AB 1045 - List of 25 CommonOutpatient Procedures for 2016

Office of Statewide Health Planning and Development AB 1045 (June 2016)

Hospital Name: California Hospital Medical CenterOSHPD Facility No: 106190125Effective Date of Charges: April 1, 2018

Evaluation & Management Services (CPT Codes 99201-99499) 2018 CPT Code Average ChargeEmergency Room Visit, Level 2 (low to moderate severity) 99282 $1,141.00Emergency Room Visit, Level 3 (moderate severity) 99283 $1,941.00Emergency Room Visit, Level 4 (high severity) 99284 $3,253.00Outpatient Visit, established patient, 15 minutes 99213 $659.00

Laboratory & Pathology Services (CPT Codes 80047-89398) 2018 CPT Code Average ChargeBasic Metabolic Panel 80048 $684.00Blood Gas Analysis, including 02 saturation 82805Complete Blood Count, automated 85027 $179.00Complete Blood Count, with differential WBC, automated 85025 $209.00Comprehensive Metabolic Panel 80053 $793.00Creatine Kinase (CK), (CPK), Total 82550 $196.00Lipid Panel 80061 $470.00Partial Thromboplastin Time 85730 $184.00Prothrombin Time 85610 $180.00Thyroid Stimulating Hormone 84443 $18.25Troponin, Quantitative 84484 $526.00Urinalysis, without microscopy 81003 $25.00Urinalysis, with microscopy 81001 $208.00

Radiology Services (CPT Codes 70010-79999) 2018 CPT Code Average ChargeCT Scan, Abdomen, with contrast 74160 $1,932.00CT Scan, Head or Brain, without contrast 70450 $3,927.00CT Scan, Pelvis, with contrast 72193 $4,688.00Mammography, Screening, Bilateral 77057MRI, Head or Brain, without contrast, followed by contrast 70553 $8,437.00Ultrasound, Abdomen, Complete 76700 $2,048.00Ultrasound, OB, 14 weeks or more, transabdominal 76805 $1,616.00X-Ray, Lower Back, four views 72110 $1,140.00X-Ray, Chest, two views 71020

Medicine Services (CPT Codes 90281-99607) 2018 CPT Code Average ChargeCardiac Catheterization, Left Heart, percutaneous 93452 $6,122.00Echocardiography, complete 93307 $1,158.00Electrocardiogram, routine, with interpretation and report 93000Inhalation Treatment, pressurized or nonpressurized 94640Physical Therapy, Evaluation 97001Physical Therapy, Gait Training 97116Physical Therapy, Therapeutic Exercise 97110

In response to requests from hospitals and the public, OSHPD has developed this form to assist hospitals in collecting and submitting the average charge for 25 common outpatient procedures performed by hospitals, as required by AB 1045 (Chapter 532, Statutes of 2005). Use of the OSHPD form is voluntary, but highly encouraged, as it allows hospitals to report and the public to compare uniform information regarding common outpatient procedures.

AB 1045 - List of 25 CommonOutpatient Procedures for 2016

Office of Statewide Health Planning and Development AB 1045 (June 2016)

Hospital Name: California Hospital Medical CenterOSHPD Facility No: 106190125Effective Date of Charges: April 1, 2018

Surgery Services (CPT Codes 10021-69990) 2018 CPT Code Average ChargeArthroscopy, Knee, with meniscectomy (medial or lateral) 29881Arthroscopy, Shoulder, with partial acromioplasty 29826Carpal Tunnel Surgery 64721Cataract Removal with Insertion of Intraocular Lens, 1 Stage 66984Colonoscopy, diagnostic 45378Colonoscopy, with biopsy 45380Colonoscopy, with lesion removal, by snare technique 45385Discission, secondary membranous cataract, laser surgery 66821Endoscopy, Upper GI, with biopsy 43239Endoscopy, Upper GI, diagnostic 43235Excision, Breast Lesion 19120Hernia Repair, Inguinal, 5 years and older 49505

62311Injection, Anesthetic or Steroid, transforaminal epidural, lumbar 64483Laparoscopic Cholecystectomy 47562Tympanostomy (insert ventilating tube, general anesthesia) 69436Tonsillectomy with Adenoidectomy, less than 12 years old 42820

Other Common Outpatient Procedures (list as needed) 2018 CPT Code Average Charge

Count of Reported Procedures (minimum 25 required) 25Instructions for Completing AB 1045 Common Outpatient Procedure Form1. Enter Hospital Name and OSHPD Facility Number. Revise Effective Date of Charges, if necessary.2. Enter Average Charge for at least 25 commonly performed outpatient procedures. For Evaluation & Management Services, do not include related ancillary charges. For all other procedures, include related ancillary charges.

(e.g., supplies, drugs, lab, use of operating room, etc.) should be included in the average charge for that procedure.3. Do not change procedure descriptions or CPT code references. Use "Other Common Outpatient Procedures" (rows 62-71) if you are unable to select procedures from list.4. Submit completed form as Excel (.xls) file, along with chargemaster and percent change in gross revenue calculation, by e-mail to chargemaster@oshpd.ca.gov or by standard mail on CD.

Injection, Diagnostic or Therapeutic substance, epidural, lumbar

NOTE: The CPT codes are included on this form to help identify the listed procedures based on the frequencies across hospital-based ambulatory surgery data. The average charge for all related services and procedures

Hospital Name: California Hospital Medical CenterOSHPD Facility No: 106190125Effective Date of Charges: April 1, 2018

Billing Description (25 char)

0003012 ROOM SEMI M/S/GYN 2,275.00 0003020 ROOM SEMI M/S/GYN 2,275.00 0003038 ROOM SEMI M/S/GYN 2,275.00 0003061 ROOM SEMI M/S/GYN 2,223.00 0003079 ROOM SEMI M/S/GYN 2,097.00 0004010 ROOM SEMI M/S/GYN 2,223.00 0004044 ROOM SEMI M/S/GYN 2,097.00 0006015 ROOM SEMI M/S/GYN 2,223.00 0006023 ROOM SEMI M/S/GYN 2,223.00 0006056 ROOM SEMI M/S/GYN 2,223.00 0007013 ROOM SEMI M/S/GYN 2,223.00 0008011 ROOM SEMI M/S/GYN 2,223.00 0008037 ROOM SEMI M/S/GYN 2,223.00 0008045 ROOM SEMI M/S/GYN 2,069.00 0009753 SUBACUT CARE LVL II 1,545.00 0009985 ROOM SEMI M/S/GYN 2,223.00 0013011 ROOM ICU TRAUMA 8,850.00 0013029 ROOM ICU TRAUMA 8,850.00 0013037 ROOM INTER CCU/TELE 4,857.00 0013060 ROOM SEMI M/S/GYN 3,142.00 0013078 ROOM ICU TRAUMA 8,349.00 0014019 ROOM SEMI M/S/GYN 3,323.00 0014043 ROOM ICU TRAUMA 8,349.00 0015016 ROOM SEMI PVT OB 3,441.00 0016014 ROOM SEMI M/S/GYN 3,610.00 0016055 ROOM SEMI M/S/GYN 3,323.00 0017012 ROOM SEMI M/S/GYN 3,323.00 0018010 ROOM SEMI M/S/GYN 3,323.00 0018036 ROOM SEMI PVT PED 4,808.00 0018044 ROOM SEMI PVT PED 4,808.00 0019984 ROOM ICU TRAUMA 8,850.00 0023010 ROOM ICU GENERAL 5,920.00 0023028 ROOM ICU GENERAL 5,920.00 0023036 ROOM ICU GENERAL 5,920.00 0023077 ROOM ICU GENERAL 5,585.00 0024042 ROOM ICU GENERAL 5,585.00 0028035 ROOM SEMI M/S/GYN 4,408.00 0029983 ROOM ICU GENERAL 5,920.00 0033019 ROOM CCU GENERAL 5,920.00 0033027 ROOM CCU GENERAL 5,920.00 0035022 NEWBORN NICU III 5,920.00 0043018 ROOM INTER CCU/TELE 3,316.00 0043026 ROOM INTER CCU/TELE 3,316.00 0043034 ROOM INTER CCU/TELE 3,316.00 0043067 ROOM INTER CCU/TELE 3,316.00

CDMNumber

999 Price (Default)

0043075 ROOM INTER CCU/TELE 3,128.00 0044040 ROOM INTER CCU/TELE 3,128.00 0045013 ROOM SEMI PVT OB 3,217.00 0046011 ROOM INTER CCU/TELE 3,316.00 0046052 ROOM INTER CCU/TELE 3,316.00 0047019 ROOM SEMI M/S/GYN 3,316.00 0048033 ROOM INTER CCU/TELE 4,408.00 0049981 ROOM INTER CCU/TELE 3,316.00 0053066 ROOM INTER CCU/TELE 4,518.00 0055012 ROOM SEMI PVT OB 3,137.00 0056028 SUBACU CARE GENERAL 1,373.00 0058024 NEWBORN LEVEL I 1,409.00 0058032 ROOM SEMI OB HI RSK 3,217.00 0063065 ROOM SEMI M/S/GYN 3,142.00 0063073 ROOM SEMI PVT PED 3,035.00 0064048 ROOM SEMI PVT PED 3,035.00 0065011 ROOM SEMI OB HI RSK 3,217.00 0066019 ROOM SEMI M/S/GYN 3,142.00 0066050 ROOM SEMI M/S/GYN 3,142.00 0067017 ROOM SEMI M/S/GYN 3,142.00 0068031 ROOM SEMI PVT PED 3,217.00 0068049 ROOM SEMI PVT PED 3,217.00 0069989 ROOM SEMI PVT PED 3,217.00 0075010 ROOM SEMI PVT OB 3,217.00 0076026 INTERRUP STAY - LOA 1,378.00 0078014 ROOM SEMI PVT OB 3,217.00 0078030 ROOM SEMI PVT OB 3,217.00 0085019 ROOM SEMI OB HI RSK 3,217.00 0086025 SUBACU CARE LVL III 1,797.00 0088039 ROOM SEMI OB HI RSK 3,217.00 0095026 NEWBORN II ON NICU 4,900.00 0096024 SUBACUT CARE LVL IV 1,924.00 0098020 NEWBORN I ON PEDS 1,409.00 0100214 CERCLAGE PLACEMENT 2,199.00 0100222 CERCLAGE REMOVAL 4,248.00 0100362 OB OBSERV PER HOUR 167.00 0100388 C-SECT L&D CT EA ADD BABY - 0100669 EXTERNAL CEPHALIC VERSION 4,503.00 0100670 CATH DRAINAGE <10 25.00 0100671 CATH INFUSION 67X-88 312.00 0100672 CATH OTHER 10-13 60.00 0100673 CATH OTHER 13X-17 75.00 0100674 CATH OTHER 17X-23 100.00 0100675 CATH OTHER 23X-30 108.00 0100676 CLOSURE EXTERN 10-13 60.00 0100677 CLOSURE EXTERN 115X-150 466.00 0100678 CLOSURE IMPLNT 51X-67 236.00 0100680 D5% 0.45 NACL 1000ML INJ 78.00 0100681 D5% 0.45 NACL 500ML INJ 78.00 0100682 D5% 0.9 NACL 1000ML INJ 78.00 0100683 D5% 1000ML INJ 78.00 0100684 D5% 250ML INJ 78.00 0100685 D5% LR 1000ML INJ 78.00

0100686 D5% 100ML INJ 78.00 0100687 INST/SUPP NONST 10-13 60.00 0100688 INST/SUPP STERL 10-13 60.00 0100689 INST/SUPP STERL 13X-17 75.00 0100690 INST/SUPP STERL 195X-254 788.00 0100691 INST/SUPP STERL 23X-30 108.00 0100692 INST/SUPP STERL 51X-67 236.00 0100697 LACTATED RINGERS 1L INJ 78.00 0100698 NACL 0.9% 1000ML INJ 78.00 0100699 NACL 0.9% 100ML INJ 78.00 0100700 NACL 0.9% 500ML INJ 78.00 0100701 NACL 0.9% 50ML PB 78.00 0100702 ORTHO A4565 <10 25.00 0100703 ORTHO L0625 10-13 60.00 0100704 ORTHO L3908 <10 25.00 0100710 SURGERY LEVEL 4 1ST 30MIN 10,225.00 0100711 SURGERY LEVEL 4 ADD 15MIN 3,578.00 0100714 EPIDURAL PLACE VAG DELIV 1,704.00 0100715 EPIDURAL BLOOD PATCH 1,111.00 0101000 CATH ATHR DIR 2087X-2714 7,203.00 0101001 CATH ATHR DIR 2714X-3529 9,366.00 0101002 CATH ATHR ROT 2714X-3529 9,366.00 0101003 CATH DIALYS LT 67X-88 312.00 0101004 CATH DIALYS LT 195X-254 788.00 0101005 CATH DIALYS LT 254X-331 879.00 0101006 CATH DIALYS LT 331X-431 1,143.00 0101007 CATH DIALYSIS ST 39X-51 180.00 0101008 CATH DIALYSIS ST 67X-88 312.00 0101009 CATH DIALYSIS ST 88X-115 408.00 0101010 CATH DIALYSIS ST 115X-150 466.00 0101011 CATH DIALYSIS ST 195X-254 788.00 0101012 CATH DRAINAGE <10 25.00 0101013 CATH DRAINAGE 10-13 60.00 0101014 CATH DRAINAGE 17X-23 100.00 0101015 CATH DRAINAGE 23X-30 108.00 0101016 CATH DRAINAGE 51X-67 236.00 0101017 CATH DRAINAGE 67X-88 312.00 0101018 CATH DRAINAGE 115X-150 466.00 0101019 CATH DRAINAGE 150X-195 606.00 0101020 CATH DRAINAGE 195X-254 788.00 0101021 CATH DRAINAGE 254X-331 879.00 0101022 CATH DRAINAGE 561X-730 1,938.00 0101023 CATH DRAINAGE 730X-949 2,520.00 0101024 CATH GUIDING 13X-17 75.00 0101025 CATH GUIDING 17X-23 100.00 0101026 CATH GUIDING 30X-39 140.00 0101027 CATH GUIDING 39X-51 180.00 0101028 CATH GUIDING 115X-150 466.00 0101029 CATH GUIDING 150X-195 606.00 0101030 CATH GUIDING 254X-331 879.00 0101031 CATH GUIDING 331X-431 1,143.00 0101032 CATH INFUSION 10-13 60.00 0101033 CATH INFUSION 13X-17 75.00

0101034 CATH INFUSION 17X-23 100.00 0101035 CATH INFUSION 23X-30 108.00 0101036 CATH INFUSION 39X-51 180.00 0101037 CATH INFUSION 51X-67 236.00 0101039 CATH INFUSION 115X-150 466.00 0101040 CATH INFUSION 331X-431 1,143.00 0101041 CATH INFUSION 431X-561 1,488.00 0101042 CATH NONVAS DIL 150X-195 606.00 0101043 CATH NONVAS DIL 195X-254 788.00 0101044 CATH NONVAS DIL 254X-331 879.00 0101045 CATH NONVAS DIL 561X-730 1,938.00 0101046 CATH NONVAS DIL1605X-2087 5,538.00 0101047 CATH OCCLUSION 254X-331 879.00 0101052 CATH OTHER 30X-39 140.00 0101053 CATH OTHER 39X-51 180.00 0101054 CATH OTHER 51X-67 236.00 0101055 CATH OTHER 67X-88 312.00 0101056 CATH OTHER 88X-115 408.00 0101057 CATH OTHER 115X-150 466.00 0101058 CATH OTHER 150X-195 606.00 0101059 CATH OTHER 195X-254 788.00 0101060 CATH OTHER 949X-1234 3,276.00 0101061 CATH PTA NLASR 88X-115 408.00 0101062 CATH PTA NLASR 115X-150 466.00 0101063 CATH PTA NLASR 150X-195 606.00 0101064 CATH PTA NLASR 195X-254 788.00 0101065 CATH PTA NLASR 254X-331 879.00 0101066 CATH PTA NLASR 331X-431 1,143.00 0101067 CATH PTA NLASR 431X-561 1,488.00 0101068 CATH PTA NLASR 730X-949 2,520.00 0101069 CATH PTA NLASR 949X-1234 3,276.00 0101070 CATH SUPRAPUBIC 13X-17 75.00 0101071 CATH SUPRAPUBIC 39X-51 180.00 0101072 CATH SUPRAPUBIC 51X-67 236.00 0101073 CATH THROM EMB 30X-39 140.00 0101074 CATH THROM EMB 39X-51 180.00 0101075 CATH THROM EMB 51X-67 236.00 0101076 CATH THROM EMB 67X-88 312.00 0101077 CATH THROM EMB 1234X-1605 4,260.00 0101078 CATH URETERAL <10 25.00 0101079 CATH URETERAL 10-13 60.00 0101080 CATH URETERAL 17X-23 100.00 0101081 CATH URETERAL 23X-30 108.00 0101082 CATH URETERAL 51X-67 236.00 0101085 INST/SUPP STERL 17X-23 100.00 0101087 INST/SUPP STERL 30X-39 140.00 0101088 INST/SUPP STERL 39X-51 180.00 0101090 INST/SUPP STERL 67X-88 312.00 0101091 INST/SUPP STERL 88X-115 408.00 0101092 INST/SUPP STERL 115X-150 466.00 0101093 INST/SUPP STERL 150X-195 606.00 0101095 INST/SUPP STERL 254X-331 879.00 0101096 INST/SUPP STERL 331X-431 1,143.00

0101097 INST/SUPP STERL 431X-561 1,488.00 0101098 INST/SUPP STERL 561X-730 1,938.00 0101099 INST/SUPP STERL 730X-949 2,520.00 0101100 INST/SUPP STERL 949X-1234 3,276.00 0101101 INST/SUPP STERL1234X-1605 4,260.00 0101102 INST/SUPP STERL2087X-2714 7,203.00 0101103 KIT/PACK DISP 115X-150 466.00 0101104 KIT/PACK DISP 195X-254 788.00 0101105 PORT INDWELL 150X-195 606.00 0101106 PORT INDWELL 195X-254 788.00 0101107 PORT INDWELL 254X-331 879.00 0101108 PORT INDWELL 331X-431 1,143.00 0101109 PORT INDWELL 431X-561 1,488.00 0101110 CATH INFUSION <10 25.00 0101261 ANESTH GENERAL 1ST 30MIN 758.00 0101279 ANESTH GENERAL ADDL 15MIN 264.00 0101287 ANESTH MAC/REG 1ST 30MIN 585.00 0101295 ANESTH MAC/REG ADDL 15MIN 203.00 0101303 LOCAL ANESTHESIA 378.00 0101329 SURGERY LEVEL 1 1ST 30MIN 4,650.00 0101337 SURGERY LEVEL 1 ADD 15MIN 1,630.00 0101345 SURGERY LEVEL 2 1ST 30MIN 6,047.00 0101352 SURGERY LEVEL 2 ADD 15MIN 2,120.00 0101360 SURGERY LEVEL 3 1ST 30MIN 7,862.00 0101378 SURGERY LEVEL 3 ADD 15MIN 2,753.00 0101428 PACU STANDARD 1ST 30MIN 1,494.00 0101436 PACU STANDARD ADDL 15MIN 522.00 0101444 LABOR ROUTINE PER HR 755.00 0101451 LABOR HIGH RISK PER HR 943.00 0101469 DELIVERY VAGINAL ROUTINE 4,094.00 0101477 DELIVERY VAGINAL HIGH RSK 5,118.00 0101485 DELIVERY C-SECT L&D NC - 0101493 DELIVERY C-SECT IN OR NC - 0101501 DELIVERY VAG EA ADD BABY 5,118.00 0101519 C-SECT OR CT EA ADD BABY - 0101527 OUTPATIENT PROCEDURE NC - 0101543 DELIVERY OF PLACENTA 4,773.00 0101550 DIRECT ADMISSION FOR OBSV 562.00 0101568 US PREG TRANSVAGINAL 1,617.00 0101600 VENIPUNCTURE NON LAB 68.00 0101618 CATH FOR SPECIMEN COLLECT 264.00 0105205 FETAL NON STRESS TEST 736.00 0105304 FETAL CONTRAC STRESS TEST 1,024.00 0105403 US PREG 1 OR >FETUSES LTD 1,440.00 0107151 AMNIOINFUS TRANSAB WWO US 1,023.00 0111618 BLOOD COLLECTION VAD 293.00 0120105 AMNIOCENTESIS 698.00 0161711 FETAL DEMISE <23WK NEW PT 3,285.00 0161729 FETAL DEMISE <23WK EST PT 3,285.00 0161737 FETAL DEM <23 NEW W PROC 3,285.00 0161745 FETAL DEM <23 EST W PROC 3,285.00 0180562 INF IV HYDRA INIT 31-60MN 999.00 0180570 INF IV HYDRAT EA ADD HR 287.00

0185058 INJ TX/DX/PROPH SUBQ/IM 419.00 0185066 INJ TX/DX/PRO IVPUSH INIT 517.00 0185074 ANES PUDENDAL NRV INJ 1,694.00 0185108 US FETAL BIOP PROF WO NST 1,560.00 0185116 US FETAL BIOPH PROF W NST 2,136.00 0185124 US GUIDED AMNIOCENTESIS 931.00 0185132 INJ TX/PRO/DX IVP SME DRG 266.00 0185157 INJ TX/DX/PRO IV PUSH SEQ 393.00 0185165 INSERT CERVICAL DILATOR 357.00 0185171 NON OBV OIB HR NC - 0185172 INF IV TX/DX PUMP PROLONG 685.00 0185173 INF TX/DX CONCURRENT 679.00 0185174 INF TX/DX/PRO EA ADD HR 287.00 0185175 INF TX/DX/PRO INIT 1ST HR 677.00 0185176 INF TX/DX/PRO SEQ 1HR 677.00 0185177 INJ TX/DX/PRO INTRA-ARTER 543.00 0185178 IRRIG IMPLANTED VEN ACCES 333.00 0185179 INS/REPL/DECL NONTUN/PIC 1,725.00 0185180 INSERT CATH BLADDER 263.00 0185182 TRANSFUS BLD/BLD COMP 1,908.00 0185183 OBSERVATION PER HOUR 109.00 0185189 PHLEBOTOMY THERAPEUT 125.00 0185190 OB VISIT/FETAL MONITR NEW 240.00 0185191 OB VISIT/FETAL MONITR EST 240.00 0185192 OB VST/FTL MON NEW W/PROC 240.00 0185193 OB VST/FTL MON EST W/PROC 240.00 0185194 US PREG FOLLOWUP/EA GEST 1,858.00 0200022 SURGERY LEVEL 1 1ST 30MIN 4,650.00 0200030 SURGERY LEVEL 1 ADD 15MIN 1,630.00 0200055 SURGERY LEVEL 2 ADD 15MIN 2,120.00 0200063 SURGERY LEVEL 3 1ST 30MIN 7,862.00 0200071 SURGERY LEVEL 3 ADD 15MIN 2,753.00 0200089 SURGERY LEVEL 4 1ST 30MIN 10,225.00 0200097 SURGERY LEVEL 4 ADD 15MIN 3,578.00 0200105 SURGERY LEVEL 5 1ST 30MIN 13,290.00 0200113 SURGERY LEVEL 5 ADD 15MIN 4,649.00 0200147 SURGERY PER MINUTE NC - 0200170 LASER PROCEDURE 1,630.00 0200402 SURGERY LEVEL 2 1ST 30MIN 6,047.00 0203760 INTRAOP MON IN OR EA15MIN 155.00 0238551 CARDIOPULM BYPASS EA HR 1,517.00 0238552 SOMATOSEN TSTNG HEAD/TRUN 558.00 0238553 SOMATOSEN TSTNG LOW EXT 960.00 0238554 SOMATOSEN TSTNG UPP EXT 558.00 0238555 SOMATOSEN TST UP/LW EXTRM 960.00 0238556 TEE FOR MON PURPOS WO CON 2,094.00 0270365 US GUIDE INTRAOP 0-1 HOUR 1,836.00 0270366 US GUIDE INTRAOP 1-2 HOUR 1,836.00 0270367 US GUIDE INTRAOP 2-3 HOUR 1,836.00 0270368 US GUIDE INTRAOP 3-4 HOUR 1,836.00 0270369 TRANSFUS BLD/BLD COMP 1,908.00 0300012 PACU STANDARD 1ST 30MIN 1,494.00 0300020 PACU STANDARD ADDL 15MIN 522.00

0300038 PACU COMPLEX 1ST 30MIN 1,946.00 0300046 PACU COMPLEX ADDL 15MIN 684.00 0300055 CARDIOVERSION ELCTIVE EXT 1,152.00 0300062 PACU NOBILL OTH DEPT EA15 - 0400101 ANESTH GENERAL 1ST 30MIN 758.00 0400143 ANESTH GENERAL ADDL 15MIN 264.00 0400150 ANESTH MAC/REG 1ST 30MIN 585.00 0400151 MOD SEDAT <5YRS 1ST 15M 401.00 0400152 MOD SEDAT =>5YRS 1ST 15M 401.00 0400168 ANESTH MAC/REG ADDL 15MIN 203.00 0400200 MODERATE SEDAT ADD 15MIN 281.00 0500000 STENT NCOV W 730X-949 2,520.00 0500001 STENT NCOV W 949X-1234 3,276.00 0500002 STENT NCOV W 1234X-1605 4,260.00 0500003 STENT NCOV W 2087X-2714 7,203.00 0500006 INTRO SHTH OTH 23X-30 108.00 0500007 INST/SUPP STERL 17X-23 100.00 0500008 CLOSURE IMPLNT 88X-115 408.00 0500009 CATH PTA NLASR 150X-195 606.00 0500014 CATH DRAINAGE 23X-30 108.00 0500015 STENT COV W 150X-195 606.00 0500016 ADHESION BARR 254X-331 879.00 0500017 ALLODERM 6X18 2714X-3529 9,366.00 0500018 BALANCED SALT 500ML OP IR 25.00 0500019 CATH DIALYS LT 331X-431 1,143.00 0500020 CATH DRAINAGE 23X-30 108.00 0500021 CATH INFUSION 10-13 60.00 0500022 CATH INFUSION 431X-561 1,488.00 0500023 CATH OCCLUSION 254X-331 879.00 0500024 CATH URETERAL 23X-30 108.00 0500026 CLOSURE EXTERN 88X-115 408.00 0500027 CLOSURE IMPLNT 30X-39 140.00 0500028 CLOSURE IMPLNT 39X-51 180.00 0500029 CONN TISS HUM 4588X-5965 15,831.00 0500030 CONN TISS HUM 5965X-7755 20,580.00 0500044 ELECTROLYTE S 1000ML INJ 25.00 0500045 EXTERN FIXATION 39X-51 180.00 0500047 EXTERN FIXATION 67X-88 312.00 0500048 FLUOCINOLON 0.59MG INTRVT 56,262.00 0500049 GRAFT VASC 3529X-4588 12,177.00 0500050 INST/SUPP NONST 67X-88 312.00 0500052 INTRO EP FC PEEL 23X-30 108.00 0500054 MESH IMP 254X-331 879.00 0500059 SHUNT IMPLANT 30X-39 140.00 0500060 STRATT 16X20 7755X10082 26,757.00 0500061 TRYPAN BL 0.06% 0.5MLOPIN 236.00 0500062 ICD DUAL 5965X-7755 20,580.00 0500063 ICD DUAL 7755X-10082 26,757.00 0500064 ICD DUAL 12199X-13419 38,427.00 0500065 ICD DUAL 17861X-19647 56,262.00 0500067 ICD NOT S/D 7755X-10082 26,757.00 0500068 ICD NOT S/D 23772X-26149 74,883.00 0500069 ICD SINGLE 7755X-10082 26,757.00

0500070 RING/BND HEART 1605X-2087 5,538.00 0500071 JOINT DEVICE 67X-88 312.00 0500072 STENT COV W 730X-949 2,520.00 0500073 STENT NCOV W 331X-431 1,143.00 0500075 BMWD 4X10IN 7755X-10082 25,695.00 0500076 STENT COV W 4588X-5965 15,831.00 0500077 SKIN SUBST 4588X-5965 15,585.00 0500078 ICD NOT S/D 7755X-10082 26,757.00 0500079 ICD NOT S/D 12199X-13419 38,427.00 0500080 GRAFT VASC 5965X-7755 20,580.00 0500081 ORTHO L3660 13X-17 75.00 0500083 EVENT REC CARD 4588X-5965 15,831.00 0500084 CATH INTVAS US 561X-730 1,938.00 0500085 LEAD ICD SNGL 4588X-5965 15,831.00 0500086 BREAST PROS SIL 561X-730 1,938.00 0500087 CATH NONVAS DIL 431X-561 1,488.00 0500088 NON JOINT IMP 730X-949 2,520.00 0500089 IOL POSTERIOR 67X-88 312.00 0500091 CATH EP DX <=19 115X-150 466.00 0500092 CATH GUIDING 51X-67 236.00 0500093 SHUNT IMPLANT 2087X-2714 7,203.00 0500094 CONN TISS NHUM 88X-115 408.00 0500095 CATH DRAINAGE 331X-431 1,143.00 0500096 EMB PROTCT SYS 1234X-1605 4,260.00 0500097 PACEMKR DUAL RR4588X-5965 15,831.00 0500098 JOINT DEVICE 195X-254 788.00 0500099 EXTERN FIXATION2714X-3529 9,366.00 0500100 STENT COV W 17861X-19647 56,262.00 0500101 STENT COV W 16237X-17861 51,147.00 0500102 CATH INTVAS US 2087X-2714 7,203.00 0500250 INTRO EP FC PEEL 67X-88 312.00 0500251 CATH GUIDING 2087X-2714 7,203.00 0500252 GUIDEWIRE 195X-254 788.00 0500253 CATH OTHER 1234X-1605 4,260.00 0500273 CATH INFUSION 88X-115 408.00 0500274 CATH INFUSION 115X-150 466.00 0500276 ALLODERM 10X16 3529X-4588 12,177.00 0500277 SHUNT IMPLANT 3529X-4588 12,177.00 0500278 ANCHOR/SCREW 23X-30 108.00 0500279 CATH INFUSION 88X-115 408.00 0500281 INST/SUPP NONST 23X-30 108.00 0500282 INST/SUPP NONST 13X-17 75.00 0500283 INST/SUPP NONST 10-13 60.00 0500284 INST/SUPP NONST 51X-67 236.00 0500285 INTRO SHTH OTH 30X-39 140.00 0500286 INTRO SHTH OTH 17X-23 100.00 0500287 INTRO SHTH OTH 13X-17 75.00 0500288 ORTHO L0172 10-13 60.00 0500289 ORTHO L0625 10-13 60.00 0500290 ORTHO L1830 10-13 60.00 0500291 ORTHO L1830 13X-17 75.00 0500292 ORTHO L3999 23X-30 108.00 0500293 ORTHO L3999 30X-39 140.00

0500294 ORTHO L4350 17X-23 100.00 0500295 LEAD PMKR NO VDD 331X-431 1,143.00 0500296 CATH ATHR ROT 1234X-1605 4,260.00 0500297 PACEMKR DUAL RR1605X-2087 5,538.00 0500299 ORTHO L0625 <10 25.00 0500300 LEAD PMKR NO VDD 254X-331 879.00 0500301 LEAD ICD SNGL 2714X-3529 9,366.00 0500302 CATH EP NCOOL 949X-1234 3,276.00 0507750 CONN TISS HUM17861X-19647 56,262.00 0508854 NEURSTM NREC 7755X-10082 26,757.00 0508855 TISSUE MARKER 949X-1234 3,276.00 0509951 ICD SINGLE 11090X-12199 34,935.00 0509952 ENT IMPLANT 730X-949 2,520.00 0509953 ENT IMPLANT 730X-949 2,520.00 0509977 FLEXHD 9X15CM 2087X-2714 7,203.00 0509978 FLEXHD 572CM 7755X-10082 26,757.00 0509979 FLEXHD 15X24CM 4588X-5965 15,831.00 0509985 ALLODERM 264SQ 3529X-4588 12,177.00 0509986 CATH PTA NLASR 67X-88 312.00 0509993 INTRO SHTH OTH 431X-561 1,488.00 0510009 CATH OTHER 561X-730 1,938.00 0510010 ALLODERM 264SQ 5965X-7755 20,580.00 0510011 CATH NONVAS DIL4588X-5965 15,831.00 0510012 ICD SINGLE 11090X-12199 34,935.00 0510013 FLEXHD 440CM 5965X-7755 20,580.00 0510014 CYTAL WND10X15 1605X-2087 5,538.00 0510017 GASTRO IMP 254X-331 879.00 0510025 INST/SUPP NONST 331X-431 1,145.00 0510026 EXPANDER TISS 2087X-2714 7,203.00 0510041 CATH GUIDING 949X-1234 3,276.00 0510042 CATH EP COOL 1234X-1605 4,260.00 0510043 CATH EP DX <=19 88X-115 408.00 0510044 CATH EP DX >=20 949X-1234 3,276.00 0510045 CATH EP DX>=20 1234X-1605 4,260.00 0510046 CATH OCCLUSION 561X-730 1,938.00 0510047 GUIDEWIRE 949X-1234 3,276.00 0510048 ICD DUAL 10082X-11090 31,758.00 0510049 INST/SUPP STERL4588X-5965 15,831.00 0510050 INTRO EP STEER 730X-949 2,520.00 0510051 LEAD ICD DUAL 2714X-3529 9,366.00 0510052 PACEMKR SNG RR 2087X-2714 7,203.00 0510058 SKIN SUBST 254X-331 1,319.00 0510059 SKIN SUBST 561X-730 2,907.00 0510060 ENT IMPLANT 1234X-1605 6,390.00 0510061 ENT IMPLANT 949X-1234 4,914.00 0510062 PENILE NONINFL 4588X-5965 23,747.00 0510181 ICD DUAL 13419X-14761 42,270.00 0510182 ICD DUAL 19647X-21611 61,887.00 0510183 CATH ATHR ROT 3529X-4588 12,177.00 0510184 CATH INFUSION 561X-730 1,938.00 0510185 STENT COV W 331X-431 1,143.00 0510186 ICD NOT S/D 14761X-16237 46,497.00 0510187 INTRO EP FC NPL 730X-949 2,520.00

0510188 INTRO SHTH OTH 195X-254 788.00 0510784 CATH EMB SGL 3-5FR X 40CM 160.00 0516400 BONE SUBSTITUTE 115X-150 466.00 0516401 ICD DUAL 7755X-10082 26,757.00 0516402 ICD DUAL 14761X-16237 46,497.00 0516403 ICD DUAL 16237X-17861 51,147.00 0516404 CATH PTA NLASR 1234X-1605 4,260.00 0516405 CATH EP DX <=19 30X-39 140.00 0516406 CATH EP NCOOL 1605X-2087 5,538.00 0516407 CATH THROM EMB 949X-1234 3,276.00 0516408 CATH THROM EMB 2714X-3529 9,366.00 0516409 CONN TISS HUM 150X-195 606.00 0516410 CONN TISS NHUM 2087X-2714 7,203.00 0516411 GUIDEWIRE 561X-730 1,938.00 0516412 RETRV FRAC DVC 1605X-2087 5,538.00 0516413 JOINT DEVICE 150X-195 606.00 0516414 PACEMKR DUAL RR2714X-3529 9,366.00 0516415 STENT COV W 949X-1234 3,276.00 0516416 INTRO EP FC PEEL 115X-150 466.00 0516417 LEAD ICD OTHER 3529X-4588 12,177.00 0516418 LEAD LT VENTRC 1234X-1605 4,260.00 0516419 PACEMKR OTHR 5965X-7755 20,580.00 0516420 STENT NONCOR W 150X-195 606.00 0516421 CATH OCCLUSION 39X-51 180.00 0516422 SURGIM1 8X16 2087X-2714 7,203.00 0516423 VIAFLOW C TISS 2087X-2714 7,203.00 0516424 BMWD 4X5IN 4588X-5965 15,831.00 0516425 BMWD 2X2IN 2714X-3529 9,366.00 0516426 ALLODERM 6X16 2714X-3529 9,366.00 0516427 DERMACELL 8X16 2714X-3529 9,366.00 0516428 IOL PRESBYOPIA 115X-150 466.00 0516429 EXTERN FIXATION 17X-23 100.00 0516430 EYE IMPLANT 254X-331 879.00 0516431 CLOSURE IMPLNT 949X-1234 3,276.00 0516432 CATH OTHER 1234X-1605 4,260.00 0519018 ADHESION BARR 254X-331 879.00 0519019 ALLODERM 2X4 431X-561 1,488.00 0519020 ANCHOR/SCREW 88X-115 408.00 0519021 ANCHOR/SCREW 115X-150 466.00 0519022 BONE SUBSTITUTE 67X-88 312.00 0519023 CATH ATHR DIR 2087X-2714 7,203.00 0519024 CATH ATHR DIR 2714X-3529 9,366.00 0519025 CATH ATHR ROT 2714X-3529 9,366.00 0519026 CATH DIALYS LT 67X-88 312.00 0519027 CATH DIALYS LT 195X-254 788.00 0519028 CATH DIALYS LT 254X-331 879.00 0519029 CATH DIALYS LT 331X-431 1,143.00 0519030 CATH DIALYSIS ST 39X-51 180.00 0519031 CATH DIALYSIS ST 67X-88 312.00 0519032 CATH DIALYSIS ST 88X-115 408.00 0519033 CATH DIALYSIS ST 115X-150 466.00 0519034 CATH DIALYSIS ST 195X-254 788.00 0519035 CATH DIALYSIS ST 254X-331 879.00

0519036 CATH DRAINAGE <10 25.00 0519037 CATH DRAINAGE 10-13 60.00 0519038 CATH DRAINAGE 17X-23 100.00 0519039 CATH DRAINAGE 23X-30 108.00 0519040 CATH DRAINAGE 51X-67 236.00 0519041 CATH DRAINAGE 67X-88 312.00 0519042 CATH DRAINAGE 115X-150 466.00 0519043 CATH DRAINAGE 150X-195 606.00 0519044 CATH DRAINAGE 195X-254 788.00 0519045 CATH DRAINAGE 254X-331 879.00 0519046 CATH DRAINAGE 561X-730 1,938.00 0519047 CATH DRAINAGE 730X-949 2,520.00 0519048 CATH GUIDING 13X-17 75.00 0519049 CATH GUIDING 17X-23 100.00 0519050 CATH GUIDING 30X-39 140.00 0519051 CATH GUIDING 39X-51 180.00 0519052 CATH GUIDING 115X-150 466.00 0519053 CATH GUIDING 150X-195 606.00 0519054 CATH GUIDING 254X-331 879.00 0519055 CATH GUIDING 331X-431 1,143.00 0519056 CATH INFUSION 10-13 60.00 0519057 CATH INFUSION 13X-17 75.00 0519058 CATH INFUSION 17X-23 100.00 0519059 CATH INFUSION 23X-30 108.00 0519060 CATH INFUSION 39X-51 180.00 0519061 CATH INFUSION 51X-67 236.00 0519062 CATH INFUSION 67X-88 312.00 0519063 CATH INFUSION 115X-150 466.00 0519064 CATH INFUSION 150X-195 606.00 0519065 CATH INFUSION 331X-431 1,143.00 0519066 CATH INFUSION 431X-561 1,488.00 0519067 CATH NONVAS DIL 150X-195 606.00 0519068 CATH NONVAS DIL 195X-254 788.00 0519069 CATH NONVAS DIL 254X-331 879.00 0519070 CATH NONVAS DIL 561X-730 1,938.00 0519071 CATH NONVAS DIL1605X-2087 5,538.00 0519072 CATH OCCLUSION 254X-331 879.00 0519073 CATH OTHER 10-13 60.00 0519074 CATH OTHER 13X-17 75.00 0519075 CATH OTHER 17X-23 100.00 0519076 CATH OTHER 23X-30 108.00 0519077 CATH OTHER 30X-39 140.00 0519078 CATH OTHER 39X-51 180.00 0519079 CATH OTHER 51X-67 236.00 0519080 CATH OTHER 67X-88 312.00 0519081 CATH OTHER 88X-115 408.00 0519082 CATH OTHER 115X-150 466.00 0519083 CATH OTHER 150X-195 606.00 0519084 CATH OTHER 195X-254 788.00 0519085 CATH OTHER 949X-1234 3,276.00 0519086 CATH PTA NLASR 88X-115 408.00 0519087 CATH PTA NLASR 115X-150 466.00 0519088 CATH PTA NLASR 150X-195 606.00

0519089 CATH PTA NLASR 195X-254 788.00 0519090 CATH PTA NLASR 254X-331 879.00 0519091 CATH PTA NLASR 331X-431 1,143.00 0519092 CATH PTA NLASR 431X-561 1,488.00 0519093 CATH PTA NLASR 730X-949 2,520.00 0519094 CATH PTA NLASR 949X-1234 3,276.00 0519095 CATH SUPRAPUBIC 13X-17 75.00 0519096 CATH SUPRAPUBIC 39X-51 180.00 0519097 CATH SUPRAPUBIC 51X-67 236.00 0519098 CATH THROM EMB 39X-51 180.00 0519099 CATH THROM EMB 51X-67 236.00 0519100 CATH THROM EMB 67X-88 312.00 0519101 CATH THROM EMB 1234X-1605 4,260.00 0519102 CATH URETERAL <10 25.00 0519103 CATH URETERAL 10-13 60.00 0519104 CATH URETERAL 17X-23 100.00 0519105 CATH URETERAL 23X-30 108.00 0519106 CATH URETERAL 51X-67 236.00 0519107 CLOSURE EXTERN 10-13 60.00 0519108 CLOSURE EXTERN 13X-17 75.00 0519109 CLOSURE EXTERN 17X-23 100.00 0519110 CLOSURE EXTERN 23X-30 108.00 0519111 CLOSURE EXTERN 30X-39 140.00 0519112 CLOSURE EXTERN 39X-51 180.00 0519113 CLOSURE EXTERN 51X-67 236.00 0519114 CLOSURE EXTERN 67X-88 312.00 0519115 CLOSURE EXTERN 115X-150 466.00 0519116 CLOSURE EXTERN 195X-254 788.00 0519117 CLOSURE IMPLNT 23X-30 108.00 0519118 CLOSURE IMPLNT 30X-39 140.00 0519119 CLOSURE IMPLNT 39X-51 180.00 0519120 CLOSURE IMPLNT 51X-67 236.00 0519121 CLOSURE IMPLNT 67X-88 312.00 0519122 CLOSURE IMPLNT 88X-115 408.00 0519123 CLOSURE IMPLNT 115X-150 466.00 0519124 CLOSURE IMPLNT 150X-195 606.00 0519125 CLOSURE IMPLNT 195X-254 788.00 0519126 CLOSURE IMPLNT 254X-331 879.00 0519127 CLOSURE IMPLNT 331X-431 1,143.00 0519128 CLOSURE IMPLNT 431X-561 1,488.00 0519129 CLOSURE IMPLNT 730X-949 2,520.00 0519130 CONN TISS HUM 254X-331 879.00 0519131 CONN TISS HUM 561X-730 1,938.00 0519132 CONN TISS HUM 730X-949 2,520.00 0519133 CONN TISS NHUM 150X-195 606.00 0519134 CONN TISS NHUM 195X-254 788.00 0519138 ENT IMPLANT 10-13 60.00 0519139 ENT IMPLANT 17X-23 100.00 0519140 ENT IMPLANT 23X-30 108.00 0519141 GASTRO IMP 67X-88 312.00 0519142 GRAFT VASC 67X-88 312.00 0519143 GRAFT VASC 150X-195 606.00 0519144 GRAFT VASC 195X-254 788.00

0519145 GRAFT VASC 331X-431 1,143.00 0519146 GRAFT VASC 431X-561 1,488.00 0519147 GRAFT VASC 561X-730 1,938.00 0519148 GRAFT VASC 730X-949 2,520.00 0519149 GRAFT VASC 949X-1234 3,276.00 0519150 GRAFT VASC 1234X-1605 4,260.00 0519151 GRAFT VASC 1605X-2087 5,538.00 0519152 GRAFT VASC 2087X-2714 7,203.00 0519153 GRAFT VASC 2714X-3529 9,366.00 0519154 GRAFT VASC 3529X-4588 12,177.00 0519155 GUIDEWIRE <10 25.00 0519156 GUIDEWIRE 10-13 60.00 0519157 GUIDEWIRE 13X-17 75.00 0519158 GUIDEWIRE 17X-23 100.00 0519159 GUIDEWIRE 23X-30 108.00 0519160 GUIDEWIRE 30X-39 140.00 0519161 GUIDEWIRE 39X-51 180.00 0519162 GUIDEWIRE 51X-67 236.00 0519163 GUIDEWIRE 67X-88 312.00 0519164 GUIDEWIRE 88X-115 408.00 0519165 GUIDEWIRE 115X-150 466.00 0519166 GUIDEWIRE 150X-195 606.00 0519167 GUIDEWIRE 331X-431 1,143.00 0519168 INST/SUPP NONST 17X-23 100.00 0519169 INST/SUPP NONST 30X-39 140.00 0519170 INST/SUPP NONST 39X-51 180.00 0519171 INST/SUPP STERL 10-13 60.00 0519172 INST/SUPP STERL 13X-17 75.00 0519173 INST/SUPP STERL 17X-23 100.00 0519174 INST/SUPP STERL 23X-30 108.00 0519175 INST/SUPP STERL 30X-39 140.00 0519176 INST/SUPP STERL 39X-51 180.00 0519177 INST/SUPP STERL 51X-67 236.00 0519178 INST/SUPP STERL 67X-88 312.00 0519179 INST/SUPP STERL 88X-115 408.00 0519180 INST/SUPP STERL 115X-150 466.00 0519181 INST/SUPP STERL 150X-195 606.00 0519182 INST/SUPP STERL 195X-254 788.00 0519183 INST/SUPP STERL 254X-331 879.00 0519184 INST/SUPP STERL 331X-431 1,143.00 0519185 INST/SUPP STERL 431X-561 1,488.00 0519186 INST/SUPP STERL 561X-730 1,938.00 0519187 INST/SUPP STERL 730X-949 2,520.00 0519188 INST/SUPP STERL 949X-1234 3,276.00 0519189 INST/SUPP STERL1234X-1605 4,260.00 0519190 INST/SUPP STERL2087X-2714 7,203.00 0519191 INTRO EP FC PEEL 23X-30 108.00 0519192 INTRO EP FC PEEL 39X-51 180.00 0519193 INTRO SHTH OTH 23X-30 108.00 0519194 INTRO SHTH OTH 88X-115 408.00 0519195 JOINT DEVICE 730X-949 2,520.00 0519196 KIT/PACK DISP 67X-88 312.00 0519197 KIT/PACK DISP 115X-150 466.00

0519198 KIT/PACK DISP 150X-195 606.00 0519199 KIT/PACK DISP 195X-254 788.00 0519201 KIT/PACK DISP 254X-331 879.00 0519202 KIT/PACK DISP 331X-431 1,143.00 0519203 KIT/PACK DISP 561X-730 1,938.00 0519204 KIT/PACK DISP 730X-949 2,520.00 0519205 MESH IMP 39X-51 180.00 0519206 MESH IMP 51X-67 236.00 0519207 MESH IMP 67X-88 312.00 0519208 MESH IMP 88X-115 408.00 0519209 MESH IMP 195X-254 788.00 0519210 MESH IMP 254X-331 879.00 0519211 MESH IMP 331X-431 1,143.00 0519212 MESH IMP 431X-561 1,488.00 0519213 MESH IMP 561X-730 1,938.00 0519214 MESH IMP 730X-949 2,520.00 0519215 MESH IMP 949X-1234 3,276.00 0519216 MESH IMP 1234X-1605 4,260.00 0519217 MESH IMP 1605X-2087 5,538.00 0519218 MESH IMP 2087X-2714 7,203.00 0519219 NON JOINT IMP 30X-39 140.00 0519220 NON JOINT IMP 39X-51 180.00 0519221 NON JOINT IMP 254X-331 879.00 0519222 NON JOINT IMP 331X-431 1,143.00 0519223 NON JOINT IMP 431X-561 1,488.00 0519224 NON JOINT IMP 561X-730 1,938.00 0519225 NON JOINT IMP 730X-949 2,520.00 0519226 NON JOINT IMP 1605X-2087 5,538.00 0519227 OASIS TRI 7X10CM 730X-949 2,520.00 0519228 OASIS TRI 7X20 1605X-2087 5,538.00 0519229 OCULAR DRAIN DVC 561X-730 1,938.00 0519230 ORTHO L0174 39X-51 180.00 0519231 ORTHO L3260 <10 25.00 0519232 PORT INDWELL 150X-195 606.00 0519233 PORT INDWELL 195X-254 788.00 0519234 PORT INDWELL 254X-331 879.00 0519235 PORT INDWELL 331X-431 1,143.00 0519236 PORT INDWELL 431X-561 1,488.00 0519237 SHUNT IMPLANT 254X-331 879.00 0519238 SHUNT IMPLANT 561X-730 1,938.00 0519239 SHUNT IMPLANT 730X-949 2,520.00 0519240 SHUNT IMPLANT 1605X-2087 5,538.00 0519241 STENT NONCOR W 67X-88 312.00 0519242 STENT NONCOR W 195X-254 788.00 0519243 STENT NONCOR WO 67X-88 312.00 0519244 STENT NONCOR WO 88X-115 408.00 0519245 STENT NONCOR WO 150X-195 606.00 0519246 URO DVC W SLING1234X-1605 4,260.00 0519711 EPIFIX 4X4CM 2714X-3529 9,153.00 0519712 EPIFIX MSH 2X3 949X-1234 3,600.00 0519713 EPIFIX 14MM 254X-331 939.00 0519714 EPIFIX 5X6CM 4588X-5965 17,163.00 0519715 EPIFIX 7X7CM 7755X-10082 28,032.00

0519716 EPIFIX 18MM 561X-730 2,085.00 0519717 EPIFIX 2X4CM 1234X-1605 3,885.00 0519718 PROB/NDL CRYO 1605X-2087 5,538.00 0519836 BMWD 8X10 10082X-11090 31,758.00 0519837 WND MATRX 3CC 3529X-4588 12,177.00 0519838 BMWD 8X10IN 11090X-12199 34,935.00 0519839 LEAD PMKR NO VDD 431X-561 1,488.00 0519840 PACEMKR DUAL RR2087X-2714 7,203.00 0519841 INTRO EP FC PEEL 67X-88 312.00 0519842 PACEMKR DUAL RR1605X-2087 5,538.00 0519843 CLOSURE IMPLNT 150X-195 606.00 0519885 DERMACELL 4X4 949X-1234 3,649.00 0519886 EPIFIX 9X9CM 5965X-7755 18,675.00 0519887 INDOCYANINE GREEN 25MG IN 339.00 0519888 INST/SUPP STERL3529X-4588 12,177.00 0519889 STENT NONCOR WO 195X-254 788.00 0519890 LEAD NEUROSTIM 5965X-7755 20,580.00 0519891 NEURSTM NREC 28764X-31640 90,606.00 0519892 ICD NOT S/D 16237X-17861 51,147.00 0519893 CATH THROM EMB 1605X-2087 5,538.00 0519894 CATH INTVAS US 2087X-2714 7,203.00 0520073 BMWD 4X10IN 5965X-7755 20,580.00 0520074 BREAST PROSTH 331X-431 1,143.00 0520075 BREAST PROSTH 730X-949 2,520.00 0520076 CATH GUIDING 195X-254 788.00 0520077 CATH NONVAS DIL 730X-949 2,520.00 0520078 CATH OTHER 730X-949 2,520.00 0520079 CATH URETERAL 13X-17 75.00 0520080 CLOSURE EXTERN 949X-1234 3,276.00 0520082 EYE IMPLANT 30X-39 140.00 0520083 EYE IMPLANT 88X-115 408.00 0520084 EYE IMPLANT 2087X-2714 7,203.00 0520085 FLEXHD 12X20CM 5965X-7755 20,580.00 0520086 FLEXHD 6X20CM 7755X-10082 26,757.00 0520087 ICD NOT S/D 13419X-14761 42,270.00 0520088 INST/SUPP NONST 51X-67 236.00 0520089 INTRO EP STEER 561X-730 1,938.00 0520090 JOINT DEVICE 5965X-7755 20,580.00 0520091 KIT/PACK DISP 2714X-3529 9,366.00 0520092 LEAD ICD SNGL 4588X-5965 15,831.00 0520093 LEAD LT VENTRC 1605X-2087 5,538.00 0520094 MORCELLATOR 949X-1234 3,276.00 0520095 ORTHO L0810 3529X-4588 12,177.00 0520096 ORTHO L0861 195X-254 788.00 0520097 ORTHO L3670 39X-51 180.00 0520099 PENILE INFLAT 7755X-10082 26,757.00 0520100 SHUNT IMPLANT 88X-115 408.00 0520101 SHUNT IMPLANT 150X-195 606.00 0520102 SKIN SUBST 2714X-3529 9,366.00 0520103 SKIN SUBST 3529X-4588 12,177.00 0520104 STENT COV W 730X-949 2,520.00 0520105 STENT COV W 11090X-12199 34,935.00 0520106 STENT NCOV W 331X-431 1,143.00

0520107 STRATT 16X20 5965X-7755 20,580.00 0520108 URO REP DVC WO 431X-561 1,488.00 0520817 IV, 0.9% SOD CHL INJ USP 136.00 0521468 IV,5% DEX/.45%S 104.00 0529702 INTRO SHTH OTH 331X-431 1,143.00 0529703 PROB/NDL CRYO 2714X-3529 9,366.00 0529704 RETRV FRAC DVC 195X-254 788.00 0529705 VASCULAR IMP 949X-1234 3,276.00 0529706 VASCULAR IMP 1605X-2087 5,538.00 0529707 VASCULAR IMP 1234X-1605 4,260.00 0529708 CATH GUIDING 730X-949 2,520.00 0529709 EYE IMPLANT 2714X-3529 9,366.00 0529710 CATH DRAINAGE 431X-561 1,488.00 0529711 CATH PTA NLASR 561X-730 1,938.00 0529712 HMATRIX 4X2 150X-195 606.00 0529713 HMATRIX 5X4CM 431X-561 1,488.00 0529714 HMATRIX 7X5CM 730X-949 2,520.00 0529715 DERMACELL 4X4 949X-1234 3,649.00 0529716 EPIFIX 9X9CM 5965X-7755 18,675.00 0529717 INDOCYANINE GREEN 25MG IN 339.00 0530089 ADAPTER, SWIVEL 161.00 0534123 CATH GUIDING 2087X-2714 7,203.00 0534156 CATH OTHER 51X-67 236.00 0534248 CATH PTA NLASR 730X-949 2,520.00 0534263 CATH THROM EMB 1605X-2087 5,538.00 0534271 FILTER VENA CAV 949X-1234 3,276.00 0534461 GUIDEWIRE 195X-254 788.00 0534487 GUIDEWIRE 254X-331 879.00 0534511 GUIDEWIRE 51X-67 236.00 0534545 INTRO SHTH OTH 1605X-2087 5,538.00 0534602 RETRV FRAC DVC 331X-431 1,143.00 0534610 STENT COV W 1605X-2087 5,538.00 0539958 LEAD LT VENTRC 730X-949 2,520.00 0554478 MESH IMP 3529X-4588 12,177.00 0554479 CONN TISS NHUM 1605X-2087 5,538.00 0554480 KIT/PACK DISP 431X-561 1,488.00 0554481 BMWD 4X5IN 5965X-7755 20,580.00 0554482 LEVONOR (MIRENA) 52MG IUD 1,938.00 0570223 ALLODERM 6X16 2087X-2714 7,203.00 0570226 ANCHOR/SCREW 10-13 60.00 0570227 ANCHOR/SCREW 115X-150 466.00 0570228 ANCHOR/SCREW 1234X-1605 4,260.00 0570229 ANCHOR/SCREW 13X-17 75.00 0570230 ANCHOR/SCREW 150X-195 606.00 0570231 ANCHOR/SCREW 1605X-2087 5,538.00 0570232 ANCHOR/SCREW 17X-23 100.00 0570233 ANCHOR/SCREW 195X-254 788.00 0570234 ANCHOR/SCREW 2087X-2714 7,203.00 0570235 ANCHOR/SCREW 23X-30 108.00 0570236 ANCHOR/SCREW 254X-331 879.00 0570237 ANCHOR/SCREW 2714X-3529 9,366.00 0570238 ANCHOR/SCREW 30X-39 140.00 0570239 ANCHOR/SCREW 331X-431 1,143.00

0570241 ANCHOR/SCREW 39X-51 180.00 0570242 ANCHOR/SCREW 431X-561 1,488.00 0570244 ANCHOR/SCREW 51X-67 236.00 0570245 ANCHOR/SCREW 561X-730 1,938.00 0570246 ANCHOR/SCREW 67X-88 312.00 0570247 ANCHOR/SCREW 730X-949 2,520.00 0570248 ANCHOR/SCREW 88X-115 408.00 0570249 ANCHOR/SCREW 949X-1234 3,276.00 0570258 BONE SUBSTITUTE 150X-195 606.00 0570260 BONE SUBSTITUTE 195X-254 788.00 0570262 BONE SUBSTITUTE 254X-331 879.00 0570264 BONE SUBSTITUTE 331X-431 1,143.00 0570266 BONE SUBSTITUTE 431X-561 1,488.00 0570268 BONE SUBSTITUTE 561X-730 1,938.00 0570269 BONE SUBSTITUTE 67X-88 312.00 0570270 BONE SUBSTITUTE 730X-949 2,520.00 0570272 BONE SUBSTITUTE 949X-1234 3,276.00 0570273 BONE SUBSTITUTE1234X-1605 4,260.00 0570274 BONE SUBSTITUTE1605X-2087 5,538.00 0570275 BONE SUBSTITUTE2087X-2714 7,203.00 0570276 BONE SUBSTITUTE2714X-3529 9,366.00 0570277 BONE SUBSTITUTE3529X-4588 12,177.00 0570280 BREAST PROS SIL 730X-949 2,520.00 0570281 BREAST PROS SIL 949X-1234 3,276.00 0570284 BREAST PROSTH 431X-561 1,488.00 0570285 BREAST PROSTH 561X-730 1,938.00 0570296 CATH ATHR DIR 2087X-2714 7,203.00 0570297 CATH ATHR DIR 2714X-3529 9,366.00 0570298 CATH ATHR ROT 2714X-3529 9,366.00 0570305 CATH DIALYS LT 195X-254 788.00 0570306 CATH DIALYS LT 254X-331 879.00 0570311 CATH DIALYS LT 67X-88 312.00 0570317 CATH DIALYSIS ST 195X-254 788.00 0570318 CATH DIALYSIS ST 254X-331 879.00 0570320 CATH DIALYSIS ST 88X-115 408.00 0570321 CATH DRAINAGE <10 25.00 0570322 CATH DRAINAGE 10-13 60.00 0570323 CATH DRAINAGE 115X-150 466.00 0570326 CATH DRAINAGE 150X-195 606.00 0570327 CATH DRAINAGE 17X-23 100.00 0570328 CATH DRAINAGE 195X-254 788.00 0570330 CATH DRAINAGE 254X-331 879.00 0570333 CATH DRAINAGE 39X-51 180.00 0570337 CATH DRAINAGE 67X-88 312.00 0570338 CATH DRAINAGE 730X-949 2,520.00 0570350 CATH GUIDING 115X-150 466.00 0570351 CATH GUIDING 150X-195 606.00 0570356 CATH GUIDING 254X-331 879.00 0570358 CATH GUIDING 331X-431 1,143.00 0570359 CATH GUIDING 39X-51 180.00 0570367 CATH INFUSION 115X-150 466.00 0570370 CATH INFUSION 17X-23 100.00 0570373 CATH INFUSION 254X-331 879.00

0570375 CATH INFUSION 331X-431 1,143.00 0570376 CATH INFUSION 39X-51 180.00 0570378 CATH INFUSION 51X-67 236.00 0570380 CATH INFUSION 67X-88 312.00 0570392 CATH NONVAS DIL 150X-195 606.00 0570394 CATH NONVAS DIL 195X-254 788.00 0570396 CATH NONVAS DIL 254X-331 879.00 0570402 CATH NONVAS DIL1605X-2087 5,538.00 0570403 CYTAL WND 7X10 949X-1234 3,276.00 0570404 CYTAL WND10X15 1605X-2087 5,538.00 0570412 CATH OTHER 10-13 60.00 0570413 CATH OTHER 115X-150 466.00 0570414 CATH OTHER 13X-17 75.00 0570415 CATH OTHER 150X-195 606.00 0570416 CATH OTHER 17X-23 100.00 0570418 CATH OTHER 23X-30 108.00 0570419 CATH OTHER 254X-331 879.00 0570420 CATH OTHER 30X-39 140.00 0570422 CATH OTHER 39X-51 180.00 0570426 CATH OTHER 67X-88 312.00 0570428 CATH OTHER 88X-115 408.00 0570429 CATH OTHER 949X-1234 3,276.00 0570430 CATH PTA NLASR 115X-150 466.00 0570431 CATH PTA NLASR 150X-195 606.00 0570432 CATH PTA NLASR 195X-254 788.00 0570433 CATH PTA NLASR 254X-331 879.00 0570434 CATH PTA NLASR 331X-431 1,143.00 0570435 CATH PTA NLASR 431X-561 1,488.00 0570438 CATH PTA NLASR 88X-115 408.00 0570442 CATH SUPRAPUBIC 39X-51 180.00 0570443 CATH SUPRAPUBIC 51X-67 236.00 0570449 CATH THROM EMB 39X-51 180.00 0570450 CATH THROM EMB 51X-67 236.00 0570451 CATH THROM EMB 67X-88 312.00 0570452 CATH URETERAL <10 25.00 0570453 CATH URETERAL 10-13 60.00 0570457 CATH URETERAL 17X-23 100.00 0570461 CATH URETERAL 51X-67 236.00 0570464 CLOSURE EXTERN 10-13 60.00 0570465 CLOSURE EXTERN 115X-150 466.00 0570466 CLOSURE EXTERN 13X-17 75.00 0570468 CLOSURE EXTERN 17X-23 100.00 0570469 CLOSURE EXTERN 195X-254 788.00 0570470 CLOSURE EXTERN 23X-30 108.00 0570473 CLOSURE EXTERN 30X-39 140.00 0570474 CLOSURE EXTERN 331X-431 1,143.00 0570475 CLOSURE EXTERN 39X-51 180.00 0570477 CLOSURE EXTERN 51X-67 236.00 0570479 CLOSURE EXTERN 67X-88 312.00 0570482 CLOSURE IMPLNT 10-13 60.00 0570483 CLOSURE IMPLNT 115X-150 466.00 0570486 CLOSURE IMPLNT 150X-195 606.00 0570489 CLOSURE IMPLNT 195X-254 788.00

0570490 CLOSURE IMPLNT 23X-30 108.00 0570491 CLOSURE IMPLNT 254X-331 879.00 0570493 CLOSURE IMPLNT 331X-431 1,143.00 0570496 CLOSURE IMPLNT 431X-561 1,488.00 0570497 CLOSURE IMPLNT 51X-67 236.00 0570499 CLOSURE IMPLNT 67X-88 312.00 0570500 CLOSURE IMPLNT 730X-949 2,520.00 0570501 CLOSURE IMPLNT 88X-115 408.00 0570507 CONN TISS HUM 1234X-1605 4,260.00 0570509 CONN TISS HUM 1605X-2087 5,538.00 0570511 CONN TISS HUM 2087X-2714 7,203.00 0570512 CONN TISS HUM 254X-331 879.00 0570513 CONN TISS HUM 2714X-3529 9,366.00 0570515 CONN TISS HUM 3529X-4588 12,177.00 0570518 CONN TISS HUM 561X-730 1,938.00 0570519 CONN TISS HUM 5965X-7755 20,580.00 0570521 CONN TISS HUM 730X-949 2,520.00 0570524 CONN TISS HUM 949X-1234 3,276.00 0570527 CONN TISS NHUM 150X-195 606.00 0570529 CONN TISS NHUM 195X-254 788.00 0570542 D5% 0.45 NACL 1000ML INJ 78.00 0570543 D5% 0.45 NACL 500ML INJ 78.00 0570544 D5% 1000ML INJ 78.00 0570545 D5% 250ML INJ 78.00 0570546 D5% 500ML INJ 78.00 0570551 ENT IMPLANT 10-13 60.00 0570555 ENT IMPLANT 17X-23 100.00 0570572 EXPANDER TISS 730X-949 2,520.00 0570573 EXPANDER TISS 949X-1234 3,276.00 0570574 EXTERN FIXATION 331X-431 1,143.00 0570575 EXTERN FIXATION 561X-730 1,938.00 0570590 GASTRO IMP 30X-39 140.00 0570594 GRAFT VASC 115X-150 466.00 0570595 GRAFT VASC 1234X-1605 4,260.00 0570596 GRAFT VASC 150X-195 606.00 0570597 GRAFT VASC 1605X-2087 5,538.00 0570599 GRAFT VASC 2087X-2714 7,203.00 0570600 GRAFT VASC 254X-331 879.00 0570601 GRAFT VASC 2714X-3529 9,366.00 0570602 GRAFT VASC 331X-431 1,143.00 0570604 GRAFT VASC 431X-561 1,488.00 0570606 GRAFT VASC 561X-730 1,938.00 0570608 GRAFT VASC 730X-949 2,520.00 0570611 GRAFT VASC 949X-1234 3,276.00 0570614 GUIDEWIRE <10 25.00 0570615 GUIDEWIRE 10-13 60.00 0570616 GUIDEWIRE 115X-150 466.00 0570617 GUIDEWIRE 13X-17 75.00 0570618 GUIDEWIRE 150X-195 606.00 0570619 GUIDEWIRE 17X-23 100.00 0570621 GUIDEWIRE 23X-30 108.00 0570623 GUIDEWIRE 30X-39 140.00 0570624 GUIDEWIRE 331X-431 1,143.00

0570625 GUIDEWIRE 39X-51 180.00 0570628 GUIDEWIRE 67X-88 312.00 0570629 GUIDEWIRE 88X-115 408.00 0570640 INST/SUPP NONST 10-13 60.00 0570642 INST/SUPP NONST 13X-17 75.00 0570644 INST/SUPP NONST 17X-23 100.00 0570647 INST/SUPP NONST 30X-39 140.00 0570648 INST/SUPP NONST 39X-51 180.00 0570654 INST/SUPP STERL 10-13 60.00 0570655 INST/SUPP STERL 115X-150 466.00 0570656 INST/SUPP STERL 13X-17 75.00 0570657 INST/SUPP STERL 150X-195 606.00 0570658 INST/SUPP STERL 17X-23 100.00 0570659 INST/SUPP STERL 195X-254 788.00 0570660 INST/SUPP STERL 23X-30 108.00 0570661 INST/SUPP STERL 254X-331 879.00 0570662 INST/SUPP STERL 30X-39 140.00 0570663 INST/SUPP STERL 331X-431 1,143.00 0570664 INST/SUPP STERL 39X-51 180.00 0570665 INST/SUPP STERL 431X-561 1,488.00 0570666 INST/SUPP STERL 51X-67 236.00 0570667 INST/SUPP STERL 561X-730 1,938.00 0570668 INST/SUPP STERL 67X-88 312.00 0570669 INST/SUPP STERL 730X-949 2,520.00 0570670 INST/SUPP STERL 88X-115 408.00 0570671 INST/SUPP STERL 949X-1234 3,276.00 0570672 INST/SUPP STERL1234X-1605 4,260.00 0570673 INST/SUPP STERL1605X-2087 5,538.00 0570674 INST/SUPP STERL2087X-2714 7,203.00 0570675 INST/SUPP STERL2714X-3529 9,366.00 0570677 INST/SUPP STERL4588X-5965 15,831.00 0570687 INTRO EP FC PEEL 39X-51 180.00 0570693 INTRO SHTH OTH 10-13 60.00 0570698 INTRO SHTH OTH 195X-254 788.00 0570699 INTRO SHTH OTH 23X-30 108.00 0570700 INTRO SHTH OTH 254X-331 879.00 0570701 INTRO SHTH OTH 30X-39 140.00 0570703 INTRO SHTH OTH 39X-51 180.00 0570707 INTRO SHTH OTH 67X-88 312.00 0570709 INTRO SHTH OTH 88X-115 408.00 0570711 IOL POSTERIOR 115X-150 466.00 0570712 IOL POSTERIOR 730X-949 2,520.00 0570717 JOINT DEVICE 1234X-1605 4,260.00 0570721 JOINT DEVICE 1605X-2087 5,538.00 0570724 JOINT DEVICE 2087X-2714 7,203.00 0570725 JOINT DEVICE 254X-331 879.00 0570726 JOINT DEVICE 2714X-3529 9,366.00 0570728 JOINT DEVICE 331X-431 1,143.00 0570729 JOINT DEVICE 3529X-4588 12,177.00 0570731 JOINT DEVICE 431X-561 1,488.00 0570732 JOINT DEVICE 4588X-5965 15,831.00 0570733 JOINT DEVICE 51X-67 236.00 0570734 JOINT DEVICE 561X-730 1,938.00

0570737 JOINT DEVICE 730X-949 2,520.00 0570738 JOINT DEVICE 7755X-10082 26,757.00 0570739 JOINT DEVICE 88X-115 408.00 0570740 JOINT DEVICE 949X-1234 3,276.00 0570741 KIT/PACK DISP 115X-150 466.00 0570742 KIT/PACK DISP 1234X-1605 4,260.00 0570744 KIT/PACK DISP 150X-195 606.00 0570746 KIT/PACK DISP 195X-254 788.00 0570749 KIT/PACK DISP 254X-331 879.00 0570752 KIT/PACK DISP 331X-431 1,143.00 0570753 KIT/PACK DISP 3529X-4588 12,177.00 0570757 KIT/PACK DISP 51X-67 236.00 0570758 KIT/PACK DISP 561X-730 1,938.00 0570759 KIT/PACK DISP 67X-88 312.00 0570760 KIT/PACK DISP 730X-949 2,520.00 0570761 KIT/PACK DISP 88X-115 408.00 0570762 KIT/PACK DISP 949X-1234 3,276.00 0570777 LEAD NEUROSTIM 2714X-3529 9,366.00 0570798 MESH IMP 1234X-1605 4,260.00 0570801 MESH IMP 150X-195 606.00 0570802 MESH IMP 1605X-2087 5,538.00 0570803 MESH IMP 195X-254 788.00 0570804 MESH IMP 2087X-2714 7,203.00 0570808 MESH IMP 30X-39 140.00 0570809 MESH IMP 331X-431 1,143.00 0570811 MESH IMP 39X-51 180.00 0570812 MESH IMP 431X-561 1,488.00 0570814 MESH IMP 51X-67 236.00 0570815 MESH IMP 561X-730 1,938.00 0570817 MESH IMP 67X-88 312.00 0570818 MESH IMP 730X-949 2,520.00 0570820 MESH IMP 88X-115 408.00 0570821 MESH IMP 949X-1234 3,276.00 0570822 MICROMATR 500MG1234X-1605 4,260.00 0570824 MICROMATRX 1GM 2087X-2714 7,203.00 0570828 NACL 0.9% 1000ML INJ 78.00 0570830 NACL 0.9% 250ML INJ 78.00 0570831 NACL 0.9% 500ML INJ 78.00 0570840 NEUROSTIM PROG 949X-1234 3,276.00 0570853 NON JOINT IMP 10-13 60.00 0570854 NON JOINT IMP 115X-150 466.00 0570855 NON JOINT IMP 1234X-1605 4,260.00 0570857 NON JOINT IMP 150X-195 606.00 0570858 NON JOINT IMP 1605X-2087 5,538.00 0570859 NON JOINT IMP 17X-23 100.00 0570860 NON JOINT IMP 195X-254 788.00 0570861 NON JOINT IMP 2087X-2714 7,203.00 0570863 NON JOINT IMP 254X-331 879.00 0570864 NON JOINT IMP 2714X-3529 9,366.00 0570865 NON JOINT IMP 30X-39 140.00 0570866 NON JOINT IMP 331X-431 1,143.00 0570867 NON JOINT IMP 3529X-4588 12,177.00 0570868 NON JOINT IMP 39X-51 180.00

0570869 NON JOINT IMP 431X-561 1,488.00 0570870 NON JOINT IMP 4588X-5965 15,831.00 0570871 NON JOINT IMP 51X-67 236.00 0570872 NON JOINT IMP 561X-730 1,938.00 0570874 NON JOINT IMP 67X-88 312.00 0570875 NON JOINT IMP 730X-949 2,520.00 0570877 NON JOINT IMP 88X-115 408.00 0570878 NON JOINT IMP 949X-1234 3,276.00 0570882 ORTHO L0120 <10 25.00 0570889 ORTHO L0625 <10 25.00 0570891 ORTHO L1830 10-13 60.00 0570892 ORTHO L1830 13X-17 75.00 0570905 ORTHO L3908 <10 25.00 0570914 ORTHO L4350 17X-23 100.00 0570942 PORT INDWELL 150X-195 606.00 0570943 PORT INDWELL 195X-254 788.00 0570945 PORT INDWELL 254X-331 879.00 0570946 PORT INDWELL 331X-431 1,143.00 0570947 PORT INDWELL 431X-561 1,488.00 0570968 SEALANT PUL LIQ 730X-949 2,520.00 0570973 SHUNT IMPLANT 254X-331 879.00 0570977 SHUNT IMPLANT 431X-561 1,488.00 0570978 SHUNT IMPLANT 561X-730 1,938.00 0570979 SHUNT IMPLANT 730X-949 2,520.00 0570996 STENT COV W 4588X-5965 15,831.00 0570997 STENT COV W 5965X-7755 20,580.00 0570998 STENT COV W 7755X-10082 26,757.00 0570999 STENT NCOV W 1234X-1605 4,260.00 0571003 STENT NCOV W 561X-730 1,938.00 0571004 STENT NCOV W 730X-949 2,520.00 0571006 STENT NCOV W 949X-1234 3,276.00 0571012 STENT NONCOR W 67X-88 312.00 0571017 STENT NONCOR WO 150X-195 606.00 0571019 STENT NONCOR WO 51X-67 236.00 0571020 STENT NONCOR WO 67X-88 312.00 0571021 STENT NONCOR WO 88X-115 408.00 0571024 STRATT 10X20 4588X-5965 15,831.00 0571047 URO DVC W SLING 949X-1234 3,276.00 0571048 URO DVC W SLING1234X-1605 4,260.00 0571049 URO DVC W SLING1605X-2087 5,538.00 0571060 VASCULAR IMP 115X-150 466.00 0571061 KIT/PACK DISP 51X-67 236.00 0571062 KIT/PACK DISP 88X-115 408.00 0571083 ALLODERM 2X4 195X-254 788.00 0571084 ALLODERM 2X4 331X-431 1,143.00 0571085 ALLODERM 8X16 2714X-3529 9,366.00 0571086 BONE SUBSTITUTE4588X-5965 15,831.00 0571087 CATH DIALYSIS ST 67X-88 312.00 0571088 CATH DIALYSIS ST 39X-51 180.00 0571089 CATH PTA NLASR 949X-1234 3,276.00 0571090 CATH THROM EMB 1234X-1605 4,260.00 0571092 EXTERN FIXATION 23X-30 108.00 0571093 EXTERN FIXATION 51X-67 236.00

0571094 EXTERN FIXATION 88X-115 408.00 0571095 EXTERN FIXATION 115X-150 466.00 0571096 EXTERN FIXATION 150X-195 606.00 0571097 EXTERN FIXATION 195X-254 788.00 0571098 EXTERN FIXATION 254X-331 879.00 0571099 EXTERN FIXATION 431X-561 1,488.00 0571100 EXTERN FIXATION1234X-1605 4,260.00 0571101 EXTERN FIXATION1605X-2087 5,538.00 0571102 EYE IMPLANT 10-13 60.00 0571103 EYE IMPLANT 13X-17 75.00 0571104 EYE IMPLANT 17X-23 100.00 0571105 EYE IMPLANT 39X-51 180.00 0571106 EYE IMPLANT 51X-67 236.00 0571107 EYE IMPLANT 730X-949 2,520.00 0571108 EYE IMPLANT 949X-1234 3,276.00 0571109 GRAFT VASC 30X-39 140.00 0571110 GRAFT VASC 67X-88 312.00 0571111 GRFTJKT 16SQCM 1605X-2087 5,538.00 0571112 GRFTJKT 28SQCM 2714X-3529 9,366.00 0571113 GRFTJKT 28SQCM 3529X-4588 12,177.00 0571114 GRFTJKT 32SQCM 2714X-3529 9,366.00 0571115 IOL ANTERIOR 88X-115 408.00 0571116 IOL POSTERIOR 88X-115 408.00 0571117 NEURSTM NREC 11090X-12199 34,935.00 0571124 RING/BND HEART 2087X-2714 7,203.00 0571139 CATH NONVAS DIL 561X-730 1,938.00 0571140 CATH SUPRAPUBIC 13X-17 75.00 0571143 OASIS TRI 7X10CM 730X-949 2,520.00 0571144 OASIS TRI 7X20 1605X-2087 5,538.00 0571145 OCULAR DRAIN DVC 561X-730 1,938.00 0571146 ORTHO L0174 39X-51 180.00 0571147 ORTHO L3260 <10 25.00 0571148 SHUNT IMPLANT 1605X-2087 5,538.00 0571149 STENT NONCOR WO 39X-51 180.00 0571150 ENT IMPLANT 561X-730 1,938.00 0571151 IOL ANTERIOR 51X-67 236.00 0571152 ORTHO A4565 <10 25.00 0571153 ORTHO L0150 <10 25.00 0571154 ORTHO L0172 10-13 60.00 0571155 ORTHO L0625 10-13 60.00 0571156 ORTHO L3650 <10 25.00 0571157 RET TAMPON SIL 331X-431 1,143.00 0571158 RET TAMPON SIL 431X-561 1,488.00 0571159 RING/BND HEART 2714X-3529 9,366.00 0571160 STENT COV W 3529X-4588 12,177.00 0571161 STENT COV W 16237X-17861 51,147.00 0571162 STENT NCOV W 431X-561 1,488.00 0571163 STRATT 10X16 3529X-4588 12,177.00 0571164 TRACH SPEAK VLVE 51X-67 236.00 0571165 TRACH SPEAK VLVE 67X-88 312.00 0571166 VALVE HEART 3529X-4588 12,177.00 0571167 VALVE HEART 4588X-5965 15,831.00 0571168 VALVE HEART 5965X-7755 20,580.00

0571169 VALVE HEART 7755X-10082 26,757.00 0571170 VASC CLOSE DVC 150X-195 606.00 0571171 VASC CLOSE DVC 431X-561 1,488.00 0583715 CATH SUPRAPUBIC 67X-88 312.00 0590035 MESH IMP 13419X-14761 42,270.00 0590036 MESH IMP 5965X-7755 20,580.00 0590037 MESH IMP 11090X-12199 34,935.00 0590038 MESH IMP 16237X-17861 51,147.00 0590126 IOL POSTERIOR 51X-67 236.00 0590127 STRATT 20X20 7755X-10082 26,757.00 0590128 ALLODERM 132SQ 2714X-3529 9,366.00 0590129 CATH PTA DC 1234X-1605 4,260.00 0590130 PACEMKR OTHR 3529X-4588 12,177.00 0590131 PACEMKR OTHR 4588X-5965 15,831.00 0590132 ICD NOT S/D 16237X-17861 51,147.00 0590133 ICD NOT S/D 19647X-21611 61,887.00 0590134 CONN TISS NHUM 949X-1234 3,276.00 0590135 EXTERN FIXATION4588X-5965 15,831.00 0590136 NON JOINT IMP 13X-17 75.00 0590137 IOL PRESBYOPIA 730X-949 2,520.00 0590175 ORTHO L0999 331X-431 1,143.00 0590969 CATH ATHR DIR 2714X-3529 9,366.00 0590970 CATH ATHR ROT 949X-1234 3,276.00 0590971 CATH DRAINAGE 115X-150 466.00 0590972 CATH EP 3DVECT 2087X-2714 7,203.00 0590973 CATH EP DX <=19 115X-150 466.00 0590974 CATH EP DX <=19 30X-39 140.00 0590975 CATH EP DX <=19 431X-561 1,488.00 0590976 CATH EP DX <=19 561X-730 1,938.00 0590977 CATH EP DX <=19 730X-949 2,520.00 0590978 CATH EP DX >=20 254X-331 879.00 0590979 CATH EP DX >=20 730X-949 2,520.00 0590980 CATH EP DX<=19 1234X-1605 4,260.00 0590981 CATH EP NCOOL 1234X-1605 4,260.00 0590982 CATH EP NCOOL 1605X-2087 5,538.00 0590983 CATH EP NCOOL 2087X-2714 7,203.00 0590984 CATH EP NCOOL 561X-730 1,938.00 0590985 CATH EP NCOOL 730X-949 2,520.00 0590986 CATH GUIDING 115X-150 466.00 0590987 CATH GUIDING 150X-195 606.00 0590988 CATH GUIDING 17X-23 100.00 0590989 CATH GUIDING 195X-254 788.00 0590990 CATH GUIDING 254X-331 879.00 0590991 CATH GUIDING 30X-39 140.00 0590992 CATH GUIDING 331X-431 1,143.00 0590993 CATH GUIDING 39X-51 180.00 0590994 CATH GUIDING 561X-730 1,938.00 0590995 CATH GUIDING 67X-88 312.00 0590996 CATH GUIDING 730X-949 2,520.00 0590997 CATH INFUSION 39X-51 180.00 0590998 CATH INFUSION 88X-115 408.00 0590999 CATH INTVAS US 730X-949 2,520.00 0591000 CATH INTVAS US 949X-1234 3,276.00

