00
$ 10.25
$ 2.50
$ 37.50
$ 4.00
$ 1.25
$ 17.00
$ 1.75
$ 1.25
$ 6.50
$ 1.50
$ 11.50
$ 1.25
$ 1.75
$ 12.00
$ 5.25
$ 47.00
$ 1.25
$ 1.50
$ 1.75
$ 7.00
$ 1.25
$ 6.25
$ 3.00
$ 1.50
$ 3.00
J0696 $ 86.25
$ 1.25
$ 1.25
$ 42.75
$ 26.75
$ 83.25
$ 6.75
$ 2.00
$ 2.25
$ 1.75
$ 2.50
$ 6.75
$ 17.25
$ 2.00
$ 4.50
$ 10.25
$ 1.25
$ 1.75
$ 1.50
$ 7.00
$ 23.75
$ 6.00
$ 5.00
$ 4.75
$ 43.00
$ 1.75
$ 67.75
$ 6.25
$ 1.75
$ 9.50
$ 3.25
$ 1.25
$ 95.25
$ 1.25
$ 1.50
$ 1.50
$ 1.25
$ 1.25
$ 3.00
$ 6.00
J1885 $ 26.00
$ 38.75
$ 2.00
$ 12.00
$ 2.25
$ 2.00
$ 1.25
$ 1.25
$ 2.50
$ 1.75
$ 1.25
$ 95.75
$ 43.50
$ 248.75
$ 37.75
$ 42.25
$ 13.25
$ 44.25
$ 1.75
$ 1.75
$ 3.00
$ 2.75
$ 1.75
$ 1.75
$ 1.75
$ 19.00
$ 47.00
$ 2.75
$ 14.75
$ 22.50
$ 53.00
$ 1.25
$ 36.50
$ 2.50
$ 16.75
$ 71.00
$ 2.50
$ 145.00
$ 14.25
J0702 $ 109.00
$ 117.00
$ 2.00
$ 14.00
$ 8.00
$ 16.75
$ 2.00
$ 1.25
$ 12.00
$ 1.75
$ 1.75
$ 1.25
$ 1.75
$ 1.75
$ 1.50
$ 1.25
$ 246.50
$ 207.00
$ 44.00
$ 15.50
$ 52.50
$ 7.00
$ 1.75
$ 3.00
$ 1.50
$ 2.00
$ 2.75
$ 100.50
$ 1.50
$ 1.25
$ 1.50
$ 10.25
$ 1.50
$ 21.75
$ 4.00
$ 1.25
$ 2.00
$ 1.25
$ 1.25
$ 1.25
$ 1.25
$ 1.50
$ 5.25
$ 1.25
$ 1.25
$ 1.25
$ 1.75
$ 1.25
$ 1.25
$ 1.50
$ 1.25
$ 1.25
$ 1.75
$ 2.50
$ 2.25
$ 1.25
$ 1.50
$ 1.75
$ 1.25
$ 10.50
$ 3.75
$ 44.25
$ 1.25
$ 1.25
$ 23.00
$ 4.50
$ 1.25
$ 1.25
$ 44.50
$ 6.00
$ 1.25
$ 6.50
$ 38.50
$ 4.75
J7060 $ 71.00
$ 6.50
J7060 $ 78.00
$ 1.25
J7060 $ 90.00
$ 1.25
$ 5.50
$ 3.25
$ 70.00
J7050 $ 81.00
J7040 $ 91.00
$ 90.00
$ 1.25
$ 1.25
$ 5.25
$ 24.25
$ 14.75
$ 27.50
$ 1.25
$ 34.00
$ 30.25
$ 32.00
$ 5.00
$ 17.00
$ 9.50
$ 2.00
$ 29.00
$ 3.75
$ 1.25
$ 37.75
$ 1.75
$ 210.25
$ 1.75
$ 79.00
$ 1.25
$ 1.25
$ 1.25
$ 8.00
$ 2.00
$ 3.50
$ 27.50
$ 5.25
J7644 $ 9.00
$ 359.25
$ 23.00
$ 1.75
$ 4.50
$ 3.00
$ 5.00
$ 17.00
$ 2.50
$ 1.25
$ 21.25
$ 1.25
$ 12.00
$ 54.00
J3370 $ 98.00
$ 22.50
$ 56.50
$ 56.50
$ 23.75
$ 22.25
$ 29.75
J3370 $ 83.00
$ 279.00
J0743 $ 155.00
$ 23.00
J0690 $ 34.00
J0698 $ 33.00
$ 36.50
$ 72.75
$ 53.75
J0696 $ 75.00
$ 57.25
$ 34.50
$ 138.00
$ 3.00
$ 1.25
$ 2.00
$ 1.25
$ 42.75
$ 4.00
$ 2.75
$ 1.75
$ 3.00
$ 92.75
$ 1.25
$ 90.00
$ 23.75
$ 7.50
$ 3.00
$ 52.00
$ 1.50
$ 23.50
$ 8.00
$ 53.50
$ 95.00
J0612 $ 50.00
$ 3.00
$ 1.50
$ 12.00
$ 8.25
$ 1.75
$ 2.00
$ 1.00
$ 10.00
$ 20.75
$ 16.50
$ 8.50
$ 10.00
$ 16.25
$ 56.50
$ 56.50
$ 12.50
$ 2.00
$ 3.00
$ 1.25
$ 13.00
$ 2.25
$ 10.25
$ 111.00
$ 46.50
$ 3.75
$ 1.50
$ 7.00
$ 56.50
$ 5.25
$ 1.75
$ 12.00
$ 3.00
$ 57.50
$ 1.75
$ 29.00
$ 34.00
$ 2.50
$ 67.00
$ 13.00
$ 2.75
$ 3.00
$ 1.25
$ 3.00
$ 1.50
$ 5.75
$ 44.75
$ 1.50
$ 166.25
$ 3.25
$ 16.25
$ 13.50
$ 6.00
$ 40.00
$ 6.75
$ 15.50
$ 11.50
$ 1.50
$ 7.50
$ 2.00
J7500 $ 2.75
$ 1.25
$ 2.75
$ 3.00
$ 58.50
$ 1.75
$ 13.25
$ 1.50
$ 1.75
$ 3.50
$ 2.50
$ 3.00
$ 3.25
$ 3.75
$ 1.25
$ 4.75
$ 64.75
$ 2.50
$ 1.75
$ 2.75
$ 28.50
$ 1.25
$ 1.25
$ 2.25
$ 1.25
$ 11.50
$ 18.25
$ 1.25
$ 3.75
J3430 $ 177.00
$ 8.75
$ 56.50
$ 6.00
$ 50.75
$ 1.75
$ 57.50
J0696 $ 102.00
$ 19.50
J0561 $ 514.00
$ 12.00
$ 200.75
$ 2.75
$ 1.75
$ 4.75
$ 7.00
$ 1.50
$ 2.75
$ 23.50
$ 38.00
$ 17.25
$ 2.75
$ 79.50
$ 9.25
$ 27.75
$ 7.75
$ 1.75
$ 3.50
J1630 $ 6.00
$ 2.75
$ 3.75
$ 1.75
$ 9.00
$ 1.25
$ 0.25
$ 32.00
$ 3.25
$ 10.25
$ 22.00
$ 69.00
$ 48.75
$ 1.25
$ 4.75
$ 68.75
$ 3.50
$ 6.00
$ 9.50
$ 5.25
$ 2.75
$ 13.00
$ 396.00
$ 1.25
$ 234.25
$ 10.00
$ 1.25
$ 19.25
$ 17.75
$ 54.25
$ 9.00
$ 3.75
$ 2.00
$ 2.25
$ 14.50
$ 5.25
$ 1.50
$ 40.00
$ 13.00
$ 1.75
$ 2.25
$ 39.00
$ 170.25
$ 2.75
$ 3.00
$ 1.50
$ 2.75
$ 3.75
$ 1.50
$ 2.50
$ 2.00
$ 3.25
$ 1.50
$ 1.75
$ 1.25
$ 1.25
$ 2.50
$ 16.50
$ 46.00
$ 1.25
$ 31.25
$ 13.50
$ 22.25
$ 4.00
$ 93.75
$ 15.00
$ 312.00
$ 1.50
$ 1.75
$ 3.25
$ 1.25
$ 1.50
$ 42.00
$ 1.50
$ 1.25
$ 8.75
$ 1.25
$ 1.75
$ 5.25
$ 1.50
$ 1.75
$ 1.25
$ 1.25
$ 28.25
$ 2.50
$ 62.25
$ 542.00
$ 1.25
$ 1.25
$ 20.25
$ 1.50
$ 1.50
$ 15.25
$ 6.25
$ 13.75
$ 5.00
$ 6.00
$ 48.50
$ 34.00
$ 2.75
$ 15.75
$ 44.25
$ 17.50
$ 67.50
$ 33.75
$ 9.50
$ 12.50
$ 1.75
$ 8.25
$ 6.75
$ 1.50
$ 10.25
$ 1.25
$ 23.00
$ 17.75
$ 27.25
$ 1.75
$ 7.00
$ 1.25
$ 2.75
$ 3.75
$ 1.25
$ 3.75
$ 8.50
$ 80.75
$ 60.00
$ 28.75
$ 5.75
$ 5.00
$ 1.25
$ 29.50
$ 82.00
$ 98.50
$ 9.00
$ 2.00
$ 27.25
$ 14.25
$ 3.00
$ 4.00
$ 1.50
$ 2.75
$ 61.25
$ 17.25
$ 5.00
$ 1.50
$ 3.75
$ 14.50
$ 3.00
$ 1.75
$ 1.25
$ 36.25
$ 18.75
$ 23.25
$ 65.00
$ 2.75
$ 95.75
$ 19.00
$ 37.25
$ 3.00
$ 1.25
$ 1.25
$ 26.75
$ 16.00
$ 1.25
$ 1.25
$ 1.75
$ 287.00
$ 1.25
$ 1.25
$ 1.50
$ 6.00
$ 8.00
$ 8.00
$ 14.75
$ 2.00
$ 18.25
$ 11.50
$ 214.00
$ 236.00
J3030 $ 384.00
$ 10.50
$ 8.50
$ 27.00
$ 43.75
$ 5.75
$ 9.00
$ 65.00
$ 171.75
$ 21.00
$ 9.00
$ 3.25
$ 12.25
$ 18.50
$ 3.00
$ 4.50
$ 30.25
$ 9.00
J2405 $ 13.00
$ 3.00
$ 142.75
$ 12.00
$ 48.00
$ 67.50
$ 9.00
$ 14.75
$ 74.00
$ 236.00
$ 46.50
$ 53.50
$ 29.75
$ 23.75
$ 96.00
$ 20.00
$ 82.00
$ 216.00
$ 24.75
$ 16.50
$ 124.75
$ 6.00
$ 2.25
$ 20.50
$ 31.00
$ 18.25
$ 49.00
$ 72.00
$ 13.25
$ 80.00
$ 5.25
$ 3.75
