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Update #1252, Tuesday, March 18, 2008
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VENDOR : ABBOTT LABS PPD-HPD (VEND# 9100)
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***** Contract #: MMS27007 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
ADD (New item)
03/26/2008 - 00074-9374-02 - HUMIRA 20 MG/0.4 ML SYRINGE 2EA x 1 - $1,384.930
REMARKS: Floating WAC - 0%
CHANGE (Price increase)
03/04/2008 - 00074-6624-19 - SYNTHROID 100 MCG TABLET 1000EA x 1 - $407.250
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-6624-13 - SYNTHROID 100 MCG TABLET 100EA x 1 - $46.990
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-6624-11 - SYNTHROID 100 MCG TABLET UD100EA x 1 - $50.690
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-9296-19 - SYNTHROID 112 MCG TABLET 1000EA x 1 - $472.270
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-9296-13 - SYNTHROID 112 MCG TABLET 100EA x 1 - $54.280
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7068-19 - SYNTHROID 125 MCG TABLET 1000EA x 1 - $473.660
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7068-13 - SYNTHROID 125 MCG TABLET 100EA x 1 - $55.020
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7068-11 - SYNTHROID 125 MCG TABLET UD100EA x 1 - $58.930
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-3727-13 - SYNTHROID 137 MCG TABLET 100EA x 1 - $56.290
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7069-19 - SYNTHROID 150 MCG TABLET 1000EA x 1 - $488.890
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7069-13 - SYNTHROID 150 MCG TABLET 100EA x 1 - $56.670
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7069-11 - SYNTHROID 150 MCG TABLET UD100EA x 1 - $60.490
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7070-19 - SYNTHROID 175 MCG TABLET 1000EA x 1 - $582.690
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7070-13 - SYNTHROID 175 MCG TABLET 100EA x 1 - $67.400
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7148-19 - SYNTHROID 200 MCG TABLET 1000EA x 1 - $585.200
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7148-13 - SYNTHROID 200 MCG TABLET 100EA x 1 - $67.550
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7148-11 - SYNTHROID 200 MCG TABLET UD100EA x 1 - $72.640
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-4341-19 - SYNTHROID 25 MCG TABLET 1000EA x 1 - $316.920
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-4341-13 - SYNTHROID 25 MCG TABLET 100EA x 1 - $36.540
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-7149-13 - SYNTHROID 300 MCG TABLET 100EA x 1 - $91.920
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-4552-19 - SYNTHROID 50 MCG TABLET 1000EA x 1 - $353.890
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-4552-13 - SYNTHROID 50 MCG TABLET 100EA x 1 - $41.530
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-4552-11 - SYNTHROID 50 MCG TABLET UD100EA x 1 - $43.820
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-5182-19 - SYNTHROID 75 MCG TABLET 1000EA x 1 - $394.690
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-5182-13 - SYNTHROID 75 MCG TABLET 100EA x 1 - $45.860
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-5182-11 - SYNTHROID 75 MCG TABLET UD100EA x 1 - $48.860
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-6594-19 - SYNTHROID 88 MCG TABLET 1000EA x 1 - $403.470
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-6594-13 - SYNTHROID 88 MCG TABLET 100EA x 1 - $46.660
REMARKS: W%: 0.00% discount
03/04/2008 - 00074-4498-03 - ULTIVA 1 MG VIAL 10EA x 1 - $107.500
REMARKS: Fixed
03/04/2008 - 00074-4507-10 - ULTIVA 5 MG VIAL 10EA x 1 - $496.000
REMARKS: Fixed
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VENDOR : ABBOTT NUTRITION (VEND# 3755)
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***** Contract #: MMS27118 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] ***
CHANGE (Internal maintenance - Remarks added for pricing clarification)
05/01/2007 - 70074-0594-06 - ELECARE AMINO ACID POWDER 400GM x 1 - $28.950
REMARKS: #59405. Vanilla flavored. 6 for $173.68. Committed Price: $28.95 each ($173.68). Non-committed price: $28.95 each ($173.68).
05/01/2007 - 70074-0546-66 - ELECARE AMINO ACID POWDER 400GM x 6 - $173.680
REMARKS: #54665. Unflavored. 6 for $173.68. Committed Price: $28.95 each ($173.68). Non-committed price: $28.95 each ($173.68).
02/09/2008 - 70074-0509-05 - GLUCERNA 1.2 CAL LIQUID 237ML x 1 - $2.070
REMARKS: #50904. 8 oz. can. 24 cans per case. Non-Committed Price: 24 @ $49.67. Committed price: 24 @ $45.70.
CONTCHANGE (Internal maintenance)
03/14/2008 - MMCAP CONTRACTS ABBOTT NUTRITI
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VENDOR : AMERICAN HEALTH PACKAGING (VEND# 0250)
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***** Contract #: MMS27014 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: MMCAP0507
ADD (New items)
04/01/2008 - 68084-0250-21 - HALOPERIDOL 20 MG TABLET UD30EA x 1 - $65.680
REMARKS: Manufacturer: Zydus. Bar coded to the dose level.
04/01/2008 - 68084-0224-21 - HYDROCORTISONE 20 MG TABLET UD30EA x 1 - $9.920
REMARKS: Manufacturer: Glades. Bar coded to the dose level.
04/01/2008 - 68084-0256-21 - TERBUTALINE SULFATE 2.5 MG TAB UD30EA x 1 - $13.750
REMARKS: Manufacturer: Lannett. Bar coded to the dose level.
04/01/2008 - 68084-0257-21 - TERBUTALINE SULFATE 5 MG TAB UD30EA x 1 - $17.030
REMARKS: Manufacturer: Lannett. Bar coded to the dose level.
CHANGE (NDC discontinued; will be removed from contract when wholesaler inventory is depleted)
05/01/2007 - 62584-0682-01 - DOCUSATE CALCIUM 240 MG CAP UD100EA x 1 - $4.150
REMARKS: Product being discontinued, pricing will be honored until wholesalers run out of stock.