0591001 CATH OCCLUSION 331X-431 1,143.00 0591002 CATH OCCLUSION 88X-115 408.00 0591003 CATH OTHER 115X-150 466.00 0591004 CATH OTHER 13X-17 75.00 0591005 CATH OTHER 195X-254 788.00 0591006 CATH OTHER 23X-30 108.00 0591007 CATH OTHER 67X-88 312.00 0591008 CATH OTHER 949X-1234 3,276.00 0591009 CATH PTA NLASR 115X-150 466.00 0591010 CATH PTA NLASR 1234X-1605 4,260.00 0591011 CATH PTA NLASR 195X-254 788.00 0591012 CATH PTA NLASR 730X-949 2,520.00 0591013 CATH PTA NLASR 88X-115 408.00 0591014 CATH PTA NLASR 949X-1234 3,276.00 0591015 CATH THROM EMB 254X-331 879.00 0591016 CATH THROM EMB 331X-431 1,143.00 0591017 CLOSURE EXTERN 17X-23 100.00 0591018 CLOSURE IMPLNT 115X-150 466.00 0591019 CLOSURE IMPLNT 51X-67 236.00 0591023 EMB PROTCT SYS 730X-949 2,520.00 0591024 EVENT REC CARD 3529X-4588 12,177.00 0591025 GUIDEWIRE 10-13 60.00 0591026 GUIDEWIRE 115X-150 466.00 0591027 GUIDEWIRE 13X-17 75.00 0591028 GUIDEWIRE 150X-195 606.00 0591029 GUIDEWIRE 17X-23 100.00 0591030 GUIDEWIRE 30X-39 140.00 0591031 GUIDEWIRE 39X-51 180.00 0591032 GUIDEWIRE 51X-67 236.00 0591033 GUIDEWIRE 561X-730 1,938.00 0591034 GUIDEWIRE 67X-88 312.00 0591035 GUIDEWIRE 88X-115 408.00 0591036 ICD DUAL 14761X-16237 46,497.00 0591037 ICD DUAL 16237X-17861 51,147.00 0591038 ICD NOT S/D 17861X-19647 56,262.00 0591039 ICD NOT S/D 19647X-21611 61,887.00 0591040 ICD NOT S/D 21611X-23772 68,076.00 0591041 ICD NOT S/D 26149X-28764 82,371.00 0591042 ICD SINGLE 10082X-11090 31,758.00 0591043 ICD SINGLE 13419X-14761 42,270.00 0591044 ICD SINGLE 14761X-16237 46,497.00 0591045 ICD SINGLE 16237X-17861 51,147.00 0591046 INST/SUPP STERL 13X-17 75.00 0591047 INST/SUPP STERL 150X-195 606.00 0591048 INST/SUPP STERL 195X-254 788.00 0591049 INST/SUPP STERL 23X-30 108.00 0591050 INST/SUPP STERL 254X-331 879.00 0591051 INST/SUPP STERL 30X-39 140.00 0591052 INST/SUPP STERL 331X-431 1,143.00 0591053 INST/SUPP STERL 39X-51 180.00 0591054 INST/SUPP STERL 88X-115 408.00 0591055 INTRO EP FC NPL 150X-195 606.00 0591056 INTRO EP FC NPL 561X-730 1,938.00

0591057 INTRO EP FC NPL 67X-88 312.00 0591058 INTRO EP STEER 949X-1234 3,276.00 0591059 INTRO SHTH OTH <10 25.00 0591060 INTRO SHTH OTH 10-13 60.00 0591061 INTRO SHTH OTH 13X-17 75.00 0591062 INTRO SHTH OTH 150X-195 606.00 0591063 INTRO SHTH OTH 254X-331 879.00 0591064 INTRO SHTH OTH 30X-39 140.00 0591065 INTRO SHTH OTH 39X-51 180.00 0591066 INTRO SHTH OTH 51X-67 236.00 0591067 INTRO SHTH OTH 67X-88 312.00 0591068 INTRO SHTH OTH 88X-115 408.00 0591069 KIT/PACK DISP 115X-150 466.00 0591073 KIT/PACK DISP 51X-67 236.00 0591074 KIT/PACK DISP 730X-949 2,520.00 0591075 KIT/PACK DISP 88X-115 408.00 0591076 LEAD ICD DUAL 3529X-4588 12,177.00 0591077 LEAD ICD SNGL 3529X-4588 12,177.00 0591078 LEAD LT VENTRC 1605X-2087 5,538.00 0591079 LEAD LT VENTRC 2087X-2714 7,203.00 0591080 LEAD LT VENTRC 2714X-3529 9,366.00 0591081 LEAD LT VENTRC 3529X-4588 12,177.00 0591082 LEAD PMKR NO VDD 331X-431 1,143.00 0591083 LEAD PMKR NO VDD 431X-561 1,488.00 0591084 LEAD PMKR NO VDD 561X-730 1,938.00 0591085 LEAD PMKR NO VDD 730X-949 2,520.00 0591086 LEAD PMKR NO VDD 88X-115 408.00 0591087 LEAD PMKR NOVDD3529X-4588 12,177.00 0591091 NON JOINT IMP 10-13 60.00 0591092 NON JOINT IMP 39X-51 180.00 0591093 ORTHO L0625 10-13 60.00 0591094 ORTHO L1830 10-13 60.00 0591095 ORTHO L1830 13X-17 75.00 0591096 PACEMKR DUAL RR2714X-3529 9,366.00 0591097 PACEMKR DUAL RR3529X-4588 12,177.00 0591098 PACEMKR DUAL RR4588X-5965 15,831.00 0591099 PACEMKR DUAL RR5965X-7755 20,580.00 0591100 PACEMKR OTHR 4588X-5965 15,831.00 0591101 PACEMKR SNG RR 2714X-3529 9,366.00 0591102 PACEMKR SNG RR 3529X-4588 12,177.00 0591104 RETRV FRAC DVC 254X-331 879.00 0591105 STENT COV W 1234X-1605 4,260.00 0591106 STENT COV W 1605X-2087 5,538.00 0591107 STENT COV W 2087X-2714 7,203.00 0591108 STENT COV W 2714X-3529 9,366.00 0591109 STENT COV W 949X-1234 3,276.00 0591110 STENT NCOV W 431X-561 1,488.00 0591111 STENT NCOV W 561X-730 1,938.00 0591112 VASC CLOSE DVC 150X-195 606.00 0591117 MORCELLATOR 1234X-1605 4,260.00 0591118 CATH PTA DC 949X-1234 3,276.00 0591119 CATH GUIDING 1605X-2087 5,538.00 0591265 FILTER VENA CAV 949X-1234 3,276.00

0591266 CATH THROM EMB 1234X-1605 4,260.00 0591267 CATH PTA NLASR 254X-331 879.00 0591389 CONN TISS NHUM 1234X-1605 4,260.00 0591390 FILTER VENA CAV 730X-949 2,520.00 0591561 CATH GUIDING 431X-561 1,488.00 0591562 CATH OCCLUSION 39X-51 180.00 0591563 CATH OTHER 331X-431 1,143.00 0591564 CATH PTA NLASR 30X-39 140.00 0591565 FILTER VENA CAV 730X-949 2,520.00 0591566 ICD NOT S/D 12199X-13419 38,427.00 0591567 INST/SUPP NONST 431X-561 1,488.00 0591568 INTRO EP STEER 561X-730 1,938.00 0591569 INTRO SHTH OTH 331X-431 1,143.00 0591570 LEAD LT VENTRC 1234X-1605 4,260.00 0591571 NON JOINT IMP 17X-23 100.00 0591572 PACEMKR DUAL RR2087X-2714 7,203.00 0591573 PACEMKR OTHR 3529X-4588 12,177.00 0591574 PACEMKR OTHR 7755X-10082 26,757.00 0591575 PACEMKR OTHR 10082X-11090 31,758.00 0591576 STENT COV W 3529X-4588 12,177.00 0591577 STENT COV W 7755X-10082 26,757.00 0591578 STENT NCOV WO 949X-1234 3,276.00 0591579 STENT NONCOR W 88X-115 408.00 0591580 VASCULAR IMP 1234X-1605 4,260.00 0591581 VASCULAR IMP 1605X-2087 5,538.00 0592134 BONE SUBSTITUTE 88X-115 459.00 0592857 CATH EP 3DVECT 8,100.00 0592950 JOINT DEVICE 13X-17 75.00 0594615 ALLODERM 2X4 431X-561 1,488.00 0594616 ALLODERM 8X16 3529X-4588 12,177.00 0594617 CATH DIALYSIS ST 115X-150 466.00 0594618 CATH DRAINAGE 51X-67 236.00 0594619 CATH DRAINAGE 561X-730 1,938.00 0594620 CATH GUIDING 13X-17 75.00 0594621 CATH GUIDING 17X-23 100.00 0594622 CATH GUIDING 30X-39 140.00 0594623 CATH INFUSION 13X-17 75.00 0594624 CATH INFUSION 23X-30 108.00 0594625 CATH OTHER 195X-254 788.00 0594626 CATH THROM EMB 30X-39 140.00 0594627 DERMACELL 8X16 3529X-4588 12,177.00 0594628 EXPANDER TISS 1234X-1605 4,260.00 0594629 EXTERN FIXATION 730X-949 2,520.00 0594630 EYE IMPLANT 67X-88 312.00 0594631 GASTRO IMP 51X-67 236.00 0594632 GASTRO IMP 67X-88 312.00 0594633 GASTRO IMP 88X-115 408.00 0594634 GASTRO IMP 115X-150 466.00 0594635 INST/SUPP NONST 23X-30 108.00 0594636 INTRO EP FC NPL 254X-331 879.00 0594637 INTRO EP FC PEEL 51X-67 236.00 0594638 INTRO SHTH OTH <10 25.00 0594639 INTRO SHTH OTH 13X-17 75.00

0594640 INTRO SHTH OTH 51X-67 236.00 0594641 NON JOINT IMP 23X-30 108.00 0594642 SHUNT IMPLANT 949X-1234 3,276.00 0594643 STENT COV W 2087X-2714 7,203.00 0594644 STENT COV W 2714X-3529 9,366.00 0594645 STENT NCOV W 1605X-2087 5,538.00 0594646 STENT NCOV W 2087X-2714 7,203.00 0594647 STENT NONCOR W 51X-67 236.00 0594648 STENT NONCOR W 88X-115 408.00 0594649 STENT NONCOR W 115X-150 466.00 0594650 STENT NONCOR W 195X-254 788.00 0594651 VASCULAR IMP 67X-88 312.00 0594652 VASCULAR IMP 150X-195 606.00 0594653 VASCULAR IMP 254X-331 879.00 0594654 VASCULAR IMP 431X-561 1,488.00 0594655 VASCULAR IMP 730X-949 2,520.00 0594656 CATH ATHR DIR 2087X-2714 7,203.00 0594657 CATH DIALYS LT 195X-254 788.00 0594658 CATH DIALYS LT 254X-331 879.00 0594659 CATH DIALYS LT 331X-431 1,143.00 0594660 CATH DIALYS LT 67X-88 312.00 0594661 CATH DIALYSIS ST 115X-150 466.00 0594662 CATH DIALYSIS ST 195X-254 788.00 0594663 CATH DIALYSIS ST 254X-331 879.00 0594664 CATH DIALYSIS ST 39X-51 180.00 0594665 CATH DIALYSIS ST 67X-88 312.00 0594666 CATH DIALYSIS ST 88X-115 408.00 0594667 CATH DRAINAGE <10 25.00 0594668 CATH DRAINAGE 10-13 60.00 0594669 CATH DRAINAGE 150X-195 606.00 0594670 CATH DRAINAGE 17X-23 100.00 0594671 CATH DRAINAGE 195X-254 788.00 0594672 CATH DRAINAGE 254X-331 879.00 0594673 CATH DRAINAGE 51X-67 236.00 0594674 CATH DRAINAGE 561X-730 1,938.00 0594675 CATH DRAINAGE 67X-88 312.00 0594676 CATH DRAINAGE 730X-949 2,520.00 0594677 CATH GUIDING 13X-17 75.00 0594678 CATH INFUSION 10-13 60.00 0594679 CATH INFUSION 13X-17 75.00 0594680 CATH INFUSION 17X-23 100.00 0594681 CATH INFUSION 23X-30 108.00 0594682 CATH INFUSION 331X-431 1,143.00 0594683 CATH INFUSION 431X-561 1,488.00 0594684 CATH INFUSION 51X-67 236.00 0594685 CATH INFUSION 67X-88 312.00 0594686 CATH NONVAS DIL 150X-195 606.00 0594687 CATH NONVAS DIL 195X-254 788.00 0594688 CATH NONVAS DIL 254X-331 879.00 0594689 CATH NONVAS DIL 561X-730 1,938.00 0594690 CATH NONVAS DIL1605X-2087 5,538.00 0594691 CATH OCCLUSION 254X-331 879.00 0594692 CATH OTHER 10-13 60.00

0594693 CATH OTHER 150X-195 606.00 0594694 CATH OTHER 17X-23 100.00 0594695 CATH OTHER 30X-39 140.00 0594696 CATH OTHER 39X-51 180.00 0594697 CATH OTHER 51X-67 236.00 0594698 CATH OTHER 88X-115 408.00 0594699 CATH PTA NLASR 331X-431 1,143.00 0594700 CATH PTA NLASR 431X-561 1,488.00 0594701 CATH SUPRAPUBIC 13X-17 75.00 0594702 CATH SUPRAPUBIC 39X-51 180.00 0594703 CATH SUPRAPUBIC 51X-67 236.00 0594704 CATH THROM EMB 30X-39 140.00 0594705 CATH THROM EMB 39X-51 180.00 0594706 CATH THROM EMB 51X-67 236.00 0594707 CATH THROM EMB 67X-88 312.00 0594708 CATH URETERAL <10 25.00 0594709 CATH URETERAL 10-13 60.00 0594710 CATH URETERAL 17X-23 100.00 0594711 CATH URETERAL 23X-30 108.00 0594712 CATH URETERAL 51X-67 236.00 0594713 EMB PROTCT SYS 1605X-2087 5,538.00 0594714 ENT IMPLANT 10-13 60.00 0594715 ENT IMPLANT 17X-23 100.00 0594717 GUIDEWIRE 23X-30 108.00 0594718 GUIDEWIRE 331X-431 1,143.00 0594719 INST/SUPP STERL 10-13 60.00 0594720 INST/SUPP STERL 115X-150 466.00 0594721 INST/SUPP STERL 431X-561 1,488.00 0594722 INST/SUPP STERL 51X-67 236.00 0594723 INST/SUPP STERL 561X-730 1,938.00 0594724 INST/SUPP STERL 67X-88 312.00 0594725 INST/SUPP STERL 730X-949 2,520.00 0594726 INST/SUPP STERL 949X-1234 3,276.00 0594727 INST/SUPP STERL1234X-1605 4,260.00 0594728 INST/SUPP STERL2087X-2714 7,203.00 0594729 INTRO EP FC NPL 254X-331 879.00 0594730 INTRO EP FC PEEL 23X-30 108.00 0594731 INTRO EP FC PEEL 39X-51 180.00 0594732 INTRO EP FC PEEL 51X-67 236.00 0594733 KIT/PACK DISP 150X-195 606.00 0594734 KIT/PACK DISP 195X-254 788.00 0594735 KIT/PACK DISP 254X-331 879.00 0594736 KIT/PACK DISP 331X-431 1,143.00 0594737 KIT/PACK DISP 561X-730 1,938.00 0594738 KIT/PACK DISP 67X-88 312.00 0594739 PORT INDWELL 150X-195 606.00 0594740 PORT INDWELL 195X-254 788.00 0594741 PORT INDWELL 254X-331 879.00 0594742 PORT INDWELL 331X-431 1,143.00 0594743 PORT INDWELL 431X-561 1,488.00 0594744 STENT NCOV W 1605X-2087 5,538.00 0594745 CATH ATHR DIR 2087X-2714 7,203.00 0594746 CATH ATHR DIR 2714X-3529 9,366.00

0594747 CATH ATHR ROT 2714X-3529 9,366.00 0594748 CATH DIALYS LT 67X-88 312.00 0594749 CATH DIALYS LT 195X-254 788.00 0594750 CATH DIALYS LT 254X-331 879.00 0594751 CATH DIALYS LT 331X-431 1,143.00 0594752 CATH DIALYSIS ST 39X-51 180.00 0594753 CATH DIALYSIS ST 67X-88 312.00 0594754 CATH DIALYSIS ST 88X-115 408.00 0594755 CATH DIALYSIS ST 115X-150 466.00 0594756 CATH DIALYSIS ST 195X-254 788.00 0594757 CATH DRAINAGE <10 25.00 0594758 CATH DRAINAGE 10-13 60.00 0594759 CATH DRAINAGE 17X-23 100.00 0594760 CATH DRAINAGE 23X-30 108.00 0594761 CATH DRAINAGE 51X-67 236.00 0594762 CATH DRAINAGE 67X-88 312.00 0594763 CATH DRAINAGE 115X-150 466.00 0594764 CATH DRAINAGE 150X-195 606.00 0594765 CATH DRAINAGE 195X-254 788.00 0594766 CATH DRAINAGE 254X-331 879.00 0594767 CATH DRAINAGE 561X-730 1,938.00 0594768 CATH DRAINAGE 730X-949 2,520.00 0594769 CATH GUIDING 13X-17 75.00 0594770 CATH GUIDING 17X-23 100.00 0594771 CATH GUIDING 30X-39 140.00 0594772 CATH GUIDING 39X-51 180.00 0594773 CATH GUIDING 115X-150 466.00 0594774 CATH GUIDING 150X-195 606.00 0594775 CATH GUIDING 254X-331 879.00 0594776 CATH GUIDING 331X-431 1,143.00 0594777 CATH INFUSION 10-13 60.00 0594778 CATH INFUSION 13X-17 75.00 0594779 CATH INFUSION 17X-23 100.00 0594780 CATH INFUSION 23X-30 108.00 0594781 CATH INFUSION 39X-51 180.00 0594782 CATH INFUSION 51X-67 236.00 0594783 CATH INFUSION 67X-88 312.00 0594784 CATH INFUSION 115X-150 466.00 0594785 CATH INFUSION 331X-431 1,143.00 0594786 CATH INFUSION 431X-561 1,488.00 0594787 CATH NONVAS DIL 150X-195 606.00 0594788 CATH NONVAS DIL 195X-254 788.00 0594789 CATH NONVAS DIL 254X-331 879.00 0594790 CATH NONVAS DIL 561X-730 1,938.00 0594791 CATH NONVAS DIL1605X-2087 5,538.00 0594792 CATH OCCLUSION 254X-331 879.00 0594793 CATH OTHER 10-13 60.00 0594794 CATH OTHER 13X-17 75.00 0594795 CATH OTHER 17X-23 100.00 0594796 CATH OTHER 23X-30 108.00 0594797 CATH OTHER 30X-39 140.00 0594798 CATH OTHER 39X-51 180.00 0594799 CATH OTHER 51X-67 236.00

0594800 CATH OTHER 67X-88 312.00 0594801 CATH OTHER 88X-115 408.00 0594802 CATH OTHER 115X-150 466.00 0594803 CATH OTHER 150X-195 606.00 0594804 CATH OTHER 195X-254 788.00 0594805 CATH OTHER 949X-1234 3,276.00 0594806 CATH PTA NLASR 88X-115 408.00 0594807 CATH PTA NLASR 115X-150 466.00 0594808 CATH PTA NLASR 150X-195 606.00 0594809 CATH PTA NLASR 195X-254 788.00 0594810 CATH PTA NLASR 254X-331 879.00 0594811 CATH PTA NLASR 331X-431 1,143.00 0594812 CATH PTA NLASR 431X-561 1,488.00 0594813 CATH PTA NLASR 730X-949 2,520.00 0594814 CATH PTA NLASR 949X-1234 3,276.00 0594815 CATH SUPRAPUBIC 13X-17 75.00 0594816 CATH SUPRAPUBIC 39X-51 180.00 0594817 CATH SUPRAPUBIC 51X-67 236.00 0594818 CATH THROM EMB 30X-39 140.00 0594819 CATH THROM EMB 39X-51 180.00 0594820 CATH THROM EMB 51X-67 236.00 0594821 CATH THROM EMB 67X-88 312.00 0594822 CATH THROM EMB 1234X-1605 4,260.00 0594823 CATH URETERAL <10 25.00 0594824 CATH URETERAL 10-13 60.00 0594825 CATH URETERAL 17X-23 100.00 0594826 CATH URETERAL 23X-30 108.00 0594827 CATH URETERAL 51X-67 236.00 0594828 INST/SUPP STERL 10-13 60.00 0594829 INST/SUPP STERL 13X-17 75.00 0594830 INST/SUPP STERL 17X-23 100.00 0594831 INST/SUPP STERL 23X-30 108.00 0594832 INST/SUPP STERL 30X-39 140.00 0594833 INST/SUPP STERL 39X-51 180.00 0594834 INST/SUPP STERL 51X-67 236.00 0594835 INST/SUPP STERL 67X-88 312.00 0594836 INST/SUPP STERL 88X-115 408.00 0594837 INST/SUPP STERL 115X-150 466.00 0594838 INST/SUPP STERL 150X-195 606.00 0594839 INST/SUPP STERL 195X-254 788.00 0594840 INST/SUPP STERL 254X-331 879.00 0594841 INST/SUPP STERL 331X-431 1,143.00 0594842 INST/SUPP STERL 431X-561 1,488.00 0594843 INST/SUPP STERL 561X-730 1,938.00 0594844 INST/SUPP STERL 730X-949 2,520.00 0594845 INST/SUPP STERL 949X-1234 3,276.00 0594846 INST/SUPP STERL1234X-1605 4,260.00 0594847 INST/SUPP STERL2087X-2714 7,203.00 0594848 KIT/PACK DISP 115X-150 466.00 0594849 KIT/PACK DISP 195X-254 788.00 0594850 PORT INDWELL 150X-195 606.00 0594851 PORT INDWELL 195X-254 788.00 0594852 PORT INDWELL 254X-331 879.00

0594853 PORT INDWELL 331X-431 1,143.00 0594854 PORT INDWELL 431X-561 1,488.00 0594858 CATH INFUSION <10 25.00 0594861 TISSUE MARKER 67X-88 312.00 0594862 RETRV FRAC DVC 431X-561 1,488.00 0594863 RETRV FRAC DVC 1234X-1605 4,260.00 0594866 AMNIOTIC MEM EYE 730X-949 2,520.00 0594869 CATH INFUSION <10 25.00 0594870 CATH INFUSION <10 25.00 0596057 CORNEAL TIS PRO 331X-431 1,372.00 0596058 CATH INTVAS US 949X-1234 3,276.00 0596059 VASCULAR IMP 195X-254 788.00 0596239 LEAD PMKR NO VDD 431X-561 1,488.00 0596636 GUIDEWIRE 730X-949 2,520.00 0596637 ACTISHIELD TIS 1608X-2087 5,538.00 0596861 GUIDEWIRE <10 25.00 0596862 LEAD ICD OTHER 3529X-4588 12,177.00 0596863 ICD SINGLE 17861X-19647 56,262.00 0596864 CATH PTA DC 1234X-1605 4,260.00 0599341 SKIN SUBST 1605X-2087 5,538.00 0599408 VASCULAR IMP 67X-88 312.00 0599409 CATH DIALYSIS ST 150X-195 606.00 0599410 CATH NONVAS DIL 331X-431 1,143.00 0599416 CATH INTVAS US 1234X-1605 4,260.00 0599450 ORTHO L0810 2714X-3529 9,366.00 0599451 ORTHO L0859 949X-1234 3,276.00 0599452 ORTHO L0861 150X-195 606.00 0599453 IOL PRESBYOPIA 88X-115 408.00 0599454 SHUNT IMPLANT 195X-254 788.00 0599455 CATH DIALYS LT 150X-195 606.00 0599456 BMWD 4X5IN 3529X-4588 11,510.31 0599457 BMWD 2X2IN 2087X-2714 6,601.14 0599458 FLEXHD 8X16CM 3529X-4588 12,177.00 0599459 EXPANDER TISS 1605X-2087 5,538.00 0599460 STENT NONCOR WO 254X-331 879.00 0599461 IOL PRESBYOPIA 150X-195 606.00 0599462 EYE IMPLANT 561X-730 1,938.00 0599463 BULK AGENT UR 1ML331X-431 1,143.00 0599464 CATH NONVAS DIL 949X-1234 3,276.00 0599465 SHUNT IMPLANT 2714X-3529 9,366.00 0599466 CATH ATHR ROT 2714X-3529 9,366.00 0599467 CATH OTHER 431X-561 1,488.00 0599468 CONN TISS HUM13419X-14761 42,270.00 0599469 ANCHOR/SCREW 7755X-10082 26,757.00 0599470 ANCHOR/SCREW 3529X-4588 12,177.00 0599471 PENILE INFLAT 1605X-2087 5,538.00 0599472 INTRO SHTH OTH 561X-730 1,938.00 0599474 FLEXHD 8X16CM 2087X-2714 7,203.00 0599475 FLEXHD 11X20CM 5965X-7755 20,580.00 0599476 FLEXHD 11X20CM 3529X-4588 12,177.00 0599477 STRATT 10X10 2087X-2714 7,203.00 0599478 NON JOINT IMP 10-13 60.00 0599479 EXPANDER TISS 1605X-2087 5,538.00

0599480 CLOSURE EXTERN 30X-39 140.00 0599481 NON JOINT IMP 7755X-10082 26,757.00 0599482 CATH EP 3DVECT 1234X-1605 4,260.00 0599483 CORNEAL TIS PRO2714X-3529 9,834.00 0599484 IOL POSTERIOR 150X-195 606.00 0599485 CYTAL WND 5X5 561X-730 1,938.00 0599486 STRATT 10X16 2714X-3529 9,366.00 0599487 SKIN SUBST 949X-1234 3,276.00 0599488 SKIN SUBST 730X-949 2,520.00 0599489 SKIN SUBST 1234X-1605 4,260.00 0599490 SKIN SUBST 2087X-2714 7,203.00 0599491 TRACH SPEAK VLVE 88X-115 408.00 0599492 ORTHO L4350 13X-17 75.00 0599493 ORTHO L0174 30X-39 140.00 0599494 LEAD LT VENTRC 730X-949 2,520.00 0599495 LEAD PMKR NO VDD254X-331 879.00 0599496 CATH GUIDING 561X-730 1,938.00 0599497 CATH GUIDING 88X-115 408.00 0599498 CATH GUIDING 67X-88 312.00 0599499 ICD NOT S/D 23772X-26149 74,883.00 0599500 STENT NCOV W 254X-331 879.00 0599501 MESH IMP 2714X-3529 9,366.00 0599502 LEAD ICD SNGL 2087X-2714 7,203.00 0599503 RETRV FRAC DVC 949X-1234 3,276.00 0599504 CONN TISS NHUM 2714X-3529 9,366.00 0599505 CONN TISS NHUM 730X-949 2,520.00 0599506 CONN TISS HUM 431X-561 1,488.00 0599507 CATH THROM EMB 88X-115 408.00 0599508 CATH THROM EMB 23X-30 108.00 0599509 CATH DIALYSIS ST 150X-195 606.00 0599510 CATH DIALYS LT 949X-1234 3,276.00 0599511 CATH DRAINAGE 13X-17 75.00 0599512 CATH NONVAS DIL2714X-3529 9,366.00 0599513 CATH PTA NLASR 67X-88 312.00 0599514 NEEDLE BRACHY 39X-51 180.00 0599515 BONE SUBSTITUTE 51X-67 236.00 0599516 ENT IMPLANT 730X-949 2,520.00 0599517 STENT COV W 17861X-19647 56,262.00 0599518 CLOSURE EXTERN 254X-331 879.00 0599519 VASCULAR IMP 51X-67 236.00 0599520 GASTRO IMP 23X-30 108.00 0599521 SHUNT IMPLANT 4588X-5965 15,831.00 0599522 NON JOINT IMP 5965X-7755 20,580.00 0599523 EXTERN FIXATION 30X-39 140.00 0599524 ORTHO L3650 23X-30 108.00 0599525 ORTHO L0999 13X-17 75.00 0599526 SKIN SUBST 949X-1234 3,450.00 0599527 BN STRIP 15CC 949X-1234 3,276.00 0599528 CONN TISS NHUM 254X-331 879.00 0599529 AMNIOEXCEL 4X4 949X-1234 3,276.00 0599530 AMNIOEXCEL 4X8 1234X-1605 4,260.00 0599531 PENILE NONINFL 5965X-7755 20,580.00 0599965 CONN TIS NHUM11090X-12199 34,935.00

0599970 LEAD ICD SNGL 3529X-4588 12,177.00 0599971 LEAD LT VENTRC 3529X-4588 12,177.00 0599972 ICD NOT S/D 26149X-28764 82,371.00 0599986 INST/SUPP NONST 88X-115 408.00 0599988 LEAD PMKR NO VDD 331X-431 1,143.00 0599989 CATH GUIDING 10-13 60.00 0599997 PACEMKR OTHR 5965X-7755 20,580.00 0599998 CATH INFUSION 115X-150 466.00 0599999 CATH DRAINAGE 30X-39 140.00 0600001 RL-A-HA LMW 30144 11.65 0600002 RL-A-HA UN 30143 11.65 0600003 RL-A-HGB FETAL QL 6.59 0600004 RL-A-CALCITONIN 29.16 0600005 CREATININE FLD 199.00 0600015 C-REACTIVE PROTEIN 131.00 0600627 B TYPE BNP 283.00 0600643 RL-A-VONWILNBRN RIST CO-F 24.98 0600650 RL-A-VONWILLEBRAND AG 24.98 0600668 RL-A-CHLAMYDIA DFA 31.26 0600676 RL-A-BHCG TM 70029 13.32 0600684 RL-A-CALCITONIN 29.16 0600685 RL-A-ENCEPHCSF 2008916A 10.41 0600686 RL-A-ENCEPHCSF 2008916B 11.59 0600687 RL-A-ENCEPHCSF 2008916C 11.45 0600688 RL-A-ENCEPHCSF 2008916D 11.38 0600689 RL-A-ENCEPHCSF 2008916E 18.34 0600690 RL-A-ENCEPHCSF 2008916F 15.66 0600791 RL-A-PATIENT UE 3 14.00 0600809 RL-A-PATIENT HCG 6.77 0610022 SED RATE RBC NON AUTO 141.00 0610048 RETICULOCYTE AUTO 186.00 0610055 EOSINOPHIL ABSOL AUTO 232.00 0610063 BLOOD SMEAR MAN DIFF 190.00 0610071 SMEAR NASAL EOS 73.00 0610113 UA MICRO ONLY 119.00 0610162 HGB F KLEIHAUER-BETKE 348.00 0610170 SICKLE CELL RBC 119.00 0610220 RL-A-LEUKOCYTE ALK PHOSP 9.50 0610303 CELL CT FLUID W/DIFF 278.00 0610394 PH UR 100.00 0610402 SEMEN ANALYSIS COMP 343.00 0610410 SEMEN ANALYS W/O HUHN 148.00 0610519 CBC AUTO W/O DIFF 179.00 0610535 SMEAR WBC STOOL 145.00 0610584 PLATELET AUTO 106.00 0610600 BIOPSY(IES)BONE MARROW DX 1,755.00 0610857 UA AUTO W/MICRO 208.00 0611004 PROTHROMBIN TIME 180.00 0611012 PARTIAL THROMBO TIME 184.00 0611046 FIBRINOGEN ACTIVITY 283.00 0611053 THROMBIN TIME PLASMA 142.00 0611061 D-DIMER QL/SEMIQT 244.00 0611079 FDP FSP PARACOAG 152.00

0611111 BLEEDING TIME 119.00 0612002 UA AUTO W/O MICRO 25.00 0612010 UA NONAUTO W/O MICRO 150.00 0612028 PREG URINE VISUAL 185.00 0612077 OCCULT BLOOD OTHER QL 107.00 0612127 PH BODY FLUID NOS 100.00 0613935 CRYSTAL ID LT MICROSC 119.00 0614032 SPEC GRAV NON URINE 66.00 0617423 RETICULOCYTE MANUAL 152.00 0617605 RBC WBC OR PLT MANL 96.00 0617696 D-DIMER ULTRA QL/SQ 281.00 0617787 CBC W/AUTO DIFF 209.00 0620013 CULT BLOOD 487.00 0620021 CULT UR W/COLONY CNT 321.00 0620039 SUSCEPT MIC PER PLATE 367.00 0620047 SMEAR GRAM/GEIMSA 145.00 0620054 SMEAR WET MOUNT INFECT 150.00 0620062 SMEAR INDIA INK 150.00 0620070 SMEAR CRYPTOSPORIDIUM 141.00 0620120 SMEAR ACID FAST/FLUOR 141.00 0620153 O&P CONCENT & ID 316.00 0620161 OCC BLD FEC QL 3 SPEC 106.00 0620179 FAT LIPIDS FECES QL 208.00 0620211 PARTICLE AGG SCRN CSF 279.00 0620252 CULT SCRN GC 185.00 0620302 CULT SCR STREP 185.00 0620393 CULT STOOL VIBRIO 190.00 0620427 CULT STOOL YERSINIA 190.00 0620609 CULT STOOL SALM/SHIG 282.00 0620625 CULT NOSE/THROAT 392.00 0620740 SMEAR SPUTUM PRIM SRC 145.00 0620757 CULT AEROBIC OTHER QN 144.00 0620765 HOMOGENIZATION TISSUE 152.00 0620781 IA POLYVAL MULT ORG QL EA 150.00 0620799 FETAL FIBRONECTIN 666.00 0620856 CULT AEROBIC ID 150.00 0620872 PH STOOL 100.00 0620880 UA QL/SEMIQT RED SUB 148.00 0621029 SUSCEPT MACROTUBE 50.00 0622266 CULT BODY FLUID 392.00 0622472 IA RESP SYNCYTIAL VIR QL 247.00 0622530 CULT ANAEROBIC ID 209.00 0622548 CULT FUNGUS ID YEAST 165.00 0622597 CULTURE OTHER SOURCE 392.00 0622605 SUSCPT DISK PER 1-12 332.00 0622662 CULT THROAT 392.00 0623603 LEUKOCYTE COUNT FECAL 127.00 0624098 CULTURE STOOL CAMPY 190.00 0624171 CULTURE BACTERIA ANAERO 173.00 0630004 ACETONE/KETONES QL 208.00 0630012 ALBUMIN SERUM/PLASMA/BLD 99.00 0630020 ALCOHOLS 272.00 0630038 AMYLASE 226.00

0630046 AMYLASE UR 226.00 0630061 CARBON DIOXIDE 169.00 0630079 BILIRUBIN TOTAL 133.00 0630087 BILIRUBIN DIRECT 144.00 0630129 CALCIUM TOT SER/FLD 193.00 0630145 CARBAMAZEPINE TOTAL 338.00 0630152 CHLORIDE BLOOD 150.00 0630160 CHLORIDE URINE 153.00 0630178 CHLORIDE FLD 77.00 0630186 CHOLESTEROL TOTAL 185.00 0630210 CPK TOTAL 196.00 0630244 CREATININE BLOOD 129.00 0630251 CREATININE UR 199.00 0630269 CREATININE CLEARANCE 307.00 0630277 PHENYTOIN TOTAL 297.00 0630293 GGT/GGTP 119.00 0630301 GLUCOSE BLOOD 145.00 0630335 GLUCOSE BODY FLUID 148.00 0630350 LACTOSE TOL 3 SPEC 237.00 0630368 GTT ADD SPECIMEN 78.00 0630400 IRON 167.00 0630426 IRON BINDING CAPACITY 258.00 0630442 LACTATE DEHYDRO (LDH) 188.00 0630459 LDH FLD 188.00 0630491 LIPASE 233.00 0630525 MAGNESIUM 190.00 0630558 PHOSPHATASE ALKALINE 119.00 0630574 OSMOLALITY BLOOD 233.00 0630582 PHOSPHORUS 144.00 0630608 POTASSIUM SERUM 190.00 0630616 POTASSIUM UR 192.00 0630624 POTASSIUM SERUM 190.00 0630632 POTASSIUM UR 192.00 0630640 PROTEIN TOTAL OTHER 171.00 0630665 PHENOBARBITAL 300.00 0630681 SALICYLATE 1 OR 2 317.00 0630699 AST/SGOT 140.00 0630707 ALT/SGPT 119.00 0630715 SODIUM SERUM/BLD/PLASMA 137.00 0630723 SODIUM URINE 199.00 0630764 TRIGLYCERIDES 114.00 0630780 UREA NITROGEN BLOOD 126.00 0630798 UREA NITROGEN URINE 135.00 0630806 URIC ACID BLOOD 129.00 0630848 VANCOMYCIN 356.00 0630889 OBSTETRIC PANEL 304.00 0630897 OSMOLALITY URINE 207.00 0631010 DIGOXIN TOTAL 354.00 0631028 THYROID STIM HORMONE 282.00 0631036 THYROXINE TOTAL 142.00 0631085 FERRITIN 282.00 0631200 AMMONIA 318.00 0631291 CHOLESTEROL HDL 162.00

0631333 THEOPHYLLINE 218.00 0631473 PHOSPHATASE ALKALINE 119.00 0631580 GENTAMICIN 354.00 0631598 HCG QN 393.00 0631655 ACETAMINOPHEN 1 OR 2 289.00 0631754 SODIUM OTHER 169.00 0631762 GLUCOSE POST DOSE 192.00 0632059 BARBITURATES 182.00 0632372 CPK MB ONLY 233.00 0632422 CANNABINOIDS NATURAL 145.00 0632869 AMYLASE FLD 226.00 0633024 LIPID PANEL 470.00 0633750 HEPATIC FUNC PANEL 383.00 0633768 BASIC METABOLIC PANEL 684.00 0633784 COMP METABOLIC PANEL 793.00 0633818 RENAL FUNCTION PANEL 502.00 0633941 TROPONIN QN 526.00 0633958 GTT 1ST 3 SPEC 480.00 0633966 DRUG SCR DEF 8CL QL HIGH 595.00 0633974 RL-A-DRVVT PAT 10.58 0636069 GENERAL HEALTH PANEL 1,199.00 0636704 ELECTROLYTE PANEL 553.00 0636969 RL-A-LYMPH NK-CEL ABS CT 93.64 0636977 RL-A-LYMPH CD4-CD8 RATIO 70.75 0636985 RL-A-LYMPH% CD4 70.75 0636993 RL-A-GC1AABLGG ELSA 14.31 0637017 RL-A-GD 1A AB 1GM ELISA 14.31 0637033 RL-A-GD 1B AB 1GM ELISA 14.31 0637041 RL-A-SGPC AB 1GM 8.69 0637058 RL-A-MAG AB 1 GM 8.69 0637066 RL-A-GQ 1B AB 1GG 14.31 0637074 RL-A-IMMUNOGLOBULIN G CSF 6.08 0637090 RL-A-ALB CSF 50200 2.83 0637108 RL-A-PHENYTOIN TOTL 12.29 0637116 RL-A-PHENYTOIN FREE 14.98 0637124 RL-A-PRIMIDONE LEVEL 28.65 0637140 RL-A-RCKY MTN SPOT FEVER 21.07 0637157 RL-A-RCKY MTN SPT FVR 1GM 21.07 0637165 RL-A-RUBELLA AB 1GG 12.93 0637173 RL-A-RUBEIGM 50551 12.93 0637181 RL-A-PNEUMOCAL SERO1 IGG 16.58 0637199 RL-A-PNEUMOC SERO 3 IGG 16.58 0637207 RL-A-PNEUMO SERO 4 IGG 16.58 0637215 RL-A-PNEUM SERO 5 IGG 16.58 0637223 RL-A-PNEUM SERO 6B IGG 16.58 0637231 RL-A-PNEUMO SERO 7F IGG 16.58 0637249 RL-A-PNEUMO SERO 8 IGG 16.58 0637256 RL-A-PNUMOC SERO 9N IGG 16.58 0637264 RL-A-PNEUMO SERO 9V IGG 16.58 0637272 RL-A-PNEUMO SERO 12F IGG 16.58 0637280 RL-A-PNEUMO SERO 14 IGG 16.58 0637298 RL-A-PNEUMO SERO 18C IGG 16.58 0637306 RL-A-PNEUMO SERO 19F AGG 16.58

0637314 RL-A-PNEUMO SERO 23F IGG 16.58 0637389 RL-A-STRIATED MUS AB IGG 10.87 0643007 SYPHIL VDRL/RPR QL 135.00 0643098 COLD AGGLUTININ TITER 219.00 0643197 HEMOLYSINS/AGGLUTININS 132.00 0643643 HCG PREG QL 221.00 0644005 RL-A-CHOLINESTERASE RBC 8.50 0644013 RL-A-DRUG SCREEN GASTRIC 15.79 0644021 ACETONE/KETONES QN 88.00 0644047 RL-A-PTT-D CORR REFLEX 7.16 0644054 RL-A-PLATELET NEUTRALIZTN 19.57 0644062 RL-A-DRVVT COR 7.16 0644070 RL-A-DRVVT CONFIRMATION 10.58 0644096 RL-A-LYME G WSTN BLOT REF 16.86 0644104 RL-A-LYME M WB 50253 16.86 0644112 RL-A-ABS CD19 23.28 0644120 RL-A-ABS CD3 ADD MARKER 23.28 0644138 RL-A-ABS CD8 ADD MARKER 23.28 0644146 RL-A-METHAQUALONE LEVEL 148.00 0644153 RL-A-METHEMALBUMIN 102.00 0644179 RL-A-PRT THROMPLST 1:1 MX 7.05 0644195 RL-A-PHENCYCLIDINE LEVEL 107.85 0644203 RL-A-PHENCYCLIDINE URINE 107.85 0644211 RL-A-PHENSUXIMIDE LEVEL 96.00 0644229 RL-A-TOTAL PROTEIN CSF 3.39 0644237 RL-A-PROTEIN-ELECTRP CSF 19.81 0644245 RL-A-QF G 1/2 2012625 13.40 0644252 RL-A-Q FVR AB PASE II IGG 13.40 0644260 SYPHIL VDRL/RPR QN 165.00 0644294 NH-RHEUMATOID FACTOR QN 87.00 0644302 RL-A-SECOBARBITAL LEVEL 12.66 0644310 RL-A-BARB UR 2012213 12.66 0644328 RL-A-TBG 70410 16.10 0644336 URINE VOLUME MEASURE 74.00 0644344 ALBUMIN OTHER SRC QN 99.00 0644351 RL-A-MYOCARDL AB IGG TTR 10.87 0644369 RL-A-CK ISOENZYMES 17.90 0644377 RL-A-CK 20010 5.90 0644385 RL-A-QNT CYS U 81106 18.36 0644393 RL-A-VON WILLEBD MULTIMRC 90.92 0644401 RL-A-B PERTUSSIS AB IGA 14.36 0644427 RL-A-VIT A 80525 10.52 0644443 RL-A-VIP 99435 17.37 0644450 RL-A-RFLX IN PTMIX2003264 4.29 0644492 RL-A-HIV-1 RNA UPCR 76.33 0644500 RL-A-HTLV PAN 51164 14.02 0650002 NH-TOXO AB IGG 171.00 0650093 NH-ESTRADIOL 157.50 0650127 NH-CMV AB IGG 166.00 0650200 NH-ASO SCREEN 79.00 0650242 NH-ASO TITER 96.00 0650259 NH-FOLATE (FOLIC ACID) 177.50 0650283 NH-RHEUMATOID FACTOR QN 87.00

0650358 NH-PROGESTERONE 180.60 0650366 NH-ANA SCREEN 149.10 0650374 NH-C DIFFICILE (TOXIN) 180.60 0650390 NH-TESTOSTERONE 211.00 0650408 NH-ANA TITER 149.10 0650416 NH-CRYPTOCOCCAL AG 196.00 0650440 NH-ANTI-DNA SCREEN 158.00 0650473 NH-ALPHA-FETOPROTEIN 212.00 0650481 NH-ANTI-DNA TITER 158.00 0650515 NH-THYROID STM HORMN 282.00 0650523 NH-C3 COMPLEMENT 141.00 0650564 NH-C4 COMPLEMENT 141.00 0650606 NH-TOTAL COMPLEMENT 227.00 0650614 NH-VITAMIN B-12 180.60 0650754 NH-CMV ANTIBODY IGM 197.00 0650762 NH-T UPTAKE (T3U) 88.00 0650796 HERPES I&II AB IGM - 0650838 NH-HERPES II AB IGM 166.00 0650861 NH-TOXOPLASMA AB IGM 171.00 0650986 NH-EBV CAPSID AG IGG 138.00 0651000 NH-EBV CAPSID AG IGM 182.00 0651018 NH-VARICELLA ZOSTER IGG 157.50 0651091 NH-BACTERIAL AB SINGL 123.00 0651158 NH-PREALBUMIN 177.45 0651166 NH-IGG 85.00 0651174 NH-IGM 85.00 0651182 NH-IGA 85.00 0651190 NH-HAPTOGLOBIN 156.50 0651208 NH-TRANSFERRIN 154.00 0651216 NH-URINE PROTEIN24H 59.00 0651240 OPIATE CONFIRM QUEST 154.00 0651265 PCP CONFIRM QUEST 154.00 0651398 NH-ADENOVIRUS AGDFA 88.00 0651406 NH-GARDIA ANTIGEN 172.00 0651422 NH-INFLUENZA AGDFA 88.00 0651430 NH-PARAINFLU AG DFA 88.00 0651497 NH-CHLAMYDIADNA PROBE 190.00 0651588 NH-FIBRIN MONOMER 101.00 0651596 NH-FUNGUS IDENTIF 77.00 0651646 NH-HB CORE ABIGM 149.10 0651687 NH-HAV ABTOTAL 144.00 0651729 NH-HAV ABIGM 142.80 0651745 NH-ROTOVIRUS AGEIA 150.00 0651760 NH-HB SURFACE AG 124.00 0651802 NH-HB SURFACE AB 137.55 0651844 NH-HB CORE AB 187.95 0651927 NH-HBSAG CONFIRM 124.00 0653048 NH-HCV(HEP C VIR AB) 174.30 0655068 VENIPUNCTURE NON LAB 68.00 0655266 NH-ANTI-SCL 70 182.00 0655290 NH-CSF VDRL QUANT 129.15 0655357 NH-ANTI-PCNA 182.00 0655647 NH-AMIKACIN 180.60

0656181 HEMOGLOBIN A1C 190.00 0657007 NH-FSH 156.00 0657015 NH-LH 156.00 0657023 NH-PROLACTIN 163.00 0658328 NH-AFB CULTURE 139.00 0658336 NH-AFB STAIN 75.00 0658344 NH-FUNGUS CULTURE 130.20 0660001 ABO 139.00 0660027 RH (D) 84.00 0660050 RBC AB SCR 149.00 0660084 AB ID RBC EACH PANEL 417.00 0660118 RBC PRETREAT ENZYME 123.00 0660126 COOMBS DIRECT 102.00 0660142 AG RBC NON ABO/RH EA 75.00 0660167 RBC AB ELUTION 333.00 0660191 RBC AB SCR 92.00 0660217 CROSSMATCH IMMED SPIN 198.00 0660308 RED CELLS PACKED EA 167.00 0660324 SPLITTING PRODUCT EA 74.00 0660407 FFP THAWING EA UNIT 256.00 0660423 CRYO THAWING 70.00 0660506 ABO 114.00 0660514 REF LAB HANDLING FEE 126.00 0660563 PRETRT SER RBC ID ABS 101.00 0660761 TRANSFUSION REACTION 887.00 0660779 TRANSFUSION REACTION 463.00 0660787 COOMBS INDIRECT TITER 185.00 0660803 RBC AB SCR 61.00 0661140 RHO(D) IMMUNE GLOB 300MCG 182.00 0661249 PHLEBOTOMY THERAPEUT 218.00 0662122 REF LAB HANDLING FEE 156.00 0662221 HGB F KLEIHAUER-BETKE 348.00 0667121 BLOOD PRODUCT POOL 123.00 0667162 BLOOD PRODUCT POOL 123.00 0667204 BLOOD PRODUCT POOL 123.00 0670042 RL-A-ACID HEMOLYSIN 60.00 0670059 RL-A-PAP 70120 10.52 0670067 RL-A-ACTH 70010 42.05 0670083 RL-A-VON WILLEBD FCTR RCF 24.98 0670125 RL-A-ALDOLASE 20012 8.73 0670133 RL-A-ALDOST 70015 44.37 0670158 RL-A-AFP TM 80428 12.03 0670166 RL-A-AL S 99266 19.72 0670174 RL-A-AMIKCIN 13.76 0670182 RL-A-AMINO ACID SCREEN 15.04 0670190 RL-A-AMINO ACID SCRN URN 15.04 0670216 RL-A-ALA U 80103 17.91 0670224 RL-A-AMIOD 90161 12.66 0670232 RL-A-AMIT/NORT 90158 34.77 0670240 RL-A-AMPHETAMINE&METHAMP 107.85 0670281 RL-A-ANDRO TMS 2001638 31.87 0670315 RL-A-ACE 80001 15.90 0670364 RL-A-AMPHETAMINE CONFIRM 107.85

0670380 RL-A-VON WILLEBRD FCTR AG 24.98 0670398 RL-A-FACTOR VIII C ACT 15.98 0670414 RL-A-DNA 50215 12.39 0670448 RL-A-ANTI-DNASE B AB 14.42 0670489 RL-A-ANTI-HISTNE AB LG G 8.69 0670521 AEROBIC CULT-ANTHRAX-QUES 117.00 0670570 RL-A-AMA 50065 8.69 0670588 RL-A-ANTI-NEUT CYT AB LGG 10.87 0670596 RL-A-ANTI-PARIETAL AB LGG 8.69 0670604 RL-A-PLT ABSCRN 51050 20.00 0670612 RL-A-RFLX BILL RETIC50279 10.87 0670638 RL-A-ANTI-SCL 70 AB 15.20 0670679 RL-A-STM R 50746 10.87 0670703 RL-A-ANA 50080 10.88 0670711 RL-A-APO A-1 50030 15.34 0670745 RL-A-APO B-100 50029 15.34 0670752 RL-A-ARS B 99045 20.66 0670760 REF LAB HANDLING FEE 127.00 0670778 RL-A-AS UF 20734 20.66 0670844 RL-A-BARBITURATES 107.85 0670885 RL-A-BENZODIAZEPINS CONF 107.85 0670927 RL-A-BETA 2 MICRO 14.70 0670935 RL-A-BILE AC 70189 14.75 0670985 RL-A-PNEUMST 60052 10.10 0671099 RL-A-BLASTO PPT 50172 14.05 0671123 RL-A-BROMIDE 2011436 12.66 0671131 RL-A-BRUC 50135 9.61 0671149 RL-A-CA125 80462 18.89 0671164 RL-A-CA-GI 80461 19.18 0671180 RL-A-CA-BREAST 80464 18.92 0671230 RL-A-C PEP 70103 18.15 0671248 RL-A-MC CDIF 60140 8.66 0671263 RL-A-CADMIUM U 25040 25.19 0671271 RL-A-IONCA S 20135 12.24 0671289 RL-A-CALCULI 99460 14.04 0671347 RL-A-CARO 80055 10.04 0671354 RL-A-CATE PF 80216 27.49 0671370 RL-A-CATE UF 80407 27.49 0671388 RL-A-CAN PPT 55565 13.07 0671404 RL-A-CERU 50160 11.70 0671453 RL-A-CHLORP 90870 13.04 0671487 RL-A-CHOLINESTERASE 9.60 0671503 RL-A-CITRIC U 20852 30.27 0671511 RL-A-CLONAZEPAM 24.05 0671529 RL-A-CMV IGG 50165 12.97 0671586 RL-A-CMV PCR 38.75 0671727 RL-A-CORT UF 97222 18.19 0671735 RL-A-COPPER 20096 13.51 0671750 RL-A-CRY CSF 50195 10.10 0671768 RL-A-CRYGB 50185 5.32 0671784 RL-A-CRYOGLOBULINS QUANT 5.32 0671800 RL-A-ETHOSUX 2010358 17.79 0671818 RL-A-CYCLOSPORINE A 16.21

0671842 RL-A-CYCLIC AMP PLASMA 24.00 0671909 RL-A-C1 125.00 0671925 RL-A-DESIPRAMIN 2011487 9.78 0671933 RL-A-DIAZ 90076 40.90 0671941 RL-A-DIBUCAINE NUMBER 16.80 0671974 RL-A-DIGITOXIN 12.66 0671982 RL-A-DISOPYRAMIDE 12.66 0672006 RL-A-DHEAS 70040 20.10 0672014 RL-A-DNA MISC 95155 87.98 0672030 RL-A-DNASE-B AB 14.42 0672097 RL-A-DOXEPIN 90102 17.14 0672105 RL-A-EPSTEIN BARR VIR IGG 15.82 0672121 RL-A-ERYTH 50227 20.46 0672139 RL-A-ESTRIOL 26.33 0672154 RL-A-EBV VCA IGG AG 19.66 0672162 RL-A-EST FR TMS 93248 29.80 0672196 RL-A-ESTRNE TMS 93249 27.17 0672204 RL-A-ETHANOL URINE 15.22 0672220 RL-A-ETHYLENE GLYCOL90110 16.22 0672246 RL-A-FACTOR VIII ACT 15.98 0672253 RL-A-FATTY ACD FREE 80120 14.50 0672279 PHENOTHIAZINES QUEST 16.00 0672287 RL-A-FECQ FAT 2002350 18.30 0672295 RL-A-FLEC 90003 12.66 0672303 RL-A-FLUORIDE 108.00 0672311 RL-A-FLUPHEN 99906 13.04 0672345 RL-A-FLURAZEPAM QUAL 29.50 0672352 RL-A-FRUCTOSAM 99012 16.41 0672394 RL-A-G6PD 80135 10.55 0672402 RL-A-GAST 70075 19.20 0672410 RL-A-GC DNA PROBE 31.47 0672451 RL-A-GLUCA 99165 15.55 0672469 RL-A-GLUTAMINE CSF 38.82 0672493 RL-A-HGH 70080 18.16 0672501 RL-A-HYDROXYPROL TOT UR 28.56 0672543 RL-A-IGA SERUM 6.08 0672568 RL-A-IGD 99200 6.08 0672584 RL-A-IGE 50345 14.88 0672600 RL-A-IGG 6.08 0672618 RL-A-IGG SYNTHESIS 19.01 0672626 RL-A-IMIPRAMINE QUNT/DIS 22.50 0672691 RL-A-ANTI-INS 99228 23.30 0672709 RL-A-INSULIN R 70107 10.29 0672725 RL-A-IFBA 70210 16.41 0672782 RL-A-LA-FL 20504 9.63 0672857 RL-A-LACTIC ACID PLASMA 9.63 0672865 RL-A-LATEX 99614 4.70 0672873 RL-A-LEAD WB 20098 10.75 0672923 RL-A-LEGAG-U 70322 9.31 0672949 RL-A-LEGAB IFA 50376 16.66 0672956 RL-A-LEPTO M 55233 12.23 0672964 RL-A-LDH FL 20505 5.41 0672972 RL-A-L/S RATIO 35.90

0672998 RL-A-LEUK ALK PHOS 9.50 0673004 RL-A-LIDO 90155 15.99 0673012 RL-A-LITHIUM 5.99 0673020 RL-A-LYME DISEASE AB 18.54 0673087 RL-A-LYSO SER 2012039 20.42 0673095 RL-A-LYSOZYME URINE 13.80 0673137 COCAINE METAB CONF QUEST 23.05 0673160 OPIATES CONFIRMATRY QUEST 70.00 0673194 THC META GC/MS URNE QUEST 15.38 0673251 RL-A-MANG 99265 26.78 0673285 BENZODIAZEPINES,CONFRM QU 99.00 0673293 RL-A-M PNEUMO AB IGG 14.42 0673301 TOX SCREEN 5 DRUG NLC 22.00 0673319 IND-DRUG SCREEN DOT NLC 26.00 0673368 RL-A-M PNEUMO AB IGM 14.42 0673376 RL-A-MEPHENYTOIN URINE 193.00 0673384 RL-A-MEPHOBARBITAL 15.60 0673392 RL-A-MEPRO SP 2011521 19.49 0673400 RL-A-HUMAN PAPIL(HPV)DNA 38.21 0673418 RL-A-MERCURY 14.12 0673426 RL-A-MERCURY URINE 14.12 0673434 RL-A-META URINE 2007996 18.44 0673442 RL-A-METHADONE 107.85 0673459 RL-A-METHANOL LEVEL 17.77 0673475 RL-A-ACETYLCHOL BINDNG AB 12.27 0673483 RL-A-RECP ASSAY NON-ENDO 8.69 0673491 RL-A-ACETYLCHOL BLOCK AB 8.69 0673533 RL-A-HALO 99640 15.86 0673574 RL-A-HELICO PY ABIGGIGA 13.06 0673590 RL-A-HEMOGLOBIN PLASMA 2.16 0673616 RL-A-UHEMSID 20222 5.17 0673624 RL-A-HISTAMINE PLASMA 32.15 0673632 RL-A-HIV RNA QUANT PCR 76.33 0673640 RL-A-HLAB27 95840 28.10 0673673 RL-A-HVA U 80422 11.40 0673681 RL-A-HSV III IGG AB 29.13 0673707 RL-A-HSVPCR 60041 30.73 0673715 RL-A-METREXSN 2005405 12.66 0673723 RL-A-METHSUXIMIDE/NORSAT 31.52 0673731 RL-A-MEXILE 2011539 12.66 0673749 RL-A-MUMPS 50390 14.21 0673756 RL-A-MYCOPLASMA IGM AB 14.42 0673764 RL-A-MBP 80515 18.73 0673772 RL-A-NSE 98198 18.51 0673780 RL-A-NICHOL URINE 26.67 0673806 RL-A-ALK PHOS ISOS 20.23 0673814 RL-A-ALKALINE PHOSPHATAS 4.13 0673822 RL-A-ALK PHOS ISO OTHER% 4.16 0673830 RL-A-ORG AC P 99289 17.91 0673848 RL-A-ORG AC 98389 17.91 0673855 RL-A-UOXAL 20482 14.02 0673897 RL-A-PENTOBARBITAL 15.60 0673921 RL-A-AT3 30010 10.47

0673939 RL-A-ANTITHROMBIN ANTIGEN 11.77 0673988 RL-A-PBGQT 80260 9.12 0673996 RL-A-PREGNLONE 92334 22.50 0674028 RL-A-PROLAC 70115 17.37 0674143 RL-A-POR FECES 99824 27.73 0674176 RL-A-CHE P 20167 8.58 0674192 RL-A-PTH RELATED PEPTIDE 16.62 0674218 RL-A-PYRU 80310 11.82 0674333 RL-A-RAST TEST ALLERGEN 4.70 0674341 RL-A-RENIN 70105 23.94 0674366 RL-A-RICKETTSIA AB IGG 21.07 0674374 COMP DRUG ANALYSIS QUEST 188.00 0674416 RL-A-RUBELOA AB IGG 14.02 0674473 RL-A-SEROT-SER 80397 33.73 0674580 RL-A-TEICHOIC 50775 15.15 0674598 RL-A-TESTOS 70130 23.16 0674622 RL-A-VIT B1 P 80389 23.11 0674663 RL-A-THIOCYANATE 12.67 0674705 RL-A-THYROID PEROXIDS AB 13.16 0675017 RL-A-ASPER 50100 16.39 0675025 RL-A-ASPER PPT 50171 16.39 0675033 RL-A-TRNSF 50570 11.01 0675082 RL-A-GM1 AB IGG 17.15 0675090 RL-A-GM1 AB IGM 17.15 0675108 RL-A-ASIALO GM1 AB IGG 17.15 0675116 RL-A-ASIALO GM1 AB IGM 17.15 0675173 RL-A-ARBOVIRS ST LOU IGG 14.58 0675181 RL-A-ARBOVIRS CA ENC IGG 14.58 0675199 RL-A-ARBO EAST EQ ENCEP 14.58 0675207 RL-A-ARBO WEST EQ AB IGG 14.58 0675215 RL-A-TRAZODONE 15.14 0675223 RL-A-TRICYCLIC ANTI DEP 141.28 0675298 RL-A-VDRL CSF 50206 3.84 0675306 RL-A-VARICELA ZOSTER DFA 10.10 0675314 RL-A-VZE 50167 11.46 0675322 RL-A-VISCOSITY 20056 12.71 0675348 RL-A-CHLOR LIBRUM 13.96 0675355 RL-A-CHLOR NORDIAZPAM 20.45 0675405 RL-A-COCCI M 50178 10.64 0675413 RL-A-COCCI G 50179 10.64 0675439 RL-A-ERA & PRA RECEPTOR 180.00 0675447 RL-A-ERA&PRA PROGES RECP 180.00 0675470 RL-A-HISTOPLASMA MYCELIA 13.82 0675488 RL-A-HISTOPLASMA YEAST 13.82 0675504 RL-A-HPV DNA HI RISK 38.21 0675512 RL-A-HPV DNA LO RISK 19.00 0675520 RL-A-TOXEIGG 50770 12.81 0675538 RL-A-TOXEIGM 50557 12.83 0675595 RL-A-ECHOVIRUS AB TYPE 6 16.56 0675603 RL-A-ECHOVIRUS AB TYPE 7 16.56 0675611 RL-A-ECHOVIRS AB TYPE 11 16.56 0675629 RL-A-ECHOVIRS AB TYPE 30 70.90 0675637 RL-A-ECHOVIRUS AB TYPE 9 16.56

0675660 RL-A-IMMUNO T PRO 3.75 0675678 RL-A-IMMUNO IFE INTER SER 16.00 0675686 RL-A-IMMUNO FREE KAPA UR 12.28 0675694 RL-A-IMMUNO LAMBA URINE 10.13 0675702 RL-A-VIT B1 WB 80388 23.11 0675728 RL-A-VITA B2 81123 22.03 0675736 RL-A-VITAMIN B6 30.59 0675777 RL-A-VITAMIN C PLASMA 10.76 0675819 RL-A-VIT D 1 25 80385 33.59 0675827 RL-A-VIT D 25 80379 24.79 0675868 RL-A-VIT E 80521 12.00 0675926 RL-A-LH ISO TOTAL 14.15 0675934 RL-A-LH ISO LD ISO ONLY 8.02 0675959 RL-A-LUPUS PARTL THROM D 5.43 0675967 RL-A-LUPUS PT D 3.53 0675975 RL-A-LUPUS DRWT PAT 8.52 0675983 RL-A-OLIGOCOLONAL BANDS - 0675991 RL-A-OLIGO ALB CFS 5.83 0676015 RL-A-OLIGO IMMUNO G SERM 8.25 0676023 RL-A-OLIGOB 81135 8.25 0676031 RL-A-OLIGO SERUM NEFP 5.83 0676049 RL-A-OLIGOB 81135 2.50 0676064 RL-A-ZINC 20097 10.21 0676072 RL-A-17 KETO 80650 13.94 0676122 RL-A-HYD CORT 70490 19.07 0676262 RL-A-HIAA 80420 14.04 0676270 RL-A-5NUCL 80235 12.14 0676288 RL-A-DHT TMS 2002349 16.62 0676296 RL-A-COMPLEMENT 2 10.51 0676320 RL-A-PARA VIRUS 1 AB 14.53 0676338 RL-A-PARA VIRUS 2 AB 14.53 0676346 RL-A-PARA VIRUS 3 AB 14.53 0676395 MYCOPLASMA CULT, GENITAL 63.00 0676510 RL-A-C1Q 50301 26.54 0676692 RL-A-PARAV B19 IGG ACUTE 16.37 0676700 RL-A-PARV B19 AB IGG CON 16.37 0676718 RL-A-PARV B19 IGM ACUTE 16.37 0676726 RL-A-PARAV B19 IGM CONV 16.37 0676791 RL-A-NORT HPLC 90074 14.98 0676809 RL-A-PHOSPHO CARDIO IGM 20.51 0676817 RL-A-PHOSPHO CARDIO IGG 20.51 0676866 RL-A-PLATELT ASS DIR IGG 18.09 0676874 RL-A-PLATELT ASS DIR IGM 18.09 0676981 RL-A-POLIOVIRS AB TYPE 1 26.88 0676999 RL-A-POLIOVIRS AB TYPE 2 26.88 0677005 RL-A-POLIOVIRS AB TYPE 3 26.88 0677021 RL-A-PROTEIN ELECTRO 5.00 0677039 RL-A-PROTEIN ELECTRO 5.00 0677054 RL-A-PROT C 30111 13.08 0677088 RL-A-IMUNOELECT IMM SERUM 20.03 0677104 RL-A-IMMUNOELECTRO G 8.25 0677112 RL-A-IMMUNOELECTRO M 8.25 0677120 RL-A-IMMUNO T PRO ELECTO 5.32

0677138 RL-A-IMMUNOELECTROPHORES 20.03 0677161 RL-A-MICROALBUMIN 9.80 0677187 RL-A-C PEPTIDE UR ASSAY 18.15 0677245 RL-A-BJ PROTEIN 4.50 0677252 RL-A-BJ IFE INTERP 19.20 0677260 RL-A-BJ URINE FREE KAPPA 15.03 0677278 RL-A-BJ FR LAMDBA LIGHT 15.03 0677328 RL-A-CARDIOLIPIN AB IGG 20.51 0677336 RL-A-CARDIOLIPIN AB IGM 20.51 0677369 RL-A-CMV IGM 50553 15.07 0677385 RL-A-HSV HERPES VIRS IGG 29.13 0677393 RL-A-HSV HERPES VIRUS IGM 11.87 0677419 RL-A-ANCA AB MYELOPEROXID 17.38 0677427 RL-A-PR3 50527 8.69 0677435 RL-A-ANCA IGG 10.87 0677443 RL-A-RFLXBILL ANCAT 50243 10.44 0677450 RL-A-PLT AB DIRECT/IGG 27.12 0677468 RL-A-PLATELET AB IGG 13.56 0677476 RL-A-PLATELET AB IGM 13.56 0677492 RL-A-FACTOR VII C 19.50 0677500 RL-A-FACTOR VIII VONWILL 24.98 0678763 RL-A-A1 ANTITRYPSIN 50001 14.63 0678821 RL-A-AMIKINPK LVL 13.76 0678839 RL-A-AMIKINRANDOM 13.76 0678847 RL-A-AMIKINTROUGH LVL 13.76 0679100 RL-A-C PSITTACI IGG TITER 13.08 0679118 RL-A-C TRACHOMATS IGG TTR 13.08 0679126 RL-A-C PNEUMONIAE IGG TTR 13.08 0679134 RL-A-C. PSITACI IGM TITER 14.04 0679142 RL-A-C TRACHOMATS IGM TTR 14.04 0679159 RL-A-C PNEUMONAE IGM TITR 14.04 0679175 RL-A-SULFA 20044 12.66 0679225 RL-A-ZINC U 20462 10.21 0679233 RL-A-ANTIDIURETIC HORM 36.95 0679472 RL-A-CA27 29 80392 18.92 0679754 RL-A-JAK2 EX12 2002357 54.80 0679803 RL-A-CHLAMYDIA CULTURE 23.36 0679993 REFERENCE LAB MISC QUEST - 0680960 LIPASE BODY FLD 233.00 0682989 REF LAB HANDLING FEE 31.00 0683052 NEWBORN INIT SCRN-TSH 66.00 0683656 PROPOXY CONFM URINE QUEST 74.00 0683839 RL-A-F11 30110 19.50 0683870 RL-A-F10 30105 19.50 0683912 RL-A-F12 30115 21.06 0684357 RL-A-T3 FREE 15.29 0684373 RL-A-FACTOR XIII 17.79 0684381 RL-A-VMA U 80421 16.87 0684746 RL-A-HCV RNA QUAN 38.94 0684936 RL-A-HRP SMPX VR CLT 37.87 0686477 RL-A-LEADURINE- 10.75 0688143 IA CLOSTRIDIUM DIFF QL 267.00 0688267 PART AGG SCRN AB CRYPTO 169.00

0688275 IA GIARDIA QL 222.00 0688283 KOH PREP ANY TYPE 116.00 0688291 TISSUE EXAM FUNGI/ECTOPAR 111.00 0688309 RL-A-FE K 20380 13.35 0688333 RL-A-PROSTATE SPEC AG 15.05 0688341 CULT AEROBIC OTHER QN 144.00 0688358 RL-A-PROST SPEC AG FR% 18.50 0688366 CULT SCRN SINGLE ORG 185.00 0688374 RL-A-PROT C F 30113 15.06 0688424 RL-A-ANTIBIOTIC ASSOC COL 32.60 0688499 RL-A-%CD16+/CD56+/CD3 23.28 0688507 RL-A-PROT S F 30114 16.68 0688523 RL-A-%CD3 23.28 0688531 RL-A-%CD4+/CD3+ 47.47 0688549 RL-A-%CD8+/CD3+ 23.28 0688556 RL-A-%CD19+/CD3 23.28 0688606 RL-A-PROT S 30112 12.63 0688630 RL-A-VZE 50167 11.46 0688655 RL-A-VARICELA-ZSTR AB IGM 11.46 0688705 RL-A-IMM 19.20 0688713 RL-A-IMMUNOGLOBULIN A SER 6.08 0688739 RL-A-IMMUNOGLOBULIN G SER 6.08 0688747 RL-A-IMMUNOGLOBULIN M SER 6.08 0688754 RL-A-ELECTROPHORES SERUM 14.90 0688762 CULT FUNG SKIN/HR/NAIL 170.00 0688770 MACRO EXAM ARTHROPOD 111.00 0688788 SUSCEPT AGAR 122.00 0688796 CULT UR PRESUM ID 111.00 0688804 RL-A-CALCIUM FOR PTH 38.94 0688820 RL-A-SPN AG 60228 8.45 0688846 SUSCEPT B-LACTAM EA 66.00 0688879 RL-A-B HENSELAE AB IGG 11.08 0688887 RL-A-HENS M 50092 11.08 0688895 RL-A-LIVER-KID 99270 13.16 0688945 RL-A-RUBEOLA AB IGG 14.02 0688960 RL-A-LKM1 IGG 55241 13.16 0688986 RL-A-EBV BY PCR 30.15 0688994 RL-A-HBVUPCR 56025 38.33 0689349 RL-A-ATHYG 50105 14.27 0689406 NH-TOBRAMYCIN PEAK 235.00 0689422 NH-TOBRAMYCIN TROUGH 235.00 0689547 RL-A-URIC ACIDUR- 5.17 0689612 RL-A-VARICELLA ZOST IGM 11.46 0689679 RL-A-VIRAL CULT ID 16.00 0689687 RL-A-INCUBATION OBS 10.94 0689711 RL-A-VIRAL CULT ID 16.00 0689729 RL-A-HSV IP STAIN 12.16 0689737 RL-A-VIR ISOLATN SHEL VIA 10.93 0689752 RL-A-VIR ISOLATN SHEL VRS 10.93 0689836 RL-A-VIR ID INOCULATN/OBS 8.14 0689844 RL-A-VIR ID ADD EA ISO 16.00 0690008 RL-A-ALPHA1 ANTITRYP PHEN 15.98 0690016 RL-A-AMINO ACIDS QN SNGL 15.04

0690024 H-CALCIUM TOTAL 193.00 0690032 H-ENA AB JO1 131.00 0690057 H-ENA AB SCL 70 131.00 0690065 H-ENA AB SCREEN 131.00 0690073 H-ENA AB SMITH 131.00 0690099 H-ENA AB SS-B(LA) 131.00 0690100 H-MONO TEST SCRN 51.00 0690101 UA AUTO W/O MICRO QW 23.00 0690107 RL-A-HEPARIN NEUTRALIZE 6.64 0690123 RL-A-INFX AG SUS PHEN HIV 1,725.79 0690131 H-PSA FREE 82.00 0690149 RL-A-REP 30295 10.71 0690156 RL-A-RUSS VIPR VEN DILUT 10.58 0690181 H-ASO TITER 9.07 0690182 RL-A-PGSN 2008509 18.74 0690183 RL-A-OPIATES CONFIRMATRY 21.51 0690184 RL-A-MC NOC 60093 7.73 0690185 RL-A-AMPL NA PRO PNEU AGN 38.80 0690186 RL-A-AMPL NA PROB TROP AG 30.15 0690187 RL-A-WNILE PCR 50229 30.15 0690188 RL-A-RA 50465 5.13 0690189 RL-A-CDCO COCA 90359 16.75 0691360 RL-A-OHPRGSTON 92332 24.08 0691378 RL-A-ACID PHOSP SER 20544 7.60 0691386 RL-A-ADRENAL AUTOANTIBOD 12.27 0691402 RL-A-CARDIO IGA 98358 20.51 0691428 RL-A-C1-ESTERASE INHI 13.06 0691436 RL-A-C2 50148 10.51 0691444 RL-A-CAFINE LEVEL 15.40 0691451 RL-A-CARN F&T 80068 15.02 0691469 RL-A-CENTROMERE AB 8.69 0691477 RL-A-CLORAZEPATE LVL 20.45 0691485 RL-A-CLOZAPINE LEVEL 20.14 0691493 RL-A-COX A9 50503 14.18 0691519 RL-A-CRYPTOCOCCAL AB 73.14 0691527 RL-A-CYSTICERC AB IGG 14.38 0691535 RL-A-CYST CSF 55285 14.16 0691543 RL-A-DHEA 70199 27.51 0691550 RL-A-ENTEROVIR DET BY PCR 38.21 0691568 RL-A-FLUOXETINE LEVEL 90.00 0691576 RL-A-GABAPENTIN LEVEL 14.43 0691584 RL-A-CONFTHC M 92316 19.97 0691592 RL-A-COCAINE MECONIUM 58.59 0691600 RL-A-OPIATES MECONIUM 21.51 0691618 RL-A-CONFPCP M 92315 15.84 0691626 RL-A-AMPHETAMINES MECON 17.18 0691634 RL-A-THYROGLOBULIN 32.73 0691642 RL-A-GLAM 60048 8.79 0691659 RL-A-HEINZ 49090A 113.50 0691667 RL-A-H PYLORI AG STOOL 13.06 0691675 RL-A-H PYLORI AB IGG 13.06 0691683 RL-A-HGBEL 50610 15.40 0691691 RL-A-HIT IGG 2012179 20.00

0691709 RL-A-HEP C AB (RIBA) 12.57 0691717 RL-A-RFLX HEPCGENO 55593 236.13 0691725 RL-A-HEP D IGM 98507 88.30 0691733 RL-A-RFLX HIV WBLOT 20284 17.72 0691741 RL-A-HIV 1 GENOTYPING 280.28 0691758 RL-A-HIV 1 RNA BY BDNA 76.33 0691766 RL-A-HER1/2CSF 50394 11.87 0691774 RL-A-HSV 1&2 IGM AB CSF 15.36 0691782 RL-A-HTLV I&II AB CONF WB 14.02 0691790 RL-A-IGG CSF 50670 6.08 0691808 RL-A-IGM 50355 6.08 0691816 RL-A-FLUA G 51074 12.15 0691824 RL-A-FLUB G 51080 12.15 0691832 RL-A-FLUA M 51081 12.15 0691840 RL-A-FLUB M 51079 12.15 0691857 RL-A-IGFBP-3 70060 15.38 0691865 RL-A-ISOP 90144 17.77 0691873 RL-A-KEPPRA 98627 14.43 0691881 RL-A-LA-CF 20516 9.63 0691899 RL-A-LAMOTRIGINE 14.43 0691907 RL-A-LEG PNEUM AB1-6 IGM 16.66 0691915 RL-A-LIPOPROTEIN (A) 14.10 0691923 RL-A-LIPOELECT 80503 12.26 0691931 RL-A-LYME G WB 50255 16.86 0691949 RL-A-LYMPH CD4 COUNT ABS 24.54 0691956 RL-A-MAGNESIUM 24 HR UR 6.05 0691964 RL-A-MEPHENYTOIN LEVEL 98.00 0691972 RL-A-MMA QNT-P 99431 14.68 0691980 RL-A-MUMPS IGM 99589 14.21 0691998 RL-A-PAROXETINE LEVEL 101.00 0692004 RL-A-LIP-P 20042 6.62 0692012 RL-A-PLG 30190 6.12 0692020 RL-A-POR S 80429 6.62 0692038 RL-A-PORURINE 2002058 16.02 0692046 RL-A-K FL 20155 10.03 0692053 RL-A-PROC 90151 18.24 0692061 RL-A-RAJI 50302 26.54 0692079 RL-A-RBC FOLATE 70385 11.49 0692087 RL-A-OSM FRG 2002257 72.73 0692095 RL-A-MEASLES M 99597 14.02 0692103 RL-A-SHBG 99375 20.00 0692111 RL-A-NA FL 20154 5.30 0692129 RL-A-TRANSFERRIN RECEPTOR 39.82 0692137 RL-A-TACRO 90612 12.46 0692145 RL-A-TETANUS AB 13.77 0692152 RL-A-TRYPSIN STOOL 11.50 0692160 RL-A-TSH REC AB 11.50 0692178 RL-A-URIC FL 20513 5.17 0692186 RL-A-B12B 70260 15.58 0692194 RL-A-WNILE IGG 50234 15.66 0692202 RL-A-WNILE IGM 50236 18.34 0692210 RL-A-APC RST 30127 16.68 0692228 RL-A-ALDO U 70480 44.37

0692244 RL-A-ANTI-MYOCARDIAL AB 10.87 0692251 RL-A-UCA 20472 6.57 0692269 NH-CULT FUNGUS - BLOOD 9.12 0692277 NH-CULT FUNGUS - OTHER 9.97 0692285 RL-A-ACTYLCHL REC BIN PRO 12.27 0692293 RL-A-AMB 50070 13.49 0692335 RL-A-U CL 20850 4.41 0692343 RL-A-CH50 50198 22.12 0692350 RL-A-CYTOMEGALOVIRUS CULT 5.41 0692368 RL-A-EBV VCA IGM 19.66 0692376 RL-A-ESTRA 70045 24.88 0692384 RL-A-F5 30075 19.21 0692392 RL-A-FECFAT 20385 5.54 0692400 RL-A-HAPTO 50280 10.99 0692418 RL-A-HBEAB 20095 4.68 0692426 RL-A-HBEAG 20094 12.55 0692434 RL-A-HEP C RNA PCR QUAL 38.94 0692442 RL-A-HEP C RNA PCR QUANT 38.94 0692459 RL-A-HEP D AB 20799 18.68 0692467 RL-A-HEPD AG 2006450 125.00 0692475 RL-A-ANTI ISLET 50138 18.09 0692483 RL-A-LEAD LEVEL URINE 10.75 0692509 RL-A-LEGAB 50365 16.66 0692517 RL-A-LEG PNEUM AB1-6 IGM 16.66 0692657 RL-A-PTH-INT 70346 34.84 0692665 RL-A-PHOSPHOR LEVEL UR 5.63 0692681 RL-A-SELENIUM LEVEL UR 27.79 0692699 RL-A-GBM AB IGA (IFA) 12.16 0692707 RL-A-GBM AB IGG (IFA) 10.87 0692715 RL-A-GBM G ELIS 51000 8.69 0692723 RL-A-TOTAL PROTEIN 2.96 0692731 RL-A-IFE URINE INTERP 31.95 0692749 RL-A-BORDETELLA PERT PCR 30.15 0692756 RL-A-BORD PERTUS AB IGG 14.36 0692764 RL-A-BORD PARAPERT AB IBM 14.58 0692798 RL-A-COCCIDIODES AB CF 10.64 0692806 RL-A-COCCIDIODES AB ID 10.64 0692814 RL-A-COXSACKIE B1 VR AB 14.41 0692822 RL-A-COXSACKIE B2 VR AB 14.41 0692830 RL-A-COXSACKIE B3 VR AB 14.41 0692848 RL-A-COXSACKIE B4 VR AB 14.41 0692855 RL-A-COXSACKIE B5 VR AB 14.41 0692863 RL-A-COXSACKIE B6 VR AB 14.41 0692871 RL-A-ENDOMYSL AB IGA SCR 10.44 0692889 RL-A-ENDOMYSL AB IGA TIR 10.44 0692996 RL-A-GLIADIN AB IGA 8.69 0693002 RL-A-GLIADIN AB IGG 8.69 0693010 RL-A-RETIC R 50698 10.87 0693036 RL-A-ENTEROVRS DET PCR 38.21 0693044 RL-A-HSV I AB IGG IMMBLOT 11.86 0693051 RL-A-HSVII AB IGG IMBLOT 17.27 0693069 RL-A-LYME POLYVLENT ABY 18.54 0693077 RL-A-LYME M WB REFLEX 16.86

0693093 RL-A-ADENOVIRUS AB IGG 79.00 0693101 RL-A-ADENOVIRUS AB IGM 79.00 0693119 RL-A-B PARAPERTUSSIS PCR 30.15 0693127 RL-A-ESTRIL LVL UR 92266 26.33 0693135 RL-A-HCV RNA QUAL BY PCR 38.94 0693150 RL-A-B2M U 80432 14.70 0693168 VALPROIC ACID TOTAL 338.00 0693184 RL-A-IMMUNOGLB G SUBCLS1 8.73 0693192 RL-A-IMMUNOGLB G SUBCLS2 8.73 0693200 RL-A-IMMUNOGLB G SUBCL 3 8.73 0693218 RL-A-IMMUNOBLOB G SUBCS4 8.73 0693226 RL-A-SSA (RO) ENA AB IGG 30.40 0693234 RL-A-SSB (LA) ENA AB IGG 15.20 0693242 RL-A-EBV AB ERL(D)AG IGG 14.29 0693259 RL-A-EBV AB NUC AG IGG 13.77 0693267 RL-A-ETHCHLORVYNOL 244.00 0693283 RL-A-FEBRILE AGGLUTININ 165.69 0693317 H-CALCIUM IONIZED 123.00 0693333 NH-FTA 154.00 0693341 RL-A-HISTOAG S 92522 10.10 0693358 H-C DIFF TOXIN AMP 250.00 0693366 H-PROBE B PARAPERT 169.00 0693374 H-PROBE AMP B PERTUS 169.00 0693382 H-HPV HIGH RISK 210.00 0693390 H-HPV GENOTYPE 18 210.00 0693408 H-HPV GENOTYPE 16 210.00 0693424 H-NA PRB CHLAM AMP 144.00 0693432 RL-A-PNEUMOCYS JIROVECI 10.10 0693440 H-CMV AMP PROBE 184.00 0693457 RL-GD-TRYPSINGN NBS 18.25 0693465 H-MYELOPEROXIDASE AB 21.00 0693473 H-IA QL/SQ MULTI TTGG 21.00 0693481 H-IA QL/SQ MULTI TTGA 21.00 0693499 H-IA QL/SQ MULT GLIADG 21.00 0693507 H-IA QL/SQ MULT GLIADA 21.00 0693515 RL-GD-BIOTINDS NBS 18.25 0693523 RL-A-PHNO 90230 10.59 0693531 RL-A-VDRL TITER CSF 4.87 0693549 MICROALBUMIN UR QN 135.00 0693556 HIV-1/HIV-2 AB SINGLE 131.00 0693564 IA HIV1 P24 AG QL 218.00 0693572 IA CA 15-3 27-29 214.00 0693580 IA CA 15-3 27-29 214.00 0693598 IA TUMOR AG CA 125 200.00 0693606 H-NEISSERIA AMP PROBE 207.00 0694646 LACTATE/LACTIC ACID 309.00 0694653 CORTISOL TOTAL 282.00 0694661 THYROID HORMONE UPTKE 141.00 0694662 RL-A-HFE PCR 55656 56.16 0694679 HIV-1 AB RAPID 192.00 0694687 HIV-1 AB RAPID 192.00 0694695 H-AFP TUMOR MARKER 129.00 0694703 H-BETA-2-MICROGLOBULIN 102.00