$ 24.00
$ 14.25
$ 73.50
$ 39.00
$ 42.75
$ 35.50
$ 220.50
$ 76.00
$ 1.50
$ 1.25
$ 2.75
$ 1.25
$ 1.25
$ 3.00
$ 1.75
$ 7.00
$ 1.25
$ 4.50
$ 1.75
$ 2.50
$ 2.00
$ 1.25
$ 1.25
$ 2.75
$ 3.25
$ 2.75
$ 1.25
$ 2.50
$ 3.00
$ 3.00
$ 1.50
$ 368.00
$ 29.00
$ 1.25
$ 2.25
$ 1.50
$ 1.50
$ 1.75
$ 2.75
$ 1.75
$ 14.00
$ 1.25
$ 2.50
$ 2.75
$ 5.50
$ 12.00
$ 2.25
$ 2.00
$ 2.00
$ 6.00
$ 4.00
$ 1.75
$ 8.25
$ 1.75
$ 22.00
$ 40.00
$ 16.50
$ 71.25
$ 1.25
$ 27.75
$ 1.00
$ 12.00
$ 5.00
$ 82.50
$ 21.25
$ 11.75
$ 1.50
$ 7.75
$ 6.50
$ 2.25
$ 2.75
J0696 $ 157.00
$ 21.00
$ 5.25
$ 1.75
$ 1.75
$ 11.50
$ 2.50
$ 550.00
$ 80.75
$ 1.50
$ 6.25
$ 48.00
$ 9.75
J0696 $ 26.00
$ 1.50
$ 1.25
$ 31.00
$ 88.75
$ 1.25
$ 384.50
$ 0.25
$ 0.25
$ 2.75
$ 24.00
$ 6,831.75
$ 8.25
$ 1.75
$ 2.50
$ 62.00
$ 1.50
$ 1.25
$ 15.00
$ 3.25
$ 1.50
$ 9.00
$ 26.25
$ 1.75
$ 2,417.00
$ 17.75
$ 8.50
$ 7.00
$ 1.50
$ 2.75
$ 5.75
$ 3.50
$ 3.50
$ 35.75
$ 179.00
$ 11.00
$ 49.50
$ 1.25
$ 1.50
$ 1.75
$ 6.25
$ 2.00
$ 4.00
$ 1.25
$ 10.00
$ 191.75
$ 1.25
$ 49.75
$ 13.00
Q2009 $ 186.00
$ 154.75
$ 2.50
$ 27.00
$ 13.00
$ 365.00
$ 12.00
$ 3.75
$ 71.00
$ 2.50
$ 20.00
$ 616.00
$ 1.50
$ 8.25
$ 137.00
$ 71.75
$ 1.25
$ 93.25
$ 66.25
$ 322.00
$ 1.75
$ 45.75
$ 144.00
$ 36.50
$ 4.75
$ 7.50
$ 1.25
$ 35.25
$ 9.25
$ 1.50
$ 0.75
$ 3.00
$ 62.50
$ 1,221.00
$ 8.00
$ 7.50
$ 1.25
$ 1.75
$ 913.00
$ 2.25
$ 1.25
$ 0.25
$ 1.75
$ 7.75
$ 1.75
$ 26.25
$ 59.00
$ 10.25
$ 3.00
$ 6.00
$ 3.00
$ 3.25
$ 95.75
$ 1.50
$ 2.00
$ 1.25
$ 6.75
$ 4.75
$ 1.25
$ 0.25
$ 17.00
$ 8.00
$ 148.00
J1956 $ 77.00
$ 1.50
$ 2.50
$ 46.50
$ 73.50
$ 62.25
$ 1.25
$ 15.00
$ 44.25
$ 6.25
$ 186.25
$ 0.75
$ 12.00
$ 1.25
$ 1.50
$ 46.25
$ 157.25
$ 50.00
$ 16.75
$ 13.50
$ 74.00
$ 2.00
$ 33.00
$ 4.75
$ 12.00
$ 2.25
$ 1.25
$ 9.00
$ 2.75
$ 1.50
$ 124.00
$ 9.00
$ 33.25
$ 1.50
$ 7.75
$ 49.00
$ 2.25
$ 2.25
$ 45.00
$ 8.00
$ 6.00
$ 52.00
$ 1.50
$ 3.00
$ 1.25
$ 2.75
$ 3.00
$ 1.25
$ 19.75
$ 1.75
$ 1.50
$ 1.50
$ 5.00
$ 1.25
$ 2.75
$ 42.25
$ 3.00
$ 12.50
$ 15.00
$ 1.75
$ 4.00
$ 1.50
$ 5.00
$ 1.50
$ 24.00
$ 1.50
$ 13.00
$ 43.00
$ 1.25
$ 1.75
$ 1.75
$ 65.75
$ 1.50
$ 1.75
$ 96.50
$ 5.75
$ 30.50
$ 12.50
$ 1.50
$ 106.75
$ 2.25
$ 1.50
$ 1.75
$ 1.25
$ 3.00
$ 3.00
$ 170.50
$ 32.00
$ 1.50
$ 1.50
$ 1.75
$ 4.75
$ 7.50
$ 42.25
$ 1.25
$ 57.25
$ 39.25
$ 13.00
$ 3.25
$ 1.50
$ 2.00
$ 1.50
$ 57.50
$ 9.25
$ 5.25
$ 1.75
$ 3.00
$ 32.25
$ 74.75
$ 51.75
$ 5.00
J3370 $ 117.00
$ 18.75
$ 31.00
$ 35.75
$ 3.75
$ 1.50
$ 5.50
$ 1.50
$ 19.00
$ 1.25
$ 8.00
$ 2.25
$ 41.25
$ 1.50
$ 2.50
$ 17.75
$ 1.25
$ 2.25
$ 3.00
$ 2.00
$ 1.50
$ 40.00
$ 162.00
$ 1.50
$ 1.75
$ 19.00
$ 1.25
$ 1.50
$ 1.50
$ 1.50
$ 7.75
$ 95.00
$ 55.50
$ 5.25
$ 1.25
$ 9.00
$ 6.50
$ 1.25
$ 1.50
$ 1.25
$ 46.50
$ 18.00
J2185 $ 305.00
$ 1.50
$ 25.75
$ 48.50
$ 8.00
$ 42.25
$ 40.25
$ 45.25
$ 1.50
$ 1.50
$ 786.00
$ 340.50
$ 3.75
$ 40.00
$ 0.50
$ 1.50
$ 1.75
$ 87.50
$ 40.75
$ 1.75
$ 51.75
$ 1.50
$ 6.00
$ 7.75
$ 1.25
$ 2.75
$ 1.25
$ 1.25
$ 697.00
$ 1.50
$ 2.25
$ 6.25
$ 2.75
$ 12.00
$ 35.75
$ 37.75
$ 1.75
$ 78.00
$ 9.00
$ 2.50
$ 1.50
$ 1.50
$ 6.00
$ 35.75
$ 6.25
$ 2.50
$ 11.75
$ 1.25
$ 142.75
$ 1.75
$ 1.75
$ 1.50
$ 74.50
$ 6.75
$ 1.50
$ 1.50
$ 1.25
$ 119.25
$ 3.00
$ 2.00
$ 5.75
$ 8.00
$ 1.25
J1071 $ 106.00
$ 6.00
$ 192.00
$ 172.00
$ 1.50
$ 1.50
$ 3.00
$ 1.50
$ 1,159.00
$ 1.50
$ 2.50
$ 13.50
$ 79.00
$ 41.00
$ 15.00
$ 1.50
$ 3.50
$ 1.50
$ 17.00
$ 1.50
$ 2.25
$ 44.00
$ 3.75
$ 1.50
$ 1.50
$ 3.00
$ 1.75
$ 1.50
$ 1.25
$ 1.50
90632 $ 212.75
$ 25.25
$ 1.25
$ 43.75
$ 100.25
$ 1.25
$ 2.75
$ 8.50
$ 86.75
$ 3.00
$ 15.00
$ 1.50
$ 25.00
$ 99.00
$ 22.25
$ 1.50
$ 36.50
$ 10.00
$ 1.50
$ 1.50
$ 1.75
$ 1.75
$ 1.75
$ 10.00
$ 1.25
$ 1.75
$ 1.25
$ 1.25
$ 1.50
$ 1.50
$ 1.25
$ 2.25
$ 7.25
$ 1.25
$ 1.50
$ 1.50
$ 6.50
$ 7.00
$ 3.00
$ 1.50
$ 1.25
$ 1.50
$ 4.50
J1442 $ 1,114.00
$ 1.25
$ 136.50
$ 1.25
$ 1.50
$ 2.25
$ 34.75
$ 48.75
$ 2.00
$ 6.75
$ 1.25
$ 1.50
$ 2.00
$ 1.25
$ 3.50
$ 1.25
$ 1.25
$ 2.75
$ 1.50
$ 3.00
$ 43.50
$ 13.25
$ 6.25
$ 19.50
$ 1.50
$ 10.25
$ 2.25
$ 1.75
$ 4.00
$ 1.25
$ 52.75
$ 1.50
$ 1.25
$ 1.50
$ 2.50
$ 1.75
$ 1.50
90746 $ 267.00
$ 10.25
$ 3.00
$ 1.50
$ 13.25
$ 49.75
$ 5.75
$ 1.50
$ 1.75
$ 2.25
$ 3.25
$ 13.00
$ 13.25
$ 13.25
$ 9.00
$ 3.25
$ 1.25
$ 3.00
$ 8.00
$ 1.50
$ 138.25
$ 1.50
$ 1.50
$ 2.75
$ 1.50
$ 12.25
$ 1.50
$ 77.00
$ 1.50
$ 1.50
$ 5.25
$ 1.50
$ 1.50
$ 10.00
$ 69.75
$ 1.75
$ 32.25
$ 87.25
$ 1.50
$ 17.00
$ 2.50
$ 25.50
$ 46.25
$ 1.75
$ 2.00
$ 47.50
$ 2.50
$ 550.25
$ 5.25
$ 1.50
$ 2.25
$ 2.00
$ 13.25
$ 1.50
$ 3.50
$ 12.00
$ 51.50
$ 16.50
$ 1.75
$ 18.00
$ 67.75
$ 7.00
$ 1.50
$ 7.00
$ 28.50
$ 1.50
$ 2.75
$ 8.25
$ 10.00
$ 9.00
$ 1.50
$ 1.50
$ 100.00
$ 1.75
$ 23.50
90714 $ 233.00
$ 16.75
$ 1.50
$ 5.00
$ 2.00
$ 14.00
$ 3.25
$ 4.00
$ 10.00
$ 7.00
$ 17.00
$ 29.00
$ 2.00
$ 16.50
$ 14.75
$ 2.50
$ 1.50
$ 2.50
$ 3.25
$ 1.50
$ 6.00
$ 2.75
$ 2.25
$ 8.75
$ 7.75
$ 1.50
$ 1.75
$ 1.25
$ 49.00
$ 119.00
$ 7.25
$ 13.75
$ 7.00
$ 6.00
$ 2.00
$ 6.25