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VENDOR : APOTEX CORP. (VEND# 7035)
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***** Contract #: MMS27019 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: A00321-3
CHANGE (Price increase)
05/07/2008 - 60505-0749-05 - CEFAZOLIN 1 GM VIAL 1EA x 25 - $27.050
05/07/2008 - 60505-0769-00 - CEFAZOLIN 10 GM VIAL 1EA x 10 - $99.000
DELETE (NDC on long-term backorder; removed from contract - alternative available)
04/05/2008 - 60505-0664-02 - FLUPHENAZINE DEC 25 MG/ML 5ML x 1 - $3.850
REMARKS: 11/07 - this product is currently not available and will not be on the market until mid-2008.
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VENDOR : ASTRAZENECA PHARMACEUTICALS (VEND# 1500)
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***** Contract #: MMS27022 *** MMCAP CONTRACTS *** [6/1/2007 to 4/30/2011] ***
CHANGE (Internal maintenance - Remarks added for pricing clarification)
01/03/2008 - 00310-0321-30 - MERREM 1 GM VIAL 1EA x 10 - $601.890
REMARKS: W%: 2% discount for Acute Care. $60.19 each. Reduced acute care pricing available with signed Letter of Commitment available on MMCAP's website. State-other (non-acute) pricing is WAC - 18% ($503.62).
01/03/2008 - 00310-0325-20 - MERREM 500 MG VIAL 1EA x 10 - $300.950
REMARKS: W%: 2% discount for Acute Care. $30.10 each. Reduced acute care pricing available with signed Letter of Commitment available on MMCAP's website. State-other (non-acute) pricing is WAC - 18% ($251.81).
DELETE (NDCs discontinued and removed from contract)
04/30/2008 - 00186-0452-28 - PLENDIL 10 MG TABLET SA UD100EA x 1 - $246.090
REMARKS: W$: $0.30 discount for Acute Care & State Facility.
04/30/2008 - 00186-0450-28 - PLENDIL 2.5 MG TABLET SA UD100EA x 1 - $136.830
REMARKS: W$: $0.30 discount for Acute Care & State Facility.
04/30/2008 - 00186-0451-28 - PLENDIL 5 MG TABLET SA UD100EA x 1 - $136.830
REMARKS: W$: $0.30 discount for Acute Care & State Facility.
DELETE (NDC removed from contract)
04/30/2008 - 00310-0108-10 - TENORMIN I.V. 0.5 MG/ML AMP 10ML x 5 - $46.720
REMARKS: W$: $0.30 discount for Acute Care & State Facility.
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VENDOR : BARR LABORATORIES (VEND# 0429)
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***** Contract #: MMS27027 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: 10070010 -
CHANGE (Price increase)
04/02/2008 - 50111-0901-01 - ETHOSUXIMIDE 250 MG CAPSULE 100EA x 1 - $90.800
04/02/2008 - 50111-0990-01 - VITAMIN D 50,000 UNITS SOFTGEL 100EA x 1 - $102.010
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VENDOR : BAXTER BIOSCIENCE (VEND# 0454)
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***** Contract #: MMS26006 *** PHARMACEUTICALS *** [1/30/2006 to 12/31/2008] *** Vend Cont#: MMS26006
CHANGE (Price decrease)
03/18/2008 - 00944-6000-32 - DUPLOSPRAY MIS REGULATOR 1EA x 1 - $499.000
REMARKS: DIRECT ONLY - to order, call 1-800-423-2090. Fixed price through 12/31/08. Product code #0600032
03/18/2008 - 00944-6000-40 - DUPLOSPRAY MIS ROLL STAND 1EA x 1 - $400.000
REMARKS: DIRECT ONLY - to order, call 1-800-423-2090. Fixed price through 12/31/08. Product code # 0600040.
03/18/2008 - 00944-6000-12 - EASYSPRAY PRESSURE REGULATOR 1EA x 1 - $499.000
REMARKS: DIRECT ONLY - call 1-800-423-2090. Fixed price through 12/31/08. Baxter Bio product code: 0600012. EASYSPRAY regulator uses pressurized gas for uniform spray delivery.
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VENDOR : BAXTER GLOBAL PHARMACEUTICAL INJECTABLES (VEND# 1091)
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***** Contract #: MMS28007 *** PHARMACEUTICALS *** [3/1/2008 to 6/30/2009] ***
CHANGE (Price decrease)
03/21/2008 - 10019-0102-01 - LORAZEPAM 2 MG/ML VIAL 1ML x 25 - $20.500
REMARKS: Product code: 1001910201. $0.82 each
DELETE (NDCs recalled and on long term backorder; removed from contract)
03/10/2008 - 00641-2440-45 - HEPARIN NA 1,000 UNITS/ML VIAL 10ML x 25 - $18.000
REMARKS: This product has been recalled due to reports of adverse events. It will be removed from contract until further notice. Product code: 0641244045. $0.72 each
03/10/2008 - 00641-0391-25 - HEPARIN NA 1,000 UNITS/ML VIAL 1ML x 25 - $12.670
REMARKS: This product has been recalled due to reports of adverse events. It will be removed from contract until further notice. Product code: 0641039125. $0.51 each
03/10/2008 - 00641-2450-45 - HEPARIN NA 1,000 UNITS/ML VIAL 30ML x 25 - $41.430
REMARKS: This product has been recalled due to reports of adverse events. It will be removed from contract until further notice. Product code: 0641245045. $1.66 each
03/10/2008 - 00641-0410-25 - HEPARIN NA 10,000 UNITS/ML VIA 1ML x 25 - $16.250
REMARKS: This product has been recalled due to reports of adverse events. It will be removed from contract until further notice. Product code: 0641041025. $0.65 each.