0694711 H-CERULOPLASMIN 129.00 0694729 H-DHEA-SULFATE 160.00 0694737 H-HEMOGLOBIN EVALUATION 102.00 0694745 H-INSULIN TOTAL 129.00 0694760 H-PROTEIN ELECTRO SERUM 179.00 0694778 H-SOMATOMEDIN 192.00 0694786 H-TESTOSTERONE TOTAL 129.00 0694794 H-CARDIOLIPIN AB IGG 131.00 0694802 H-CARDIOLIPIN AB IGM 131.00 0694810 H-IMMUNOFIXATION SERUM 184.00 0694828 H-BENCE JONES UR 184.00 0694844 H-LITHIUM 148.00 0694851 H-ERYTHROPOEITIN 192.00 0694877 H-HOMOCYSTEINE 153.00 0694885 H-PTH - INTACT 153.00 0694901 H-THYROGLOBULIN 160.00 0694919 H-ANTI-DS DNA AB IGG 158.00 0694927 H-FLOR AB SCRN MITO SCRN 158.00 0694935 H-MICROSOML AB THYROID 140.00 0694943 H-H PYLORI AB IGG 105.00 0694950 H-RUBEOLA AB IGG 105.00 0694968 H-THYROGLOBULIN AB 140.00 0694976 H-NA PRB CHLAM AMP C 144.00 0694984 H-GC DNA PROBE 207.00 0694992 H-IMMUNOGLOBULIN A 102.00 0695007 H-IMMUNOGLOBULIN G 102.00 0695015 H-IMMUNOGLOBULIN M 102.00 0695023 H-RUBELLA AB IGG 79.00 0695031 H-VARICELLA ZOSTER AB IGG 79.00 0695858 RL-A-IGF-1 70125 18.66 0695874 NH-CONCENTRATION AFB 65.00 0695882 RL-A-SE S 25023 27.79 0695890 SMEAR TRICHROME 144.00 0695908 SMEAR OTHER 111.00 0695916 IA CRYPTOSPORIDIUM QL 222.00 0695924 RL-A-QUIN 90245 15.20 0695932 RL-GD-GAL TRANSFERASE NBS 18.25 0695940 RL-GD-HGB CHROMATOGRA NBS 18.25 0695957 RL-GD-HYDROXYPRG 17-D NBS 18.25 0695965 RL-GD-TANDM MASS SPEC NBS 19.74 0695973 RL-GD-INIT SCREEN THS NBS 18.25 0695974 RL-GD-TCELL REC TRECS NBS 0.01 0695981 RL-A-THROMBIN TIME 30280 6.38 0695999 RL-A-REFLEX THROMBN TIME 6.38 0696021 RL-A-SMOOTH MUSCL AB IGG 8.69 0696022 IA MULTI AG QL 160.00 0696039 RL-A-SMOOTH MUSCLE AB IGG 8.69 0696054 RL-A-GLUATMIC ACD DECARB 8.69 0696062 RL-A-EXCARAZEPHINE MET 14.43 0696070 MRSA ADMIT SCRN NP 185.00 0696088 MRSA ADMIT SCRN WND 185.00 0696096 MRSA ADMIT SCRN AXIL 185.00 0696104 MRSA DISCH SCRN NP 185.00

0696112 MRSA DISCH SCRN AXIL 185.00 0696120 MRSA INTERIM SCR NP 185.00 0696138 MRSA INTERIM SCRN AXIL 185.00 0696146 ACUTE HEPATITIS PANEL 980.00 0696153 IA HEP B SURFACE AG QL 178.00 0696161 HEP B SURFACE AB 158.00 0696179 HEP B CORE AB IGM 158.00 0696187 HEP A AB IGM 158.00 0696195 HEPATITIS C AB 197.00 0696229 IA TUMOR AG CA 19-9 200.00 0696237 THYROXINE FREE 218.00 0696245 CARCINOEMBRYONIC AG 217.00 0696260 ASSAY OF PSA TOTAL 247.00 0696278 TRIIODOTHYRONINE TOT 178.00 0696286 PREALBUMIN 241.00 0696294 TOBRAMYCIN PEAK 272.00 0696302 TOBRAMYCIN TROUGH 272.00 0696310 TOBRAMYCIN RANDOM 272.00 0696328 LITHIUM 148.00 0696435 H-PROTEIN C ACTIVITY 109.00 0696443 H-PROTEIN S FREE 123.00 0696450 RL-A-B-OH 80045 7.15 0696476 H-RUSS VIPER VEN DILUTE 100.00 0696492 H-PTT SUBSTITUTION 62.00 0696500 H-VITAMIN D-3 25-OH 179.00 0696526 INFLUENZA IA OPTIC 241.00 0696542 TUM IMMUNOH MAN SNG STAIN 369.00 0696559 RL-A-TSI 99430 55.36 0696567 H-THYROID HORMONE UPTKE 38.00 0696575 H-TACROLIMUS (FK-506) 64.00 0696583 H-SEX HORMONE BIND GLOB 156.00 0696609 H-IMMUNOFIXATION OTHR FL 205.00 0696617 H-FOLIC ACID RBC 155.00 0696625 RL-A-FLU A/B RAPID CULT 5.41 0696633 H-ENA AB RNP 131.00 0696641 H-CULT SCR LEGIONELLA 185.00 0696658 H-CCP ANTIBODY 63.00 0696666 H-BETA 2 GLYCOP I AB EA 134.00 0696674 H-AMPL NA PRBE NOS AGN 164.00 0696682 H-AMPLIF NA PROBE NOS AGN 169.00 0696690 RL-A-CREATININE; NOT BLOO 4.69 0696708 CULT EAR 392.00 0696716 RL-A-PARTIAL THROMBO TME 5.43 0696724 PSA SCRN 421.00 0696732 RL-A-HBSAG CONF 20128 11.25 0696740 HEMOGLOBIN FETAL QL 196.00 0696757 RL-A-DRUG SCREEN SERUM 125.00 0696765 H-MUMPS AB IGG 204.00 0696773 RL-A-MYOG U 20223 11.80 0696781 RL-A-MYOG S 20224 11.80 0696799 RHEUMATOID FACTOR QL 169.00 0696807 RHEUMATOID FACTOR QN 169.00 0696823 RL-A-FLOW CYT ADDL MARK 20.68

0696831 RL-A-FLOW CYT FIRST MARK 42.18 0696849 RL-A-HIV PHENOTYPE AR ADD 1,184.87 0696850 RL-A-GM1 COMBI 51033 17.38 0696856 RL-A-HIV DRG RES TSS CULT 2,260.98 0696872 RL-A-T CELLS ABSO CD4 CD8 24.54 0696880 RL-A-T CELLS TOTAL 143.10 0696898 RL-A-NK CELLS TOTAL 42.16 0696906 RL-A-B CELLS TOTAL COUNT 34.63 0696914 H-ENA AB CENTROMERE 131.00 0696922 RL-A-TISSUE TRANSGLU IGG 8.69 0696930 RL-A-TISSUE TRANSGLU IGA 8.69 0696948 H-IA QL/SQ MULTI HSV 2 21.00 0696955 H-IA QL/SQ MULTI HSV 1 21.00 0696956 H-GROWTH HORMONE 39.75 0696957 H-HEMOGLOBIN A1C 20.25 0696958 RL-A-PT PCR 56060 31.83 0696959 H-FACTOR V GENE ANLYS 108.75 0696960 H-QUANTIFERON TB GOLD 150.00 0696963 RL-A-MYCOPHENOLIC ACID 19.66 0696971 PLATELET AGG PLAVIX 108.00 0696989 PLATELET AGG ASPIRIN 108.00 0696990 H-ANA SCREEN 45.00 0696991 H-ANA TITER 43.00 0696992 H-RHEUMATOID FACTOR QL 17.00 0696993 H-RHEUMATOID FACTOR QN 17.00 0696995 RL-A-WEST NILE VIRUS AB 34.00 0696996 RL-A-COCCIDIOIDES PANEL 10.64 0696997 RL-A-SYPH G 50920 11.69 0696998 H-F5 LEIDEN R 109.00 0696999 RL-A-TYPHUS FEVER AB IGM 21.07 0697000 RL-A-CULT CLYMDIA TRACHOM 23.36 0697001 RL-A-CL FL 20163 5.32 0697002 RL-A-POTASSIUM OTHER 46.72 0697003 RL-A-SODIUM OTHER 22.23 0697004 RL-A-COCCIDIODIES IMM AB 10.64 0697005 RL-A-ABS CD3 93.64 0697006 RL-A-CD4/CD8 75.91 0697007 RL-A-WNIL IGG 50238 15.66 0697008 RL-A-WNIL IGM 50239 18.34 0697009 RL-A-BDGLUCAN 2002434 130.00 0697010 RL-A-ACETYLCHOLINE BLK AB 8.69 0697011 RL-A-ACYLCARN 40033 18.36 0697012 RL-A-ADAMTS 13 30056 24.98 0697013 RL-A-ADENOVIRUS 40-41 AG 10.10 0697014 RL-ALPH1 ACID GLCOPRTIN 16.41 0697015 RL-A-AQUAPORIN 4 RCPTR AB 8.69 0697016 RL-A-ARGNINE VASPRSSN ADH 36.95 0697017 RL-A-ASPRGLS GLCT BRNC AG 8.99 0697018 RL-A-ASPRGILLUS GALACT AG 8.99 0697019 RL-A-QUINT G 50094 11.08 0697020 RL-A-QUINT M 50093 11.08 0697021 RL-A-BART DNA 93057 38.21 0697022 RL-A-RFLX CDCOBENZ2008291 20.45

0697023 RL-A-B2 GLYCOPROTEIN IGG 24.23 0697024 RL-A-B2 GLYCOPROTEIN IGM 24.23 0697025 RL-A-B2TRNSF 50047 31.95 0697026 RL-A-BK VIR QN PCR 39.86 0697027 RL-A-BK QNT BLD 2002304 39.86 0697028 RL-A-CALPRO 92303 21.37 0697029 RL-A-CGA SERUM 80469 18.51 0697030 RL-A-CHRM ANL MTAPHS FISH 266.88 0697031 RL-A-CHRM ANL KRYOTPE BLD 331.88 0697032 RL-A-CHROM KARYOTYPE ANAL 331.88 0697033 RL-A-CHROM METAPHASE ANAL 266.88 0697034 RL-A-CRT FL 20509 4.69 0697035 RL-A-CRYO FIB 50190 9.34 0697036 RL-A-CMVPCR 60040 31.27 0697037 RL-A-DEN G 93097 14.02 0697038 RL-A-DEN M 93098 14.02 0697039 RL-A-CANNABINOID QNT 107.85 0697040 RL-A-SHIG AG DETECTION 13.69 0697041 RL-A-ECHINO IGG 2007220 14.16 0697042 RL-A-EBV VIR CAP AGAB IGA 15.82 0697043 RL-A-EBV PCR QN 30.15 0697044 RL-A-F9 30100 20.73 0697045 RL-A-FACTOR VII ACT 19.50 0697046 RL-A-HGBU 20221 4.30 0697047 RL-A-HEP B VIR GENOTYPE 291.88 0697048 RL-A-HEV IGG 2010151 14.02 0697049 RL-A-HERPES VIR 6 AB IGG 100.00 0697050 RL-A-NEUT CYTOPLASM AB 10.87 0697051 RL-A-S CERVISIAE AB IGA 27.12 0697052 RL-A-S CERVISIAE AB IGG 27.12 0697053 RL-A-INHIBA 70137 16.97 0697054 RL-A-INHIBINB 70413 11.50 0697055 RL-A-JAK2 51245 66.30 0697056 RL-A-JAK2 QNT 40168 66.30 0697057 RL-A-JC VIRUS 99169 30.15 0697058 RL-A-LAMOTRIGINE 14.43 0697059 RL-A-LEGIONELLA PNEUM PCR 68.36 0697060 RL-A-LEGIONELLA SP PCR QL 68.36 0697061 RL-A-META PF 50184 18.44 0697062 RL-A-METFORMIN 165.00 0697063 RL-A-M TUBRCLOSIS PCR RIF 68.36 0697064 RL-A-M TUBRCLOSIS AMP DET 68.36 0697065 RL-A-NRNL IB 2007963 8.69 0697066 RL-A-NOROVIRUS 1 PCR 77.60 0697067 RL-A-NOROVIRUS 2 PCR 77.60 0697068 RL-A-OSTEO NMID 20728 17.37 0697069 RL-A-PRASTE CONC THCK SMR 6.52 0697070 RL-A-PRASTE SMEAR GIEMSA 6.62 0697071 RL-A-PTHRP 2010677 16.62 0697072 RL-A-PNH RBC 2004366 58.30 0697073 RL-A-PNH FLOW CYT 204.05 0697074 RL-A-RPRT 50471 3.84 0697075 RL-A-RFLX RPRTITER2003239 3.84

0697076 RL-A-RESP VIR SCREEN 76.68 0697077 RL-A-SRA UFH 2005631 20.00 0697078 RL-A-SLA 55235 8.69 0697079 RL-A-TPMT RBC 92066 19.66 0697080 RL-A-TOXOPCR 55591 30.15 0697081 RL-A-CHAGAS G 51076 13.49 0697082 RL-A-CHAGAS M 51075 13.49 0697083 RL-A-TRYPT 99173 11.50 0697084 RL-A-VZVPCR 60042 30.15 0697085 RL-A-DRG PNL9W RFLX SRPLA 55.71 0697086 RL-A-ANEUP PNL DNA FISH 368.00 0697087 RL-A-ANEUP EER PNL FISH 368.00 0697088 GLUCOSE BLOOD BY DEVICE 56.00 0697089 RL-A-RUBE G/M 50552 25.86 0697090 H-A DRVTT 1319 10.58 0697091 H-A PTT 1328 6.64 0697092 H-RUBELLA 237.00 0697093 PLATELET AGG EA AGENT 88.41 0697094 ACT 17.52 0697095 FIBRINOLYSINS INT/RPT 21.30 0699868 H-IMMUNOGLOBULIN E 160.00 0699869 RL-A-ADAMTS 13 30056 24.98 0699920 MICROARRAY POSTNATAL-UCLA 9,210.00 0700328 RECEPT ASSAY ESTROGEN 363.00 0704205 SEX CHROMATIN ID 278.00 0704502 SPECIAL STAIN I 123.00 0705004 CONSULT PATH REQ PREP 152.00 0705350 SMEAR W/PREP 168.00 0705459 CYTOPATH FLUID SMEAR 178.00 0705855 ASP FINE NDL WO IMAGING 752.00 0706499 CONSULT PATH SURGERY 108.00 0706515 FROZEN SECT FIRST BLOCK 210.00 0706556 FROZN SECT EA ADDL 47.00 0707000 GROSS ONLY LEVEL I 109.00 0707026 GROSS & MICRO LVL II 144.00 0707034 GROSS & MICRO LVL III 172.00 0707059 GROSS & MICRO LEVEL V 684.00 0707067 GROSS & MICRO LVL VI 1,000.00 0707075 CONSULT PATH REFERRED 121.00 0707117 STAIN GROUP II 157.00 0707133 CYTOPATH CONC SMR&INT 157.00 0707232 DECALCIFICATION 138.00 0707380 IMMUNOHIST SNGL STAIN INI 383.00 0707406 SURG PATH PROCEDURE 369.00 0707646 BIOPSY(IES)BONE MARROW DX 1,755.00 0708842 FNA INTERPRETATION 318.00 0709071 PAP W/HORMONE EVAL 20.00 0709097 ASP FINE NDL W IMAGING 2,064.00 0709139 BONE MARROW SMEAR INTRP 538.00 0709147 TRANSFUSION REACTION 79.00 0709154 AUTO/NECRO COMPLETE 1,110.00 0709162 AUTO/NECRO COMPL INFANT 255.00 0709196 AUTO/NEC COMP MAC STILL 244.30

0709204 LIMITED AUTOPSY 133.00 0709238 CYTO THIN PREP NONGYN 157.00 0709253 PAP AUTO THN MAN SCRN 157.00 0709287 SMEAR CYTO OTHER 222.00 0709295 CYTO OTHER W/PREP 157.00 0709311 FNA DIAG ADEQUCY 1ST EVAL 322.00 0709410 CYTOPATH C/V INTERPRET 192.00 0709584 GROSS & MICRO LVL IV 226.00 0709592 LAB PATH CONSULT LTD - 0709600 LAB PATH CONSULT COMP - 0709618 BB RPT IRREG AB XMATCH - 0709626 BB AUTH FOR DEVIATION - 0709634 AUTO/NECRO GROSS 2,224.00 0709684 AUTOPSY LTD SINGLE ORGAN 199.50 0709717 INTRAOP CYTOPATH CNSLT1 1,060.00 0709725 INTRAOP CYTOPATH CNSLT2 52.00 0709733 CELL COUNT BODY FLUID 65.00 0709741 CELL CT FLUID W/DIFF 79.00 0709766 CRYSTAL ID LT MICROSC 137.00 0770974 TISS CLT BNE MRRW NEO 300.00 0770990 CONSULT PATH COMP REV 369.00 0770991 IMMUNOHIST SNGL STAIN ADD 303.00 0802009 BLOOD GAS PH PCO2 PO2 POC 691.00 0850215 SOD SERUM/BLD/PLASMA POC 31.00 0850216 POTASSIUM BLOOD POC 11.00 0850218 CALCIUM IONIZED POC 92.00 0850221 LACTATE/LACTIC ACID POC 97.00 0850224 HEMOGLOBIN POC 83.00 0850225 CARBON MONOXIDE QN POC 93.00 0850226 METHEMOGLOBIN QN POC 47.00 0850227 ARTERIAL LINE DRAW NC - 0900000 VASCULAR IMP 1234X-1605 4,260.00 0900002 VASCULAR IMP 115X-150 466.00 0900761 STUDY ESOPHAGEAL MOTILITY 490.00 0900779 STUDY GASTRIC MOTILITY 490.00 0900787 TST GASTR REFLUX NAS ELEC 2,972.00 0900795 TST GASTR REFLUX MUC ELEC 1,039.00 0900829 MANOMETRY ANORECTAL 621.00 0908005 CATH NONVAS DIL 195X-254 788.00 0908022 GASTRO IMP 115X-150 466.00 0908025 GASTRO IMP 23X-30 108.00 0908029 GASTRO IMP 88X-115 408.00 0908030 GUIDEWIRE 115X-150 466.00 0908036 INST/SUPP STERL 10-13 60.00 0908037 INST/SUPP STERL 115X-150 466.00 0908039 INST/SUPP STERL 150X-195 606.00 0908040 INST/SUPP STERL 17X-23 100.00 0908042 INST/SUPP STERL 23X-30 108.00 0908043 INST/SUPP STERL 254X-331 879.00 0908044 INST/SUPP STERL 30X-39 140.00 0908045 INST/SUPP STERL 331X-431 1,143.00 0908046 INST/SUPP STERL 39X-51 180.00 0908048 INST/SUPP STERL 51X-67 236.00

0908050 INST/SUPP STERL 67X-88 312.00 0908051 INST/SUPP STERL 88X-115 408.00 0908056 KIT/PACK DISP 67X-88 312.00 0908063 STENT NONCOR W 115X-150 466.00 0908070 CATH NONVAS DIL 150X-195 606.00 0908071 GASTRO IMP 51X-67 236.00 0908073 STENT COV W 2714X-3529 9,366.00 0908075 NACL 0.9% 500ML INJ 78.00 0908076 CATH ATHR DIR 2087X-2714 7,203.00 0908077 CATH ATHR DIR 2714X-3529 9,366.00 0908078 CATH ATHR ROT 2714X-3529 9,366.00 0908079 CATH DIALYS LT 67X-88 312.00 0908080 CATH DIALYS LT 195X-254 788.00 0908081 CATH DIALYS LT 254X-331 879.00 0908082 CATH DIALYS LT 331X-431 1,143.00 0908083 CATH DIALYSIS ST 39X-51 180.00 0908084 CATH DIALYSIS ST 67X-88 312.00 0908085 CATH DIALYSIS ST 88X-115 408.00 0908086 CATH DIALYSIS ST 115X-150 466.00 0908087 CATH DIALYSIS ST 195X-254 788.00 0908088 CATH DRAINAGE <10 25.00 0908089 CATH DRAINAGE 10-13 60.00 0908090 CATH DRAINAGE 17X-23 100.00 0908091 CATH DRAINAGE 23X-30 108.00 0908092 CATH DRAINAGE 51X-67 236.00 0908093 CATH DRAINAGE 67X-88 312.00 0908094 CATH DRAINAGE 115X-150 466.00 0908095 CATH DRAINAGE 150X-195 606.00 0908096 CATH DRAINAGE 195X-254 788.00 0908097 CATH DRAINAGE 254X-331 879.00 0908098 CATH DRAINAGE 561X-730 1,938.00 0908099 CATH DRAINAGE 730X-949 2,520.00 0908100 CATH GUIDING 13X-17 75.00 0908101 CATH GUIDING 17X-23 100.00 0908102 CATH GUIDING 30X-39 140.00 0908103 CATH GUIDING 39X-51 180.00 0908104 CATH GUIDING 115X-150 466.00 0908105 CATH GUIDING 150X-195 606.00 0908106 CATH GUIDING 254X-331 879.00 0908107 CATH GUIDING 331X-431 1,143.00 0908108 CATH INFUSION 10-13 60.00 0908109 CATH INFUSION 13X-17 75.00 0908110 CATH INFUSION 17X-23 100.00 0908111 CATH INFUSION 23X-30 108.00 0908112 CATH INFUSION 39X-51 180.00 0908113 CATH INFUSION 51X-67 236.00 0908114 CATH INFUSION 67X-88 312.00 0908115 CATH INFUSION 115X-150 466.00 0908116 CATH INFUSION 331X-431 1,143.00 0908117 CATH INFUSION 431X-561 1,488.00 0908118 CATH NONVAS DIL 254X-331 879.00 0908119 CATH NONVAS DIL 561X-730 1,938.00 0908120 CATH NONVAS DIL1605X-2087 5,538.00

0908121 CATH OCCLUSION 254X-331 879.00 0908122 CATH OTHER 10-13 60.00 0908123 CATH OTHER 13X-17 75.00 0908124 CATH OTHER 17X-23 100.00 0908125 CATH OTHER 23X-30 108.00 0908126 CATH OTHER 30X-39 140.00 0908127 CATH OTHER 39X-51 180.00 0908128 CATH OTHER 51X-67 236.00 0908129 CATH OTHER 67X-88 312.00 0908130 CATH OTHER 88X-115 408.00 0908131 CATH OTHER 115X-150 466.00 0908132 CATH OTHER 150X-195 606.00 0908133 CATH OTHER 195X-254 788.00 0908134 CATH OTHER 949X-1234 3,276.00 0908135 CATH PTA NLASR 88X-115 408.00 0908136 CATH PTA NLASR 115X-150 466.00 0908137 CATH PTA NLASR 150X-195 606.00 0908138 CATH PTA NLASR 195X-254 788.00 0908139 CATH PTA NLASR 254X-331 879.00 0908140 CATH PTA NLASR 331X-431 1,143.00 0908141 CATH PTA NLASR 431X-561 1,488.00 0908142 CATH PTA NLASR 730X-949 2,520.00 0908143 CATH PTA NLASR 949X-1234 3,276.00 0908144 CATH SUPRAPUBIC 13X-17 75.00 0908145 CATH SUPRAPUBIC 39X-51 180.00 0908146 CATH SUPRAPUBIC 51X-67 236.00 0908147 CATH THROM EMB 30X-39 140.00 0908148 CATH THROM EMB 39X-51 180.00 0908149 CATH THROM EMB 51X-67 236.00 0908150 CATH THROM EMB 67X-88 312.00 0908151 CATH THROM EMB 1234X-1605 4,260.00 0908152 CATH URETERAL <10 25.00 0908153 CATH URETERAL 10-13 60.00 0908154 CATH URETERAL 17X-23 100.00 0908155 CATH URETERAL 23X-30 108.00 0908156 CATH URETERAL 51X-67 236.00 0908157 GUIDEWIRE <10 25.00 0908158 GUIDEWIRE 10-13 60.00 0908159 GUIDEWIRE 13X-17 75.00 0908160 GUIDEWIRE 17X-23 100.00 0908161 GUIDEWIRE 23X-30 108.00 0908162 GUIDEWIRE 30X-39 140.00 0908163 GUIDEWIRE 39X-51 180.00 0908164 GUIDEWIRE 51X-67 236.00 0908165 GUIDEWIRE 67X-88 312.00 0908166 GUIDEWIRE 88X-115 408.00 0908167 GUIDEWIRE 150X-195 606.00 0908168 GUIDEWIRE 331X-431 1,143.00 0908169 INST/SUPP STERL 13X-17 75.00 0908170 INST/SUPP STERL 195X-254 788.00 0908171 INST/SUPP STERL 431X-561 1,488.00 0908172 INST/SUPP STERL 561X-730 1,938.00 0908173 INST/SUPP STERL 730X-949 2,520.00

0908174 INST/SUPP STERL 949X-1234 3,276.00 0908175 INST/SUPP STERL1234X-1605 4,260.00 0908176 INST/SUPP STERL2087X-2714 7,203.00 0908177 KIT/PACK DISP 115X-150 466.00 0908178 KIT/PACK DISP 195X-254 788.00 0908179 PORT INDWELL 150X-195 606.00 0908180 PORT INDWELL 195X-254 788.00 0908181 PORT INDWELL 254X-331 879.00 0908182 PORT INDWELL 331X-431 1,143.00 0908183 PORT INDWELL 431X-561 1,488.00 0908184 STENT NONCOR W 51X-67 236.00 0908185 STENT NONCOR W 67X-88 312.00 0908186 STENT NONCOR W 88X-115 408.00 0908188 STENT NONCOR W 195X-254 788.00 0908189 CATH INFUSION <10 25.00 0908190 MOD SEDAT <5YRS 1ST 15M 401.00 0908192 MODERATE SEDAT ADD 15MIN 401.00 0908193 ANCHOR/SCREW 2714X-3529 9,366.00 0908194 ENDO PROC UP TO 20 MIN 1,696.00 0908195 ENDO PROC ADDL 10 MIN 142.00 0970062 GI NON TIMED PROC/MIN NC - 0970063 REM/REPLAC GTB/CHNG TRACH 226.00 0982820 STENT NONCOR W 150X-195 606.00 0982821 CATH NONVAS DIL 115X-150 466.00 0982822 INTRO SHTH OTH 10-13 60.00 0982823 CATH GUIDING 88X-115 408.00 0982824 CATH GUIDING 23X-30 108.00 0982825 CATH THROM EMB 88X-115 408.00 0982826 CATH THROM EMB 23X-30 108.00 0982827 CATH DIALYSIS ST 254X-331 879.00 0982828 CATH DIALYS LT 949X-1234 3,276.00 0982829 CATH DRAINAGE 30X-39 140.00 0982830 CATH DRAINAGE 13X-17 75.00 0982831 CATH PTA NLASR 67X-88 312.00 0982832 CLOSURE EXTERN 39X-51 180.00 0982833 CLOSURE EXTERN 17X-23 100.00 0982834 CLOSURE EXTERN 150X-195 606.00 0982835 VASCULAR IMP 150X-195 606.00 0982836 CLOSURE IMPLNT 150X-195 606.00 0982837 MOD SED ENDO=>5YR 1ST 15M 401.00 1000017 BLOOD SPLIT UNIT 158.00 1000025 RBC L/R EA AUTO 683.00 1000041 RBC L/R EA DIR 683.00 1000363 BLOOD SPLIT UNIT 158.00 1002021 RED CELLS WASHED EA 473.00 1002054 PLATELETS EA 130.00 1002062 PLASMA CRYO REDUCE EA 95.00 1002088 FFP 1 UNIT 90.00 1002096 FFP 1 UNIT 158.00 1002112 CRYOPRECIPITATE EA 239.00 1002187 PLATELETS PHER L/R EA 1,610.00 1005123 RED CELLS L/R EA 683.00 1005248 FFP 1 UNIT 87.00

1005693 BLOOD SPLIT UNIT 462.00 1005701 BLOOD SPLIT UNIT 457.00 1005719 BLOOD SPLIT UNIT 473.00 1005727 BLOOD SPLIT UNIT 893.00 1005735 BLOOD SPLIT UNIT 893.00 1005768 CROSSMATCH IMMED SPIN 198.00 1005784 PLATELETS PHER L/R EA 1,610.00 1005800 COOMBS INDIRECT QL 190.00 1005826 COOMBS DIRECT 102.00 1005834 COOMBS DIRECT 102.00 1015072 PLATELETS EA 130.00 1018217 TRANSFUS BLD/BLD COMP 1,908.00 1018233 RL-UB-PLATELT AB CRSSMTCH 168.00 1018241 RL-UB-PLATELET AB SCREEN 420.00 1018258 RL-UB-COLD AGGLUTININ SCN 85.00 1018266 RL-UB-COLD AGGLUTININ TTR 181.00 1018274 RL-UB-CMV TESTING 34.00 1018282 RL-UB-AB SCRN RBC EA TECH 74.00 1018290 RL-UB-ELUTION 248.00 1018308 RL-UB-AB ID RBC PL EA TEC 74.00 1018316 RL-UB-FICIN ANTIBODY ID 158.00 1018324 RL-UB-NEAT ANTIBODY ID 74.00 1018332 RL-UB-PEG ANTIBODY ID 116.00 1018340 RL-UB-DIR AHG TST EA ANTS 53.00 1018357 RL-UB-COOMBS INDIRECT TTR 211.00 1018365 RL-UB-ABO TYPE 68.00 1018373 RL-UB-RH TYPE 142.00 1018381 AG RBC NON ABO/RH EA 257.00 1018399 RL-UB-RH PHENOTYPE 79.00 1018407 RL-UB-HEM & AGG AUTO SCRN 574.00 1018431 RL-UB-IRRADIATION FEE 53.00 1018449 RL-UB-RBC PRETREAT CHEM 210.00 1018456 RL-UB-PRETREAT WITH ENZYM 158.00 1018464 RL-UB-PRETRT SER RBC ID 211.00 1018472 RL-UB-DIFF ABSORP OF SERM 131.00 1018480 RL-UB-LECTIN STUDY 121.00 1018498 RL-UB-PATHOLOG COLD STUDY 169.00 1018506 RL-UB-RED CELL SEPARATION 121.00 1018514 RL-UB-INCUBAT-SER AND DRG 634.00 1018522 RL-UB-SER PRETX DRG INCUB 211.00 1018530 RL-UB-ANTIGEN TYPING CLS1 74.00 1018548 RL-UB-ANTIGEN TYPING CLS2 126.00 1018555 RL-UB-ANTIGEN TYPING RARE 210.00 1018563 RL-UB-DIRECTED DONATN FEE 113.00 1018571 RL-UB-AUTOLOGOUS FEE 113.00 1090001 EQ CLINIC VISIT LEVEL - 1090002 EQ TREATMT ROOM VISIT LEV - 1090029 EQ RENAL DIALYSIS CRRT - 1090030 EQ RENAL DIALYSIS CAPD - 1090032 EQ ROOM LEAVE OF ABSENCE - 1090033 EQ ROOM SUBACUTE CARE I - 1090034 EQ ROOM SUBACUTE CARE III - 1090035 EQ ROOM SUBACUTE CARE IV -

1090036 EQ ROOM SUBACUTE CARE OTH - 1091111 EQ PHARM SELF ADMIN & 636 - 1091112 EQ PHARM W HCPCS & 250 MC - 1091113 EQ ORGAN ACQU CADAVER DON - 1091114 EQ EMERGENCY MED SCREEN - 1091126 EQ ROOM ACUTE ADMIN - 1091127 EQ ROOM ICU BURN - 1096916 EQ ROOM PVT GENERAL - 1096924 EQ ROOM SEMI GENERAL - 1096932 EQ ROOM SEMI M/S/GYN - 1096940 EQ ROOM SEMI PVT OB - 1096957 EQ ROOM SEMI PVT PED - 1096965 EQ ROOM SEMI PVT PSYCH - 1096973 EQ ROOM SEMI ONCOLOGY - 1096981 EQ ROOM SEMI PVT REHAB - 1096999 EQ ROOM NEWBORN LEVEL 1 - 1097005 EQ ROOM NEWBORN NICU II - 1097013 EQ ROOM NEWBORN NICU III - 1097021 EQ ROOM NEWBORN NICU IV - 1097039 EQ ROOM SUBACUTE CARE - 1097047 EQ ROOM ICU GENERAL - 1097054 EQ ROOM INTER ICU/TEL - 1097062 EQ ROOM ICU TRAUMA - 1097070 EQ ROOM CCU GENERAL - 1097088 EQ ROOM INTER CCU/TEL - 1097096 EQ PHARM GENERAL - 1097104 EQ PHARM W HCPCS - 1097112 EQ PHARM SELF ADMIN - 1097120 EQ PHARM TAKE HOME - 1097138 EQ PHARM REL TO RAD - 1097161 EQ PHARM IV SOLUTION - 1097187 EQ INFUSION/IV THERAPY - 1097203 EQ SUPPLY NONSTERILE - 1097211 EQ SUPPLY STERILE - 1097229 EQ SUPPLY PROST/ORTHOTIC - 1097237 EQ SUPPY PACEMAKER/LEADS - 1097245 EQ SUPPLY IMPLANT EYE LNS - 1097252 EQ SUPPLY IMPLANT - 1097260 EQ LAB GENERAL - 1097278 EQ LAB CHEMISTRY - 1097286 EQ LAB IMMUNOLOGY - 1097294 EQ LAB HEMATOLOGY - 1097302 EQ LAB BACTERIOLOGY - 1097310 EQ LAB UROLOGY - 1097328 EQ LAB PATH CYTOLOGY - 1097336 EQ LAB PATH HISTOLOGY - 1097344 EQ LAB PATH BIOPSY - 1097351 EQ RADIOLOGY GENERAL - 1097369 EQ RADIOLOGY ARTHROGRAPH - 1097377 EQ RADIOLOGY ARTERIOGRAPH - 1097385 EQ RADIOLOGY CHEST XRAY - 1097393 EQ RAD THERAP CHEMO ADM - 1097401 EQ RAD THERAP RADIATION -

1097419 EQ RAD THERAP CHEMO IV - 1097427 EQ NUC MED PROC DIAGNOS - 1097435 EQ NUC MED PROC THERAPEU - 1097443 EQ NUC MED RADIOPHARM DX - 1097450 EQ NUC MED RADIOPHARM TX - 1097468 EQ CT SCAN GENERAL - 1097476 EQ CT SCAN HEAD - 1097484 EQ CT SCAN BODY - 1097492 EQ CT SCAN OTHER - 1097500 EQ SURGERY GEN - 1097518 EQ SURGERY MINOR - 1097526 EQ ANESTH GENERAL - 1097534 EQ BLOOD COMPONENT GEN - 1097542 EQ BLOOD ADMINISTRATION - 1097559 EQ MAMMOGRAPHY DIAGNOSTI - 1097567 EQ ULTRASOUND - 1097575 EQ MAMMOGRAPHY SCREENING - 1097583 EQ PET SCAN - 1097591 EQ RESPIRATORY GENERAL - 1097609 EQ RESPIRATORY INHAL - 1097617 EQ HBO HYPERBARIC O2 - 1097625 EQ RESPIRATORY STREN/ENDR - 1097633 EQ PHYSICAL THER GENERAL - 1097641 EQ PHYSICAL THER GEN-OTH - 1097666 EQ PHYSICAL THER GEN-MCAL - 1097674 EQ PHYSICAL THER GROUP - 1097682 EQ PHYSICAL THER GRP-OTH - 1097708 EQ PHYSICAL THER EVAL - 1097716 EQ PHYSICAL THER EVAL-OTH - 1097732 EQ PHYSICAL THER EVALMCAL - 1097740 EQ OCCUP THER GENERAL - 1097757 EQ OCCUP THER GEN-OTH - 1097773 EQ OCCUP THER GEN - MCAL - 1097781 EQ OCCUP THER GROUP - 1097799 EQ OCCUP THER GRP - OTH - 1097815 EQ OCCUP THER EVAL - 1097823 EQ OCCUP THER EVAL - OTH - 1097849 EQ OCCUP THER EVAL - MCAL - 1097856 EQ SPEECH PATH GENERAL - 1097864 EQ SPEECH PATH GROUP RATE - 1097872 EQ SPEECH PATH EVAL - 1097880 EQ SPEECH PATH EVAL-OTH - 1097898 EQ EMERGENCY DEPARTMENT - 1097906 EQ PULMONARY FUNCTION GEN - 1097914 EQ AUDIOLOGY DIAGNOSTIC - 1097915 EQ AUDIOLOGY GENERAL - 1097922 EQ CARDIO GEN-NON CATHLAB - 1097930 EQ CARDIO CATH LAB/EP LAB - 1097948 EQ CARDIAC STRESS TEST - 1097955 EQ ECHOCARDIOLOGY - 1097971 EQ CLINIC - 1097989 EQ MRI GENERAL - 1097997 EQ MRI BRAIN -

1098003 EQ MRI SPINAL CORD - 1098004 EQ OB DIAGNOSTIC - 1098011 EQ MRA HEAD AND NECK - 1098029 EQ MRA LOWER EXTREMITIES - 1098037 EQ MRA NON HEAD/NCK/EXTRM - 1098045 EQ SUPPLY FDA IDE 272 - 1098052 EQ TRAUMA RESPONSE LEV II - 1098060 EQ RECOVERY ROOM GENERAL - 1098078 EQ OB PROCEDURE - 1098086 EQ EKG/ECG GENERAL - 1098094 EQ EKG/ECG HOLTER MONITOR - 1098102 EQ EEG GENERAL - 1098110 EQ ENDOSCOPY/GI - 1098128 EQ TREATMENT ROOM - 1098144 EQ OBSERVATION ROOM - 1098151 EQ VACCINE ADMIN PREVENT - 1098177 EQ OB DELIVERY - 1098193 EQ RENAL HEMODIALYSIS - 1098201 EQ RENAL CCPD - 1098219 EQ BEHAV HLTH TX GENERAL - 1098227 EQ BEHAV HLTH INDIVID RX - 1098235 EQ BEHAV HLTH GROUP RX - 1098243 EQ BEHAV HLTH TESTING - 1098250 EQ DIAGNOSTIC SVC OTHER - 1098268 EQ PERIPHERAL VASCLR LAB - 1098276 EQ ELECTROMYELOGRAM - 1098284 EQ THERAPEUTIC SVC OTHER - 1098292 EQ EDUCATION/TRAINING - 1098300 EQ CARDIAC REHAB - 1098318 EQ STATISTICAL - 1098326 EQ BEHAV HLTH FAMILY RX - 1098524 EQ ROOM SUBACUTE/SNF I - 1098532 EQ ROOM ICU SURGICAL - 1098540 EQ ROOM ICU MEDICAL - 1098557 EQ PHARM REL TO DX TEST - 1098599 EQ SUPPLY IMP W RX HCPCS - 1098623 EQ PHARM OTHER - 1098649 EQ SUPPLY FDA IDE 275 - 1098656 EQ SUPPLY FDA IDE 278 - 1098664 EQ LAB OTHER - 1098672 EQ PULMONARY REHAB - 1098680 EQ IP INFANT AUDIOLOGY DX - 1098698 EQ PHARM VACCINE PREVENT - 1098706 EQ VACCINE ADMIN OTHER - 1098714 EQ SPEECH PATH EVAL-MCAL - 1098722 EQ MRI OTHER - 1098730 EQ LAB PATH GENERAL - 1098748 EQ SPEECH PATH GEN - OTH - 1098755 EQ SUPPLY IMPLANT FDA DEF - 1098763 EQ PHARM EPO UNDER 10000 - 1098771 EQ PHARM EPO OVER 10000 - 1098805 EQ CATH/EP LAB PROCEDURES - 1098813 EQ CATH/EP LAB RAD 320 -

1098821 EQ CATH/EP LAB RAD 323 - 1098847 EQ RENAL DIALYSIS NON HD - 1098854 EQ OTHER DIAG-ALLERGY TST - 1098862 EQ ANESTH INCIDENT TO RAD - 1098912 EQ OB CIRCUMCISION - 1098920 EQ TRAUMA RESPONSE LEVIII - 1098938 EQ PREVENTIVE CARE - 1098953 EQ PHYSICAL THER FUNCCODE - 1098961 EQ OCCUP THER FUNC CODE - 1098979 EQ SPEECH PATH FUNC CODE - 1098987 EQ ROOM PRIVATE M/S/GYN - 1098995 EQ ROOM PRIVATE PEDS - 1099001 EQ ROOM PRIVATE PSYCH - 1099019 EQ ROOM PRIVATE REHAB - 1099027 EQ ROOM SEMI DETOX - 1099035 EQ ROOM SEMI PEDS 3/4 - 1099043 EQ ROOM SEMI PSYCH 3/4 - 1099050 EQ ROOM SEMI REHAB 3/4 - 1099068 EQ ROOM PRIVATE DLX GEN - 1099076 EQ ROOM PRIVATE DLX M/S/G - 1099084 EQ ROOM ICU PEDS - 1099092 EQ ROOM ICU PSYCH - 1099100 EQ EMERGENCY URGENT CARE - 1099118 EQ EMERGENCY OTHER - 1099134 EQ TRAUMA RESPONSE LEV I - 1099142 EQ OB LABOR RM/DELIVERY - 1099159 EQ DIALYS IP PERITONEAL - 1099167 EQ BH ELECTROSHOCK - 1099175 EQ BH ACTIVITY THERAPY - 1099183 EQ BH PARTIAL HOSPITAL - 1099191 EQ BH PARTIAL HOSPITL INT - 1099209 EQ PAP SMEAR - 1099217 EQ ORGAN ACQUISITION - 1099911 EQ IP/OBSV PSYCH SITTER - 1099977 EQ PHARM W HCPCS NON-COV - 1099995 EQ ACUPUNCTURE - 1107002 ECG 12 LEAD TRACING ONLY 562.00 1107267 CARDIOVAS STR TEST WO RX 1,567.00 1108166 ECHO TEE WO CON 2,599.00 1108190 ECHO STR TEST COMP W CON 3,557.00 1108208 ECHO STR TEST COMP WO CON 3,388.00 1150093 US V DPLX ART LOW EXT BIL 2,040.00 1150101 US V DPLX VENOUS EXT BIL 2,037.00 1150135 US V DPLX ART UP EXT BIL 1,770.00 1150168 CARDIOVAS STR TEST WO RX 1,567.00 1150176 ECHO 2D LTD WO CON 1,090.00 1156116 US DPLX EXTRACRAN CMP BIL 2,161.00 1157064 DOP ART EXT 1-2 LVL BI 674.00 1157825 TRANS O2 MEAS >=3 LVL BI 1,037.00 1160001 CARDIOVAS STR TEST W RX 1,567.00 1160027 TTE W/DOPPLER COMPLETE 3,073.00 1160043 ECHO 2D LMTD W CON 1,145.00 1160076 HOLTER SCN & RPRT <= 48HR 486.00

1160077 US V DPLX ART LOW EXT RT 1,265.00 1160078 US V DPLX ART LOW EXT LT 1,265.00 1160079 US V DPLX ART UP EXT RT 1,157.00 1160080 US V DPLX ART UP EXT LT 1,157.00 1160081 US V DPLX VENOUS EXT RT 1,303.00 1160082 US V DPLX VENOUS EXT LT 1,303.00 1160084 TILT TABLE EVALUATION 1,056.00 1160085 ECG 1-3 LEAD TRACING ONLY 184.00 1160086 DOP ECHO COMP STUDY ADDON 1,812.00 1160087 DOP ECHO COLOR FLOW ADDON 871.00 1160088 INJ FOR MICROBUBBLE STUDY 517.00 1160089 INJ MICROBUB STDY EXST IV 393.00 1160090 US V DPLX HEMODIAL ACESS 474.00 1160091 ECHO PORTABLE PER TRIP NC - 1160092 CARDIOVAS STR TEST W RX 1,567.00 1160093 ECH CNG TRNSTHR COM WOCO 2,375.00 1160094 ECH CNG TRNSTHR LTD WOCON 1,473.00 1202001 NERVE CONDUCT 1-2 STUDIES 729.00 1202019 NERVE CONDUCT 3-4 STUDIES 933.00 1202027 NERVE CONDUCT 5-6 STUDIES 1,108.00 1202035 NERVE CONDUCT 7-8 STUDIES 1,458.00 1210195 NERVE CONDUCT9-10 STUDIES 1,558.00 1210196 NERVE CONDUCT11-12STUDIES 1,608.00 1210197 NERVE CONDUCT>=13 STUDIES 1,658.00 1307024 EEG AWAKE & ASLEEP 1,086.00 1307040 EEG COMA OR SLEEP ONLY 520.00 1307081 EEG CEREBRAL SILENCE 552.00 1307206 AD EVOKED POTENTIALS COMP 698.00 1307271 EEG AWAKE & DROWSY 952.00 1400000 CATH THROM EMB 1605X-2087 5,538.00 1400002 IOHEXOL 300MG/ML 50ML INJ 805.00 1400003 IOHEXOL 300MG/ML 50ML INJ 805.00 1400004 IOHEXOL 300MG/ML 100ML IN 1,577.00 1400005 IOHEXOL 300MG/ML 100ML IN 1,577.00 1400006 IOHEXOL 350MG/ML 50ML INJ 876.00 1400007 IOHEXOL 350MG/ML 50ML INJ 876.00 1400008 IOHEXOL 350MG/ML 100ML IN 1,752.00 1400009 IOHEXOL 350MG/ML 100ML IN 1,752.00 1400010 EVAL CV DVCE W FLUORO INJ 721.00 1400011 CHEMO ADMIN INTRATHECAL 1,064.00 1400012 CATH THROM EMB 2714X-3529 9,366.00 1400013 REM TUNNEL PLEURAL CATH 994.00 1400027 IR VENOUS SAMPLE WWO ANG 8,505.00 1400092 XR EYE FOREIGN BODY BIL 1,077.00 1400100 IR ANGIO SPINAL 5,279.00 1400134 IR ANGIO ADRENAL BIL 5,673.00 1400142 IR ANGIO PELVIC 7,213.00 1400159 IR ANGIO PULM NON SELECT 3,308.00 1400175 IR VENOGRAM RENAL BIL 5,672.00 1400209 IR VENOGRAM ADRENAL BIL 5,672.00 1400217 IR VENOGRM HEPAT W HEMODY 3,971.00 1400225 IR VENOGRM HEPAT WO HEMOD 3,971.00 1400233 IR PORTOGRAM W HEMODYNAM 3,971.00

1400241 IR PORTOGRAM WO HEMODYNA 1,808.00 1400258 VENOUS BLOOD SAMPL SPECIF 208.00 1400266 PORTAL VEIN CATH PERC 2,113.00 1400274 XR BONE SURVEY COMPLETE 1,628.00 1400290 VENA CAVA INTRO CATH 1,319.00 1400308 CATH PLACE AORTA 1,680.00 1400324 CATH/NDL PLACE EXTREM ART 750.00 1400332 VENOGRAM EXTREMTY INJ 376.00 1400340 PSEUDOANEURY TX EXTRM INJ 519.00 1400357 CTH PLC THOR/BRAC 1ST SEL 970.00 1400373 CTH PLC THOR/BRAC 3RD SEL 1,153.00 1400381 CTH PLC THOR/BRAC 2ND SEL 1,073.00 1400399 CTH PLC THOR/BRAC ADD 2-3 1,098.00 1400407 CTH PLC ABD/PEL/EX 1ST EA 714.00 1400415 CTH PLC ABD/PEL/ 2ND INIT 1,882.00 1400423 CTH PLC ABD/PEL/ 3RD INIT 2,240.00 1400431 CTH PLC ABD/PEL/EX EA ADD 1,322.00 1400449 CATH PLACE VEN 1ST SELECT 806.00 1400464 CATH PLACE VEN 2ND ORD 918.00 1400498 IR TRANSCATH THRPY EMBOLZ 1,107.00 1400506 IR TRNSCTH ANG EXIST CATH 966.00 1400613 HYSTERO NS/CON INTRO 341.00 1400647 XR VENOGRAM EXTREMITY BIL 3,101.00 1400654 INS TUNNEL CVAD W PORT>5 10,740.00 1400662 VASC ACCES THROMBL DECLOT 249.00 1400696 IR FLUORO NDL LOCAL SPINE 428.00 1400704 MYELOGRAM/CT LUMBAR INJ 173.00 1400712 IR DISKOGRM LUMBAR SPINE 3,229.00 1400738 IR DISKOGRAM C/T SPINE 3,308.00 1400746 DISKOGRM CER/T EA LVL INJ 271.00 1400761 IR NEPHRO/URET/URTHRA DIL 2,624.00 1400779 ARTHROGRAM KNEE CON INJ 403.00 1400787 ARTHROGRM HIP WO ANES INJ 544.00 1400795 ARTHROGRAM SHOULDER INJ 544.00 1400803 ARTHROGRAM WRIST INJ 544.00 1400845 ILEAL CONDUIT/URETPYL INJ 610.00 1400878 CYSTO/VOID URETHR INJ 151.00 1400886 URETHROCYSTOGRM RETRO INJ 151.00 1400928 DILATE BILE DUCT WO STENT 2,701.00 1400936 IR BILE DUCT DIL WWO STNT 1,277.00 1400944 DILATE BILE DUCT W STENT 12,630.00 1400977 CHOLECYSTOSTOMY PERC 6,302.00 1401009 SINUS TRACT INJ DIAG 161.00 1401017 ABSCES/CYST EXIST CTH INJ 225.00 1401025 ABS/CYST DRN CATH EXCHNGE 3,586.00 1401033 IR ENDO BILIARY DUCT CATH 370.00 1401041 SIALOGRAM INJ 151.00 1401058 GASTRO TUBE PERC PLACE 4,135.00 1401066 IR GI TUBE LONG INTRO 260.00 1401074 GI TUBE LONG INTRO 804.00 1401116 IR ENDO PANCREAS DUCT CTH 370.00 1401132 ERCP DIAGNOSTIC 2,953.00 1401140 ERCP W BIOPSY SNGL/MULTI 2,457.00

1401157 ERCP W SPHINCTEROT/PAPILL 2,953.00 1401165 ERCP RETRO REM CALC DUCTS 2,953.00 1401199 IR VENOGRAM SINUS/JUGULAR 3,308.00 1401207 XR EYE EXAM WITH PHOTOG 496.00 1401215 INSERT TIPS 5,178.00 1401223 REVISE TIPS 25,835.00 1401231 IR REMOV PERICATH MATERL 535.00 1401256 IR REMOV INTRACATH MATER 396.00 1401280 FACET JT/NRV L/S W US SNG 2,128.00 1401298 FACET JT/NRV L/S US2ND LV 687.00 1401306 FACET JT/NRV L/S US 3+ LV 687.00 1401447 IR SINUS TRACT/FIST/ABSC 817.00 1401710 XR LUMBAR SPINE 2 OR 3 VW 833.00 1401728 XR MANDIBLE <4 VIEWS 895.00 1401744 XR MASTOIDS <3 VWS/SIDE 368.00 1401751 XR MASTOIDS 3+ VIEWS/SIDE 730.00 1401819 XR SCAPULA COMPLETE LT 547.00 1401827 XR SCAPULA COMPLETE RT 547.00 1401835 XR HUMERUS 2+ VIEWS LT 364.00 1401843 XR HUMERUS 2+ VIEWS RT 364.00 1401850 XR RIBS 2 VIEWS LT 623.00 1401868 XR RIBS 2 VIEWS RT 623.00 1401876 XR RIBS W CHEST 3+ VWS LT 750.00 1401884 XR RIBS W CHEST 3+ VWS RT 750.00 1401900 XR HAND 2 VIEWS RT 473.00 1401918 XR HAND 3+ VIEWS LT 563.00 1401926 XR HAND 3+ VIEWS RT 563.00 1402080 XR WRIST 3+ VIEWS LT 563.00 1402098 XR WRIST 3+ VIEWS RT 563.00 1402122 XR FOOT 2 VIEWS LT 466.00 1402163 XR FACIAL BONES <3 VIEWS 673.00 1402221 XR KNEE 1 OR 2 VIEWS LT 473.00 1402239 XR KNEE 1 OR 2 VIEWS RT 473.00 1402262 XR TIBIA & FIBULA 2 VW LT 500.00 1402270 XR TIBIA & FIBULA 2 VW RT 500.00 1402288 XR ANKLE 2 VIEWS LT 481.00 1402296 XR ANKLE 2 VIEWS RT 481.00 1402304 XR ANKLE 3+ VIEWS LT 563.00 1402312 XR ANKLE 3+ VIEWS RT 563.00 1402353 XR SHOULDER 1 VIEW RT 428.00 1402361 XR SHOULDER 1 VIEW LT 428.00 1402387 XR ELBOW 2 VIEWS LT 473.00 1402395 XR ELBOW 2 VIEWS RT 473.00 1402403 XR ELBOW 3+ VIEWS LT 563.00 1402411 XR ELBOW 3+ VIEWS RT 563.00 1402429 XR FOREARM 2 VIEWS LT 514.00 1402437 XR FOREARM 2 VIEWS RT 514.00 1402445 XR CALCANEUS 2+ VIEWS LT 283.00 1402452 XR CALCANEUS 2+ VIEWS RT 283.00 1402460 XR SHOULDER 2+ VIEWS LT 563.00 1402478 XR SHOULDER 2+ VIEWS RT 563.00 1402486 XR FOOT 3+ VIEWS LT 536.00 1402494 XR FOOT 3+ VIEWS RT 536.00

1402502 XR CLAVICLE COMPLETE LT 472.00 1402510 XR CLAVICLE COMPLETE RT 472.00 1402511 CATH PTA DC 1234X-1605 4,260.00 1402512 CATH GUIDING 730X-949 2,520.00 1402513 GUIDEWIRE 254X-331 879.00 1402528 NEPHROSTOLITHOTM/PYEL<2CM 11,679.00 1402536 NEPHROSTOLITHOTM/PYEL>2CM 11,679.00 1402537 ARTHROCEN ASP INTER JT WO 365.00 1402538 ARTHROCEN ASP MAJOR JT WO 452.00 1402539 BLADDER ASP W INS SUPRAP 4,417.00 1402540 ASPIRATION(S) BONE MARROW 1,254.00 1402541 BREAST CYST ASP EA ADDL 454.00 1402542 BREAST CYST PUNC ASPIRATE 925.00 1402543 BX EPIDIDYMIS NDL 1,755.00 1402544 IMAGE CATH FLUID VISCERAL 3,338.00 1402545 INS CVAD PERIPH WPOR=>5YR 14,045.00 1402546 INS CVAD PERIPH WPORT<5YR 13,320.00 1402547 INS PICC WO PORT/PUMP<5YR 4,346.00 1402548 INS TUN CV CATH WO PORT<5 6,759.00 1402549 INS TUNNEL CVAD W PUMP 11,492.00 1402550 INSERT NONTUN CV CATH <5 3,401.00 1402551 IR ARTHROGRAM HIP LT 1,652.00 1402552 IR ARTHROGRAM KNEE LT 1,209.00 1402553 IR ARTHROGRAM SHOULDER LT 925.00 1402554 IR ARTHROGRAM WRIST LT 538.00 1402555 MA MAMMARY DUCTO MULT LT 733.00 1402556 NM LYMPH SYSTEM 1,286.00 1402557 REM TUN CVA DEV W PORT/P 5,187.00 1402558 RENAL PEL/URET THER INSTL 1,684.00 1402559 REPL TUN CVAD W PUMP CV 9,529.00 1402560 SENTINL NDE RAD TR ID INJ 454.00 1402561 SPLENOPORTOGRAM INJ 769.00 1402562 THROMBOLY CEREBR IV INFUS 1,849.00 1402563 URETEROSTOMY TUBE CHANGE 1,440.00 1402564 VERTEBROPL INJ ADD W IMAG 3,145.00 1402565 VERTEBROPL INJ C/T W IMAG 4,709.00 1402566 VERTEBROPL INJ L/S W IMAG 4,654.00 1402567 XR TIBIA & FIBULA 2VW BIL 750.00 1402568 XR HYSTEROSALPINGOGRAM 1,015.00 1402569 STNT PLC TRANSC DIALY SEG 10,203.00 1402570 EMBOLIZ DIALY CIRCU PERM 10,203.00 1404996 XR ABDOMEN 1 VIEW 487.00 1404997 XR ABDOMEN 2 VIEWS 608.00 1404998 XR ABDOMEN >=3 VIEWS 809.00 1404999 XR CHEST 1 VIEW 521.00 1405000 XR CHEST 2 VIEWS 678.00 1405001 XR CHEST 3 VIEWS 834.00 1405002 XR CHEST >= 4 VIEWS 935.00 1418335 CHEMO INTRA-ART PUSH 861.00 1420074 XR MANDIBLE 4+ VIEWS 1,029.00 1420090 XR INTERNAL AUDITRY MEATI 564.00 1420108 XR FACIAL BONES 3+ VIEWS 960.00 1420116 XR NASAL BONES 3+ VIEWS 567.00

1420124 XR OPTIC FORAMINA 354.00 1420132 XR SINUSES 3+ VIEWS 748.00 1420140 XR SELLA TURCICA 485.00 1420157 XR SKULL <4 VIEWS 595.00 1420165 XR SKULL 4+ VIEWS 756.00 1420173 XR TMJ OPEN/CLOSED BIL 653.00 1420181 XR NECK SOFT TISSUE 422.00 1420272 IR FLUORO < 1 HR 620.00 1420348 XR RIBS 3 VIEWS BIL 773.00 1420355 XR STERNUM 2+ VIEWS 396.00 1420363 XR STERNOCLAVIC JT(S) 3+ 338.00 1420389 XR CERVICAL SPINE 1 VIEW 446.00 1420397 XR CERVICAL SPINE 2-3 VW 754.00 1420413 XR CERVICAL SPINE >=6 VW 1,306.00 1420462 XR LUMBAR SPINE 4+ VIEWS 1,140.00 1420512 XR PELVIS CMPL 3+ VIEWS 401.00 1420520 XR SACROILIAC JT 3+ VWS 700.00 1420538 XR SACRUM & COCCYX 2+ VWS 584.00 1420546 IR MYELOGRAM LUMBAR 1,709.00 1420553 IR MYELOGRAM CERVICAL 1,709.00 1420561 IR MYELOGRAM 2 OR>REGIONS 3,098.00 1420611 IR ARTHROGRAM SHOULDER RT 971.00 1420629 XR AC JTS W/WO WTS BIL 421.00 1420678 XR HAND 2 VIEWS LT 473.00 1420686 XR FINGER(S) 2+ VIEWS RT 445.00 1420744 IR ARTHROGRAM KNEE RT 1,270.00 1420827 XR ABD AP DECUB UPR+CHEST 1,003.00 1420843 XR PHARYX &/OR CERV ESOPH 753.00 1420850 XR ESOPHAGUS 639.00 1420876 XR DUODENOGR HYPOTONIC 4,167.00 1420900 XR UGI W AIR CON+SM BOWEL 2,366.00 1420918 XR SMALL BOWEL 1,314.00 1420926 XR COLON BE W OR WO KUB 1,505.00 1420934 XR COLON BE W AIR CON 2,107.00 1420942 XR CHOLECYSTOGRM ORAL CO 979.00 1420959 IR CHOLANGIO/PANC INTRAOP 761.00 1421023 IR UROGRM (IVP) WWO TOMO 2,466.00 1421072 IR UROGRAM RETROGRADE 1,233.00 1421163 IR HYSTEROSALPINGOGRAM 1,045.00 1421247 XR BONE AGE STUDIES 474.00 1421254 XR BONE LENGTH STUDIES 586.00 1421494 IR CYSTOURETHROGR RETRO 1,521.00 1422245 XR WRIST 2 VIEWS LT 468.00 1422286 IR CYSTOGRAM 3+ VIEWS 1,521.00 1422393 XR BONE SURVEY INFANT 474.00 1422427 XR KNEE 4+ VIEWS RT 667.00 1422955 IR ARTHROGRAM WRIST RT 564.00 1423144 MA SURGICAL SPECIMEN EA 1,470.00 1423391 XR CERVICAL SPINE 4-5 VW 1,020.00 1423417 XR UPP EXTRM INFANT 2+ LT 368.00 1423508 XR LOW EXTRM INFANT 2+ RT 368.00 1424324 XR WRIST 2 VIEWS RT 468.00 1424605 IR ARTHROGRAM HIP RT 1,735.00

1424688 IR DACRYOCYSTOGRAPHY 430.00 1424761 XR THORACIC SPINE 3 VIEWS 771.00 1424795 XR ORBITS 4+ VIEWS 971.00 1424845 XR FINGER(S) 2+ VIEWS LT 445.00 1425040 XR UPP EXTRM INFANT 2+ RT 368.00 1425065 MA MAMMARY DUCTO SNGL RT 396.00 1425073 MA MAMMARY DUCTO SNGL LT 817.00 1425081 MA MAMMARY DUCTO MULT RT 770.00 1425099 MAMMARY DUCTOGRAM INJ 218.00 1425115 XR SINUSES <3 VIEWS 591.00 1425123 XR PELVIS 1 OR 2 VIEWS 270.00 1425131 XR SWALLOW FUNCT CINE/VID 537.00 1425149 XR RIBS W/CHEST 4+ VW BIL 1,012.00 1425156 XR SACROILIAC JTS <3 VWS 595.00 1425164 XR SM BOWEL ENTEROCLYSIS 5,034.00 1425172 XR THORACIC SPINE 2 VIEWS 687.00 1425180 XR TMJ OPEN/CLOSED RT 431.00 1425198 XR TMJ OPEN/CLOSED LT 431.00 1425206 XR TOE(S) 2+ VIEWS RT 375.00 1425214 XR TOE(S) 2+ VIEWS LT 375.00 1425230 XR UGI W KUB 800.00 1425297 XR LOW EXTRM INFANT 2+ LT 368.00 1427384 XR KNEE 4+ VIEWS LT 667.00 1427426 IR MYELOGRAM THORACIC 1,620.00 1427616 THORACENTESIS W IMAGING 2,470.00 1427624 INS CATH PLEURAL W IMAG 3,095.00 1432020 IR AORTOGRAM THORAC W SER 8,505.00 1432104 IVUS NON CORON W IMAG INI 3,382.00 1432105 IVUS NON CORO W IM EA ADD 2,686.00 1432106 PLC ACCESS BILI TREE SB 8,504.00 1432107 INJ ANTE NEPH&/URET NW BI 1,954.00 1432108 INJ ANTE NEPH&/URET EX BI 1,954.00 1432109 PLC NEPHROU CTH IMA NW BI 8,675.00 1432110 CON NPHRS TO NPHRU CTH BI 7,573.00 1432112 EXCHNG NEPHRO CTH IMAG BI 7,573.00 1432113 PLC URETER STNT PRE EX BI 13,331.00 1432114 PLC URETER STNT NW ACC BI 13,331.00 1432115 PLC URET STNT NW W CTH BI 13,331.00 1432301 EGD G TUBE PLACE PERC 2,766.00 1432319 GASTRO TUBE CHANG WO IMAG 516.00 1432327 GASTROSTOMY TUBE REPOSIT 1,861.00 1432442 RENAL CYST ASP/INJ PERC 2,129.00 1432475 NEPHRO TRACT DILAT W GUID 5,697.00 1432541 LUMBAR PUNCTURE DIAGNOSTC 1,229.00 1432616 INSERT NONTUN CV CATH >5 3,507.00 1432632 IR VENOGRAM EXTREMITY LT 2,334.00 1432640 IR VENOGRAM EXTREMITY RT 2,334.00 1432657 IR VENOGRAM RENAL LT 3,971.00 1432665 IR VENOGRAM RENAL RT 3,971.00 1432806 INS PICC WO PORT/PUMP>5YR 4,025.00 1432814 REPL NOTUN CV CATH WO PRT 1,959.00 1432822 REPOSITION CV CATH W FLUR 2,395.00 1432830 INS TUN CV CATH WO PORT>5 5,679.00

1432848 REPAIR CV CATH WO PUM/POR 804.00 1432855 REPAIR CVAD W PORT OR PMP 2,346.00 1432863 REPLACE CATH ONLY CVAD W 2,121.00 1432871 REPL TUN CV CATH WO PORT 5,572.00 1432889 REPL TUN CVAD W PORT CV 8,637.00 1432897 REPL CVAD W PORT PERIPH 7,433.00 1432905 REM TUN CV CATH WO PORT/P 2,998.00 1432913 BX BONE TROCAR/NDL DEEP 320.00 1432954 REM PERICATH MATER CV DEV 2,788.00 1432962 REM INTRALUM MATERL CVDEV 1,071.00 1432970 REPL PICC WO PORT 2,805.00 1433002 IR AORTOGRAM ABD W SERIAL 5,099.00 1433069 IR AORTOGRM ABD W ILIOFEM 6,144.00 1435007 IR ANGIO PULMONARY BIL 9,812.00 1436005 IR VENACAVAGRAM SUPERIOR 1,929.00 1436021 IR VENACAVAGRAM INFERIOR 6,029.00 1438035 IR FLUORO GUIDE NDL PLCMT 730.00 1440024 INTRO CATH DIALY CIRCUIT 2,977.00 1440025 INTRO CTH DIALY CIRCU BLN 11,490.00 1440026 INT CTH DIALY CIR IVAS ST 17,353.00 1440027 THROMBECT DIALY CIRCUIT 11,490.00 1440028 THROMB DIALY CIRCUIT BLN 17,353.00 1440029 THROMB DIALY CIRC IVAS ST 17,357.00 1440030 ANGIO BLN CENT DIALY SEG 17,353.00 1440031 ANGIO BLN TRANS ART INI 12,657.00 1440032 ANGIO BLN TRANS ART EAADD 1,457.00 1440033 ANGIO BLN TRANSL VEIN INI 12,657.00 1440034 ANGIO BLN TRAN VEIN EAADD 1,395.00 1440035 MA MAMMO DIAG W CAD RT 333.00 1440036 MA MAMMO DIAG W CAD LT 333.00 1440037 MOD SEDAT <5YRS 1ST 15M 401.00 1440038 MOD SEDAT =>5YRS 1ST 15M 401.00 1440700 IR CYSTOURETHROGRAM VOID 1,521.00 1440974 GADODIAMIDE 287 10ML INJ 1,612.00 1440975 GADODIAMIDE 287 15ML INJ 2,363.00 1440976 GADODIAMIDE 287 20ML INJ 2,919.00 1442011 XR ANGIO EXTREMITY BIL 8,758.00 1443118 DISKOGRM LUMB EA LVL INJ 1,161.00 1443779 IR TUBE/CATH CHANGE W CON 1,552.00 1443845 XR TOMOGRAM SINGLE PLANE 1,119.00 1443852 DUOD/JEJ TUBE PERC PLACE 4,754.00 1444454 IR ANGIO EA ADD VESSEL 1,030.00 1444652 IR ANGIO VISC WO OR W FLS 7,213.00 1445030 IR FLUORO 4-5 HOURS NC - 1445048 XR FLUORO 3-4 HOURS NC - 1445049 MYELOGR>= 2 REG W INJ LUM 2,484.00 1445050 MYELOGRA CERVIC W INJ LUM 2,484.00 1445051 MYELOGRA LUMBOS W INJ LUM 2,484.00 1445052 MYELOGRA THORAC W INJ LUM 2,484.00 1445053 CATH PLACE RT HRT/PUL ART 324.00 1445054 CATH PLC PULM L/R ART SEL 372.00 1445055 XR FLUORO 9-10 HOURS NC - 1445056 CATH PLACE PUL ART SEGMNT 433.00

1445057 IR SHUNTOGRAM NONVASCULA 379.00 1445058 OCCLUS/EMBOL NON CNS PERM 35,490.00 1445059 OCCLUSON/EMBOLIZ CNS PERM 6,164.00 1445063 XR FLUORO 6-7 HOURS NC - 1445071 XR FLUORO 7-8 HOURS NC - 1445089 XR FLUORO 2-3 HOURS NC - 1445097 XR FLUORO 8-9 HOURS NC - 1445105 IR FLUORO 1-2 HOURS NC - 1445113 IR FLUORO 2-3 HOURS NC - 1445121 IR FLUORO 6-7 HOURS NC - 1445139 XR FLUORO 4-5 HOURS NC - 1445140 PARACENTSIS ABD W IMAGING 2,570.00 1445147 XR FLUORO 5-6 HOURS NC - 1445154 IR FLUORO 3-4 HOURS NC - 1445162 IR FLUORO 7-8 HOURS NC - 1445170 IR FLUORO <1 HOUR NC - 1445188 IR FLUORO 8-9 HOURS NC - 1445196 IR FLUORO 9-10 HOURS NC - 1445204 XR FLUORO 1-2 HOURS NC - 1445212 IR FLUORO 5-6 HOURS NC - 1445220 XR FLUORO <1 HOUR NC - 1445238 GASTRO TUBE CHANGE W IMAG 1,240.00 1447002 IR ENDO ERCP 833.00 1447051 CTH PLC RENAL SUPRSEL BIL 9,641.00 1447077 CTH PLC RENAL ART SEL BIL 6,624.00 1447085 INS IVC FILTER ENDOVAS 11,625.00 1447093 LIGATION VENA CAVA INFER 9,563.00 1447120 D5% 50ML INJ 78.00 1447121 NACL 0.45% 500ML INJ 78.00 1447122 NACL 0.9% 100ML INJ 78.00 1447123 NACL 0.9% 50ML PB 78.00 1447124 BONE SUBSTITUTE 150X-195 606.00 1447125 CATH DIALYS LT 150X-195 606.00 1447126 CATH DIALYS LT 195X-254 788.00 1447127 CATH DIALYS LT 254X-331 879.00 1447128 CATH DIALYSIS ST 67X-88 312.00 1447129 CATH DIALYSIS ST 88X-115 408.00 1447130 CATH DIALYSIS ST 115X-150 466.00 1447131 CATH DRAINAGE 13X-17 75.00 1447132 CATH DRAINAGE 51X-67 236.00 1447133 CATH DRAINAGE 67X-88 312.00 1447134 CATH GUIDING 39X-51 180.00 1447135 CATH GUIDING 150X-195 606.00 1447136 CATH GUIDING 431X-561 1,488.00 1447137 CATH INFUSION 51X-67 236.00 1447138 CATH INFUSION 67X-88 312.00 1447139 CATH INFUSION 88X-115 408.00 1447140 CATH INFUSION 115X-150 466.00 1447141 CATH INFUSION 195X-254 788.00 1447142 CATH NONVAS DIL 195X-254 788.00 1447143 CATH OTHER 13X-17 75.00 1447144 CATH OTHER 30X-39 140.00 1447145 CATH OTHER 39X-51 180.00

1447146 CATH OTHER 51X-67 236.00 1447147 CATH PTA NLASR 88X-115 408.00 1447148 CATH PTA NLASR 115X-150 466.00 1447149 CATH PTA NLASR 150X-195 606.00 1447150 CATH PTA NLASR 195X-254 788.00 1447151 CATH PTA NLASR 254X-331 879.00 1447152 CATH THROM EMB 67X-88 312.00 1447153 CATH THROM EMB 88X-115 408.00 1447154 CATH THROM EMB 561X-730 1,938.00 1447155 CATH THROM EMB 730X-949 2,520.00 1447156 CLOSURE IMPLNT 51X-67 236.00 1447157 FILTER VENA CAV 730X-949 2,520.00 1447158 FILTER VENA CAV 949X-1234 3,276.00 1447159 GASTRO IMP 23X-30 108.00 1447160 GASTRO IMP 30X-39 140.00 1447161 GUIDEWIRE <10 25.00 1447162 GUIDEWIRE 10-13 60.00 1447163 GUIDEWIRE 13X-17 75.00 1447164 GUIDEWIRE 17X-23 100.00 1447165 GUIDEWIRE 30X-39 140.00 1447166 GUIDEWIRE 39X-51 180.00 1447167 GUIDEWIRE 51X-67 236.00 1447168 GUIDEWIRE 67X-88 312.00 1447169 GUIDEWIRE 88X-115 408.00 1447170 GUIDEWIRE 150X-195 606.00 1447171 GUIDEWIRE 561X-730 1,938.00 1447172 INST/SUPP NONST 10-13 60.00 1447173 INST/SUPP NONST 17X-23 100.00 1447174 INST/SUPP STERL 10-13 60.00 1447175 INST/SUPP STERL 13X-17 75.00 1447176 INST/SUPP STERL 17X-23 100.00 1447177 INST/SUPP STERL 23X-30 108.00 1447178 INST/SUPP STERL 30X-39 140.00 1447179 INST/SUPP STERL 51X-67 236.00 1447180 INST/SUPP STERL 88X-115 408.00 1447181 INST/SUPP STERL 150X-195 606.00 1447182 INST/SUPP STERL 254X-331 879.00 1447183 INTRO SHTH OTH <10 25.00 1447184 INTRO SHTH OTH 10-13 60.00 1447185 INTRO SHTH OTH 23X-30 108.00 1447186 INTRO SHTH OTH 30X-39 140.00 1447187 INTRO SHTH OTH 39X-51 180.00 1447188 INTRO SHTH OTH 67X-88 312.00 1447189 INTRO SHTH OTH 115X-150 466.00 1447190 INTRO SHTH OTH 150X-195 606.00 1447191 INTRO SHTH OTH 331X-431 1,143.00 1447192 INTRO SHTH OTH 561X-730 1,938.00 1447193 KIT/PACK DISP 67X-88 312.00 1447194 KIT/PACK DISP 115X-150 466.00 1447195 KIT/PACK DISP 150X-195 606.00 1447196 KIT/PACK DISP 561X-730 1,938.00 1447197 KIT/PACK DISP 2087X-2714 7,203.00 1447198 KIT/PACK DISP 2714X-3529 9,366.00

1447199 NACL 0.9% 1000ML INJ 78.00 1447200 NACL 0.9% 250ML INJ 78.00 1447201 NACL 0.9% 500ML INJ 78.00 1447202 ORTHO L0120 <10 25.00 1447203 ORTHO L0625 10-13 60.00 1447204 PORT INDWELL 254X-331 879.00 1447205 PORT INDWELL 331X-431 1,143.00 1447206 STENT COV W 2087X-2714 7,203.00 1447207 STENT COV W 2714X-3529 9,366.00 1447208 STENT COV W 3529X-4588 12,177.00 1447209 STENT NCOV W 431X-561 1,488.00 1447210 STENT NCOV W 561X-730 1,938.00 1447211 STENT NCOV W 730X-949 2,520.00 1447212 STENT NCOV W 949X-1234 3,276.00 1447213 STENT NCOV W 2087X-2714 7,203.00 1447214 STENT NONCOR W 88X-115 408.00 1447215 STENT NONCOR W 115X-150 466.00 1447216 TISSUE MARKER 67X-88 312.00 1447217 VASC CLOSE DVC 150X-195 606.00 1447218 VASCULAR IMP 51X-67 236.00 1447219 VASCULAR IMP 67X-88 312.00 1447220 VASCULAR IMP 150X-195 606.00 1447221 VASCULAR IMP 195X-254 788.00 1447228 CATH ATHR DIR 2087X-2714 7,203.00 1447229 CATH ATHR DIR 2714X-3529 9,366.00 1447230 CATH ATHR ROT 2714X-3529 9,366.00 1447233 CATH DIALYSIS ST 39X-51 180.00 1447234 CATH DRAINAGE <10 25.00 1447235 CATH DRAINAGE 10-13 60.00 1447236 CATH DRAINAGE 115X-150 466.00 1447237 CATH DRAINAGE 150X-195 606.00 1447238 CATH DRAINAGE 17X-23 100.00 1447239 CATH DRAINAGE 195X-254 788.00 1447240 CATH DRAINAGE 23X-30 108.00 1447241 CATH DRAINAGE 254X-331 879.00 1447242 CATH DRAINAGE 561X-730 1,938.00 1447243 CATH DRAINAGE 730X-949 2,520.00 1447244 CATH GUIDING 115X-150 466.00 1447245 CATH GUIDING 13X-17 75.00 1447246 CATH GUIDING 17X-23 100.00 1447247 CATH GUIDING 254X-331 879.00 1447248 CATH GUIDING 30X-39 140.00 1447249 CATH GUIDING 331X-431 1,143.00 1447250 CATH INFUSION 10-13 60.00 1447251 CATH INFUSION 13X-17 75.00 1447252 CATH INFUSION 17X-23 100.00 1447253 CATH INFUSION 23X-30 108.00 1447254 CATH INFUSION 331X-431 1,143.00 1447255 CATH INFUSION 39X-51 180.00 1447256 CATH INFUSION 431X-561 1,488.00 1447257 CATH NONVAS DIL 150X-195 606.00 1447258 CATH NONVAS DIL 254X-331 879.00 1447259 CATH NONVAS DIL 561X-730 1,938.00

1447260 CATH NONVAS DIL1605X-2087 5,538.00 1447261 CATH OCCLUSION 254X-331 879.00 1447262 CATH OTHER 10-13 60.00 1447263 CATH OTHER 115X-150 466.00 1447264 CATH OTHER 150X-195 606.00 1447265 CATH OTHER 17X-23 100.00 1447266 CATH OTHER 195X-254 788.00 1447267 CATH OTHER 23X-30 108.00 1447268 CATH OTHER 67X-88 312.00 1447269 CATH OTHER 88X-115 408.00 1447270 CATH OTHER 949X-1234 3,276.00 1447271 CATH PTA NLASR 331X-431 1,143.00 1447272 CATH PTA NLASR 431X-561 1,488.00 1447273 CATH PTA NLASR 730X-949 2,520.00 1447274 CATH PTA NLASR 949X-1234 3,276.00 1447275 CATH SUPRAPUBIC 13X-17 75.00 1447276 CATH SUPRAPUBIC 39X-51 180.00 1447277 CATH SUPRAPUBIC 51X-67 236.00 1447278 CATH THROM EMB 1234X-1605 4,260.00 1447279 CATH THROM EMB 30X-39 140.00 1447280 CATH THROM EMB 39X-51 180.00 1447281 CATH THROM EMB 51X-67 236.00 1447282 CATH URETERAL <10 25.00 1447283 CATH URETERAL 10-13 60.00 1447284 CATH URETERAL 17X-23 100.00 1447285 CATH URETERAL 23X-30 108.00 1447286 CATH URETERAL 51X-67 236.00 1447287 GUIDEWIRE 115X-150 466.00 1447288 GUIDEWIRE 23X-30 108.00 1447289 GUIDEWIRE 331X-431 1,143.00 1447290 INST/SUPP STERL 115X-150 466.00 1447291 INST/SUPP STERL 195X-254 788.00 1447292 INST/SUPP STERL 331X-431 1,143.00 1447293 INST/SUPP STERL 39X-51 180.00 1447294 INST/SUPP STERL 431X-561 1,488.00 1447295 INST/SUPP STERL 561X-730 1,938.00 1447296 INST/SUPP STERL 67X-88 312.00 1447297 INST/SUPP STERL 730X-949 2,520.00 1447298 INST/SUPP STERL 949X-1234 3,276.00 1447299 INST/SUPP STERL1234X-1605 4,260.00 1447300 INST/SUPP STERL2087X-2714 7,203.00 1447301 INTRO SHTH OTH 13X-17 75.00 1447302 INTRO SHTH OTH 254X-331 879.00 1447303 INTRO SHTH OTH 51X-67 236.00 1447304 INTRO SHTH OTH 88X-115 408.00 1447305 KIT/PACK DISP 195X-254 788.00 1447306 ORTHO A4565 <10 25.00 1447307 PORT INDWELL 150X-195 606.00 1447308 PORT INDWELL 195X-254 788.00 1447309 PORT INDWELL 431X-561 1,488.00 1447310 STENT NCOV W 1234X-1605 4,260.00 1447311 STENT NCOV W 1605X-2087 5,538.00 1447312 STENT NONCOR WO 150X-195 606.00

1447313 STENT NONCOR WO 39X-51 180.00 1447314 STENT NONCOR WO 67X-88 312.00 1447315 STENT NONCOR WO 88X-115 408.00 1447316 CATH DIALYS LT 67X-88 312.00 1461573 LOCM 100-199MG/ML IODINE 93.50 1461581 GADOLINIUM-BAS MR CON/ML 62.70 1461607 ARTHROCEN ASP SMALL JT WO 352.00 1461615 XR READ OUTSIDE IMAGES NC - 1461623 XR FLUORO NDL LOCAL SPINE 428.00 1461631 XR FLUORO CVAD PL/RPL/REM 565.00 1461649 RPR INTEST FISTULA W PLUG 5,529.00 1462498 THORACOSTOMY TUBE 1,855.00 1462571 URETERAL STENT REMOVE 2,310.00 1462589 ASP ABSC/HEMA/CYST/BULLA 375.00 1462639 ART MECH THROMBECTMY PRIM 5,872.00 1462647 VENOUS MECH THROMBECTOMY 9,253.00 1462654 ART MECH THROMB PRIM ADD 5,872.00 1462753 DILATE ESOPHAGUS W WIRE 1,350.00 1462761 PLACE NG/OG TUBE PHY SKIL 341.00 1462779 MODERATE SEDAT ADD 15MIN 281.00 1462811 BILIARY ENDO DX PERC 6,302.00 1462829 THYROID CYST ASPIRATE/INJ 1,743.00 1462837 PULM TUMOR ABLAT RADIO 5,107.00 1462845 LIVER TUMOR ABLAT RF PERC 5,107.00 1462852 RENAL TUMOR(S ABLAT RADIO 12,630.00 1462860 BONE TUMOR ABLAT RADIO W 4,855.00 1462878 CT GUIDE TISSUE ABLATION 677.00 1462886 REVAS FEM POP ATHERECTOMY 25,677.00 1462894 REVAS FEM POP STENT ATHER 30,687.00 1462902 REVAS FEM POP TRANS ANGIO 18,788.00 1462910 REVAS FEMORAL POPLT STENT 21,293.00 1462928 REVAS ILIAC STENT INI VES 15,234.00 1462936 REVAS IPSIL ILI ANGIO ADD 6,593.00 1462944 REVAS IPSIL ILI STENT ADD 6,399.00 1462951 REVAS TIB PERON ANGIO ADD 5,311.00 1462969 REVAS TIB PERON ATHER ADD 10,953.00 1462977 REVAS TIB PERON ATHER INI 18,117.00 1462985 REVAS TIB PERON STENT ADD 6,593.00 1462993 REVAS TIB PERON STENT INI 10,621.00 1463009 REVAS TIB PR STNT ATH ADD 6,593.00 1463017 REVAS TIB PR STNT ATH INI 18,919.00 1463025 REVAS TIBIAL PERN ANG INI 10,621.00 1463033 REVAS ILIAC TRNS ANG INI 12,341.00 1463041 NEPHRO TB REMOVE W FLUORO 1,576.00 1463066 XR FOOT 2 VIEWS RT 466.00 1463074 EVAL GI TBE PRC W FLU INJ 579.00 1463090 LOCM 300-399MG/ML IODINE 45.00 1463108 LOCM 300-399MG/ML IODINE 28.00 1463116 LOCM 300-399MG/ML IODINE 36.00 1463124 LOCM 300-399MG/ML IODINE 33.00 1463132 LOCM 300-399MG/ML IODINE 42.00 1463140 LOCM 200-299MG/ML IODINE 34.00 1463157 LOCM 100-199MG/ML IODINE 34.00