$ 9.25
$ 591.50
$ 15.75
$ 1.00
$ 28.50
$ 3.25
$ 2.75
$ 5.50
$ 1.75
$ 2.25
$ 4.00
$ 1.50
$ 2.00
$ 1.50
$ 6.75
J7611 $ 107.25
$ 2.75
$ 88.50
$ 2.50
$ 9.00
$ 2.25
$ 12.25
$ 45.25
$ 276.25
$ 6.00
$ 35.75
$ 46.00
$ 169.75
$ 78.00
$ 2.75
$ 1.75
$ 2.50
$ 85.25
$ 4.00
$ 2.75
$ 4.50
$ 46.50
$ 3.75
$ 2.75
$ 226.75
$ 69.25
$ 1.50
$ 219.50
$ 1.50
$ 3.25
$ 1.75
$ 10.50
$ 2.25
$ 13.00
$ 37.50
$ 32.50
$ 26.25
$ 3.25
$ 10.75
$ 6.75
$ 2.50
$ 15.75
$ 6.75
$ 4.50
$ 109.25
$ 1.50
$ 221.00
$ 42.00
$ 6.50
$ 79.75
$ 4.50
$ 10.75
$ 91.00
$ 29.50
$ 1.25
$ 15.50
$ 129.25
$ 2.75
$ 1.75
$ 3.50
$ 1.50
$ 61.75
$ 2.50
$ 2.75
$ 44.25
$ 62.25
$ 4.75
$ 1.75
$ 4.75
$ 9.25
$ 174.50
$ 7.75
$ 271.00
$ 38.00
$ 10.75
$ 20.00
$ 768.75
$ 12.25
$ 8.50
$ 75.50
$ 21.75
$ 87.75
$ 22.00
$ 2.75
$ 1.50
$ 3.25
$ 56.75
$ 161.50
$ 25.50
$ 1.50
$ 1.75
$ 120.00
$ 27.75
$ 54.00
$ 1.50
$ 2.75
$ 1.25
$ 1.50
$ 79.25
$ 14.50
$ 676.00
$ 28.00
$ 9.75
$ 61.75
$ 61.75
J0696 $ 297.75
$ 35.75
$ 107.00
$ 1.50
$ 5.75
$ 3.75
$ 7.25
$ 8.00
$ 9.00
$ 84.00
J1956 $ 46.00
$ 1.50
$ 19.00
$ 1.75
$ 1.75
$ 115.00
$ 87.00
$ 2.75
$ 1.75
$ 23.00
$ 1.75
$ 6.00
$ 2.00
$ 1.75
$ 2.50
$ 1.50
$ 1.50
$ 5.25
$ 300.00
$ 77.50
$ 1.50
$ 255.25
$ 156.25
$ 8.25
$ 117.75
J2543 $ 54.00
$ 60.25
$ 37.75
$ 49.25
$ 19.25
$ 443.00
$ 16.25
$ 2.00
$ 14.25
J0456 $ 116.00
$ 2.75
$ 14.00
$ 15.50
$ 1.50
$ 26.25
$ 83.00
$ 9.75
$ 827.00
$ 1.75
$ 5.50
$ 15.25
$ 1.50
$ 8.00
$ 1.75
$ 16.00
$ 50.25
$ 2.75
$ 3.25
$ 6.25
$ 23.00
$ 1.75
$ 4.50
$ 8.25
$ 44.00
$ 19.00
$ 1.50
$ 3.00
$ 54.00
$ 3.00
$ 60.25
$ 2.00
$ 8.00
$ 6.00
$ 3.75
$ 7.75
$ 2.75
$ 59.00
$ 4.00
$ 1.75
$ 2.50
$ 1.50
$ 482.25
$ 1,410.75
$ 10.25
$ 10.75
$ 3.00
$ 5.25
$ 77.75
$ 7.00
90675 $ 1,143.00
$ 4.50
$ 1.50
$ 12.50
$ 3.00
$ 67.25
$ 1.00
$ 1.50
$ 1.75
$ 5.00
$ 7.50
$ 5.25
$ 6.75
$ 1.50
$ 3.25
$ 255.75
$ 2.25
$ 28.25
$ 1.75
$ 28.50
$ 3.75
$ 14.75
$ 2.50
$ 9.50
$ 1.50
$ 1.50
$ 36.00
$ 3.25
$ 19.25
$ 80.75
$ 45.00
$ 47.50
$ 2.75
$ 6.75
$ 6.00
$ 157.25
$ 9.75
J1327 $ 655.00
$ 1.50
$ 314.00
$ 1.75
$ 21.75
$ 12.25
$ 1.50
$ 39.25
$ 2.00
$ 1.75
$ 3.75
$ 2.25
$ 1.75
$ 1.50
$ 1.75
$ 16.75
$ 6.00
$ 1.50
$ 15.50
$ 2.00
$ 2.25
$ 786.00
$ 22.00
$ 79.25
$ 17.00
J2720 $ 139.00
$ 14.25
$ 69.50
$ 15.75
$ 2.25
$ 21.00
$ 3.00
J7321 $ 546.00
$ 6.50
$ 35.50
$ 12.50
$ 30.75
$ 53.00
$ 4.75
$ 9.75
J2371 $ 73.00
$ 9.50
$ 3.00
$ 27.25
$ 4.00
$ 88.50
$ 23.00
$ 75.25
$ 1.75
$ 10.25
$ 10.25
$ 5.00
$ 107.00
$ 161.00
$ 1.75
$ 2.75
$ 4.75
$ 3.00
$ 1.25
$ 2.75
$ 171.75
$ 1.50
$ 1.50
$ 74.50
$ 14.25
$ 1.25
$ 3.00
J2250 $ 9.00
$ 20.25
$ 1.75
$ 28.00
$ 11.75
$ 5.75
$ 6.00
$ 71.50
$ 38.25
$ 94.75
$ 473.25
$ 1.50
$ 24.50
$ 21.75
$ 69.25
$ 1.50
$ 1.75
$ 154.50
$ 13.75
$ 358.50
$ 131.50
$ 8.00
$ 64.75
$ 58.75
$ 13.50
$ 56.50
$ 9.00
$ 6.00
$ 28.75
$ 5.75
$ 114.00
$ 23.00
$ 145.00
$ 12.25
$ 6.25
$ 32.75
$ 18.00
$ 243.25
$ 43.50
$ 33.00
$ 163.75
$ 30.00
$ 7.75
$ 7.00
$ 1,170.25
$ 20.75
$ 11.50
$ 25.25
$ 35.50
$ 18.75
$ 1.50
$ 15.00
$ 13.75
$ 19.00
$ 20.00
$ 133.00
$ 22.75
$ 87.50
$ 46.00
$ 64.50
$ 89.25
$ 136.50
$ 100.50
$ 1.75
$ 4.00
$ 2.75
$ 535.50
$ 1.50
$ 6.00
$ 2.75
$ 1.50
$ 1.50
$ 183.00
$ 5.25
$ 104.50
$ 8.50
$ 46.75
$ 1.50
$ 70.00
$ 53.50
$ 2.25
$ 3.25
$ 27.50
$ 11.00
$ 5,302.25
$ 1.75
$ 4.75
$ 27.00
$ 7.25
$ 1.50
$ 2.50
$ 6.00
$ 3.00
$ 3.25
$ 86.25
$ 1.75
$ 78.25
$ 253.00
$ 43.50
$ 57.25
$ 1.25
$ 23.00
$ 22.75
$ 2.75
$ 32.75
$ 43.75
$ 9.50
$ 15.50
$ 1.50
$ 33.25
$ 2.75
$ 28.25
$ 88.75
$ 2.25
$ 14.75
$ 4.75
$ 2.75
$ 1.50
$ 5.00
$ 13.25
$ 13.50
$ 1.75
$ 2.25
$ 68.75
$ 68.75
$ 49.75
$ 1.50
$ 29.00
$ 41.75
$ 338.75
$ 119.25
$ 2.00
$ 1.75
$ 3.00
$ 2.00
$ 288.75
$ 19.00
$ 13.50
$ 65.50
$ 31.00
$ 3.00
$ 58.00
$ 24.00
$ 111.00
$ 31.00
$ 3.75
$ 1.50
$ 14.50
$ 1.50
$ 1.75
$ 9.50
$ 14.00
$ 105.75
$ 17.25
$ 1.75
$ 61.00
$ 1.50
$ 10.75
$ 1.50
$ 27.00
$ 92.75
$ 201.00
$ 5.50
$ 3.00
$ 1.50
$ 99.25
$ 36.25
$ 152.75
$ 55.00
$ 12.00
$ 12.00
$ 99.75
J1040 $ 100.00
$ 146.50
$ 1.50
$ 2.75
$ 285.50
$ 87.50
$ 1.75
$ 4.00
$ 21.00
$ 336.75
$ 191.00
$ 99.25
$ 80.25
$ 1.25
$ 29.50
$ 34.00
$ 18.50
$ 87.00
$ 16.00
$ 3.25
$ 12.50
$ 100.25
$ 1.75
$ 8.75
$ 1.50
$ 1.50
$ 3.00
$ 8.25
$ 1.25
J3301 $ 55.00
$ 260.50
$ 42.50
$ 30.75
$ 109.50
$ 116.50
$ 5.00
$ 1.75
$ 119.25
$ 93.75
$ 111.00
$ 114.50
$ 11.00
$ 72.00
$ 58.50
$ 13.00
$ 3.50
$ 6.00
$ 29.50
$ 122.50
$ 1.50
$ 31.25
$ 1.50
$ 25.00
$ 35.50
$ 7.50
$ 2.50
$ 182.25
$ 43.50
$ 2.00
$ 2.50
$ 3.25
$ 1.50
$ 1.75
$ 67.75
$ 15.50
$ 3.75
$ 1.50
$ 49.75
$ 1.00
$ 42.25
$ 93.25
$ 50.75
$ 3.75
$ 2.00
$ 5.00
$ 87.75
$ 1.50
$ 28.50
$ 1.50
$ 205.50
$ 51.00
$ 1.75
$ 23.00
$ 43.25
$ 18.00
$ 55.00
$ 7.00
$ 8.25
$ 9.00
$ 2.25
$ 68.25
J7614 $ 36.00
$ 307.25
$ 118.50
$ 219.00
$ 219.75
$ 30.75
$ 8.00
$ 6.00
$ 79.25
$ 43.25
$ 3.75
$ 5.50
$ 3.50
$ 4.00
$ 23.75
$ 4.50
$ 1.50
$ 717.00
$ 44.75
$ 82.50
$ 1.50
$ 5.50
$ 1.25
$ 1.50
$ 1.50
$ 58.50
$ 277.25
$ 9.75
$ 6.00
$ 66.50
J2760 $ 1,193.00