03/10/2008 - 00641-2470-45 - HEPARIN NA 10,000 UNITS/ML VIA 4ML x 25 - $56.480
REMARKS: This product has been recalled due to reports of adverse events. It will be removed from contract until further notice. Product code: 0641247045. $2.26 each
03/10/2008 - 00641-2460-45 - HEPARIN NA 5,000 UNITS/ML VIAL 10ML x 25 - $54.100
REMARKS: This product has been recalled due to reports of adverse events. It will be removed from contract until further notice. Product code: 0641246045. $2.16 each
03/10/2008 - 00641-0400-25 - HEPARIN NA 5,000 UNITS/ML VIAL 1ML x 25 - $13.750
REMARKS: This product has been recalled due to reports of adverse events. It will be removed from contract until further notice. Product code: 0641040025. $0.55 each
DELETE (NDC removed from contract)
03/10/2008 - 10019-0873-15 - ENLON 10 MG/ML VIAL 15ML x 10 - $86.700
REMARKS: Product code: 1001987315. $8.67 each
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VENDOR : CARACO PHARMACEUTICAL LABS (VEND# 0710)
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***** Contract #: MMS27041 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: MMS27041
ADD (New items)
03/26/2008 - 57664-0344-83 - CETIRIZINE HCL 10 MG CHEW TAB 30EA x 1 - $14.700
03/26/2008 - 57664-0343-83 - CETIRIZINE HCL 5 MG CHEW TAB 30EA x 1 - $14.700
REMARKS: OTC
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VENDOR : CYPRESS PHARMACEUTICALS, INC. (VEND# 1046)
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***** Contract #: MMS27046 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
DELETE (NDC discontinued and removed from contract)
03/17/2008 - 60258-0701-16 - HYDRO PC II SYRUP 473ML x 1 - $12.190
REMARKS: This item has been discontinued due the the FDA hydrocodone ruling.
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VENDOR : DEY LABORATORIES (VEND# 1177)
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***** Contract #: MMS27049 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: MIN-0155
CHANGE (NDC discontinued and will be removed from contract when wholesaler inventory is depleted)
05/01/2007 - 49502-0672-31 - DUONEB 2.5-0.5 MG/3 ML SOLN UD3ML x 30 - $28.040
REMARKS: 30 vials per carton/1 vial per foil pouch. This NDC has been discontinued and will be removed from contract when distributor inventory is depleted.
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VENDOR : FALCON PHARMACEUTICALS (VEND# 1360)
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***** Contract #: MMS27054 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: CH3
ADD (NDC conversion; new NDC added)
02/21/2008 - 61314-0645-11 - NEO-POLYMYXIN-HC EAR SUSP 10ML x 1 - $8.500
REMARKS: This NDC (plastic vial) replaces old NDC # 61314-0645-10 (glass vial).
CHANGE (NDC conversion; remarks added for old NDC)
05/01/2007 - 61314-0645-10 - NEO/POLYMYXIN/HC EAR SUSP 10ML x 1 - $8.500
REMARKS: This NDC (glass vial) has been discontinued and will be removed from contract when wholesaler inventory is depleted. NDC # 61314-0645-11 (plastic vial) will replace this product.
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VENDOR : FOREST PHARMACEUTICALS (VEND# 2890)
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***** Contract #: MMS27056 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] ***
CHANGE (Price decrease)
03/10/2008 - 00258-3692-90 - DILTIAZEM HCL 420 MG CAP SA 90EA x 1 - $41.520
REMARKS: W%: 56.67% discount.
03/10/2008 - 00258-3613-01 - ISOSORBIDE DN 40 MG TAB SA 100EA x 1 - $35.010
REMARKS: W%: 36.62% discount.
03/10/2008 - 00258-3711-01 - RIMANTADINE 100 MG TABLET 100EA x 1 - $69.580
REMARKS: W%: 39.33% discount.
03/10/2008 - 00258-3584-01 - THEOPHYLLINE 100 MG TAB SA 100EA x 1 - $6.550
REMARKS: W%: 50.18% discount.
03/10/2008 - 00258-3583-01 - THEOPHYLLINE 200 MG TAB SA 100EA x 1 - $5.120
REMARKS: W%: 65.21% discount.
03/10/2008 - 00258-3583-05 - THEOPHYLLINE 200 MG TAB SA 500EA x 1 - $24.340
REMARKS: W%: 65.20% discount.
03/10/2008 - 00258-3581-10 - THEOPHYLLINE 300 MG TAB SA 1000EA x 1 - $55.450
REMARKS: W%: 65.23% discount.
03/10/2008 - 00258-3581-01 - THEOPHYLLINE 300 MG TAB SA 100EA x 1 - $6.260
REMARKS: W%: 64.72% discount.
03/10/2008 - 00258-3581-05 - THEOPHYLLINE 300 MG TAB SA 500EA x 1 - $29.900
REMARKS: W%: 64.48% discount.
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VENDOR : FOUGERA & CO (VEND# 1350)
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***** Contract #: MMS27057 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
ADD (New item)
03/24/2008 - 00168-0146-30 - HYDROCORTISONE 2.5% OINT 28.35GM x 1 - $1.720
REMARKS: AT-rated to Hytone
CHANGE (Internal maintenance - Remarks added)
05/01/2007 - 00168-0142-31 - MICONAZOLE NITRATE 2% CREAM 28.35GM x 1 - $0.950
REMARKS: OTC. For the treatment of athlete's foot (tinea pedis), jock itch (tinea cruris), and ringworm (tinea corporis).