1463165 MSI EXT LOW AP/LAT RT NC - 1463173 MSI SPINE AP/PA/LATERL NC - 1463181 MSI EXT LOW AP/LAT LT NC - 1463199 MSI EXT UPPR AP/LAT LT NC - 1463207 MSI EXT UPPR AP/LAT RT NC - 1463215 MSI CHEST AP/OBLIQUE NC - 1463223 MSI CRANIUM AP/LATERAL NC - 1463231 MSI ABDOMEN/PELVIS NC - 1463249 MSI VAGINA AND INLET NC - 1463280 REPOS IVC FILTER ENDOVAS 18,251.00 1463298 RETR IVC FILTER ENDOVAS 17,786.00 1463330 OCCLUSIVE DEVICE ART/VEIN 1,295.00 1463348 CTH PL CAR/INM ART SEL BI 8,288.00 1463355 CTH PLC CAR/INOM ART SEL 8,288.00 1463363 CTH PL CAR/INM SEL ICA BI 12,907.00 1463371 CTH PLC CAR/INOM SEL ICA 8,288.00 1463389 CTH PLC ICA SEL BILAT 13,586.00 1463397 CTH PLC ICA SEL 14,265.00 1463405 CTH PLC SUBC/INOM ART SEL 8,288.00 1463413 CTH PLC VERT SEL 14,265.00 1463421 CTH PLC ECA SEL ADDON 272.00 1463439 TRANSCTH RET IVAS FB PERC 8,338.00 1463447 THROMBOLYS ART INIT DAY 4,707.00 1463454 THROMBOLYS VEN INIT DAY 5,196.00 1463462 THROMBOLYS SUBSEQUENT DA 11,547.00 1463470 THROMBOLYS FINAL DAY 11,547.00 1463488 JEJUNOSTMY TUBE REPL PERC 2,605.00 1463490 BX BREAST STEREO PERC 1ST 4,228.00 1463492 BX BRST STEREO PERC EA AD 4,030.00 1463494 BX BREAST US PERC 1ST 3,470.00 1463496 BX BRST US PERC EA ADD 3,305.00 1463502 PLC BRST LOC DEV MAMM 1ST 1,475.00 1463504 PLC BRST LOC DEV MAMM ADD 1,412.00 1463506 PLC BRST LOC DEV STER 1ST 1,269.00 1463508 PLC BRST LOC DEV STER ADD 1,209.00 1463510 PLC BRST LOC DEV US 1ST 782.00 1463512 PLC BRST LOC DEV US ADD 744.00 1463517 STNT PLC TRANSCTH ART INI 25,835.00 1463518 STNT PLC TRANSCTH ART ADD 25,835.00 1463519 STNT PLC TRANSC VEIN INI 25,835.00 1463520 STNT PLC TRANSC VEIN ADD 25,835.00 1463521 OCC/EMB NON HEMORR VENOU 25,835.00 1463522 OCC/EMB NON HEMORR ART 25,835.00 1463523 OCC/EMB TUMOR/ORGAN INFAR 25,835.00 1463524 OCC/EMB HEMORRHAG/LYMPH 25,835.00 1463525 TRANSVAG/REC PELV DRN 2,387.00 1463526 IMAGE CATH FLUID SOFT TIS 1,170.00 1463527 CYSTO TUBE CHANGE COMPLEX 1,470.00 1463528 CYSTO TUBE CHANGE SIMPLE 665.00 1463529 REM PERM PERITONEAL CATH 4,801.00 1463530 REM&REP NEPHROURE CTH EXT 4,114.00 1463531 INTERVRT DISC DX ASP PERC 1,292.00 1463532 ANES/STE PLNT DIG NRV INJ 641.00

1463533 IR ANGIO ADRENAL RT 3,971.00 1463534 IR ANGIO ADRENAL LT 3,971.00 1463535 IR VENOGRAM ADRENAL RT 3,971.00 1463536 IR VENOGRAM ADRENAL LT 3,971.00 1463540 IR ANGIO EXTREMITY LT 6,247.00 1463541 IR ANGIO EXTREMITY BIL 6,247.00 1463542 IR SIALOGRAM RT 893.00 1463543 IR SIALOGRAM LT 893.00 1463544 IR UROGRAM ANTEGRADE LT 1,233.00 1463545 IR UROGRAM ANTEGRADE RT 1,233.00 1463546 IR ANGIO PULMONARY RT 3,971.00 1463547 IR ANGIO PULMONARY LT 3,971.00 1463548 CTH PLC RENAL SUPRSEL RT 6,748.00 1463549 CTH PLC RENAL SUPRSEL LT 6,748.00 1463550 CTH PLC RENAL ART SEL RT 4,637.00 1463551 CTH PLC RENAL ART SEL LT 4,637.00 1463554 IR ANGIO EXTREMITY RT 6,247.00 1463557 PLC BRST LOC DEV MAMM 1ST 1,412.00 1463559 PLC BRST LOC DEV US 1ST 744.00 1463560 VERTEB AUGM THORAC W IMAG 19,310.00 1463561 VERTEB AUGM LUMBAR W IMAG 19,310.00 1463562 VERTEB AUGM EA ADD W IMAG 9,655.00 1463563 XR PORTABLE PER TRIP NC - 1463564 IR IMAGE COPY NC - 1463565 XR IMAGE COPY NC - 1463566 PERITN-VEN SHUNT EVAL INJ 540.00 1463569 IR VENOGRAM EXTREMITY BIL 3,101.00 1463570 CATH THROM EMB 195X-254 788.00 1463970 XR BONE DENSITY(DXA)APEND 182.00 1463971 XR BONE DENSITY(DXA)AXAL 306.00 1463972 XR CYSTOGRAM 3+ VIEWS 1,521.00 1463973 XR CYSTOURETHROGR RETRO 1,521.00 1463975 XR UROGRM (IVP) WWO TOMO 2,466.00 1463976 XR UROGRAM RETROGRADE 1,233.00 1463977 IR TELERADIOGRPY/EXAM NC - 1463978 XR TELERADIOGRPHY/EXAM NC - 1463979 US GUIDED VASCULAR ACCESS 440.00 1463980 CATH INFUSION 254X-331 879.00 1469374 XR CYSTOURETHROGRAM VOID 1,521.00 1469375 CHOLANG EX ACCES INJ IMAG 1,653.00 1469376 CHOLANG NW ACCES INJ IMAG 2,805.00 1469377 PLC BILI DRN CTH EXT IMAG 7,021.00 1469378 PLC BILI DRN CTH INT-EXT 8,504.00 1469379 PLC STENT BILE DUCT EXIST 8,504.00 1469380 PLC STENT BILE DUCT NEW 8,504.00 1469381 PLC STNT BILE DUCT CTH NW 8,504.00 1469382 CONV BILI DRN CTH INT-EXT 4,975.00 1469383 EXCH BILI DRN CATH W IMAG 5,048.00 1469384 REM BILI DRN CTH W FLUORO 5,048.00 1469385 REM CALCULI BILI DUCT/GB 4,713.00 1469386 INJ ANTEGR NEPH&/URETE NW 1,303.00 1469387 INJ ANTEG NEPH&/URETER EX 1,303.00 1469388 PLC NEPHROSTOM CTH W IMAG 5,783.00

1469389 EXCHNG NEPHROS CTH W IMAG 5,048.00 1469390 PLC NEPHROUR CTH IMAG NEW 5,048.00 1469391 CONV NEPHRS TO NEPHRU CTH 5,048.00 1469392 ENDOLUM BX UETER/RNL PELV 5,048.00 1469393 PLC URETER STNT PRE EXIST 8,887.00 1469394 PLC URETER STNT NW ACCESS 8,887.00 1469395 PLC URETER STNT NEW W CTH 8,887.00 1469396 XR SPINE ENTIRE 2-3 VIEWS 1,537.00 1469397 XR HIP W PELVIS 1 VIEW LT 392.00 1469398 XR HIP W PELVIS 1 VIEW RT 392.00 1469399 XR FEMUR 1 VIEW RT 375.00 1469400 XR FEMUR 1 VIEW LT 375.00 1469401 XR FEMUR 2+ VIEWS BIL 563.00 1469402 ENDO INTR PRLNG AD RX INI 4,955.00 1469403 ENDO INTR PRLNG AD RX ADD 4,955.00 1469404 XR SPINE ENTIRE 1 VIEW 711.00 1469405 XR SPINE ENTIRE 4-5 VIEWS 1,921.00 1469406 XR SPINE ENTIRE 6+ VIEWS 2,402.00 1469407 XR HIP W PEL 2-3 VIEWS LT 567.00 1469408 XR HIP W PEL 2-3 VIEWS RT 567.00 1469409 XR HIP W PELV 4+ VIEWS LT 709.00 1469410 XR HIP W PELV 4+ VIEWS RT 709.00 1469411 XR HIP W PELV 2 VIEWS BIL 602.00 1469412 XR HIP W PEL 3-4 VIEWS BI 752.00 1469413 XR HIP W PEL 5+ VIEWS BIL 939.00 1469414 XR FEMUR 2+ VIEWS LT 375.00 1469415 XR FEMUR 2+ VIEWS RT 375.00 1469416 KIT/PACK DISP 331X-431 1,143.00 1469417 INTRO EP FC PEEL 115X-150 466.00 1469418 RETRV FRAC DVC 254X-331 879.00 1469419 GUIDEWIRE 195X-254 788.00 1469420 INTRO EP FC PEEL 30X-39 140.00 1469421 INTRO EP FC PEEL 39X-51 180.00 1469422 INTRO EP FC PEEL 51X-67 236.00 1469423 RETRV FRAC DVC 331X-431 1,143.00 1469424 RETRV FRAC DVC 561X-730 1,938.00 1469425 SHUNT IMPLANT 1605X-2087 5,538.00 1469426 GRAFT VASC 51X-67 236.00 1469427 GUIDEWIRE 431X-561 1,488.00 1469428 RETRV FRAC DVC 331X-431 1,143.00 1469429 STENT NCOV WO 1234X-1605 4,260.00 1469430 ANCHOR/SCREW 431X-561 1,488.00 1469431 ANCHOR/SCREW 1234X-1605 4,260.00 1469432 FILTER VENA CAV1234X-1605 4,260.00 1469433 C1-C2 PUNC CIS/LAT WO INJ 2,176.00 1469434 C1-C2 PUNC CIS/LAT W INJ 2,177.00 1469435 TRANSCATHETER BIOPSY 14,115.00 1469436 IR BIOPSY TRANSCATH 1,678.00 1469437 STENT NCOV WO 431X-561 1,488.00 1469438 RETRV FRAC DVC 431X-561 1,488.00 1469439 INS TUN CTH PLEURAL W CUF 10,509.00 1469440 IR FLUOR GUIDE CATH DRAIN 693.00 1469441 BX PANCREAS NEEDLE PERC 2,129.00

1469442 VASCULAR IMP 730X-949 2,520.00 1469443 CATH DIALYSIS ST 150X-195 606.00 1469444 INSERT CATH BLADDER SMPL 368.00 1469445 INSERT CATH BLADDER CPLX 467.00 1469446 CTH PLC THOR AOR NSEL 8,670.00 1469447 IR AORTOGRAM THOR WO SER 8,505.00 1469448 CATH OTHER 254X-331 879.00 1469449 GASTRO IMP 195X-254 788.00 1469450 XR EYE FOREIGN BODY BI FY 1,046.00 1469451 XR BONE SURVEY COMPLET FY 1,581.00 1469452 XR VENOGRAM EXTREM BIL FY 3,011.00 1469453 IR FLUOR NDL LOC SPINE FY 416.00 1469454 IR ENDO BILIA DUCT CTH FY 359.00 1469455 IR GI TUBE LONG INTRO FY 252.00 1469456 IR ENDO PANCR DUCT CTH FY 359.00 1469457 IR SINUS TR/FIST/ABSC FY 793.00 1469458 XR LUMBAR SPINE 2OR3V FY 809.00 1469459 XR MANDIBLE <4 VIEWS FY 869.00 1469460 XR MASTOIDS <3VWS/SIDE FY 357.00 1469461 XR MASTOIDS 3+VWS/SIDE FY 709.00 1469462 XR SCAPULA COMPLETE LT FY 531.00 1469463 XR SCAPULA COMPLETE RT FY 531.00 1469464 XR HUMERUS 2+ VIEWS LT FY 353.00 1469465 XR HUMERUS 2+ VIEWS RT FY 353.00 1469466 XR RIBS 2 VIEWS LT FY 605.00 1469467 XR RIBS 2 VIEWS RT FY 605.00 1469468 XR RIBS W CHEST 3+V LT FY 728.00 1469469 XR RIBS W CHEST 3+V RT FY 728.00 1469470 XR HAND 2 VIEWS RT FY 459.00 1469471 XR HAND 3+ VIEWS LT FY 547.00 1469472 XR HAND 3+ VIEWS RT FY 547.00 1469473 XR WRIST 3+ VIEWS LT FY 547.00 1469474 XR WRIST 3+ VIEWS RT FY 547.00 1469475 XR FOOT 2 VIEWS LT FY 452.00 1469476 XR FACIAL BONES <3VWS FY 653.00 1469477 XR KNEE 1 OR 2 VWS LT FY 459.00 1469478 XR KNEE 1 OR 2 VWS RT FY 459.00 1469479 XR TIBIA&FIBULA 2VW LT FY 485.00 1469480 XR TIBIA & FIB 2 VW RT FY 485.00 1469481 XR ANKLE 2 VIEWS LT FY 467.00 1469482 XR ANKLE 2 VIEWS RT FY 467.00 1469483 XR ANKLE 3+ VIEWS LT FY 547.00 1469484 XR ANKLE 3+ VIEWS RT FY 547.00 1469485 XR SHOULDER 1 VIEW RT FY 416.00 1469486 XR SHOULDER 1 VIEW LT FY 416.00 1469487 XR ELBOW 2 VIEWS LT FY 459.00 1469488 XR ELBOW 2 VIEWS RT FY 459.00 1469489 XR ELBOW 3+ VIEWS LT FY 547.00 1469490 XR ELBOW 3+ VIEWS RT FY 547.00 1469491 XR FOREARM 2 VIEWS LT FY 499.00 1469492 XR FOREARM 2 VIEWS RT FY 499.00 1469493 XR CALCANEUS 2+VWS LT FY 275.00 1469494 XR CALCANEUS 2+VWS RT FY 275.00

1469495 XR SHOULDER 2+VIEWS LT FY 547.00 1469496 XR SHOULDER 2+VIEWS RT FY 547.00 1469497 XR FOOT 3+ VIEWS LT FY 520.00 1469498 XR FOOT 3+ VIEWS RT FY 520.00 1469499 XR CLAVICLE COMPLET LT FY 458.00 1469500 XR CLAVICLE COMPLET RT FY 458.00 1469501 IR ARTHROGRAM HIP LT FY 1,604.00 1469502 IR ARTHROGRAM KNEE LT FY 1,174.00 1469503 IR ARTHROG SHOULDER LT FY 898.00 1469504 IR ARTHROGRAM WRIST LT FY 522.00 1469505 MA MAMM DUCTO MULT LT FY 712.00 1469506 XR TIBIA & FIB 2VW BI FY 485.00 1469507 XR HYSTEROSALPINGOGRAM FY 985.00 1469508 XR ABDOMEN 1 VIEW FY 487.00 1469509 XR ABDOMEN 2 VIEWS FY 608.00 1469510 XR ABDOMEN >=3 VIEWS FY 809.00 1469511 XR CHEST 1 VIEW FY 521.00 1469512 XR CHEST 2 VIEWS FY 678.00 1469513 XR CHEST 3 VIEWS FY 834.00 1469514 XR CHEST >= 4 VIEWS FY 935.00 1469515 XR MANDIBLE 4+ VIEWS FY 999.00 1469516 XR INTERN AUDIT MEATI FY 548.00 1469517 XR FACIAL BONES 3+VWS FY 932.00 1469518 XR NASAL BONES 3+VIEWS FY 550.00 1469519 XR OPTIC FORAMINA FY 344.00 1469520 XR SINUSES 3+ VIEWS FY 726.00 1469521 XR SELLA TURCICA FY 471.00 1469522 XR SKULL <4 VIEWS FY 578.00 1469523 XR SKULL 4+ VIEWS FY 734.00 1469524 XR TMJ OPEN/CLOSED BIL FY 634.00 1469525 XR NECK SOFT TISSUE FY 410.00 1469526 IR FLUORO < 1 HR FY 602.00 1469527 XR RIBS 3 VIEWS BIL FY 750.00 1469528 XR STERNUM 2+ VIEWS FY 384.00 1469529 XR STERNOCLAV JT(S) 3+ FY 328.00 1469530 XR CERVICAL SPINE 1VW FY 433.00 1469531 XR CERVICAL SPINE 2-3V FY 732.00 1469532 XR CERVICAL SPINE >=6V FY 1,268.00 1469533 XR LUMBAR SPINE 4+VWS FY 1,107.00 1469534 XR PELVIS CMPL 3+VIEWS FY 389.00 1469535 XR SACROILIAC JT 3+VWS FY 680.00 1469536 XR SACRUM & COCCYX 2+V FY 567.00 1469537 IR MYELOGRAM LUMBAR FY 1,659.00 1469538 IR MYELOGRAM CERVICAL FY 1,659.00 1469539 IR MYELOGRAM 2 OR>REG FY 3,008.00 1469540 IR ARTHROGR SHOULD RT FY 943.00 1469541 XR AC JTS W WO WTS BIL FY 409.00 1469542 XR HAND 2 VIEWS LT FY 459.00 1469543 XR FINGER(S) 2+VWS RT FY 432.00 1469544 IR ARTHROGRAM KNEE RT FY 1,233.00 1469545 XR AB AP DECU UP+CHEST FY 974.00 1469546 XR PHARYX/CERV ESOPH FY 731.00 1469547 XR ESOPHAGUS FY 620.00

1469548 XR UGI AIR CON+SM BOW FY 2,297.00 1469549 XR SMALL BOWEL FY 1,276.00 1469550 XR COLON BE W WO KUB FY 1,461.00 1469551 XR COLON BE W AIR CON FY 2,046.00 1469552 XR CHOLECYSTO ORAL CON FY 950.00 1469553 IR CHOLANG/PAN INTRAOP FY 739.00 1469554 IR UROGR (IVP) WWO TOM FY 2,394.00 1469555 IR UROGRAM RETROGRADE FY 1,197.00 1469556 IR HYSTEROSALPINGOGRAM FY 1,015.00 1469557 XR BONE AGE STUDIES FY 460.00 1469558 XR BONE LENGTH STUDIES FY 569.00 1469559 IR CYSTOURETHROG RETRO FY 1,477.00 1469560 XR WRIST 2 VIEWS LT FY 454.00 1469561 IR CYSTOGRAM 3+ VIEWS FY 1,477.00 1469562 XR BONE SURVEY INFANT FY 460.00 1469563 XR KNEE 4+ VIEWS RT FY 648.00 1469564 IR ARTHROGRAM WRIST RT FY 548.00 1469565 MA SURGIC SPECIMEN EA FY 1,427.00 1469566 XR CERVICAL SPINE 4-5V FY 990.00 1469567 XR UP EXTR INFANT2+ LT FY 357.00 1469568 XR LW EXTR INFANT 2+RT FY 357.00 1469569 XR WRIST 2 VIEWS RT FY 454.00 1469570 IR ARTHROGRAM HIP RT FY 1,684.00 1469571 XR THORACIC SPINE 3VWS FY 749.00 1469572 XR ORBITS 4+ VIEWS FY 943.00 1469573 XR FINGER(S) 2+VWS LT FY 432.00 1469574 XR UP EXTR INFANT 2+RT FY 357.00 1469575 MA MAMM DUCTO SNGL RT FY 384.00 1469576 MA MAMM DUCTO SNGL LT FY 793.00 1469577 MA MAMM DUCTO MULT RT FY 748.00 1469578 XR SINUSES <3 VIEWS FY 574.00 1469579 XR PELVIS 1 OR 2 VIEWS FY 262.00 1469580 XR SWALL FUNC CIN/VID FY 521.00 1469581 XR RIBS W/CHEST 4+V BI FY 983.00 1469582 XR SACROILIAC JTS <3VW FY 578.00 1469583 XR SM BOWEL ENTEROCLYS FY 4,887.00 1469584 XR THORACIC SPINE 2VWS FY 667.00 1469585 XR TMJ OPEN/CLOSED RT FY 418.00 1469586 XR TMJ OPEN/CLOSED LT FY 418.00 1469587 XR TOE(S) 2+ VIEWS RT FY 364.00 1469588 XR TOE(S) 2+ VIEWS LT FY 364.00 1469589 XR UGI W KUB FY 777.00 1469590 XR LW EXTR INFANT2+ LT FY 357.00 1469591 XR KNEE 4+ VIEWS LT FY 648.00 1469592 IR MYELOGRAM THORACIC FY 1,573.00 1469593 IR VENOGRAM EXTREM LT FY 2,266.00 1469594 IR VENOGRAM EXTREM RT FY 2,266.00 1469595 IR AORTOG ABD W SERIAL FY 4,950.00 1469596 IR AORTOG ABD ILIOFEM FY 5,965.00 1469597 IR FLUOR GUIDE NDL PLC FY 709.00 1469598 MA MAMMO DIAG W CAD RT FY 323.00 1469599 MA MAMMO DIAG W CAD LT FY 323.00 1469600 IR CYSTOURETHROGR VOID FY 1,477.00

1469601 XR ANGIO EXTREMITY BIL FY 8,503.00 1469602 IR TUBE/CTH CHANGE CON FY 1,507.00 1469603 XR TOMOGRAM SNGL PLANE FY 1,086.00 1469604 IR SHUNTOG NONVASCULAR FY 368.00 1469605 IR ENDO ERCP FY 809.00 1469606 XR FLUOR NDL LOC SPINE FY 416.00 1469607 XR FLUOR CVAD PL/RP/RE FY 549.00 1469608 XR FOOT 2 VIEWS RT FY 452.00 1469609 IR ANGIO EXTREMITY LT FY 6,065.00 1469610 IR ANGIO EXTREMITY BIL FY 6,065.00 1469611 IR SIALOGRAM RT FY 867.00 1469612 IR SIALOGRAM LT FY 867.00 1469613 IR UROGR ANTEGRADE LT FY 1,197.00 1469614 IR UROGR ANTEGRADE RT FY 1,197.00 1469615 IR ANGIO EXTREMITY RT FY 6,065.00 1469616 IR VENOGRAM EXTREM BIL FY 3,011.00 1469617 XR BONE DENS(DXA)APEND FY 177.00 1469618 XR BONE DENS(DXA)AXAL FY 297.00 1469619 XR CYSTOGRAM 3+ VIEWS FY 1,477.00 1469620 XR CYSTOURETHROG RETRO FY 1,477.00 1469621 XR UROGR (IVP) WWO TOM FY 2,394.00 1469622 XR UROGRAM RETROGRADE FY 1,197.00 1469623 XR CYSTOURETHROGR VOID FY 1,477.00 1469624 XR SPINE ENTIRE 2-3VWS FY 1,492.00 1469625 XR HIP W PELVIS 1VW LT FY 381.00 1469626 XR HIP W PELVIS 1VW RT FY 381.00 1469627 XR FEMUR 1 VIEW RT FY 364.00 1469628 XR FEMUR 1 VIEW LT FY 364.00 1469629 XR FEMUR 2+ VIEWS BIL FY 547.00 1469630 XR SPINE ENTIRE 1 VIEW FY 690.00 1469631 XR SPINE ENTIRE 4-5VWS FY 1,865.00 1469632 XR SPINE ENTIRE 6+VWS FY 2,332.00 1469633 XR HIP W PEL 2-3VWS LT FY 550.00 1469634 XR HIP W PEL 2-3VWS RT FY 550.00 1469635 XR HIP W PELV 4+VWS LT FY 688.00 1469636 XR HIP W PELV 4+VWS RT FY 688.00 1469637 XR HIP W PELV 2VWS BIL FY 584.00 1469638 XR HIP W PEL 3-4VWS BI FY 730.00 1469639 XR HIP W PEL 5+VWS BIL FY 912.00 1469640 XR FEMUR 2+ VIEWS LT FY 364.00 1469641 XR FEMUR 2+ VIEWS RT FY 364.00 1469642 IR FLUOR GUIDE CTH DRN FY 673.00 1499994 INS INTRAPERIT CATH PERM 10,515.00 1499996 LOCM 300-399MG/ML IODINE 312.00 1500008 CT HEAD WO CON 3,927.00 1500016 CT HEAD W CON 5,381.00 1500024 CT HEAD WO&W CON 6,441.00 1500073 CT MAXILLOFACIAL WO CON 3,600.00 1500180 CT CERVICAL SPINE W CON 8,149.00 1500198 CT THORACIC SPINE W CON 8,508.00 1500214 CT SOFT TISSUE NECK W CON 4,204.00 1500222 CT GUIDE CATH DRAIN 714.00 1500248 CT ABDOMEN WO CON 1,252.00

1500255 CT CHEST WO CON 3,800.00 1500263 CT LUMBAR SPINE W CON 7,662.00 1500370 BX ABD/RETROPERITONL MASS 2,335.00 1500388 BX BONE SUPERFIC TROC/NDL 1,787.00 1500396 BX RENAL NDL/TROCAR PERC 3,887.00 1500404 BX LIVER NEEDLE PERC 2,567.00 1500453 BX SPINAL CORD NDL PERC 2,091.00 1500487 BX THYROID NDL CORE PERC 2,072.00 1500495 CT GUIDED THERAPY PLACEMT 1,636.00 1500529 CT MAXILLOFACIAL WO&W CON 5,219.00 1500537 CT GUIDED NEEDLE PLACEMNT 2,839.00 1500545 CT ORBIT/SEL/FOS/EAR WO 3,816.00 1500552 CT SOFT TISSUE NECK WO&W 5,003.00 1500560 CT CERVICAL SPINE WO&W 9,186.00 1500578 CT LUMBAR SPINE WO&W CON 8,634.00 1500586 CT THORACIC SPINE WO&W 9,586.00 1500594 CT CHEST WO&W CON 8,438.00 1500602 CT ANGIO CHEST W CON 3,736.00 1500628 CT ANGIO HEAD W CON 4,279.00 1500636 CT ANGIO NECK W CON 4,174.00 1500644 CT ANGIO ABDOMEN W CON 2,767.00 1500677 BIOPSY PLEURA PERC NEEDLE 2,129.00 1500685 BIOPSY LUNG/MEDIASTIN NDL 2,793.00 1500750 CT ANGIO UPP EXTREM W LT 4,621.00 1500768 CT ANGIO LOW EXTREM W LT 3,581.00 1500776 BX BONE TROCAR/NDL DEEP 3,675.00 1500800 CT ANGIO UPP EXTREM W RT 4,621.00 1500818 CT ANGIO LOW EXTREM W RT 3,581.00 1501014 CT ABDOMEN W CON 1,932.00 1501022 CT ABDOMEN WO&W CON 2,243.00 1501089 CT PELVIS WO CON 2,379.00 1501097 CT PELVIS W CON 4,688.00 1501204 CT CERVICAL SPINE WO CON 4,138.00 1501428 CT ORBIT/SEL/FOS/EAR WO&W 4,924.00 1501485 CT ORBIT/SEL/FOS/EAR W 4,465.00 1501493 CT SOFT TISSUE NECK WO 3,490.00 1502251 CT BONE MIN DENSITY AXIAL 1,000.00 1504091 CT MAXILLOFACIAL W CON 4,354.00 1504109 CT ABDOMEN PELVIS WWO CON 3,053.00 1504117 CT ABDOMEN PELVIS WO CON 1,749.00 1504125 CT ABDOMEN PELVIS W CON 2,610.00 1504489 CT CHEST W CON 7,487.00 1504570 CT LUMBAR SPINE WO CON 3,889.00 1504661 CT THORACIC SPINE WO CON 4,319.00 1504679 XR TIBIA & FIBULA 2VW BIL 750.00 1504695 NM VENOGRAM THROMBOSIS LT 3,320.00 1504703 SENTINL NDE RAD TR ID INJ 454.00 1504711 CT ANGIO ABDOMEN W CON 2,767.00 1504729 CT ANGIO PELVIS W CON 3,388.00 1504737 CT ANGIO CHEST W CON 3,736.00 1504745 CT ANGIO NECK W CON 4,174.00 1504752 CT ANGIO HEAD W CON 4,279.00 1504794 INS CVAD PERIPH WPOR=>5YR 14,045.00

1504802 URETEROSTOMY TUBE CHANGE 1,440.00 1504828 SPLENOPORTOGRAM INJ 769.00 1504851 REM TUN CVA DEV W PORT/P 5,187.00 1504869 INSERT NONTUN CV CATH <5 3,401.00 1504877 ASPIRATION(S) BONE MARROW 1,254.00 1504885 BLADDER ASP W INS SUPRAP 4,417.00 1504893 IR ARTHROGRAM WRIST LT 564.00 1504901 IR ARTHROGRAM SHOULDER LT 971.00 1504919 BX EPIDIDYMIS NDL 1,755.00 1504927 IR ARTHROGRAM KNEE LT 1,270.00 1504935 IR ARTHROGRAM HIP LT 1,735.00 1504943 ARTHROCEN ASP MAJOR JT WO 452.00 1504950 ARTHROCEN ASP INTER JT WO 365.00 1504968 INS CVAD PERIPH WPORT<5YR 13,320.00 1504976 INS TUN CV CATH WO PORT<5 6,759.00 1504984 INS TUNNEL CVAD W PUMP 11,492.00 1504992 INS PICC WO PORT/PUMP<5YR 4,346.00 1505015 RENAL PEL/URET THER INSTL 1,684.00 1505023 REPL TUN CVAD W PUMP CV 9,529.00 1505031 THROMBOLY CEREBR IV INFUS 1,849.00 1505049 BREAST CYST ASP EA ADDL 454.00 1505056 BREAST CYST PUNC ASPIRATE 925.00 1505064 MA MAMMARY DUCTO MULT LT 770.00 1505073 LIVER TUMOR ABLAT RF PERC 5,107.00 1505074 RENAL TUMOR(S ABLAT RADIO 12,630.00 1505075 ASP ABSC/HEMA/CYST/BULLA 375.00 1506096 CT 3D WO SEPARATE WKSTATN 1,221.00 1506097 PLC SOFT TISS LOC DEV 1ST 744.00 1506098 CHOLANG NW ACCES INJ IMAG 2,805.00 1506099 PLC BILI DRN CTH EXT IMAG 7,021.00 1506100 PLC BILI DRN CTH INT-EXT 8,504.00 1506101 CONV BILI DRN CTH INT-EXT 4,975.00 1506102 EXCH BILI DRN CATH W IMAG 5,048.00 1506103 REM BILI DRN CTH W FLUORO 5,048.00 1506104 PLC STENT BILE DUCT EXIST 8,504.00 1506105 PLC STENT BILE DUCT NEW 8,504.00 1506106 PLC STNT BILE DUCT CTH NW 8,504.00 1506107 PLC ACCESS BILI TREE SB 8,504.00 1506108 INJ ANTEGR NEPH&/URETE NW 1,303.00 1506109 INJ ANTEG NEPH&/URETER EX 1,303.00 1506110 PLC NEPHROSTOM CTH W IMAG 5,783.00 1506111 INST/SUPP STERL2087X-2714 7,203.00 1506112 MOD SEDAT =>5YRS 1ST 15M 401.00 1506113 MODERATE SEDAT ADD 15MIN 401.00 1506114 RENAL CYST ASP/INJ PERC 1,659.00 1506115 IR RENAL CYST STDY TRANSL 672.00 1506116 XR RENAL CYST STDY TRANSL 672.00 1506153 CT PELVIS WO&W CON 5,282.00 1506196 ASP FINE NDL WO IMAGING 900.00 1506197 ASP FINE NDL W IMAGING 1,966.00 1530344 CT UPP EXTREM WO CON LT 3,326.00 1530351 CT UPP EXTREM WO CON RT 3,326.00 1530358 XR READ OUTSIDE IMAGES NC -

1530359 CT 3D W SEPARATE WKSTATN 3,780.00 1530360 BX/EXC LYMPH NODE SUPERFI 2,140.00 1530361 BX MUSCLE NEEDLE PERC 1,762.00 1530362 BX PANCREAS NEEDLE PERC 2,129.00 1530363 BX SALIVARY GLAND NDL 1,866.00 1530369 CT UPP EXTREM W CON LT 6,553.00 1530377 CT UPP EXTREM W CON RT 6,553.00 1530385 CT UPP EXTREM WO&W LT 7,386.00 1530393 CT UPP EXTREM WO&W RT 7,386.00 1530401 PARACENTSIS ABD W IMAGING 1,523.00 1530419 PARACENTESIS ABD WO IMAG 1,035.00 1530484 CT LOW EXTREMITY WO LT 3,547.00 1530492 CT LOW EXTREMITY WO RT 3,547.00 1530500 CT LOW EXTREMITY W LT 6,990.00 1530518 CT LOW EXTREMITY W RT 6,990.00 1530526 CT LOW EXTREMITY WO&W LT 7,876.00 1530534 CT LOW EXTREMITY WO&W RT 7,876.00 1530559 CT ANGIO AORTA W RUNOFF 3,098.00 1530567 XR BONE DENSITY(DXA)APEND 182.00 1530575 CT BONE MIN DENSITY AXIAL 247.00 1530583 XR BONE DENSITY(DXA)AXAL 320.00 1530591 PERITONEAL LAVAGE 1,191.00 1530609 BX NECK/THORAX SOFT TISS 3,675.00 1530617 CT ANGIO ABD/PELVIS W CON 3,903.00 1530618 IMAGE CATH FLUID VISCERAL 3,338.00 1530619 IMAGE CATH FLUID VISCERAL 3,338.00 1530620 IMAGE CATH FLUID PERITO 3,507.00 1530625 CT PELVIS W CON 4,688.00 1530633 CT PELVIS WO CON 2,379.00 1530641 CT HEAD WO CON 3,927.00 1530642 VERTEBROPL INJ C/T W IMAG 4,709.00 1530643 VERTEBROPL INJ L/S W IMAG 4,654.00 1530644 VERTEBROPL INJ ADD W IMAG 3,145.00 1530645 CT IMAGE COPY NC - 1530646 CT GUIDE TISSUE ABLATION 677.00 1530647 IMAGE CATH FLUID SOFT TIS 1,170.00 1530648 CT FOLLOW UP LTD OR LOCAL 233.00 1530649 THORACENTESIS W IMAGING 2,470.00 1530650 CT TELERADIOGRPY/EXAM NC - 1530651 LOCM 100-199MG/ML IODINE 93.50 1530653 LOCM 300-399MG/ML IODINE 45.00 1530658 CATH DRAINAGE 13X-17 75.00 1530659 CATH DRAINAGE 51X-67 236.00 1530660 CATH DRAINAGE 67X-88 312.00 1530661 GUIDEWIRE 13X-17 75.00 1530662 GUIDEWIRE 17X-23 100.00 1530663 INST/SUPP STERL 10-13 60.00 1530664 INST/SUPP STERL 13X-17 75.00 1530665 INST/SUPP STERL 17X-23 100.00 1530666 INST/SUPP STERL 23X-30 108.00 1530667 INST/SUPP STERL 30X-39 140.00 1530668 INST/SUPP STERL 39X-51 180.00 1530669 INST/SUPP STERL 51X-67 236.00

1530670 INST/SUPP STERL 150X-195 606.00 1530671 INST/SUPP STERL 254X-331 879.00 1530672 KIT/PACK DISP 67X-88 312.00 1530673 CATH GUIDING 30X-39 140.00 1530674 INTRO EP FC PEEL 51X-67 236.00 1530675 INS CATH PLEURAL W IMAG 1,796.00 1530676 PSEUDOANEURY TX EXTRM INJ 494.00 1530677 CT GUIDE CATH DRAIN FY 693.00 1530678 XR TIBIA & FIB 2VW BI FY 485.00 1530679 IR ARTHROGRAM WRIST LT FY 548.00 1530680 IR ARTHROG SHOULDER LT FY 943.00 1530681 IR ARTHROGRAM KNEE LT FY 1,233.00 1530682 IR ARTHROGRAM HIP LT FY 1,684.00 1530683 MA MAMM DUCTO MULT LT FY 748.00 1530684 XR BONE DENS(DXA)APEND FY 177.00 1530685 XR BONE DENS(DXA)AXAL FY 311.00 1599993 IOHEXOL 300MG/ML 100ML IN 236.00 1599994 IOHEXOL 300MG/ML 50ML INJ 108.00 1599995 IOHEXOL 350MG/ML 100ML IN 236.00 1599996 IOHEXOL 350MG/ML 50ML INJ 108.00 1600007 XR READ OUTSIDE IMAGES NC - 1600008 MOD SEDAT =>5YRS 1ST 15M 401.00 1600009 MODERATE SEDAT ADD 15MIN 401.00 1600055 NM KIDNEY W FLW&FUN SNG W 2,235.00 1600691 SESTAMBI DX PER DOSE 393.00 1600709 MEDRONATE DX UP TO 30MCI 90.00 1600717 THALLIUM TL201 DX PER MCI 95.00 1600725 I-123 NA IO DX 100UCI/CAP 1.00 1600733 PENTETATE DX UP TO 25MCI 347.00 1600741 MACROAG ALBUM DX TO 10MCI 112.00 1600774 EXAMETAZIME DX TO 25MCI 1,468.00 1600782 MEBROFENIN DX TO 15MCI 112.00 1600808 PYROPHOSPHATE DX TO 25MCI 112.00 1600816 I-131 NA IOD THER CAP/MCI 952.00 1600824 NA GLUCEPTATE DX TO 25MCI 112.00 1600832 SULF COLL TC99<=20MCINFLT 112.00 1600840 GALLIUM GA-67 DX PER MCI 26.00 1600857 XENON XE-133 DX PER 10MCI 78.00 1600865 MERTIATIDE DX TO 15MCI 347.00 1600873 LABELED RBC DX TO 30MCI 112.00 1600881 CYANOCOB 57/58 DX TO 1UCI 536.00 1600899 I-131 NA IOD THER CAP/MCI 240.00 1629344 NM CARD BLD POOL 1ST PASS 2,084.00 1670058 NM ADRENAL CORTEX/MEDULLA 2,039.00 1670074 NM BONE 3 PHASE 5,316.00 1670082 NM TUMOR LOCAL WB SNG DAY 1,537.00 1670108 NM CSF FLOW CISTERNOGRAM 3,305.00 1670124 NM MYOCARDIAL INFARCT 2,816.00 1670207 NM INFLAM PROCESS LOC WB 2,979.00 1670215 NM BONE MARROW LTD 431.00 1670223 NM BONE MARROW WHOLE BOD 885.00 1670231 NM BRAIN 4+ VIEWS 717.00 1670249 NM BRAIN <4 VIEWS 604.00

1670256 NM BRAIN TOMO SPECT 1,349.00 1670264 NM BRAIN <4 VWS W FLOW 1,378.00 1670272 NM CSF LEAK DETECTION 1,349.00 1670280 NM CSF SHUNT EVALUATION 722.00 1670298 NM CARD BLOOD POOL MULTI 3,121.00 1670306 NM PARATHYROID PLANAR 993.00 1670355 NM LIVER SPECT W VAS FLOW 1,223.00 1670371 NM CARD BLOOD POOL SNGL 1,162.00 1670389 NM CARD BLD POOL SPECT 1,472.00 1670397 NM MYOCARD INFARCT SPECT 3,320.00 1670447 NM KIDNEY SCAN 2,266.00 1670454 NM KIDNEY SPECT 2,598.00 1670462 NM KIDNEY SCAN W FLOW 2,780.00 1670470 NM URETERAL REFLUX (VCUG) 488.00 1670488 NM SALIVARY GLAND FUNCT 743.00 1670512 NM BONE WHOLE BODY 3,825.00 1670546 NM LIVER SPECT 2,817.00 1670553 NM SALIVARY GLAND W SERIA 667.00 1670561 NM B-12 ABSORP WO&W FACTR 490.00 1670579 NM THYROID CA METS UPTAKE 621.00 1670603 NM CARDIAC SHUNT DETECT 3,368.00 1670629 NM INFLAM PROCES LOC SPEC 3,039.00 1670645 NM KIDNEY W FLW&FUN SNG W 2,235.00 1670694 NM PERIT-VEN SHUNT PATEN 742.00 1670702 PERITN-VEN SHUNT EVAL INJ 540.00 1670728 NM VENOGRAM BIL 846.00 1670736 NM VENOGRAM THROMBOSIS R 3,320.00 1670744 PENTETATE DX UP TO 25MCI 124.00 1670751 NM PERTECHNETATE PER MCI 23.00 1670769 DISOFENIN DX UP TO 15MCI 124.00 1670777 NM THYROID UPTAKE MEASURE 600.00 1670785 NM THYROID IMAGING 836.00 1670793 NM THYROID IMAG W MEASURE 1,006.00 1670801 NM PARATHYRO PLANAR SPECT 1,350.00 1670819 NM PARATH PLANAR SPECT&CT 1,841.00 1672062 NM BRAIN 4+ VWS W FLOW 2,121.00 1672104 NM TESTES W FLOW 2,880.00 1672112 NM B-12 ABSORP WO FACTOR 1,408.00 1672120 NM B-12 ABSORP W FACTOR 1,408.00 1672179 NM BONE SPECT 3,480.00 1672583 NM GASTRIC EMPTYING 2,971.00 1673029 NM LIVER & SPLEEN 2,020.00 1673060 NM PUL PERF PARTICULATE 2,015.00 1673714 NM BRAIN FLOW ONLY 1,400.00 1673805 NM BONE LTD 2,754.00 1674167 NM TUMOR LOCALIZE SPECT 1,614.00 1675024 NM SALIVARY GLAND 858.00 1675065 NM THYROID CA METS WB 2,384.00 1675545 NM GASTROINTEST BL LOSS 2,481.00 1675552 NM VAS FLOW NON CARDIAC 2,084.00 1675560 NM INTESTINE MECK/VOLVUL 2,202.00 1675561 NM GASTRIC EMPTY SB TRANS 2,829.00 1675562 NM GASTRIC EMPTY SB&COLON 2,829.00

1676451 NM LIVER & SPLEEN W VAS F 2,240.00 1676501 NM MYOCAR PLNR WALL SNGL 2,509.00 1676519 NM MYOCAR SPECT WALL SNGL 2,509.00 1676527 NM MYOCAR SPECT WALL MULT 3,022.00 1676535 NM MYOCAR PLNR WALL MULT 3,022.00 1680024 NM RADIOPHARM THRPY ORAL 1,662.00 1680156 NM RADIOPHARM THRPY ORAL 1,662.00 1686310 IN111 OXYQUINOL DX/0.5MCI 2,671.00 1696004 NM KIDNEY W FLOW & FUNC 3,021.00 1696210 IN-111 PENTETR DX TO 6MCI 3,089.00 1696228 NM LYMPH SYSTEM 1,286.00 1696244 NM RADIOPHARM INPT ADMIT 1.00 1696251 NM TUMOR LOC WB MULTI DAY 2,706.00 1696269 BICISATE DX TO 25MCI 820.00 1696277 NM HEPATOBILIARY SYSTEM 962.00 1696285 NM HEPATOBILIARY SYS W/RX 1,317.00 1696293 NM PUL PERFUSN QUANT DIFF 700.00 1696301 NM PUL PERF VNT QUAN DIFF 1,094.00 1696319 NM PUL VENTILATION IMAG 1,572.00 1696327 NM PUL VENT PERFUSN IMAG 2,843.00 1696335 SULF COLL TC99<=20MCI FLT 303.00 1696336 I-123 IOBENGUANE TO 15MCI 9,815.00 1696337 IN-111 PENTETAT DX 0.5MCI 5,034.00 1696338 NM IMAGE COPY NC - 1696339 NM LYMPH SYSTEM 1,286.00 1696340 NM KID W FLO/FN MULT WO&W 1,649.00 1696341 SENTINL NDE RAD TR ID INJ 454.00 1696345 NM TELERADIOGRPY/EXAM NC - 1696346 MR IMAGE COPY NC - 1696347 MR TELERADIOGRPY/EXAM NC - 1696348 NM VENOGRAM THROMBOSIS LT 3,320.00 1800045 VIBRATORY PEP DEVICE NC - 1800069 AIRWAY MANAGEMENT NC - 1800085 ARTERIAL PUNCTURE 183.00 1800127 CLINICAL ROUNDS EA 20M NC - 1800135 CPAP/BIPAP OSA SUB 12H NC - 1800143 DEMO/EVAL INHALATION TX 196.00 1800168 INH TX INIT W VENT/DAY 196.00 1800176 INH TX SUBSEQUENT W VENT 196.00 1800192 INH TX EA SUBSEQ TX/DAY 196.00 1800200 NEO-HIGH RISK DEL NC - 1800218 NEO-LOW RISK DEL NC - 1800226 PEAK FLOW MEASUREMENT NC - 1800242 RT ASSESSMENT COMPLETE NC - 1800259 RT ASSESSMENT LIMITED NC - 1800309 VENT INITIAL HFV 12HR NC - 1800317 VENT SUBSEQ HFV 12HR NC - 1800325 VENT INITIAL 12HR NC - 1800333 VENT SUBSEQUENT 12HR NC - 1800366 VENT INITIAL DAY HFV 5,038.00 1800374 VENT SUBSEQUENT DAY HFV 4,325.00 1801026 BRONCH BRONCHOSCOPY DX N - 1801034 BRONCH ALVEOLAR LAVAGE NC -

1801042 BRONCH BRONCHOSCOPY DX N - 1801059 BRONCH W BX NEEDLE ASP NC - 1801208 PULSE OX SINGLE DETERMIN 459.00 1801315 MANIPULAT CHEST WALL SUB 146.00 1801604 CPAP/BIPAP OSA INIT/DAY 506.00 1801901 SPUTUM COLLECTION 204.00 1802008 VITAL CAPACITY TOTAL 155.00 1804013 NITRC OX EXP GAS DETERMN 108.00 1804014 INTUBATION ET EMERGENCY 481.00 1804483 DEMO/EVAL INHALATION TX 196.00 1804731 MANIPULAT CHEST WALL INIT 206.00 1804806 VENT INIT DAY INVASIVE 2,544.00 1804814 VENT SUBSEQ DAY INVASIVE 2,544.00 1804947 CPR 2,215.00 1804954 BRONCH BRONCHOSCOPY DX 2,598.00 1804962 BRONCH BRUSHING/PROTECTE 2,280.00 1804970 BRONCH ALVEOLAR LAVAGE 2,598.00 1804988 BRNCH W ENDOBR BX SNG/MUL 2,987.00 1805036 TEST PULMONARY STRESS 777.00 1850114 BLAND AERO TX INIT EA DAY 196.00 1850254 CPR NC - 1850361 INH TX INITIAL EA DAY 196.00 1850379 INH TX CONT EA ADD HR 150.00 1850387 INH TX CONTINOUS 1ST HR 180.00 1850395 CPAP/BIPAP VENT INIT/DAY 2,411.00 1850430 MECHANIC CHEST WALL OSCIL 178.00 1850445 ACAPELLA NC - 1850452 FLUTTER NC - 1850478 CPAP/BIPAP VNT SUB 12H NC - 1894567 BRONCH BRONCHOSCOPY DX 2,598.00 1894575 BLAND AERO TX SUBSEQUENT 196.00 1894583 INTRAPUL SRFCT VIA ETT NC - 1894591 PLETHYSMOGRAPHY LUNG VOL 492.00 1894609 GAS DILUTION LUNG VOLUME 394.00 1894610 MC INFNT HEAR SCRN INI IP 873.00 1894611 ARTERIAL LINE DRAW NC - 1894612 DIFFUSING CAPACITY 362.00 1894613 TEST CARDIOPULM EXERCISE 1,986.00 1894615 SPIROMETRY 318.00 1894616 BRNCHSPASM EVAL PRE/POST 894.00 1894617 CCHD SCREENING 2.00 1894618 CAR SEAT/BED TEST 60MIN 99.00 1894619 CAR SEAT/BED TEST ADD 30 45.00 1905025 HEMODIALY IP/NON ESRD OP 3,038.00 1906015 DIALYSIS OP ESRD EMER 5,040.00 1906016 DIAYL CONT AMB PERIT CAPD 3,475.00 2000024 PT RE-ED NEUROMSCL EA 15 130.00 2006211 PT BODY POS CURRENT CH 0.01 2006229 PT BODY POS CURRENT CI 0.01 2006237 PT BODY POS CURRENT CJ 0.01 2006245 PT BODY POS CURRENT CK 0.01 2006252 PT BODY POS CURRENT CL 0.01 2006260 PT BODY POS CURRENT CM 0.01

2006278 PT BODY POS CURRENT CN 0.01 2006286 PT BODY POS D/C STATUS CH 0.01 2006294 PT BODY POS D/C STATUS CI 0.01 2006302 PT BODY POS D/C STATUS CJ 0.01 2006310 PT BODY POS D/C STATUS CK 0.01 2006328 PT BODY POS D/C STATUS CL 0.01 2006336 PT BODY POS D/C STATUS CM 0.01 2006344 PT BODY POS D/C STATUS CN 0.01 2006351 PT BODY POS GOAL CH 0.01 2006369 PT BODY POS GOAL CI 0.01 2006377 PT BODY POS GOAL CJ 0.01 2006385 PT BODY POS GOAL CK 0.01 2006393 PT BODY POS GOAL CL 0.01 2006401 PT BODY POS GOAL CM 0.01 2006419 PT BODY POS GOAL CN 0.01 2006427 PT CARRY CURRENT CH 0.01 2006435 PT CARRY CURRENT CI 0.01 2006443 PT CARRY CURRENT CJ 0.01 2006450 PT CARRY CURRENT CK 0.01 2006468 PT CARRY CURRENT CL 0.01 2006476 PT CARRY CURRENT CM 0.01 2006484 PT CARRY CURRENT CN 0.01 2006492 PT CARRY D/C STATUS CH 0.01 2006500 PT CARRY D/C STATUS CI 0.01 2006518 PT CARRY D/C STATUS CJ 0.01 2006526 PT CARRY D/C STATUS CK 0.01 2006534 PT CARRY D/C STATUS CL 0.01 2006542 PT CARRY D/C STATUS CM 0.01 2006559 PT CARRY D/C STATUS CN 0.01 2006567 PT CARRY GOAL STATUS CH 0.01 2006575 PT CARRY GOAL STATUS CI 0.01 2006583 PT CARRY GOAL STATUS CJ 0.01 2006591 PT CARRY GOAL STATUS CK 0.01 2006609 PT CARRY GOAL STATUS CL 0.01 2006617 PT CARRY GOAL STATUS CM 0.01 2006625 PT CARRY GOAL STATUS CN 0.01 2006849 PT MOBILITY CURRENT CH 0.01 2006856 PT MOBILITY CURRENT CI 0.01 2006864 PT MOBILITY CURRENT CJ 0.01 2006872 PT MOBILITY CURRENT CK 0.01 2006880 PT MOBILITY CURRENT CL 0.01 2006898 PT MOBILITY CURRENT CM 0.01 2006906 PT MOBILITY CURRENT CN 0.01 2006914 PT MOBILITY D/C STATUS CH 0.01 2006922 PT MOBILITY D/C STATUS CI 0.01 2006930 PT MOBILITY D/C STATUS CJ 0.01 2006948 PT MOBILITY D/C STATUS CK 0.01 2006955 PT MOBILITY D/C STATUS CL 0.01 2006963 PT MOBILITY D/C STATUS CM 0.01 2006971 PT MOBILITY D/C STATUS CN 0.01 2006989 PT MOBILITY GOAL CH 0.01 2006997 PT MOBILITY GOAL CI 0.01 2007003 PT MOBILITY GOAL CJ 0.01

2007011 PT MOBILITY GOAL CK 0.01 2007029 PT MOBILITY GOAL CL 0.01 2007037 PT MOBILITY GOAL CM 0.01 2007045 PT MOBILITY GOAL CN 0.01 2007052 PT OTHER PT/OT CURRENT CH 0.01 2007060 PT OTHER PT/OT CURRENT CI 0.01 2007078 PT OTHER PT/OT CURRENT CJ 0.01 2007086 PT OTHER PT/OT CURRENT CK 0.01 2007094 PT OTHER PT/OT CURRENT CL 0.01 2007102 PT OTHER PT/OT CURRENT CM 0.01 2007110 PT OTHER PT/OT CURRENT CN 0.01 2007128 PT OTHER PT/OT D/C CH 0.01 2007136 PT OTHER PT/OT D/C CI 0.01 2007144 PT OTHER PT/OT D/C CJ 0.01 2007151 PT OTHER PT/OT D/C CK 0.01 2007169 PT OTHER PT/OT D/C CL 0.01 2007177 PT OTHER PT/OT D/C CM 0.01 2007185 PT OTHER PT/OT D/C CN 0.01 2007193 PT OTHER PT/OT GOAL CH 0.01 2007201 PT OTHER PT/OT GOAL CI 0.01 2007219 PT OTHER PT/OT GOAL CJ 0.01 2007227 PT OTHER PT/OT GOAL CK 0.01 2007235 PT OTHER PT/OT GOAL CL 0.01 2007243 PT OTHER PT/OT GOAL CM 0.01 2007250 PT OTHER PT/OT GOAL CN 0.01 2007268 PT SELF CARE CURRENT CH 0.01 2007276 PT SELF CARE CURRENT CI 0.01 2007284 PT SELF CARE CURRENT CJ 0.01 2007292 PT SELF CARE CURRENT CK 0.01 2007300 PT SELF CARE CURRENT CL 0.01 2007318 PT SELF CARE CURRENT CM 0.01 2007326 PT SELF CARE CURRENT CN 0.01 2007334 PT SELF CARE D/C CH 0.01 2007342 PT SELF CARE D/C CI 0.01 2007359 PT SELF CARE D/C CJ 0.01 2007367 PT SELF CARE D/C CK 0.01 2007375 PT SELF CARE D/C CL 0.01 2007383 PT SELF CARE D/C CM 0.01 2007391 PT SELF CARE D/C CN 0.01 2007409 PT SELF CARE GOAL CH 0.01 2007417 PT SELF CARE GOAL CI 0.01 2007425 PT SELF CARE GOAL CJ 0.01 2007433 PT SELF CARE GOAL CK 0.01 2007441 PT SELF CARE GOAL CL 0.01 2007458 PT SELF CARE GOAL CM 0.01 2007466 PT SELF CARE GOAL CN 0.01 2007474 PT SUB PT/OT CURRENT CH 0.01 2007482 PT SUB PT/OT CURRENT CI 0.01 2007490 PT SUB PT/OT CURRENT CJ 0.01 2007508 PT SUB PT/OT CURRENT CK 0.01 2007516 PT SUB PT/OT CURRENT CL 0.01 2007524 PT SUB PT/OT CURRENT CM 0.01 2007532 PT SUB PT/OT CURRENT CN 0.01

2007540 PT SUB PT/OT D/C CH 0.01 2007557 PT SUB PT/OT D/C CI 0.01 2007565 PT SUB PT/OT D/C CJ 0.01 2007573 PT SUB PT/OT D/C CK 0.01 2007581 PT SUB PT/OT D/C CL 0.01 2007599 PT SUB PT/OT D/C CM 0.01 2007607 PT SUB PT/OT D/C CN 0.01 2007615 PT SUB PT/OT GOAL CH 0.01 2007623 PT SUB PT/OT GOAL CI 0.01 2007631 PT SUB PT/OT GOAL CJ 0.01 2007649 PT SUB PT/OT GOAL CK 0.01 2007656 PT SUB PT/OT GOAL CL 0.01 2007664 PT SUB PT/OT GOAL CM 0.01 2007672 PT SUB PT/OT GOAL CN 0.01 2015205 PT WND VAC DME <=50CM 75 426.00 2015206 PT WND VAC DME <=50CM 90 483.00 2015207 PT WND VAC DME >50CM 90 1,326.00 2015208 PT WND VAC DME >50CM 75 1,121.00 2030021 PT THERAPY MANUAL EA 15 125.00 2030658 PT E-STIM UNATTENDED OTHR 93.00 2030724 PT MASSAGE EA 15 125.00 2030831 PT EXERCISE THR EA 15 133.00 2040210 PT TRAINING GAIT EA 15 183.00 2044246 PT WHIRLPOOL ONE EXTRMITY 254.00 2048122 PT THR ACTIVITY EA 15 125.00 2048130 PT WHIRLPOOL WHOLE BODY 340.00 2048163 PT MC EVALUATION INI 30 348.00 2048189 PT MC EVALUATION ADD 15 174.00 2048197 PT MC RE-EVAL INI 30 348.00 2048205 PT MC RE-EVAL ADD 15 74.00 2048221 PT MC DEBR WO ANES INI 30 227.00 2048239 PT MC DEBR WO ANES ADD 15 74.00 2048734 PT MC THERAPY COMBO INI30 66.00 2048742 PT MC THERAPY COMBO ADD15 23.00 2048767 PT E-STIM UNATTENDED ULCR 92.00 2048775 PT TRN SLF CARE/HME EA 15 143.00 2048783 PT WND VAC DME <=50CM 15 190.00 2048791 PT WND VAC DME <=50CM 30 274.00 2048809 PT WND VAC DME <=50CM 45 323.00 2048817 PT WND VAC DME <=50CM 60 380.00 2048825 PT WND VAC DME >50CM 15 285.00 2048833 PT WND VAC DME >50CM 30 418.00 2048841 PT WND VAC DME >50CM 45 627.00 2048858 PT WND VAC DME >50CM 60 950.00 2048866 PT STRAP UNNA BOOT BIL 294.00 2048890 PT MC WOUNDVAC INI 30 377.00 2048908 PT MC WOUNDVAC ADD 15 189.00 2048916 PT STRAPPING UNNA BOOT 160.00 2050094 PT STUDENT PRODUCT/DAY NC - 2050102 PT TREATMENT SWALLOW 60 823.00 2050110 PT DEBR SL SESSION 1ST 20 286.00 2050128 PT DEBR SL SESSION ADD 20 286.00 2050136 PT DEBR SL SESS EA 15 NC -

2050137 PT THPY CAP KX REVIEW NC - 2050138 PT TREATMENT SWALLOW 15 207.00 2050139 PT TREATMENT SWALLOW 30 414.00 2050140 PT TREATMENT SWALLOW 45 616.00 2050141 OT TREATMENT SWALLOW 15 207.00 2050142 OT TREATMENT SWALLOW 30 414.00 2050143 OT TREATMENT SWALLOW 45 616.00 2050151 PT EVAL MOD COMPLEX 30 MN 380.00 2050152 PT EVAL HIGH COMPLEX 45MN 569.00 2050154 PT MNGMT WHEELCHAIR EA 15 103.00 2050155 PT EVAL LOW COMPLEX 15 MN 190.00 2050156 PT EVAL LOW COMPLEX 30 MN 380.00 2050157 PT EVAL LOW COMPLEX 45 MN 569.00 2050158 PT EVAL MOD COMPLEX 45 MN 569.00 2050159 PT EVAL MOD COMPLEX 60 MN 759.00 2050160 PT EVAL HIGH COMPLEX 60MN 759.00 2050161 PT EVAL HIGH COMPLEX 75MN 949.00 2050162 PT EVAL HIGH COMPLEX 90MN 1,142.00 2050163 PT RE-EVAL EST CARE PL 15 190.00 2050164 PT RE-EVAL EST CARE PL 30 380.00 2050165 PT RE-EVAL EST CARE PL 45 459.00 2050166 PT RE-EVAL EST CARE PL 60 539.00 2100774 OT THR ACTIVITY EA 15 125.00 2100782 OT APPLY SPLINT LONG ARM 265.00 2100790 OT APP SPLNT SHRT ARM STC 296.00 2100808 OT APP SPLNT SHRT ARM DYN 265.00 2100816 OT APP SPLINT FINGER STC 78.00 2100824 OT APP SPLINT FINGER DYN 91.00 2100832 OT MC EVALUATION INI 30 348.00 2100840 OT MC EVALUATION ADD 15 174.00 2100857 OT MC RE-EVAL INI 30 348.00 2100907 OT MC DVL COGNT ADD 15 131.00 2100915 OT MC EXERCISE THR ADD 15 152.00 2100956 OT MC NEUROMSCL ED ADD 15 147.00 2100964 OT MC ORTH FIT/TRN INI 30 261.00 2100972 OT MC ORTH FIT/TRN ADD 15 131.00 2100998 OT MC SLF CARE/HME INI 30 339.00 2101004 OT MC SLF CARE/HME ADD 15 170.00 2101012 OT MC THR ACTIVITY INI 30 205.00 2101020 OT MC THR ACTIVITY ADD 15 105.00 2110906 OT TESTING DEVELOPMENTAL 432.00 2112027 OT MC EXERCISE THR INI 30 307.00 2112068 OT RE-ED NEUROMSCL EA 15 130.00 2112084 OT MC DVL COGNT INI 30 261.00 2112100 OT MC FAB SPLINT INI 30 307.00 2112118 OT MC FAB SPLINT ADD 15 152.00 2112274 OT TRN SLF CARE/HME EA 15 205.00 2112282 OT MC NEUROMSCL ED INI 30 294.00 2112308 OT EXERCISE THR EA 15 133.00 2115004 OT ATTEN CURRENT CH 0.01 2115012 OT ATTEN CURRENT CI 0.01 2115020 OT ATTEN CURRENT CJ 0.01 2115038 OT ATTEN CURRENT CK 0.01

2115046 OT ATTEN CURRENT CL 0.01 2115053 OT ATTEN CURRENT CM 0.01 2115061 OT ATTEN CURRENT CN 0.01 2115079 OT ATTEN D/C STATUS CH 0.01 2115087 OT ATTEN D/C STATUS CI 0.01 2115095 OT ATTEN D/C STATUS CJ 0.01 2115103 OT ATTEN D/C STATUS CK 0.01 2115111 OT ATTEN D/C STATUS CL 0.01 2115129 OT ATTEN D/C STATUS CM 0.01 2115137 OT ATTEN D/C STATUS CN 0.01 2115145 OT ATTEN GOAL STATUS CH 0.01 2115152 OT ATTEN GOAL STATUS CI 0.01 2115160 OT ATTEN GOAL STATUS CJ 0.01 2115178 OT ATTEN GOAL STATUS CK 0.01 2115186 OT ATTEN GOAL STATUS CL 0.01 2115194 OT ATTEN GOAL STATUS CM 0.01 2115202 OT ATTEN GOAL STATUS CN 0.01 2115210 OT BODY POS CURRENT CH 0.01 2115228 OT BODY POS CURRENT CI 0.01 2115236 OT BODY POS CURRENT CJ 0.01 2115244 OT BODY POS CURRENT CK 0.01 2115251 OT BODY POS CURRENT CL 0.01 2115269 OT BODY POS CURRENT CM 0.01 2115277 OT BODY POS CURRENT CN 0.01 2115285 OT BODY POS D/C STATUS CH 0.01 2115293 OT BODY POS D/C STATUS CI 0.01 2115301 OT BODY POS D/C STATUS CJ 0.01 2115319 OT BODY POS D/C STATUS CK 0.01 2115327 OT BODY POS D/C STATUS CL 0.01 2115335 OT BODY POS D/C STATUS CM 0.01 2115343 OT BODY POS D/C STATUS CN 0.01 2115350 OT BODY POS GOAL CH 0.01 2115368 OT BODY POS GOAL CI 0.01 2115376 OT BODY POS GOAL CJ 0.01 2115384 OT BODY POS GOAL CK 0.01 2115392 OT BODY POS GOAL CL 0.01 2115400 OT BODY POS GOAL CM 0.01 2115418 OT BODY POS GOAL CN 0.01 2115426 OT CARRY CURRENT CH 0.01 2115434 OT CARRY CURRENT CI 0.01 2115442 OT CARRY CURRENT CJ 0.01 2115459 OT CARRY CURRENT CK 0.01 2115467 OT CARRY CURRENT CL 0.01 2115475 OT CARRY CURRENT CM 0.01 2115483 OT CARRY CURRENT CN 0.01 2115491 OT CARRY D/C STATUS CH 0.01 2115509 OT CARRY D/C STATUS CI 0.01 2115517 OT CARRY D/C STATUS CJ 0.01 2115525 OT CARRY D/C STATUS CK 0.01 2115533 OT CARRY D/C STATUS CL 0.01 2115541 OT CARRY D/C STATUS CM 0.01 2115558 OT CARRY D/C STATUS CN 0.01 2115566 OT CARRY GOAL STATUS CH 0.01

2115574 OT CARRY GOAL STATUS CI 0.01 2115582 OT CARRY GOAL STATUS CJ 0.01 2115590 OT CARRY GOAL STATUS CK 0.01 2115608 OT CARRY GOAL STATUS CL 0.01 2115616 OT CARRY GOAL STATUS CM 0.01 2115624 OT CARRY GOAL STATUS CN 0.01 2115632 OT MEMORY CURRENT CH 0.01 2115640 OT MEMORY CURRENT CI 0.01 2115657 OT MEMORY CURRENT CJ 0.01 2115665 OT MEMORY CURRENT CK 0.01 2115673 OT MEMORY CURRENT CL 0.01 2115681 OT MEMORY CURRENT CM 0.01 2115699 OT MEMORY CURRENT CN 0.01 2115707 OT MEMORY D/C STATUS CH 0.01 2115715 OT MEMORY D/C STATUS CI 0.01 2115723 OT MEMORY D/C STATUS CJ 0.01 2115731 OT MEMORY D/C STATUS CK 0.01 2115749 OT MEMORY D/C STATUS CL 0.01 2115756 OT MEMORY D/C STATUS CM 0.01 2115764 OT MEMORY D/C STATUS CN 0.01 2115772 OT MEMORY GOAL STATUS CH 0.01 2115780 OT MEMORY GOAL STATUS CI 0.01 2115798 OT MEMORY GOAL STATUS CJ 0.01 2115806 OT MEMORY GOAL STATUS CK 0.01 2115814 OT MEMORY GOAL STATUS CL 0.01 2115822 OT MEMORY GOAL STATUS CM 0.01 2115830 OT MEMORY GOAL STATUS CN 0.01 2115848 OT MOBILITY CURRENT CH 0.01 2115855 OT MOBILITY CURRENT CI 0.01 2115863 OT MOBILITY CURRENT CJ 0.01 2115871 OT MOBILITY CURRENT CK 0.01 2115889 OT MOBILITY CURRENT CL 0.01 2115897 OT MOBILITY CURRENT CM 0.01 2115905 OT MOBILITY CURRENT CN 0.01 2115913 OT MOBILITY D/C STATUS CH 0.01 2115921 OT MOBILITY D/C STATUS CI 0.01 2115939 OT MOBILITY D/C STATUS CJ 0.01 2115947 OT MOBILITY D/C STATUS CK 0.01 2115954 OT MOBILITY D/C STATUS CL 0.01 2115962 OT MOBILITY D/C STATUS CM 0.01 2115970 OT MOBILITY D/C STATUS CN 0.01 2115988 OT MOBILITY GOAL CH 0.01 2115996 OT MOBILITY GOAL CI 0.01 2116002 OT MOBILITY GOAL CJ 0.01 2116010 OT MOBILITY GOAL CK 0.01 2116028 OT MOBILITY GOAL CL 0.01 2116036 OT MOBILITY GOAL CM 0.01 2116044 OT MOBILITY GOAL CN 0.01 2116051 OT OTHER PT/OT CURRENT CH 0.01 2116069 OT OTHER PT/OT CURRENT CI 0.01 2116077 OT OTHER PT/OT CURRENT CJ 0.01 2116085 OT OTHER PT/OT CURRENT CK 0.01 2116093 OT OTHER PT/OT CURRENT CL 0.01

2116101 OT OTHER PT/OT CURRENT CM 0.01 2116119 OT OTHER PT/OT CURRENT CN 0.01 2116127 OT OTHER PT/OT D/C CH 0.01 2116135 OT OTHER PT/OT D/C CI 0.01 2116143 OT OTHER PT/OT D/C CJ 0.01 2116150 OT OTHER PT/OT D/C CK 0.01 2116168 OT OTHER PT/OT D/C CL 0.01 2116176 OT OTHER PT/OT D/C CM 0.01 2116184 OT OTHER PT/OT D/C CN 0.01 2116192 OT OTHER PT/OT GOAL CH 0.01 2116200 OT OTHER PT/OT GOAL CI 0.01 2116218 OT OTHER PT/OT GOAL CJ 0.01 2116226 OT OTHER PT/OT GOAL CK 0.01 2116234 OT OTHER PT/OT GOAL CL 0.01 2116242 OT OTHER PT/OT GOAL CM 0.01 2116259 OT OTHER PT/OT GOAL CN 0.01 2116267 OT SELF CARE CURRENT CH 0.01 2116275 OT SELF CARE CURRENT CI 0.01 2116283 OT SELF CARE CURRENT CJ 0.01 2116291 OT SELF CARE CURRENT CK 0.01 2116309 OT SELF CARE CURRENT CL 0.01 2116317 OT SELF CARE CURRENT CM 0.01 2116325 OT SELF CARE CURRENT CN 0.01 2116333 OT SELF CARE D/C CH 0.01 2116341 OT SELF CARE D/C CI 0.01 2116358 OT SELF CARE D/C CJ 0.01 2116366 OT SELF CARE D/C CK 0.01 2116374 OT SELF CARE D/C CL 0.01 2116382 OT SELF CARE D/C CM 0.01 2116390 OT SELF CARE D/C CN 0.01 2116408 OT SELF CARE GOAL CH 0.01 2116416 OT SELF CARE GOAL CI 0.01 2116424 OT SELF CARE GOAL CJ 0.01 2116432 OT SELF CARE GOAL CK 0.01 2116440 OT SELF CARE GOAL CL 0.01 2116457 OT SELF CARE GOAL CM 0.01 2116465 OT SELF CARE GOAL CN 0.01 2116473 OT SUB PT/OT CURRENT CH 0.01 2116481 OT SUB PT/OT CURRENT CI 0.01 2116499 OT SUB PT/OT CURRENT CJ 0.01 2116507 OT SUB PT/OT CURRENT CK 0.01 2116515 OT SUB PT/OT CURRENT CL 0.01 2116523 OT SUB PT/OT CURRENT CM 0.01 2116531 OT SUB PT/OT CURRENT CN 0.01 2116549 OT SUB PT/OT D/C CH 0.01 2116556 OT SUB PT/OT D/C CI 0.01 2116564 OT SUB PT/OT D/C CJ 0.01 2116572 OT SUB PT/OT D/C CK 0.01 2116580 OT SUB PT/OT D/C CL 0.01 2116598 OT SUB PT/OT D/C CM 0.01 2116606 OT SUB PT/OT D/C CN 0.01 2116614 OT SUB PT/OT GOAL CH 0.01 2116622 OT SUB PT/OT GOAL CI 0.01

2116630 OT SUB PT/OT GOAL CJ 0.01 2116648 OT SUB PT/OT GOAL CK 0.01 2116655 OT SUB PT/OT GOAL CL 0.01 2116663 OT SUB PT/OT GOAL CM 0.01 2116671 OT SUB PT/OT GOAL CN 0.01 2116689 OT SWALLOW CURRENT CH 0.01 2116697 OT SWALLOW CURRENT CI 0.01 2116705 OT SWALLOW CURRENT CJ 0.01 2116713 OT SWALLOW CURRENT CK 0.01 2116721 OT SWALLOW CURRENT CL 0.01 2116739 OT SWALLOW CURRENT CM 0.01 2116747 OT SWALLOW CURRENT CN 0.01 2116754 OT SWALLOW D/C STATUS CH 0.01 2116762 OT SWALLOW D/C STATUS CI 0.01 2116770 OT SWALLOW D/C STATUS CJ 0.01 2116788 OT SWALLOW D/C STATUS CK 0.01 2116796 OT SWALLOW D/C STATUS CL 0.01 2116804 OT SWALLOW D/C STATUS CM 0.01 2116812 OT SWALLOW D/C STATUS CN 0.01 2116820 OT SWALLOW GOAL STATUS CH 0.01 2116838 OT SWALLOW GOAL STATUS CI 0.01 2116846 OT SWALLOW GOAL STATUS CJ 0.01 2116853 OT SWALLOW GOAL STATUS CK 0.01 2116861 OT SWALLOW GOAL STATUS CL 0.01 2116879 OT SWALLOW GOAL STATUS CM 0.01 2116887 OT SWALLOW GOAL STATUS CN 0.01 2122356 OT STUDENT PRODUCT/DAY NC - 2122380 OT EVAL LOW COMPLEX 30 MN 274.00 2122381 OT EVAL MOD COMPLEX 45 MN 416.00 2122382 OT EVAL HIGH COMPLEX 60MN 553.00 2122383 OT RE-EVAL EST CARE PL 30 274.00 2122384 OT EVAL LOW COMPLEX 15 MN 137.00 2122385 OT EVAL LOW COMPLEX 45 MN 416.00 2122386 OT EVAL MOD COMPLEX 30 MN 274.00 2122387 OT EVAL MOD COMPLEX 60 MN 553.00 2122388 OT EVAL HIGH COMPLEX 45MN 416.00 2122389 OT EVAL HIGH COMPLEX 75MN 694.00 2122390 OT EVAL HIGH COMPLEX 90MN 832.00 2122391 OT RE-EVAL EST CARE PL 15 137.00 2122392 OT RE-EVAL EST CARE PL 45 337.00 2122393 OT RE-EVAL EST CARE PL 60 395.00 2180958 OT TREATMENT SWALLOW 60 823.00 2180959 OT THPY CAP KX REVIEW NC - 2180960 OT MNGMT WHEELCHAIR EA 15 103.00 2180961 OT DVL COGNIT SKILLS EA15 171.00 2200012 ST TREATMENT SPEECH 30 276.00 2200335 ST TREATMENT SPEECH 60 552.00 2200574 ST EVAL SWALLOWING 30 320.00 2200582 ST EVAL SWALLOWING 60 451.00 2200624 ST EVAL SWALLOWING 90 577.00 2200640 ST TREATMENT SWALLOW 30 414.00 2200665 ST TREATMENT SWALLOW 60 823.00 2200970 ST EVAL SWALLOWING 45 388.00

2201184 ST EVL FLUORO SWAL VID 60 622.00 2201192 ST EVL FLUORO SWAL VID 90 796.00 2202026 ST EVAL SWALLOWING 15 257.00 2202034 ST EVL FLUORO SWAL VID 30 441.00 2202042 ST EVL FLUORO SWAL VID 45 534.00 2202059 ST EVL FLUORO SWAL VID 75 709.00 2202067 ST TREATMENT SPEECH 15 138.00 2202075 ST TREATMENT SPEECH 45 414.00 2202083 ST TREATMENT SWALLOW 15 207.00 2202091 ST TREATMENT SWALLOW 45 616.00 2202110 ST DVL COGNIT SKILLS EA15 61.00 2203008 ST ATTEN CURRENT CH 0.01 2203016 ST ATTEN CURRENT CI 0.01 2203024 ST ATTEN CURRENT CJ 0.01 2203032 ST ATTEN CURRENT CK 0.01 2203040 ST ATTEN CURRENT CL 0.01 2203057 ST ATTEN CURRENT CM 0.01 2203065 ST ATTEN CURRENT CN 0.01 2203073 ST ATTEN D/C STATUS CH 0.01 2203081 ST ATTEN D/C STATUS CI 0.01 2203099 ST ATTEN D/C STATUS CJ 0.01 2203107 ST ATTEN D/C STATUS CK 0.01 2203115 ST ATTEN D/C STATUS CL 0.01 2203123 ST ATTEN D/C STATUS CM 0.01 2203131 ST ATTEN D/C STATUS CN 0.01 2203149 ST ATTEN GOAL STATUS CH 0.01 2203156 ST ATTEN GOAL STATUS CI 0.01 2203164 ST ATTEN GOAL STATUS CJ 0.01 2203172 ST ATTEN GOAL STATUS CK 0.01 2203180 ST ATTEN GOAL STATUS CL 0.01 2203198 ST ATTEN GOAL STATUS CM 0.01 2203206 ST ATTEN GOAL STATUS CN 0.01 2203214 ST LANG COMP CURRENT CH 0.01 2203222 ST LANG COMP CURRENT CI 0.01 2203230 ST LANG COMP CURRENT CJ 0.01 2203248 ST LANG COMP CURRENT CK 0.01 2203255 ST LANG COMP CURRENT CL 0.01 2203263 ST LANG COMP CURRENT CM 0.01 2203271 ST LANG COMP CURRENT CN 0.01 2203289 ST LANG COMP D/C CH 0.01 2203297 ST LANG COMP D/C CI 0.01 2203305 ST LANG COMP D/C CJ 0.01 2203313 ST LANG COMP D/C CK 0.01 2203321 ST LANG COMP D/C CL 0.01 2203339 ST LANG COMP D/C CM 0.01 2203347 ST LANG COMP D/C CN 0.01 2203354 ST LANG COMP GOAL CH 0.01 2203362 ST LANG COMP GOAL CI 0.01 2203370 ST LANG COMP GOAL CJ 0.01 2203388 ST LANG COMP GOAL CK 0.01 2203396 ST LANG COMP GOAL CL 0.01 2203404 ST LANG COMP GOAL CM 0.01 2203412 ST LANG COMP GOAL CN 0.01

2203420 ST LANG EXPR CURRENT CH 0.01 2203438 ST LANG EXPR CURRENT CI 0.01 2203446 ST LANG EXPR CURRENT CJ 0.01 2203453 ST LANG EXPR CURRENT CK 0.01 2203461 ST LANG EXPR CURRENT CL 0.01 2203479 ST LANG EXPR CURRENT CM 0.01 2203487 ST LANG EXPR CURRENT CN 0.01 2203495 ST LANG EXPRESS D/C CH 0.01 2203503 ST LANG EXPRESS D/C CI 0.01 2203511 ST LANG EXPRESS D/C CJ 0.01 2203529 ST LANG EXPRESS D/C CK 0.01 2203537 ST LANG EXPRESS D/C CL 0.01 2203545 ST LANG EXPRESS D/C CM 0.01 2203552 ST LANG EXPRESS D/C CN 0.01 2203560 ST LANG EXPRESS GOAL CH 0.01 2203578 ST LANG EXPRESS GOAL CI 0.01 2203586 ST LANG EXPRESS GOAL CJ 0.01 2203594 ST LANG EXPRESS GOAL CK 0.01 2203602 ST LANG EXPRESS GOAL CL 0.01 2203610 ST LANG EXPRESS GOAL CM 0.01 2203628 ST LANG EXPRESS GOAL CN 0.01 2203636 ST MEMORY CURRENT CH 0.01 2203644 ST MEMORY CURRENT CI 0.01 2203651 ST MEMORY CURRENT CJ 0.01 2203669 ST MEMORY CURRENT CK 0.01 2203677 ST MEMORY CURRENT CL 0.01 2203685 ST MEMORY CURRENT CM 0.01 2203693 ST MEMORY CURRENT CN 0.01 2203701 ST MEMORY D/C STATUS CH 0.01 2203719 ST MEMORY D/C STATUS CI 0.01 2203727 ST MEMORY D/C STATUS CJ 0.01 2203735 ST MEMORY D/C STATUS CK 0.01 2203743 ST MEMORY D/C STATUS CL 0.01 2203750 ST MEMORY D/C STATUS CM 0.01 2203768 ST MEMORY D/C STATUS CN 0.01 2203776 ST MEMORY GOAL STATUS CH 0.01 2203784 ST MEMORY GOAL STATUS CI 0.01 2203792 ST MEMORY GOAL STATUS CJ 0.01 2203800 ST MEMORY GOAL STATUS CK 0.01 2203818 ST MEMORY GOAL STATUS CL 0.01 2203826 ST MEMORY GOAL STATUS CM 0.01 2203834 ST MEMORY GOAL STATUS CN 0.01 2203842 ST MOT SPEECH CURRENT CH 0.01 2203859 ST MOT SPEECH CURRENT CI 0.01 2203867 ST MOT SPEECH CURRENT CJ 0.01 2203875 ST MOT SPEECH CURRENT CK 0.01 2203883 ST MOT SPEECH CURRENT CL 0.01 2203891 ST MOT SPEECH CURRENT CM 0.01 2203909 ST MOT SPEECH CURRENT CN 0.01 2203917 ST MOTOR SPEECH D/C CH 0.01 2203925 ST MOTOR SPEECH D/C CI 0.01 2203933 ST MOTOR SPEECH D/C CJ 0.01 2203941 ST MOTOR SPEECH D/C CK 0.01