$ 3.00
$ 2.75
$ 29.50
$ 40.75
$ 49.00
$ 45.50
$ 4.75
$ 7.25
$ 3.75
$ 2.25
$ 4.00
$ 1.25
$ 89.75
$ 97.50
$ 28.00
$ 23.75
$ 71.25
$ 25.25
$ 280.00
J0895 $ 70.00
$ 1,453.00
$ 40.75
$ 153.75
$ 98.25
$ 52.75
$ 1.75
$ 22.25
$ 1.75
$ 1.50
$ 3.75
J7612 $ 42.00
$ 19.75
$ 39.25
$ 8.25
$ 7.50
$ 33.75
$ 3.50
$ 1.50
$ 30.00
$ 8.75
$ 25.25
$ 14.50
$ 6.25
$ 17.00
$ 41.50
$ 2.50
$ 3.75
90732 $ 352.00
$ 35.25
$ 5.75
$ 6.50
$ 50.25
$ 9.25
$ 149.00
$ 1.50
$ 44.00
$ 2.25
$ 34.00
$ 7.25
$ 2.50
$ 2.75
$ 1.50
$ 67.50
$ 124.75
$ 3.25
$ 2.00
$ 1.50
$ 116.50
$ 3.00
$ 17.50
$ 41.75
$ 135.00
$ 1.50
$ 10.00
$ 6.50
$ 15.00
$ 2.75
$ 4.00
$ 35.50
$ 32.00
$ 1.50
$ 1.50
$ 1.00
$ 112.00
$ 305.75
$ 6.25
$ 2.00
$ 4.50
$ 22.00
$ 11.25
$ 22.50
$ 193.25
$ 1.50
$ 5.00
$ 41.00
$ 87.00
$ 8.25
$ 3.00
$ 2.75
$ 28.00
$ 2.75
$ 11.50
$ 59.00
$ 13.00
J7627 $ 65.00
$ 17.00
$ 25.50
$ 6.00
$ 2.75
$ 1.75
$ 115.00
$ 69.00
$ 11.25
$ 7.75
$ 6.00
$ 16.50
$ 1.50
$ 20.50
$ 6.00
$ 7.00
$ 9.00
$ 1.75
$ 72.25
$ 5.25
$ 2.75
$ 11.75
$ 37.50
$ 3.00
$ 19.00
$ 24.00
$ 22.00
$ 224.00
$ 6.75
$ 25.25
$ 40.00
$ 87.25
$ 30.50
$ 1.50
$ 16.75
$ 1.75
$ 232.75
$ 100.25
$ 14.00
$ 32.00
J2060 $ 19.00
$ 37.25
$ 129.00
$ 110.00
$ 377.50
$ 3,099.25
$ 74.75
$ 255.00
$ 275.25
$ 12.00
$ 6.00
$ 12.25
$ 37.75
$ 9.00
$ 6.00
$ 7.25
$ 19.25
$ 469.50
$ 1.50
$ 70.25
$ 7.00
$ 127.25
$ 2.25
$ 23.50
$ 1.75
$ 246.50
$ 264.25
$ 80.25
J1745 $ 3,408.00
$ 3.50
$ 3.50
$ 20.25
$ 11.75
$ 1.75
$ 52.50
J1327 $ 1,783.00
$ 3.00
$ 1.75
J2270 $ 14.00
$ 5.75
$ 118.00
J3101 $ 16,135.00
$ 6,926.00
$ 1.75
$ 4.00
$ 73.75
$ 148.00
$ 1.25
$ 7.75
$ 1.75
$ 4.75
$ 1.75
$ 79.00
$ 7.00
$ 20.00
$ 15.25
$ 72.75
$ 176.25
$ 9.75
$ 10.25
$ 27.00
$ 344.75
$ 1.50
$ 2.75
$ 197.00
$ 28.50
$ 3.50
J1940 $ 26.00
$ 240.25
$ 25.75
$ 14.00
$ 105.00
$ 124.25
$ 27.00
$ 112.75
$ 287.00
$ 8.00
$ 6.00
$ 4.50
$ 1.75
$ 3.25
$ 2.50
$ 1.25
$ 23.00
$ 2.75
$ 70.75
$ 136.00
J1940 $ 21.00
$ 5.00
$ 17.50
$ 3.00
$ 2.50
$ 15.75
$ 24.25
$ 2.75
$ 5.00
$ 6.00
$ 65.75
$ 8.25
$ 1.75
$ 35.25
$ 215.00
$ 37.25
$ 1.50
$ 1.75
$ 3.00
$ 298.25
$ 7.75
$ 2.00
$ 111.00
$ 16.25
$ 15.50
$ 1.75
$ 2.75
$ 8.50
$ 39.25
$ 2.50
$ 4.50
$ 91.75
Q0162 $ 3.00
$ 1.75
$ 3.50
$ 18.00
$ 4,066.00
$ 4.00
$ 23.00
$ 6.25
$ 35.50
$ 2.75
$ 1.50
$ 5.00
$ 9.75
$ 65.75
$ 2.50
$ 121.50
$ 3.00
$ 56.00
$ 22.50
$ 137.75
$ 3.00
$ 2.50
$ 293.00
$ 20.50
$ 60.00
$ 127.50
$ 5.25
$ 655.00
$ 8.25
$ 2.75
$ 15.00
90656 $ 252.75
$ 7.00
$ 102.25
$ 15.25
$ 1.50
$ 19.25
$ 2.25
$ 27.00
$ 16.25
$ 2.50
$ 48.25
$ 25.00
$ 19.50
$ 13.00
$ 195.50
$ 120.25
$ 28.75
$ 1.75
$ 55.25
$ 71.50
$ 23.75
$ 16.00
$ 23.50
$ 31.00
$ 3.00
$ 2.25
$ 31.25
$ 87.75
$ 3.00
$ 3.25
$ 4.50
$ 2.25
$ 41.25
$ 466.50
$ 44.75
$ 86.50
$ 83.75
$ 53.50
$ 42.50
$ 1.75
$ 17.00
$ 1.75
$ 7.00
$ 8.25
$ 205.00
$ 4.50
$ 704.75
$ 7.00
$ 4.75
J0153 $ 449.00
$ 3.00
$ 3.00
$ 29.00
$ 6.25
$ 68.75
$ 13.00
$ 5.75
$ 13.50
$ 6.00
$ 195.50
$ 59.00
$ 84.00
$ 78.00
$ 199.00
$ 26.75
$ 132.25
$ 25.00
$ 190.00
$ 161.25
$ 50.25
$ 50.25
$ 50.25
$ 55.00
$ 51.00
$ 18.50
$ 2.75
$ 20.00
$ 47.50
$ 134.25
$ 111.50
$ 15.25
$ 7.50
$ 73.50
$ 53.00
$ 36.75
$ 30.25
$ 6.50
$ 140.25
$ 12.50
$ 79.00
$ 1.75
$ 38.50
$ 5.75
$ 2.50
$ 8.25
$ 11.75
$ 2.50
$ 1.75
$ 19.00
$ 21.75
$ 119.50
$ 0.25
$ 110.50
$ 1.75
$ 18.50
$ 48.75
$ 288.00
$ 73.75
$ 16.25
$ 15.25
$ 22.50
$ 32.50
$ 2.00
$ 7.75
$ 5.00
$ 10.50
$ 15.00
$ 157.75
$ 5.50
$ 2.00
J2700 $ 82.00
$ 13.00
$ 10.25
$ 12.00
$ 4.00
$ 3.25
$ 72.00
J1650 $ 38.00
$ 144.00
$ 192.00
$ 228.50
$ 41.75
$ 401.00
$ 190.00
$ 3.00
$ 14.25
$ 3.00
$ 9.50
$ 10.00
$ 2.50
$ 178.25
$ 11.75
$ 1.75
$ 3.75
$ 20.75
$ 7.00
$ 12.00
$ 3.25
$ 22.75
$ 91.75
$ 10.00
$ 8.25
$ 3.00
$ 163.00
$ 12.00
$ 88.25
$ 146.25
$ 5.50
$ 17.00
$ 44.25
$ 14.25
J0694 $ 96.00
$ 11.75
$ 130.00
$ 20.25
J0743 $ 155.00
J2930 $ 194.00
$ 21.75
$ 14.75
$ 14.50
$ 11.25
$ 49.75
$ 230.50
$ 325.25
$ 39.75
$ 21.00
$ 222.50
$ 4.00
$ 18.50
J2997 $ 495.00
$ 263.75
$ 151.50
$ 5.50
$ 13.00
$ 15.00
$ 106.75
$ 3.00
$ 50.75
$ 13.00
$ 21.25
S0092 $ 51.75
$ 25.50
$ 4.75
$ 337.00
$ 17.00
$ 56.00
$ 11.75
$ 172.75
$ 0.25
$ 0.25
$ 0.25
J2590 $ 15.00
$ 4.00
$ 37.00
$ 317.25
$ 82.75
$ 34.00
$ 8.75
$ 13.25
J2358 $ 163.00
$ 27.00
$ 58.50
$ 3.00
$ 7.75
$ 35.75
$ 28.75
$ 10.25
$ 5.25
$ 2.75
$ 958.00
$ 7.75
$ 3.25
$ 75.25
J0780 $ 89.00
$ 3.00
$ 28.75
$ 8.25
$ 6.25
$ 6.25
$ 80.25
$ 8.25
$ 5.75
$ 5.75
$ 5.50
$ 24.00
$ 25.00
$ 2.75
$ 12.50
$ 3.00
$ 5.00
$ 9.50
$ 10.75
$ 462.75
$ 9.00
$ 10.75
$ 7.00
$ 5.75
$ 7.50
$ 8.25
$ 9.50
$ 8.50
$ 6.75
$ 6.00
$ 18.50
$ 10.00
$ 3.00
$ 2.75
$ 14.00
$ 58.50
$ 4.75
$ 7.00
$ 3.00
$ 4.00
$ 53.50
J1040 $ 96.00
$ 38.75
$ 28.50
$ 28.00
$ 6.75
$ 9.00
J2310 $ 130.00
$ 10.00
$ 26.75
$ 8.00
$ 17.75
$ 7.25
$ 9.25
$ 14.75
$ 11.50
$ 2.75
$ 3.00
$ 3.00
$ 3.00
$ 340.50
$ 12.00
$ 6.00
$ 3.25
$ 171.25
$ 171.25
$ 49.25
$ 10.25
$ 8.25
$ 3.00
$ 114.00
$ 4.75
J0878 $ 650.00
$ 5.75
$ 112.00