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VENDOR : GREENSTONE LIMITED (VEND# 1074)
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***** Contract #: MMS27066 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
ADD (NDC correction; correct NDC added)
02/29/2008 - 59762-7529-01 - IRINOTECAN HCL 40 MG/2 ML VIAL 2ML x 1 - $22.660
REMARKS: AP-rated to Camptosar
CHANGE (Internal maintenance)
02/29/2008 - 59762-7529-02 - IRINOTECAN HCL 100 MG/5 ML VL 5ML x 1 - $56.650
REMARKS: AP-rated to Camptosar
DELETE (NDC correction; incorrect NDC removed)
02/29/2008 - 00009-7529-01 - IRINOTECAN 20 MG/ML VIAL 5ML x 1 - $22.660
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VENDOR : JHP PHARMACEUTICALS (VEND# 1087)
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***** Contract #: MMS27156 *** MMCAP CONTRACTS *** [10/1/2007 to 4/30/2009] ***
ADD (NDC conversion; new NDC added)
02/28/2008 - 42023-0113-10 - KETALAR 10 MG/ML VIAL 20ML x 10 - $148.480
REMARKS: Floating WAC - 10%. This product replaces old NDC # 61570-0581-10.
CHANGE (NDC conversion; remarks updated for old NDC)
10/01/2007 - 61570-0581-10 - KETALAR 10 MG/ML VIAL 20ML x 10 - $148.480
REMARKS: W%: 10.00% discount. This NDC will be replaced by NDC # 42023-0113-10 when wholesaler inventory is depleted.
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VENDOR : JOHNSON & JOHNSON HCS (VEND# 1580)
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***** Contract #: MMS27072 *** MMCAP CONTRACTS *** [7/1/2007 to 4/30/2009] ***
ADD (New item)
04/01/2008 - 59676-0310-02 - PROCRIT 10,000 UNITS/ML VIAL 1ML x 25 - $3,118.380
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0310-01 - PROCRIT 10,000 UNITS/ML VIAL 1ML x 6 - $748.410
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0312-04 - PROCRIT 10,000 UNITS/ML VIAL 2ML x 4 - $997.880
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0302-02 - PROCRIT 2,000 UNITS/ML VIAL 1ML x 25 - $623.680
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0302-01 - PROCRIT 2,000 UNITS/ML VIAL 1ML x 6 - $149.680
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0320-04 - PROCRIT 20,000 UNITS/ML VIAL 1ML x 4 - $997.880
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0303-02 - PROCRIT 3,000 UNITS/ML VIAL 1ML x 25 - $935.510
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0303-01 - PROCRIT 3,000 UNITS/ML VIAL 1ML x 6 - $224.520
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0304-02 - PROCRIT 4,000 UNITS/ML VIAL 1ML x 25 - $1,247.350
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0304-01 - PROCRIT 4,000 UNITS/ML VIAL 1ML x 6 - $299.360
REMARKS: Floating WAC - 5%
04/01/2008 - 59676-0340-01 - PROCRIT 40,000 UNITS/ML VIAL 1ML x 4 - $1,995.760
REMARKS: Floating WAC - 5%
CHANGE (Internal maintenance)
02/25/2008 - 50458-0550-01 - INVEGA 3 MG ER TABLET 30EA x 1 - $309.870
REMARKS: Floating WAC - 1%
02/25/2008 - 50458-0550-02 - INVEGA 3 MG ER TABLET 350EA x 1 - $3,615.180
REMARKS: Floating WAC - 1%
02/25/2008 - 50458-0550-10 - INVEGA 3 MG ER TABLET UD100EA x 1 - $1,032.910
REMARKS: Floating WAC - 1%
02/25/2008 - 50458-0551-01 - INVEGA 6 MG ER TABLET 30EA x 1 - $309.870
REMARKS: Floating WAC - 1%
02/25/2008 - 50458-0551-02 - INVEGA 6 MG ER TABLET 350EA x 1 - $3,615.180
REMARKS: Floating WAC - 1%
02/25/2008 - 50458-0551-10 - INVEGA 6 MG ER TABLET UD100EA x 1 - $1,032.910
REMARKS: Floating WAC - 1%
02/25/2008 - 50458-0552-01 - INVEGA 9 MG ER TABLET 30EA x 1 - $464.810
REMARKS: Floating WAC - 1%
02/25/2008 - 50458-0552-02 - INVEGA 9 MG ER TABLET 350EA x 1 - $5,422.780
REMARKS: Floating WAC - 1%
02/25/2008 - 50458-0552-10 - INVEGA 9 MG ER TABLET UD100EA x 1 - $1,549.370
REMARKS: Floating WAC - 1%
02/25/2008 - 00045-0641-65 - TOPAMAX 100 MG TABLET 60EA x 1 - $316.460
REMARKS: Floating WAC - 0%
02/25/2008 - 00045-0647-65 - TOPAMAX 15 MG SPRINKLE CAP 60EA x 1 - $109.810
REMARKS: Floating WAC - 0%
02/25/2008 - 00045-0642-65 - TOPAMAX 200 MG TABLET 60EA x 1 - $370.480
REMARKS: Floating WAC - 0%
02/25/2008 - 00045-0645-65 - TOPAMAX 25 MG SPRINKLE CAP 60EA x 1 - $132.750
REMARKS: Floating WAC - 0%
02/25/2008 - 00045-0639-65 - TOPAMAX 25 MG TABLET 60EA x 1 - $116.110
REMARKS: Floating WAC - 0%
02/25/2008 - 00045-0640-65 - TOPAMAX 50 MG TABLET 60EA x 1 - $231.730
REMARKS: Floating WAC - 0%
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VENDOR : MAJOR PHARMACEUTICALS (VEND# 2449)
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***** Contract #: MMS27078 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: 2000125-04
ADD (New item)
03/26/2008 - 00904-5834-41 - OMEPRAZOLE 20 MG TABLET DR 14EA x 1 - $8.050
REMARKS: OTC; available to all classes of trade
03/26/2008 - 00904-5834-71 - OMEPRAZOLE 20 MG TABLET DR 28EA x 1 - $14.050
REMARKS: OTC; available to all classes of trade
03/26/2008 - 00904-5834-42 - OMEPRAZOLE 20 MG TABLET DR 42EA x 1 - $19.050
REMARKS: OTC; available to all classes of trade
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VENDOR : MERCK & CO (VEND# 2650)
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***** Contract #: MMS27086 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] ***
CHANGE (Price correction)
01/31/2008 - 00006-0711-28 - SINGULAIR 4 MG TABLET CHEW UD100EA x 1 - $324.110
REMARKS: W%: 0% discount.