2203958 ST MOTOR SPEECH D/C CL 0.01 2203966 ST MOTOR SPEECH D/C CM 0.01 2203974 ST MOTOR SPEECH D/C CN 0.01 2203982 ST MOTOR SPEECH GOAL CH 0.01 2203990 ST MOTOR SPEECH GOAL CI 0.01 2204006 ST MOTOR SPEECH GOAL CJ 0.01 2204014 ST MOTOR SPEECH GOAL CK 0.01 2204022 ST MOTOR SPEECH GOAL CL 0.01 2204030 ST MOTOR SPEECH GOAL CM 0.01 2204048 ST MOTOR SPEECH GOAL CN 0.01 2204055 ST OTH SP LANG CURRENT CH 0.01 2204063 ST OTH SP LANG CURRENT CI 0.01 2204071 ST OTH SP LANG CURRENT CJ 0.01 2204089 ST OTH SP LANG CURRENT CK 0.01 2204097 ST OTH SP LANG CURRENT CL 0.01 2204105 ST OTH SP LANG CURRENT CM 0.01 2204113 ST OTH SP LANG CURRENT CN 0.01 2204121 ST OTHER SP LANG D/C CH 0.01 2204139 ST OTHER SP LANG D/C CI 0.01 2204147 ST OTHER SP LANG D/C CJ 0.01 2204154 ST OTHER SP LANG D/C CK 0.01 2204162 ST OTHER SP LANG D/C CL 0.01 2204170 ST OTHER SP LANG D/C CM 0.01 2204188 ST OTHER SP LANG D/C CN 0.01 2204196 ST OTHER SP LANG GOAL CH 0.01 2204204 ST OTHER SP LANG GOAL CI 0.01 2204212 ST OTHER SP LANG GOAL CJ 0.01 2204220 ST OTHER SP LANG GOAL CK 0.01 2204238 ST OTHER SP LANG GOAL CL 0.01 2204246 ST OTHER SP LANG GOAL CM 0.01 2204253 ST OTHER SP LANG GOAL CN 0.01 2204261 ST SWALLOW CURRENT CH 0.01 2204279 ST SWALLOW CURRENT CI 0.01 2204287 ST SWALLOW CURRENT CJ 0.01 2204295 ST SWALLOW CURRENT CK 0.01 2204303 ST SWALLOW CURRENT CL 0.01 2204311 ST SWALLOW CURRENT CM 0.01 2204329 ST SWALLOW CURRENT CN 0.01 2204337 ST SWALLOW D/C STATUS CH 0.01 2204345 ST SWALLOW D/C STATUS CI 0.01 2204352 ST SWALLOW D/C STATUS CJ 0.01 2204360 ST SWALLOW D/C STATUS CK 0.01 2204378 ST SWALLOW D/C STATUS CL 0.01 2204386 ST SWALLOW D/C STATUS CM 0.01 2204394 ST SWALLOW D/C STATUS CN 0.01 2204402 ST SWALLOW GOAL STATUS CH 0.01 2204410 ST SWALLOW GOAL STATUS CI 0.01 2204428 ST SWALLOW GOAL STATUS CJ 0.01 2204436 ST SWALLOW GOAL STATUS CK 0.01 2204444 ST SWALLOW GOAL STATUS CL 0.01 2204451 ST SWALLOW GOAL STATUS CM 0.01 2204469 ST SWALLOW GOAL STATUS CN 0.01 2204477 ST VOICE CURRENT CH 0.01

2204485 ST VOICE CURRENT CI 0.01 2204493 ST VOICE CURRENT CJ 0.01 2204501 ST VOICE CURRENT CK 0.01 2204519 ST VOICE CURRENT CL 0.01 2204527 ST VOICE CURRENT CM 0.01 2204535 ST VOICE CURRENT CN 0.01 2204543 ST VOICE D/C STATUS CH 0.01 2204550 ST VOICE D/C STATUS CI 0.01 2204568 ST VOICE D/C STATUS CJ 0.01 2204576 ST VOICE D/C STATUS CK 0.01 2204584 ST VOICE D/C STATUS CL 0.01 2204592 ST VOICE D/C STATUS CM 0.01 2204600 ST VOICE D/C STATUS CN 0.01 2204618 ST VOICE GOAL STATUS CH 0.01 2204626 ST VOICE GOAL STATUS CI 0.01 2204634 ST VOICE GOAL STATUS CJ 0.01 2204642 ST VOICE GOAL STATUS CK 0.01 2204659 ST VOICE GOAL STATUS CL 0.01 2204667 ST VOICE GOAL STATUS CM 0.01 2204675 ST VOICE GOAL STATUS CN 0.01 2204676 ST EVAL FLUENC SPEECH 15 197.00 2204677 ST EVAL FLUENC SPEECH 30 395.00 2204678 ST EVAL FLUENC SPEECH 45 591.00 2204679 ST EVAL FLUENC SPEECH 60 790.00 2204680 ST EVAL FLUENC SPEECH 75 987.00 2204681 ST EVAL FLUENC SPEECH 90 1,183.00 2204682 ST EVAL PRODUC SPEECH 15 191.00 2204683 ST EVAL PRODUC SPEECH 30 382.00 2204684 ST EVAL PRODUC SPEECH 45 573.00 2204685 ST EVAL PRODUC SPEECH 60 765.00 2204686 ST EVAL PRODUC SPEECH 75 956.00 2204687 ST EVAL PRODUC SPEECH 90 1,147.00 2204688 ST EVAL PROD W COMP SP 15 197.00 2204689 ST EVAL PROD W COMP SP 30 395.00 2204690 ST EVAL PROD W COMP SP 45 593.00 2204691 ST EVAL PROD W COMP SP 60 790.00 2204692 ST EVAL PROD W COMP SP 75 987.00 2204693 ST EVAL PROD W COMP SP 90 1,185.00 2204694 ST ANLY BEHAV VOICE 15 197.00 2204695 ST ANLY BEHAV VOICE 30 395.00 2204696 ST ANLY BEHAV VOICE 45 591.00 2204697 ST ANLY BEHAV VOICE 60 790.00 2204698 ST ANLY BEHAV VOICE 75 987.00 2204699 ST ANLY BEHAV VOICE 90 1,183.00 2204700 ST THPY CAP KX REVIEW NC - 2204701 ST EVAL SWALLOWING 75 492.00 2204702 ST TREATMENT SPEECH 75 627.00 2204703 ST TREATMENT SPEECH 90 754.00 2204704 ST TREATMENT SWALLOW 75 926.00 2204705 ST TREATMENT SWALLOW 90 1,113.00 2204706 ST EVL ENDO LG SENS W VID 497.00 2204707 ST EVL ENDO SWAL/LG W VID 710.00 2204708 ST STUDENT PRODUCT/DAY NC -

2300036 TRAUMA LIMITED 3,253.00 2300044 TRAUMA LIMITED W/PROC 3,253.00 2300051 TRAUMA ESSENTIAL 4,768.00 2300069 TRAUMA ESSENTIAL W/PROC 4,768.00 2300077 TRAUMA COMPREHENS W/PROC 5,682.00 2300078 TRAUMA FAC ACTIVAT TIER 1 8,605.00 2300079 TRAUMA FAC ACTIVAT TIER 2 9,036.00 2300093 TRAUMA LVL 2 ACTIVATE CC 9,542.00 2300101 TRAUM FAC ACTIVAT CONSULT 5,038.00 2301240 REMOVE CERUMEN IMPACTED 240.00 2302115 ER LEVEL 1 579.00 2302123 ER LEVEL 2 1,141.00 2302131 ER LEVEL 3 1,941.00 2302149 ER LEVEL 4 3,253.00 2302156 ER LEVEL 5 4,768.00 2302206 LEFT WO BEING SEEN NC - 2302405 MOD SEDAT <5YRS 1ST 15M 281.00 2302406 MOD SEDAT =>5YRS 1ST 15M 281.00 2322220 ER CRITICAL CARE 30-74MIN 5,682.00 2322295 PREG URINE VISUAL POC 185.00 2330728 DRESS/DEBRIDE BURN 427.00 2330785 INJ NERVE/OTHR ASP/INJ JT 510.00 2331114 LAC RPR LEVEL 3 5,628.00 2332005 INTUBATION ENDOTRACHEAL 1,078.00 2332088 PERICARDIOCENTES INITIAL 872.00 2332096 INS/REPL TEMP PACER ELECT 7,510.00 2332153 ARTERIAL CATH/CANN PERC 760.00 2332187 PLACE NDL INTRAOSSO INFUS 379.00 2332310 LUMBAR/SHUNT PUNCTURE 721.00 2332450 EMERG ROOM CPR 2,095.00 2332468 CARDIOVERSION ELCTIVE EXT 1,067.00 2332518 PULSE OX SINGLE DETERMIN 459.00 2332831 ER LEVEL 1 W/PROCEDURE 579.00 2332849 ER LEVEL 2 W/PROCEDURE 1,141.00 2332856 ER LEVEL 3 W/PROCEDURE 1,941.00 2332864 ER LEVEL 4 W/PROCEDURE 3,253.00 2332872 ER LEVEL 5 W/PROCEDURE 4,768.00 2332880 ER CRIT CARE 30-74 W/PROC 5,682.00 2332989 TRAUMA COMPREHENSIVE 5,682.00 2332997 ER CRITIC CARE ADD 30MIN 2,722.00 2351112 DEBR NON-SELECTIV SESSION 464.00 2351138 EMERGENCY ESRD DIALY TRMT 4,992.00 2351146 THROMBOLYSIS CORONARY IV 2,071.00 2351153 PACING TRANSCUTANEOUS 553.00 2351187 DEBR SL SESSION 1ST 20CM 562.00 2351237 ANOSCOPY DIAGNOSTIC 352.00 2351245 APPLICATION OF CAST 418.00 2351252 APPLICATION OF SPLINT 372.00 2351278 CHANGE TUBE SIMPLE 683.00 2351286 CYSTOSTOMY PROC COMPLEX 3,806.00 2351294 CAUT/CNTRL BLEED LEVEL 1 532.00 2351310 DEBRID OPEN FX W/FB REMOV 849.00 2351328 DEBRID/AVUL NAIL EVAC HEM 276.00

2351336 EXCISE/REPAIR NAIL 844.00 2351344 INCIS/DRAIN/ASP LEVEL 3 3,451.00 2351351 INCIS/DRAIN/ASP LEVEL 1 451.00 2351369 CV CATH/PICC LEVEL 2 2,612.00 2351377 CV CATH/PICC LEVEL 1 1,645.00 2351385 INSERT CATH BLADDER 298.00 2351393 CV CATH LEVEL 3 3,067.00 2351401 LAC RPR LVL3 ADD<5CM 896.00 2351419 LAC RPR LEVEL 1 582.00 2351427 REM FB/SKN LES IMP LVL 1 387.00 2351435 STRAPPING 239.00 2351443 THORACENTESIS/THORACOSTO 872.00 2351450 TX FX/DISLOC LEVEL 1 1,058.00 2351468 VENIPUNCTURE 68.00 2351476 VENIPUNCT CUTDOWN > AGE 1 387.00 2351484 WINDOWING/WEDGING OF CAST 263.00 2351500 LAC RPR LEVEL 2 1,120.00 2351526 INCIS/DRAIN/ASP LEVEL 2 820.00 2351534 DEBRIDE SKIN/SUBQ/MUS 160.00 2351542 EPIDURAL BLOOD PATCH 1,162.00 2351559 INS PERITL CATH/CANN 5,940.00 2351575 PLACE NG/OG TUBE PHY SKIL 394.00 2351583 REMOVE FB/IMPLANT LEVEL 3 3,683.00 2351591 REMOVE FB/IMPLANT LEVEL 2 1,293.00 2351609 REMOV/BIVALV/RPR CAST 263.00 2351617 ENDOSCOPY PROC INTERMED 3,524.00 2351625 CURETTAGE NON OB 911.00 2351633 TX DISLOC LEVEL 3 W ANES 3,040.00 2351641 TX FX/DISLOC LEVEL 3 4,952.00 2351658 TX FX/DISLOC LEVEL 2 1,394.00 2351773 TRANSFUS BLD/BLD COMP 1,908.00 2351781 INJ TX/DX/PRO IVPUSH INIT 517.00 2351799 INF TX/DX/PRO SEQ 1HR 676.00 2351807 INF TX/DX/PRO INIT 1ST HR 676.00 2351906 INF IV HYDRA INIT 31-60MN 998.00 2351914 INF IV HYDRAT EA ADD HR 287.00 2351922 INF TX/DX/PRO EA ADD HR 287.00 2351930 INJ TX/DX/PRO IV PUSH SEQ 394.00 2351948 INJ TX/PRO/DX IVP SME DRG 266.00 2351971 INJ TX/DX/PROPH SUBQ/IM 420.00 2351997 INJ TX/DX/PROPH SUBQ/IM 420.00 2352011 INJ TX/DX/PRO IVPUSH INIT 517.00 2352029 INJ TX/DX/PRO IV PUSH SEQ 394.00 2352037 CATH FOR SPECIMEN COLLECT 256.00 2352110 OB/GYN PROCEDURE LEVEL 3 3,301.00 2352128 TRACHEOSTOMY EMERGENCY 2,415.00 2352136 HEMORRHOID EXC/INC SIMPLE 1,260.00 2352144 EXCISION LEVEL 2 3,870.00 2352169 EXPLORE WOUND 2,664.00 2352185 THORACOTOMY 3,632.00 2352193 INJ TX/PRO/DX IVP SME DRG 266.00 2352219 GASTR INTB/ASP/LAV PHY SK 312.00 2352243 TRAUMA LVL 2 ACTIVATE 4/5 9,086.00

2352261 MODERATE SEDAT ADD 15MIN 281.00 2352262 CHEMO INF EA ADD HR 334.00 2352263 CHEMO INF INIT 1ST HR 760.00 2352264 ENDOSCOPY PROC COMPLEX 3,524.00 2352265 EXCISION LEVEL 1 3,870.00 2352266 TRAUMA COMPREH ADD 30MIN 5,443.00 2352267 BLADDER PROCEDURE LEVEL 1 532.00 2352268 BLADDER PROCEDURE LEVEL 2 1,120.00 2352269 ALCOH/SUBST INTERV >30MN 347.00 2352270 ALCOH/SUBST INTERV 15-30 174.00 2352271 CLOSE/PK WND DEHISCEN SMP 532.00 2352272 DECLOT THROMBOLYSIS 612.00 2352273 DENTAL PROC/REIMPLANT 289.00 2352274 FORESKIN MANIPULATION 702.00 2352275 INF TX/DX CONCURRENT 679.00 2352276 INJ TX/DX/PRO INTRA-ARTER 543.00 2352277 IRRIG/LAV/INSTL BLAD/OTHR 532.00 2352278 PARACENTESIS/PERIT LAVAGE 765.00 2352279 RECTAL PROCEDURE INTERMED 3,870.00 2352280 SKIN PROCEDURE COMPLEX 6,748.00 2352282 TOBACCO COUNSELING 3-10MN 95.00 2352283 TOBACCO COUNSELING >10MIN 150.00 2352286 ER BED NC - 2352287 OB/GYN PROCEDURE LEVEL 1 376.00 2389006 ARTERIAL PUNCTURE 173.00 2389007 DEBR SELCT SESSION ADD 20 297.00 2389008 ECG 12 LEAD TRACING ONLY 169.00 2389009 INH TX EA SUBSEQ TX/DAY 196.00 2389010 INH TX INITIAL EA DAY 196.00 2389011 MOD SED <5Y 1ST 15 OTH MD 401.00 2389012 MOD SED =>5Y 1ST 15 OTHMD 401.00 2389013 MOD SEDAT ADD 15M OTH MD 401.00 2389014 NASOPHARYNGOSCOPY W ENDO 443.00 2389015 CANALITH REPOS PER DAY 123.00 2389016 VENIPUNCT CUTDOWN < AGE 1 165.00 2389017 TELHEALTH FAC FEE NONHSPA 64.00 2389018 LARYNGOSCOPY DIAGNOSTIC 153.00 2389019 CHEMO SQ/IM NONHORMONAL 168.00 2389020 US GUIDED VASCULAR ACCESS 440.00 2800003 PACEMK REM PERM SNG THORA 27,440.00 2800004 L VENT LEAD INS W DEF/GEN 17,789.00 2800005 LEAD REPOS W GEN REM/RPL 4,711.00 2800006 PACEMK GENERATOR REM ONL 7,033.00 2800007 PACEMAKER LEAD REM DUAL 4,711.00 2800012 PACEMAKER LEAD REM SINGLE 4,711.00 2800015 I&D HEMATOMA/SEROMA/FLUID 2,713.00 2800018 PERICARDIOCENT SUBSEQ 1,139.00 2800019 LEAD EPICARDIAL INSRT OPN 4,058.00 2800021 PERICARDIOCENTES INITIAL 1,139.00 2800031 LEAD EPICARDAL INSRT ENDO 2,071.00 2800032 LEAD REP PACE/DEF IMP 1TV 4,711.00 2800033 LEAD REP PACE/DEF IMP 2TV 4,711.00 2800034 LEAD INS PACE/DEF IMP 1TV 10,265.00

2800035 LEAD INS PACE/DEF IMP 2TV 10,265.00 2800036 PACEMKR SKIN POCK RELOCAT 3,462.00 2800038 L VENT LEAD IMP INS&CONNE 28,623.00 2800039 DEFIB IMP SKIN POCK RELOC 3,462.00 2800041 PACEMAKER INS/REPL A/V 22,892.00 2800042 PACEMKER INS TEMP SNGL 13,578.00 2800043 PACEMAKER INS/REPL ATRIAL 20,029.00 2800044 PACEMAKER INS/REPL VENT 21,061.00 2800045 PACEMKER INS TEMP DUAL 13,848.00 2800046 PACEMAKER UPGR SNGL-DUAL 28,623.00 2800047 LEAD PACE/DEFIB IMP REPOS 4,711.00 2800048 PACEMKR INS EXIS SNG LEAD 19,494.00 2800049 PACEMK INS EXIS DUAL LEAD 21,364.00 2800051 DEFIB IMP REM GEN ONLY 4,711.00 2800053 LOOP RECORDER IMPLANT 16,633.00 2800054 DEFIB IMP LEAD REM TRANSV 4,711.00 2800059 CATH PLACE AORTA 4,804.00 2800060 CATH/NDL PLACE EXTREM ART 2,090.00 2800066 CTH PLC ABD/PEL/EX 1ST EA 1,684.00 2800073 PSEUDOANEURY TX EXTRM INJ 519.00 2800074 LOOP RECORDER REMOVAL 1,710.00 2800075 INSERT IAB DEVICE PERC 3,726.00 2800077 CTH PLC ABD/PEL/ 2ND INIT 4,121.00 2800078 VENOGRAM EXTREMTY INJ 1,622.00 2800079 VENA CAVA INTRO CATH 4,233.00 2800080 CL AORTOGRM ABD W ILIOFEM 5,850.00 2800081 CL ANGIO EXTREMITY LT 6,230.00 2800083 CL ANGIO EXTREMITY UNI 5,948.00 2800104 CTH PLC ABD/PEL/EX EA ADD 557.00 2800106 CTH PLC RENAL SUPRSEL BIL 9,249.00 2800108 CTH PLC ABD/PEL/ 3RD INIT 4,771.00 2800111 CTH PLC RENAL SUPRSEL RT 6,475.00 2800113 CTH PLC RENAL ART SEL RT 4,637.00 2800114 CTH PLC RENAL ART SEL LT 4,637.00 2800115 CTH PLC RENAL ART SEL BIL 6,624.00 2800116 CTH PLC RENAL SUPRSEL LT 6,475.00 2800117 CL ANGIO EXTREMITY RT 6,230.00 2800118 CL ANGIO EXTREMITY BIL 8,340.00 2800119 CL AORTOGRAM ABD W SERIAL 4,855.00 2800121 TRANSFUS BLD/BLD COMP 1,908.00 2800123 REMOVE IAB DEVICE PERC 410.00 2800127 SWAN GANZ INSERTION 4,200.00 2800136 COR DOPL VEL/PRESS INITAL 2,407.00 2800140 THROMBOLYSIS CORONARY IC 8,077.00 2800143 EP EVAL PACING LEADS INIT 3,840.00 2800144 EP EVAL LEADS & GEN INIT 3,823.00 2800145 EP EVAL DEFIB TRANSV PROG 1,954.00 2800148 COR DOPL VEL/PRESS ADDL 1,926.00 2800149 CL FLUORO < 1 HR 384.00 2800151 THROMBECTOMY CORON MECH 7,519.00 2800154 CL VENACAVAGRAM SUPERIOR 3,245.00 2800156 INTERATRIAL CLOSURE PERC 33,880.00 2800157 ENDOLUM COR VESS IVUS ADD 3,358.00

2800161 CL VENACAVAGRAM INFERIOR 6,434.00 2800162 CL ANGIO EA ADD VESSEL 2,716.00 2800174 CL ANGIO PULMONARY BIL 15,239.00 2800175 INTRA-ATRIAL PACING 1,954.00 2800176 INTRAVENTRICULAR PACING 1,954.00 2800177 RT HRT/LT TRNSEP COG ANOM 7,652.00 2800178 CL ANGIO PULM NON SELECT 3,308.00 2800180 EP F/U PACING & RECORDING 10,580.00 2800182 ENDOLUM COR VESS IVUS INI 4,204.00 2800183 MAPPNG TACHYCARDIA SITES 10,215.00 2800184 INTRA-ATRIAL RECORDING 1,954.00 2800186 BUNDLE OF HIS RECORDING 1,954.00 2800187 CL ANGIO PULMONARY RT 6,869.00 2800188 INTRCARDIAC EP 3D MAP ADD 4,981.00 2800189 COMP EP EVAL INDUC RT A/V 15,519.00 2800190 CL ANGIO PULMONARY LT 6,869.00 2800191 COMP EP EVAL W RT ATR PCE 9,932.00 2800192 INDUCT ARRHYTHMIA W PACE 1,954.00 2800193 COMP EP EVAL INDUC LT ATR 2,793.00 2800194 COMP EP EVAL INDUC LT VEN 4,190.00 2800196 PROG STIM & PACE IV DRUG 6,163.00 2800198 CL ANGIO PULMONARY UNI 6,869.00 2800205 CARDIAC CATH CPR 2,215.00 2800207 THROMBOLYSIS CORONARY IV 456.00 2800209 CL ANGIO INTERNAL MAMMARY 3,308.00 2800210 PACING TRANSCUTANEOUS 553.00 2800211 INTRA OP MAPPING WPW/SVT 5,337.00 2800214 CL FLUORO CVAD PL/RPL/REM 1,229.00 2800220 A/V NODE ABLATION 13,046.00 2800224 CARDIOVERSION ELCTIVE EXT 1,152.00 2800225 LT HRT CTH COR ANG VNTRCU 15,618.00 2800226 RT LT HRT CTH COR ANG VNT 18,430.00 2800227 LT HRT CTH ANG VNT BYP GR 17,180.00 2800228 COR ANG CTH PLC BYPS GRFT 15,002.00 2800229 RT HRT CATH COR ANGIO 8,278.00 2800230 RT HRT CTH COR ANG BYP GR 18,430.00 2800235 LEFT HEART CATH TRANSSEPT 7,652.00 2800237 RT LT HRT CTH ANG VNT BYP 21,085.00 2800246 ANALY PACE PRE/POST PROC 503.00 2800250 ANALY DEFIB IMP PRE/POST 789.00 2800251 RT LT HRT CTH LT VNTRICUL 7,897.00 2800252 LT HRT CTH VENTRICULGRPHY 6,122.00 2800255 COR ANGIO CATH PLACE 12,932.00 2800260 RIGHT HEART CATH 5,448.00 2800263 REVAS TIB PR STNT ATH ADD 15,268.00 2800264 ART MECH THROMBECTMY PRIM 8,486.00 2800265 ART MECH THROM 2NDARY ADD 8,486.00 2800266 REVAS TIB PERON STENT ADD 13,003.00 2800268 VENOUS MECH THROMBECTOMY 8,486.00 2800276 REVAS FEM POP ATHERECTOMY 62,626.00 2800277 REVAS FEM POP TRANS ANGIO 25,677.00 2800278 REVAS IPSIL ILI STENT ADD 13,003.00 2800279 REVAS FEMORAL POPLT STENT 21,293.00

2800280 REVAS TIBIAL PERN ANG INI 10,621.00 2800281 REVAS TIB PERON ATHER INI 33,191.00 2800282 REVAS FEM POP STENT ATHER 76,404.00 2800283 REVAS TIB PR STNT ATH INI 39,963.00 2800284 REVAS TIB PERON ANGIO ADD 13,276.00 2800285 REVAS TIB PERON ATHER ADD 22,727.00 2800286 REVAS TIB PERON STENT INI 32,527.00 2800287 REVAS IPSIL ILI ANGIO ADD 13,003.00 2800288 REVAS ILIAC STENT INI VES 15,234.00 2800289 REVAS ILIAC TRNS ANG INI 12,341.00 2800290 ACT EACH ADDITIONAL POC 133.00 2800291 ACT POC 133.00 2800292 TRANSCT SEPTAL REDUC PERC 184.00 2800293 BLOOD GAS O2 SAT ONLY POC 270.00 2800294 DEFIB IMP INS EX SNG LEAD 43,034.00 2800296 CL FLUORO HEART VALV PROC 289.00 2800297 ANGIO ILIAC W CARD CATH 2,416.00 2800300 EP PER MINUTE NC - 2800303 CL PER MINUTE NC - 2800306 DEFIB IMP SYS INS/REPL TV 69,254.00 2800311 CARDIOVERSION INT W AICD 184.00 2800316 DEFIB IMP LEAD REM THORAC 6,096.00 2800317 INTRACARDIAC ECHO 4,616.00 2800318 DRUG ADMIN HEMODYN MEAS 1,065.00 2800321 ANGIO IN SUPR AORT CD CTH 1,892.00 2800324 EXERCSE STDY HEMODYN MEAS 1,248.00 2800335 US GUIDED PERICARDIOCENT 220.00 2800336 US GUIDED VASCULAR ACCESS 74.00 2800337 PACEMK INS EXIS MLT LEADS 25,660.00 2800338 PACEMK GEN REPL SNGL LEAD 23,351.00 2800339 PACEMK GEN REPL DUAL LEAD 25,660.00 2800340 PACEMK GEN REPL MULT LEAD 25,660.00 2800341 DEFIB IMP INS EX DUA LEAD 86,144.00 2800342 DEFIB IMP INS EX MUL LEAD 86,144.00 2800343 DEFIB IMP GEN REPLACE SNG 80,217.00 2800344 DEFIB IMP GEN REPLC DUAL 82,698.00 2800345 DEFIB IMP GEN REPLC MULT 86,006.00 2800365 LAA LIGATION PERC 1,164.00 2800373 THROMBOLYS VEN INIT DAY 4,965.00 2800381 THROMBOLYS SUBSEQUENT DA 11,085.00 2800399 COR ATHERECT DES ADD 26,478.00 2800407 COR ATHERECT DES SNGL LC 26,478.00 2800415 COR ATHERECT DES SNGL LD 26,478.00 2800423 COR ATHERECT DES SNGL RC 26,478.00 2800431 COR ATHERECT EA ADD 26,165.00 2800449 COR ATHERECT NDES ADD 20,841.00 2800456 COR ATHERECT NDES SNGL LC 20,841.00 2800464 COR ATHERECT NDES SNGL LD 20,841.00 2800472 COR ATHERECT NDES SNGL LM 20,841.00 2800480 COR ATHERECT NDES SNGL RC 20,841.00 2800498 COR ATHERECT NDES SNGL RI 20,841.00 2800506 COR ATHERECT SNGL LC 26,244.00 2800514 COR ATHERECT SNGL LD 26,244.00

2800522 COR ATHERECT SNGL RC 26,165.00 2800530 CTH PL CAR/INM ART SEL BI 11,412.00 2800548 CTH PL CAR/INM SEL ICA BI 12,363.00 2800555 CTH PL SUB/INM ART SEL BI 12,363.00 2800563 CTH PLC CAR/INOM ART SEL 11,412.00 2800571 CTH PLC CAR/INOM SEL ICA 12,363.00 2800589 CTH PLC ECA SEL ADDON 4,347.00 2800597 CTH PLC ICA SEL 13,586.00 2800605 CTH PLC ICA SEL BILAT 13,586.00 2800613 CTH PLC SUBC/INOM ART SEL 12,363.00 2800621 CTH PLC THOR AOR NSEL 7,571.00 2800639 CTH PLC VERT SEL 13,586.00 2800647 CTH PLC VERT SEL BILAT 13,586.00 2800654 EP ABLATE SUPRAVENT ARRHY 18,375.00 2800662 EP TX AFIB PULM VEIN ISOL 38,015.00 2800670 EP TX LT/RT AFIB ADD 917.00 2800688 IC DES PLC EA ADD 22,241.00 2800696 IC DES PLC SNGL LC 22,241.00 2800704 IC DES PLC SNGL LD 22,241.00 2800712 IC DES PLC SNGL RC 22,241.00 2800720 IC NDES PLC EA ADD 17,348.00 2800738 IC NDES PLC SNGL LC 18,238.00 2800746 IC NDES PLC SNGL LD 18,238.00 2800753 IC NDES PLC SNGL LM 20,841.00 2800761 IC NDES PLC SNGL RC 18,238.00 2800779 IC NDES PLC SNGL RI 20,841.00 2800787 ICC ABLATE ARRHYTHM ADDON 917.00 2800795 INS CATH PLEURAL W IMAG 1,407.00 2800803 INS VAD ART&VEN ACCES S&I 1,494.00 2800811 PTCA EA ADDITIONAL 12,010.00 2800829 PTCA SINGLE LC 12,678.00 2800837 PTCA SINGLE LD 12,678.00 2800845 PTCA SINGLE RC 12,678.00 2800852 REVASC ACUT MI DES SNG LC 22,241.00 2800860 REVASC ACUT MI DES SNG LD 22,241.00 2800878 REVASC ACUT MI DES SNG RC 22,241.00 2800886 REVASC CABG DES ADD 26,478.00 2800894 REVASC CABG DES SNGL LC 26,467.00 2800902 REVASC CABG DES SNGL LD 26,478.00 2800910 REVASC CABG DES SNGL RC 27,802.00 2800928 REVASC CHRONIC DES ADD 26,478.00 2800936 REVASC CHRONIC DES SNG LC 26,478.00 2800944 REVASC CHRONIC DES SNG LD 26,478.00 2800951 REVASC CHRONIC DES SNG RC 26,478.00 2800969 THORACENTESIS W IMAGING 2,352.00 2800977 THROMBOLYS ART INIT DAY 4,707.00 2800985 THROMBOLYS FINAL DAY 11,085.00 2800993 TRANSCTH RET IVAS FB PERC 10,349.00 2801009 REVASC CABG NDES SNGL LC 20,907.00 2801017 REVASC CABG NDES SNGL LD 20,841.00 2801025 REVASC CABG NDES SNGL LM 20,841.00 2801033 REVASC CABG NDES SNGL RC 18,238.00 2801041 REVASC CABG NDES SNGL RI 20,841.00

2801058 REVASC ACUT MI NDES SG LC 20,841.00 2801066 REVASC ACUT MI NDES SG LD 20,907.00 2801074 REVASC ACUT MI NDES SG LM 20,841.00 2801082 REVASC ACUT MI NDES SG RC 18,238.00 2801090 REVASC ACUT MI NDES SG RI 20,841.00 2801108 REVASC CHRONC NDES SNG LC 20,841.00 2801116 REVASC CHRONC NDES SNG LD 20,841.00 2801124 REVASC CHRONC NDES SNG LM 20,841.00 2801132 REVASC CHRONC NDES SNG RC 20,841.00 2801140 REVASC CHRONC NDES SNG RI 20,841.00 2801157 REVASC CABG NDES ADD 20,841.00 2801165 REVASC CHRONC NDES ADD 20,841.00 2801173 EP ABLATE VENTRIC TACHY 24,439.00 2801181 IC DES PLC SNGL LM 22,241.00 2801199 IC DES PLC SNGL RI 21,129.00 2801207 COR ATHERECT DES SNGL LM 26,478.00 2801215 COR ATHERECT DES SNGL RI 26,478.00 2801223 REVASC CABG DES SNGL LM 26,478.00 2801231 REVASC CABG DES SNGL RI 26,478.00 2801249 REVASC ACUT MI DES SNG LM 21,129.00 2801256 REVASC ACUT MI DES SNG RI 21,182.00 2801264 REVASC CHRONIC DES SNG LM 26,478.00 2801272 REVASC CHRONIC DES SNG RI 26,478.00 2801273 ENDOVAS REPR VISC AORTA 1 8,676.00 2801274 ENDOVAS REPR VISC AORTA 2 9,545.00 2801275 ENDOVAS REPR VISC AORTA 3 10,499.00 2801276 ENDOVAS REPR VISC AORTA 4 11,549.00 2801277 ENDOVAS RPR VISC&INFRAR 1 8,676.00 2801278 ENDOVAS RPR VISC&INFRAR 2 9,545.00 2801279 ENDOVAS RPR VISC&INFRAR 3 10,499.00 2801280 ENDOVAS RPR VISC&INFRAR 4 11,549.00 2801281 STNT PLC TRANSCTH ART INI 35,570.00 2801282 STNT PLC TRANSCTH ART ADD 25,835.00 2801283 STNT PLC TRANSC VEIN INI 35,653.00 2801284 STNT PLC TRANSC VEIN ADD 25,835.00 2801285 OCC/EMB NON HEMORR VENOU 25,835.00 2801286 OCC/EMB NON HEMORR ART 25,835.00 2801287 OCC/EMB TUMOR/ORGAN INFAR 25,835.00 2801288 OCC/EMB HEMORRHAG/LYMPH 25,835.00 2801289 INTRO CATH DIALY CIRCUIT 2,977.00 2801290 INTRO CTH DIALY CIRCU BLN 11,490.00 2801291 INT CTH DIALY CIR IVAS ST 17,353.00 2801292 THROMBECT DIALY CIRCUIT 11,490.00 2801293 THROMB DIALY CIRCUIT BLN 17,353.00 2801294 THROMB DIALY CIRC IVAS ST 17,357.00 2801295 ANGIO BLN CENT DIALY SEG 17,353.00 2801296 ANGIO BLN TRANS ART INI 12,657.00 2801297 ANGIO BLN TRANS ART EAADD 1,457.00 2801298 ANGIO BLN TRANSL VEIN INI 12,657.00 2801299 ANGIO BLN TRAN VEIN EAADD 1,395.00 2801303 RPR AOR ENVS AORTC TB OTH 3,765.00 2801304 RPR AOR ENVS AORTC TB RUP 3,765.00 2801305 RPR AOR ENV UNI ILIAC OTH 7,829.00

2801306 RPR AOR ENV UNI ILIAC RUP 7,829.00 2801307 RPR AOR ENVS BI ILIAC OTH 11,793.00 2801308 RPR AOR ENVS BI ILIAC RUP 11,793.00 2801309 RPR ILIAC ENV ILIO TB OTH 7,829.00 2801310 RPR ILIAC ENV ILIO TB RUP 7,829.00 2801311 PLC PROS ENV RPR PER VES 14,518.00 2801312 DEL PLC PROS ENV RPR INIT 14,518.00 2801313 DEL PLC PROS ENV RPR ADD 3,755.00 2801314 ENVAS RP ILAC BIF S&I UNI 12,590.00 2871334 ENDOVAS OPEN FEMORAL PROS 2,597.00 2871335 ENDOVAS OPEN ILIAC EXPOSE 2,597.00 2871336 ENDOVAS OPN ILIAC CONDUIT 1,596.00 2871337 ENDOVAS PLC ILIA OCC DVC 2,258.00 2871358 INS IVC FILTER ENDOVAS 9,532.00 2871359 REPOS IVC FILTER ENDOVAS 9,532.00 2871360 RETR IVC FILTER ENDOVAS 9,532.00 2871361 DEFIB SUBQ INS/REP W LEAD 113,859.00 2871362 LEAD SUBQ DEFIB INSERT 24,182.00 2871363 DEFIB SUBQ LEAD REMOVAL 8,672.00 2871364 DEFIB&/OR LEAD SUBQ REPOS 8,672.00 2871365 CTH PLC THOR/BRAC 1ST SEL 970.00 2871366 CTH PLC THOR/BRAC 2ND SEL 1,073.00 2871367 CTH PLC THOR/BRAC 3RD SEL 1,153.00 2871368 ANGIO IN R VNT/AT CRD CTH 1,778.00 2871369 IVUS NON CORON W IMAG INI 3,382.00 2871370 IVUS NON CORO W IM EA ADD 2,686.00 2871371 ANESTH MAC/REG 1ST 30MIN 585.00 2871372 ANESTH MAC/REG ADDL 15MIN 203.00 2871373 PACU COMPLEX 1ST 30MIN 1,681.00 2871374 PACU COMPLEX ADDL 15MIN 590.00 2871375 PACU STANDARD 1ST 30MIN 1,290.00 2871376 PACU STANDARD ADDL 15MIN 450.00 2871377 CL VENOGRAM EXTREMITY BIL 2,954.00 2871378 CL VENOGRAM EXTREMITY LT 2,223.00 2871379 CL VENOGRAM EXTREMITY RT 2,223.00 2871380 MOD SEDAT <5YRS 1ST 15M 401.00 2871381 MOD SEDAT =>5YRS 1ST 15M 401.00 2871382 MODERATE SEDAT ADD 15MIN 401.00 2871383 CATH PTA DC 949X-1234 3,276.00 2871396 ENVS RPR THR AOR NOT SBCL 4,697.00 2871397 CL REP THOR AOR NOT SUBCL 816.00 2871398 THORACOS PERICA SAC DRAIN 16,794.00 2871399 CREAT PERIC WIND/RSEC DRN 16,800.00 4900000 OBSERVATION PER HOUR 113.00 4900001 DIRECT ADMISSION FOR OBSV 562.00 4900003 DIRECT ADMISSION FOR OBSV 562.00 4900004 OBSERVATION PER HOUR 109.00 4900007 OBSERVATION PER HOUR 109.00 4900008 DIRECT ADMISSION FOR OBSV 562.00 4900106 TRANSFUS BLD/BLD COMP 1,908.00 4900122 OBSERVATION PER HOUR 109.00 4900130 DIRECT ADMISSION FOR OBSV 562.00 4900171 TRANSFUS BLD/BLD COMP 1,908.00

4900213 TRANSFUS BLD/BLD COMP 1,908.00 4900296 TRANSFUS BLD/BLD COMP 1,908.00 4900338 OBSERVATION PER HOUR 109.00 4900346 DIRECT ADMISSION FOR OBSV 562.00 4900353 TRANSFUS BLD/BLD COMP 1,908.00 4900395 OBSERVATION PER HOUR 109.00 4900403 DIRECT ADMISSION FOR OBSV 562.00 4900411 TRANSFUS BLD/BLD COMP 1,908.00 4900412 NON OBV OIB HR NC - 4900413 NON OBV OIB HR NC - 4900415 NON OBV OIB HR NC - 4900418 CATH FOR SPECIMEN COLLECT 264.00 4900420 INF IV HYDRA INIT 31-60MN 999.00 4900421 INF IV HYDRAT EA ADD HR 287.00 4900422 INF IV TX/DX PUMP PROLONG 685.00 4900423 INF TX/DX CONCURRENT 679.00 4900424 INF TX/DX/PRO EA ADD HR 287.00 4900425 INF TX/DX/PRO INIT 1ST HR 677.00 4900426 INF TX/DX/PRO SEQ 1HR 677.00 4900427 INJ TX/DX/PRO INTRA-ARTER 543.00 4900428 INJ TX/DX/PRO IV PUSH SEQ 393.00 4900429 INJ TX/DX/PRO IVPUSH INIT 517.00 4900430 INJ TX/DX/PROPH SUBQ/IM 419.00 4900431 INJ TX/PRO/DX IVP SME DRG 266.00 4900432 INS/REPL/DECL NONTUN/PIC 1,725.00 4900433 INSERT CATH BLADDER 263.00 4900434 IRRIG IMPLANTED VEN ACCES 333.00 4900436 NON OBV OIB HR NC - 4900437 PHLEBOTOMY THERAPEUT 125.00 4900438 VENIPUNCTURE NON LAB 68.00 4900441 CATH FOR SPECIMEN COLLECT 264.00 4900443 INF IV HYDRA INIT 31-60MN 999.00 4900444 INF IV HYDRAT EA ADD HR 287.00 4900445 INF IV TX/DX PUMP PROLONG 685.00 4900446 INF TX/DX CONCURRENT 679.00 4900447 INF TX/DX/PRO EA ADD HR 287.00 4900448 INF TX/DX/PRO INIT 1ST HR 677.00 4900449 INF TX/DX/PRO SEQ 1HR 677.00 4900450 INJ TX/DX/PRO INTRA-ARTER 543.00 4900451 INJ TX/DX/PRO IV PUSH SEQ 393.00 4900452 INJ TX/DX/PRO IVPUSH INIT 517.00 4900453 INJ TX/DX/PROPH SUBQ/IM 419.00 4900454 INJ TX/PRO/DX IVP SME DRG 266.00 4900455 INS/REPL/DECL NONTUN/PIC 1,725.00 4900456 INSERT CATH BLADDER 263.00 4900457 IRRIG IMPLANTED VEN ACCES 333.00 4900459 PHLEBOTOMY THERAPEUT 125.00 4900460 VENIPUNCTURE NON LAB 68.00 4900463 CATH FOR SPECIMEN COLLECT 264.00 4900465 INF IV HYDRA INIT 31-60MN 999.00 4900466 INF IV HYDRAT EA ADD HR 287.00 4900467 INF IV TX/DX PUMP PROLONG 685.00 4900468 INF TX/DX CONCURRENT 679.00

4900469 INF TX/DX/PRO EA ADD HR 287.00 4900470 INF TX/DX/PRO INIT 1ST HR 677.00 4900471 INF TX/DX/PRO SEQ 1HR 677.00 4900472 INJ TX/DX/PRO INTRA-ARTER 543.00 4900473 INJ TX/DX/PRO IV PUSH SEQ 393.00 4900474 INJ TX/DX/PRO IVPUSH INIT 517.00 4900475 INJ TX/DX/PROPH SUBQ/IM 419.00 4900476 INJ TX/PRO/DX IVP SME DRG 266.00 4900477 INS/REPL/DECL NONTUN/PIC 1,725.00 4900478 INSERT CATH BLADDER 263.00 4900479 IRRIG IMPLANTED VEN ACCES 333.00 4900481 PHLEBOTOMY THERAPEUT 125.00 4900482 VENIPUNCTURE NON LAB 68.00 4900507 CATH FOR SPECIMEN COLLECT 264.00 4900509 INF IV HYDRA INIT 31-60MN 999.00 4900510 INF IV HYDRAT EA ADD HR 287.00 4900511 INF IV TX/DX PUMP PROLONG 685.00 4900512 INF TX/DX CONCURRENT 679.00 4900513 INF TX/DX/PRO EA ADD HR 287.00 4900514 INF TX/DX/PRO INIT 1ST HR 677.00 4900515 INF TX/DX/PRO SEQ 1HR 677.00 4900516 INJ TX/DX/PRO INTRA-ARTER 543.00 4900517 INJ TX/DX/PRO IV PUSH SEQ 393.00 4900518 INJ TX/DX/PRO IVPUSH INIT 517.00 4900519 INJ TX/DX/PROPH SUBQ/IM 419.00 4900520 INJ TX/PRO/DX IVP SME DRG 266.00 4900521 INS/REPL/DECL NONTUN/PIC 1,725.00 4900522 INSERT CATH BLADDER 263.00 4900523 IRRIG IMPLANTED VEN ACCES 333.00 4900525 PHLEBOTOMY THERAPEUT 125.00 4900526 VENIPUNCTURE NON LAB 68.00 4900547 NON OBV GYN OIB HR NC - 4900570 NON OBV GYN OIB HR NC - 6000000 IG BOTULINUM 100MG IV - 6000001 A AND D 5GM OINT #REF!6000002 A AND D 60GM OINT #REF!6000003 A AND D + ZN OX 30GM CRM #REF!6000004 ABACAVIR 20MG/ML 15ML SOL - 6000005 ABACAVIR 300MG TAB #REF!6000006 ABACAVIR/LAM 600/300 TAB #REF!6000007 ABCIXIMAB 10MG/5ML SDV #REF!6000008 ABCVR/LAM/ZID300/150/300 #REF!6000009 ABSORB GEL FILM 1 EACH #REF!6000010 ABSRB GEL PWDR 1GM 1PKT #REF!6000011 ABSRB GEL SPNG SZ 100 TOP #REF!6000012 ABSRB GEL SPNG 12-7MM TOP #REF!6000013 ABSRB GEL SPNG 70-35MMTOP #REF!6000014 ABSRB GEL SPNG SZ 50 TOP #REF!6000015 ABSRB GEL PWDR 1GM 1PKT #REF!6000016 ABSRB GEL SPNG SZ 200 TOP #REF!6000017 ABSRB GEL SPNG 25-50MMOPH - 6000018 ACAMPROSATE 333MG ER TAB - 6000019 ACARBOSE 50MG TAB #REF!

6000020 ACEBUTOLOL 200MG CAP - 6000022 ACETAMIN 100MG/ML 15ML SU #REF!6000024 ACETAMIN 120MG SUPP #REF!6000025 ACETAMIN 160MG/5ML 10ML - 6000026 ACETAMIN 160MG/5ML 120ML #REF!6000027 ACETAMIN 160MG/5ML 5ML EL - 6000028 ACETAMIN 325MG SUPP #REF!6000029 ACETAMIN 650MG/20.3ML SOL #REF!6000030 ACETAMINOPHEN 325MG TAB #REF!6000031 ACETAMINOPHEN 500MG TAB #REF!6000033 ACETAMINOPHEN 80MG CHEW - 6000034 ACETAZOLAMIDE 125MG TAB - 6000035 ACETAZOLAMIDE 250MG TAB #REF!6000036 ACETAZOLAMID ER 500MG CAP #REF!6000037 ACETAZOLAMIDE 500MG INJ #REF!6000038 ACETAZOLAM 50MG/ML PEDPO - 6000039 ACETIC ACID 0.25% 1000ML #REF!6000040 ACETIC ACID 0.25% 250ML - 6000042 ACETIC ACID 2% 15ML OTIC #REF!6000044 ACETIC ACID/HC 10ML OTIC #REF!6000045 ACETOHEXAMIDE 250MG TAB - 6000047 ACETYLCHOLINE 1% 2ML OPS #REF!6000048 ACETYLCYST 10% 10ML LIQ - 6000049 ACETYLCYST 10% 10ML INH - 6000050 ACETYLCYST 10% 30ML INH #REF!6000051 ACETYLCYST 10% 4ML INHSOL #REF!6000052 ACETYLCYST 20% 30ML INH #REF!6000053 ACETYLCYST 20% 4ML INHSOL #REF!6000054 ACETYLCYSTNE 6GM/30ML INJ #REF!6000055 ACETYLCYSTEINE 600MG TAB - 6000056 ACIDOPHILUS/BULGARICUS #REF!6000057 ACIDOPHYL/BULGAR 1GM GRAN #REF!6000058 ACYCLOVIR 200MG CAP #REF!6000059 ACYCLOVIR 200MG/5ML LIQ #REF!6000060 ACYCLOVIR 400MG TAB #REF!6000061 ACYCLOVIR 5% 15GM TOP #REF!6000062 ACYCLOVIR 5% 3GM TOP - 6000063 ACYCLOVR 50MG/ML 10ML INJ #REF!6000064 ACYCLOVIR 5MG/1ML PEDIV #REF!6000065 ACYCLOVIR 7MG/1ML PEDIV - 6000066 ACYCLOVIR 800MG TAB #REF!6000067 ACYCLOVIR 50MG/1ML PEDIV - 6000068 ADALIMUMAB 40MG INJ - 6000070 ADENOSINE DX 3MG/ML 30ML #REF!6000071 ADENOSINE DX 3MG/ML 20ML #REF!6000075 FLU VACC AFLURIA >=3YR IM #REF!6000076 AL HYDROX 320MG/5ML 30ML #REF!6000079 AL HYDROX 600MG/5ML 30ML - 6000081 AL HYD/MAG CARB 355ML LIQ #REF!6000082 AL/MG HYD 200-200/5 30ML #REF!6000083 AL/MG HYD/SMC DS 350ML LQ #REF!6000084 AL/MG HYD/SMC DS 30ML LQ #REF!6000086 AL/MG/SMC 200/200/20 30ML #REF!

6000087 ALBENDAZOLE 200MG TAB #REF!6000088 ALBUMIN 25% 100ML INJJG - 6000089 ALBUMIN 25% 20ML INJJG #REF!6000090 ALBUMIN 25% 50ML INJJG #REF!6000091 ALBUMIN 5% 250ML INJJG #REF!6000092 ALBUMIN 5% 500ML INJJG - 6000093 ALBUM 5% 2.5GM/50ML INJJG #REF!6000094 ALBUTEROL/IPRAT 14.7GM IH - 6000095 ALBUTEROL 0.083% 3ML INH #REF!6000096 ALBUTEROL 0.5% 0.5ML INH #REF!6000097 ALBUTEROL 0.5% 20ML INH - 6000098 ALBUTEROL 1.25MG/3ML INH #REF!6000099 ALBUTEROL 2MG TAB #REF!6000100 ALBUTEROL 2MG/5ML 5ML SYP #REF!6000101 ALBUTEROL 4MG TAB #REF!6000102 ALBUTEROL ER 4MG TAB #REF!6000103 ALBUTEROL HFA 8.5GM INH #REF!6000104 ALCLOMETAS 0.05% 15GM CRM - 6000105 ALCOHOL DEHYD 100% 1ML IN - 6000106 ALDESLEUKIN 22MIL UNITJG #REF!6000107 ALENDRONATE 10MG TAB #REF!6000108 ALENDRONATE 40MG TAB - 6000109 ALENDRONATE 70MG TAB #REF!6000110 ALFENTANIL 500MCG/ML 2ML #REF!6000111 ALFENTANIL 500MCG/ML 5ML - 6000112 ALGINIC/NA BI/MG TRIS TAB #REF!6000113 ALISKIREN 300MG TAB - 6000114 ALLOPURINOL 100MG TAB #REF!6000115 ALLOPURINOL 300MG TAB #REF!6000116 ALLOPURINOL 500MG INJ - 6000117 ALPRAZOLAM 0.25MG TAB #REF!6000118 ALPRAZOLAM 0.5MG TAB #REF!6000119 ALPRAZOLAM 1MG TAB #REF!6000120 ALPROSTADIL 10MCG PWD INJ - 6000121 ALPROSTADIL 500MCG PEDIV #REF!6000122 ALTEPLASE 100MG INJJG #REF!6000123 ALTEPLASE 2MG INJJG #REF!6000124 ALTEPLASE 50MG INJJG #REF!6000126 ALUM ACET PWDR PKT #REF!6000127 AL CARB 400MG/5ML 30ML #REF!6000129 AL/MAG/SIMETH CHEW TAB #REF!6000130 AL CARB 500MG CAP #REF!6000131 AL CARB 500MG TAB #REF!6000133 ALVIMOPAN 12MG CAP - 6000134 AMANTADINE 100MG CAP #REF!6000135 AMANTADINE 50MG/5ML LIQ #REF!6000136 AMIFOST 500MG/10ML SDV JG #REF!6000137 AMIKACIN 250MG/1ML PEDIV #REF!6000138 AMIKACIN 250MG/ML 2ML INJ #REF!6000139 AMIKACIN 250MG/ML 4ML INJ #REF!6000140 AMIKACIN 50MG/1ML PEDIV #REF!6000141 AMIKACIN 5MG/1ML PEDIV #REF!6000142 AMILORIDE 5MG TAB #REF!

6000143 AMINO ACID 10% 2000ML INJ - 6000144 AMINO ACID 15% 500ML INJ - 6000145 AMINO ACID 5.4% 250ML INJ #REF!6000146 AMINO ACID 5.5% 500ML INJ #REF!6000147 AMINO ACID 6% 500ML INJ #REF!6000148 AMINO ACID 8% 500ML INJ #REF!6000149 AMINO ACID 8.5% 500ML INJ #REF!6000150 AMINO ACID 3%LYTES 1L INJ - 6000151 AMINO ACIDS 10% 500ML INJ #REF!6000152 AMINOCAPROIC 1.25GM/5MLLQ #REF!6000154 AMINOCAP ACID 500MG TAB #REF!6000156 AMINOPHYLLINE 100MG TAB - 6000157 AMINOPHYLLINE 200MG TAB - 6000158 AMINOPHYLLINE 250MG/10ML #REF!6000159 AMINOPHYLLINE 500MG INJ - 6000160 AMINOPHYLLINE 500MG SUPP - 6000161 AMINOPHYLLIN 5MG/1ML PDIV - 6000162 AMIODARONE 200MG TAB #REF!6000163 AMIODARONE 50MG/ML 3ML IN #REF!6000164 AMIODARONE PF 50MG/ML 3ML - 6000165 AMITRIP/CHLORDIAZ 25/10MG #REF!6000166 AMITRIP/PERPHENAZN 10/2MG #REF!6000167 AMITRIP/PERPHENAZN 10/4MG #REF!6000168 AMITRIP/PERPHENAZN 25/2MG #REF!6000169 AMITRIP/PERPHENAZN 25/4MG #REF!6000170 AMITRIPTYLINE 100MG TAB - 6000171 AMITRIPTYLINE 10MG TAB #REF!6000172 AMITRIPTY 10MG/ML 10ML IN #REF!6000173 AMITRIPTYLINE 150MG TAB - 6000174 AMITRIPTYLINE 25MG TAB #REF!6000175 AMITRIPTYLINE 50MG TAB #REF!6000176 AMITRIPTYLINE 75MG TAB - 6000177 AMLODIP/BENAZPR 5/20MG C #REF!6000178 AMLODIPINE 10MG TAB - 6000179 AMLODIPINE 2.5MG TAB #REF!6000180 AMLODIPINE 5MG TAB #REF!6000181 AMMONIA SPIRIT 15%W/V AMP #REF!6000182 AMMONIUM ALUM 113GM PWD #REF!6000183 AMMONIUM CL 5MEQ/ML 20ML #REF!6000184 AMMON LACT 12% 225ML LOT - 6000185 AMMON LACT 5% 120ML LOT - 6000186 AMOBARBITAL 500MG INJJG - 6000187 AMOX/CLAV 125/5 150ML SUS - 6000188 AMOX/CLAV 125/5 75ML SUS #REF!6000189 AMOX/CLAV 250MG/125MG TAB #REF!6000190 AMOX/CLAV 250/5 150ML SUS - 6000191 AMOX/CLAV 250/5 75ML SUSP #REF!6000192 AMOX/CLAV 250MG/5ML LIQ - 6000193 AMOX/CLAV 400/5 100ML SUS - 6000194 AMOX/CLAV 400-57/5 50ML #REF!6000195 AMOX/CLAV 500/125MG TAB #REF!6000196 AMOXAPINE 100MG TAB - 6000197 AMOXAPINE 50MG TAB -

6000198 AMOXICILLIN 125/5 150ML #REF!6000199 AMOXICILLIN 125/5ML SUS #REF!6000200 AMOXICILLIN 125/5 100ML #REF!6000201 AMOXICILLIN 250/5 100ML - 6000202 AMOXICILLIN 250/5 150ML #REF!6000203 AMOXICILLIN 250/5 5ML SUS #REF!6000204 AMOXICILLIN 250MG CAP #REF!6000205 AMOXICILLIN 500MG CAP #REF!6000206 AMOXICILLIN 50MG/ML 15ML #REF!6000207 AMOX/CLAV 875MG/125MG TAB #REF!6000208 AMPHO B LIP0.5MG/1MLPEDJG #REF!6000210 AMPHO B LIP PWD50MG SDVJG #REF!6000211 AMPHOTER B 0.1MG/1ML PDIV #REF!6000212 AMPHOTERICIN B 50MG INJ #REF!6000213 AMPICIL/SUL 45MG/1MLPEDIV #REF!6000214 AMPICILLIN 125/5 100ML SU #REF!6000215 AMPICILLIN 125MG INJ - 6000216 AMPICILLIN 1GM INJ #REF!6000217 AMPICILLIN 250/5 5ML SU #REF!6000218 AMPICILLIN 250MG CAP #REF!6000219 AMPICILLIN 250MG INJ #REF!6000220 AMPICILLIN 2GM INJ #REF!6000221 AMPICILLIN 500MG CAP #REF!6000222 AMPICILLIN 500MG INJ #REF!6000223 AMPICIL/SULB 1.5GM PWDSDV #REF!6000224 AMPICIL/SULB 3GM PWD SDV #REF!6000225 AMPRENAVIR 150MG CAP #REF!6000226 AMYL NITRITE 0.3ML INH SO - 6000227 AMYL/LIPASE/PRO 16/5/18 - 6000228 AMYL/LIPASE/PRO 20/4.5/25 - 6000229 AMYL/LIPASE/PRO 30/10/30 - 6000230 AMYL/LIP/PRO 30/8/30 CAP - 6000231 AMYL/LIP/PRO 30/8/30 TAB - 6000233 AMYL/LIPASE/PRO 48/16/48 - 6000234 AMYL/LIPASE/PRO 56/20/44 - 6000235 AMYL/LIPASE/PRO 60/16/60 - 6000236 AMYL/LIPASE/PRO 65/20/65 - 6000237 AMYL/LIPASE/PRO 66/20/75 - 6000238 AMYL/LIPASE/PRO ER27/5/17 #REF!6000239 ANAGRELIDE 0.5MG CAP #REF!6000240 ANASTROZOLE 1MG TAB #REF!6000245 ANIDULAFUNGIN 50MG SDV - 6000246 ANTI-INHIB(FEIBA VH)1IUJG #REF!6000247 ANTIPYRINE/BENZOC 10ML OT #REF!6000249 ANTIVEN LATRODECTUS MACTA - 6000250 APAP/ASA/CAF 250/250/65TB - 6000251 APAP/BUT/CAFF 325/50/40CP #REF!6000252 APAP/COD 120-12/5ML 12.5M - 6000253 APAP/COD 120-12MG/5ML LIQ #REF!6000254 APAP/CODEINE 300/15MG TAB #REF!6000255 APAP/CODEINE 300/30MG TAB #REF!6000256 APAP/CODEINE 300/60MG TAB #REF!6000257 APAP/HYDROCOD 325/10MG #REF!

6000258 APAP/HYDROCOD 325/5MG TAB #REF!6000259 APAP/HYDROCOD 325/7.5MG #REF!6000260 APAP/HYDROCOD 500/10MG - 6000261 APAP/HYDROCOD 500/5MG TAB - 6000262 APAP/HYDROCOD 650/10MG TB - 6000263 APAP/HYDROCOD 750/7.5MG - 6000264 APAP/OXYCODONE 500/5MG - 6000265 APRACLONIDIN 0.5% 5ML OPS #REF!6000266 APRACLONIDIN 1% 0.1ML OPS #REF!6000267 APREPITANT 125MG CAP - 6000268 AQUAPHOR 30GM OINT #REF!6000269 AQUAPHOR 50GM OINT #REF!6000272 ARIPIPRAZOLE 10MG TAB - 6000273 ARIPIPRAZOLE 15MG TAB #REF!6000274 ARIPIPRAZOLE 2MG TAB #REF!6000275 ARIPIPRAZOLE 5MG TAB #REF!6000276 ARIPIPRAZOLE 9.75MG INJJG - 6000277 ARTIFIC TEARS 5% 15ML OPS #REF!6000278 ARTIFIC TEAR HYPO 30MLOPS - 6000279 ASA/CAFF/BUT 325/40/50 CP #REF!6000280 ASA/CARISOPRODOL 325/200 #REF!6000281 ASA/COD/CAFF/BUT325/30/40 #REF!6000282 ASA/CODEINE 325/30MG TAB #REF!6000283 ASA/CODEINE 325/60MG TAB #REF!6000284 ASA/MAG/AL 325/50/50MG - 6000285 ASA/OXYCODONE 325/5MG TAB #REF!6000286 ASCORBIC AC 90MG PEDPO - 6000287 ASP/CARSP/COD325/200/16MG - 6000288 ASPARAGINAS 10KIU/10MLINJ #REF!6000289 ASPIRIN 125MG SUPP - 6000290 ASPIRIN 300MG SUPP #REF!6000291 ASPIRIN 325MG TAB #REF!6000292 ASPIRIN 600MG SUPP #REF!6000293 ASPIRIN 81MG CHW TAB #REF!6000294 ASPIRIN BUFFERD 325MG TAB #REF!6000295 ASPIRIN EC 325MG TAB #REF!6000296 ASPIRIN EC 81MG TAB #REF!6000297 ATAZANAVIR 100MG CAP - 6000298 ATAZANAVIR SUL 150MG CAP #REF!6000299 ATAZANAVIR SUL 200MG CAP #REF!6000300 ATENOLOL 100MG TAB #REF!6000301 ATENOLOL 25MG TAB #REF!6000302 ATENOLOL 50MG TAB #REF!6000303 ATENOLOL 5MG/10ML 10ML IN - 6000304 ATOMOXETINE 10MG CAP - 6000305 ATORVASTATIN 10MG TAB #REF!6000306 ATORVASTATIN 20MG TAB #REF!6000307 ATORVASTATIN 40MG TAB #REF!6000308 ATORVASTATIN 80MG TAB #REF!6000309 ATOVAQUONE 750MG/5ML SUSP #REF!6000310 ATRACURIUM 10MG/ML 10ML I #REF!6000311 ATRACURIUM 10MG/ML 5ML IN #REF!6000312 ATROPINE 0.1MG/ML 10ML IN #REF!

6000313 ATROPINE 0.4MG/ML 1ML INJ #REF!6000314 ATROPINE 0.4MG/ML 20ML IN #REF!6000315 ATROPINE 0.5% 5ML OP SOL #REF!6000316 ATROPINE 0.5MG/ML 1ML INJ - 6000317 ATROPINE 1% 1ML OP SOL - 6000318 ATROPINE 1% 2ML OP SOL #REF!6000319 ATROPINE 1% 3.5GM OP OINT #REF!6000320 ATROPINE 1% 5ML OP SOL #REF!6000321 ATROPINE 1MG/ML 1ML INJ - 6000323 AURANOFIN 3MG CAP - 6000324 AUROTHIOGLUC 50MG/ML 10ML - 6000326 AZACITIDINE 100MG INJJG #REF!6000327 AZATHIOPRINE 100MG INJ - 6000328 AZATHIOPRINE 50MG TAB #REF!6000329 AZITHROMYCIN 100/5 15ML - 6000330 AZITHROMYCIN 200/5 30ML #REF!6000331 AZITHROMYCIN 250MG TAB #REF!6000332 AZITHROMYCIN 40MG/ML PEDP - 6000333 AZITHROMYCIN 500MG INJ #REF!6000334 AZITHROMYCIN 600MG TAB #REF!6000335 AZTREONAM 1GM PWDR SDV #REF!6000336 AZTREONAM 1GM/50ML IVPB #REF!6000337 AZTREONAM 2GM INJ #REF!6000338 AZTREONAM 2GM/50ML IVPB #REF!6000340 NEO/POLY/HC/BAC 3.5GMOPO #REF!6000341 NEO/POLY/HC/BAC 15GM OINT #REF!6000343 BACITRA/POLYMYX 3.5GM OPO #REF!6000344 BACITRA/POLY B 10GM PWD #REF!6000345 BACITRA/POLY B 15GM TOP #REF!6000346 NEO/POLYM/BACIT 1PK OINT #REF!6000347 NEO/POLYM/BACIT 30GM OINT #REF!6000348 BACITRACIN 1GM UD OINT #REF!6000349 BACITRACIN 15GM OINT #REF!6000350 BACITRACIN 3.5GM OP OINT #REF!6000351 BACITRACIN 50000U INJ #REF!6000352 BACITRACIN 50000UN/500ML - 6000353 BACITRACIN 500U/GM 30GM #REF!6000354 BACITRA/POLYMIX 30GM TOP #REF!6000355 BACLOFEN 10MG TAB #REF!6000356 BACLOFEN 20MG TAB - 6000358 BACLOFEN 40MG/20ML INJJG - 6000359 BACLOFEN 50MCG/1ML INTHJG - 6000361 BALANCED SALT 15ML OP IRR #REF!6000362 BALANCED SALT 500ML OP IR #REF!6000363 BALANCED SALT PLUS 500ML #REF!6000364 BCG (LIVE) VACC 50MG INJ - 6000365 BECAPLERMIN 15GM GEL #REF!6000366 BECLOMETH 40MCG 7.3GM MDI #REF!6000367 BECLOMETH 80MCG 7.3GM MDI - 6000368 ATROP/HYO/PB/SCOP 16.2 TB #REF!6000369 ATROP/HYO/PB/SCOP 48.6 TB #REF!6000370 BELLADON/OPIUM 16/30MG SU #REF!6000371 BELLADON/OPIUM 16/60MG SU #REF!

6000372 ATROP/HYOS/PB/SCOP 5MLLQ #REF!6000373 BENAZEPRIL 10MG TAB #REF!6000374 BENAZEPRIL 20MG TAB #REF!6000375 BENAZEPRIL 40MG TAB #REF!6000376 BENAZEPRIL 5MG TAB #REF!6000377 BENDAMUST 100MG PWDSDVJG #REF!6000378 BENOXINATE/FLUORES 5ML OP #REF!6000379 BENZOC/TETRA/BUT 14-2-2% #REF!6000380 BENZOCAINE 10% 6GM TOP - 6000381 BENZOCAINE 20% 120ML SPRY - 6000383 BENZOCAINE 20% 30ML TOP - 6000385 BENZOCAIN 20% 60MLTOPSPY #REF!6000386 BENZOCAINE 20% 9.45GM GEL - 6000387 BENZOCAINE 20% 30GM OINT #REF!6000388 BENZOCAINE/CETYLPYR LOZ 9 - 6000389 BENZOCAINE/CETYLPY LOZ 18 - 6000390 BENZOCAINE/CETYLPY SPRY - 6000391 BENZOCAINE/MENTHOL LOZ - 6000392 BENZOCAINE/MENTHOL LOZ 18 - 6000393 BENZOCAINE/PHENYL/9ML TOP - 6000394 BENZONATATE 100MG CAP #REF!6000395 BENZOYL PEROX 10% 45GM GE - 6000396 BENZOYL PEROX 5% 45GM GEL - 6000397 BENZOYL PEROX 5% 30ML TOP - 6000398 BENZTROPINE 0.5MG TAB #REF!6000399 BENZTROPINE 1MG TAB #REF!6000400 BENZTROPINE 1MG/ML 2ML IN #REF!6000401 BENZTROPINE 2MG TAB #REF!6000402 BENZYLPEN/POLYLYS 0.25ML #REF!6000403 BERACTANT 100MG/4ML PEDIV #REF!6000404 BERACTANT 200MG/8ML PEDIV #REF!6000405 BETAMETH NA P/AC 30MG/5ML #REF!6000406 BETAMETH DIP 0.05%15GM CR #REF!6000407 BETAMETH DIP0.05%15GM OIN #REF!6000408 BETAMETH DIP 0.05% 45GM #REF!6000409 BETAMETH DIP 0.05% 45GM #REF!6000410 BETAMETH DIP 0.05%60MLTOP - 6000411 BETAMETH NA PHO 3MG/ML 1M - 6000412 BETAMETH VAL 0.1% 15GM CR #REF!6000413 BETAMETH VAL 0.1% 15GM OI #REF!6000414 BETAMETH VAL 0.1% 45GM CR #REF!6000415 BETAMETH VAL 0.1% 45GM OI #REF!6000416 BETAMETH VAL 0.1% 60ML LO #REF!6000417 BETAXOLOL 0.25% 15ML OPSU #REF!6000418 BETAXOLOL 0.25% 5ML OPSOL - 6000419 BETAXOLOL 0.5% 10ML OPSOL #REF!6000420 BETAXOLOL 0.5% 5ML OP SOL #REF!6000421 BETAXOLOL 10MG TAB - 6000422 BETAXOLOL 20MG TAB - 6000423 BETHANECHOL 10MG TAB #REF!6000424 BETHANECHOL 25MG TAB #REF!6000425 BETHANECHOL 50MG TAB #REF!6000426 BETHANECHOL 5MG TAB #REF!

6000427 BETHANECHOL 5MG/ML 1ML IN #REF!6000428 BEVACIZUM 100MG/4ML INJJG #REF!6000429 BEVACIZUM 400MG/16MLINJJG #REF!6000430 BICALUTAMIDE 50MG TAB #REF!6000431 BIMATOPROST 0.03%2.5MLOPS - 6000432 BIOTIN 300MCG TAB - 6000433 BIOTIN 800MCG TAB - 6000434 BISACODYL 10MG SUPP #REF!6000435 BISACODYL EC 5MG TAB #REF!6000436 BISMUTH 262MG/15ML 237ML #REF!6000437 BISMUTH 262MG/15ML 120ML #REF!6000438 BISMUTH 524MG 30ML SUSP #REF!6000440 BISOPROLOL 10MG TAB #REF!6000441 BISOPROLOL 5MG TAB #REF!6000442 BIVALIRUDIN 250MG INJ #REF!6000443 BLEOMYCIN SULFATE 15U SDV #REF!6000444 BORTEZOM 3.5MG PWDR INJJG #REF!6000445 BOSENTAN 125MG TAB #REF!6000446 ONABOTULINTOXINA 100UVLJG #REF!6000447 BRETYLIUM 500MG 10ML INJ - 6000448 BRIMONIDINE 0.15% 5ML OPS #REF!6000449 BRINZOLAMIDE 0.15% 10MLOP #REF!6000450 BRINZOLAMIDE 1% 10ML OPSU #REF!6000451 BROMOCRIPTINE 2.5MG TAB #REF!6000452 BROMOCRIPTINE 5MG CAP - 6000453 BROMPHENIRAM ER 12MG TAB - 6000454 BROMPHENIRAM ER 8MG TAB - 6000455 BUDES/FORM 160/4.5 6GMMDI - 6000456 BUDES/FORM80/4.5 10GM MDI - 6000457 BUDESONIDE 0.25MG/2ML NEB #REF!6000458 BUDESONIDE 0.5MG/2ML NEB #REF!6000459 BUDESONIDE ER 3MG CAP #REF!6000460 BUMETANIDE 0.25MG/ML 10ML #REF!6000461 BUMETANIDE 0.25MG/ML 2ML - 6000462 BUMETANIDE 0.25MG/ML 4ML #REF!6000463 BUMETANIDE 1MG TAB #REF!6000464 BUMETANIDE 2MG TAB - 6000465 BUPIV/EPI 0.25% 50ML INJ #REF!6000466 BUPIVAC/EPI 0.5% 30ML INJ #REF!6000467 BUPIVAC/EPI 0.5% 50ML INJ - 6000468 BUPIVAC/EPI 0.75% 30ML IN #REF!6000469 BUPIVAC/EPI PF 0.25% 30ML #REF!6000470 BUPIVAC/EPI PF 0.5% 10ML #REF!6000471 BUPIVAC/EPI PF 0.5% 30ML #REF!6000472 BUPIVAC/EPI PF 0.25% 10M #REF!6000473 BUPIVACAIN 0.125%250ML IN #REF!6000474 BUPIVAC PF 0.25% 30ML INJ #REF!6000475 BUPIVACAINE 0.25% 50ML IN #REF!6000476 BUPIVACAINE 0.5% 30ML INJ #REF!6000477 BUPIVACAINE 0.5% 50ML INJ #REF!6000478 BUPIVACAINE PF 0.75% 2ML #REF!6000479 BUPIV/DEX PF 0.75% 2MLAMP #REF!6000480 BUPIVAC MPF 0.25%10ML INJ #REF!

6000481 BUPIVAC PF 0.5% 10ML INJ #REF!6000482 BUPIVAC PF 0.5% 30ML INJ #REF!6000483 BUPIVACAINE PF 0.75% 10ML #REF!6000484 BUPIVACAINE PF 0.75% 30ML #REF!6000485 BUPRENOR/NALOX 2/0.5MGODT - 6000486 BUPROPION 100MG TAB #REF!6000487 BUPROPION 75MG TAB #REF!6000488 BUPROPION ER 100MG TAB #REF!6000489 BUPROPION ER 150MG TAB #REF!6000490 BUPROPION SR 24HR 150MG T #REF!6000491 BUPROPION SR 24HR 300MG T #REF!6000492 BUSPIRONE 10MG TAB #REF!6000493 BUSPIRONE 5MG TAB #REF!6000494 BUSULFAN 2MG TAB - 6000495 BUTABARBITAL 15MG TAB - 6000496 BUTABARBITAL 30MG TAB - 6000497 BUTABARBITAL 50MG TAB - 6000498 BUTOCONAZOLE 2% 28GM VAG - 6000499 BUTORPHANOL 1MG/ML 1ML IN #REF!6000500 BUTORPHANOL 2MG/ML 1ML IN #REF!6000501 BUTORPHANOL 2MG/ML 2ML IN #REF!6000502 CA CARB 100MG/1ML PEDPO - 6000503 CA CARB 1250MG TAB #REF!6000504 CA CARB 1250MG/5ML 5MLSUS - 6000505 CA CARB 500MG CHW TAB #REF!6000506 CA CARB 500MG CH TAB(ROLL #REF!6000507 CA CARB 600MG TAB #REF!6000508 CA CARB 650MG TAB #REF!6000509 CA CARB/VIT D 250/125 TAB #REF!6000510 CA CITRAT/VIT D 315/250MG - 6000511 CA CARB/VIT D 500/200 TAB - 6000512 CA CARB/D3 600MG/800IU TB - 6000513 CA GLUBION 1.8GM/5ML PEDP #REF!6000514 CA GLUCON 50MG/1ML PEDIV #REF!6000515 CA GLUCON 100MG/1ML PEDIV - 6000516 CA GLUCONATE 1GM CHW TAB - 6000517 CA GLUCONATE 1GM/10ML INJ #REF!6000518 CA GLUCONATE 500MG TAB #REF!6000519 CA GLUCON 94MG/1ML PEDIV #REF!6000520 CA LACT 325MG TAB #REF!6000521 CA LACT 650MG TAB #REF!6000522 CABERGOLINE 0.5MG TAB - 6000523 CACL 10% 1GM/10ML INJ SYR #REF!6000524 CACL 13.6MEQ-1GM/10ML INJ #REF!6000525 CADEXOMER IODINE 40GM PAD #REF!6000526 CAFF CIT 20MG/1ML PEDIV - 6000527 CAFF/NA BENZ 250MG/ML 2ML #REF!6000528 CAFFEINE 200MG TAB #REF!6000529 CAFF CIT 10MG/1ML PEDIV #REF!6000530 CAFF CIT 20MG/ML 3ML INJ #REF!6000531 CAFFEINE CIT 60MG/3ML LIQ #REF!6000532 CALAMINE 120ML TOP LOT #REF!6000533 CALAMINE/PRAMOXINE 180ML -

6000534 CALCITONIN 200IU 2ML NAS #REF!6000535 CALCITONIN 200IU/ML 2ML #REF!6000536 CALCITONIN 200IU/INH3.7ML - 6000537 CALCITRIOL 0.1MCG/1MLPDPO - 6000538 CALCITRIOL 1MCG/ML 1ML IN #REF!6000539 CALCIUM ACETATE 667MG CAP #REF!6000541 CALFACTANT 35MG/ML 6MLTRA - 6000542 CAMPHOR MENTHOL 30GM TOP - 6000543 CAMPHOR PHENOL 15GM TOP #REF!6000544 CAMPHOR PHENOL 22.5ML TOP #REF!6000545 CAMPHOR PHENOL 45ML TOP - 6000546 CAMPHOR/MENTHOL 45GM TOP - 6000547 CAMPHOR PHENOL 6.9GM TOP - 6000548 CANDIDA SKIN 1:100 0.1ML #REF!6000549 CAPECITABINE 150MG TAB - 6000550 CAPECITABINE 500MG TAB #REF!6000551 CAPREOMYCIN SULF 1GM PWD #REF!6000552 CAPSAICIN 0.025% 45GM CRM - 6000553 CAPSAICIN 0.075% 30GM CRM - 6000554 CAPSAICIN 0.075% 60GM CRM - 6000555 CAPTOPRIL 100MG TAB - 6000556 CAPTOPRIL 12.5MG TAB #REF!6000557 CAPTOPRIL 1MG/ML PEDIV #REF!6000558 CAPTOPRIL 25MG TAB - 6000559 CAPTOPRIL 50MG TAB #REF!6000560 CARBACHOL 0.01% 1.5ML OPS #REF!6000561 CARBACHOL 1.5% 15ML OPSOL #REF!6000562 CARBACHOL 2.25% 15ML OPS #REF!6000563 CARBACHOL 3% 15ML OP SOL #REF!6000564 CARBAMAZEPINE 200/10MLLIQ #REF!6000565 CARBAMAZEPINE 100/5ML LIQ #REF!6000566 CARBAMAZEPINE 100MG CHW #REF!6000567 CARBAMAZEPINE 200MG TAB #REF!6000568 CARBAMAZEPINE 200MG ERCAP - 6000569 CARBAMAZEPINE 100MG ERTAB - 6000570 CARBAMAZEPINE 200MG ERTAB - 6000571 CARBAM PEROX 6.5%15MLOTIC #REF!6000572 CARBAM PEROX 10%15ML OTIC #REF!6000573 CARBID/LEV/ENT12.5/50/200 #REF!6000574 CARBIDOPA/LEVO ER 25/100 #REF!6000575 CARBIDOPA/LEVOD 25/100MG #REF!6000576 CARBIDOP/LEVOD 10/100 TAB #REF!6000577 CARBIDOPA/LEVODOP 25/250M #REF!6000578 CARBIDOPA/LEVO ER 50/200M #REF!6000579 CARBOPLAT /50MG 150MG MDV #REF!6000580 CARBOPLAT /50MG 450MG MDV #REF!6000581 CARBOPLAT /50MG 50MG MDV #REF!6000582 CARBOXYMETHYL 1% 0.3ML OP - 6000583 CARD PLEG COR 16MEQ/1LSOL - 6000584 CARISOPRODOL 350MG TAB #REF!6000585 CARMUSTINE 100MG INJJG - 6000586 CARVEDILOL 12.5MG TAB #REF!6000587 CARVEDILOL 25MG TAB -

6000588 CARVEDILOL 3.125MG TAB #REF!6000589 CARVEDILOL 6.25MG TAB - 6000590 CARVEDILOL ER 24HR 10MG C - 6000591 CARVEDILOL ER 24HR 20MG C - 6000592 CASCARA SAGRADA 5ML ELIX #REF!6000594 CASPOFUNGIN 50MG INJJG #REF!6000595 CASPOFUNGIN 70MG INJJG #REF!6000596 CASTOR OIL 30ML SOL #REF!6000597 CEFACLOR 125MG/5ML 75ML #REF!6000598 CEFACLOR 250MG CAP #REF!6000599 CEFACLOR 250MG/5ML 150ML #REF!6000600 CEFACLOR 250MG/5ML 75ML #REF!6000601 CEFACLOR 500MG CAP #REF!6000602 CEFADROXIL 1GM TAB - 6000603 CEFADROXIL 500MG CAP #REF!6000604 CEFAMANDOLE 1GM 10ML INJ - 6000605 CEFAZOLIN 100MG/1ML PEDIV #REF!6000606 CEFAZOLIN 1GM INJ #REF!6000607 CEFAZOLIN 1GM/50ML PB #REF!6000608 CEFAZOLIN 20MG/1ML PEDIV #REF!6000609 CEFAZOLIN 250MG INJ - 6000610 CEFAZOLIN 500MG/50ML PB #REF!6000611 CEFAZOLIN 500MG INJ - 6000612 CEFAZOLIN 50MG/ML 10MLOPS - 6000613 CEFEPIME 1GM PWD INJ #REF!6000614 CEFEPIME 2GM PWD INJ #REF!6000615 CEFIXIME 400MG TAB - 6000616 CEFOTAXIME 100MG/ML PEDIV #REF!6000617 CEFOTAXIME 1GM PWD INJ #REF!6000618 CEFOTAXIME 1GM/50ML PB #REF!6000619 CEFOTAXIME 2GM PWD INJ #REF!6000620 CEFOTAXIME 2GM/50ML PB #REF!6000621 CEFOTAXIME 500MG PWD INJ #REF!6000622 CEFOTETAN 2GM 50ML PB #REF!6000623 CEFOTETAN 2GM PWD INJ #REF!6000624 CEFOXITIN 100MG/ML PEDIV - 6000625 CEFOXITIN 1GM/50ML PB #REF!6000626 CEFOXITIN 1GM PWD INJ #REF!6000627 CEFOXITIN 2GM 50ML PB #REF!6000628 CEFOXITIN 2GM PWD INJ #REF!6000629 CEFTAZIDIME 100MG/ML PEDI #REF!6000630 CEFTAZIDIME 1GM 50ML PB #REF!6000631 CEFTAZIDIME 1GM PWD INJ #REF!6000632 CEFTAZIDIME 2GM 50ML PB #REF!6000633 CEFTAZIDIME 2GM PWD INJ #REF!6000634 CEFTAZIDIME 500MG PWD INJ #REF!6000635 CEFTIZOXIME 2GM INJ - 6000636 CEFTRIAXONE 100MG/ML PEDI - 6000637 CEFTRIAXONE 1GM/50ML PB #REF!6000638 CEFTRIAXONE 1GM PWD INJ #REF!6000639 CEFTRIAXONE 200MG/ML PEDI - 6000640 CEFTRIAXONE 250MG PWD INJ #REF!6000641 CEFTRIAXONE 2GM/50ML PB #REF!