$ 7.25
$ 44.50
$ 3.00
$ 3.25
$ 106.75
$ 23.75
$ 15.25
$ 21.25
$ 3.75
$ 34.00
$ 85.00
$ 3.00
$ 596.00
$ 37.25
J1817 $ 2.00
$ 4.75
$ 254.50
$ 18.00
$ 460.75
$ 7.75
$ 9.00
$ 17.25
$ 107.00
J7634 $ 52.00
$ 2.75
$ 0.50
$ 0.50
$ 0.50
$ 0.50
$ 2.75
$ 237.75
$ 3.50
$ 257.00
$ 243.75
$ 2.75
$ 202.50
$ 3.00
$ 2.75
$ 14.50
$ 30.25
$ 3.00
$ 13.75
J2405 $ 28.25
J1450 $ 43.00
J2805 $ 327.00
$ 2.50
$ 8.25
$ 4.75
$ 2.75
$ 29.00
J0696 $ 62.00
$ 5.75
$ 104.25
$ 14.00
$ 135.50
$ 54.25
$ 2.75
$ 78.00
$ 12.00
J1956 $ 70.00
$ 35.00
$ 248.75
$ 45.00
J3485 $ 133.00
$ 3.25
$ 80.00
$ 11.50
$ 40.00
$ 128.00
J2785 $ 852.00
J0456 $ 68.00
$ 5.00
$ 18.75
$ 56.50
$ 26.00
$ 1.25
$ 1.25
$ 63.00
$ 11.00
$ 148.00
$ 87.00
$ 7.50
$ 12.25
$ 9.00
$ 6.00
$ 46.25
J3480 $ 90.00
$ 46.25
J3480 $ 100.00
J3480 $ 90.00
$ 90.00
J3480 $ 125.00
J3480 $ 136.00
$ 244.00
$ 6.00
$ 34.00
J2020 $ 524.00
$ 66.00
$ 53.50
$ 59.75
90686 $ 86.25
J3480 $ 90.00
$ 15.00
$ 39.25
$ 3.00
$ 2.75
$ 2.75
$ 14.00
$ 2.75
$ 45.00
$ 3.00
J2185 $ 146.00
$ 83.00
$ 22.00
$ 3.00
$ 3.00
$ 9.00
J1580 $ 118.00
$ 12.00
$ 12.50
$ 23.00
J1442 $ 1,434.00
$ 2.75
$ 3.00
$ 8.00
$ 3.00
$ 339.00
$ 187.50
$ 10.25
$ 71.00
$ 6.00
$ 2.75
$ 37.25
$ 271.25
$ 223.25
$ 20.75
$ 4.00
$ 32.25
J1756 $ 250.00
$ 3.00
$ 3.00
$ 2.75
J3489 $ 3,738.00
$ 299.25
$ 2.75
$ 25.00
$ 16.00
J7613 $ 4.00
$ 163.00
$ 5.50
$ 3.00
$ 740.00
$ 9.00
$ 6.00
$ 3.00
$ 625.00
$ 22.00
$ 4.00
$ 2.75
$ 4.50
$ 2.75
$ 45.75
$ 3.00
$ 25.50
$ 18.00
$ 50.00
J2710 $ 341.00
$ 12.00
$ 30.00
$ 14.00
$ 12.50
$ 3.75
$ 5.50
$ 4.75
$ 51.75
$ 3.00
$ 2.75
$ 38.25
$ 2.50
$ 76.00
$ 14.75
$ 50.00
$ 77.50
$ 83.00
$ 6.75
$ 25.00
$ 13.00
$ 2.75
$ 2.75
$ 2.75
$ 19.00
$ 53.75
$ 10.00
J2700 $ 118.00
$ 36.50
$ 40.00
J0290 $ 146.00
$ 44.00
$ 3.00
$ 1,293.00
$ 2.50
$ 49.00
$ 11.00
$ 7.00
90715 $ 317.00
$ 78.00
$ 1,132.00
$ 3.00
$ 2.75
$ 7.00
$ 25.00
$ 14.00
$ 30.75
$ 5.50
J2506 $ 16,167.00
$ 4.00
$ 9.00
$ 37.00
J3243 $ 506.00
$ 490.00
$ 115.00
$ 83.00
$ 21.00
J0694 $ 64.00
$ 8.25
$ 2.75
J1750 $ 121.00
$ 3.00
$ 9.50
$ 21.75
$ 19.00
$ 29.00
$ 136.25
$ 5.00
$ 8.50
$ 33.00
$ 14.00
$ 11.75
$ 21.00
$ 6.75
$ 507.25
$ 3.00
$ 5.00
$ 23.50
$ 12.00
$ 2.75
$ 91.00
$ 49.00
$ 2.75
J7620 $ 12.00
$ 7.00
$ 58.00
$ 12.00
$ 80.00
$ 7.00
J0360 $ 318.00
J0736 $ 84.00
$ 65.00
$ 111.00
$ 5.00
$ 90.00
$ 8.50
J0670 $ 51.00
$ 353.50
$ 5.00
$ 120.00
$ 6.75
$ 90.00
J1642 $ 16.00
J2354 $ 326.00
J0881 $ 4,177.00
J1165 $ 12.00
J1165 $ 9.00
J1953 $ 120.00
J1160 $ 81.00
J1650 $ 14.00
J1650 $ 20.00
J1650 $ 25.00
J1650 $ 45.00
$ 6.00
$ 6.00
J3475 $ 68.00
$ 134.25
$ 224.50
$ 253.75
$ 2.75
$ 2.75
$ 2.75
$ 4.00
J0171 $ 449.00
$ 195.50
J0897 $ 3,318.00
$ 35.50
$ 17.50
$ 12.50
J0881 $ 1,333.00
$ 23.25
J0885 $ 1,495.00
J1644 $ 73.00
J2543 $ 103.00
$ 12.00
$ 50.00
J0457 $ 149.00
J0881 $ 6,266.00
$ 16.50
J0881 $ 898.00
$ 84.50
$ 10.00
$ 2.75
$ 34.00
$ 40.00
$ 38.00
J0736 $ 73.00
$ 3.00
$ 39.25
$ 83.00
$ 79.00
J1250 $ 54.00
$ 22.00
$ 580.00
$ 3.25
$ 4.00
$ 53.00
J2543 $ 105.00
J0736 $ 96.00
$ 45.00
$ 90.00
$ 2.00
$ 4.75
J1569 $ 7,124.00
J0282 $ 64.00
$ 11.00
$ 7.00
$ 87.00
$ 37.00
$ 3.00
$ 15.00
J0885 $ 831.00
$ 3.00
$ 29.00
$ 21.00
$ 9.00
E0156 $ 60.00
A9270GA $ 45.00
E0570 $ 185.00
E0570RR $ 40.00
E0855 $ 1,142.00
K0634 $ 64.00
L2425 $ 65.00
$ 53.00
$ 71.00
L3170 $ 60.00
L3923 $ 77.00
L1825 $ 86.00
L1902 $ 99.00
L4350 $ 139.00
E0855 $ 1,360.00
L3914 $ 53.00
L3908 $ 53.00
L3807 $ 184.00
L3807 $ 142.00
L4386 $ 137.00
E0143 $ 45.00
L3999 $ 50.00
E0720 $ 192.00
L4396 $ 174.00
A7006 $ 25.00
A4338 $ 9.00
L1810 $ 182.00
A7005 $ 52.00
E0135 $ 187.00
L1825 $ 45.00
L4360 $ 152.00
E0149 $ 490.00
L4398 $ 96.00
$ 59.00
L1800 $ 110.00
L1832 $ 187.00
E0860NU $ 90.00
L1832 $ 197.00
E0143 $ 261.00
L2795 $ 69.00
$ 169.00
E0110NU $ 205.00
L1800 $ 120.00
A5061 $ 13.00
A4414 $ 12.00
A5063 $ 7.00
L1845 $ 222.00
L0626NU $ 114.00
$ 36.00
$ 182.00
L1906 $ 148.00
L1845 $ 824.00
L3912 $ 55.00
L3999 $ 49.00
L1845 $ 317.00
L3850 $ 184.00
L1901 $ 32.00
L3911 $ 37.00
L2999 $ 25.00
L3931 $ 162.00
L1832 $ 322.00
L0625NU $ 72.00
L3650 $ 73.00
$ 46.25
$ 1.75
$ 18.00
$ 35.50
47562 $ 6,674.00
47563AQ $ 3,744.00
99202 $ 248.00
99203 $ 289.00
99204 $ 395.00
99205 $ 475.00
99212 $ 192.00
99213 $ 309.00
99214 $ 326.00
99215 $ 423.00
99251AQ $ 181.00
99252 $ 273.00
99253 $ 335.00
99254 $ 419.00
99255 $ 527.00
47564AQ $ 4,119.00
44970AQ $ 2,303.00
43234AQ $ 780.00
43235 $ 748.00
43246 $ 1,715.00
45380 $ 1,964.00
45384AQ $ 2,095.00
49320AQ $ 1,571.00
58660AQ $ 3,355.00
58661AQ $ 3,217.00
59150AQ $ 3,041.00
49650AQ $ 1,946.00
49651AQ $ 2,085.00
44140AQ $ 4,696.00
44150AQ $ 6,178.00
44155AQ $ 7,167.00
44160AQ $ 4,449.00
58150AQ $ 4,143.00
58152AQ $ 5,408.00
58200AQ $ 5,844.00
58262AQ $ 3,926.00
47600AQ $ 3,511.00
47605AQ $ 3,744.00
47610AQ $ 4,119.00
49560AQ $ 2,865.00
49561AQ $ 3,011.00
49565AQ $ 2,780.00
49566AQ $ 3,245.00