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VENDOR : NOVARTIS NUTRITION (VEND# 1175)
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***** Contract #: MMS27095 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] ***
CHANGE (Internal maintenance - Remarks added for pricing clarification)
05/01/2007 - 00212-3751-51 - PEDIATRIC PEPTINEX DT LIQ 250ML x 24 - $123.150
REMARKS: #375100, Semi-elemental tube feeding. $5.13 each.
05/01/2007 - 00212-3757-51 - PEPTINEX DT LIQUID 250ML x 24 - $108.500
REMARKS: #37570000; Peptinex DT with Prebiotics. $4.52 each.
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VENDOR : PADDOCK LABS (VEND# 0700)
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***** Contract #: MMS27098 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: 40000667
ADD (New items)
03/14/2008 - 00574-2060-01 - CICLOPIROX 0.77% GEL 100GM x 1 - $190.040
03/14/2008 - 00574-2060-45 - CICLOPIROX 0.77% GEL 45GM x 1 - $94.890
03/14/2008 - 00574-2060-30 - CICLOPIROX 0.77% GEL 30GM x 1 - $63.250
DELETE (NDC removed from contract; raw material supply issues)
04/09/2008 - 00574-0012-01 - IPECAC SYRUP 30ML x 1 - $1.060
REMARKS: This item will be removed from contract due to raw material supply.
---------------------------------------------------------------------------------------
VENDOR : PAR PHARMACEUTICALS (VEND# 3110)
---------------------------------------------------------------------------------------
***** Contract #: MMS27099 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
CHANGE (NDC discontinued and removed from contract)
05/01/2007 - 49884-0244-27 - CEFPROZIL 125 MG/5 ML SUSP 50ML x 1 - $6.470
REMARKS: This NDC has been discontinued and will be removed from contract when wholesaler inventory is depleted.
05/01/2007 - 49884-0242-01 - CEFPROZIL 250 MG TABLET 100EA x 1 - $165.000
REMARKS: This NDC has been discontinued and will be removed from contract when wholesaler inventory is depleted.
05/01/2007 - 49884-0245-47 - CEFPROZIL 250 MG/5 ML SUSP 100ML x 1 - $23.400
REMARKS: This NDC has been discontinued and will be removed from contract when wholesaler inventory is depleted.
05/01/2007 - 49884-0245-27 - CEFPROZIL 250 MG/5 ML SUSP 50ML x 1 - $12.170
REMARKS: This NDC has been discontinued and will be removed from contract when wholesaler inventory is depleted.
05/01/2007 - 49884-0243-03 - CEFPROZIL 500 MG TABLET 50EA x 1 - $170.000
REMARKS: This NDC has been discontinued and will be removed from contract when wholesaler inventory is depleted.
---------------------------------------------------------------------------------------
VENDOR : PRASCO LABORATORIES (VEND# 1060)
---------------------------------------------------------------------------------------
***** Contract #: MMS27106 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
CHANGE (Price decrease)
03/10/2008 - 66993-0915-61 - REVINA OINTMENT 60GM x 1 - $19.950
---------------------------------------------------------------------------------------
VENDOR : PRECISION DOSE (VEND# 7010)
---------------------------------------------------------------------------------------
***** Contract #: MMS27107 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
DEL_PEND (Internal maintenance)
03/17/2008 - 68094-0518-61 - MEGESTROL ACET 40 MG/ML SUSP UD20ML x 100 - $924.010
REMARKS: Product will be discontinued and removed from contract.
---------------------------------------------------------------------------------------
VENDOR : PROCTER & GAMBLE (VEND# 3125)
---------------------------------------------------------------------------------------
***** Contract #: MMS27108 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] ***
CHANGE (Price increases effective May 1, 2008)
05/01/2007 - 00149-0007-05 - MACRODANTIN 25 MG CAPSULE 100EA x 1 - $90.150
REMARKS: This price is only for eligible classes of trade as defined by P&G in Exhibit A of the Bid Response Contract.
11/03/2007 - 00149-0477-01 - ACTONEL 75 MG TABLET 2EA x 1 - $83.460
REMARKS: Fixed pricing guaranteed through April 30, 2009.
05/01/2008 - 00149-0470-01 - ACTONEL 30 MG TABLET 30EA x 1 - $577.850
REMARKS: This price is only for eligible classes of trade as defined by P&G in Exhibit A of the Bid Response Contract.
05/01/2008 - 00149-0472-01 - ACTONEL 35 MG TABLET 4EA x 1 - $77.030
REMARKS: This price is only for eligible classes of trade as defined by P&G in Exhibit A of the Bid Response Contract.
05/01/2008 - 00149-0471-01 - ACTONEL 5 MG TABLET 30EA x 1 - $82.520
REMARKS: This price is only for eligible classes of trade as defined by P&G in Exhibit A of the Bid Response Contract.
05/01/2008 - 00149-0475-01 - ACTONEL WITH CALCIUM TABLET 28EA x 1 - $77.030
REMARKS: This price is only for eligible classes of trade as defined by P&G in Exhibit A of the Bid Response Contract.
05/01/2008 - 00149-0752-15 - ASACOL 400 MG TABLET EC 180EA x 1 - $218.160
REMARKS: This price is only for eligible classes of trade as defined by P&G in Exhibit A of the Bid Response Contract.