6000642 CEFTRIAXONE 40MG/1ML PDIV #REF!6000643 CEFTRIAXONE 500MG PWD INJ #REF!6000644 CEFUROXIME 1.5GM 50ML PB #REF!6000645 CEFUROXIME 1.5GM PWD INJ #REF!6000646 CEFUROXIME 100MG/ML PEDIV - 6000647 CEFUROXIME 125MG TAB - 6000648 CEFUROXIME 250MG TAB #REF!6000649 CEFUROXIME 500MG TAB - 6000650 CEFUROXIME 750MG 50ML PB #REF!6000651 CEFUROXIME 750MG PWD INJ #REF!6000652 CELECOXIB 100MG CAP #REF!6000653 CELECOXIB 200MG CAP #REF!6000654 CELLULOSE 60GM PWDR - 6000655 CELLULO HEMOSTAT 2X14"1PD - 6000656 CEPHALEXIN 125/5 200ML SU #REF!6000657 CEPHALEXIN 125/5 5ML SUSP - 6000658 CEPHALEXIN 125MG/5ML PDPO #REF!6000659 CEPHALEXIN 250MG/5ML SUSP - 6000660 CEPHALEXIN 250/5 100ML SU #REF!6000661 CEPHALEXIN 250MG CAP #REF!6000662 CEPHALEXIN 500MG CAP #REF!6000663 CEPHRADINE 250MG CAP #REF!6000664 CEPHRADINE 500MG CAP #REF!6000665 CETIRIZINE 10MG TAB #REF!6000666 CETIRIZINE 1MG/1ML 120ML #REF!6000667 CETUXIMAB100MG/50ML SDVJG #REF!6000668 CETYLPYRIDINIUM LOZ #REF!6000669 CETYLPYRIDINIUM LOZ (9) - 6000670 CHARCOAL ACTIV 25GM 120ML #REF!6000671 CHARCOAL ACTIV 50GM 240ML - 6000672 CHARCOAL ACTIV SORB 25GM #REF!6000673 CHARCOAL ACTIV SORB 50GM - 6000675 CHLORAL HYD 100MG/1MLPEDP #REF!6000676 CHLORAL HYD 500MG/5ML SOL #REF!6000677 CHLORAL HYDRATE 325MG SUP #REF!6000678 CHLORAL HYDRATE 500MG SUP #REF!6000679 CHLORAL HYDRATE 650MG SUP #REF!6000680 CHLORAMBUCIL 2MG TAB #REF!6000681 CHLORAMPHEN 0.1% 3.5GM OP #REF!6000682 CHLORAMPHEN 0.5% 7.5MLOPS #REF!6000683 CHLORAMPH 100MG/1ML PEDIV - 6000684 CHLORAMPHENICOL 1GM INJ #REF!6000685 CHLORAMPHENICOL 250MG CAP #REF!6000686 CHLORCYCL/HYDROCORT 15GM - 6000687 CHLORDIAZ/CLIDINUM 5/2.5 #REF!6000688 CHLORDIAZEPOXID 100MG INJ #REF!6000689 CHLORDIAZEPOXIDE 10MG CAP #REF!6000690 CHLORDIAZEPOXIDE 25MG CAP #REF!6000691 CHLORDIAZEPOXIDE 5MG CAP #REF!6000692 CHLORHEXID 0.12% 5ML LIQ #REF!6000693 CHLOROPROC 1% 30ML INJ #REF!6000694 CHLOROPROC 2% 30ML INJ #REF!6000695 CHLOROPROC 3% 30ML INJ #REF!

6000696 CHLOROPROC MPF 2% 30MLINJ - 6000697 CHLOROPROC MPF 3% 30MLINJ - 6000698 CHLOROQUINE 250MG TAB - 6000699 CHLOROQUINE PHOS 500MG - 6000700 CHLOROTHIAZ 250MG/5ML LIQ #REF!6000701 CHLOROTHIAZIDE 250MG TAB - 6000702 CHLOROTHIAZ 50MG/1ML PDPO #REF!6000703 CHLORPHEN/PSEUD ER 120/8M #REF!6000704 CHLORPHENIRAMINE 4MG TAB #REF!6000705 CHLORPHENIRAMIN ER 8MG TB - 6000706 CHLORPHENIR ER 12MG CAP #REF!6000707 CHLORPROMAZ 30MG/ML 120 C #REF!6000708 CHLORPROMAZ 100MG/1ML SOL - 6000709 CHLORPROMAZ 30MG/ML 5ML C #REF!6000710 CHLORPROMAZINE 100MG SUPP - 6000711 CHLORPROMAZINE 100MG TAB - 6000712 CHLORPROMAZ 100MG/ML CONC #REF!6000713 CHLORPROMAZINE 10MG TAB #REF!6000714 CHLORPROMAZINE 200MG TAB - 6000715 CHLORPROMAZINE 25MG SUPP #REF!6000716 CHLORPROMAZINE 25MG TAB #REF!6000717 CHLORPROMAZINE 50MG TAB #REF!6000718 CHLORPROMAZNE 25MG/ML 1ML - 6000719 CHLORPROMAZNE 25MG/ML 2ML #REF!6000720 CHLORPROPAMIDE 100MG TAB #REF!6000721 CHLORPROPAMIDE 250MG TAB #REF!6000722 CHLORTHALIDONE 100MG TAB - 6000723 CHLORTHALIDONE 25MG TAB #REF!6000724 CHLORZOXAZONE 500MG TAB #REF!6000726 CHOLESTYRAMINE 4GM PWDR #REF!6000727 CHOLINE/MAG SAL 500MG TB - 6000728 CHOLINE/MAG SAL 750MG TB - 6000729 CHROMIC CHLOR 40MCG/10ML #REF!6000730 CIDOFOVIR 375MG/5ML INJJG #REF!6000731 CILOSTAZOL 100MG TAB #REF!6000732 CIMETIDINE 150MG/ML 2ML #REF!6000733 CIMETIDINE 200MG TAB #REF!6000734 CIMETIDINE 300MG TAB #REF!6000735 CIMETIDINE 300MG/5ML 5ML #REF!6000736 CIMETIDINE 400MG TAB #REF!6000737 CIMETIDINE 800MG TAB #REF!6000738 CINACALCET 30MG TAB #REF!6000739 CIPROFLOXAC 0.3%2.5ML OPS #REF!6000740 CIPROFLOXACIN 0.3%5ML OPS #REF!6000741 CIPROFLOXAC 200MG/20MLSDV - 6000742 CIPROFLOXACIN 200MG/1DLPB #REF!6000743 CIPROFLOXACIN 250MG TAB #REF!6000744 CIPROFLOX 0.3% 3.5GM OPO #REF!6000745 CIPROFLOXACIN 400MG/2DLPB #REF!6000746 CIPROFLOXACIN 500MG TAB #REF!6000747 CIPROFLOXACIN 750MG TAB - 6000748 CIPROFLOXACIN/HC 10ML OTI #REF!6000749 CISATRACURIUM 2MG/ML 10ML #REF!

6000750 CISATRACURIUM 2MG/ML 5ML #REF!6000751 CISPLATIN PER 10MG INJ - 6000752 CISPLATIN 1MG(100MG)MDV - 6000753 CISPLATIN 1MG(50MG)MDV #REF!6000755 CITALOPRAM 10MG TAB #REF!6000756 CITALOPRAM 20MG TAB #REF!6000757 CITRIC ACID/NA CIT 15ML #REF!6000758 CITRIC ACID/NA CIT 30ML #REF!6000759 CLADRIBIN1MG/ML 10ML INJG - 6000760 CLARITHROMYCIN 250MG TAB #REF!6000761 CLARITHROMYCIN 500MG TAB #REF!6000762 CLEMASTINE 1.34MG TAB - 6000763 CLEMASTINE 2.68MG TAB - 6000764 CLINDAMYCIN 1% 30GM TGEL #REF!6000765 CLINDAMYCIN 10MG/ML PEDIV - 6000766 CLINDAMYCIN 150MG CAP #REF!6000767 CLINDAMYCIN 600MG/4ML INJ #REF!6000768 CLINDAMYCIN 900MG/6ML INJ #REF!6000769 CLINDAMYCIN 150MG/ML PEDI - 6000770 CLINDAMYCIN 2% 40GM VAG #REF!6000771 CLINDAMYCIN 300MG/50ML PB #REF!6000772 CLINDAMYCIN 300MG CAP - 6000773 CLINDAMYCIN 50MG/ML PEDIV - 6000774 CLINDAMYCIN 600MG 50ML PB #REF!6000775 CLINDAMYCIN 6MG/ML PEDIV #REF!6000776 CLINDAMYCIN 1.5GM/100MLSU #REF!6000777 CLINDAMYCIN 75MG/5ML SUSP - 6000778 CLINDAMYCIN 900MG 50ML PB #REF!6000779 CLIOQUINOL/HC 20GM CRM #REF!6000780 CLOBETASOL 0.05% 15GM CRM - 6000781 CLOBETASOL 0.05% 15GM OIN - 6000782 CLOBETASOL 0.05% 30GM TOP #REF!6000783 CLOFAZIMINE 100MG CAP #REF!6000784 CLOFAZIMINE 50MG CAP #REF!6000785 CLOFIBRATE 500MG CAP - 6000786 CLOMIPRAMINE 25MG CAP - 6000787 CLOMIPRAMINE 50MG CAP - 6000788 CLOMIPRAMINE 75MG CAP - 6000789 CLONAZEPAM 0.5MG TAB #REF!6000790 CLONAZEPAM 1MG TAB #REF!6000791 CLONAZEPAM 2MG TAB - 6000792 CLONIDINE 0.1MG TAB #REF!6000793 CLONIDINE 0.1MG/24HR PATC #REF!6000794 CLONIDINE 0.2MG TAB #REF!6000795 CLONIDINE 0.2MG/24HR PATC #REF!6000796 CLONIDINE 0.3MG TAB #REF!6000797 CLONIDINE 0.3MG/24HR PATC #REF!6000798 CLONIDINE 1MG/10ML INJ - 6000799 CLONIDINE 10MCG/1ML PEDPO - 6000800 CLOPIDOGREL 300MG TAB #REF!6000801 CLOPIDOGREL 75MG TAB #REF!6000802 CLORAZEPATE 7.5MG CAP - 6000803 CLOTRIMAZOLE 1% 10ML TOP #REF!

6000804 CLOTRIMAZOLE 1% 15GM CRM #REF!6000805 CLOTRIMAZOLE 1% 30GM CRM #REF!6000806 CLOTRIMAZOLE 1% 30ML LOT #REF!6000807 CLOTRIMAZOLE 1% 30ML TOP #REF!6000808 CLOTRIMAZOLE 1% 45GM CRM #REF!6000809 CLOTRIMAZOLE 1% 45GM CRM #REF!6000810 CLOTRIMAZOLE 100MG 7 VAG #REF!6000811 CLOTRIMAZOLE 10MG TROCHE #REF!6000812 BETAMETH/CLOTRIM 15GM CRM #REF!6000813 BETAMETH/CLOTRIM 45GM CRM - 6000814 CLOZAPINE 100MG TAB #REF!6000815 CLOZAPINE 25MG TAB #REF!6000816 COAL TAR 30% 180ML TOP - 6000817 COAL TAR 5% 85GM TOP - 6000818 COCAINE 10% 4ML SOL - 6000819 COCAINE 4% 4ML SOL #REF!6000820 COCCIDIOIDIN 0.1ML INTRAD - 6000821 CODEINE PHOS 30MG TAB #REF!6000822 CODEINE PHOS 60MG/ML 1ML #REF!6000823 COLCHICINE 0.6MG TAB #REF!6000825 COLESTIPOL 1GM TAB - 6000826 COLESTIPOL GRAN 5GM PKT - 6000827 COLISTIMETHATE 150MG INJ #REF!6000828 COLISTIN/NEO/HC 5ML OTSOL - 6000829 COLLAGENASE 15GM OINT - 6000830 COLLODION FLEX 120ML TOP #REF!6000831 CONIVAPT 20MG/100ML PBTB - 6000832 ESTROGENS CONJ 0.3MG TAB #REF!6000833 ESTROGENS CONJ 0.625MG #REF!6000834 ESTROGENS CONJ 0.9MG TAB #REF!6000835 ESTROGENS CONJ 1.25MG TAB #REF!6000836 ESTROGEN CON25MG/5MLINJJG #REF!6000837 ESTROG CONJ 42.5GM VAG #REF!6000838 COPPER CHL 1.07MG/ML 10ML - 6000839 CORTICOTROPIN 40U/1ML INJ #REF!6000840 CORTICOTROPIN 80U/ML 5ML - 6000841 CORTISONE ACET 10MG TAB - 6000842 CORTISONE ACET 25MG TAB #REF!6000843 CORTISONE ACET 5MG TAB #REF!6000844 CORTROSYN 0.25MG INJ #REF!6000845 CRANBERRY EXTR 405MG CAP - 6000846 CROMOLYN 14.2GM INH #REF!6000847 CROMOLYN 20MG/2ML SOL INH #REF!6000848 CROMOLYN 4% 13ML NAS SPRY - 6000849 CROMOLYN 4% 26ML NAS SPRY #REF!6000850 CROTAMITON 10% 60GM CRM - 6000851 CROTAMITON 10% 60ML LOT - 6000852 CYANIDE ANTIDOTE KIT #REF!6000853 CYANOCOBALAMIN 10MCG PEDI - 6000854 CYCLOBENZAPRINE 10MG TAB #REF!6000855 CYCLOPENT/PHENYL 2ML OPS #REF!6000856 CYCLOPENTOLAT 0.5%2ML IOL #REF!6000857 CYCLOPENTOLAT 0.5%15ML OP -

6000858 CYCLOPENTOLATE 0.5%5ML OP #REF!6000859 CYCLOPENTOLATE 1% 2ML OPS #REF!6000860 CYCLOPENTOLATE 1% 5ML OPS - 6000861 CYCLOPENTOLATE 2% 2ML OPS #REF!6000862 CYCLOPENTOLATE 2% 5ML OPS - 6000863 CYCLOPHOSPH /100MG INJJG #REF!6000864 CYCLOPHOSPHAM 1GM SDVJG #REF!6000865 CYCLOPHOSPHAM 200MG INJJG #REF!6000866 CYCLOPHOSPHAMIDE 25MG TAB #REF!6000867 CYCLOPHOSPHAM 2GM INJJG - 6000868 CYCLOPHOSPHAM 500MG INJJG #REF!6000869 CYCLOPHOSPHAMIDE 50MG TAB #REF!6000870 CYCLOSERINE 250MG CAP - 6000871 CYCLOSP MOD 5GM/50ML LIQ - 6000872 CYCLOSPORINE 100MG CAP #REF!6000873 CYCLOSPOR 100MG/ML 50MLLQ #REF!6000874 CYCLOSPORINE 25MG CAP #REF!6000875 CYCLOSPORINE 50MG/ML 5ML - 6000876 CYCLOSPORINE MOD100MG CAP #REF!6000877 CYCLOSPORINE MOD 25MG CAP #REF!6000878 CYPROHEPTADINE 4MG TAB #REF!6000879 CYSTEINE 50MG/ML 10ML INJ #REF!6000880 CYTARABIN PF 100MG/5MLSDV #REF!6000881 CYTARABINE 1GM PWDR SDV - 6000882 CYTARABINE 2GM PWDR SDV - 6000883 CYTARABINE 500MG PWDR SDV #REF!6000884 CYTARABINE LIP 50MG/5MLJG #REF!6000885 D10% 0.9 NACL 1000ML INJ - 6000886 D10%W 1000ML INJ #REF!6000887 D10%W 250ML INJ - 6000888 D10%W 500ML INJ #REF!6000889 D10%W 5ML INJ - 6000890 D20% 500ML INJ #REF!6000891 D25% 10ML INJ - 6000892 D30% 500ML INJ #REF!6000893 D40% 500ML INJ #REF!6000894 D5% 0.2 NACL 1000ML INJ #REF!6000895 D5% 0.2 NACL 250ML INJ - 6000896 D5% 0.2 NACL 500ML INJ #REF!6000897 D5% 0.2 NACL+KCL10 1LINJ - 6000898 D5% 0.2 NACL+KCL10 5DLIV - 6000899 D5% 0.2 NACL+KCL20 1LINJ - 6000900 D5% 0.2 NACL+KCL30 1LINJ - 6000901 D5% 0.2 NACL+KCL40 1LINJ - 6000902 D5% 0.45 NACL 1000ML INJ #REF!6000903 D5% 0.45 NACL 500ML INJ #REF!6000904 D5% 0.45 NACL+KCL10 1LINJ #REF!6000905 D5% 0.45 NACL+KCL20 1LINJ #REF!6000906 D5% 0.45 NACL+KCL30 1LINJ #REF!6000907 D5% 0.45 NACL+KCL40 1LINJ #REF!6000908 D5% 0.9 NACL 1000ML INJ #REF!6000909 D5% 0.9 NACL 250ML INJ - 6000910 D5% 0.9 NACL 500ML INJ #REF!

6000911 D5% 0.9 NS+KCL20MEQ 1L IV #REF!6000912 D5% 0.9 NS+KCL40MEQ 1L IV - 6000913 D5% 1000ML INJ #REF!6000914 D5% 100ML INJ #REF!6000915 D5% 150ML INJ - 6000916 D5% 250ML INJ #REF!6000917 D5% 25ML INJ - 6000918 D5% 500ML GLASS INJ #REF!6000919 D5% 500ML INJ #REF!6000920 D5% 50ML INJ #REF!6000921 D5% LR 1000ML INJ #REF!6000922 D5% LR 500ML INJ #REF!6000923 D5% LR+KCL 20MEQ 1000ML #REF!6000924 D5% LR+KCL 40MEQ 1000ML #REF!6000925 D5% PEDIV #REF!6000926 D5% RINGERS 1000ML INJ #REF!6000928 D5% W ELECTROL 148 1000ML - 6000929 D5% + KCL 10MEQ 1L INJ - 6000930 D5% + KCL 20MEQ 1L INJ - 6000931 D5% + KCL 30MEQ 1L INJ - 6000932 D5% + KCL 40MEQ 1L INJ - 6000933 D50% 500ML INJ #REF!6000934 D50% 50ML INJ #REF!6000935 D70% 500ML INJ #REF!6000936 D70% WATER 2000ML INJ - 6000937 DABIGATRAN 150MG CAP #REF!6000938 DABIGATRAN 75MG CAP #REF!6000939 DACARBAZINE 100MG PWD INJ #REF!6000940 DACARBAZINE 200MG PWD INJ #REF!6000941 DACTINOMYCIN 0.5MG PWD IN #REF!6000942 DALTEPARIN 10000IU 9.5ML - 6000943 DALTEPARN 25000U/ML 2ML - 6000944 DALTEPARN 5000IU/0.2ML2ML - 6000945 DANAZOL 100MG CAP #REF!6000946 DANAZOL 200MG CAP - 6000947 DANAZOL 50MG CAP #REF!6000948 DANTROLENE 100MG CAP - 6000949 DANTROLENE 20MG PWD INJ #REF!6000950 DANTROLENE 25MG CAP #REF!6000951 DANTROLENE 50MG CAP - 6000952 DAPSONE 100MG TAB #REF!6000953 DAPSONE 25MG TAB #REF!6000954 DAPTOMYCIN LYO 500MGSDVJG #REF!6000955 DARUNAVIR 300MG TAB #REF!6000956 DARUNAVIR 400MG TAB - 6000957 DASATINIB 50MG TAB #REF!6000958 DAUNORUBICIN 5MG/ML 4MLJG #REF!6000959 DECITABINE 50MG INJJG #REF!6000960 DEFEROXAMINE 500MG INJ #REF!6000961 DELAVIRDINE 100MG TAB - 6000962 DEMECLOCYCLINE 150MG TAB #REF!6000963 DEMECLOCYCLINE 300MG TAB - 6000964 DESIPRAMINE 100MG TAB #REF!

6000965 DESIPRAMINE 10MG TAB #REF!6000966 DESIPRAMINE 25MG TAB #REF!6000967 DESIPRAMINE 50MG TAB - 6000968 DESIPRAMINE 75MG TAB #REF!6000969 DESMOPRESS 0.1MG TAB #REF!6000970 DESMOPRES40MCG/10ML INJJG #REF!6000971 DESMOPRESS 4MCG/1ML INJJG #REF!6000972 DESONIDE 0.05% 15GM CRM - 6000974 DESOXIMETASONE 0.05% 15GM - 6000975 DESOXIMETASONE 0.25% 15GM #REF!6000976 DEXAMETHASONE 1MG/1ML ELX #REF!6000977 DEXAMETH AC 40MG/5MLOPINJ - 6000978 DEXAM PH 0.04MG/NS 1ML IV #REF!6000979 DEXAM PH 0.4MG/NS 1ML IV #REF!6000980 DEXAM PH 0.1MG/SW 1ML IV - 6000981 DEXAM PH 1MG/SW1ML IV - 6000982 DEXAM PH 4MG/1ML SDV #REF!6000983 DEXAM PH 4MG(20MG) MDV #REF!6000984 DEXAM PH 4MG/1ML INJ #REF!6000985 DEX/NEO 0.1/0.35% 5ML OPS - 6000986 DEXAMETH/NEO 3.5GM OP OIN - 6000987 DEXAMETHAS 0.5MG/5ML ELIX #REF!6000988 DEXAMETHASONE 3.5GM OPO #REF!6000989 DEXAMETH 0.1% 15GM CRM - 6000990 DEXAMETHAS 0.1% 5ML OPSOL #REF!6000991 DEXAMETHASONE 0.5MG TAB #REF!6000992 DEXAMETHASONE 0.75MG TAB #REF!6000993 DEXAMETHASONE 1.5MG TAB - 6000994 DEXAME NAPH1MG(100MG)MDV #REF!6000995 DEXAM PH 10MG/1ML INJ #REF!6000996 DEXAMETHASONE 1MG TAB #REF!6000997 DEXAMETHASONE 2MG TAB #REF!6000998 DEXAMETHASONE 4MG TAB #REF!6000999 DEXAMETHASONE 6MG TAB - 6001000 DEXMEDETOM 200MCG/2ML INJ #REF!6001002 DEXRAZOX 500MG PWD INJJG - 6001004 DEXTRAN 40 10%/D5 5DL INJ #REF!6001005 DEXTRAN 40 10%/NS 5DL INJ #REF!6001008 DEXTROAMPHETAM 10MG TAB - 6001009 DEXTROAMPHETAM 15MG CAP - 6001010 DEXTROAMPHETAMINE 5MG TAB - 6001011 DEXTROAMPHET ER 10MG CAP - 6001012 DHEA 25MG TAB - 6001013 DIATRIZO MEG 30% 500MLINJ - 6001014 DIATRIZOATE MEG 60% 150ML - 6001015 DIATRIZO MEG 60% 50MLINJ - 6001016 DIATRI MEG/NA66-10 120MLQ #REF!6001017 DIATRIZOTE MEG/NA-66 20ML #REF!6001018 DIATRIZAT NA 50% 50ML INJ #REF!6001019 DIATRIZ NA 50GM/120ML SOL - 6001020 DIAZEPAM 10MG RECTAL GEL - 6001021 DIAZEPAM 10MG TAB #REF!6001022 DIAZEPAM 1MG/ML 1ML PEDPO -

6001023 DIAZEPAM 2MG TAB #REF!6001024 DIAZEPAM 5MG TAB #REF!6001025 DIAZEPAM 5MG/ML 2ML INJ #REF!6001027 DIBUCAINE 0.5% 42.5GM CRM - 6001028 DIBUCAINE 1% 30GM OINT #REF!6001029 DICLOFENAC 0.1% 5ML OPS #REF!6001030 DICLOFENAC NA DR 25MG TAB #REF!6001031 DICLOFENAC NA DR 50MG TAB #REF!6001032 DICLOFENAC NA DR 75MG TAB #REF!6001033 DICLOXAC 62.5MG/5ML 100ML #REF!6001034 DICLOXACILLIN 250MG CAP #REF!6001035 DICLOXACILLIN 500MG CAP #REF!6001036 DICYCLOMINE 10MG CAP #REF!6001037 DICYCLOMINE 10MG/ML 2ML #REF!6001038 DICYCLOMINE 20MG TAB #REF!6001039 DIDANOSINE 100MG CHEW TAB #REF!6001040 DIDANOSINE DR 200MG CAP #REF!6001041 DIDANOSINE DR 250MG CAP #REF!6001042 DIFLORASONE 0.05% 30GM CR - 6001043 DIFLUNISAL 500MG TAB #REF!6001045 DIGOXIN 0.05MG/ML 5ML ELX #REF!6001046 DIGOXIN 0.125MG TAB #REF!6001047 DIGOXIN 0.1MG/1ML PEDIV #REF!6001048 DIGOXIN 0.1MG/1ML PEDIV #REF!6001049 DIGOXIN 0.25MG TAB #REF!6001050 DIGOXIN 0.25MG/ML 2ML INJ #REF!6001051 DIGOXIN IMM FAB 40MG PWD #REF!6001052 DIHYDROERGOT 1MG/ML 1MLJG #REF!6001053 DIHYDROTACHYSTER 0.125MG - 6001054 DIHYDROTACHYSTEROL 0.2MG #REF!6001055 DILTIAZEM 120MG TAB - 6001056 DILTIAZEM ER 12H 120MG CP - 6001057 DILTIAZEM 30MG TAB #REF!6001058 DILTIAZEM 50MG/10ML INJ #REF!6001059 DILTIAZEM 125MG/25ML INJ #REF!6001060 DILTIAZEM 25MG/5ML INJ #REF!6001061 DILTIAZEM 60MG TAB #REF!6001062 DILTIAZEM 90MG TAB - 6001063 DILTIAZEM CD 120MG CAP #REF!6001064 DILTIAZEM CD 180MG CAP #REF!6001065 DILTIAZEM CD 240MG CAP #REF!6001066 DILTIAZEM ER 300MG 24H CP #REF!6001067 DIMENHYDRINATE 50MG TAB #REF!6001068 DIMENHYDRINAT 50MG/ML 1ML #REF!6001069 DIMERCAPROL100MG/ML 3MLJG - 6001070 DIMETHYL SULFOX 50ML SOLN - 6001071 DINOPROST 0.5MG 3GM V GEL #REF!6001072 DINOPROSTONE 10MG VAG SUP #REF!6001073 DINOPROSTONE 20MG VAG SUP #REF!6001074 DIPHENHYDRAM 1% 15GM TOP #REF!6001075 DIPHENHYDRAM 1% 30GM TOP - 6001076 DIPHENHYD 25MG/10ML LIQ #REF!6001077 DIPHENHYD 12.5MG/5ML LIQ -

6001078 DIPHENHYD 2% 30GM TOP #REF!6001079 DIPHENHYDRAM 50MG/1ML INJ #REF!6001080 DIPHENHYDRAMINE 25MG CAP #REF!6001081 DIPHENHYDRAMINE 25MG TAB - 6001082 DIPHENHYDRAMINE 50MG CAP #REF!6001083 DIPHENOX/ATROP 5ML SOL #REF!6001084 DIPHENOXYLATE/ATROP 2.5MG #REF!6001085 DIP-TET TOXD<7 0.5ML IM #REF!6001086 DIPIVEFRIN 0.1% 10ML OPSO - 6001087 DIPIVEFRIN 0.1% 5ML OPS #REF!6001088 DIPYRID/ASA ER 200/25MGCP #REF!6001089 DIPYRIDAMOLE 25MG TAB #REF!6001090 DIPYRIDAMOLE 50MG TAB #REF!6001091 DIPYRIDAMOLE 10MG/2ML INJ #REF!6001092 DIPYRIDAMOLE 75MG TAB #REF!6001093 DISOPYRAMIDE 100MG CAP #REF!6001094 DISOPYRAMIDE 150MG CAP #REF!6001095 DISOPYRAMIDE ER 100MG CAP - 6001096 DISULFIRAM 250MG TAB - 6001097 DISULFIRAM 500MG TAB - 6001098 DIVALPROEX 125MG DR CAP #REF!6001099 DIVALPROEX EC 500MG TAB #REF!6001101 DIVALPROEX ER 250MG TAB #REF!6001102 DIVALPROEX ER 500MG TAB #REF!6001103 DOBUTAMINE 250MG/20ML INJ #REF!6001104 DOBUTAMINE 1GM/250ML PB #REF!6001105 DOBUTAMINE 250MG/250ML PB #REF!6001106 DOBUTAMINE 500MG/250ML PB #REF!6001107 DOCETAXEL20MG/0.5ML INJJG #REF!6001108 DOCETAX 20MG/ML 1ML INJJG #REF!6001109 DOCUSATE 100MG/10ML SOL #REF!6001110 DOCUSATE NA 100MG CAP #REF!6001111 DOCUSATE NA 250MG CAP #REF!6001112 DOCUSATE NA 50MG CAP #REF!6001113 DOCUSATE/CASAN 100MG/30MG - 6001114 DOCUSATE/FERRUS 100/150MG - 6001115 DOLASETRON 100MG TAB - 6001116 DOLASET 12.5MG/0.625MLINJ #REF!6001117 DOLASETRON 20MG/ML 5ML IN - 6001118 DONEPEZIL 10MG TAB #REF!6001119 DONEPEZIL 5MG TAB #REF!6001120 DOPAMINE 200MG/250ML PB #REF!6001121 DOPAMINE 400MG/250ML PB #REF!6001122 DOPAMINE 40MG/ML 10ML INJ #REF!6001123 DOPAMINE 40MG/ML 5ML INJ #REF!6001124 DOPAMINE 800MG/250ML PB #REF!6001125 DORIPENEM 500MG PWD SDV #REF!6001126 DORNASE 1MG/ML 2.5ML INH #REF!6001127 DORZOLAMIDE 2% 10ML OPS #REF!6001128 DORZOLAMIDE 2% 5ML OPSOL - 6001129 DORZOLAMIDE/TIMOLOL 10ML #REF!6001130 DOXAPRAM 20MG/ML 20ML INJ #REF!6001131 DOXAZOSIN 1MG TAB #REF!

6001132 DOXAZOSIN 2MG TAB #REF!6001133 DOXAZOSIN 4MG TAB - 6001134 DOXEPIN 100MG CAP - 6001135 DOXEPIN 10MG TAB #REF!6001136 DOXEPIN 10MG/ML 1ML CONC - 6001137 DOXEPIN 25MG CAP #REF!6001138 DOXEPIN 50MG CAP #REF!6001139 DOXEPIN 75MG CAP - 6001140 DOXERCALCIFEROL 0.5MCG #REF!6001141 DOXORUBICIN 10MG/5ML SDV #REF!6001142 DOXORUBICIN 50MG/25ML SDV #REF!6001143 DOXOR LIP 20MG/10ML INJJG #REF!6001144 DOXYCYCLINE 100MG CAP - 6001145 DOXYCYCLINE 100MG INJ #REF!6001146 DOXYCYCLINE 100MG TAB #REF!6001147 DOXYCYCLINE 200MG INJ #REF!6001148 DOXYCYCLINE 50MG CAP #REF!6001149 DRONABINOL 10MG CAP - 6001150 DRONABINOL 2.5MG CAP #REF!6001151 DRONABINOL 5MG CAP #REF!6001152 DRONEDARONE 400MG TAB #REF!6001153 DROPERIDOL 2.5MG/ML 2ML #REF!6001154 DROTRECOGIN ALFA 20MG INJ - 6001155 DROTRECOGIN ALFA 5MG INJ - 6001156 HEP B VAC/DTAP/IPV0.5MLIM #REF!6001157 DULOXETINE DR 20MG CAP #REF!6001158 DULOXETINE DR 30MG CAP #REF!6001159 DULOXETINE DR 60MG CAP - 6001160 DUTASTERIDE 0.5MG CAP #REF!6001161 ECHOTHIOPH 0.06% 5ML OPS #REF!6001162 ECHOTHIOPHATE 0.125% 5ML #REF!6001163 ECHOTHIOPHATE 0.25% 5ML - 6001164 ECONAZOLE NIT 1% 15GM TOP #REF!6001165 ECONAZOLE NIT 1% 30GM TOP - 6001167 EDROPHONIUM 10MG/ML 15ML #REF!6001168 EDROP/ATROP 10MG 5ML INJ - 6001169 EFAVIR/EMT/TEN600/200/300 - 6001170 EFAVIRENZ 200MG CAP #REF!6001171 EFAVIRENZ 50MG CAP #REF!6001172 EFAVIRENZ 600MG TAB - 6001173 ELECTROLYTE A 1000ML INJ #REF!6001174 EMTRICITABINE 200MG CAP #REF!6001175 EMTRICT-TENOF 200/300MTB #REF!6001176 ENALAPRILAT 1.25MG/1MLINJ #REF!6001177 ENALAPRILAT 2.5MG/2ML INJ #REF!6001178 ENALAPRIL 10MG TAB #REF!6001179 ENALAPRIL 1MG/1ML PEDPO #REF!6001180 ENALAPRIL 2.5MG TAB - 6001181 ENALAPRIL 20MG TAB #REF!6001182 ENALAPRIL 5MG TAB #REF!6001183 ENOXAPARIN 100MG 1ML INJ #REF!6001184 ENOXAPARIN 120MG/0.8MLINJ #REF!6001185 ENOXAPARIN 150MG/0.8ML -

6001186 ENOXAPARIN 30MG 0.3ML INJ #REF!6001187 ENOXAPARIN 40MG 0.4ML INJ #REF!6001188 ENOXAPARIN 60MG 0.6ML INJ #REF!6001189 ENOXAPARIN 80MG 0.8ML INJ #REF!6001190 ENTACAPONE 200MG TAB #REF!6001191 EPHEDRINE 25MG CAP #REF!6001192 EPHEDRINE 50MG/ML 1ML INJ #REF!6001193 EPINEPHRINE 0.1% 30ML TOP #REF!6001194 EPINEPHRINE 0.3MG PEN #REF!6001195 EPINEPHRINE 0.5% 15ML OPS #REF!6001196 EPINEPHRINE 1% 15ML OPSOL #REF!6001197 EPINEPHRIN 0.1MG(30MG)MDV #REF!6001198 EPINEPH 0.1MG/ML 10ML INJ #REF!6001200 EPINEPHRINE 1MG/ML 1MLINJ #REF!6001201 EPINEPHRINE 2% 15ML OPS #REF!6001202 EPINEPHR 2.25% 0.5ML NEB #REF!6001203 EPINEPHR 2.25% 15ML NEB #REF!6001205 EPINEPHRINE 25MG/5ML INJ - 6001206 EPIRUBICIN 2MG/ML 1ML INJ #REF!6001207 EPIRUBICIN 2MG/ML 25ML IN #REF!6001208 EPLERENONE 25MG TAB - 6001209 EPOETIN 10000U ESRD SDV #REF!6001210 EPO NONESRD 10KU SDVJG #REF!6001211 EPOETIN 2000U ESRD SDV #REF!6001212 EPO MDV /100U 20KU ESRD #REF!6001213 EPOE NONESRD 1KU(20KU)MDV #REF!6001214 EPOETIN NONESRD 2KU SDVJG #REF!6001215 EPOETIN 3000U ESRD SDV #REF!6001216 EPOETIN 40000U ESRD SDV #REF!6001217 EPO NONESRD 40KU SDVJG #REF!6001218 EPOETIN 4000U ESRD SDV #REF!6001219 EPOETIN NONESRD 4KU SDVJG #REF!6001221 EPTIFIBATID 2MG/ML 10MLJG #REF!6001222 EPTIFIBAT 75MG/100MLINJJG #REF!6001223 ERGOCALC 8000U/ML 60MLSOL #REF!6001224 ERGOLOID MESYL 1MG TAB - 6001225 ERGOLOID MESYL SL 1MG TAB - 6001226 ERGOTAMINE TART SL 2MG TB - 6001227 ERGOTAMINE/CAFF 1/100MG - 6001229 ERLOTINIB 100MG TAB #REF!6001230 ERLOTINIB 25MG TAB #REF!6001231 ERLOTINIB 150MG TAB #REF!6001232 ERTAPENEM 1GM PWDR INJ #REF!6001233 ERYTHRO 0.5% 3.5GM OPO #REF!6001234 ERYTHRO BASE EC 250MG TAB #REF!6001235 ERYTHRO BASE DR 333MG TAB #REF!6001236 ERYTHRO BASE 500MG TAB - 6001237 ERYTHRO BASE DR 333MG TAB - 6001239 ERYTHRO EST 250/5 5ML LIQ - 6001240 ERYTHRO ETH 200/5 50ML LQ #REF!6001241 ERYTH ETHYL 200MG/5 100ML #REF!6001242 ERYTHRO ETH 40/1ML PEDPO #REF!6001243 ERYTHRO ETH 400/5 100MLLQ #REF!

6001244 ERYTHRO ETH 400/5 5ML LQ #REF!6001245 ERYTHROMYC ETH 400MG TAB #REF!6001246 ERYTHROMYC STEAR 250MG TB #REF!6001247 ERYTHROMYC STEAR 500MG TB #REF!6001248 ERYTH/BENZ PEROX 23.3GMTP - 6001249 ERYTHRO/SULF 8GM/200ML LQ #REF!6001250 ERYTHRO/SULF 4GM/100ML LQ #REF!6001251 ERYTHRO/SULF 6GM/100ML LQ #REF!6001252 ERYTHROMYCIN 2% 60ML TOP - 6001253 ERYTHROMY LACTO 1GM INJJG #REF!6001254 ERYTHROMY LAC 500MG INJJG #REF!6001255 ERYTHROMYC 50MG/1MLPDIVJG #REF!6001256 ESCITALOPRAM 10MG TAB #REF!6001257 ESCITALOPRAM 20MG TAB - 6001258 ESMOLOL 10MG/ML 10ML INJ #REF!6001259 ESMOLOL 2.5GM/250ML PB #REF!6001260 ESMOLOL 2.5GM/10ML 10ML #REF!6001261 ESOMEPRAZOLE 40MG EC CAP #REF!6001262 EST/METHYLTEST 0.625/1.25 - 6001263 EST ESTROGEN 0.3MG TAB - 6001264 EST ESTROGEN 1.25MG TAB - 6001265 ESTRADIOL 42.5GM VAG CRM - 6001266 ESTRADIOL 0.05MG BIWK PAT - 6001267 ESTRADIOL 0.075MG/24 BIWK - 6001268 ESTRADIOL 0.1MG/24HR BIWK - 6001269 ESTRADIOL 1MG TAB #REF!6001270 ESTRADIOL 2MG TAB - 6001271 ESTRADIOL CYP 5MG/ML 10ML #REF!6001272 ESTRADIOL CYP 25MG/5MLINJ #REF!6001273 ESTRADIOL CYP/TESTOS 10ML - 6001274 ESTRADIO VAL200MG/10MLMDV #REF!6001275 ESTRADIOL VAL 20MG/1MLINJ #REF!6001277 ESTRAMUSTNE PHOS 140MG CP #REF!6001278 ESTROG/MEDPROG 0.625/2.5 #REF!6001279 ESTROGENS CONJ 2.5MG TAB #REF!6001280 EST ESTROGEN 0.625MG TAB - 6001281 ETHACRYNIC ACID 25MG TAB #REF!6001282 ETHACRYNIC ACID 50MG INJ #REF!6001283 ETHACRYNIC ACID 50MG TAB - 6001284 ETHAMBUTOL 100MG TAB #REF!6001285 ETHAMBUTOL 400MG TAB #REF!6001286 ETHANOLAMINE 100MG INJJG #REF!6001287 ETHIONAMIDE 250MG TAB #REF!6001288 ETHOSUXIMIDE 250MG/5ML SY - 6001290 ETIDRONATE DIS 50MG/ML 6M #REF!6001291 ETIDRONATE DISOD 200MG #REF!6001292 ETIDRONATE DISOD 400MG - 6001293 ETODOLAC 200MG CAP - 6001294 ETODOLAC 300MG CAP - 6001295 ETODOLAC XL 400MG TAB - 6001296 ETOMIDATE 2MG/ML 10ML INJ #REF!6001297 ETOMIDATE 2MG/ML 20ML INJ #REF!6001298 ETOPOSID 10MG(500MG)MDV #REF!

6001299 ETOPOSIDE 50MG CAPJG - 6001300 ETRAVIRINE 100MG TAB #REF!6001301 EXEMESTANE 25MG TAB #REF!6001302 EZETIMIBE 10MG TAB #REF!6001303 FACTOR8(ALP)1IU(500U)VLJG #REF!6001304 FACTOR 7A RT REC 1MGINJJG #REF!6001305 FACTOR 7A RT REC 5MGINJJG #REF!6001306 FACT 8(HUMATE-P)/1IUINJJG - 6001307 FACT 8 RECOM 1IU(250)VLJG - 6001309 FAMCICLOVIR 250MG TAB #REF!6001310 FAMCICLOVIR 500MG TAB #REF!6001311 FAMOTIDINE 20MG/2ML INJ #REF!6001312 FAMOTIDINE 40MG/4ML MDV - 6001313 FAMOTIDINE 1MG/1ML INJ - 6001314 FAMOTIDINE 20MG TAB #REF!6001315 FAMOTIDINE 20MG/50ML PB - 6001316 FAMOTIDINE 40MG TAB #REF!6001317 FAT EMULSION 10% 100ML IN - 6001318 FAT EMULSION 10% 250ML IN - 6001319 FAT EMULSION 10% 500ML IN #REF!6001320 FAT EMULSION 20%1ML PEDPO #REF!6001321 FAT EMULSION 20% 100ML IN #REF!6001322 FAT EMULSION 20% 250ML IN - 6001323 FAT EMULSION 20% 500ML IN #REF!6001324 FAT EMULSION 10% 100ML IN #REF!6001325 FE SULF 220MG/5ML 5ML ELX #REF!6001326 FELBAMATE 400MG TAB - 6001327 FELBAMATE 600MG TAB - 6001328 FELODIPINE ER 10MG TAB #REF!6001329 FELODIPINE ER 2.5MG TAB #REF!6001330 FELODIPINE ER 5MG TAB #REF!6001331 FENOFIBRATE 160MG TAB #REF!6001332 FENOFIBRATE 54MG TAB #REF!6001333 FENOFIBRATE NANO 145MG TB #REF!6001334 FENOFIBRATE NANO 48MG TAB #REF!6001335 FENOLDOPAM 10MG/ML 1ML IN - 6001336 FENT/BUP 2.5-0.125%1DLEPD - 6001337 FENTANYL 100MCG/HR PATCH #REF!6001338 FENTANYL 1200MCG LOZ #REF!6001339 FENTANYL 12MCG PATCH #REF!6001340 FENTANYL 1600MCG LOZ - 6001341 FENTANYL 200MCG LOZ - 6001342 FENTANYL 25MCG PATCH #REF!6001343 FENTANYL 400MCG LOZ #REF!6001344 FENTANYL 50MCG/HR PATCH #REF!6001345 FENTANYL 500MCG/10ML INJ - 6001346 FENTANYL 1MG/20ML INJ #REF!6001347 FENTANYL 100MCG/2ML INJ #REF!6001348 FENTANYL 250MCG/5ML INJ #REF!6001349 FENTANYL 600MCG LOZ - 6001350 FENTANYL 75MCG/HR PATCH #REF!6001351 FENTANYL 800MCG LOZ #REF!6001352 FENT/DROP 0.1-5MG/2ML INJ #REF!

6001353 FERRIC GLUC 62.5MG/5ML IN #REF!6001354 FERRIC SUBSULF 500ML SOL #REF!6001355 FERROUS GLUC 300MG TAB #REF!6001356 FERROUS GLUC 325MG TAB #REF!6001357 FERROUS SUL 300MG/5ML UD #REF!6001358 FERROUS SULF 142MG ER TAB - 6001359 FERROUS SULF 160MG TAB - 6001360 FERROUS SULF 25MG PEDPO #REF!6001361 FERROUS SULF 325MG TAB #REF!6001362 FEXOFENADINE 60MG CAP - 6001363 FEXOFENADINE 60MG TAB - 6001364 FIBRINOLY/DESOX 30GM TOP - 6001365 FILGRAST480MCG/1.6MLINJJG - 6001366 FILGRAST 50MCG/1ML PEDIJG - 6001367 FILGRAST 300MCG/1ML INJJG - 6001368 FINASTERIDE 5MG TAB #REF!6001369 FINGOLIMOD 0.5MG CAP - 6001370 FISH OIL 1000MG CAP #REF!6001371 FISH OIL 500MG CAP - 6001372 FLAVOXATE 100MG TAB #REF!6001373 FLECAINIDE 100MG TAB #REF!6001374 FLECAINIDE 50MG TAB #REF!6001375 NA PHOS MON/DIBAS 133MLPR #REF!6001378 FLUCONAZOLE 100MG TAB #REF!6001379 FLUCONAZOLE 200MG/100MLPB #REF!6001380 FLUCONAZOLE 200MG TAB #REF!6001381 FLUCONAZOLE 2MG/1ML PEDIV #REF!6001382 FLUCONAZOLE 400MG/200MLPB #REF!6001383 FLUCYTOSINE 10MG/1MLPEDPO #REF!6001384 FLUCYTOSINE 250MG CAP #REF!6001385 FLUCYTOSINE 500MG CAP #REF!6001386 FLUDARAB 50MG PWDR INJJG #REF!6001387 FLUDROCORTISONE 0.1MG TAB #REF!6001388 FLU VACC FLULAVAL>=3YR IM - 6001389 FLUMAZENIL 0.1MG/ML 10ML #REF!6001390 FLUMAZENIL 0.1MG/ML 5ML I - 6001391 FLUNISOLIDE 0.025% 25ML #REF!6001392 FLUNISOLIDE 250 MCG 7GM #REF!6001393 FLUOCINOLNE 0.01% 15GMTOP #REF!6001394 FLUOCINOLNE 0.01% 60GMTOP - 6001395 FLUOCINOLONE 0.01% 60ML - 6001396 FLUOCINOLONE 0.025% 15GM #REF!6001397 FLUOCINOL 0.025% 15GM OIN - 6001398 FLUOCINON 0.05% 15GM CRM #REF!6001399 FLUOCINON 0.05% 30GM OINT - 6001400 FLUOCINONIDE 0.5%60ML SOL #REF!6001401 FLUOCINON/E 0.05% 15GMCRM #REF!6001402 FLUOCINON/E 0.05% 30GMCRM #REF!6001403 FLUORESCEIN 2% 2ML OPSOL #REF!6001404 FLUORESCEIN 25% 3ML OPSOL - 6001405 FLUORESCEIN 9MG STRIP #REF!6001406 FLUORESCEIN NA 10% 5ML IN #REF!6001407 FLUORIDE 1MG CHW TAB #REF!

6001408 FLUOROMETH 0.1% 10ML OPS #REF!6001409 FLUOROMETH 0.1% 5ML OPS #REF!6001410 FLUOROMETH 0.25% 5ML OPS #REF!6001411 FLUOROMETHANE 103ML TOP - 6001412 FLUOROMETHOLONE 3.5GM OP #REF!6001413 FLUOROURACIL 1% 30GM TOP - 6001414 FLUOROURACIL 500MG/10MLVL #REF!6001415 FLUOXETINE 10MG CAP #REF!6001416 FLUOXETINE 20MG CAP #REF!6001417 FLUOXETIN 20MG/5 5ML LIQ #REF!6001418 FLUOXYMESTERONE 10MG TAB #REF!6001419 FLUOXYMESTERONE 5MG TAB #REF!6001420 FLUPHENAZINE 10MG TAB #REF!6001421 FLUPHENAZINE 1MG TAB #REF!6001422 FLUPHENAZINE 2.5MG TAB #REF!6001423 FLUPHENZ 2.5MG/5ML 5ML UD - 6001424 FLUPHENAZINE 2.5MG/ML 10M #REF!6001425 FLUPHENAZINE 2.5MG/1ML IN - 6001426 FLUPHENAZINE 5MG TAB #REF!6001427 FLUPHENAZINE DEC 25MG/1ML - 6001428 FLUPHENAZIN DEC 125MG/5ML #REF!6001429 FLUPHENAZINE ENA 25MG/1ML #REF!6001430 FLURANDREN 4MCG/CM 24IN #REF!6001431 FLURANDREN 0.05% 60ML TOP - 6001432 FLURAZEPAM 15MG CAP #REF!6001433 FLURAZEPAM 30MG CAP #REF!6001434 FLURBIPROFEN 0.03% 2.5ML #REF!6001435 FLURBIPROFEN 50MG TAB - 6001436 FLURBIPROFEN 100MG TAB #REF!6001437 FLUTAMIDE 125MG CAP #REF!6001438 FLUTIC/SALM 100/50 14 PWD #REF!6001439 FLUTIC/SALM 250/50 14 PWD #REF!6001440 FLUTIC/SALM 500/50 14 PWD #REF!6001441 FLUTICASONE 110MCG 12GM #REF!6001442 FLUTICASONE 220MCG 12GM #REF!6001443 FLUTICASONE 44MCG 10.6GM #REF!6001444 FLUTICASONE 50MCG 16GMNAS #REF!6001445 FLUVASTATIN 20MG CAP #REF!6001446 FLUVASTATIN 40MG CAP #REF!6001448 FLUVOXAMINE 100MG TAB - 6001449 FLUVOXAMINE 50MG TAB #REF!6001451 FOLIC AC 100MCG/1ML PEDPO #REF!6001452 FOLIC AC 500MCG/1ML PEDIV - 6001453 FOLIC AC 50MCG/1ML PEDPO - 6001454 FOLIC ACID 0.4MG TAB #REF!6001455 FOLIC ACID 1MG TAB #REF!6001456 FOLIC ACID 5MG/ML 10ML IN #REF!6001457 FOMEPIZOLE 1GM/ML 1.5MLJG #REF!6001459 FONDAPARIN 2.5MG 0.5MLSYR #REF!6001460 FONDAPARIN 5MG/0.4ML SYR #REF!6001461 FONDAPARIN 7.5MG/0.6MLSYR #REF!6001462 FOSAMPRENAVIR 700MG TAB #REF!6001463 FOSAPREPITANT 150MG SDVJG -

6001464 FOSCARNET NA 24MG/ML 250M #REF!6001465 FOSCARNET NA 24MG/ML 500M - 6001466 FOSFOMYCIN GRAN 3GM PKT #REF!6001467 FOSINOPRIL 10MG TAB #REF!6001468 FOSINOPRIL 20MG TAB #REF!6001469 FOSPHENYT 100MG/2ML SDVJG #REF!6001470 FOSPHENYT500MG/10ML SDVJG #REF!6001471 FULVESTRAN250MG/5ML INJJG #REF!6001472 FUROSEMIDE 10MG/1ML PEDPO #REF!6001473 FUROSEMIDE 100MG/10ML INJ #REF!6001474 FUROSEMIDE 1.2GM/120MLLIQ #REF!6001475 FUROSEMIDE 10MG/1ML PEDIV #REF!6001476 FUROSEMIDE 20MG/2ML INJ #REF!6001477 FUROSEMIDE 50MG/5ML LIQ - 6001478 FUROSEMIDE 600MG/60ML LIQ - 6001479 FUROSEMIDE 1MG/ML PEDIV #REF!6001480 FUROSEMIDE 20MG TAB #REF!6001481 FUROSEMIDE 40MG/4ML INJ #REF!6001482 FUROSEMIDE 40MG TAB #REF!6001483 FUROSEMIDE 80MG TAB #REF!6001484 FUROSEMIDE 8MG/ML 5ML SOL - 6001485 GABAPENTIN 100MG CAP #REF!6001486 GABAPENTIN 300MG CAP #REF!6001487 GABAPENTIN 400MG CAP #REF!6001488 GADODIAMIDE 287 10ML INJ - 6001489 GADODIAMIDE 287 15ML INJ - 6001490 GADODIAMIDE 287 20ML INJ - 6001491 GADOTERIDOL 279 20ML INJ #REF!6001492 GADOTERIDOL 279 5ML INJ - 6001493 GALANTAMINE 4MG TAB #REF!6001494 GANCICLOVIR 100MG/1MLPEDP - 6001495 GANCICLOVIR 250MG CAP #REF!6001497 GANCICLOVIR 500MG PWD INJ #REF!6001499 GELCLAIR GEL 15ML - 6001500 GEMCITABINE 1GM SDV #REF!6001501 GEMCITABINE HCL 200MG INJ #REF!6001502 GEMFIBROZIL 300MG TAB - 6001503 GEMFIBROZIL 600MG TAB #REF!6001504 GEMTUZUMAB 1MG/ML 5ML INJ - 6001505 GENT VIO/BRNT GRN/PRFL1EA - 6001506 GENTAMICIN 0.3% 3.5GM OPO #REF!6001507 GENTAMICIN 0.3% 5ML OPS #REF!6001508 GENTAMICIN 100MG/100ML PB #REF!6001509 GENTAMICIN 100MG/50ML PB #REF!6001510 GENTAMICIN 10MG/ML 2ML IN #REF!6001511 GENTAMICIN 10MG/1ML PEDIV - 6001512 GENTAMICN 14MG/ML 7.1MLOP - 6001513 GENTAMICIN 15GM CRM #REF!6001514 GENTAMICIN 15GM OINT #REF!6001515 GENTAMICIN 2MG/1ML PEDIV #REF!6001516 GENTAMICIN 3MG/ML 1ML OPS - 6001517 GENTAMICIN 80MG(800MG)MDV #REF!6001518 GENTAMICIN 60MG/100ML PB #REF!

6001519 GENTAMICIN 80MG INJ #REF!6001520 GENTAMICIN 80MG/100ML PB #REF!6001521 GENTIAN VIOL 1% 30ML TSOL #REF!6001522 GI COCKTAIL 50ML LIQ - 6001523 GLATIRAMER 20MG/1ML SYR - 6001524 GLIMEPIRIDE 1MG TAB - 6001525 GLIMEPIRIDE 2MG TAB #REF!6001526 GLIMEPIRIDE 4MG TAB #REF!6001527 GLIPIZIDE 5MG TAB #REF!6001528 GLIPIZIDE ER 2.5MG TAB - 6001529 GLIPIZIDE ER 5MG TAB #REF!6001530 GLUCAGON1MG(1U) 1ML INJJG #REF!6001531 GLUCOSAMINE 500MG CAP - 6001532 GLUCOSE 40% 15GM ORAL GEL #REF!6001533 GLUCOSE 40% 80GM ORAL GEL - 6001534 GLUCOSE TOLERANCE SOL #REF!6001535 GLYBURIDE 1.25MG TAB - 6001536 GLYBURIDE 2.5MG TAB #REF!6001537 GLYBURIDE 5MG TAB #REF!6001538 GLYBURIDE MICRON 1.5MGTAB - 6001539 GLYBURIDE MICRON 3MG TAB - 6001540 GLYBURIDE MICRON 6MG TAB - 6001541 GLYCERIN 1ML SOL - 6001542 GLYCERIN 50% 220ML SOL - 6001543 GLYCERIN 60ML SOL #REF!6001544 GLYCERIN ADULT SUPP #REF!6001545 GLYCERIN PED SUPP #REF!6001546 GLYCINE 1.5% 3000ML IRR - 6001547 GLYCOPYRROLA 0.2MG/ML 1ML #REF!6001548 GLYCOPYRROLA 0.2MG/ML 5ML #REF!6001549 GLYCOPYRROL 0.1MG/ML PDPO - 6001550 GLYCOPYRROLATE 1MG TAB - 6001551 GOLD THIOMALAT 500MG/10ML - 6001552 GOLD THIOMALATE 50MG/1ML - 6001553 GONADORELIN 0.5MG INJ #REF!6001554 GONADORELIN 100 MCG INJ - 6001555 GOSEREL ACET 10.8MG INJJG #REF!6001556 GOSERELIN ACE 3.6MG INJJG #REF!6001557 GRANISETRON 1MG TAB - 6001558 GRANISETRON 1MG/ML 1ML IN #REF!6001559 GRISEOFULVIN 330MG TAB - 6001560 GRISEOFULV MICRO 500MG TB - 6001561 GRISEOFULV ULTRA 125MG TB #REF!6001562 GRISEOFULV ULTRA 250MG TB #REF!6001563 GUAIFEN 100MG/5ML 10ML LQ - 6001564 GUAIFEN 100MG/5ML 120MLLQ #REF!6001565 GUAIFEN ER 600MG TAB - 6001566 GUAIF/COD 100-10/5 120MLQ #REF!6001567 GUAIF/COD 200-20/10ML LQ - 6001568 GUAIF/COD 100-10/5ML LQ #REF!6001569 GUAIF/DM 100-10/5 10ML LQ #REF!6001570 GUAIF/DM 100-10/5ML LIQ #REF!6001571 GUAIFEN/DM 600MG/30MG TAB -

6001572 GUAIF/DM 100-10/5 120MLLQ #REF!6001573 GUAIF/HYDROCOD 100-5MG/5M - 6001574 GUAIFEN/PHENY ER 600/30MG - 6001575 GUAIFEN/PSEUD SA600/120MG - 6001576 GUAIFEN/PE 20-6MG/ML 5ML - 6001577 GUAIFN/DM SF100/10/5ML120 - 6001578 GUANABENZ ACET 4MG TAB - 6001579 GUANFACINE 1MG TAB #REF!6001580 GUANFACINE 2MG TAB - 6001583 H-FLU B/TETANUS 0.5ML INJ #REF!6001584 HALCINONIDE 0.1% 15GM TOP - 6001585 HALCINONIDE 0.1% 30GM TOP - 6001586 HALCINONIDE 0.1% 60GM TOP - 6001587 HALOBETASOL 0.05% 50GMTOP - 6001588 HALOPERIDOL 0.5MG TAB #REF!6001589 HALOPERIDOL 100MG/ML 1ML - 6001590 HALOPERIDOL 10MG TAB #REF!6001591 HALOPERIDOL 1MG TAB #REF!6001592 HALOPERIDOL 2MG TAB #REF!6001593 HALOPERIDOL 2MG/ML 120ML - 6001594 HALOPERIDOL 2MG/ML 15ML #REF!6001595 HALOPERIDOL 2MG/ML 5ML CO - 6001596 HALOPERIDOL 50MG/ML 1ML #REF!6001597 HALOPERIDOL 5MG TAB #REF!6001598 HALOPERIDOL 5MG/ML 1ML IN #REF!6001599 HCTZ 25MG TAB #REF!6001600 HCTZ 50MG TAB #REF!6001601 HEMIN 313MG PWDR INJJG - 6001602 HEPARIN 10KU/ML 1ML INJ #REF!6001603 HEPARIN 10KU/10ML INJ #REF!6001604 HEPARIN 1KU/ML 1ML INJ #REF!6001605 HEPARIN 30KU/30ML INJ #REF!6001606 HEPARIN FL 500U/5ML SYR - 6001607 HEPARIN FL 10U/ML 1ML SYR #REF!6001608 HEP FL 1U/NS 0.45% 1ML IV #REF!6001609 HEPARIN 2KU/NS 1L PMX #REF!6001610 HEP 25KU/NS 0.45%250MLPMX #REF!6001611 HEPAR 25KU/D20W 500ML PMX - 6001612 HEPARIN 5KU/1ML INJ #REF!6001613 HEPARIN FL 300U/3ML SYR #REF!6001614 HEPAR FL PF 100U/10ML INJ #REF!6001615 HEPAT A VACC 1440U 1ML IN - 6001616 HEP A VACC 720U/0.5MLPDIM - 6001617 HEP B IMM GLOB 0.5ML IMJG #REF!6001618 HEP B IMM GLOB 5ML SDVJG #REF!6001619 HEPAT B VACC 10MCG PEDIM - 6001620 HEPAT B VACC 20MCG 1ML IN #REF!6001621 HEPATITIS B VAC 5MCG PDIM #REF!6001622 HETASTARCH 6% 500ML NS IV #REF!6001623 HEXACHLOROPHENE 148ML SOL #REF!6001624 HIB/HEP B VACC(COMVX) 0.5 #REF!6001625 HOMATROPINE 2% 15ML OPSOL - 6001626 HOMATROPINE 2% 5ML OP SOL #REF!

6001627 HOMATROPINE 5% 15ML OPSOL - 6001628 HOMATROPINE 5% 5ML OP SOL #REF!6001629 HYALURON/CHONDR 0.5ML OP - 6001630 HYALURONA 10/ML 0.85ML OP #REF!6001631 HYALURON 10/ML 0.55MLOP - 6001632 HYALURONAT 10/ML 0.4ML OP #REF!6001633 HYALURON 16MG/ML 0.8ML IN #REF!6001634 HYALURONIDASE 150U/ML INJ #REF!6001635 HYALURONID 240U/1.2ML INJ #REF!6001636 HYDRALAZINE 100MG TAB #REF!6001637 HYDRALAZINE 10MG TAB #REF!6001638 HYDRALAZINE 1MG/1ML PEDIV #REF!6001639 HYDRALAZINE 1MG/1ML PEDPO #REF!6001640 HYDRALAZINE 20MG/ML 1ML #REF!6001641 HYDRALAZINE 25MG TAB #REF!6001642 HYDRALAZINE 50MG TAB #REF!6001643 HCTZ 12.5MG CAP #REF!6001644 APAP/HYDROCO 120/2.5MG5ML - 6001645 APAP/HYDROCO 500/7.5 15ML - 6001646 HYDROCOD/HOMATRO 5ML SYR #REF!6001647 HYDROCORT 0.5% 30GM OINT #REF!6001648 HYDROCORT 0.5% 60ML TOP #REF!6001649 HYDROCORT 1% 120ML TOP #REF!6001650 HYDROCORT 1% 30GM CRM #REF!6001651 HYDROCORT 1% 30GM OINT #REF!6001652 HYDROCORT 1% 60ML TOP #REF!6001653 HYDROCORT 10% 15GM FOAM - 6001654 HYDROCORT 100MG 60ML ENEM #REF!6001655 HYDROCORT 10MG TAB #REF!6001656 HYDROCORT 2.5% 30GM CRM #REF!6001657 HYDROCORT 2.5% 60GM CRM - 6001658 HYDROCORT 2.5% 60ML LOT #REF!6001659 HYDROCORT 20MG TAB #REF!6001660 HYDROCORT 25MG SUPP #REF!6001661 HYDROCORT 5MG TAB - 6001662 HYDROCORT NA 100MG/2MLINJ #REF!6001663 HYDROCORT NA 1MG/1ML PDIV - 6001664 HYDROCORT SUC250MG/2MLSD #REF!6001665 HYDROCORT SUC500MG/4MLSD #REF!6001666 HYDROC VAL 0.2% 15GM OINT - 6001667 HYDROCORT/IODOQUI 1% 30GM - 6001668 HYDROCORT 0.5% 30GM CRM #REF!6001669 HYDROCORT 2MG/1ML PEDPO #REF!6001670 HYDROGEL DRESSING 120ML #REF!6001671 HYDROMORPHON 8MG/40ML INJ - 6001672 HYDROMORPH 20MG/50ML PCA - 6001673 HYDROMORPHONE 10MG/1MLINJ #REF!6001674 HYDROMORPHONE 50MG/5MLINJ #REF!6001675 HYDROMORPHONE 1MG/1ML INJ #REF!6001676 HYDROMORPH 30MG/30ML PCA #REF!6001677 HYDROMORPHONE 2MG TAB #REF!6001678 HYDROMORPHONE 2MG/ML 1ML #REF!6001679 HYDROMORPHONE 2MG/ML 20M -

6001680 HYDROMORPHONE 3MG SUPP #REF!6001681 HYDROMORPHONE 4MG TAB #REF!6001682 HYDROMORPHONE 4MG/ML 1ML #REF!6001683 HYDROMORPHONE 8MG TAB #REF!6001684 HYDROXYCHLOROQUINE 200MG #REF!6001685 HYDROXYPROG 250MG/1ML SDV - 6001686 HYDROXYPROPYL 2% 1ML OPS #REF!6001687 HYDROXYUREA 500MG CAP #REF!6001688 HYDROXYZINE 100MG TAB - 6001689 HYDROXYZINE 10MG TAB #REF!6001690 HYDROXYZINE 25MG TAB #REF!6001691 HYDROXYZINE 25MG/1ML INJ - 6001692 HYDROXYZINE 50MG TAB #REF!6001693 HYDROXYZINE 50MG/1ML INJ #REF!6001694 HYDROXYZINE 100MG/2MLINJ - 6001695 HYDROXYZ HCL 10/5 5ML LIQ #REF!6001696 HYDROXYZINE PAM 100MG CAP #REF!6001697 HYDROXYZINE PAM 25MG CAP #REF!6001698 HYDROXYZINE PAM 50MG CAP #REF!6001699 HYOSCYAMINE 1.875/15MLSOL - 6001700 HYOSCYAMINE SL 0.125MG #REF!6001701 HYOSCYAMINE SR 0.375MG - 6001702 HYPROMELLOSE 3.5GM OP GEL #REF!6001703 HYPROMELL GONIOSC2.5%15ML #REF!6001704 IBUPROFEN 100MG/5ML LIQ #REF!6001705 IBUPROFEN 200MG TAB #REF!6001706 IBUPROFEN 400MG TAB #REF!6001707 IBUPROFEN 600MG TAB #REF!6001708 IBUPROFEN 800MG TAB #REF!6001709 IBUPROF LYS PF20MG/2MLINJ #REF!6001710 IBUTILIDE FM0.1MG/ML10MJG #REF!6001711 IDARUBICIN10MG/10ML SDVJG #REF!6001712 IDARUBICIN 5MG/5ML SDVJG #REF!6001713 IFOSFAMIDE 1GM INJ #REF!6001714 IMATINIB 100MG CAP #REF!6001715 IMIPENEM/CILAST 250MG INJ - 6001716 IMIPENEM/CILAST 500MG INJ - 6001717 IMIPEN/CILAS 25MG/ML PEDI - 6001718 IMIPEN/CILAS 5MG/1ML PDIV - 6001719 IMIPRAMINE 10MG TAB #REF!6001720 IMIPRAMINE 12.5MG/ML 2ML - 6001721 IMIPRAMINE 25MG TAB #REF!6001722 IMIPRAMINE 50MG TAB #REF!6001723 IMIPRAMINE PAM 100MG CAP - 6001724 IMIPRAMINE PAM 75MG CAP - 6001725 IMIQUIMOD 5% CRM PKT (EA) #REF!6001726 IG GAMUNEX 500MG INJG #REF!6001727 IG GAMUNEX 5GM INJJG #REF!6001728 IG LYOPHILIZ 2.5GM INJJG #REF!6001729 IG LYOPHILIZED 5GM IVJG - 6001730 IG LYOPHILIZ 6GM IV INJJG #REF!6001731 IG LYOPHILIZ 10GM IVINJJG #REF!6001732 IG OCTAGAM 5% 5GM INJJG #REF!

6001734 IG VARICELL ZOS 125IU INJ #REF!6001735 IG 10ML IM INJ - 6001737 INDAPAMIDE 1.25MG TAB #REF!6001738 INDAPAMIDE 2.5MG TAB #REF!6001739 INDIGO CAR 8MG/ML 5ML INJ #REF!6001740 INDINAVIR 200MG CAP #REF!6001741 INDINAVIR 400MG CAP #REF!6001742 INDOCYANINE GREEN 25MG IN #REF!6001743 INDOMET 0.1MG/0.1ML PEDIV - 6001744 INDOMETHACIN 1MG INJ #REF!6001745 INDOMETHACIN 25MG CAP #REF!6001746 INDOMETHACIN 50MG CAP #REF!6001747 INDOMETHACIN 50MG SUPP #REF!6001748 INDOMETHACIN ER 75MG CAP #REF!6001749 INFLIXIMAB 100MG INJJG - 6001750 INS 75/25RECOM 100U/ML 10 #REF!6001751 INSUL REG 1U/ML 1ML PEDIV - 6001752 INS DETEM 1KU/10ML INJ #REF!6001753 INS GLARGINE 1KU/10ML MDV #REF!6001754 INSULN LISPRO 100U/ML 3ML #REF!6001755 INSUL NPH 100U/ML 1ML INJ - 6001756 INSULIN NPH100U/ML PEN3ML #REF!6001757 INS NPH REG 70/30 PEN 3ML #REF!6001758 INSULIN REG HUMAN PEN 3ML #REF!6001759 INTERFERON ALFA 2A 3MIL U #REF!6001760 INTERFER A2B 10MMIU SDVJG - 6001761 INTERFERON A2B 3MMIUSDVJG #REF!6001762 INTERF A2B/1MMIU5MM PENJG #REF!6001763 INTERFERON B-1A 30MCG IM - 6001764 INTERFERON BETA 1B 0.3MG #REF!6001765 K IODIDE 30ML SOL #REF!6001766 IODIXANOL 320MG/ML 100ML #REF!6001767 IODIXANOL 320MG/ML 150ML - 6001768 IODIXANOL 320MG/ML 50ML #REF!6001769 IOHEXOL 180MG/ML 20ML INJ - 6001770 IOHEXOL 240MG/ML 20ML INJ - 6001771 IOHEXOL 300MG/ML 100ML IN - 6001772 IOHEXOL 300MG/ML 50ML INJ #REF!6001773 IOHEXOL 350MG/ML 100ML IN #REF!6001774 IOHEXOL 350MG/ML 150ML IN - 6001775 IOHEXOL 350MG/ML 50ML INJ - 6001776 IPECAC 30ML SYRUP #REF!6001777 IPODATE NA 500MG CAP #REF!6001778 IPRATROP 0.02% 2.5ML NEB #REF!6001779 IPRATROPIUM 0.03% 30MLNAS - 6001780 IPRATROPIUM 0.06% 15MLNAS - 6001781 IPRATROPIUM 14.7GM INH #REF!6001782 IRBESARTAN 150MG TAB - 6001783 IRINOTECAN 100MG/5ML SDV #REF!6001784 IRINOTECAN 40MG/2ML SDV - 6001785 IRON DEXTR 500MG/10MLIVJG - 6001786 IRON DEXTR 100MG/2MLSDVJG #REF!6001787 IRON POLYSACC 150MG CAP -

6001788 IRON SUCROSE 100MG/5MLSDV - 6001789 ISOETHARINE 1% 10ML SVN #REF!6001790 ISONIAZID 100MG TAB #REF!6001791 ISONIAZID 100MG/ML 10ML #REF!6001792 ISONIAZID 300MG TAB #REF!6001793 ISONIAZID 50MG/5ML 5ML SY #REF!6001794 ISOPROTEREN 0.2MG/1ML AMP - 6001795 ISOPROTEREN 1MG/5ML AMP #REF!6001796 ISOS DIN/HYDRZ 20/37.5 TB #REF!6001797 ISOSORBIDE DIN 10MG TAB #REF!6001798 ISOSORBIDE DIN 20MG TAB #REF!6001799 ISOSORBIDE DIN 5MG TAB #REF!6001800 ISOSORBIDE DIN SL 2.5MGTB #REF!6001801 ISOSORBIDE DIN SL 5MG TAB #REF!6001802 ISOSORBIDE DIN ER 40MGTAB - 6001803 ISOSORBIDE MON 20MG TAB #REF!6001804 ISOSORBIDE MON 30MG TAB #REF!6001805 ISOSORBIDE MON 60MG TAB #REF!6001806 ISOSULF BLU50MG/5ML INJJG #REF!6001807 ISOTRETINOIN 20MG CAP - 6001808 ISRADIPINE 2.5MG CAP #REF!6001809 ISRADIPINE 5MG CAP #REF!6001810 ITRACONAZOLE 100MG CAP #REF!6001811 ITRACONAZOLE 10MG/ML 150M #REF!6001812 ITRACONAZOLE KIT 10/1 25M #REF!6001813 IVERMECTIN 3MG TAB #REF!6001814 IXABEPILONE 15MG INJJG - 6001815 K ACET 2MEQ/ML 20ML INJ #REF!6001816 K PHOS 15MMOL/5ML 5ML SDV #REF!6001817 K PHOS 4.4MEQ/ML 15ML INJ #REF!6001819 KANAMYCIN 1GM 3ML INJ - 6001820 KANAMYCIN 75MG/2ML INJ - 6001821 KAOLIN PECTIN 30ML LIQ #REF!6001822 KCL 0.2MEQ/ML 1ML PEDIV - 6001823 KCL 10MEQ/100ML PB - 6001824 KCL 10MEQ/50ML PB #REF!6001825 KCL 10MEQ 5ML INJ - 6001826 KCL 10MEQ TAB #REF!6001827 KCL 20MEQ/100ML PB #REF!6001828 KCL 20MEQ/10ML INJ #REF!6001829 KCL 20MEQ/50ML PB - 6001830 KCL 20MEQ PWDR #REF!6001831 KCL 20MEQ TAB #REF!6001832 KCL 10% 20MEQ/15ML LIQ #REF!6001833 KCL 2MEQ/ML 1ML PEDPO #REF!6001834 KCL 30MEQ/15ML INJ #REF!6001835 KCL 40MEQ/15ML SOL - 6001836 KCL 40MEQ/20ML INJ #REF!6001837 KCL 40MEQ/30ML SOL - 6001838 KCL 8MEQ ER TAB #REF!6001839 KCL 10MEQ ER CAP #REF!6001840 KCL 8MEQ ER CAP #REF!6001841 KETAMINE 100MG/ML 5ML INJ #REF!

6001842 KETAMINE 50MG/ML 10ML INJ #REF!6001843 KETOCONAZOLE 2% 120ML SHA #REF!6001844 KETOCONAZOLE 2% 15GM TOP #REF!6001845 KETOCONAZOLE 2% 30GM TOP #REF!6001846 KETOCONAZOLE 200MG TAB #REF!6001847 KETOPROFEN 50MG CAP - 6001848 KETOROLAC 0.5% 5ML OP SOL #REF!6001849 KETOROLAC 10MG TAB #REF!6001850 KETOROLAC 15MG/ML 1ML INJ #REF!6001851 KETOROLAC 30MG/ML 1ML INJ #REF!6001852 KETOROLAC 30MG/ML 2ML INJ #REF!6001853 LABETALOL 100MG TAB #REF!6001854 LABETALOL 200MG TAB #REF!6001855 LABETALOL 300MG TAB - 6001856 LABETALOL 5MG(100MG)MDV #REF!6001857 LABETALOL 5MG(200MG)MDV - 6001858 LACTASE 1250UNIT/5GTT 7ML #REF!6001859 LACTASE 3000UNIT TAB - 6001860 LACTASE ENZYME 250MG CAP - 6001861 LACTATED RINGERS 1L INJ #REF!6001862 LACTATED RINGERS 250MLINJ #REF!6001863 LACTATED RINGERS 500MLINJ #REF!6001864 LACTOBACILLUS 500MG CAP - 6001865 LACTOBACILLUS LACT GRAN - 6001866 LACTULOSE 20GM/30ML LIQ #REF!6001867 LAMIVUDINE 150MG TAB #REF!6001868 LAMIVUDN/ZIDOVUDN 150/300 #REF!6001869 LAMOTRIGINE 100MG TAB #REF!6001870 LAMOTRIGINE 150MG TAB #REF!6001871 LAMOTRIGINE 200MG TAB #REF!6001872 LAMOTRIGINE 25MG CHEW TAB - 6001873 LAMOTRIGINE 25MG TAB #REF!6001874 LAMOTRIGINE 5MG CHEW TAB - 6001876 LANOLIN 30GM OINT/LOT/CRM #REF!6001877 LANSOPRAZOLE EC 15MG CAP #REF!6001878 LANSOPRAZOLE 15MG GRAN SU - 6001879 LANSOPRAZOLE EC 30MG CAP #REF!6001880 LANSOPRAZOLE 30MG GRAN SU #REF!6001881 LANSOPRAZOLE 30MG INJ - 6001882 LANSOPRAZOLE 30MG ODT TAB #REF!6001883 LANSOPRAZOLE 3MG/1MLPEDP #REF!6001884 LANTHANUM CARBONTE 500MG #REF!6001885 LAPATINIB DITOSYLAT 250MG - 6001886 LATANOPROST 2.5ML OP SOL #REF!6001887 LEECH PER EACH #REF!6001888 LEFLUNOMIDE 10MG TAB #REF!6001889 LEFLUNOMIDE 20MG TAB - 6001891 LETROZOLE 2.5MG TAB - 6001892 LEUCOVORIN CA 25MG TAB #REF!6001893 LEUCOVORIN CA 50MG SDV #REF!6001894 LEUCOVORIN CA 5MG TAB #REF!6001895 LEUPROLIDE 11.25MG 3MTHJG #REF!6001896 LEUPROL 22.5MG 3MOS KTJG #REF!

6001897 LEUPROLID3.75MG DEPOT KJG #REF!6001898 LEUPROL 7.5MG DEPO KITJG #REF!6001899 LEVALBUTER 0.31MG/3ML NEB #REF!6001900 LEVALBUTER 0.63MG/3ML NEB #REF!6001901 LEVALBUTER 1.25MG/3ML NEB #REF!6001902 LEVAMISOLE 50MG TAB #REF!6001903 LEVETIRAC 1.5GM/15ML LIQ - 6001904 LEVETIRACET 100MG/ML 5ML #REF!6001905 LEVETIRACETAM 250MG TAB #REF!6001906 LEVETIRACETAM 500MG TAB #REF!6001907 LEVETIRACET 500MG/5ML LIQ #REF!6001908 LEVOBUNOLOL 0.25% 5ML OPS #REF!6001909 LEVOBUNOLOL 0.5% 2ML OPS - 6001910 LEVOBUNOLOL 0.5% 5ML OPS #REF!6001911 LEVOCARNITIN 100MG/1ML LQ - 6001912 LEVOCARNITINE 1GM/5ML INJ #REF!6001913 LEVOCARNITINE 330MG TAB #REF!6001914 LEVODOPA 100MG TAB #REF!6001915 LEVODOPA 250MG CAP #REF!6001916 LEVOFLOXACIN 250MG 50MLPB #REF!6001917 LEVOFLOXACIN 250MG TAB #REF!6001918 LEVOFLOXAC 500MG/100ML PB #REF!6001919 LEVOFLOXACIN 500MG INJ - 6001920 LEVOFLOXACIN 500MG TAB #REF!6001921 LEVOFLOXACIN 750MG INJ - 6001922 LEVOFLOXACIN 750MG TAB #REF!6001923 LEVOTHYROXINE 0.025MG TAB #REF!6001924 LEVOTHYROXINE 0.05MG TAB #REF!6001925 LEVOTHYROXINE 0.075MG TAB #REF!6001926 LEVOTHYROXINE 0.088MG TAB #REF!6001927 LEVOTHYROXINE 0.112MG TAB #REF!6001928 LEVOTHYROXINE 0.125MG TAB #REF!6001929 LEVOTHYROXINE 0.15MG TAB #REF!6001930 LEVOTHYROXINE 0.175MG TAB - 6001931 LEVOTHYROXINE 0.1MG TAB #REF!6001932 LEVOTHYROXINE 0.2MG TAB #REF!6001933 LEVOTHYROXINE 0.3MG TAB #REF!6001934 LEVOTHYROXINE 200MCG INJ - 6001935 LEVOTHYROXINE 500MCG INJ #REF!6001937 LIDO/EPI 1%-1:100000 20ML #REF!6001938 LIDO/EPI 1%-1:100000 30ML #REF!6001939 LIDO/EPI 1%-1:100000 50ML #REF!6001940 LIDO/EPI 2%1:100K 20MLMDV #REF!6001941 LIDO/EPI 2%1:100K 50MLMDV - 6001942 LIDO/EPI 2%1:200K 20MLMDV #REF!6001943 LIDO/EPI0.5%-1:200000 50M #REF!6001944 LIDO/EPI1.5% 1:200000 30M #REF!6001945 LIDO/PRILOCAINE 2.5% CRM #REF!6001946 LIDO 0.4% 2GM/500ML PB #REF!6001947 LIDOCAINE 0.5% 50ML INJ #REF!6001948 LIDOCAINE 1% 20ML INJ #REF!6001949 LIDOCAINE 1% 2ML INJ - 6001950 LIDOCAINE 1% 30ML INJ #REF!

6001951 LIDOCAINE 1% 50ML INJ #REF!6001952 LIDOCAINE MPF 1% 5ML INJ #REF!6001953 LIDOCAINE 1.5% 20ML INJ #REF!6001954 LIDO 0.4% 1GM/250ML PB #REF!6001955 LIDOCAINE 2% 10ML INJ #REF!6001956 LIDOCAINE 2% 10ML TOP JEL #REF!6001957 LIDOCAINE 2% 20ML INJ #REF!6001958 LIDOCAINE MPF 2% 2ML INJ - 6001959 LIDOCAINE 2% 30ML TOP JEL #REF!6001960 LIDOCAINE 2% 50ML INJ #REF!6001961 LIDOCAINE 2% 5GM TOP - 6001962 LIDOCAINE 2%100MG/5ML INJ #REF!6001963 LIDOCAINE 2% 5ML TOP JEL #REF!6001964 LIDOCAINE 2.5% 35GM OINT #REF!6001965 LIDOCAINE 0.8% 2GM PB - 6001966 LIDOCAINE 3.5% 5ML OP GEL - 6001967 LIDOCAINE 4% 50ML TOP SOL #REF!6001968 LIDOCAINE 4% 5GM CRM #REF!6001969 LIDOCAINE 4% 5ML INJ #REF!6001970 LIDOCAINE 5% 35GM OINT #REF!6001971 LIDOCAINE 5% PATCH #REF!6001972 LIDOCAINE MPF 1% 2ML INJ #REF!6001973 LIDOCAINE MPF 2% 10ML INJ #REF!6001974 LIDOCAINE 2% 100ML VISC - 6001975 LIDOCAINE/EPI/TETRA 5ML - 6001976 LINDANE 60ML LOTION #REF!6001977 LINDANE 60ML SHAMPOO #REF!6001978 LINEZOLID 600MG/300ML PB #REF!6001979 LINEZOLID 600MG TAB #REF!6001980 LIOTHYRONINE 25MCG TAB #REF!6001981 LIOTHYRONINE 50MCG TAB - 6001982 LIOTHYRONINE 5MCG TAB #REF!6001983 LIOTRIX 120MG TAB - 6001984 LIOTRIX 180MG TAB - 6001985 LIOTRIX 60MG TAB - 6001986 LISINOPRIL 10MG TAB #REF!6001987 LISINOPRIL 2.5MG TAB #REF!6001988 LISINOPRIL 20MG TAB #REF!6001989 LISINOPRIL 5MG TAB #REF!6001990 LITHIUM 150MG CAP #REF!6001991 LITHIUM 300MG CAP #REF!6001992 LITHIUM 300MG TAB #REF!6001993 LITHIUM 300MG/5ML 5ML SYR - 6001994 LITHIUM SR 300MG TAB - 6001995 LITHIUM SR 450MG TAB - 6001996 L-LYSINE 500MG TAB #REF!6001997 LOMUSTINE 10MG CAP - 6001998 LOMUSTINE 40MG CAP - 6001999 LOPERAMIDE 1MG/5ML 10ML #REF!6002000 LOPERAMIDE 2MG CAP #REF!6002001 LOPINAVIR/RITON 200/50MG #REF!6002003 LORATADINE 10MG TAB #REF!6002004 LORAZEPAM 0.5MG TAB #REF!