49505AQ $ 3,287.00
49507 $ 1,596.00
49520AQ $ 1,727.00
49521AQ $ 1,958.00
64721 $ 1,286.00
26055AQ $ 1,616.00
58120AQ $ 1,004.00
36571AQ $ 1,824.00
46250AQ $ 1,422.00
46255AQ $ 1,625.00
$ 2,031.00
37609AQ $ 1,010.00
$ 238.00
11420AQ $ 215.00
11600AQ $ 387.00
11620AQ $ 387.00
11640AQ $ 405.00
10060AQ $ 471.00
10080AQ $ 356.00
10120AQ $ 264.00
27590AQ $ 3,633.00
27880AQ $ 3,614.00
12001AQ $ 365.00
12031AQ $ 333.00
13100AQ $ 383.00
11770AQ $ 771.00
11771AQ $ 1,107.00
$ 1,398.00
49080AQ $ 442.00
49081AQ $ 356.00
27236AQ $ 5,231.00
27248AQ $ 2,825.00
19300AQ $ 1,783.00
19301AQ $ 1,383.00
19303AQ $ 2,408.00
19307AQ $ 3,611.00
19305AQ $ 3,121.00
55250 $ 1,178.00
45385AQ $ 1,995.00
43760AQ $ 323.00
44950AQ $ 2,302.00
43251 $ 1,355.00
49587AQ $ 2,224.00
45378AQ $ 2,024.00
11200AQ $ 362.00
$ 204.00
49585AQ $ 1,993.00
45398AQ $ 2,024.00
$ 654.00
$ 197.00
64425AQ $ 738.00
10061AQ $ 457.00
10021AQ $ 306.00
11601AQ $ 421.00
43239 $ 966.00
43760AQ $ 323.00
17000 $ 144.00
46221AQ $ 488.00
$ 1,091.00
G0121AQ $ 1,649.00
G0105AQ $ 1,649.00
45388AQ $ 1,995.00
$ 464.00
11042AQ $ 225.00
20205 $ 747.00
J1030 $ 28.00
11301 $ 172.00
11310 $ 172.00
99221 $ 216.00
10160 $ 225.00
$ 282.00
20605 $ 147.00
11441 $ 373.00
11441 $ 610.00
46600 $ 189.00
49568AQ $ 927.00
99231 $ 106.00
46080AQ $ 1,205.00
11621AQ $ 390.00
99232 $ 152.00
$ 596.00
11442AQ $ 461.00
36558AQ $ 1,857.00
12042AQ $ 542.00
45331AQ $ 497.00
38500AQ $ 1,091.00
45305AQ $ 290.00
12036AQ $ 875.00
46934AQ $ 684.00
19000AQ $ 213.00
43450AQ $ 320.00
36556 $ 794.00
11421AQ $ 282.00
99308AQ $ 112.00
11976AQ $ 227.00
11422AQ $ 356.00
49000AQ $ 2,271.00
44020AQ $ 3,434.00
$ 755.00
55899AQ $ 261.00
55000AQ $ 256.00
96372 $ 53.00
11603AQ $ 541.00
11622AQ $ 473.00
11622AQ $ 730.00
36561AQ $ 1,726.00
54700AQ $ 590.00
77001AQ $ 89.00
43250 $ 1,212.00
20200AQ $ 475.00
51701AQ $ 258.00
36569AQ $ 690.00
19120AQ $ 1,374.00
57160AQ $ 143.00
44377AQ $ 1,390.00
56420AQ $ 428.00
44380AQ $ 899.00
45300AQ $ 186.00
44620 $ 2,247.00
44625AQ $ 3,189.00
44005AQ $ 3,283.00
49002AQ $ 2,423.00
11446AQ $ 987.00
43247 $ 1,101.00
99238AQ $ 173.00
99239AQ $ 216.00
11423 $ 537.00
54161AQ $ 570.00
36590 $ 609.00
36589AQ $ 620.00
17110AQ $ 155.00
29580AQ $ 126.00
11602AQ $ 424.00
56740AQ $ 1,013.00
36590 $ 609.00
22900AQ $ 1,400.00
46040AQ $ 1,234.00
99499 $ 210.00
49655AQ $ 4,597.00
96523AQ $ 86.00
49550AQ $ 1,932.00
49507AS $ 399.00
49653AQ $ 4,138.00
99307 $ 74.00
99218AQ $ 223.00
11730AQ $ 139.00
27086AQ $ 521.00
47001 $ 286.00
45330AQ $ 420.00
58600AQ $ 2,063.00
11641AQ $ 526.00
13101AQ $ 800.00
13102AQ $ 233.00
25111AQ $ 1,287.00
99304 $ 148.00
47562AS $ 1,668.00
25075AQ $ 1,526.00
26600 $ 826.00
64788AQ $ 1,911.00
11404 $ 567.00
99233 $ 231.00
11732AQ $ 58.00
99429AQ $ 27.00
28820AQ $ 1,919.00
96372AQ $ 53.00
99283AQ $ 336.00
19020AQ $ 812.00
99309AQ $ 148.00
99381AQ $ 173.00
99382AQ $ 190.00
99383AQ $ 189.00
99384AQ $ 207.00
99385AQ $ 207.00
99386AQ $ 242.00
99387AQ $ 266.00
99391AQ $ 146.00
99392AQ $ 164.00
99393AQ $ 163.00
99394AQ $ 181.00
99395AQ $ 181.00
99396AQ $ 196.00
99397AQ $ 223.00
22903AQ $ 1,114.00
44620AS $ 562.00
46083AQ $ 358.00
11604AQ $ 653.00
29540AQ $ 97.00
99284AQ $ 501.00
99406AQ $ 48.00
11300AQ $ 147.00
11056AQ $ 88.00
99222 $ 322.00
Q0091 $ 20.00
11606 $ 847.00
28190AQ $ 427.00
99219AQ $ 303.00
99220AQ $ 381.00
99223 $ 395.00
99234 $ 331.00
99235 $ 449.00
99236 $ 566.00
G0008 $ 36.00
G0009 $ 47.00
20103AQ $ 1,611.00
99305 $ 208.00
99407AQ $ 97.00
36597AQ $ 398.00
76000AQ $ 345.00
99315AQ $ 107.00
11303AQ $ 284.00
95117AQ $ 46.00
76942AQ $ 155.00
99285AQ $ 827.00
11305AQ $ 173.00
11426AQ $ 982.00
11406AQ $ 908.00
99217AQ $ 195.00
11307AQ $ 249.00
44120AQ $ 4,580.00
11642AQ $ 676.00
58300AQ $ 410.00
11982 $ 305.00
Q0111 $ 12.00
J7298 $ 1,467.00
58301AQ $ 222.00
$ 9.00
J0886 $ 34.00
22901 $ 1,849.00
43249 $ 452.00
26160 $ 1,154.00
99306 $ 274.00
11044 $ 878.00
99429AQ $ 27.00
56405 $ 433.00
11750 $ 428.00
97597 $ 163.00
36593 $ 291.00
90471 $ 45.00
64430 $ 648.00
17003 $ 37.00
19101 $ 999.00
46910 $ 1,369.00
12041 $ 406.00
J3301 $ 44.00
S0020 $ 53.00
G0439 $ 250.00
99310 $ 239.00
81002 $ 29.00
69210 $ 129.00
82272 $ 19.00
G0438 $ 288.00
J2920 $ 17.00
S0630 $ 92.00
81025 $ 145.00
90715 $ 162.00
J0696 $ 11.00
G0402 $ 215.00
11306 $ 203.00
90669 $ 187.00
90472 $ 27.00
G0101 $ 51.00
G0010 $ 36.00
J3420 $ 18.00
29505AQ $ 247.00
90649 $ 417.00
88142 $ 50.00
$ 113.00
88305 $ 56.00
90734 $ 185.00
90716 $ 192.00
J1040 $ 70.00
82962QW $ 24.00
11055AQ $ 67.00
G0124 $ 86.00
94640 $ 40.00
J7610 $ 3.00
90714 $ 101.00
85018 $ 53.00
81003 $ 68.00
84703 $ 27.00
99429AQ $ 27.00
45381AQ $ 2,390.00
44389AQ $ 2,462.00
44376AQ $ 1,596.00
44404AQ $ 2,462.00
44388AQ $ 2,336.00
45990 $ 290.00
46230 $ 826.00
11424 $ 629.00
$ 410.00
12032AQ $ 424.00
55520AQ $ 1,242.00
27337AQ $ 1,368.00
11402AQ $ 469.00