---------------------------------------------------------------------------------------
VENDOR : PURDUE PHARMA LP (VEND# 5460)
---------------------------------------------------------------------------------------
***** Contract #: MMS27110 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
CHANGE (Price increases effective May 1, 2008)
05/01/2008 - 67618-0150-04 - BETADINE 10% SOLUTION 118.25ML x 1 - $1.050
05/01/2008 - 67618-0150-05 - BETADINE 10% SOLUTION 15ML x 1 - $0.870
05/01/2008 - 67618-0150-09 - BETADINE 10% SOLUTION 237ML x 1 - $1.640
05/01/2008 - 67618-0150-01 - BETADINE 10% SOLUTION 3780ML x 1 - $16.440
05/01/2008 - 67618-0150-17 - BETADINE 10% SOLUTION 473ML x 1 - $2.480
05/01/2008 - 67618-0150-32 - BETADINE 10% SOLUTION 946ML x 1 - $4.870
05/01/2008 - 67618-0148-03 - BETADINE 5% SPRAY 88.7ML x 1 - $2.880
05/01/2008 - 67618-0151-01 - BETADINE 7.5% SCRUB 3780ML x 1 - $15.960
05/01/2008 - 67618-0151-16 - BETADINE 7.5% SCRUB 473ML x 1 - $2.770
05/01/2008 - 67618-0151-32 - BETADINE 7.5% SCRUB 946ML x 1 - $4.610
05/01/2008 - 67618-0151-04 - BETADINE SURGICAL SCRUB 118ML x 1 - $1.500
05/01/2008 - 67618-0152-01 - BETADINE SWAB AID 100EA x 10 - $37.350
05/01/2008 - 67618-0153-01 - BETADINE SWABSTICKS 1EA x 200 - $25.150
05/01/2008 - 67618-0153-03 - BETADINE SWABSTICKS 3EA x 50 - $12.350
05/01/2008 - 67618-0200-04 - BETASEPT 4% SURGICAL SCRUB 118ML x 1 - $2.640
05/01/2008 - 67618-0200-08 - BETASEPT 4% SURGICAL SCRUB 237ML x 1 - $3.660
05/01/2008 - 67618-0200-01 - BETASEPT 4% SURGICAL SCRUB 3780ML x 1 - $26.990
05/01/2008 - 67618-0200-16 - BETASEPT 4% SURGICAL SCRUB 473ML x 1 - $4.880
05/01/2008 - 67618-0200-30 - BETASEPT 4% SURGICAL SCRUB 946ML x 1 - $7.640
05/01/2008 - 67618-0200-32 - BETASEPT 4% SURGICAL SCRUB 946ML x 1 - $8.900
05/01/2008 - 59011-0261-05 - MS CONTIN 30 MG TABLET SA 500EA x 1 - $678.030
05/01/2008 - 59011-0262-05 - MS CONTIN 60 MG TABLET SA 500EA x 1 - $1,323.130
05/01/2008 - 59011-0100-10 - OXYCONTIN 10 MG TABLET SA 100EA x 1 - $134.780
05/01/2008 - 59011-0100-20 - OXYCONTIN 10 MG TABLET SA UD20EA x 1 - $27.650
05/01/2008 - 59011-0103-10 - OXYCONTIN 20 MG TABLET SA 100EA x 1 - $257.910
05/01/2008 - 59011-0103-20 - OXYCONTIN 20 MG TABLET SA UD20EA x 1 - $52.920
05/01/2008 - 59011-0105-10 - OXYCONTIN 40 MG TABLET SA 100EA x 1 - $457.620
05/01/2008 - 59011-0105-20 - OXYCONTIN 40 MG TABLET SA UD20EA x 1 - $93.840
05/01/2008 - 59011-0107-10 - OXYCONTIN 80 MG TABLET SA 100EA x 1 - $860.570
05/01/2008 - 59011-0107-20 - OXYCONTIN 80 MG TABLET SA UD20EA x 1 - $176.550
05/01/2008 - 67781-0251-01 - UNIPHYL 400 MG TABLET 100EA x 1 - $55.410
05/01/2008 - 67781-0252-01 - UNIPHYL 600 MG TABLET 100EA x 1 - $80.060
---------------------------------------------------------------------------------------
VENDOR : QUALITEST PHARMACEUTICALS, INC (VEND# 3200)
---------------------------------------------------------------------------------------
***** Contract #: MMS27111 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: MMS27111
CHANGE (NDC disconitnued and will be removed from contract)
05/01/2007 - 00603-0048-16 - AZO-SEPTIC 95 MG TABLET 30EA x 1 - $1.790
REMARKS: This item has been discontinued and will be removed from contract when wholesaler inventory is depleted.
CHANGE (Raw material supply issues - Remarks added)
05/01/2007 - 00603-3968-21 - HYDROXYZINE HCL 25 MG TABLET 100EA x 1 - $15.100
REMARKS: Effective 2/25/08, Section 2.4 (Failure to Provide Contracted Pharmaceuticals) is suspended due to a force majeure condition (explosion at production facility which supplies raw materials). Chargebacks will be honored until all supplies are exhausted.
05/01/2007 - 00603-3968-28 - HYDROXYZINE HCL 25 MG TABLET 500EA x 1 - $71.800
REMARKS: Effective 2/25/08, Section 2.4 (Failure to Provide Contracted Pharmaceuticals) is suspended due to a force majeure condition (explosion at production facility which supplies raw materials). Chargebacks will be honored until all supplies are exhausted.