6002005 LORAZEPAM 1MG TAB #REF!6002006 LORAZEPAM 2MG TAB #REF!6002007 LORAZEPAM 2MG(20MG)MDV #REF!6002008 LORAZEPAM 2MG/1ML INJ #REF!6002009 LORAZEPAM 40MG/10ML INJ #REF!6002010 LORAZEPAM 4MG/1ML INJ #REF!6002011 LOSARTAN 100MG TAB - 6002012 LOSARTAN 25MG TAB #REF!6002013 LOSARTAN 50MG TAB #REF!6002014 LOVASTATIN 10MG TAB #REF!6002015 LOVASTATIN 20MG TAB #REF!6002016 LOXAPINE 10MG CAP - 6002017 LOXAPINE 25MG CAP - 6002018 LOXAPINE 50MG CAP - 6002019 LOXAPINE 5MG CAP - 6002020 LUBIPROSTONE 24MCG CAP #REF!6002021 IG LYMPHOCYT EQ250MGIVJG #REF!6002023 MAGALDRATE 540MG/5ML 360M #REF!6002024 MAGALDRATE/SIMETH 360ML #REF!6002025 MAG CHLOR 64MG EC TAB #REF!6002026 MAGNESIUM CITRATE 300ML #REF!6002027 MAGNESIUM GLUC 500MG TAB #REF!6002028 MAGNESIUM LAC SR 84MG TAB - 6002029 MAGNESIUM OXIDE 250MG TAB - 6002030 MAGNESIUM OXIDE 400MG TAB #REF!6002031 MAGNES PROTEIN 133MG TAB - 6002032 MAG SULF 10GM/LR 250MLPMX - 6002033 MAGNESIUM SUL 120GM TOP #REF!6002034 MAG SULF 1GM/D5W100ML PMX #REF!6002035 MAG SULF 20GM/SW500ML PMX #REF!6002036 MAG SULF 2GM/SW 50ML PMX #REF!6002037 MAG SULF40GM/SW 1L PMX - 6002038 MAG SULF 4GM/SW 100ML PMX #REF!6002039 MAG SULF 5GM/10ML INJ #REF!6002040 MAG SULF 10GM/20ML INJ #REF!6002041 MAG SULF 1GM/2ML INJ #REF!6002042 MAG SULF 25GM/50ML SDV - 6002043 MANGANESE CL 0.1/ML 10ML #REF!6002044 MANNITOL 20% 500ML PB #REF!6002045 MANNITOL 25% 50ML INJ #REF!6002046 MARAVIROC 150MG TAB #REF!6002047 NEO/POLY B/DEXA 1%5ML OPS #REF!6002050 MEBENDAZOLE 100MG CHW TAB - 6002051 MECHLORETHAMIN 10MG INJJG - 6002052 MECLIZINE 12.5MG TAB #REF!6002053 MECLIZINE 25MG TAB #REF!6002054 MECLOFENAMATE 50MG CAP - 6002055 MED CHAIN TRIGLYC 15MLOIL - 6002056 MED CHAIN TRIGLY 1ML PEDP #REF!6002057 MEDROXYPROG 150MG/ML 1ML #REF!6002058 MEDROXYPROG 400MG/ML 1ML #REF!6002059 MEDROXYPROGEST 10MG TAB #REF!6002060 MEDROXYPROGEST 2.5MG TAB #REF!

6002061 MEDROXYPROGEST 5MG TAB - 6002062 MEFLOQUINE 250MG TAB - 6002063 MEGESTROL 40MG/1ML 10ML #REF!6002064 MEGESTROL 20MG TAB #REF!6002065 MEGESTROL 40MG TAB #REF!6002066 MEGESTROL ACET 625MG/5ML - 6002067 MELATONIN 3MG TAB #REF!6002068 MELOXICAM 15MG TAB #REF!6002069 MELPHALAN 2MG TAB #REF!6002070 MELPHALAN 50MG PWD INJJG - 6002071 MEMANTINE 10MG TAB - 6002072 MEMANTINE 5MG TAB #REF!6002073 MENINGOCOC VACC 0.5ML INJ #REF!6002074 MENTHOL ZINC OX 10OZ PWDR #REF!6002075 MENTHOL ZINC OXIDE 71GM #REF!6002076 MEPERIDINE 100MG TAB #REF!6002077 MEPERIDINE 100MG/1ML INJ #REF!6002078 MEPERIDINE 300MG/30ML PCA #REF!6002079 MEPERIDINE 500MG/50ML PCA - 6002080 MEPERIDINE 50MG TAB #REF!6002081 MEPERIDINE 25MG/0.5ML INJ - 6002082 MEPERIDINE 50MG/1ML INJ #REF!6002083 MEPERIDINE 75MG/1ML SYRNG #REF!6002084 MEPHOBARBITAL 50MG TAB - 6002085 MEPIVACAINE 1% 50ML INJ #REF!6002086 MEPIVACAINE 2% 20ML INJ #REF!6002087 MEPIVACAINE 2% 50ML INJ #REF!6002088 MEPIVACAINE PF 1% 30MLINJ - 6002089 MEPROBAMATE 200MG TAB - 6002090 MERCAPTOPURINE 50MG TAB - 6002091 MEROPENEM 1GM SDV #REF!6002092 MEROPENEM 20MG/1ML PEDIV #REF!6002093 MEROPENEM 500MG SDV #REF!6002094 MESALAMINE 1GM SUPP - 6002095 MESALAMINE 250MG ER CAP - 6002096 MESALAMINE 400MG ER TAB #REF!6002097 MESALAMINE 4GM/60ML ENEMA #REF!6002098 MESALAMINE 500MG SUPP - 6002099 MESNA 100MG/ML 10ML INJ #REF!6002100 MESNA 100MG/ML 2ML INJ #REF!6002101 MESNA 100MG/ML 4ML INJ - 6002102 MESORIDAZINE 10MG TAB #REF!6002103 MESORIDAZINE 25MG TAB #REF!6002104 MESORIDAZINE 50MG TAB #REF!6002105 METAPROTER 0.4% 2.5MLSVN - 6002106 METAPROTEREN 10MG/5ML LIQ #REF!6002107 METAPROTERENOL 10MG TAB - 6002108 METAPROTERENOL 14GM INH #REF!6002109 METAPROTEREN 2MG/1ML PDPO #REF!6002110 METAPROTERENOL 5% 10MLSVN #REF!6002111 METARAMINOL 10MG/ML 10ML #REF!6002112 METAXALONE 400MG TAB - 6002113 METAXALONE 800MG TAB -

6002114 METFORMIN 1000MG TAB - 6002115 METFORMIN 500MG TAB #REF!6002116 METFORMIN 850MG TAB #REF!6002117 METFORMIN ER 500MG TAB - 6002118 METH/METH BLUE/BA/SAL/HYC #REF!6002119 METHADONE 10MG TAB #REF!6002120 METHADONE 10MG/ML 1ML CON #REF!6002121 METHADONE 5MG TAB #REF!6002122 METHADONE 5MG/5ML 5ML SOL - 6002123 METHAZOLAMIDE 25MG TAB #REF!6002124 METHAZOLAMIDE 50MG TAB #REF!6002125 METHENAMINE 500MG TAB - 6002126 METHENAMINE HIPP 1GM TAB - 6002127 METHIMAZOLE 10MG TAB #REF!6002128 METHIMAZOLE 5MG TAB #REF!6002129 METHOCARBAML 100MG/ML 10M #REF!6002130 METHOCARBAMOL 500MG TAB #REF!6002131 METHOCARBAMOL 750MG TAB #REF!6002132 METHOHEXIT 10MG(500MG)MDV #REF!6002133 METHOTREX 1GM PWDR SDV - 6002134 METHOTREXATE 2.5MG TAB #REF!6002135 METHOTREX 20MG/2ML SDV - 6002136 METHOTREX 250MG/10ML SDV - 6002137 METHOTREX 50MG/2ML SDV #REF!6002138 METHOTREX 100MG/4ML SDV #REF!6002139 METHOTREX 200MG/8ML SDV #REF!6002140 METHYL SAL/MEN 37.5GMOINT #REF!6002141 METHYLCELLULOSE 2GM PWDR #REF!6002142 METHYLDOPA 125MG TAB - 6002143 METHYLDOPA 250MG/5ML INJ #REF!6002144 METHYLDOPA 250MG TAB #REF!6002145 METHYLDOPA 500MG TAB #REF!6002146 METHYLENE BLU100MG/10MLJG #REF!6002147 METHYLENE BLUE 10MG/1MLJG #REF!6002148 METHYLERGON 0.2MG/ML 1ML #REF!6002149 METHYLERGONOVINE 0.2MG #REF!6002150 METHYLNALTR 12MG/0.6MLSYR #REF!6002151 METHYLPHENIDATE 10MG TAB - 6002152 METHYLPHENIDATE 20MG TAB - 6002153 METHYLPHENIDATE 5MG TAB #REF!6002154 METHYLPHENIDATE SR 20MG - 6002155 METHYLPRED 16MG TAB #REF!6002156 METHYLPRED 2MG TAB - 6002157 METHYLPRED 40MG/ML 5ML IN - 6002158 METHYLPRED 4MG DOSEPAK - 6002159 METHYLPRED 4MG TAB #REF!6002160 METHYLPRED ACE40MG/1MLINJ #REF!6002161 METHYLPRED ACE80MG/1MLINJ #REF!6002162 METHYLPRED AC400MG/5MLINJ #REF!6002163 METHYLPRED 1MG/ML PEDIV #REF!6002164 METHYLPRED NA 125MG INJ #REF!6002165 METHYLPRED NA 500MG INJ #REF!6002166 METHYLPRED NA 40MG INJ #REF!

6002167 METHYSERGIDE 2MG TAB - 6002168 METIPRANOLOL 0.3% 5ML OPS #REF!6002169 METOCLOPRAM 0.1MG/1MLPDIV - 6002170 METOCLOPRAM 0.2MG/MLPEDIV #REF!6002171 METOCLOPRAMIDE 10MG TAB #REF!6002172 METOCLOPRAM 10MG/10ML LIQ #REF!6002173 METOCLOPRAMIDE 5MG TAB #REF!6002174 METOCLOPRAMIDE 5MG/ML 10M #REF!6002175 METOCLOPRAMIDE 5MG/ML 2ML #REF!6002176 METOLAZONE 10MG TAB #REF!6002177 METOLAZONE 2.5MG TAB #REF!6002178 METOLAZONE 5MG TAB #REF!6002179 METOPROLOL 100MG TAB #REF!6002180 METOPROLOL 1MG/ML 5ML INJ #REF!6002181 METOPROLOL 25MG TAB #REF!6002182 METOPROLOL 50MG TAB - 6002183 METOPROLOL ER 100MG TAB #REF!6002184 METOPROLOL ER 25MG TAB #REF!6002185 METOPROLOL ER 50MG TAB - 6002186 METRONIDAZ 0.75% 45GM GEL #REF!6002187 METRONIDAZ 0.75% 70GM VAG #REF!6002188 METRONIDAZ 500MG/100ML PB #REF!6002189 METRONIDAZOLE 500MG TAB #REF!6002190 METRONIDAZ 50MG/1ML PEDPO #REF!6002191 METRONIDAZOLE 5MG/1MLPDIV #REF!6002192 METRONIDAZ 5MG/ML PEDPO - 6002193 MEXILETINE 150MG CAP #REF!6002194 MEXILETINE 200MG CAP #REF!6002195 MEXILETINE 250MG CAP #REF!6002196 MICAFUNGIN 100MG INJ #REF!6002197 MICAFUNGIN 50MG INJ #REF!6002198 MICONAZOLE 100MG 7 VAG #REF!6002199 MICONAZOLE 2% 15GM CRM #REF!6002200 MICONAZOLE 2% 30GM CRM #REF!6002201 MICONAZOLE 2% 45GM VAG CR #REF!6002202 MICONAZOLE 200MG 3 VAG - 6002203 MICONAZOLE 200MG 1 VAG #REF!6002204 MICROFIB COLLAGEN 1GM JAR #REF!6002205 MICROFIB COLLAG 35X35X1MM #REF!6002206 MIDAZOLAM 1MG/ML 10ML INJ - 6002207 MIDAZOLAM 1MG/ML 5ML INJ #REF!6002208 MIDAZOLAM 2MG/1ML PEDPO #REF!6002210 MIDAZOLAM 5MG/ML 1ML INJ #REF!6002211 MIDAZOLAM 5MG/ML 2ML INJ - 6002212 MIDAZOLAM PF 1MG/ML 2ML #REF!6002213 MIDODRINE HCL 5MG TAB #REF!6002214 MILNACIPRAN 25MG TAB - 6002215 MILRINONE 10MG/10ML SDV #REF!6002216 MILRINONE 20MG/100ML PB #REF!6002217 MINERAL OIL 133ML ENEMA #REF!6002218 MINERAL OIL 30ML SOL #REF!6002220 MINERAL OIL 100% 10ML TOP #REF!6002221 MINERL OIL/PET HY-PHL 454 #REF!

6002222 MINER OIL/PETROL 120GM CR #REF!6002223 MINOCYCLINE 100MG CAP #REF!6002224 MINOCYCLINE 100MG INJJG - 6002225 MINOCYCLINE 100MG TAB - 6002226 MINOCYCLINE 50MG CAP - 6002227 MINOXIDIL 10MG TAB #REF!6002228 MINOXIDIL 2.5MG TAB #REF!6002229 MIRTAZAPINE 15MG SOLTAB #REF!6002230 MIRTAZAPINE 15MG TAB #REF!6002231 MIRTAZAPINE 30MG TAB #REF!6002232 MISOPROSTOL 100MCG TAB #REF!6002233 MISOPROSTOL 200MCG TAB #REF!6002234 MITOMYCIN 20MG SDVJG #REF!6002235 MITOMYCIN 5MG INJJG #REF!6002236 MITOXANT PF5MG(20MG)MDV #REF!6002239 MIVACURIUM 2MG/ML 10ML IN #REF!6002240 MIVACURIUM 2MG/ML 5ML INJ - 6002241 MODAFINIL 100MG TAB #REF!6002242 MOMETASONE 0.1% 15GM CRM #REF!6002243 MOMETASONE 0.1% 15GM OINT #REF!6002244 MOMETASONE 0.1% 30ML TOP - 6002245 MOMETASONE 0.1% 45GM TOP #REF!6002246 MOMETASONE FURO 60ML TOP - 6002247 MONTELUKAST 10MG TAB #REF!6002248 MONTELUKAST 4MG CHW TAB #REF!6002249 MONTELUKAST 5MG CHW TAB #REF!6002250 MORPHINE 0.4MG/1ML PEDO - 6002251 MORPHINE 10MG/5ML 5ML SOL - 6002252 MORPHINE 10MG/ML 1ML INJ #REF!6002253 MORPHINE 15MG TAB #REF!6002254 MORPHINE 15MG/ML 1ML INJ #REF!6002256 MORPHINE 1MG/ML 1ML PEDIV - 6002257 MORPHINE 1MG/ML 25ML PCA - 6002258 MORPHINE 1MG/ML 30ML PCA #REF!6002259 MORPHINE 20MG/5ML 5ML SOL #REF!6002260 MORPHINE 20MG/ML 1ML SOL - 6002262 MORPHINE 2MG/ML 1ML INJ #REF!6002263 MORPHINE 4MG/ML 1ML INJ #REF!6002265 MORPHINE IR 60MG TAB #REF!6002266 MORPHINE PF 5MG/10ML INJ #REF!6002267 MORPHINE PF 10MG/ML 20ML - 6002268 MORPHINE PF 10MG/10ML INJ #REF!6002269 MORPHINE PF 500MG/20MLINJ - 6002270 MORPHINE PF 500MG/10MLINJ - 6002271 MORPHINE PF 2.5GM/50MLINJ - 6002272 MORPHINE SOLUBLE 10MG TAB #REF!6002273 MORPHINE ER 100MG TAB - 6002274 MORPHINE ER 15MG TAB #REF!6002275 MORPHINE ER 30MG TAB #REF!6002276 MORRHUT SOD5% 50MG/ML30ML #REF!6002277 MOXIFLOXACIN 0.5% 3ML OPS #REF!6002278 MOXIFLOXACIN 400MG TAB #REF!6002279 MULTI-ELECTROLYTE 20ML IN #REF!

6002280 MULTIVIT FL 0.25MG DRPS #REF!6002281 MULTIVIT FL 0.5MG 50ML DR #REF!6002282 MULTIVIT FL FE 0.25-10MG #REF!6002283 MULTIVIT FL 0.5MG CHW TAB #REF!6002284 MULTIVIT MINERAL TAB #REF!6002285 MVI THERAPEUTIC 5ML LIQ #REF!6002286 MULTIVIT W IRON 1ML PEDPO #REF!6002287 MULTIVITAMIN W IRON TAB - 6002288 MULTIVITAMIN PRENATAL TAB #REF!6002289 MULTIVITAMIN TAB #REF!6002290 MULTIVITAMINS 10ML SDV #REF!6002291 MULTIVIT 10ML PEDIV #REF!6002292 MULTIVIT 50ML PEDPO #REF!6002293 MVI 1ML DRPS PEDPO #REF!6002294 MUMPS ANTIGEN 1ML INJ #REF!6002295 MUPIROCIN 2% 1GM NAS OINT #REF!6002296 MUPIROCIN 2% 30GM CRM - 6002297 MUPIROCIN 2% 30GM OINT - 6002298 MVI VIT K PED INJ #REF!6002299 MYCOPHENOLATE 250MG CAP #REF!6002300 MYCOPHENOLATE 500MG 20ML #REF!6002301 MYCOPHENOLATE 500MG TAB #REF!6002302 NA ACET 40MEQ/20ML INJ #REF!6002303 NA BICARB 10MEQ/10ML INJ #REF!6002304 NA BICARB 4.2% 10ML INJ #REF!6002305 NA BICARB 8.4%/50ML INJ #REF!6002306 NA BICARB NEU 4% 2.4MEQ5M - 6002307 NA BICARBONATE 325MG TAB #REF!6002308 NA BICARBONATE 620MG TAB #REF!6002309 NA HYPOCHLOR 0.25% 473ML #REF!6002310 NA HYPOCHLOR 0.5%473MLSOL #REF!6002311 NA PHOS 3MM/ML 15ML INJ #REF!6002312 NA PHOS 3MM/ML 5ML INJ - 6002313 NA PHOS 4MMOL/1ML PEDPO - 6002314 NA POLY/SORB 15GM/60ML SU #REF!6002315 NA TETRADEC 3% 60MG/2MLIV #REF!6002316 NA THIOSULFAT 1GM/10MLIV #REF!6002317 NA THIOSULFAT 12.5GM/50ML #REF!6002318 NABUMETONE 500MG TAB - 6002319 NACL 0.45% 1000ML INJ #REF!6002320 NACL 0.45% 500ML INJ #REF!6002321 NACL 0.45%+KCL 20MEQ1LINJ #REF!6002322 NACL 0.9% 1000ML INJ #REF!6002323 NACL 0.9% 100ML INJ #REF!6002324 NACL 0.9% 10ML INJ #REF!6002325 NACL 0.9% 150ML INJ - 6002326 NACL 0.9% 250ML INJ #REF!6002327 NACL 0.9% PF 30ML INJ #REF!6002328 NACL 0.9% 3ML NEB #REF!6002329 NACL 0.9% 500ML INJ #REF!6002330 NACL 0.9% 50ML VIAL INJ #REF!6002331 NACL 0.9% 10ML FLUSH SYRN #REF!6002333 NACL 0.9% 3ML FLUSH PEDIV -

6002334 NACL 0.9%+KCL 20MEQ 1LINJ #REF!6002335 NACL 0.9%+KCL 40MEQ 1LINJ - 6002336 NACL 0.65% 15ML NAS SPRY #REF!6002337 NACL 1GM TAB #REF!6002338 NACL 2% 15ML OP SOL #REF!6002339 NACL 3% 15ML NEB #REF!6002340 NACL 3% 3ML NEB #REF!6002341 NACL 3% 500ML INJ #REF!6002342 NACL 0.65% 45ML NAS SPRY #REF!6002343 NACL 5% 15ML OP SOL - 6002344 NACL 5% 3.5GM OP OINT #REF!6002345 NACL 5% 500ML INJ - 6002346 NACL 23.4% 30ML CONC INJ #REF!6002347 NADOLOL 120MG TAB - 6002348 NADOLOL 20MG TAB #REF!6002349 NADOLOL 40MG TAB #REF!6002350 NADOLOL 80MG TAB - 6002351 NAFCILLIN 100MG/1ML PEDIV #REF!6002352 NAFCILLIN 1GM INJ #REF!6002353 NAFCILLIN 1GM PB #REF!6002354 NAFCILLIN 2GM INJ #REF!6002355 NAFCILLIN 2GM PB - 6002356 NAFCILLIN 500MG INJ #REF!6002357 NAFTIFINE 1% 30GM TOP #REF!6002358 NALBUPHINE 10MG/1ML INJ #REF!6002359 NALBUPHINE 20MG/1ML INJ - 6002360 NALIDIXIC ACID 500MG CAP - 6002361 NALOXONE 0.02MG/ML 1ML IN - 6002362 NALOXONE 0.4MG/ML 10ML IN #REF!6002363 NALOXONE 0.4MG/ML 1ML INJ #REF!6002364 NALOXONE 1MG/ML 10ML INJ - 6002365 NALOXONE 1MG/ML 2ML INJ #REF!6002366 NALOXONE/PENTAZOCINE 50MG #REF!6002367 NALTREXONE 50MG TAB - 6002370 NAPHAZOLIN 0.05% 20ML NSL - 6002371 NAPHAZOLINE 0.012% 15ML O - 6002372 NAPHAZOLINE 0.1% 15ML OPS #REF!6002373 NAPHAZOLINE/ANTAZ 15ML OP #REF!6002374 NAPHAZOLIN/PHENIR 15ML OP #REF!6002375 NAPROXEN 125MG/5ML 10ML - 6002376 NAPROXEN 250MG TAB #REF!6002377 NAPROXEN 275MG TAB #REF!6002378 NAPROXEN 375MG TAB #REF!6002379 NAPROXEN 500MG TAB #REF!6002380 NAPROXEN ER 550MG TAB - 6002381 NATEGLINIDE 120MG TAB #REF!6002382 NATEGLINIDE 60MG TAB #REF!6002383 NEBIVOLOL 20MG TAB - 6002384 NEDOCROMIL 16.2GM INH - 6002385 NEFAZODONE 100MG TAB #REF!6002386 NEFAZODONE 150MG TAB #REF!6002387 NEFAZODONE 200MG TAB - 6002388 NEFAZODONE 250MG TAB -

6002389 NEFAZODONE 50MG TAB #REF!6002390 NELFINAVIR 250MG TAB #REF!6002391 NEO ERYTHROMYCIN INJJG #REF!6002394 SMZ-TMP 5MG/1ML 1ML PEDIV - 6002396 VANCOMYCIN 5MG/1ML PEDIV #REF!6002397 NEO/BAC/POLY 10ML OPSOL #REF!6002398 NEO/BAC/POLY 3000ML IRR - 6002399 NEO/BAC/POLY 500ML IRR - 6002401 NEO/POLY/DEXA 3.5GM OPO #REF!6002402 NEO/POLY/HC 10ML OTIC SOL #REF!6002403 NEO/POLY/HC SUSP 10ML OTI #REF!6002404 NEOM POLY HC OP 0.5% 7.5G #REF!6002406 NEOMYCIN 500MG TAB #REF!6002407 NEOMYCIN SUL 0.5% 30GM OI - 6002408 NEOMYCIN/POLY B GU 1ML #REF!6002409 NEOSTIG 1:1K /0.5MG10MLVL #REF!6002410 NEOSTIG 1:2K 0.5MG/1MLINJ - 6002411 NEOSTIG 0.25MG/1ML INJ - 6002412 NEOSTIGMINE 15MG TAB - 6002413 NESIRITIDE 1.5MG INJJG #REF!6002414 NEUTRAPHOS 50MG/1ML PEDPO #REF!6002415 NEVIRAPINE 200MG TAB #REF!6002416 NIACIN 50MG TAB #REF!6002417 NIACIN 100MG TAB #REF!6002418 NIACIN 500MG TAB #REF!6002419 NIACIN ER 500MG TAB #REF!6002420 NIACIN ER 500MG TAB #REF!6002421 NICARDIPINE 2.5MG/ML 10ML #REF!6002422 NICARDIP 20MG/NS 200MLIV #REF!6002423 NICARDIPINE 20MG CAP - 6002424 NICARDIPINE 30MG CAP - 6002425 NICARDIPINE 40MG/200ML PB - 6002426 NICARDIPINE SR 30MG CAP - 6002427 NICOTINE 14MG PATCH #REF!6002428 NICOTINE 21MG PATCH #REF!6002429 NICOTINE 22MG PATCH - 6002430 NICOTINE 7MG PATCH #REF!6002431 NICOTINE GUM 2MG (EA) TAB #REF!6002432 NIFEDIPINE 10MG CAP #REF!6002433 NIFEDIPINE 20MG CAP #REF!6002434 NIFEDIPINE CC 60MG TAB #REF!6002435 NIFEDIPINE ER 30MG TAB #REF!6002436 NIFEDIPINE XL 60MG TAB - 6002437 NIFEDIPINE XL 90MG TAB #REF!6002438 NIMODIPINE 30MG CAP #REF!6002439 NITAZOXANIDE 500MG TAB #REF!6002440 NITROFURAN 25MG/5ML 5ML #REF!6002441 NITROFURAN 100MG CAP #REF!6002442 NITROFURAN 25MG CAP #REF!6002443 NITROFURAN 50MG CAP #REF!6002444 NITROFURANTN 5MG/ML 20ML - 6002445 NTG 4.9GM 0.4MG/SPRAY SL #REF!6002446 NTG 0.6MG (EA) SL TAB #REF!

6002447 NTG 2% 1GM OINT #REF!6002448 NTG 2% 30GM OINT #REF!6002449 NTG 25MG/250ML PB #REF!6002450 NTG/D5W 50MG/250ML PB #REF!6002451 NTG 5MG/ML 10ML INJ #REF!6002452 NTG SR 2.5MG CAP - 6002453 NTG SR 6.5MG CAP - 6002454 NTG SL 0.3MG (100) TAB #REF!6002455 NTG SL 0.4MG (EA) TAB #REF!6002456 NTG SL 0.4MG (25) TAB - 6002457 NITROPRUSSIDE 50MG/2ML IN #REF!6002458 NIZATIDINE 150MG CAP - 6002461 NO CHARGE DRUG/NON DRUG #REF!6002462 NOREPINEPHRINE 1MG/ML 4ML #REF!6002463 NORETHINDRONE 5MG TAB #REF!6002464 NORFLOXACIN 400MG TAB #REF!6002465 NORGES/E ESTRAD 300/30MCG #REF!6002466 NORTRIPTYLIN 10MG/5ML SOL - 6002467 NORTRIPTYLINE 10MG CAP #REF!6002468 NORTRIPTYLINE 25MG CAP #REF!6002469 NORTRIPTYLINE 50MG CAP #REF!6002470 NORTRIPTYLINE 75MG CAP - 6002471 NTG 0.1MG/HR 2.5MG PATCH #REF!6002472 NTG 0.2MG/HR 5MG PATCH #REF!6002473 NTG 0.3MG/HR 7.5MG PATCH #REF!6002474 NTG 0.4MG/HR 10MG PATCH #REF!6002475 NTG 0.6MG/HR 15MG PATCH #REF!6002477 NYSTATIN 100000U VAG TAB #REF!6002478 NYSTATIN 100KU/1ML PEDPO #REF!6002479 NYSTATIN 15GM CRM #REF!6002480 NYSTATIN 15GM OINT #REF!6002481 NYSTATIN 200000U TROCHE - 6002482 NYSTATIN 100KU/GM 30GMPWD - 6002483 NYSTATIN 500000U TAB - 6002484 NYSTATIN 500KU/5ML SUSP #REF!6002485 NYSTATIN/TRIAMC 15GM CRM #REF!6002486 NYSTATIN/TRIAMC 15GM OINT #REF!6002487 NYSTATIN/TRIAMC 30GM CRM #REF!6002488 NYSTATIN/TRIAMC 30GM OINT #REF!6002489 OCTREOTIDE 0.05MG/ML 1ML #REF!6002490 OCTREOTIDE 0.1MG/ML 1ML #REF!6002491 OCTREOTIDE 0.2MG/ML 5ML #REF!6002492 OCTREOTIDE 0.5MG/ML 1ML #REF!6002493 OCTREOTIDE 20MG DEP KITJG - 6002494 OCTREOTIDE 30MG DEP KITJG - 6002495 OCULAR LUBRICANT 10ML GEL #REF!6002496 OCULAR LUBR 3.5GM OINT OP #REF!6002497 OFLOXACIN 0.3% 5ML OPS #REF!6002498 OLANZAPINE 10MG LYOPH SDV #REF!6002499 OLANZAPINE 10MG TAB #REF!6002500 OLANZAPINE 15MG TAB - 6002501 OLANZAPINE 2.5MG TAB #REF!6002502 OLANZAPINE 5MG TAB #REF!

6002503 OLANZAPINE 7.5MG TAB #REF!6002504 OLANZAPINE 10MG ODT #REF!6002505 OLANZAPINE ODT 5MG TAB #REF!6002506 OLANZAPINE ODT 20MG TAB #REF!6002507 OLOPATADINE 0.1% 5ML OPS #REF!6002508 OLSALAZINE 250MG CAP #REF!6002509 OMEPRAZOLE 10MG EC CAP #REF!6002510 OMEPRAZOLE 20MG EC CAP #REF!6002511 ONDANSETRON /1MG 20ML MDV - 6002512 ONDANSETRON 4MG/2ML SDV #REF!6002515 ONDANSETRON 8MG TAB #REF!6002516 OPIUM 0.4MG/1ML PEDPO - 6002517 OPIUM CAMPH 10MG/5ML LIQ #REF!6002518 OPIUM TINCTURE 0.5ML SOL #REF!6002519 OPRELVEKIN 5MG INJJG #REF!6002520 OSELTAMIVIR 12MG/1ML PDPO - 6002521 OSELTAMIVIR 75MG CAP #REF!6002522 OXACILLIN 100MG/1ML PEDIV #REF!6002523 OXACILLIN 1GM INJ #REF!6002524 OXACILLIN 2GM INJ #REF!6002525 OXACILLIN 500MG INJ - 6002526 OXACILLIN 50MG/1ML PEDIV #REF!6002527 OXALIPLATIN 100MG PWD INJ #REF!6002528 OXALIPLATIN 50MG SDV #REF!6002529 OXANDROLONE 2.5MG TAB #REF!6002530 OXAPROZIN 600MG TAB #REF!6002531 OXAZEPAM 10MG CAP - 6002532 OXAZEPAM 15MG CAP #REF!6002533 OXAZEPAM 30MG CAP #REF!6002534 OXCARBAZEPINE 150MG TAB #REF!6002535 OXCARBAZEPINE 300MG TAB - 6002536 OXYBUTYNIN 5MG TAB #REF!6002537 OXYBUTYNIN XL 5MG TAB #REF!6002538 OXYCODONE IR 5MG TAB #REF!6002539 OXYCODONE CR 10MG TAB #REF!6002540 OXYCODONE CR 20MG TAB #REF!6002541 OXYCODONE CR 40MG TAB #REF!6002542 OXYCODONE CR 80MG TAB #REF!6002543 OXYCODONE IR 15MG TAB - 6002544 OXYCODONE IR 5MG CAP #REF!6002545 OXYMETAZOL 0.025%20ML NAS #REF!6002546 OXYMETAZOL 0.05% 15ML NAS #REF!6002547 OXYMETHOLONE 50MG TAB #REF!6002548 OXYMORPHONE 10MG ER TAB - 6002549 OXYMORPHONE 5MG ER TAB - 6002550 OXYTOCIN 10U/ML 1ML INJ #REF!6002551 OXYTOCIN 15UNITS PB - 6002552 OXYTOCIN 20U LR 1000ML PB - 6002553 OXYTOCIN 30U/500ML PB #REF!6002555 PACLITAX PBP 100MG PWDJG - 6002556 PALIVIZUMAB 100MG INJ JG #REF!6002557 PALIVIZUMAB 50MG INJ JG #REF!6002558 PALONOSETRON 250MCG INJJG #REF!

6002559 PAMIDRONATE 30MG PWD INJ #REF!6002560 PAMIDRONATE 60MG/10ML INJ #REF!6002561 PAMIDRONATE 90MG/10ML SDV - 6002562 PANCURONIUM 1MG/ML 10ML - 6002563 PANCURONIUM 2MG/ML 2ML IN #REF!6002564 PANCURONIUM 2MG/ML 5ML IN #REF!6002565 PANTOPRAZOLE 40MG PWD SDV #REF!6002566 PANTOPRAZOLE EC 40MG TAB #REF!6002567 PANTOPRAZOLE 40MG GRAN #REF!6002568 PAPAIN/UREA/CHLORO 30GM - 6002569 PAPAVERINE 300MG/10ML INJ - 6002570 PAPAVERINE 60MG/2ML INJ #REF!6002571 PAPAVERINE ER 150MG CAP #REF!6002572 PARICALCITOL 1 MCG CAP - 6002573 PAROMOMYCIN 250MG CAP #REF!6002574 PAROXETINE 10MG TAB #REF!6002575 PAROXETINE 20MG TAB #REF!6002576 PAROXETINE 30MG TAB #REF!6002577 PEG-ELECTROLYTE 4L LIQ #REF!6002578 PEGFILGRASTIM 6MG INJJG #REF!6002579 PEMETREXED 500MG INJJG #REF!6002580 PEN G 500000U/ML PEDIV - 6002581 PEN G K 50KU/ML PEDIV #REF!6002582 PEN G BENZ 1.2MILLU 2MLJG #REF!6002583 PEN G BENZ 2.4MILLU 4MLJG #REF!6002584 PEN G BEN600000U 1ML INJG #REF!6002585 PEN G BENZ/PROC 1.2MMUSYR #REF!6002586 PEN G BENZ/PROC 600KU SYR #REF!6002587 PEN G K 1MIL UNITS INJ #REF!6002588 PEN G K 250KU/ML PEDIV - 6002589 PEN G PROC 1.2MIL U 2ML #REF!6002590 PEN G PROC 2.4MIL U 4ML #REF!6002591 PEN G PROC 600KU/ML 1ML #REF!6002593 PENICIL VK 250MG/5ML100ML #REF!6002594 PENICIL VK 125MG/5ML 100M #REF!6002595 PENICILLAMINE 125MG CAP - 6002596 PENICILLAMINE 250MG CAP - 6002598 PEN G K 2MIL UNIT 50ML PB #REF!6002599 PEN G K 5MIL U INJ #REF!6002600 PEN G NA 5MIL U INJ #REF!6002601 PENICILLIN V K 250MG TAB #REF!6002602 PENICILLIN V K 500MG TAB #REF!6002603 PENTAMIDINE 300MG INJ #REF!6002604 PENTAZOCINE 30MG/ML 1MLJG - 6002606 PENTOBARBITAL 100MG CAP #REF!6002607 PENTOBARBIT 50MG/ML 20MJG #REF!6002608 PENTOBAR50MG/ML 2ML INJJG #REF!6002609 PENTOSTATIN 10MG INJ - 6002610 PENTOXIFYLLINE SR 400MG #REF!6002611 PERFLUTREN 13.04MG/2ML IV #REF!6002612 PERGOLIDE 0.05MG TAB - 6002613 PERGOLIDE 0.25MG TAB - 6002614 PERGOLIDE 1MG TAB -

6002615 PERMETHRIN 1% 60ML TOP #REF!6002616 PERMETHRIN 5% 60GM TOP #REF!6002617 PERPHENAZINE 2MG TAB - 6002618 PERPHENAZINE 4MG TAB #REF!6002619 PERPHENAZINE 8MG TAB - 6002623 PHENAZOPYRIDINE 100MG TAB #REF!6002624 PHENAZOPYRIDINE 200MG TAB #REF!6002625 PHENELZINE 15MG TAB #REF!6002626 PHENOBARB 100MG TAB #REF!6002627 PHENOBARB 10MG/1ML PEDIV - 6002628 PHENOBARB 130MG/ML 1ML IN #REF!6002629 PHENOBARB 15MG TAB #REF!6002630 PHENOBARB 20MG/5ML 15ML #REF!6002631 PHENOBARB 20MG/5ML ELIX #REF!6002632 PHENOBARB 20MG/5ML 7.5ML #REF!6002633 PHENOBARB 30MG TAB #REF!6002634 PHENOBARB 4MG/1ML PEDPO - 6002635 PHENOBARB 60MG TAB #REF!6002636 PHENOBARB 65MG/ML 1ML INJ #REF!6002637 PHENOL 1.4% 180ML SPRY #REF!6002638 PHENOL 1.4% 180ML TOP #REF!6002639 PHENOL/MENTHOL LOZ (18) #REF!6002640 PHENOXYBENZAMINE 10MG CAP #REF!6002641 PHENTOLAMINE5MG 1ML INJJG #REF!6002642 PHENY0.25%/MIN/PET/SH28GM - 6002643 PHENYL 0.25%/SHK/COCA SUP #REF!6002644 PHENYL/SULF 0.125-15% 5ML - 6002645 PHENYLEPH 0.125% 15ML NAS #REF!6002646 PHENYLEPH 0.25% 15ML NAS #REF!6002647 PHENYLEPH 0.25% 30ML NAS #REF!6002648 PHENYLEPH 0.5% 15ML NAS D #REF!6002649 PHENYLEPH 0.5% 15ML NAS S #REF!6002650 PHENYLEPH 1% 10MG/ML 1ML #REF!6002651 PHENYLEPH 1% 15ML NAS DRP #REF!6002652 PHENYLEPH 10% 5ML OPS #REF!6002653 PHENYLEPH 2.5% 2ML OPS #REF!6002654 PHENYLEPH 2.5% 3ML OPS - 6002655 PHENYLEPH 2.5% 5ML OPS - 6002656 PHENYLEPH 10% 1ML OPS #REF!6002657 PHENYTOIN 125/5 4ML LIQ #REF!6002658 PHENYTOIN 125MG/5ML PEDPO #REF!6002659 PHENYTOIN ER 30MG CAP - 6002660 PHENYTOIN 50MG CHW TAB #REF!6002661 PHENYTOIN 50MG/ML 2ML INJ #REF!6002662 PHENYTOIN 50MG/ML 5ML INJ #REF!6002663 PHENYTOIN ER 100MG CAP - 6002664 PHOSPHORATED CARBO 120ML - 6002665 PHYSOSTIGMINE 1MG/ML 2ML #REF!6002666 PHYTONADI 1MG/0.5ML PEDIM - 6002667 PILOCARPINE 0.5% 15ML OPS #REF!6002668 PILOCARPINE 1% 15ML OPS #REF!6002669 PILOCARPINE 1% 1ML OP SOL - 6002670 PILOCARPINE 1% 2ML OP SOL #REF!

6002671 PILOCARPINE 2% 15ML OPS #REF!6002672 PILOCARPINE 2% 1ML OP SOL - 6002673 PILOCARPINE 2% 2ML OP SOL #REF!6002674 PILOCARPINE 3% 15ML OPSOL #REF!6002675 PILOCARPINE 4% 15ML OPS #REF!6002676 PILOCARPINE 4% 1ML OPS - 6002677 PILOCARPINE 4% 2ML OP SOL - 6002678 PILOCARPINE 4% 4GM OPGL #REF!6002679 PILOCARPINE 5MG TAB #REF!6002680 PILOCARPINE 6% 15ML OPS #REF!6002681 PINDOLOL 10MG TAB - 6002682 PINDOLOL 5MG TAB - 6002683 PIOGLITAZONE 15MG TAB #REF!6002684 PIOGLITAZONE 30MG TAB - 6002685 PIOGLITAZONE 45MG TAB #REF!6002686 PIPERA/TAZO 2.25GM/50MLPB #REF!6002687 PIPERAC/TAZO 4.5GM/1DL PB - 6002688 PIPERAC/TAZ 20MG/1ML PDIV #REF!6002689 PIPERAC/TAZ 225MG/1MLPDIV - 6002690 PIPER/TAZO 3.375GM/50MLPB #REF!6002692 PIPERACILLIN 200MG/MLPEDI - 6002693 PIPERACILLIN 2GM PWDR INJ - 6002694 PIPERACILLIN 3GM INJ #REF!6002695 PIPERACILLIN 4GM INJ - 6002696 PIPERACIL/TAZO 2.25GM INJ #REF!6002697 PIPERACIL/TAZO 3.375GMINJ #REF!6002698 PIPERACIL/TAZO 4.5GM INJ #REF!6002699 PIROXICAM 10MG CAP #REF!6002700 PIROXICAM 20MG CAP #REF!6002701 PLICAMYCIN 2500MCG INJ #REF!6002703 PNEUMOCOC VACC 13 VALENT #REF!6002704 PNEUMOCOC VACC 23 VALENT #REF!6002705 PODOFILOX 0.5% 3.5ML TOP #REF!6002706 PODOPHYLIUM RESIN 25% 15M #REF!6002707 PODOPHYLLUM 30ML SOL #REF!6002709 POLIO VACC(INACTIVE) 0.5M #REF!6002710 POLYCARBOPHIL 500MG CHW - 6002711 POLYCARBOPHIL 625MG TAB - 6002712 PEG 17GM PWDR #REF!6002713 POLYMYXIN B 500000U INJ #REF!6002714 POLYMYXIN/TRIMETH 10ML OP #REF!6002715 POLYVNY/PROV 1.4/.6% .3ML - 6002716 PORACTANT 120MG/1.5ML IT #REF!6002717 PORACTANT 240MG/3ML IT #REF!6002718 K BICARB/CHLOR 25MEQ EFF #REF!6002719 K IODIDE 5% 15ML SOL #REF!6002720 K PHOSPHATE PWDR PKT #REF!6002722 PRALIDOXIME CL 1GM INJ - 6002723 PRAMIPEXOLE 0.125MG TAB #REF!6002724 PRAMIPEXOLE 0.25MG TAB #REF!6002725 PRAMIPEXOLE 0.5MG TAB #REF!6002726 PRAMIPEXOLE 1.5MG TAB #REF!6002727 PRAMIPEXOLE 1MG TAB -

6002728 PRAMOX/MIN 1-12.5% 28GM - 6002729 PRAMOXINE/HC 1% 10GM FOAM #REF!6002730 PRAMOX/HC 1-2.5% 28GM CRM - 6002731 PRAMOXINE/HC 2.5% 30GMCRM - 6002732 PRAMOXINE/ZINC 30GM TOP - 6002733 PRASUGREL 10MG TAB #REF!6002734 PRASUGREL 35MG TAB #REF!6002735 PRASUGREL 5MG TAB #REF!6002736 PRASUGREL 60MG TAB #REF!6002737 PRAVASTATIN 10MG TAB #REF!6002738 PRAVASTATIN 20MG TAB #REF!6002739 PRAZIQUANTEL 600MG TAB #REF!6002740 PRAZOSIN 1MG CAP #REF!6002741 PRAZOSIN 2MG CAP #REF!6002742 PRAZOSIN 5MG CAP #REF!6002743 PREDNISOL 1MG/1ML 5ML LIQ #REF!6002744 PREDNISOL 15MG/5ML LIQ #REF!6002745 PREDNISOL/NEO/POLY 5ML OP - 6002746 SULFAC/PRED 0.2/10% 5MLOP #REF!6002747 SULFAC/PREDNISOL 10ML OPS #REF!6002748 SULFAC/PRED 0.2%3.5GM OPO #REF!6002749 PREDNISOL 0.12% 10ML OPS #REF!6002750 PREDNISOL 0.12% 5ML OPS #REF!6002751 PREDNISOL ACE 1% 10ML OPS #REF!6002752 PREDNISOL ACE 1% 15ML OPS - 6002753 PREDNISOL ACE 1% 5ML OPS #REF!6002754 PREDNISOL/GENT 5ML OPS - 6002755 PREDNISONE 10MG TAB #REF!6002756 PREDNISONE 1MG TAB #REF!6002757 PREDNISONE 1MG/ML 1ML PED #REF!6002758 PREDNISONE 2.5MG TAB #REF!6002759 PREDNISONE 20MG TAB #REF!6002760 PREDNISONE 50MG TAB - 6002761 PREDNISONE 5MG TAB #REF!6002762 PREDNISONE SOL 5MG/5ML 5M #REF!6002763 PREGABALIN 100MG CAP - 6002764 PREGABALIN 25MG CAP #REF!6002765 PREGABALIN 50MG CAP #REF!6002766 PREGABALIN 75MG CAP #REF!6002767 PRIMAQUINE PHOS 26.3MG #REF!6002768 PRIMIDONE 250MG TAB #REF!6002769 PRIMIDONE 50MG TAB #REF!6002770 PROBENECID 500MG TAB #REF!6002771 PROBENECID/COLCH 500/0.5M #REF!6002772 PROCAINAMIDE 100MG/ML 10M - 6002773 PROCAINAMIDE 250MG CAP - 6002774 PROCAINAMIDE 375MG CAP #REF!6002775 PROCAINAMIDE 500MG CAP - 6002776 PROCAINAMIDE 500MG/ML 2ML #REF!6002777 PROCAINAMIDE ER 1000MG TB - 6002778 PROCAINAMIDE ER 750MG TAB #REF!6002779 PROCAINAMIDE SR 1GM BID T - 6002780 PROCAINAMIDE SR 250MG TAB #REF!

6002781 PROCAINAMIDE SR 500MG TAB #REF!6002782 PROCAINE 1% 30ML INJ - 6002783 PROCARBAZINE 50MG CAP - 6002784 PROCHLORPER 25MG SUPP #REF!6002785 PROCHLORPER 5MG/ML 2ML IN #REF!6002786 PROCHLORPERAZINE 10MG TAB #REF!6002787 PROCHLORPER 2.5MG SUPP #REF!6002788 PROCHLORPERAZINE 5MG SUPP #REF!6002789 PROCHLORPERAZINE 5MG TAB #REF!6002790 PROCHLORPERAZ 5MG/5ML SYR #REF!6002791 PROCHLORPERAZINE SR 15MG - 6002792 PROGESTER/OIL 50MG/ML 10M #REF!6002793 PROGESTERONE 100MG VAG SU #REF!6002794 PROMAZINE 50MG/ML 1ML INJ #REF!6002795 PROMETH/COD 120ML SYRP - 6002796 PROMETH/COD 6.25-10/5 5ML #REF!6002797 PROMETH/DEXT 118ML SYRP #REF!6002798 PROMETH/PHENYL 5ML SYRP #REF!6002799 PROMETH/PHEN 6.25/5/5 120 #REF!6002800 PROMETH/PHENYL/COD 120ML #REF!6002801 PROMETHAZ 6.25MG/5ML 120M #REF!6002802 PROMETHAZIN 6.25MG/5MLLIQ #REF!6002803 PROMETHAZINE 12.5MG SUPP #REF!6002804 PROMETHAZINE 25MG INJ #REF!6002805 PROMETHAZINE 25MG SUPP #REF!6002806 PROMETHAZINE 25MG TAB #REF!6002807 PROMETHAZINE 50MG TAB #REF!6002808 PROPAFENONE 150MG TAB #REF!6002809 PROPAFENONE 300MG TAB - 6002810 PROPANTHELINE 15MG TAB - 6002811 PROPARACAIN 0.5% 15ML OPS #REF!6002812 PROPARACAINE 0.5% 2ML OPS - 6002813 PROPOFOL 10MG/ML 100MLINJ #REF!6002814 PROPOFOL 10MG/ML 20ML INJ #REF!6002815 PROPOFOL 10MG/ML 50ML INJ #REF!6002816 PROPRANOLOL 10MG TAB #REF!6002817 PROPRANOLOL 1MG/ML 1ML IN #REF!6002818 PROPRANOLOL 1MG/1ML PEDPO #REF!6002819 PROPRANOLOL 20MG TAB #REF!6002820 PROPRANOLOL 20MG/5ML 5ML #REF!6002821 PROPRANOLOL 40MG TAB #REF!6002822 PROPRANOLOL 4MG/1ML PEDPO #REF!6002823 PROPRANOLOL 60MG TAB - 6002824 PROPRANOLOL 80MG TAB #REF!6002825 PROPRANOLOL LA 120MG CAP - 6002826 PROPRANOLOL LA 160MG CAP - 6002827 PROPRANOLOL LA 60MG CAP - 6002828 PROPRANOLOL LA 80MG CAP - 6002829 PROPYLTHIOURACIL 50MG TAB #REF!6002830 PROTAMINE SULF 10MG/ML 5M #REF!6002831 PROTAMINE SULF 10MG/ML25M #REF!6002832 PROTIRELIN 500MCG/ML INJ #REF!6002833 PROTRIPTYLINE 10MG TAB #REF!

6002834 PROTRIPTYLINE 5MG TAB #REF!6002835 PSEUD 30MG/5ML 5ML SYRP #REF!6002836 PSEUDOEPH/TRIPROL 60/2.5 #REF!6002837 PSEUDOEPHED SR 120MG TAB - 6002838 PSEUDOEPHEDRINE 30MG TAB #REF!6002839 PSEUDOEPHEDRINE 60MG TAB #REF!6002840 PSYLLIUM 3.4GM SF PWDR #REF!6002841 PSYLLIUM 100% SF PWDR PKT #REF!6002842 PYRAZINAMIDE 500MG TAB #REF!6002843 PYRIDOSTIGMINE 5MG/ML 2ML - 6002844 PYRIDOSTIGMINE 60MG TAB #REF!6002845 PYRIDOSTIGMN 60MG/5ML PED - 6002846 PYRIDOSTIGMINE SR 180MG T - 6002847 PYRIMETHAMINE 25MG TAB #REF!6002848 PYRIMETHAMNE-SULFA 500-25 #REF!6002849 PYRITHIONE ZN 120ML SHAMP - 6002850 QUETIAPINE FUM 100MG TAB #REF!6002851 QUETIAPINE FUM 200MG TAB #REF!6002852 QUETIAPINE FUM 25MG TAB #REF!6002853 QUETIAPINE 200MG ER TAB #REF!6002854 QUINAPRIL 10MG TAB #REF!6002855 QUINAPRIL 20MG TAB #REF!6002856 QUINAPRIL 40MG TAB #REF!6002857 QUINAPRIL 5MG TAB #REF!6002858 QUINIDINE GLUC 80MG/ML10M #REF!6002859 QUINIDINE GLUC SR 324MG #REF!6002860 QUINIDINE SULF 200MG TAB #REF!6002861 QUINIDINE SULF 300MG TAB #REF!6002862 QUINIDINE SULF SR 300MG #REF!6002863 QUININE SULF 200MG CAP #REF!6002864 QUININE SULF 260MG TAB #REF!6002865 QUININE SULF 325MG CAP #REF!6002867 QUINUPR/DALFO 500MG SDVJG #REF!6002868 RABEPRAZOLE EC 20MG TAB - 6002869 RABIES IMMGLOB150U 10MLJG #REF!6002870 RABIES IMM GLOB 150U 2MJG #REF!6002871 RABIES VACC 2.5IU/ML 1ML #REF!6002872 RALOXIFENE 60MG TAB #REF!6002873 RAMIPRIL 1.25MG CAP #REF!6002874 RAMIPRIL 2.5MG CAP #REF!6002875 RAMIPRIL 5MG CAP #REF!6002876 RANITIDINE 150MG TAB #REF!6002877 RANITIDINE 150MG/10ML LIQ #REF!6002878 RANITIDIN 15MG/ML 1ML PED #REF!6002879 RANITIDINE 1MG/1ML PEDIV - 6002880 RANITIDINE 50MG/2ML INJ #REF!6002881 RANITIDINE 150MG/6ML INJ - 6002882 RANITIDINE 300MG TAB - 6002883 RANOLAZINE ER 500MG TAB #REF!6002884 RASBURICASE LYO1.5MGSDVJG - 6002885 REGADENOSON 0.4MG/5ML INJ #REF!6002886 REMIFENTANIL 1MG INJ - 6002887 REPAGLINIDE 1MG TAB -

6002888 REPAGLINIDE 2MG TAB - 6002889 RESERPINE 0.1MG TAB - 6002890 RESERPINE 0.25MG TAB - 6002892 IG RHO-D SD 5000U INJJG #REF!6002893 IG RHO-D SD 600U INJJG - 6002894 IG RHO-D 300MCG INJ #REF!6002895 RIBAVIRIN 200MG CAP #REF!6002896 RIBOFLAVIN 100MG TAB - 6002897 RIFABUTIN 150MG CAP #REF!6002898 RIFAMPIN 10MG/ML 1ML PEDP #REF!6002899 RIFAMPIN 10MG/ML 30ML SUS #REF!6002900 RIFAMPIN 150MG CAP #REF!6002901 RIFAMPIN 300MG CAP #REF!6002902 RIFAMPIN 3MG/1ML PEDIV #REF!6002903 RIFAMPIN 600MG INJ #REF!6002904 RIFAMPIN 60MG/ML PEDIV - 6002905 RIFAXIMIN 200MG TAB #REF!6002906 RILUZOLE 50MG TAB #REF!6002907 RISEDRONATE 30MG TAB #REF!6002908 RISEDRONATE 35MG TAB #REF!6002909 RISEDRONATE 5MG TAB #REF!6002910 RISPERIDONE 0.25MG TAB - 6002911 RISPERIDONE 0.5MG TAB #REF!6002912 RISPERID LA 25MG/2MLINJJG #REF!6002913 RISPERIDONE 1MG TAB #REF!6002914 RISPERIDONE 1MG/ML 30ML - 6002915 RISPERIDONE 1MG/ML PEDPO #REF!6002916 RISPERIDONE 2MG TAB - 6002917 RISPERIDONE 3MG TAB #REF!6002918 RISPERIDONE 4MG TAB - 6002919 RISPERIDONE ODT 0.5MG TAB - 6002920 RISPERIDONE ODT 1MG TAB - 6002921 RITODRINE 10MG/ML 5ML INJ #REF!6002922 RITODRINE 150 MG/10 ML IN - 6002923 RITONAVIR 100MG CAP #REF!6002924 RITONAVIR 400MG/5ML LIQ #REF!6002925 RITUXIM 10MG/ML 10MLSDVJG #REF!6002926 RITUXIM 10MG/ML 50ML INJG #REF!6002927 RIVASTIGMINE 1.5MG CAP #REF!6002928 RIVASTIGMINE 3MG CAP #REF!6002929 RIVASTIGMINE 4.6MG/24HR - 6002930 RIVASTIGMINE 9.5MG/24HR - 6002931 ROCURONIUM 10MG/ML 5ML IN #REF!6002932 ROPINIROLE 0.25MG TAB #REF!6002933 ROPINIROLE 0.5MG TAB #REF!6002934 ROPINIROLE 2MG TAB - 6002935 ROPINIROLE 3MG TAB #REF!6002936 ROPIVACAINE 100MG/10MLINJ #REF!6002937 ROPIVACAINE 200MG/1DL INJ #REF!6002938 ROPIVACAINE 400MG/2DL INJ #REF!6002939 ROSIGLITAZONE 2MG TAB - 6002940 ROSIGLITAZONE 4MG TAB #REF!6002941 ROSIGLITAZONE 8MG TAB #REF!

6002943 SACCHAROMYCES 250MG CAP - 6002944 SALICYLIC/BENZALK 120ML - 6002945 SALIVA SUBSTITUTE 120ML #REF!6002946 SALIVA SUBSTITUTE 30ML SP - 6002947 SALMETEROL 13GM MDI - 6002948 SALMETEROL 50MCG/IH 28DSK #REF!6002949 SALSALATE 500MG TAB #REF!6002950 SALSALATE 750MG TAB #REF!6002951 SAQUINAVIR 200MG CAP #REF!6002952 SAQUINAVIR MESYL 200MG #REF!6002953 SARGRAMOSTIM 250MCG INJJG #REF!6002955 SCOPOLAMINE 0.25% 5ML OPS #REF!6002958 SECOBARBITAL 100MG CAP #REF!6002959 SECRETIN (HUMAN) 16MCG #REF!6002960 SELEGILINE 9MG/24HR PAT #REF!6002961 SELENIUM SUL 1% 210ML TOP - 6002962 SELENIUM SU 2.5% 120MLTOP #REF!6002963 SENNA/DOC 187/50 TAB - 6002964 SENNA/DOC 8.6MG/50MG TAB #REF!6002965 SENNOSIDES 15MG TAB - 6002966 SENNOSIDES 8.6MG TAB #REF!6002967 SENNOSIDES 8.8MG/5ML SOL #REF!6002968 SERTALINE20MG/ML CONC60ML - 6002969 SERTRALINE 100MG TAB #REF!6002970 SERTRALINE 50MG TAB #REF!6002971 SEVELAMER 400MG TAB - 6002972 SEVELAMER 403MG CAP #REF!6002973 SEVELAMER HCL 800MG TAB #REF!6002975 SILDENAFIL 2.5MG/ML PEDPO #REF!6002976 SILDENAFIL 20MG TAB #REF!6002977 SILDENAFIL 25MG TAB - 6002979 SILVER SULFAD 1% 400GMCRM #REF!6002980 SILVER SULFAD 1% 50GM CRM #REF!6002981 SIMETHICONE 125MG CHW TAB - 6002982 SIMETHICNE40MG/0.6ML 30ML #REF!6002983 SIMETHICONE 80MG CHW TAB #REF!6002985 SIMVASTATIN 10MG TAB #REF!6002986 SIMVASTATIN 20MG TAB #REF!6002987 SIMVASTATIN 40MG TAB #REF!6002988 SIMVASTATIN 5MG TAB #REF!6002989 SINCALIDE 0.1MCG/1MLPEDIV - 6002990 SINCALIDE 5MCG SDV - 6002991 SIROLIMUS 1MG TAB #REF!6002992 SITAGLIPTIN 100MG TAB #REF!6002993 SITAGLIPTIN 25MG TAB #REF!6002994 SITAGLIPTIN 50MG TAB #REF!6002997 SOD PHOS/BIPHOS 45ML SOL #REF!6002998 SOD PHOS/BIPHOS 66ML ENEM #REF!6002999 SOD PHOS/BIPHOS 90ML SOL #REF!6003000 SOLIFENACIN 5MG TAB - 6003001 SOMATROPIN 6MG INJ #REF!6003002 SORBITOL 70% 30ML SOL #REF!6003003 SOTALOL 80MG TAB #REF!

6003004 SPECTINOMYCIN 2GM INJ #REF!6003005 SPIRONOLACTONE 100MG TAB - 6003006 SPIRONOLACT 1MG/1ML PEDPO - 6003007 SPIRONOLACTONE 25MG TAB #REF!6003008 SPIRONOLACTO 2MG/1ML PDPO - 6003009 SPIRONOLACTONE 50MG TAB #REF!6003010 SPIRONOLACTONE/HCTZ 25/25 #REF!6003011 STAVUDINE 20MG CAP #REF!6003012 STAVUDINE 30MG CAP #REF!6003013 STAVUDINE 40MG CAP #REF!6003014 STERILE TALC 4GM PWD #REF!6003015 STERLE TALC5GM INTRAPLEUR - 6003016 STREPTOMYCIN 1GM/2.5ML IN #REF!6003017 SUCCINYLCHL 200MG/10MLINJ #REF!6003018 SUCRALFATE 1GM TAB #REF!6003019 SUCRALFATE 1GM/10ML 10ML #REF!6003020 SUFENTANIL 50MCG/ML 1ML #REF!6003021 SUFENTANIL 50MCG/ML 2ML #REF!6003022 SUFENTANIL 50MCG/ML 5ML - 6003023 SULFAC PRED 10-0.25% 10ML #REF!6003024 SULFACETAMIDE 10% 5ML OPS #REF!6003025 SULFACETAMIDE 10%15ML OPS #REF!6003026 SULFACETAM 10% 1ML OPS - 6003027 SULFACETAM 10% 3.5GM OPO #REF!6003028 SULFACET NA 30% 15ML OPS #REF!6003029 SULFADIAZINE 500MG TAB #REF!6003030 SMZ-TMP 200-40MG/5ML SUS #REF!6003031 SMZ-TMP 8MG/1ML PEDPO #REF!6003032 SMZ-TMP 400-80MG/5ML SDV #REF!6003033 SMZ-TMP 400/80MG TAB #REF!6003034 SMZ-TMP 800/160MG TAB #REF!6003035 SULFANILAMD 120GM VAG CRM #REF!6003036 SULFASALAZINE 500MG TAB #REF!6003037 SULFASALAZIN EC 500MG TAB #REF!6003038 SULFISOXAZOLE 500MG TAB - 6003039 SULINDAC 150MG TAB #REF!6003040 SULINDAC 200MG TAB #REF!6003041 SUMATRIPTAN 20MG NAS SPRY - 6003042 SUMATRIPTAN 25MG TAB #REF!6003043 SUMATRIPTAN 50MG TAB #REF!6003044 SUMATRIPTAN 5MG NAS SPRY - 6003045 SUMATRIPTAN 6MG/0.5ML INJ #REF!6003046 TACROLIMUS 0.5MG CAP #REF!6003047 TACROLIMUS 1MG CAP #REF!6003048 TAMOXIFEN 10MG TAB #REF!6003049 TAMSULOSIN 0.4MG CAP #REF!6003050 TAPENTADOL 50MG TAB - 6003051 TDAP 0.5ML >=7YR IM #REF!6003052 TEMAZEPAM 15MG CAP #REF!6003053 TEMAZEPAM 30MG CAP #REF!6003054 TEMAZEPAM 7.5MG CAP #REF!6003055 TEMOZOLOMIDE 100MG CAP #REF!6003056 TEMOZOLOMIDE 20MG CAP #REF!

6003057 TEMOZOLOMIDE 250MG CAP - 6003058 TEMOZOLOMIDE 5MG CAP - 6003059 TENECTEPLASE 50MG INJJG #REF!6003060 TENOFOVIR 300MG TAB #REF!6003061 TERAZOSIN 1MG CAP #REF!6003062 TERAZOSIN 2MG CAP #REF!6003063 TERAZOSIN 5MG CAP #REF!6003064 TERAZOSIN 5MG TAB #REF!6003065 TERBINAFINE 1% 15GM CRM - 6003066 TERBINAFINE 250MG TAB #REF!6003067 TERBUTALINE 1MG/ML 1ML IN #REF!6003068 TERBUTALINE 2.5MG TAB #REF!6003069 TERBUTALINE 5MG TAB #REF!6003070 TERCONAZOLE 0.4% 45GM VAG - 6003071 TERCONAZOLE 0.8% 20GM VAG - 6003072 TERCONAZOLE 80MG (3) VAG #REF!6003073 TERIPARAT 750MCG/3ML PEN - 6003074 TESTOST AQ 100MG/ML 10ML #REF!6003075 TESTOST CYP 100MG/ML 10ML #REF!6003078 TESTOSTERONE 1% 2.5GM TOP #REF!6003079 TESTOSTER 2.5MG/24HRPATCH - 6003080 TESTOSTER 5MG/24HR PATCH #REF!6003081 TET/DIP PFVACC 0.5ML>=7YR #REF!6003082 IG TETANUS 250U SYRNJG #REF!6003084 TETRACAINE 0.5% 1ML OPS #REF!6003085 TETRACAINE 0.5% 2ML OPS #REF!6003086 TETRACAINE 1% 2ML INJ #REF!6003087 TETRACAINE 2% 118ML TOP #REF!6003088 TETRACAINE 2% 30ML TOP #REF!6003089 TETRACYCLINE 250MG CAP #REF!6003090 TETRACYCLINE 500MG CAP #REF!6003091 TETRAHYDROZ 0.05% 15ML OP #REF!6003092 THALIDOMIDE 50MG CAP - 6003093 THEOPH 160MG/30ML ELIX - 6003094 THEOPH 80MG/15ML 15ML ELX #REF!6003095 THEOPHYLLIN ER 300MG(8-24 #REF!6003096 THEOPHYLLIN TR 100MG(8-12 #REF!6003097 THEOPHYLLIN TR 250MG(8-12 - 6003098 THEOPHYLLINE 200MG CAP #REF!6003099 THEOPHYLLINE ER 100MG TAB #REF!6003100 THEOPHYLLINE ER 125MG CAP #REF!6003101 THEOPHYLLINE ER 200MG TAB #REF!6003102 THEOPHYLLINE TR 400MG(24H - 6003103 THEOPHYLLINE ER 50MG CAP #REF!6003104 THEOPHYLLINE ER 75MG CAP #REF!6003105 THEOPHYLLINE TR 100MG(24H - 6003106 THIABENDAZ 500MG CHW TAB - 6003107 THIETHYLPERAZINE 10MG TAB - 6003108 THIETHYLPERAZINE 2ML INJ - 6003109 THIOGUANINE 40MG TAB - 6003110 THIOPENTAL 500MG INJ #REF!6003111 THIORIDAZINE 100MG TAB - 6003112 THIORIDAZINE 100MG/1MLSOL #REF!

6003113 THIORIDAZINE 10MG TAB #REF!6003114 THIORIDAZINE 15MG TAB #REF!6003115 THIORIDAZINE 200MG TAB - 6003116 THIORIDAZINE 25MG TAB #REF!6003117 THIORIDAZINE 30MG/ML 5ML #REF!6003118 THIORIDAZINE 50MG TAB #REF!6003119 THIOTEPA 15MG INJJG #REF!6003120 THIOTHIXENE 10MG CAP #REF!6003121 THIOTHIXENE 1MG CAP #REF!6003122 THIOTHIXENE 20MG CAP - 6003123 THIOTHIXENE 2MG CAP #REF!6003124 THIOTHIXENE 5MG CAP #REF!6003125 THIOTHIXENE 5MG/ML 2ML IN - 6003126 THROMBIN 10000U PWDR - 6003127 THROMBIN 20000U PWDR - 6003128 THROMBIN 5000U PWDR #REF!6003129 THYROID 120MG (2GR) TAB #REF!6003130 THYROID 15MG (1/4GR) TAB #REF!6003131 THYROID 180MG (3GR) TAB - 6003132 THYROID 240MG (4GR) TAB - 6003133 THYROID 30MG (1/2GR) TAB #REF!6003134 THYROID 60MG (1GR) TAB #REF!6003135 TIAGABINE 16MG TAB - 6003136 TIAGABINE 2MG TAB - 6003137 TIAGABINE 4MG TAB - 6003138 TICAR/CLAV 200MG/ML PEDIV - 6003139 TICARCIL/CLAV 3.1GM 100ML #REF!6003140 TICARCIL/CLAV 3.1GM INJ #REF!6003141 TICLOPIDINE 250MG TAB #REF!6003142 TIGECYCLINE50MG PWD SDVJG #REF!6003143 TIMOLOL 0.25% 5ML OP SOL #REF!6003144 TIMOLOL 0.5% 5ML OP SOL #REF!6003145 TIMOLOL 5MG TAB - 6003146 TIOTROPIUM 18MCG INH EACH #REF!6003147 TIROFIBAN250MCG/ML 50MLJG #REF!6003148 TIZANIDINE 4MG TAB - 6003149 SMZ-TMP 800-160MG/10MLINJ #REF!6003150 TOBRAMY/DEXAMETH 5ML OPS #REF!6003151 TOBRAMYCIN 0.3% 5ML OPS #REF!6003152 TOBRAMYCIN 1.2GM PWDR INJ #REF!6003153 TOBRAMYCIN 20MG/2ML INJ #REF!6003154 TOBRAMYCIN 0.3% 3.5GM OPO #REF!6003155 TOBRAMYCIN 300/5ML NEB - 6003156 TOBRAMYCIN 40MG/ML 2ML IN #REF!6003157 TOBRAMYCIN 40MG/ML PEDIV - 6003158 TOBRAMYCIN/DEX 3.5GM OPO #REF!6003159 TOLAZAMIDE 100MG TAB #REF!6003160 TOLAZAMIDE 250MG TAB #REF!6003161 TOLAZAMIDE 500MG TAB #REF!6003163 TOLBUTAMIDE 500MG TAB #REF!6003164 TOLCAPONE 100MG TAB - 6003165 TOLNAFTATE 1% 100GM TOPSO - 6003166 TOLNAFTATE 1% 10ML SOL #REF!

6003167 TOLNAFTATE 1% 15GM TOP #REF!6003168 TOLNAFTATE 1% 30GM TOP #REF!6003169 TOLNAFTATE 1% 45GM PWDR #REF!6003170 TOLTERODINE 1MG TAB - 6003171 TOLTERODINE 2MG TAB #REF!6003172 TOLTERODINE LA 2MG CAP #REF!6003173 TOLTERODINE LA 4MG CAP - 6003174 TOPIRAMATE 100MG TAB #REF!6003175 TOPIRAMATE 15MG CAP - 6003176 TOPIRAMATE 200MG TAB #REF!6003177 TOPIRAMATE 25MG TAB #REF!6003178 TOPIRIMATE 50MG TAB #REF!6003179 TOPOTECAN HCL 4MG SDV #REF!6003180 TORSEMIDE 100MG TAB #REF!6003181 TORSEMIDE 10MG/ML 2ML INJ - 6003182 TORSEMIDE 10MG/ML 5ML INJ - 6003183 TORSEMIDE 20MG TAB #REF!6003184 TPN 1000ML IV #REF!6003185 TPN 300ML PEDIV #REF!6003186 TPN CLINIM 4.25/10 2L INJ #REF!6003187 TPN CLINIMIX 4.25/20%2LIV #REF!6003188 TPN 4.25/5% 1000ML INJ #REF!6003189 TPN CLINIMIX 5/15 1L INJ #REF!6003190 TRACE METALS MTE-4 5ML IN - 6003191 TRACE MET MTE-4 CON 1MLIV #REF!6003192 TRACE METALS 3ML PEDIV #REF!6003193 TRAMADOL 50MG TAB #REF!6003194 TRANYLCYPROMINE 10MG TAB #REF!6003196 TRAVOPROST 0.004% 2.5MLOP #REF!6003197 TRAZODONE 100MG TAB #REF!6003198 TRAZODONE 150MG TAB - 6003199 TRAZODONE 300MG TAB - 6003200 TRAZODONE 50MG TAB #REF!6003201 TRETINOIN 0.01% 45GM TOP - 6003202 TRETINOIN 0.025% 20GM TOP - 6003203 TRETINOIN 0.025% 45GM TOP - 6003204 TRETINOIN 0.05% 20GM TOP - 6003205 TRETINOIN 0.05% 28ML SOL - 6003206 TRETINOIN 0.1% 20GM TOP - 6003207 TRETINOIN 10MG CAP - 6003208 TRIAMCIN 55MCG/INH 10GM N - 6003209 TRIAMCIN 0.025% 15GM OINT #REF!6003210 TRIAMC ACE 0.025% 80GMCRM #REF!6003211 TRIAMCIN ACE 0.1% 15GM CR #REF!6003212 TRIAMCIN ACE 0.1% 15GMOIN #REF!6003213 TRIAMCIN ACE 0.1% 60MLLOT #REF!6003214 TRIAMCIN ACE 0.5% 15GM CR #REF!6003215 TRIAMCIN ACE 20GM INH #REF!6003216 TRIAMCIN ACE 63GM SPRAY - 6003217 TRIAMCIN ACE 10MG/ML 5ML #REF!6003218 TRIAMCIN ACE 40MG/ML 1ML #REF!6003219 TRIAMCIN ACE 40MG/ML 5ML #REF!6003220 TRIAMCIN DI 40MG/ML 1ML -

6003221 TRIAMC ACE PF40MG/MLOPJG #REF!6003222 TRIAMCIN ACE 0.1% 15ML - 6003223 TRIAMCINOLONE 5GM TOP PST #REF!6003224 TRIAMCINOLON ACE 60ML TOP #REF!6003225 TRIAMTERENE 100MG CAP - 6003226 TRIAMTERENE 50MG CAP - 6003227 TRIAMTERENE/HCTZ 37.5/25M #REF!6003228 TRIAMTERENE/HCTZ 37.5/25M #REF!6003229 TRIAMTERENE/HCTZ 50/25MG - 6003231 TRIAMTERENE/HCTZ 75/50MG #REF!6003232 TRIAZOLAM 0.125MG TAB #REF!6003233 TRIAZOLAM 0.25MG TAB #REF!6003234 TRIETHANOLAM 10% 6ML OTO #REF!6003235 TRIFLUOPERAZINE 10MG TAB - 6003236 TRIFLUOPERAZINE 1MG TAB #REF!6003237 TRIFLUOPERAZINE 2MG TAB #REF!6003238 TRIFLUOPERAZINE 5MG TAB #REF!6003239 TRIFLURIDINE 1% 7.5ML OPS #REF!6003240 TRIHEXYPHENIDYL 2MG TAB #REF!6003241 TRIHEXYPHENIDY 2MG/5MLSOL - 6003242 TRIHEXYPHENIDYL 5MG TAB #REF!6003243 TRIMETHOBENZ 100MG CAP #REF!6003244 TRIMETHOBENZ 100MG/ML 2ML #REF!6003245 TRIMETHOBENZ 250MG CAP #REF!6003246 TRIMETHOBENZAMIDE 300MG #REF!6003247 TRIMETHOPRIM 100MG TAB #REF!6003248 TRIMIPRAMINE 25MG CAP - 6003249 TRIMIPRAMINE 50MG CAP - 6003250 TRIPLE SULFA 78GM VAG CRM #REF!6003251 TRIPROLIDINE/PSE 10ML LIQ #REF!6003252 TROLAMINE 10% 60GM TOP - 6003253 TROMETHAM 18GM/500ML INJ #REF!6003254 TROPICAMIDE 0.5% 15ML OPS #REF!6003255 TROPICAMIDE 1% 15ML OPS #REF!6003256 TROPICAMIDE 1% 3ML OP SOL #REF!6003257 TRYPAN BL 0.06% 0.5MLOPIN - 6003258 TRYPS/BALSAM/CASTOR 120GM - 6003260 TUBERCULIN 5TU/0.1ML 0.1M #REF!6003261 TUBOCURARINE 3MG/ML 10ML #REF!6003262 TUBOCURARINE 3MG/ML 1ML - 6003263 TUBOCURARINE 3MG/ML 20ML #REF!6003264 UNDECYLENATE 30GM OINT #REF!6003265 UNDECYLENATE 90GM PWDR - 6003266 URSODIOL 20MG/1ML PEDPO - 6003267 URSODIOL 300MG CAP #REF!6003268 URSODIOL 60MG/ML 1ML PEDP #REF!6003269 VALACYCLOVIR 1000MG TAB #REF!6003270 VALACYCLOVIR 500MG TAB #REF!6003271 VALGANCICLOVIR 450MG TAB #REF!6003273 VALPROIC AC 500MG/5ML INJ #REF!6003274 VALPROIC ACID 250MG CAP #REF!6003275 VALSARTAN 160MG TAB #REF!6003276 VALSARTAN 320MG TAB #REF!

6003277 VALSARTAN 40MG TAB #REF!6003278 VALSARTAN 80MG TAB #REF!6003279 VANCOMYCIN 10MG/ML PEDPO - 6003280 VANCOMYCIN 125MG CAP - 6003281 VANCOMYCIN 125MG/10ML SUS - 6003282 VANCOMYCIN 1GM INJ #REF!6003283 VANCOMYCIN 500MG INJ #REF!6003284 VANCOMYCIN 50MG/ML PEDIV - 6003285 VANCOMYCIN 50MG/ML 15MLOP - 6003286 VARICELLA VAC 0.5ML INJ #REF!6003287 VARICELLA VACPF1350U/0.5 - 6003288 VASOPRESSIN 20U/ML 1ML IN #REF!6003289 VECURONIUM 10MG LYOPH SDV #REF!6003290 VECURONIUM 1MG/1ML PEDIV - 6003291 VENLAFAXINE 100MG TAB - 6003292 VENLAFAXINE 25MG TAB #REF!6003293 VENLAFAXINE 37.5MG TAB #REF!6003294 VENLAFAXINE 50MG TAB #REF!6003295 VENLAFAXINE 75MG TAB - 6003296 VENLAFAXINE ER 150MG CAP #REF!6003297 VENLAFAXINE ER 37.5MG CAP #REF!6003298 VENLAFAXINE ER 75MG CAP #REF!6003299 VERAPAMIL 120MG TAB #REF!6003300 VERAPAMIL 40MG TAB #REF!6003301 VERAPAMIL 5MG/2ML 2ML INJ #REF!6003302 VERAPAMIL 80MG TAB #REF!6003303 VERAPAMIL ER 180MG TAB #REF!6003304 VERAPAMIL ER 120MG CAP #REF!6003305 VERAPAMIL ER 120MG TAB #REF!6003306 VERAPAMIL ER 180MG CAP - 6003307 VERAPAMIL ER 240MG CAP - 6003308 VERAPAMIL ER 240MG TAB #REF!6003309 VIDARABINE 3% 3.5GM OPO #REF!6003310 VINBLASTINE 10MG INJ #REF!6003311 VINCRISTINE 1MG/1ML INJ #REF!6003312 VINCRISTINE 2MG/2ML INJ #REF!6003313 VINORELBINE 10MG/1ML INJ #REF!6003314 VINORELBINE 50MG/5ML INJ #REF!6003315 VIT A 10000IU CAP #REF!6003316 VIT A 25000 IU CAP #REF!6003317 VIT A 50000IU/ML 2ML INJ #REF!6003318 VIT A 50000IU/ML 30ML DR #REF!6003319 VIT B COMB W C RENAL TAB #REF!6003320 VIT B COMPLEX TAB #REF!6003321 VIT B COMPLX W C TAB #REF!6003322 VIT B1(THIAMINE) 100MG #REF!6003323 VIT B1(THIAMINE) 50MG TAB #REF!6003324 VIT B1 THIAM 100MG/1MLINJ - 6003325 VIT B1 THIAM 200MG/2MLINJ #REF!6003326 VIT B12 1000MCG TAB #REF!6003327 VIT B12 1000MCG/ML 1ML IN #REF!6003328 VIT B12 100MCG TAB #REF!6003329 VIT B6 (PYRIDOX) 50MG/1ML -

6003330 VIT B6(PYRIDOX)100MG/ML1M #REF!6003331 VIT B6(PYRIDOXINE) 100MG #REF!6003332 VIT B6(PYRIDOXINE) 50MG #REF!6003333 VIT C(ASCORB ACID) 100MG - 6003334 VIT C(ASCORB ACID) 250MG #REF!6003335 VIT C(ASCORB AC)500MG INJ - 6003336 VIT C(ASCORB ACID) 500MG #REF!6003337 VIT D(CALCITRIOL) 0.25MCG #REF!6003338 VIT D(CALCITRIOL) 0.5MCG - 6003339 VIT D CHOLECALCIF 400U TB #REF!6003340 VIT D(ERGOCALC) 50KIU CAP #REF!6003341 VIT E 1000IU CAP #REF!6003342 VIT E 100IU CAP #REF!6003343 VIT E 200IU CAP - 6003344 VIT E 30ML OIL #REF!6003345 VIT E 400IU CAP #REF!6003346 VIT E 60GM TOP #REF!6003347 VIT E(TOCOPH) 600IU/12ML #REF!6003348 VIT K(PHYTONADIONE) 5MG #REF!6003349 VIT K1(PHYTON)10MG/ML 1ML #REF!6003350 VIT K1(PHYTON)2MG/ML 0.5M #REF!6003351 VORICONAZOLE 200MG INJJG #REF!6003352 VORICONAZOLE 200MG TAB #REF!6003353 VORICONAZOLE 50MG TAB #REF!6003354 WARFARIN 10MG TAB #REF!6003355 WARFARIN 1MG TAB #REF!6003356 WARFARIN 2.5MG TAB #REF!6003357 WARFARIN 2MG TAB #REF!6003358 WARFARIN 3MG TAB #REF!6003359 WARFARIN 4MG TAB - 6003360 WARFARIN 5MG TAB #REF!6003361 WARFARIN 6MG TAB #REF!6003362 WARFARIN 7.5MG TAB #REF!6003364 WATER BACT 30ML INJ #REF!6003365 WATER STERILE 1000ML INJ #REF!6003366 WATER STERILE 10ML INJ #REF!6003367 WATER STERILE 2000ML INJ - 6003369 WITCH HAZEL (40) PAD #REF!6003370 SENNA/DUC 50G/50MG KIT-1 - 6003371 ZAFIRLUKAST 20MG TAB #REF!6003372 ZALCITABINE 0.375MG TAB #REF!6003373 ZALEPLON 10MG CAP #REF!6003374 ZALEPLON 5MG CAP #REF!6003375 ZIDOVUDINE 100MG CAP #REF!6003376 ZIDOVUDINE 10MG/1ML PEDIV - 6003377 ZIDOVUDINE 4MG/1ML PEDIV #REF!6003378 ZIDOVUDINE 10MG/ML 20ML #REF!6003379 ZIDOVUDINE 10MG/ML 5ML #REF!6003380 ZINC CHLORIDE 1MG/ML 10ML #REF!6003381 ZINC GLUC 50MG TAB - 6003382 ZINC OXIDE 20% 30GM TOP #REF!6003383 ZINC OXIDE 60GM TOP #REF!6003384 ZINC SULF 220MG CAP -

6003385 ZINC SULF 1MG/ML 10ML INJ #REF!6003386 ZIPRASIDONE 20MG CAP #REF!6003387 ZIPRASIDONE 20MG INJ #REF!6003388 ZOLEDRONIC ACID 4MG SDV #REF!6003389 ZOLPIDEM TART 10MG TAB #REF!6003390 ZOLPIDEM TART 5MG TAB #REF!6003391 ZONISAMIDE 100MG CAP #REF!6003392 ZOSTER VAC LIVE SC #REF!6003404 INSUL 70/30 100U/ML 3ML #REF!6003501 ACETAMINOPHEN 650MG SUPP #REF!6003502 ALBUTEROL 90MCG 6.7GM INH - 6003503 ALBUTEROL/IPRAT 3ML NEB - 6003504 ALISKIREN 150MG TAB - 6003505 ALLAN/CAMPHOR/PHENOL 6MG - 6003506 AL SULF/CA ACET PWD TOP #REF!6003507 AMINOCAP AC 250MG/ML 20ML #REF!6003508 APAP/HYDROCOD 500/7.5MG - 6003509 APAP/OXYCODONE 325/5MG #REF!6003510 ARGININE 10% 300ML INJ #REF!6003511 AZELASTINE 0.1%137MCG30ML - 6003512 AZITHROMYCIN 1GM PKT - 6003513 BENZOCAINE 10% 9GM TOP - 6003514 BENZOCAINE 7.5% 7.5GM GEL - 6003515 BISMUTH SUBSALIC 262MG CH #REF!6003516 BRINZOLAMIDE 1% 5ML OPS - 6003517 BUDESONIDE 180MCG INH PWD - 6003518 CAPSAICIN 0.025% 60GM CRM #REF!6003519 CARBOPROST 250MCG/1ML INJ #REF!6003520 CEFAZOLIN 50MG/ML PEDIV - 6003521 CEFOTETAN 1GM PWD INJ - 6003522 CEFPODOXIME 200MG TAB - 6003523 CHLOROTHIAZDE 500MG INJ - 6003524 CHONDROITIN/HYALURON KIT - 6003525 ACD FORMULA-A 50ML INJ - 6003526 COLESEVELAM 625MG TAB - 6003527 COLLAGENASE 30GM OINT #REF!6003528 CYANOCOBALAMIN 500MCG TAB #REF!6003529 CYCLOPENT/PHENYL 5ML OPS - 6003531 DARUNAVIR 600MG TAB #REF!6003532 DAUNORUBICIN 5MG/ML 5MLJG - 6003533 DESMOPRESS 10MCG 5ML SPRY #REF!6003534 DEXAM PH 0.5MG/D5W 1ML IV - 6003535 DEXAM PH PF 10MG/1ML INJ - 6003536 DIANEAL PD2 D1.5% 2L UB - 6003537 DIANEAL PD2 D2.5% 2L UB - 6003538 DICLOFENAC 0.1% 2ML OPS - 6003539 DIGOXIN 0.125MG/ML 2.5ML - 6003540 DILTIAZEM ER 12H 60MG CAP - 6003541 DILTIAZEM ER(12) 90MG CAP - 6003542 DIP-TET-AC PRT 0.5ML<7YIM #REF!6003543 DIVALPROEX EC 250MG TAB #REF!6003544 DOPAMINE 80MG/ML 5ML INJ - 6003545 ENOXAPARIN 150MG/1ML INJ #REF!