11104AQ $ 347.00
45900AQ $ 814.00
46275AQ $ 1,367.00
46020AQ $ 904.00
55700 $ 642.00
58558AQ $ 894.00
58300AQ $ 200.00
46020AQ $ 905.00
58563AQ $ 1,788.00
11403AQ $ 627.00
20610 $ 168.00
20611 $ 168.00
11981AQ $ 263.00
29881 $ 2,499.00
64718 $ 1,864.00
46260AQ $ 1,829.00
29827 $ 3,317.00
29826 $ 655.00
29823 $ 2,231.00
27447 $ 8,020.00
58100 $ 247.00
27447AS $ 2,006.00
57454AQ $ 499.00
49652AQ $ 3,205.00
52000 $ 2,095.00
58350AQ $ 1,418.00
29825 $ 2,231.00
23700 $ 740.00
43840AQ $ 4,413.00
46320AQ $ 358.00
29874 $ 1,980.00
57454AQ $ 497.00
57452AQ $ 335.00
57456AQ $ 376.00
57455AQ $ 407.00
57160AQ $ 170.00
49654AQ $ 3,186.00
43830AQ $ 2,651.00
49250 $ 2,543.00
29882AQ $ 2,910.00
29888 $ 4,136.00
58559AQ $ 1,284.00
58662AQ $ 3,208.00
20680AQ $ 2,621.00
24105AQ $ 1,582.00
27570 $ 675.00
45990 $ 473.00
29824 $ 1,888.00
29888AS $ 1,008.00
29877 $ 1,736.00
29877AS $ 434.00
27412AS $ 1,159.00
29828 $ 2,472.00
29828AS $ 618.00
26615 $ 1,579.00
49592 $ 1,373.00
27427 $ 1,965.00
27427AS $ 491.00
29823AS $ 559.00
29824AS $ 473.00
29826AS $ 164.00
29827AS $ 830.00
29916AS $ 706.00
25112 $ 1,073.00
52317 $ 2,398.00
52204 $ 1,021.00
52005 $ 819.00
51102 $ 633.00
52332 $ 1,040.00
45386 $ 1,578.00
52281 $ 870.00
49594 $ 2,157.00
49594AS $ 539.00
80 $ 561.00
43270 $ 1,782.50
45382 $ 1,627.00
29825 $ 365.00
38531 $ 1,261.00
38531AS $ 315.00
49593 $ 1,520.00
49593AS $ 305.00
29880 $ 1,509.00
29880AS $ 301.00
10081 $ 921.00
91110 $ 1,867.00
9111026 $ 291.00
91110 $ 1,576.00
29875AS $ 342.00
29822AS $ 373.00
23472 $ 4,013.00
23472AS $ 1,004.00
52356 $ 1,118.00
49203 $ 3,383.00
43241 $ 381.00
52310 $ 833.00
29875 $ 1,368.00
24341AS $ 513.00
52353 $ 1,055.00
52601 $ 1,968.00
49591 $ 984.00
49591AS $ 246.00
27455 $ 2,664.00
27455AS $ 666.00
27422 $ 2,056.00
27422AS $ 515.00
25600 $ 929.00
47000 $ 768.00
$ 22.00
E0155 $ 77.00
58670AQ $ 1,419.00
$ 49.00
$ 168.00
$ 174.00
$ 29.00
$ 45.00
$ 45.00
$ 48.00
$ 48.00
$ 364.00
$ 88.00
$ 185.00
$ 608.00
$ 40.00
$ 73.00
$ 29.00
$ 477.00
$ 37.00
$ 135.00
$ 101.00
$ 101.00
$ 89.00
$ 101.00
$ 216.00
$ 153.00
$ 223.00
$ 220.00
$ 220.00
$ 14.00
$ 14.00
$ 77.00
$ 294.00
$ 215.00
$ 24.00
$ 199.00
$ 168.00
$ 16.00
$ 9.00
$ 73.00
$ 111.00
$ 26.00
$ 255.00
$ 73.00
$ 77.00
$ 190.00
$ 19.00
$ 15.00
$ 13.00
$ 10.25
$ 88.00
$ 106.00
$ 45.00
$ 168.00
$ 218.00
$ 210.00
$ 210.00
$ 39.25
$ 496.00
$ 71.00
$ 133.00
$ 102.00
$ 21.00
$ 531.00
$ 830.00
$ 54.00
$ 54.00
$ 49.00
$ 27.00
$ 19.00
$ 199.00
$ 83.00
$ 147.00
$ 1,004.00
$ 489.00
$ 249.00
$ 48.00
$ 48.00
$ 90.00
$ 95.00
$ 169.00
$ 73.00
$ 27.00
$ 184.00
$ 37.00
$ 60.00
$ 131.00
$ 131.00
$ 164.00
E0163 $ 213.00
E0143NU $ 257.00
E0100NU $ 37.00
E0105 $ 115.00
L1815 $ 128.00
E0720 $ 112.25
$ 175.00
E0114 $ 70.00
E0114 $ 70.00
E0114 $ 70.00
$ 69.00
$ 8.00
$ 7.00
$ 25.00
$ 56.50
$ 66.00
$ 55.00
$ 402.00
$ 69.00
$ 172.00
$ 2.00
$ 7.00
$ 29.00
$ 171.00
$ 137.00
$ 3.00
$ 104.00
$ 90.00
$ 14.50
$ 142.00
$ 95.00
$ 95.00
$ 53.00
L1830 $ 95.00
L1830 $ 95.00
$ 95.00
$ 47.00
$ 33.00
$ 424.00
$ 35.25
$ 85.50
$ 99.00
$ 99.00
$ 123.00
$ 123.00
$ 29.00
$ 15.25
$ 41.00
$ 41.00
$ 71.00
$ 71.00
$ 71.00
$ 5.00
$ 37.00
$ 46.00
$ 15.25
$ 68.00
$ 289.00
$ 246.00
$ 225.00
$ 32.00
$ 79.00
$ 13.00
$ 51.00
$ 70.00
$ 11.00
$ 128.00
$ 232.00
$ 232.00
$ 209.00
$ 30.00
$ 439.00
$ 115.00
$ 19.00
$ 19.00
$ 51.00
$ 51.00
$ 51.00
$ 51.00
$ 51.00
$ 51.00
$ 114.00
$ 51.00
$ 64.00
$ 86.00
$ 711.00
$ 66.00
L3260 $ 70.00
$ 70.00
$ 168.00
$ 179.00
$ 7.75
$ 51.00
$ 51.00
$ 51.00
L3908 $ 51.00
$ 51.00
$ 51.00
$ 21.00
$ 61.00
$ 537.00
$ 19.00
$ 82.00
$ 73.00
$ 120.00
$ 43.00
$ 2.00
L3908 $ 66.00
L3908 $ 40.00
$ 152.00
$ 119.00
$ 134.00
$ 130.00
$ 95.00
$ 60.00
$ 83.00
$ 95.00
$ 237.00
$ 4.00
$ 22.00
$ 12.00
$ 19.00
$ 111.00
$ 165.00
$ 13.00
$ 165.00
L1930 $ 69.00
$ 21.00
$ 23.25
$ 61.00
$ 77.00
$ 77.00
$ 49.00
$ 61.00
$ 79.00
$ 303.00
$ 5.00
$ 25.00
$ 24.00
$ 82.00
$ 82.00
$ 82.00
L3908 $ 18.00
L3908 $ 18.00
L3908 $ 18.00
$ 18.00
L3908 $ 18.00
L3908 $ 45.00
L3908 $ 61.00
L3908 $ 61.00
L3908 $ 61.00
L3908 $ 61.00
L3908 $ 61.00
L3908 $ 61.00
$ 19.00
$ 18.25
$ 9.00
$ 47.00
$ 182.00
$ 329.00
$ 107.00
$ 84.00
$ 62.00
$ 26.00
$ 97.00
$ 45.00
$ 12.00
$ 102.00
$ 138.00
$ 37.00
$ 25.00
$ 13.00
$ 15.00
$ 66.00
$ 83.00
$ 66.00
$ 36.00
$ 59.00
$ 47.00
$ 19.00
$ 96.00
$ 244.00
$ 87.00
$ 10.00
$ 133.00
$ 139.00
L4350 $ 139.00
$ 48.00
$ 29.00
$ 73.00
97802 $ 95.00
G0270 $ 53.00
97803 $ 81.00
97802 $ 36.00
$ 20.00
$ 3.00
$ 2.50
$ 3.00
99221 $ 279.00
99222 $ 378.00
99223 $ 526.00
99231 $ 134.00
99232 $ 193.00
99233 $ 274.00
99238 $ 219.00
99239 $ 274.00
99201AQ $ 147.00
99202AQ $ 186.00
99203AQ $ 240.00
99204AQ $ 343.00
99205AQ $ 462.00
99211AQ $ 80.00
99212AQ $ 114.00
99213AQ $ 146.00
99214AQ $ 212.00
99215AQ $ 340.00
99218AQ $ 265.00
99219AQ $ 358.00
99220AQ $ 452.00
99217AQ $ 211.00
99234 $ 378.00