---------------------------------------------------------------------------------------
VENDOR : SANOFI AVENTIS (VEND# 3750)
---------------------------------------------------------------------------------------
***** Contract #: MMS26083 *** PHARMACEUTICALS *** [8/21/2006 to 4/30/2008] *** Vend Cont#: A12863/7
CHANGE (Price increase)
03/07/2008 - 00024-5521-31 - AMBIEN CR 12.5 MG TABLET 100EA x 1 - $361.440
REMARKS: Floating WAC - 7%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/07/2008 - 00024-5521-10 - AMBIEN CR 12.5 MG TABLET 30EA x 1 - $108.400
REMARKS: Floating WAC - 7%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/07/2008 - 00024-5521-50 - AMBIEN CR 12.5 MG TABLET 500EA x 1 - $1,807.190
REMARKS: Floating WAC - 7%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/07/2008 - 00024-5521-34 - AMBIEN CR 12.5 MG TABLET UD100EA x 1 - $379.540
REMARKS: Floating WAC - 7%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/07/2008 - 00024-5501-31 - AMBIEN CR 6.25 MG TABLET 100EA x 1 - $361.440
REMARKS: Floating WAC - 7%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/07/2008 - 00024-5501-10 - AMBIEN CR 6.25 MG TABLET 30EA x 1 - $108.400
REMARKS: Floating WAC - 7%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/07/2008 - 00024-5501-50 - AMBIEN CR 6.25 MG TABLET 500EA x 1 - $1,807.190
REMARKS: Floating WAC - 7%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/07/2008 - 00024-5501-34 - AMBIEN CR 6.25 MG TABLET UD100EA x 1 - $379.540
REMARKS: Floating WAC - 7%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/14/2008 - 00075-2451-01 - DDAVP 4 MCG/ML AMPUL 1ML x 10 - $190.250
REMARKS: Floating WAC - 37.9%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/14/2008 - 00075-2451-53 - DDAVP 4 MCG/ML VIAL 10ML x 1 - $190.250
REMARKS: Floating WAC - 38.66%. Acute Care A12863, Alternate Care A12867. 2% admin fee.
03/14/2008 - 00088-2220-52 - LANTUS 100 UNITS/ML CARTRIDGE 3ML x 5 - $155.080
REMARKS: Floating WAC - 1%. Acute Care A12863, Alternate Care A12867. 1% admin fee.
03/14/2008 - 00088-2220-60 - LANTUS SOLOSTAR 100 UNITS/ML 3ML x 5 - $155.080
REMARKS: Floating WAC - 1%. Acute Care A12863, Alternate Care A12867. 1% admin fee.
03/14/2008 - 00068-0510-30 - RIFADIN 150 MG CAPSULE 30EA x 1 - $51.270
REMARKS: Floating WAC - 6%. Acute Care A12863 pricing ONLY. 2% admin fee.
03/14/2008 - 00068-0508-61 - RIFADIN 300 MG CAPSULE 100EA x 1 - $126.230
REMARKS: Floating WAC - 51%. Acute Care A12863 pricing ONLY. 2% admin fee.
03/14/2008 - 00068-0508-30 - RIFADIN 300 MG CAPSULE 30EA x 1 - $37.880
REMARKS: Floating WAC - 51%. Acute Care A12863 pricing ONLY. 2% admin fee.
03/14/2008 - 00068-0508-60 - RIFADIN 300 MG CAPSULE 60EA x 1 - $75.710
REMARKS: Floating WAC - 51%. Acute Care A12863 pricing ONLY. 2% admin fee.
03/14/2008 - 00068-0597-01 - RIFADIN IV 600 MG VIAL 1EA x 1 - $93.760
REMARKS: Floating WAC - 6%. Acute Care A12863 pricing ONLY. 2% admin fee.
03/14/2008 - 00068-0509-60 - RIFAMATE CAPSULE 60EA x 1 - $87.220
REMARKS: Floating WAC - 51%. Acute Care A12863 pricing ONLY. 2% admin fee.
03/14/2008 - 00088-0576-41 - RIFATER TABLET 60EA x 1 - $98.800
REMARKS: Floating WAC - 25%. Acute Care A12863 pricing ONLY. 2% admin fee.
---------------------------------------------------------------------------------------
VENDOR : SCHWARZ PHARMA (VEND# 4050)
---------------------------------------------------------------------------------------
***** Contract #: MMS27126 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: 11517 AC /
CHANGE (Internal maintenance - Remarks added)
05/01/2007 - 00091-4150-60 - CALCIFEROL 8,000 UNIT/ML DROPS 60ML x 1 - $64.050
REMARKS: Firm pricing through 4/30/09.
05/01/2007 - 00091-4401-23 - COLYTE SOLUTION 4000ML x 1 - $13.500
REMARKS: Unflavored. Firm pricing through 4/30/09.
05/01/2007 - 00091-0695-20 - CORTIFOAM 10% AEROSOL 15GM x 1 - $81.130
REMARKS: Firm pricing through 4/30/09.
05/01/2007 - 00091-0920-01 - DILATRATE-SR 40 MG CAPSULE 100EA x 1 - $83.070
REMARKS: Firm pricing through 4/30/09.
05/01/2007 - 00091-3525-01 - KU-ZYME HP CAPSULE 100EA x 1 - $61.790
REMARKS: Firm pricing through 4/30/09.
05/01/2007 - 00091-3505-01 - LACTRASE 250 MG CAPSULE 100EA x 1 - $30.360
REMARKS: Firm pricing through 4/30/09.
05/01/2007 - 00091-0690-10 - PROCTOFOAM-HC FOAM 10GM x 1 - $40.460
REMARKS: Firm pricing through 4/30/09.
05/01/2007 - 00091-0447-23 - TRILYTE WITH FLAVOR PACKETS 4000ML x 1 - $13.500
REMARKS: Firm pricing through 4/30/09.
---------------------------------------------------------------------------------------
VENDOR : TAKEDA PHARMACEUTICALS (VEND# 2150)
---------------------------------------------------------------------------------------
***** Contract #: MMS27134 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] ***
ADD (NDC conversion; new NDC added)
03/10/2008 - 64764-0240-60 - AMITIZA 24 MCG CAPSULES 60EA x 1 - $171.310
REMARKS: Floating WAC - 1%; 14 days notice on WAC increases. Replaces NDC # 64764-0240-10 (100-count bottles).
CHANGE (NDC conversion; Remarks updated for old NDC)
07/16/2007 - 64764-0240-10 - AMITIZA 24 MCG CAPSULES 100EA x 1 - $285.540
REMARKS: WAC - 1%; 14 days notice on WAC increases. This NDC has been discontinued and will be removed from contract when wholesaler inventory is depleted.
---------------------------------------------------------------------------------------
VENDOR : TARO PHARMACEUTICALS (VEND# 4900)
---------------------------------------------------------------------------------------
***** Contract #: MMS27137 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
CHANGE (Internal maintenance - Remarks added)
05/01/2007 - 51672-2001-01 - MICONAZOLE NITRATE 2% CREAM 15GM x 1 - $0.740
REMARKS: OTC. For the treatment of athlete's foot (tinea pedis), jock itch (tinea cruris), and ringworm (tinea corporis).
---------------------------------------------------------------------------------------
VENDOR : TEVA PHARMACEUTICALS (VEND# 2155)
---------------------------------------------------------------------------------------
***** Contract #: MMS27138 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] *** Vend Cont#: 331890
CHANGE (NDCs discontinued and will be removed from contract)
05/01/2007 - 00172-4058-43 - CEFADROXIL 500 MG CAPSULE 24EA x 1 - $10.620
REMARKS: This item has been discontinued and will be removed from contract when wholesaler inventory is depleted.
05/01/2007 - 00172-6406-59 - CROMOLYN NEBULIZER SOLUTION UD2ML x 120 - $15.190
REMARKS: 3/08: Teva is recalling specific lots of this product due to pH not meeting specifications.
05/01/2007 - 00182-4439-89 - OYST-CAL-D 500 MG TABLET UD100EA x 1 - $3.200
REMARKS: This item has been discontinued and will be removed from contract when wholesaler inventory is depleted.
05/01/2007 - 00182-8216-89 - VITAMIN E 400 UNIT SOFTGEL UD100EA x 1 - $5.690
REMARKS: This item has been discontinued and will be removed from contract when wholesaler inventory is depleted.
---------------------------------------------------------------------------------------
VENDOR : THER-RX (VEND# 7020)
---------------------------------------------------------------------------------------
***** Contract #: MMS27139 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
CHANGE (Price increase)
03/21/2008 - 64011-0124-08 - CLINDESSE 2% VAGINAL CREAM 5.8GM x 1 - $66.430
REMARKS: W%: 15.00% discount.
03/21/2008 - 64011-0207-34 - REPLIVA 21/7 TABLET UD28EA x 3 - $70.250
REMARKS: W%:10.00% discount. Old NDC 64011-0165-34
DELETE (Discontinued NDC removed from contract)
03/18/2008 - 64011-0165-34 - REPLIVA 21/7 TABLET UD28EA x 3 - $66.920
REMARKS: W%: 10.00% discount. 08/30/07: NDC will be removed from contract once distributors' inventory is depleted. NDC 64011-0207-34:new formulation.
---------------------------------------------------------------------------------------
VENDOR : UCB PHARMA (VEND# 4920)
---------------------------------------------------------------------------------------
***** Contract #: MMS27141 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2011] ***
CHANGE (Price increase)
04/03/2008 - 50474-0597-66 - KEPPRA 1,000 MG TABLET 60EA x 1 - $357.390
REMARKS: W$: $0.01 discount. Fixed Discount
04/03/2008 - 50474-0001-48 - KEPPRA 100 MG/ML ORAL SOLN 473ML x 1 - $271.660
REMARKS: W$: $0.01 discount. Fixed Discount
04/03/2008 - 50474-0594-40 - KEPPRA 250 MG TABLET 120EA x 1 - $292.410
REMARKS: W$: $0.01 discount. Fixed Discount
04/03/2008 - 50474-0595-40 - KEPPRA 500 MG TABLET 120EA x 1 - $357.390
REMARKS: W$: $0.01 discount. Fixed Discount
04/03/2008 - 50474-0596-40 - KEPPRA 750 MG TABLET 120EA x 1 - $484.170
REMARKS: W$: $0.01 discount. Fixed Discount
---------------------------------------------------------------------------------------
VENDOR : UDL LABORATORIES (VEND# 4545)
---------------------------------------------------------------------------------------
***** Contract #: MMS27142 *** MMCAP CONTRACTS *** [5/1/2007 to 4/30/2009] ***
CHANGE (Price increase)
04/03/2008 - 51079-0530-20 - HYDROXYZINE HCL 10 MG TABLET UD100EA x 1 - $32.520
04/03/2008 - 51079-0531-20 - HYDROXYZINE HCL 25 MG TABLET UD100EA x 1 - $54.690
04/03/2008 - 51079-0532-20 - HYDROXYZINE HCL 50 MG TABLET UD100EA x 1 - $74.150
DELETE (NDCs discontinued and will be removed from contract)
04/15/2008 - 51079-0061-20 - CHLOROTHIAZIDE 500 MG TABLET UD100EA x 1 - $16.950
REMARKS: This item has been discontinued and will be removed from contract effective 4/15/08.
04/15/2008 - 51079-0805-20 - NORTRIPTYLINE HCL 50 MG CAP UD100EA x 1 - $17.250
REMARKS: This item has been discontinued and will be removed from contract effective 4/15/08.
04/15/2008 - 51079-0277-19 - PROPRANOLOL 10 MG TABLET UD25EA x 1 - $2.610
REMARKS: This item has been discontinued and will be removed from contract effective 4/15/08.
04/15/2008 - 51079-0560-20 - TOLBUTAMIDE 500 MG TABLET UD100EA x 1 - $16.180
REMARKS: This item has been discontinued and will be removed from contract effective 4/15/08.
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