99235 $ 512.00
99236AQ $ 646.00
99304AQ $ 168.00
99305AQ $ 237.00
99306AQ $ 288.00
99307AQ $ 95.00
99308AQ $ 129.00
99309AQ $ 187.00
99310AQ $ 254.00
10060AQ $ 284.00
31500AQ $ 633.00
99291AQ $ 823.00
99292AQ $ 411.00
99225AQ $ 187.00
99224AQ $ 93.00
99226AQ $ 274.00
$ 40.00
11000 $ 1,303.00
11001 $ 444.00
11042 $ 1,158.00
11043 $ 1,303.00
11044 $ 3,629.00
11045 $ 1,158.00
11046 $ 1,205.00
11047 $ 1,934.00
17250 $ 614.00
99201 $ 278.00
99202 $ 362.00
29581 $ 465.00
99203 $ 476.00
99212 $ 362.00
97597 $ 561.00
99211 $ 278.00
99213 $ 362.00
29580 $ 464.00
97602 $ 362.00
99202 $ 190.00
11042 $ 216.00
99212 $ 100.00
97597 $ 83.00
11043 $ 420.00
99201 $ 100.00
99211 $ 67.00
11045 $ 71.00
99214 $ 476.00
99215 $ 633.00
97598 $ 506.00
17250 $ 100.00
29581 $ 37.00
11046 $ 153.00
99214 $ 206.00
99213 $ 153.00
99203 $ 221.00
97605 $ 352.00
97598 $ 166.00
99204 $ 589.00
99205 $ 747.00
16020 $ 519.00
16020 $ 205.00
99215 $ 258.00
99204 $ 326.00
11044 $ 878.00
15271 $ 410.00
15271 $ 2,667.00
96372 $ 126.00
$ 67.50
96365 $ 482.00
96366 $ 233.00
$ 100.00
$ 371.75
$ 75.00
$ 83.00
$ 45.00
96374 $ 224.00
$ 70.00
$ 14.00
96375 $ 224.00
$ 71.00
$ 600.75
$ 3,663.00
$ 119.00
$ 259.00
$ 48.25
$ 48.25
$ 594.00
$ 97.00
$ 318.00
$ 443.00
$ 635.00
$ 763.00
$ 127.00
$ 127.00
$ 127.00
$ 245.25
$ 53.00
$ 271.00
11720 $ 90.00
11721 $ 90.00
97597 $ 121.00
11750 $ 471.00
11730 $ 168.00
$ 245.75
$ 350.75
11055 $ 90.00
$ 5.75
$ 85.00
$ 218.00
$ 122.00
11056 $ 135.00
11719 $ 69.00
$ 590.00
$ 160.00
11057 $ 174.00
$ 39.25
$ 22.00
$ 65.00
$ 9.25
$ 171.00
$ 182.00
$ 33.25
11755 $ 215.00
51703 $ 550.00
$ 17.50
$ 40.50
$ 57.75
$ 5.75
$ 45.00
$ 8.00
$ 33.25
$ 5.00
$ 35.00
$ 10.75
$ 50.50
$ 50.00
$ 137.00
$ 9.00
$ 40.75
$ 82.50
$ 142.00
$ 227.00
$ 5.50
$ 234.00
$ 254.25
$ 815.00
$ 84.25
$ 132.25
$ 22.50
$ 26.50
$ 31.50
$ 721.00
$ 368.00
17000 $ 141.00
17003 $ 37.00
$ 152.00
$ 49.50
17004 $ 506.00
$ 267.00
$ 484.00
$ 712.00
$ 576.75
$ 142.00
$ 47.75
$ 63.75
$ 399.50
64550 $ 176.00
99211 $ 223.00
$ 247.75
$ 19.25
$ 27.00
$ 8.00
$ 8.00
$ 91.00
$ 34.25
$ 36.00
$ 8.00
$ 443.00
$ 653.00
11900 $ 131.00
$ 153.00
$ 159.00
$ 721.00
$ 1,632.00
$ 19.75
$ 215.00
20600 $ 279.00
20605 $ 279.00
20610 $ 286.00
$ 203.00
$ 110.00
$ 471.00
11732 $ 75.75
$ 566.00
96360 $ 375.00
96361 $ 151.00
$ 17.50
$ 755.00
$ 142.00
$ 29.50
$ 38.75
$ 33.25
$ 59.00
$ 443.00
$ 198.00
$ 600.75
17004 $ 246.00
$ 84.25
67810 $ 271.00
$ 33.00
$ 8.00
46083 $ 372.00
17110 $ 135.00
$ 215.00
69200 $ 201.00
42405 $ 354.00
$ 198.00
$ 78.25
11441 $ 414.00
96523 $ 219.00
51702 $ 187.00
96376 $ 224.00
$ 18.75
96367 $ 277.00
10060 $ 293.00
10160 $ 269.00
64450 $ 308.00
69220 $ 102.00
17106 $ 791.00
54056 $ 506.00
64455 $ 516.00
11311 $ 254.00
11312 $ 297.00
11622 $ 597.00
12041 $ 494.00
42104 $ 748.00
69433 $ 700.00
10140 $ 403.00
42800AQ $ 345.00
20103AQ $ 1,903.00
30117 $ 956.00
27250AQ $ 1,533.00
86580 $ 44.00
64999 $ 363.00
41100 $ 518.00
41110 $ 2,548.00
28008 $ 3,239.00
69399 $ 162.00
69799 $ 162.00
51700 $ 299.00
42120 $ 8,496.00
11640 $ 416.00
12031 $ 511.00
11422 $ 1,621.00
31579 $ 870.00
40808 $ 677.00
65220 $ 189.00
11620 $ 1,216.00
41599 $ 228.00
96413 $ 702.00
96415 $ 371.00
42999 $ 171.00
14040 $ 2,605.00
12051 $ 565.00
17250 $ 227.00
30118 $ 3,884.00
40490 $ 716.00
97598 $ 302.00
16020 $ 302.00
41899 $ 229.00
14301 $ 4,497.00
14302 $ 4,497.00
31615 $ 1,598.00
97606 $ 308.00
11442 $ 485.00
11443 $ 613.00
11603 $ 1,127.00
11042 $ 195.00
12034 $ 683.00
11406 $ 1,747.00
11643 $ 761.00
11604 $ 1,222.00
12032 $ 643.00
11426 $ 2,385.00
69100 $ 160.00
11740 $ 188.00
40810 $ 1,632.00
86580 $ 44.00
52000 $ 2,095.00
52000 $ 419.00
52000 $ 2,095.00
52332 $ 832.00
52332 $ 208.00
52332 $ 832.00
51102 $ 506.00
51102 $ 127.00
51102 $ 633.00
G2212 $ 109.00
G2212 $ 27.00
99417 $ 137.00
20600 $ 180.00
20600 $ 45.00
20600 $ 225.00
20605 $ 189.00
20605 $ 47.00
20605 $ 236.00
20610 $ 222.00
2061050 $ 416.00
20610 $ 56.00
20610 $ 277.00
20550 $ 198.00
20550 $ 49.00
20550 $ 248.00
20526 $ 284.00
20526 $ 71.00
20526 $ 355.00
20552 $ 180.00
20552 $ 45.00
20552 $ 225.00
20553 $ 209.00
20553 $ 53.00
20553 $ 261.00
Q3014 $ 30.00
$ 64.00
20550 $ 307.00
$ 39.25
96400 $ 89.00
20552 $ 164.00
12020 $ 266.00
96401 $ 234.00
20553 $ 184.00
M0222 $ 810.00
99202 $ 310.00
99203 $ 361.00
99204 $ 494.00
99205 $ 593.00
99212 $ 240.00
99213 $ 385.00
99214 $ 406.00
99215 $ 529.00
99241 $ 195.00
99242 $ 372.00
99243 $ 515.00
99244 $ 768.00
99245 $ 938.00
99202 $ 62.00
99203 $ 72.00
99204 $ 99.00
99205 $ 119.00
99212 $ 48.00
99213 $ 77.00
99214 $ 81.00
99215 $ 106.00
99241 $ 39.00
99242 $ 75.00
99243 $ 103.00
99244 $ 153.00
99245 $ 188.00
99211AQ $ 80.00

Charge Master 02-01-24

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Chargemaster as of 02/01/2024

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