6003546 ERYTHRO BASE DR 250MG CAP - 6003547 ESTRAD 0.05MG 24HRWKL PAT - 6003548 ESZOPICLONE 1MG TAB - 6003549 ETHYL CHL 100% 103ML SPRY #REF!6003551 EXTRAOCULAR IRR 118ML OPS - 6003552 FENTANYL 2MCG/ML PEDIV - 6003553 FLUCONAZOLE 200MG/5ML LIQ - 6003554 FLUCONAZOLE 50MG TAB - 6003555 FLUORESCEIN 1MG STRIP - 6003556 FUROSEMIDE 5MG/ML PEDIV - 6003557 GABAPENTIN 250MG/5ML LIQ - 6003558 GATIFLOXACIN 0.3% 5ML OPS - 6003559 GLIPIZIDE 10MG TAB #REF!6003560 GUAIFEN 100MG/5ML 15ML LQ - 6003561 GUAIFEN 200MG TAB - 6003562 HEPARIN 2KU/2ML INJ - 6003563 HEPARIN FL 100U/1ML INJ #REF!6003564 HEPARIN 20KU/1ML INJ - 6003565 HYALURONAT 23/ML 0.6ML OP - 6003566 HYDROCOD/CHLRP 10-8/5 5ML - 6003567 HYDROCORT 2.5% 30GM OINT - 6003568 INFLIXIMAB 10MG INJJG - 6003569 INS NPH/REG70/30 1KU/10ML #REF!6003570 INS ASP PRO 70-30 100U1ML - 6003571 INS DETEM 100U/1ML INJ - 6003572 INSULIN LISP 300U/3ML PEN - 6003573 INSULIN REG 500U/ML INJ - 6003574 INSULIN REG HUM 100U 1ML - 6003575 K IODIDE 8ML SOL #REF!6003576 IOPAMID 250MG/ML 100MLINJ #REF!6003577 IOPAMID 250MG/ML 50ML INJ #REF!6003578 IOPAMID 300MG/ML 100MLINJ #REF!6003579 IOPAMID 300MG/ML 50ML INJ #REF!6003580 LABETALOL 5MG/ML 4ML INJ - 6003581 LACTOBACILL 10BIL CFU CAP - 6003582 LACTULOSE 10GM/15ML 480ML - 6003584 LAMIVUDINE 50MG/5ML LIQ - 6003585 LAMIVUDINE 300MG TAB - 6003586 LANTHANUM CARBONTE 1000MG - 6003587 LEVOFLOXAC 750MG 150ML PB #REF!6003588 LIDO/PRILOCAINE 5GM TOP #REF!6003589 LIDO 75MG-DEXT50MG/2MLINJ #REF!6003590 LIDOCAINE MPF 1% 30ML INJ #REF!6003591 LIDOCAINE MPF 2% 30ML INJ - 6003592 LIOTHYRONINE 10MCG/ML INJ - 6003593 LOPERAMIDE 1MG/5ML 5ML SO - 6003594 LOPINAV/RITON 400-100MGLQ #REF!6003595 MAG HYDROXIDE 10ML SUSP - 6003596 MAGNESIUM SUL 454GM GRAN #REF!6003597 MEASLES/MUMPS/RUBELLA VAC #REF!6003598 MELOXICAM 7.5MG TAB - 6003599 MEPERIDINE 2GM/20ML INJ - 6003600 MEPERIDINE 75MG/1.5ML INJ -

6003601 MEPERIDINE 100MG/2ML INJ - 6003602 METHADONE 1MG/ML 1ML LIQ - 6003603 METHYLPRED NA 1GM INJ - 6003604 METOCLOPRAMID 1MG/ML PEDI - 6003605 METRONIDAZOLE 250MG TAB #REF!6003606 MIDAZOLAM 2MG/ML 5ML SOL - 6003607 MISOPROSTOL 25MCG TAB #REF!6003608 MODAFINIL 200MG TAB #REF!6003609 MORPHINE PF 5MG/1ML PFS #REF!6003610 MORPHINE PF 250MG/10MLINJ - 6003611 MULTIVIT RENAL 0.8MG TAB - 6003612 MULTIVIT W MINERAL 15ML #REF!6003613 MUPIROCIN 2% 22GM OINT #REF!6003614 NACL 0.9% 20ML INJ - 6003615 NACL 10% 15ML NEB #REF!6003616 NALOXONE 0.4MG/ML PEDIV - 6003617 NELFINAVIR 625MG TAB - 6003619 NEO/POLY/BAC 3.5GM OP OIN #REF!6003620 NEO/POLY/HC7.5ML OTIC SUS #REF!6003621 NEOSTIG 1MG/1ML /0.5MGMDV - 6003622 NIACIN ER 250MG TAB - 6003623 NTG 5MG/ML 5ML INJ - 6003624 NYSTATIN 15GM PWD TOP #REF!6003625 PARICALCITOL 5MCG/ML 1ML #REF!6003626 PAROXETINE ER 12.5MG TAB - 6003627 PEN G K 100KU/1ML PEDIV - 6003628 PEN VK 125MG/5ML PEDPO #REF!6003629 PEN G K 3MIL UNIT 50ML PB #REF!6003630 PHENYLEPH 1% 15ML NAS SPR - 6003631 PIPERACILLIN 100MG/MLPEDI - 6003634 RALTEGRAVIR 400MG TAB #REF!6003635 REPAGLINIDE 0.5MG TAB - 6003636 ROPINIROLE 1MG TAB - 6003637 ROPIVACAINE 40MG/20ML INJ #REF!6003638 ROSUVASTATIN 10MG TAB #REF!6003639 ROSUVASTATIN 2.5MG TAB - 6003640 ROSUVASTATIN 20MG TAB - 6003641 ROSUVASTATIN 5MG TAB - 6003642 SAQUINAVIR 500MG TAB - 6003643 SCOPOLAMINE 1.5MG/3DAY #REF!6003644 SELEGILINE 5MG TAB #REF!6003645 SIROLIMUS 1MG/1ML 4ML SOL - 6003646 SORBITOL 70% 5ML PEDPO - 6003647 SMZ-TMP 200-40MG/5ML SUS - 6003648 SUMATRIPTAN 100MG TAB - 6003650 IV NICU SYRINGE NC - 6003651 TELAVANCIN 250MG INJ - 6003652 TERBINAFINE 1% 30GM TOP - 6003654 TETRACAINE 0.5% 15ML OPS #REF!6003655 THEOPHYLLINE TR 400MG(24H #REF!6003656 TIMOLOL 0.5% 5ML OP GEL - 6003657 TORSEMIDE 10MG TAB - 6003658 TPN W ELECTROLYTES 2000ML -

6003659 TRIAMCIN ACE 0.1% 80GM CR - 6003660 TRIAMCIN ACE0.5% 15GM TOP - 6003661 TROSPIUM 20MG TAB - 6003662 UREA 10% 75GM TOP - 6003663 UREA 20% 90GM TOP - 6003664 VALPROIC AC 250MG/5ML LIQ #REF!6003665 VECURONIUM 100MCG/1MLPEDI - 6003666 VIT B6(PYRIDOXINE) 25MG - 6003667 VIT C(ASCORB)100MG/ML 5ML - 6003668 VIT E 15UNIT/0.3ML PEDPO - 6003669 WARFARIN 0.5MG TAB - 6003670 ZIDOVUDINE 300MG TAB - 6003671 ZOLEDRONIC AC 5MG/1DL SDV - 6003700 ACETAZOLAM 10MG/ML PEDIV - 6003701 BUNNELS SOLN 980ML IRRIG - 6003702 ACETIC ACID 180ML DOUCHE - 6003703 ACETYLCYST 20% 600MG/3ML - 6003704 ACETYLCYST 20% 10ML INH #REF!6003707 AL/MG HYD/SMC 5ML PEDLIQ - 6003708 AL/MG/SMC 400/400/40 PDPO - 6003709 AL/MG HYD/SMC/DIP/LID 400 - 6003710 ALBUTEROL 90MCG 8GM INH #REF!6003711 ALCOHOL DEHYDR 98% 5ML IN #REF!6003713 ALGIN/AL HYD/MAG 20ML LQ #REF!6003714 ALOE VERA 120GM TOP - 6003715 ALPHA D GALACTOS 75ML LIQ - 6003716 ALPROSTADIL 10MCG/ML PEDI - 6003717 AMINOPHYLL 105MG/5ML LIQ - 6003718 AMOX/CLAV 125MG/5ML LIQ - 6003719 AMOX/CLAV 400-57/5 5MLSUS #REF!6003720 AMPHOTERICIN B 50MG/50ML - 6003721 AMPICILLIN 1GM/100ML PB - 6003722 AMPICILLIN 1GM 50ML PB #REF!6003723 AMPICILLIN 2GM/100ML IVPB #REF!6003724 AMYL/LIP/PRO ER 43-10-25 - 6003725 ANTITHROMB III /1IU INJJG - 6003726 APAP/CAFF/BUT/COD 30MGCP - 6003727 APAP/COD 120-12MG/5ML 15M - 6003728 APAP/DICHL/ISO 325/100/65 - 6003729 ASCORBIC AC 500MG/5ML 120 - 6003730 ATENOLOL 2MG/ML 1ML PEDPO - 6003731 BACIT/POLY 500KU/500MGIRR - 6003732 BACITRACIN 1000ML IRR - 6003733 BALSAM PERUVIAN 120ML TOP - 6003734 BENZOCAINE 20% 11.9GM GEL - 6003735 BENZOCAINE 20% 7GM GEL #REF!6003736 BENZOCA/CETYL 13.3ML SOL - 6003737 BETAMETH DIP 0.01% 82.5ML - 6003738 BETAMETH DIP AUG 15GM TOP - 6003739 BETHANECHOL 1MG PEDPO - 6003740 BISACODYL 12.3MG/37ML PR - 6003741 BLEOMYCIN SULFATE 30U SDV #REF!6003743 BUDESONID 32MCG 8.6GM NAS -

6003744 BUPRENORPHINE/NALOX 8/2MG - 6003745 CA GLUC 100MG/1ML PEDPO - 6003746 CACL 10MG/ML 1ML PEDIV - 6003747 CAFF CIT 5MG/1ML PEDIV - 6003748 CARBAM PEROX 10%60ML OTIC - 6003749 CEFAZOLIN 100MG/0.5 OPINJ - 6003750 CEFEPIME 1GM/50ML PB #REF!6003751 CEFEPIME 2GM/D5W 50ML PMX #REF!6003752 CEFEPIME 2GM/NS 100ML PMX #REF!6003753 CEFPROZIL 250MG TAB - 6003755 CEFTRIAXONE 50MG/1MLPEDIV - 6003756 CEFUROXIME 125MG/5ML 5ML - 6003757 CEFUROXIM 750MG/25ML PDIV - 6003758 CEPHALEXIN 25MG/1ML PEDPO - 6003759 CETUXIMAB2MG/ML 5ML SDVJG - 6003760 CHLOROTHIAZIDE 500MG TAB - 6003762 CHLORPROMAZ 5MG/1ML PEDIV - 6003763 CHOLESTYRAMINE 378GM PWDR - 6003764 ACD FORMULA-A 500ML INJ - 6003765 CITRIC AC/GLUC/MG 500 IRR - 6003766 CITRIC AC/K CIT 15MEQ LIQ - 6003767 CLARITHRO 125/5 5ML SUSP - 6003768 CLARITHRO 250/5 5ML SUSP - 6003769 CLINDAMYCIN 12MG/ML PEDIV - 6003770 COAL TAR 2% 132ML SHAM - 6003771 COAL TAR/SALI/SUL 107GM - 6003772 COAL TAR/SALICYL120ML SHM - 6003773 COCAINE 1% 120ML SOL - 6003774 CODEINE SULF 60MG TAB - 6003775 CONIVAPTAN 20MG/4ML INJTB - 6003776 CROMOLYN 4% 10ML OPH SOL - 6003777 CROMOLYN 8.1GM INH - 6003778 CYPROHEPTADINE 2MG/5MLSOL - 6003779 D5% 0.45 NACL+KCL10 5DLIV - 6003780 D5% 250ML GLASS INJ - 6003782 D5% W ELECTROL 148 500ML - 6003783 D70% W 250ML INJ - 6003784 DARBEPO 500MCG/1ML ESRDJG - 6003785 DARBEP500MCG/1MLNONESRDJ - 6003786 DAUNORUBIC 5MG/ML 10MLJG #REF!6003788 DEXAMETH 0.1MG/1ML PO SOL - 6003790 DIANEAL PD2 D4.25% 2L UB - 6003791 DIATRIZOATE/IODIPAM 10ML - 6003792 DIAZEPAM 0.1MG/1ML PEDIV - 6003793 DIAZEPAM 15MG RECTAL GEL - 6003794 DIDANOSINE 150MG TAB - 6003795 DIDANOSINE 167MG PWDR - 6003796 DIDANOSINE 250MG PWDR - 6003797 DIDANOSINE 25MG CHEW TAB - 6003798 DIDANOSINE 50MG TAB - 6003799 DIDANOSINE DR 125MG CAP - 6003800 DIDANOSINE DR 400MG CAP - 6003801 DIGOXIN 0.05MG CAP -

6003802 DIGOXIN 0.05MG/1ML PEDPO - 6003803 DIPHEN/ZN/TROMETH 2% 59ML - 6003804 DOCETAXEL 40MG/ML 0.5MLJG - 6003805 DOCUSATE CA 240MG CAP - 6003806 DOCUSATE NA 283MG ENEMA - 6003807 DOFETILIDE 250MCG CAP - 6003808 DOXEPIN 5% 30GM TOP - 6003809 DOXYCYCLINE 25MG/5ML 60ML - 6003810 ENFUVIRTIDE 90MG INJ KIT - 6003811 ENOXAPARIN 10MG/ML PEDIV - 6003812 EPLERENONE 50MG TAB - 6003813 EPOETIN NONESRD 2KU SDVJG - 6003814 ERGOCALCIF 8KIU/1ML PEDPO - 6003815 ERYTHRO/SULF 200/600 5ML - 6003816 ERYTHRO/SUL 40-120/1MLPPO - 6003817 ESTROG/MEDPROG 0.625/5 - 6003818 ETIDOCAINE 1.5%/EPI 20ML - 6003819 FACTOR 9 RECOM /1IU INJJG - 6003822 FAMOTIDINE 8MG/1ML PEDPO - 6003823 FE FUM(100MG)/VIT B12/IFC - 6003824 FENOLDOPAM 10MG/ML 2ML IN - 6003825 FERRIC SUBSULF 8GM/8MLSOL #REF!6003826 FIBRIN SEAL TISSEL 4ML KT - 6003827 FINASTERIDE 5MG/10ML SUS - 6003828 FLUCONAZOLE 150MG TAB #REF!6003829 FLUOCINON 0.05% 60GM OINT - 6003830 FLUOROURACIL 1% 30ML TOP - 6003831 FLUPHENAZINE 5MG/1ML CONC - 6003832 FORMOTEROL 12MCG CAP #12 - 6003833 GENTAMICIN 5MG/1ML PEDIV - 6003834 GENTAMICIN 80MG/50ML PB - 6003835 GLYCERIN 180ML TOP - 6003836 GLYCERIN 7.5ML OPS - 6003837 GLYCOPYRROL 10MCG/1ML IV - 6003838 GUAIFEN 20MG/ML 5ML PEDPO - 6003839 GUAR GUM PKT GRAN - 6003840 HEPARIN 1KU/NS 500ML PMX #REF!6003841 HEP 25KU/NS 0.45%250MLPMX - 6003842 HEPARIN FL 1KU/10ML INJ - 6003844 HEP B VACC 10MCG/1ML INJ - 6003845 HYALURONA 10/ML 0.85ML OP #REF!6003846 HYALURONA 14/ML 0.55ML OP - 6003847 HYALUR 8MG/ML 6ML INTRART - 6003848 HYLAN POLY A+B16MG/2MLSYR - 6003849 HYDROCOD/HOMAT 5-1.5/5 10 #REF!6003850 HYDROCOD/HOMATRO 5MG TAB - 6003851 HYDROCOD/IBUPROF 7.5/200M - 6003852 HYDROCORT SUC 1GM/8MLSDV - 6003853 HYDROXYZINE 2MG/1ML PEDPO - 6003854 IBANDRONATE 3MG/3ML INJJG - 6003855 IG FLEBOGAMM5GM/100MLIVJG - 6003857 INAMRINONE 5MG/ML 20ML - 6003858 INS NPL/LISP 75/25 100U/1 -

6003859 INS NPH/R 50/50 100/ML10 - 6003860 INSULN ASPART100/1 PEN3ML - 6003862 IOHEXOL 180MG/ML 10ML INJ - 6003863 IOHEXOL 240MG/ML 10ML INJ - 6003864 IOPAMID 200MG/ML 10MLINTH - 6003865 IOPAMID 370MG/ML 100MLINJ #REF!6003866 IOPAMID 370MG/ML 50ML INJ #REF!6003867 ISOETHARINE 0.1% 5ML SVN - 6003868 ISOETHARIN 0.61% 10ML SVN - 6003869 ISONIAZID 300MG/30ML SYRP - 6003870 K PHOS 4.4MEQ/ML 1MLPEDPO - 6003871 K PHOS NEUTRAL 250MG TAB - 6003872 LACTASE ENZYME 9000U TAB - 6003873 LACTOBACILLUS 250MG CAP - 6003874 LANTHANUM CARBONTE 250MG - 6003875 LEUCOVORIN CA 350MG SDV - 6003876 LEVALBUT 1.25MG/0.5ML NEB - 6003877 LEVALBUTER 45MCG 15GM MDI - 6003878 LEVETIRACET 100MG 1ML SOL - 6003879 LEVOCARNIT 100MG/1ML PED - 6003880 LIDOCAINE 5% 2ML INJ #REF!6003881 LIDO PF 1% 50MG/5ML SYRN #REF!6003882 LIDOCAINE/EPI/TETRA 3ML #REF!6003883 LORATADINE 5MG/5ML 120ML - 6003884 LORATADIN/PSEUD ER 10/240 - 6003885 LORAZEPAM 1MG/ML 1ML PDIV - 6003886 LORAZEPAM 2MG/1ML PDIV - 6003887 LOXAPINE 50MG/ML 10ML INJ - 6003888 MAFENIDE 113GM CRM - 6003889 ALGIN/AL HYD/MAG 30ML LQ #REF!6003890 MAGIC MW BLM 5ML LIQ - 6003891 MAGNESIUM SUL 240GM GRAN - 6003892 MEGESTROL 40MG/ML 2ML SU - 6003893 METHADONE 10MG/5ML LIQ #REF!6003894 METHADONE 1MG/1ML PEDPO - 6003895 METHADONE 25MG/2.5ML CONC - 6003896 METHADONE 30MG/30ML SOL - 6003897 METHYL SAL/MENTH 90GM CRM - 6003898 METHYL SAL/MENTH 90GMOINT - 6003899 METHYLPRED 10MG/1ML PEDIV - 6003900 METOPROLOL 12.5MG TAB - 6003901 METRONIDAZ 0.75% 45GM CRM - 6003902 METRONIDAZOLE 1% 45GM TOP - 6003903 MICONAZOLE 2% 57GM CRM - 6003904 MIDAZOLAM 100MG/100ML PB - 6003905 MIDAZOLAM 1MG/ML 1MLPEDIV - 6003906 MILNACIPRAN 12.5MG TAB - 6003907 MINERAL OIL 5ML PEDPO - 6003909 MOEXIPRIL 7.5MG TAB - 6003910 MORPHINE PF 60MG/60ML PCA - 6003911 MULTIVIT 5ML CONC INJ - 6003912 MULTIVIT THERAPEUTIC TAB - 6003914 MUPIROCIN 2% 15GM CRM -

6003915 MYCOPHENOLATE ER 360MG TB #REF!6003916 NA BICARB 2.4MEQ/5ML INJ - 6003918 NA PHOS 12MM/NS 250ML PMX - 6003920 NACL 0.45% 250ML INJ - 6003921 NACL 0.9% 15ML NEB - 6003924 NACL 3% 100ML INJ #REF!6003925 NALOXONE 0.4MG/ML 10ML - 6003926 NEBIVOLOL 10MG TAB - 6003927 NEBIVOLOL 2.5MG TAB - 6003928 NEBIVOLOL 5MG TAB #REF!6003931 MIDAZOLAM 0.5MG/1ML PEDIV - 6003932 NIACINAMIDE 500MG TAB - 6003933 NICARDIPINE SR 45MG CAP - 6003934 NICOTINE 10MG NAS SPRY - 6003935 NOREPINEPHRN 4MG/250ML PB - 6003936 NYSTATIN 100000U VAG 15 - 6003937 OCTREOTIDE 1MG/ML 5ML INJ - 6003938 OPIUM TINC 10MG/ML 1MLSOL - 6003939 OXYBUTYNIN 5MG/5ML 5ML SY - 6003940 OXYCODONE 20MG/ML 1ML CON - 6003941 OXYTOCIN 10U/ML 2ML INJ - 6003943 PANTOPRAZOL 40MG/10MLSYRN #REF!6003944 PEG 3350 BISAC/ELEC 2L KT - 6003945 PENCICLOVIR 1% 1.5GM CRM - 6003948 PHENYL/SHRK/GLYC//PET 27G - 6003949 PHENYLEPH 0.1MG/ML10ML NS - 6003950 PHENYLEPH 1% 10MG/ML 5ML #REF!6003951 PHYSOSTIGMINE 1MG/ML 1ML - 6003952 POLYTHIAZIDE 1MG TAB - 6003953 PRAMOXINE 1% 118GM TOP - 6003954 PRAMOXINE/CAMPH 120ML TOP - 6003955 PRAMOXIN/HC 1-2.5%60MLCRM - 6003956 PREDNICARBATE 0.1% 15GM - 6003957 PREDNISOL 0.125% 10ML OPS - 6003958 PREDNISOLONE 3MG/1ML PDPO - 6003959 PREDNISOLONE 5MG TAB - 6003960 PRIMIDONE 250MG/5ML SUSP - 6003961 PROCAINE 1% 2ML INJ - 6003962 PROMAZINE 25MG TAB - 6003963 PROMETH/DM 6.25-15/5 PEDP - 6003964 PROMETHAZ 12.5MG/ML PEDP - 6003965 PYRETHRINS/PIP 120ML SHAM - 6003966 QUETIAPINE 50MG TAB - 6003967 RANITIDINE 2MG/1ML PEDIV - 6003968 RIFAMPIN 10MG/ML 15ML SUS - 6003969 RIMANTADINE 100MG TAB - 6003970 RIMANTADINE 50MG/5 240ML - 6003971 RITONAVIR 80MG/ML 7.5ML - 6003972 ROPIVACAINE 200MG/1DL INJ - 6003973 ROPIVACA 0.2% 540MG/270ML - 6003974 SALICYLIC AC 2% 240ML SHM - 6003975 SALICYLIC 3% SU 116GM BAR - 6003976 SALICYLIC AC 6% 30GM TOP -

6003977 SELENIUM 40MCG/ML 10ML IN - 6003978 SENNOSIDES 8.8MG/5ML 10ML - 6003980 STARCH 51% SUPP - 6003981 STREPTOKINASE 250000IU IN - 6003982 SUCCINYLCHL 100MG/ML 10ML - 6003983 SUCCINYLCHOL 100MG/5MLINJ - 6003984 SULFACETAMIDE 15% 5ML OPS - 6003985 TELAVANCIN 750MG INJ - 6003986 THEOPH 800MG 500ML IV PRE - 6003987 SMZ-TMP 2400-480/30ML INJ - 6003988 TOBRAMYCIN 80MG/100ML PB - 6003989 TOBRAMY PF 40MG/1ML NEB - 6003990 TOREMIFENE 60MG TAB - 6003991 TPN 5/20% 2000ML INJ - 6003992 TPN W ELECT 4.25/5% 1L IV - 6003993 TPN W ELECT 5/20% 2L IV - 6003994 TRACE MET MTE-5 CON 1MLIV - 6003995 TRIAMCIN ACE 16.5GM NAS - 6003996 TRIAMCINOLONE 4MG TAB - 6003997 TRIMETHAPHAN 50MG/ML 10ML - 6003999 TRIPLE SULFA TAB VAG (20) - 6004000 TROPICAMIDE 1% 2ML OP SOL - 6004001 UREA 10% 250ML TOP - 6004002 UREA 10% 85GM TOP - 6004004 VALPROIC AC 3GM/60ML LIQ - 6004005 VANC 1.25GM/D5W 250ML VIA #REF!6004006 VANCO 1.5GM/NS 250ML VIA - 6004009 VANCOMY 5MG/0.5 INTRAVIT - 6004010 VANCO 750MG/D5W 150ML PMX #REF!6004011 VECURONIUM 500MCG/1MLPEDI - 6004012 VIT B COMB W/C RENAL CAP - 6004013 VIT B3(NIACIN) SR 125MG - 6004016 WATER STERILE 250ML INJ - 6004017 WATER STERILE 50ML INJ - 6004018 ZOLMITRIPTAN 2.5MG TAB - 6004019 LANOLIN 7GM OINTMENT - 6004101 ALLOPURINOL 20MG/ML 5ML - 6004102 AMMONIUM ALUM 360GM PWD - 6004103 AMYL/LIPA/PRO 17.5/4.2/10 - 6004104 ASPART/GLUT 0.46MOL 250ML - 6004105 BACLOFEN 10MG/ML 1ML SUS - 6004106 CA GLUCONATE 1GM/100ML PB - 6004107 CA GLUCONATE 2GM/100ML PB - 6004108 CIPROFLOXACIN 2MG/MLPEDIV #REF!6004109 CITRIC AC/K/NA CIT 5MLSOL - 6004110 CITRIC AC/SIMET/NA BICARB #REF!6004111 CLOBETASOL 0.05% 59ML TOP - 6004112 DEXTROMETH ER 30/5 90MLLQ - 6004113 DIDANOSINE 10MG/1ML PEDPO - 6004114 DOXYLAMINE 25MG TAB - 6004115 EPHEDRINE 50MG/5ML INJ - 6004116 FAT EMULSION 20%1ML PEDIV - 6004117 FENTANYL 10000MCG/500MLPB -

6004118 IG GAMMAGAR100MG/ML10MLJG - 6004119 LABETALOL 5MG/ML 4ML INJ - 6004120 METRONIDAZ 250MG/5ML SUSP - 6004121 MEXILETINE 10MG/ML PEDPO - 6004122 MIDAZOLAM 500MG/250ML PB - 6004125 NA HYPOCHLOR 0.125% 473ML - 6004126 NACL 0.9% 25ML INJ - 6004127 NEO/BAC ZN/POLY/PRAM 30GM - 6004128 NEOSTIG 1:1K /0.5MG3MLMDV - 6004129 NITROCELLULOSE 30ML SPRY - 6004130 OMEGA3/FATTY AC/ETHYL 1GM - 6004131 PROCHLORPERAZ 5MG/ML 10ML - 6004132 PROPRANOLOL 0.1MG/MLPEDIV - 6004133 PYRAZINAMID 100MG/1MLPDPO - 6004134 RANITIDINE 50MG 50ML PB - 6004135 ROPIVACAINE 0.2%600MG/600 - 6004136 SALICYLIC/SUL 2%200ML SHM - 6004137 SELENIUM SUL 1% 120ML SHM - 6004138 SENNA 8.8MG/5ML 75ML SYRP - 6004139 SILVER ANTIMICROB DRESS - 6004140 THROMBIN PAD 3X3 - 6004141 VIT K(PHYTON)1MG/ML PEDPO - 6004142 ZINC OXIDE 40% 120ML TOP - 6004201 AZITHROMYCIN 2MG/ML PEDIV #REF!6004202 CAFFEINE 100MG TAB - 6004203 CALAMINE/PRAMOXINE 75ML - 6004204 CAPSAICIN 0.025% 30GM CRM - 6004205 CEFAZOLIN 100MG/ML 15MLOP - 6004206 CEFAZOLIN 33MG/ML 15ML OP - 6004207 CEFTRIAXONE 2GM PWD SDV #REF!6004208 CHARCOAL ACTIV 250MG TAB - 6004209 CLARITHRO 125/5 50ML SUSP - 6004210 DEGARELIX 80MG SDV SQJG - 6004212 DERMABOND ADHES APPL TOP - 6004213 DEXTRANOMER BEADS 4GM PKT - 6004214 DOXYCYCLINE 25MG/5ML SUSP - 6004215 ESTRADI VAL10MG(50MG)MDV - 6004216 FILGRAST 5MCG/ML PEDIVJG - 6004217 FLUPHENAZINE 5MG/ML 5ML C - 6004218 FLURANDREN 0.05% 15GM TOP - 6004219 FLURANDREN 0.05% 30GM TOP - 6004220 FLURANDREN 0.025% 30GM - 6004221 FLURANDREN 0.025% 60GM - 6004222 GADOTERIDOL 279 15ML INJ #REF!6004223 HALOPERIDOL 5MG/2.5ML CON - 6004224 HEPARIN 10U/ML 1ML IV - 6004225 K IODIDE 1GM/1ML LIQ - 6004226 LANSOPRAZOLE 15MG ODT TAB - 6004227 LIDOCAINE 4% 4ML TOP - 6004228 PROPYLTHIOUR 10MG/ML PEDP - 6004229 PROPYLTHIOUR 5MG/ML PEDPO - 6004230 RIBOFLAVIN 25MG/ML PEDPO - 6004231 SULFASALAZIN 50MG/ML PEDP -

6004232 THEOPHYLL 5.33MG/1ML PDPO - 6004233 VANCOMYCIN 250MG/5ML LIQ #REF!6004234 VANCOMYCIN 50MG/1ML PEDPO - 6004235 VIT A 10000UNIT/ML PEDPO - 6004236 VIT D(CALCITR)0.5MCG/ML - 6004237 VIT D3/CA/PHOS 117-133 TB - 6004301 A AND D 45GM OINT - 6004303 ALLOPURINOL 6MG/ML 30ML - 6004304 AMPICIL/SUL 100MG/1MLPDIV - 6004305 ATOVAQUONE 250MG TAB - 6004306 BENDAMUST 25MG PWD SDVJG - 6004307 BENZOLY PEROX 10% 30MLTOP - 6004308 BISACODYL/MAGNES CIT 1KIT - 6004309 CASCARA/MAG HYDROX 15ML #REF!6004310 D MANNOSE 1GM TAB - 6004311 DARBEP100MCG/1MLNONESRDJ - 6004312 DIPH/LID/MAG/AL/HYD 120ML - 6004314 GADOTERIDOL 279 10ML INJ #REF!6004315 GENTAMICIN 0.3% 15ML OPS - 6004316 IMIPEN/CILAS 100MG/ML PED - 6004317 IOPAMID 200MG/ML 20MLINTH - 6004318 IOPAMID 370MG/ML 150MLINJ #REF!6004319 K BICARB/KCL 20MEQ PWDR - 6004320 LOMUSTINE 100MG CAP - 6004321 MEROPENEM 100MG/1ML PEDIV - 6004322 METYRAPONE 250MG CAP - 6004323 MORPHINE 1MG/ML 40ML PCA - 6004324 MULTIVIT W IRON+FOLIC TAB - 6004325 NACL 0.45% 100ML INJ - 6004326 NATALIZUM 300MG/15MLSDVJG - 6004327 PANITUMUM 400MG/20ML INJG - 6004328 PEN G K 5MIL U/100ML PB - 6004329 PRAMOXINE 1% 15GM FOAM - 6004330 ROMIPLOST 250MCG PWDSDVJG #REF!6004331 SELENIUM 50MCG TAB - 6004332 SENNA 326MG/5GM 56GM GRAN - 6004333 THROMBIN GEL 5ML TOP - 6004334 TOBRAMY 210MG/15ML IOLOPS - 6004335 TOCILIZUMAB20MG/ML 20MLJG - 6004336 TPN 1000ML IV - 6004337 TPN 1000ML PEDIV - 6004338 TPN 1500ML IV - 6004339 TPN 1500ML PEDIV - 6004340 TPN 2000ML IV - 6004341 TPN 2000ML PEDIV - 6004342 TPN 2500ML IV - 6004343 TPN 250ML PEDIV - 6004344 TPN 3000ML IV - 6004345 TPN 500ML PEDIV - 6004346 VANCOMYCIN 1.5GM/15ML OPS - 6004348 CA GLUC 1GM/10ML MDV - 6005000 CLINDAMYCIN 300MG/2ML INJ #REF!6005001 MOXIFLOXACIN 400MG PB #REF!

6005002 CIPROFLOX HC/DEX 7.5ML OT #REF!6005003 RIVAROXABAN 10MG TAB #REF!6005006 SCOPOLAMINE 0.4MG/ML 1ML #REF!6005007 SARGRAMOSTIM 500MCG INJJG #REF!6005008 RIFAXIMIN 550MG TAB #REF!6005009 SELEGILINE 12MG/24HR PAT - 6005010 PRESCRIPTION OUTPATIENT - 6005012 IV NICU SYRINGE NC - 6005017 HEPARIN FL 100U/1ML INJ - 6005022 PREDNISOL 15MG/5ML LIQ #REF!6005025 LIPIODOL 4.8GM I/10ML INJ - 6005027 DICLOFENAC 1% 100GM GEL #REF!6005028 IG FLEBOGAMM10GM/1DL IVJG - 6005029 METOPROLOL 25MG/5ML SUSP - 6005030 DIAZEPAM 5MG/ML 1ML INJ - 6005031 COAL TAR 2% 255ML SHAM - 6005032 MITOMYCIN 0.3MG/1ML OPINJ #REF!6005033 MITOMYCIN 0.4MG/1ML OPINJ - 6005034 MITOMYCIN 0.5MG/1ML OPINJ - 6005035 BACLOFEN 5MG TAB - 6005036 ALCOHOL DEHYDR 98% 1ML IN #REF!6005040 SEVELAMER CARB 0.8GM PKG #REF!6005041 FENTANYL 5000MCG/250ML PB #REF!6005042 DALTEPARN 2500IU/0.2ML - 6005043 BACLOF PF 0.5MG/ML 20MLJG - 6005044 TRICHOPHYT2ML INJ SKN TST #REF!6005045 SMZ-TMP 1600-320/20ML INJ - 6005047 LIDOCAINE 2% 20ML VISC - 6005048 D50% PF 50ML SYR - 6005049 DOXORU LIP 10MG/5ML INJJG - 6005050 DIVALPROEX 125MG DR TAB - 6005051 LIDO MPF/EPI 1% 30ML INJ - 6005052 TRASTUZUMAB /10MG MDVJG #REF!6005053 GATIFLOXACN 0.5% 2.5ML OP - 6005054 IG PRIVIGEN 5GM/50ML IVJG #REF!6005055 AZITHRMY 500MG/250ML PB #REF!6005056 LIDO/EPI 1%-1:200000 30ML #REF!6005057 FIDAXOMICIN 200MG TAB - 6005058 HEP A-B VACC PF 20MCG INJ - 6005059 ACETAMINOPH 1GM/100ML SDV #REF!6005060 ANTIVEN CROTALIDAE 1GM VL #REF!6005061 ERIBULIN 1MG/2ML INJJG - 6005063 ONDANSETRON 4MG ODT #REF!6005064 ONDANSETRON 4MG TAB #REF!6005065 CEFTAROLINE 600MG INJJG #REF!6005066 DENOSUM 60MG/ML 1ML INJJG - 6005067 DENOSUM 120MG/1.7ML INJJG - 6005068 OSELTAMIV 360MG/60ML SUSP #REF!6005069 HYDROMORPH 50MG/100ML PCA - 6005070 LORAZEPAM 100MG/100ML INJ - 6005071 PREDNISONE 5MG/1ML PEDPO - 6005072 CEFIXIME 100MG/5ML SU PED - 6005073 POSACONAZOLE 200MG/5ML UD #REF!

6005075 EPOPROSTEN 0.5MG/17ML INJ - 6005076 OXCARBAZEPINE 300MG/5ML - 6005077 VIT D CHOLECALCIF 1KU TAB #REF!6005078 AMPI/SUL 3GM/NS 100MLIVBG - 6005079 AMPICIL/SULB 1.5GM/50MLPB - 6005081 COCAINE 4% 2ML SOL - 6005083 AMYL/LIP/PRO ER70/16.8/40 - 6005084 COENZYME Q10 50MG CAP - 6005085 FENT/BUP 2.5-0.125%250EDP - 6005086 AMYL/LIPASE/PRO ER30/6/19 - 6005087 AMYL/LIP/PRO ER60/12/38CP - 6005088 AMYL/LIPA/PR DR 120/24/76 - 6005089 MIDAZOLAM 1MG/ML 50ML PB - 6005090 APAP/OXYCOD 325/10MG TAB - 6005091 APAP/OXYCODONE 325MG/7.5 - 6005092 RIVAROXABAN 20MG TAB - 6005093 TOLVAPTAN 30MG TAB #REF!6005095 DICLOFENAC EPO 1.3% PATCH - 6005096 RILPIVIRINE 25MG TAB #REF!6005097 BENZOCAINE 20% 13.3ML TOP - 6005098 TICAGRELOR 90MG TAB #REF!6005099 RIVAROXABAN 15MG TAB #REF!6005100 LEVOTHYROXINE 100MCG INJ #REF!6005101 ETRAVIRINE 200MG TAB - 6005102 LIDOCAINE MPF 4% 5ML INJ - 6005103 HYDROMORP 1MG/ML 1ML SOL - 6005104 LACOSAMIDE 50MG TAB - 6005105 LACOSAMIDE 100MG TAB #REF!6005106 GLYCOPYRRO 0.2MG/1ML PDPO - 6005107 MORPHINE 0.5MG/ML 1MLPEDI - 6005108 AMIODARONE 5MG/1ML PEDPO - 6005109 INSULIN REG 10U/0.1ML INJ - 6005110 ISOSORBIDE DIN 40MG TAB - 6005111 FACT 9 COMPLEX /1IU INJJG - 6005112 FACT 9 COMPLEX /1IU INJJG - 6005113 FACT 9 COMPLEX /1IU INJJG - 6005114 FENTANYL 2.5MG/50ML INJ #REF!6005115 VALGANCICLV 500MG/10MLPED - 6005117 METHADONE 10MG/ML 20ML IN - 6005118 FEBUXOSTAT 40MG TAB #REF!6005119 AMIODARONE 150MG/100ML PB - 6005120 HEPARIN FL 300U/3ML SYR - 6005122 MOMETASONE 110MCG 7D INH - 6005123 MOMETASONE 220MCG 14D INH - 6005144 CARFILZOMIB 60MG SDVJG - 6005151 METOCLOPRAMIDE 5MG ODT - 6005185 ROFLUMILAST 500MCG TAB - 6005193 GUAIFEN 100MG/5ML 5ML LIQ #REF!6005201 AMPICILL 250MG/2.5ML PEDI - 6005219 ERYTHRO 0.5% 1GM OPO #REF!6005227 METHADONE 1MG/ML 50ML PB - 6005235 FENTANYL 10MCG/ML 50ML PB - 6005243 SEVELAMER CARB 800MG TAB -

6005250 ACETIC ACID 5% 100ML IRR - 6005268 CEFTAROLINE 400MG INJJG #REF!6005276 HISTAMINE BAS 1MG/1ML INJ - 6005284 FLU VACC FLUVIRIN>=3YR IM - 6005292 STRIBILD TAB #REF!6005912 VERAPAMIL 5MG/2ML 4ML INJ #REF!6005920 TACROLIMUS 0.5MG/1ML SUS - 6005938 TACROLIMUS 1MG/1ML PEDPO - 6005946 LAMOTRIGINE 1MG/ML PEDPO - 6005953 THYROTROP ALFA 1.1MG INJG - 6005961 HYDRALAZINE 4MG/1ML PEDPO - 6005979 CAPTOPRIL 0.75MG/1ML PDPO - 6005987 HYDROXYUREA 40MG/1ML PDPO - 6005995 RIFAMPIN 100MG/1ML PEDPO - 6006001 AZATHIOPRINE 50MG/1MLPDPO - 6006019 TRANEXAMIC 1GM/10ML INJ #REF!6006027 MAGIC MW BLM 130ML LIQ - 6006035 LEVOCARNITIN 100MG/MLPEDP - 6006068 IG OCTAGAM 5% 10GM INJJG - 6006076 ACYCLOVIR 5% 30GM TOP - 6006084 FLUCYTOSINE 50MG/1ML LIQ - 6006092 OSELTAMIVIR 30MG CAP #REF!6006100 OSELTAMIVIR 45MG CAP - 6006118 ZANAMIVIR 5MG INH DISK - 6006126 GENTAMICIN 120MG/100ML PB #REF!6006134 OSELTAMIVIR 6MG/1ML PEDPO #REF!6006142 ROPIVACAINE 20MG/10ML INJ #REF!6006167 CALFACTANT 35MG/ML 3ML IN - 6006175 AMPICILLIN 20MG/1ML PEDIV - 6006183 BELIMUM LYOPH 120MG SDVJG - 6006191 BELIMUM LYOPH 400MG SDVJG - 6006209 NYSTATIN 30GM CRM - 6006217 LACOSAMIDE 200MG/20ML SDV #REF!6006233 DARUNAVIR 800MG TAB #REF!6006241 ACETAMIN 80MG/0.8ML PEDP - 6006258 OCTAFLUOROPROPAN MICRO/M - 6006266 NEO/POLYMIXB/PRAM 15GM CR - 6006274 VALGANCICLOV 60MG/1ML LIQ - 6006275 DEXTROMETH 30MG/5ML SYRP - 6006282 MORPHINE 2MG/ML 1ML PEDIV - 6006290 OFATUMUMAB 1GM/50ML SDVJG - 6006308 OFATUMUM 100MG/5ML SDVJG - 6006316 TAPENTADOL 100MG ER TAB - 6006324 TAPENTADOL 75MG TAB - 6006332 APIXABAN 2.5MG TAB #REF!6006340 APIXABAN 5MG TAB #REF!6006357 SPIRONO/HCTZ 5-5MG/MLPDPO - 6006365 IBUPROFEN 100MG/ML 8ML IN - 6006373 CLONIDINE 0.1MG/1ML PEDPO - 6006381 IPILIMUM 200MG/40ML SDVJG - 6006399 IPILIMUM 50MG/10ML SDVJG - 6006407 ACETIC ACID 5% 473ML IRR - 6006415 HYDROMORPH 6MG/30ML PCA #REF!

6006423 NOREPINEPHR 8MG/250ML PB #REF!6006431 PEGASPAR 3750IU/5ML INJJG - 6006449 ERYTHRO 0.5% 1GM OPO PED - 6006464 CHLORHEXID 0.12% 15ML LIQ #REF!6006472 DEXMEDETOM 0.4MG/100ML PB #REF!6006473 AQUAPHOR 100GM OINT - 6006474 CEFPODOXIME 100MG/5MLSUSP - 6006475 ABA/DOL/LAM600/50/300MGTB - 6006476 GENVOYA150/150/200/10MGTB #REF!6006477 MULTIVIT 1ML PEDPO #REF!6006478 CYCLOPHOSPHAMIDE 25MG CAP #REF!6006479 CLINDAM 900MG/NS 100MLPMX - 6006480 PIPE/TAZ 2.25GM/NS50ML IV - 6006481 PIPE/TAZ 3.375GM/NS50MLIV - 6012793 ARSENIC 10MG/10ML INJJG - 6012801 MESALAMINE 400MG ER CAP #REF!6012819 IBUPROF 4MG/ML 1ML PEDIV - 6012835 ONDANSETRON 2MG/2.5MLPDPO - 6012843 ZINC OXIDE 13% 56GM TOP #REF!6012850 SOLIFENACIN 10MG TAB - 6012868 MORPHINE 2MG/ML 1ML PEDPO - 6012876 PERTUZUM 420MG/14ML IVJG - 6012884 MAG SULF 50MG/1ML INJ - 6012892 TOBRAMYCIN 300/7.5ML NEB - 6012900 CEFOTETAN 1GM 50ML PB - 6012901 FUROSEMIDE 8MG/1ML PEDPO - 6012918 NIMODIPINE 30MG/10ML LIQ - 6012942 IBUPROFEN 20MG/1ML PEDPO - 6012959 BUMETANIDE 0.5MG TAB #REF!6012967 ZONISAMIDE 25MG CAP - 6012977 TETRACAINE 0.5%/0.6ML OPS - 6012978 CEFAZOLIN 1MG/1ML PEDIV - 6012979 CEFTRIAXONE 1MG/1ML PEDIV - 6012980 CEFEPIME 1MG/1ML PEDIV - 6012981 TRIPTORELIN 3.75MG INJJG - 6012982 TRIPTORELIN 11.25MG INJJG - 6012983 THEOPHY 400MG (24H)ER CAP - 6012984 CEFOTETAN 1GM/NS 100ML IV - 6012986 FOLIC ACID 1MG/0.2ML INJ - 6012987 SMOFLIP 20%FAT EML250MLIV - 6012988 MENINGOC B OMV 0.5MLVACC - 6012989 CEFTAZIDI 1GM/NS 100ML IV - 6012990 CEFTAZIDI 2GM/NS 100ML IV - 6012991 BECLOMET 40MCG 10.6GM MDI - 6012992 BECLOMET 80MCG 10.6GM MDI - 6012993 IOHEXOL 300MG/ML 75ML INJ - 6012994 MIDAZOLAM 1MG(25MG)MDV - 6092985 LEVOTHYROX 25MCG/1MLPEDP - 6092993 FLU VACC FLUARX TV 3YR+IM #REF!6093009 OXYTOCIN 10U/ML 10ML INJ - 6093017 NYSTATIN 30GM OINT - 6093025 NEO/POLY/PRAM 30GM CRM - 6093033 CABAZITAX 60MG/1.5MLSDVJG -

6093041 DEFEROXAMINE 2GM INJ #REF!6093058 GANCICLOVIR 0.15% 5GM OP - 6093066 BENZOCAINE 7.5% 9.45GMGEL - 6093075 DOLUTEGRAVIR 50MG TAB #REF!6093076 FEBUXOSTAT 80MG TAB - 6093082 PRALATREXAT20MG/1MG INJJG - 6093090 PRALATREX 40MG/2MG INJJG - 6093108 RASBURICASE LYO7.5MGSDVJG - 6093109 PENTOBARBIT 50MG/ML 50MJG - 6093116 ACYCLOVIR 50MG/ML20ML INJ - 6093117 VILAZODONE 10MG TAB - 6093118 LURASIDONE 20MG TAB - 6093119 FLU VAC FLUBLOK RECOMB IM - 6093121 FLU VACC TRIVAL PF6-35MOS - 6093122 APAP/HYDROCO 325/7.5 15ML #REF!6093123 CEFAZOLIN 2GM/50ML PB #REF!6093124 CHLOROPROC MPF 2% 20MLINJ - 6093125 HEPARN 1U/1ML 1/2NAACPDIV - 6093126 NITROGLYCER 1MG/10ML SYR - 6093127 NA GLYCEROPH 4.32G/20MLVL - 6093128 VECURONIUM 20MG LYOPH SDV #REF!6093129 VECURONIUM 20MG LYOPH SDV - 6093130 MENINGOCOC VACC 0.5ML INJ #REF!6093131 BACIT/POLY 50-500/500MLIR - 6093132 BUPIVACAI LIPO 266MG/20ML - 6093133 BRENTUXIM 50MG PWD SDVJG - 6093134 DIAZOXIDE 50MG/ML 1ML SOL - 6093135 MANNITOL 20% 50GM/250MLPB - 6093137 CERTOLIZUM 200MG PWDSDVJG - 6093138 CERTOLIZUMAB 200MG SYR - 6093139 METOCLOPRAM 5MG/1ML PDIV - 6093140 METOCLOPRAMIDE 5MG/ML 2ML - 6093141 TBO-FIL 300MCG/0.5MLSYRJG - 6093142 TBO-FIL 480MCG/0.8MLSYRJG - 6093143 KCENTRA (500IU) 1IU INJJG #REF!6093144 IFOSFAMIDE 3GM INJ - 6093145 VANCOMYCIN 750MG INJ #REF!6093146 TEDIZOLID PHOS 200MG TAB - 6093147 TEDIZOLID PHOS200MG SDVJG - 6093148 PEN G K 600KU/10ML PEDIV #REF!6096146 PHENYLEPH 2.5% 15ML OPS #REF!6096147 RASAGILINE 0.5MG TAB - 6096148 CANAGLIFLOZIN 100MG TAB - 6096149 CANAGLIFLOZIN 300MG TAB - 6096150 MEMANTINE 7MG ER 24HRCAP - 6096151 MEMANTINE 14MG ER 24HRCAP - 6096152 MEMANTINE 28MG ER 24HRCAP - 6096153 DICLOFENAC 0.1% 2.5ML OPS - 6096154 MICONAZOLE 2% 56GM TOP - 6096155 TRIAMCIN ACE 0.1% 80GM - 6096156 FLU VACC 4VAL PF 6MO+ IM - 6096157 BUDES/FORM80/4.5 6.9GMMDI - 6096158 ATENOLOL 12.5MG TAB -

6096159 CAPTOPRIL 6.25MG TAB - 6096160 LEVOTHYROXINE 0.0125MG TB - 6096161 VIT K (PHYTONAD) 2.5MG TB - 6096162 SOTALOL 40MG TAB - 6096163 TRAZODONE 25MG TAB - 6096164 CLOTRIMAZOLE 2% 21GM VAG - 6096165 CLOMIPHENE CIT 50MG TAB - 6096166 QUINIDINE/DM 10-20MG CAP - 6096167 CYCLOSPOR 0.05% 0.4ML OPS - 6096168 DOXYCYCL MONOHYD 50MG CA - 6096169 ERYTHROMYCIN 2% 30GM GEL - 6096170 ESTRADIOL 0.5MG TAB - 6096171 ESTROGENS CONJ 30GMVAGCR #REF!6096172 ETH ESTR/LEVONO 0.03/0.15 - 6096173 LEVETIRACET 15MG/1ML PDIV - 6096174 MELATONIN 5MG TAB - 6096175 LIDO/EPI PF2%-1:200K 10ML - 6096176 HYOSCYAMINE ER 0.375MG TB - 6096177 LIDOCAINE MPF 2% 5ML INJ #REF!6096178 LUBIPROSTONE 8MCG CAP - 6096179 METRONIDAZOLE 1% 60GM GEL - 6096180 MIDAZOLAM 5MG/ML 5ML INJ - 6096182 PHENYTOIN 100MG ER CAP #REF!6096183 PRAMOXINE/ZN 1-5% 28GMTOP - 6096184 PROGESTERONE 100MG CAP #REF!6096185 QUETIAPINE 150MG ER TAB - 6096186 QUETIAPINE 50MG ER TAB #REF!6096187 SELEGILINE 5MG CAP - 6096188 SEVELAMER CARB 2.4GM PWD - 6096190 LIDO MPF/EPI 1% 10ML INJ - 6096192 HYDROCORT 2.5% 30GM PRCRM #REF!6096193 COENZYME Q10 200MG CAP - 6096194 TERIPARAT 250MCG 2.4MLPEN - 6096196 LIDOCAINE 4ML LTA TOP SOL - 6096198 DILTIAZEM ER 120MG 24H TB - 6096199 CEFOTAXIME 20MG/1ML PEDIV - 6096201 AMPICILLIN 2GM/50ML IVPB - 6096205 PIPER/TAZO 3.375GM/50MLPB - 6096208 NACL 0.65% 30ML NAS DROP - 6096209 METHYL SAL/MENTH 57GM CRM - 6096210 LEVONORGESTREL 1.5MG TAB - 6096211 TELMISARTAN 40MG TAB - 6096212 SILODOSIN 8MG CAP - 6096213 POLYV/POVI 1.4/.6%0.4MLOP #REF!6096214 BETAXOLOL 0.25% 10ML OPSU - 6096216 HEPARIN FL 30U/3ML SYR - 6096217 GLYCOPYRROLA 0.2MG/ML 2ML - 6096218 PERAMIVIR200MG/20ML SDVJG - 6096219 OXYMETAZOL 0.025% 15ML OP - 6096220 CHLORTHALIDONE 50MG TAB - 6096221 LIDOCAINE 3.5% 1ML OP GEL - 6096222 TOBRAMY/DEXAMETH 2.5MLOPS #REF!6096223 TELMISARTAN 80MG TAB -

6096224 IRON POLY/VIT C150-50MGCP - 6096226 CLINDAMYCIN 1% 60ML LOT - 6096227 ESTRADIOL 0.1MG/QD WKLY - 6096228 HYDROCORT 2.5% 20GM CRM - 6096229 LIDO/PRILOCAINE 30GM TOP #REF!6096230 GENTAMICIN 0.1% 30GM TOP - 6096231 TROLAMINE 10% 90GM TOP - 6096233 BENZOCAINE 20% 0.5ML SPRY - 6096234 IG RHO-D SD1500UNIT INJJG - 6096235 CISATRACURIUM 10MG/ML 20M #REF!6096236 LIDOCAINE 2% 2ML INJ - 6096237 BARIUM 2.1% 450ML SUSP - 6096239 VALPROIC AC 500MG/10MLLIQ #REF!6096241 ONDANSETRON 8MG ODT TAB - 6096242 A AND D 120GM OINT - 6096243 CLONIDINE 5MG/10ML INJ - 6096245 PROMETHAZINE 50MG SUPP - 6096246 HYDROCORT 1% 15GM TOP - 6096247 GLUCOSE 40% 37.5GM GEL #REF!6096248 OXALIPLATIN 100MG/20MLINJ #REF!6096249 WATER STERILE 100ML INJ #REF!6096250 PACLITAXEL /1MG-50ML MDV - 6096251 IXABEPILONE 45MG INJJG - 6096253 DOXORUBICN 20MG/10MLSDV - 6096255 OXYMETAZOL 0.05% 30ML NAS #REF!6096256 BENZOCAINE 10% 7GM GEL #REF!6096257 LAMOTRIGINE 100MG ER TAB - 6096258 BARIUM SULF 96% 176GM PWD - 6096259 PIMOZIDE 1MG TAB - 6096260 PHENYL/PRAM/GLYC 27GM CRM - 6096261 INTERFERON ALFA 2A 6MIL U - 6096262 GENTIAN VIOL 1% 60ML TSOL - 6096263 DESOXIMETASONE 0.25% 60GM - 6096264 ACYCLOVIR 5% 5GM CRM - 6096265 DOXYCYCL MONOHYD 100MG CP - 6096266 MILRINONE 40MG/200ML PB - 6096267 ASENAPINE 5MG SL TAB - 6096268 LEUCOVORIN CA 200MG SDV - 6096271 AMPICILLIN 2GM/50ML IVPB - 6096275 PIPER/TAZO 3.375GM/50MLPB - 6096277 FENT/BUP 2.5-0.125%250EDP - 6096278 BARIUM SULFATE 450ML SUSP #REF!6096279 NACL 0.65% 30ML NAS DROP - 6096280 K BICARB/KCL 25MEQ EFF - 6096281 VIT E 24KIU/60ML TOPOIL - 6096284 ROPIVACAINE 200MG/20MLAMP #REF!6096285 IOPAMID 250MG/ML 150MLINJ - 6096286 ROPIVACAINE 150MG/30MLINJ - 6096287 CHLOROPROC 3% 20ML INJ - 6096288 DIAZEPAM 2.5MG RECTAL GEL - 6096289 DOCETAX PF 80MG/4ML SDVJG #REF!6096290 CIPROFLOXACIN 0.3%10ML OP - 6096291 HYDROCORT 2.5% 25MG LOT -

6096292 LIDOCAINE 2% 85GM TOP JEL - 6096293 DOCUS/BENZOC 283MG/5ML PR - 6096294 PREPARATION H 57GM OINT #REF!6096295 FLU VACC CELL CX PF >18YR #REF!6096296 IOPAMID 300MG/ML 150MLINJ - 6096297 EPINEPHRINE 0.15MG PEN - 6096298 MINER OIL/PETRO 7GM OPO #REF!6096299 DIBUCAINE 1% 60GM OINT - 6096300 AMIN AC W/LYT 4.25-5%1LIV - 6096301 TPN VANILLA 250ML PEDIV - 6096302 EPHEDRINE 25MG/5ML SYRN - 6096303 INS NPL/LIS 50/50 10U INJ - 6096304 PEMBROLIZUM 50MG PWD VLJG - 6096305 PROMETH/DM 6.25-15/5 SYRP - 6096306 LIDOCAINE PF 1.5% 20MLAMP - 6096307 MOMETASONE 220MCG 30D INH - 6096308 CLINDAMYCIN 1% 60GM TGEL - 6096309 DIATRIZOTE MEG/NA-66 30ML #REF!6096310 IG HEPATITIS B 5ML IVJG #REF!6096311 CROFELEMER 125MG DR TAB - 6096312 SALIVA SUBSTITUTE 60MLSPY - 6096313 FLU VACC FLUMIST 4VAL NAS - 6096314 SIMETHICON 20MG/0.3ML PED - 6096315 AMOXICILLIN 50MG/1ML PDPO - 6096316 CARBAMAZEPIN 20MG/ML PEDP - 6096317 CLINDAMYCIN 15MG/1ML PED - 6096318 DIPHENHYDR 2.5MG/ML PEDPO - 6096319 SUCRALFA 100MG/ML 1ML PDO - 6096320 LORAZEPAM 0.5MG/1ML PEDIV - 6096321 LINEZOLID 2MG/1ML PEDIV #REF!6096322 FENT/BUP 5-.0625%250MLEPD - 6096323 FENT/BUP 5-0.125%250MLEPD - 6096324 SILDENAFIL 0.8MG/1ML SYRG - 6096325 SILDENAFIL 10MG/12.5ML IN - 6096326 ROMIDEPSIN 10MG/2ML INJJG - 6096327 ATROPINE 1% 15ML OP SOL - 6096328 TOBRAMYCIN 5MG/ML PEDIV #REF!6096329 ALENDRONATE 35MG TAB #REF!6096330 AMIODARONE 50MG/ML 18ML #REF!6096331 AMOXICILLIN 400/5 75ML SU #REF!6096332 BARIUM SUL 105% 1.9L SUSP #REF!6096333 BARIUM SUL 98% 355ML SUSP #REF!6096334 BARIUM 40% 148GM PWD - 6096335 CETUXIM 200MG/100ML SDVJG #REF!6096336 CLOFARAB 20MG/20ML INJJG #REF!6096337 CYCLOSPOR 0.05% 0.4ML OPS #REF!6096338 CYTARABIN PF 100MG/5MLSDV #REF!6096339 DEXAMETHAS 1MG/10ML ELIX #REF!6096340 DOFETILIDE 125MCG CAP - 6096341 ERYTHRO ETH 200MG/5ML GRN #REF!6096342 FLUORESCEIN 0.6MG STRIP #REF!6096343 FLU VACC 4VAL PF 6-35MOS #REF!6096344 FLU VACC FLUZON 3V>3YRMDV #REF!

6096345 FLU VACC FLUZON 3V>3YR IM #REF!6096346 IG GAMUNEX 1GM INJJG #REF!6096347 IG GAMMAGAR2.5GM/25MLIVJG #REF!6096348 IG FLEBOGAMM20GM/2DL IVJG #REF!6096349 IOTHALAM MEG17.2%250MLINJ #REF!6096350 IOPAMID 300MG/ML 15MLINTH #REF!6096351 KETOROLAC 0.5% 3ML OP SOL #REF!6096352 LEVETIRACET 1GM/100ML PB #REF!6096353 LEVETIRACET 500MG/100MLPB #REF!6096354 LIDOCAINE 2% 15ML VISC #REF!6096355 LURASIDONE 40MG TAB #REF!6096356 METHOTREX PF 1GM/40ML SDV - 6096357 METHOTREX PF 50MG/2ML SDV #REF!6096358 METHYLPRED NA 2GM INJ #REF!6096359 MYCOPHENOLATE ER180MG TB #REF!6096360 NTG 2% 60GM OINT #REF!6096361 NEVIRAPINE 10MG/1ML PDSUS #REF!6096362 NEVIRAPINE 10MG/1ML PDSUS #REF!6096364 DEXMEDETOM 0.2MG/50ML PB #REF!6096365 MIDAZOLAM 100MG/100ML PB #REF!6096366 IG RHO-D 300MCG INJ #REF!6096367 ROPIVACAI PF100MG/20MLSDV - 6096368 ROSUVASTATIN 40MG TAB #REF!6096369 TOLVAPTAN 15MG TAB #REF!6096370 TRACE MET MTE-4 CON10MLIV #REF!6096371 ZIPRASIDONE 80MG CAP #REF!6096372 APAP/BUT/CAFF 300/50/40CP - 6096373 DORIPENEM 250MG PWD SDV #REF!6096374 MORPHINE PF 30MG/30ML PCA - 6096375 NAPROXEN EC 550MG TAB #REF!6096376 ONDANSETRON 0.8MG/1MLPDPO #REF!6096378 SELENIUM 2.25% 180ML TOP #REF!6096379 URSODIOL 500MG TAB #REF!6096380 IG VARICELL ZOS 125IU INJ - 6096381 ZONISAMIDE 50MG CAP #REF!6096382 RIFAMPIN 6MG/1ML PEDIV - 6096383 FENT/BUP 2-.125%100ML EPD - 6096384 CEFOTETAN 20MG/1ML PEDIV - 6096385 PHENYLEPH 400MCG/10MLSYRN - 6096386 EPHEDRINE 50MG/10ML SYRN - 6096387 BRIMONIDINE 0.2% 10ML OPS - 6096388 METHACHOL 100MGVL STPCHAL - 6096389 AMMONIUM LAC 5% 240GM LOT - 6096390 K IODIDE 0.5GM/0.5ML LIQ - 6096391 CA GLUBION 23MG/1ML PEDPO - 6096392 LEVETIRACET 100MG/1MLPDPO - 6096393 LINEZOLID 20MG/1ML PEDPO - 6096394 ACETAMIN 32MG/ML PEDPO - 6096395 ADENOSINE THERA 6MG INJ #REF!6096396 ADENOSINE 3MG/ML 4ML INJ - 6096397 ADENOSINE 300MCG/1ML PEDI - 6096398 MORPHINE 15MG/ML 20ML INJ #REF!6096399 MORPHINE 25MG/ML 10ML INJ #REF!

6096400 MORPHINE 1MG/ML 100ML PCA - 6096401 MORPHINE 5MG/ML 30ML INJ #REF!6096402 PACLITAX 100MG/16.7ML SDV #REF!6096403 PACLITAXEL /1MG-5MLMDV #REF!6096405 TESTOST CYP 200MG/ML 10ML #REF!6096406 TESTOST CYP 200MG/ML 1ML - 6096407 TESTOST ENAN 200MG/ML 5ML - 6096408 ACETIC AC 0.25% 500ML IRR - 6096410 FERROUS SUL 15MG/1ML PDPO #REF!6096411 ACETYLCYSTEINE 600MG CAP - 6096412 DANTROLENE 250MG PWD SDV - 6096413 FILGRA 0.3MG/0.5MLPDSYRJG - 6096414 ANTIPYRINE/BENZOC 15ML OT - 6096415 AMOXICILLIN 400/5ML PEDPO - 6096416 AMOXICILLIN 400/5 5ML SUS - 6096417 AMIODARONE 450MG/250ML PB - 6096418 AMP/SUL 1.5GM/NS100MLIVBG - 6096419 AZTREONAM 75MG/3ML NEB - 6096420 MAGGOT ANESTH 240ML SOL - 6096421 CARDIOPL GLUT LOW-K 975ML - 6096422 CARDIOPL HIGH-K 640ML INJ - 6096423 CARDIOPL LOW-K 620ML INJ - 6096424 COLISTIMETH 75MG/4ML INH #REF!6096425 DOXYCYCLINE 100MG/100MLPB #REF!6096426 ERTAPENEM 1GM/50ML PB - 6096427 HISTAMINE 0.5MG/0.5ML INJ - 6096428 MEROPENEM 1GM/100ML IVPB #REF!6096429 MEROPENEM 500MG/100ML PB - 6096430 MILRINONE 10MG/10ML PEDIV - 6096431 CARDIOPL DEL NIDO 1L INJ - 6096432 ACETAMIN 160MG/5ML PEDPO - 6096433 ALLOPURINOL 20MG/1ML PDPO - 6096434 AMANTADINE 100MG/10ML SOL - 6096435 AMOXAPINE 25MG TAB - 6096436 AMOXICILLIN 250MG/5MLPEDP - 6096437 AMOXICILLIN 25MG/1ML PDPO - 6096438 AMPHO B CS COMP 100MG INJ - 6096439 BALSALAZIDE 750MG CAP - 6096440 BENAZEPRIL/HCTZ 10/12.5MG - 6096441 BENZOCAINE 20% 5GM OGEL - 6096442 BISOPROLOL/HCTZ 5/6.25MG - 6096443 BRIMONIDINE 0.2% 5ML OPS - 6096444 BROM/DM/PSEUDO 120ML SYRP - 6096445 BUPRENORPHINE 0.3MG INJ - 6096446 BUTORPHANOL 2.5ML NAS SPR - 6096447 CA CITRATE 200MG TAB - 6096448 CAFFEINE CIT 20MG/ML PEDP - 6096449 CALCIPOTRIENE 0.005% 60GM - 6096450 CANDESARTAN 8MG TAB - 6096451 CEFDINIR 125MG/5MLUD SUSP - 6096452 CARBAM PEROX 6.5%30MLOTIC - 6096453 CARTEOLOL 1% 5ML OP SOL - 6096454 CEFDINIR 250MG/5ML 60ML -

6096455 CEFIXIME 100MG/5ML 5ML SU - 6096456 CEFUROXIME 250/5 5ML SUSP #REF!6096457 CILOSTAZOL 50MG TAB - 6096458 CIPROFLOX 250MG/5ML SUSP - 6096459 CIPROFLOX 500MG/5ML SUSP - 6096460 CIPROFLOXA 400MG/40ML INJ - 6096462 CLINDAMYCIN 1% 60ML T-SOL - 6096463 CLORAZEPATE 3.75MG TAB - 6096464 AMPHET/DEXTROAMP 10MG TAB - 6096465 ZINC OXIDE 20% 454GM TOP - 6096466 ZINC OX/WHT PET 113GM TOP - 6096467 K CITRATE ER 5MEQ TAB - 6096468 K PHOS 500MG(3.7MEQ K)TAB - 6096469 NA ACET 100MEQ/50ML INJ - 6096470 NA TETRADECYL 1% 2ML INJ - 6096471 CEFOTAXIME 40MG/1ML PEDIV - 6096472 PIMOZIDE 2MG TAB - 6096473 BROMPH/PHE 1-2.5MG/5ML PQ - 6096474 RAMIPRIL 10MG CAP - 6096475 REMIFENTANIL 2MG 5ML INJ - 6096476 REMIFENTANIL 5MG/10ML INJ - 6096477 RIMEXOLONE 1% 5ML OP SUSP - 6096478 ROCURONIUM 10MG/ML 10ML - 6096479 ROPINIROLE ER 2MG TAB - 6096480 SILVER SULFAD 1% 20GM CRM - 6096481 SOMATROPIN 5MG INJ - 6096482 SOTALOL 160MG TAB - 6096483 STAVUDINE 15MG CAP - 6096484 STREPTOZOCIN 1GM INJJG - 6096485 TACROLIMUS 5MG CAP - 6096487 THEOPHYLLINE TR 200MG(24H - 6096488 THEOPHYLLINE TR 300MG(24H - 6096489 TIMOLOL 0.5% 10ML OP SOL - 6096490 TIZANIDINE 2MG TAB - 6096491 TOLMETIN 400MG CAP - 6096492 TRANDOLAPRIL 2MG TAB - 6096493 TRETINOIN 0.025% 15GM TOP - 6096494 TRIAMCIN ACE 0.1% 30GMCRM - 6096495 TRIFLUOPERAZINE 2MG/ML10M - 6096496 VANCOMYCIN 250MG CAP - 6096497 WARFARIN 5MG INJ - 6096498 YOHIMBINE 5.4MG TAB - 6096499 ZIPRASIDONE 40MG CAP - 6096500 ZIPRASIDONE 60MG CAP - 6096501 ADAPALENE 0.1% 45GM TOP - 6096502 ATOMOXETINE 40MG CAP - 6096503 CEFEPIME 40MG/1ML PEDIV #REF!6096504 SORAFENIB 200MG TAB - 6096505 CLEVIDIPINE 25MG/50ML INJ - 6096506 ATOMOXETINE 18MG CAP - 6096507 ATOMOXETINE 60MG CAP - 6096508 CINACALCET 60MG TAB - 6096509 AMIODARONE 450MG/9ML INJ -

6096510 ALPHA1 PROINHIB/10MGSDVJG - 6096511 ATROPINE 0.05MG/ML 5ML IN - 6096512 BENZOYL PEROX 10% 60GMGEL - 6096513 BRIMONIDINE/TIMOLOL 5ML - 6096514 CALCIPOTRIE/BETAMETH 60GM - 6096515 CICLOPIROX 8% 6.6ML TOPSO - 6096516 VIT B12(CYANOCBA) 2500MCG - 6096517 FACTOR 7A RT REC 2MGINJJG - 6096518 NTG/D5W 100MG/250ML PB - 6096519 PEG 3350-ELECTRLY-BISACOD - 6096520 PIMECROLIMUS 1% 30GM CRM - 6096521 PREGABALIN 150MG CAP - 6096522 QUETIAPINE 300MG TAB - 6096523 QUETIAPINE 400MG TAB - 6096524 QUETIAPINE 300MG ER TAB - 6096525 RISPERID LA 50MG/2MLINJJG - 6096526 RUFINAMIDE 200MG TAB - 6096527 SILDENAFIL 50MG TAB - 6096528 STAVUDINE 1MG/1ML SOL - 6096529 SUNITINIB 50MG CAP - 6096530 TACROLIMUS 5MG/1ML INJJG - 6096531 TELBIVUDINE 600MG TAB - 6096532 VARENICLINE 0.5MG TAB - 6096533 ZAFIRLUKAST 10MG TAB #REF!6096534 ZINC SULFATE 5MG/ML 5ML - 6096535 ROTAVIRUS VAC PENTA SUS - 6096536 CALCITRIOL 1MCG/1ML PEDPO - 6096537 SILDENAFIL 2MG/1ML PEDPO - 6096538 SIMETHICON 40MG/0.6ML PED - 6096539 AMINO ACID 10% 1000ML INJ - 6096540 AMLODIPINE 1MG/1ML PEDPO - 6096541 ACETAZOLAM 25MG/1ML PEDPO - 6096542 POLYETHYLENE GLYCOL 119GM - 6096543 VORICONAZOLE200MG/5ML SUS - 6096544 NA POLYSTYRENE 30GM ENEMA - 6096545 ASENAPINE 10MG SL TAB - 6096546 VIT D CHOLECALCIF 5KU TAB - 6096547 PHENYLEP 30MG/NS 250MLPMX - 6096548 ATAZANAVIR SUL 300MG CAP - 6096549 SIROLIMUS 0.5MG TAB - 6096550 AMIODARONE 360MG/200ML PB - 6096551 TEMSIROLIM 25MG/1ML INJJG - 6096552 TESTOSTER 4MG/24HR PATCH - 6096553 MULTIVIT/FL 0.5MG/1ML PED - 6096554 BIMATOPROST 0.01%2.5MLOPS #REF!6096555 CHLORPHENIR 2MG/5ML LIQ - 6096556 CYCLOPENTOLATE 1% 15ML OP - 6096557 NA BICARB 44.6MEQ/50MLINJ - 6096558 NA ACET 20MEQ/10ML INJ - 6096559 BETACAROTENE 25000IU CAP - 6096560 AMPICIL/SUL 30MG/1MLPEDIV - 6096561 VANCOMYCIN 250MG/5ML LIQ - 6096562 CAMPHOR/MENTHOL 222ML TOP -

6096563 ACETAMIN 40MG/0.4ML PEDPO - 6096564 VIT A 8000IU CAP - 6096565 CAPTOPRIL 1MG/1ML PEDPO - 6096566 SMZ-TMP 800-160MG/20ML LQ #REF!6096567 CEFOXITIN 40MG/1ML PEDIV #REF!6096568 BACLOFEN 10MG/1ML PEDPO - 6096569 WARFARIN 1.25MG TAB - 6096571 ANTIVEN CENTR 120MG SDVJG - 6096572 NA PHOS 20MM/NS 100ML PMX - 6096573 VIT B12 1000MCG SL TAB - 6096574 AMOX/CLAV 250/5 100MLSUSP - 6096575 CARVEDILOL 0.1MG/1MLPEDPO - 6096576 PHENYTOIN 5MG/1ML PEDIV - 6096577 PHYTONADION 0.2MG/1MLPDIV - 6096578 PHYTONADIONE 1MG/1ML PDPO - 6096579 NA BICARB 0.5MEQ/1ML PDIV - 6096580 ARGININE 500MG TAB - 6096581 CROMOLYN 20MG/1ML 5ML LIQ - 6096582 MVI W/A-D-E-K 1ML PEDPO - 6096583 QUETIAPINE 400MG ER TAB - 6096584 BENZOYL PER 2.5% 60GM GEL - 6096585 SACCHAROMYCES 250MG PKT - 6096586 TIOCONAZL 6.5% 4.6GM OINT - 6096587 UREA 10% 177ML TOP - 6096588 AMOXICILLIN 400/5 100ML - 6096589 AMOXICILLIN 400/5 50ML - 6096590 CEFTAZIDIME 40MG/ML PEDIV - 6096591 PROPAFENONE 225MG TAB - 6096592 VILAZODONE 20MG TAB - 6096593 TOBRAMYCIN 10MG/1ML PEDIV - 6096594 NACL PF 0.9% 50ML VL INJ - 6096595 AMIODARONE 150MG/3ML PDIV - 6096596 ACYCLOVIR 40MG/1ML PEDPO - 6096597 PHENYTOIN 25MG/1ML PEDPO - 6096598 PROGESTERONE MIC 8% V-GEL - 6096599 CEFIXIME 200MG TAB - 6096600 CACL 100MG/ML 10ML PEDIV - 6096601 MAG CL/CA CARB 71.5MGECTB - 6096602 MVI W/A-D-E-K 60ML PEDPO - 6096603 BECLOMETH 80MCG 8.7GM MDI - 6096604 BUTT BALM 60GM TOP OINT - 6096606 FACT 8(HUM-P)/1IU500UVLJG - 6096607 TRACE ELEM COMB#1 10MLINJ - 6096608 PIPERAC/TAZO 3.375GM SYR - 6096609 SALICYLIC ACID6% 40GM GEL - 6096610 NA ACET 200MEQ/50ML INJ - 6096611 VIT B6 PYRID 1MG/1ML PDPO - 6096612 CEFAZOLIN 1GM/10ML SYR - 6096613 TOPIRIMATE 6MG/1ML PEDPO - 6096614 AMMON LACT 12%140GM CRM - 6096615 SALIVA SUBSTITUTE 45ML SP - 6096616 ATROPINE 0.8MG/2ML SYRNG - 6096617 WARFARIN 3.75MG TAB -

6096618 CLOBAZAM 20MG TAB - 6096619 CHROMIUM PIC 200MCG CAP - 6096620 TPN CLIN LYTE 4.25/5 2LIV - 6096621 TRIAMCIN ACE 0.1%454GMCRM - 6096622 AL HYD/MAG CARB 160-105TB - 6096624 ALBUTEROL 2MG/5ML 5MLPDPO - 6096625 CLINDAMYCIN 75MG/5ML PDPO - 6096626 CA GLUBION 1.8GM/5ML LIQ - 6096627 AMPHOTER B 2MG/20ML PEDIV - 6096628 NACL 0.9% 20ML PEDIV - 6096629 WATER STERILE 1ML PEDIV - 6096630 CARBOPLAT /50MG 600MG MDV - 6096631 AMINOPHYLLIN 10MG/1MLPDPO - 6096632 BUPRENOR/NALOX 4/1MGODFLM - 6096633 CA GLUCON 1GM/10ML PEDIV - 6096634 PIPERAC/TAZ 45MG/1ML PDIV - 6096635 PYRANTEL 50MG/1ML LIQ - 6096636 URSODIOL 10MG/1ML PEDPO - 6096637 VALPROIC AC 20MG/1ML PDPO - 6096638 OXYTOCIN 30U/500ML LR INJ #REF!6096639 AMINOCAP AC 5GM/100MLIVPB - 6096640 BUTT PST-ANTACID 120GMTOP - 6096641 BUTT PST-STOM ADH 120GMTP - 6096642 ROPIVACAIN 0.1% 270ML ONQ - 6096643 ROPIVACAIN 0.2% 500ML ONQ - 6096644 ROPIVACAIN 0.5% 270ML ONQ - 6096645 NACL 3% 1ML PEDIV - 6096646 NOREPINEPH 4MG/500ML IVPB - 6096647 ISOPROTERENOL 1MG/250MLPB - 6096648 MANNIT/BICARB/PLAS A 1LIV - 6096649 TPN CLINIMIX 2.75/10%2LIV - 6096650 TPN CLINIMIX 4.25/25%2LIV - 6096651 VEIN GRAFT NS 250ML IRRIG - 6096652 VEIN GRAFT LR 250ML IRRIG - 6096653 VANCOMYCIN 50MG/1ML LIQ - 6096654 ANTITHROM III 500IU SDVJG - 6096655 CEFAZOLIN 2GM/20ML SYRN - 6096656 TPN CLINIM 4.25/10% 1L IV - 6096657 AMPICILLIN 500MG/50ML PB - 6096658 ALPROSTAD 0.5MG/50MLPEDIV - 6096659 AMOX/CLAV 600/5 125MLSUSP - 6096660 AMP B LIP 40MG/20MLPDIVJG - 6096661 AMPICILL 500MG/16.7ML SYR - 6096663 BACLOFEN 2.5MG/1ML PEDPO - 6096664 TRYPS/BALS/CASTOR 60GMPSY - 6096665 BENZOCAINE 20% 30GM OGEL - 6096666 BENZOYL PEROX 5% 148GMSOL - 6096667 AMLODIPINE 45MG/45ML SUSP - 6096668 CEFAZOLIN 1.5GM/15ML SYR - 6096669 CEFAZOLIN 500MG/5ML SYR - 6096670 CEFOTETAN 100MG/1ML SYRN - 6096671 CEFTRIAXONE 1GM/25ML SYRN - 6096672 CEFTRIAXONE 2GM/50ML SYRN -

6096673 CEFTRIAX 250MG/6.25ML SYR - 6096674 CEFTRIAX 500MG/12.5ML SYR - 6096675 CEFUROXIME 1.5GM/15MLSYRN - 6096676 CEFUROXIME 100MG1ML SYRN - 6096677 CLINDAMYC 300MG/10ML SYRN - 6096678 CLINDAMYC 600MG/20ML SYRN - 6096679 CLINDAMYC 900MG/30ML SYRN - 6096680 CLONIDINE 2MG/40ML SUSP - 6096681 COAL TAR 2% 107GM OINT - 6096682 COAL TAR 3% 240ML SHAMP - 6096683 COPPER CHL 1MG/2.5ML INJ #REF!6096684 PHENYLEPH 0.25% 30ML NAS - 6096685 K PHOS 0.1MEQ/1ML PEDIV - 6096686 SILDENAFIL 1.5MG/1MLPDSYQ - 6096687 PHENYL/MIN/SHRK 60GM OINT - 6096690 CEFTOLOZA/TAZO 1.5GMSDVJG #REF!6096691 AMPICIL/SUL 1.5GM/50MLPIV #REF!6096692 AMYL/LIPAS/PRO ER55/10/34 - 6096693 APAP/OXYCOD 325/5MG LIQ - 6096694 AQUAPHOR 85GM OINT - 6096695 CADEXOMER IODINE 5GM PAD - 6096696 CEFUROXIM 250/5 100ML SUS #REF!6096697 CHLORASEPTIC 177ML SPRAY - 6096698 CPM/DM/PSE 1-5-15MG/5MLLQ - 6096699 CPM/DM 1-7.5MG/5ML LIQ - 6096700 D10% 0.2% NACL 250ML INJ - 6096701 D10% 0.45 NS 1000ML INJ - 6096702 D25% 10ML PEDSYR - 6096703 D5% 0.33 NACL 1000ML INJ - 6096705 D5% 0.33 NACL 500ML INJ - 6096706 D5% W ELECT P 500ML INJ - 6096707 D5% W ELECTROLYTE48 250ML - 6096708 DALTEPAR /2.5KIU 3.8MLMDV - 6096709 DANTROLENE 5MG/1ML PEDPO - 6096710 DASATINIB 20MG TAB - 6096711 DEFERASIROX 500MG TAB SUS - 6096712 DEGARELIX 120MG SDV SQJG - 6096713 DESIPRAMINE 150MG TAB - 6096714 DESMOPRESS 0.2MG TAB - 6096715 DESVENLAFAXINE ER 50MG TB - 6096716 DEXAMETHASONE 0.25MG TAB - 6096717 DEXMEDETOM 200MCG/2ML PIV - 6096720 DIAZEPAM 1MG/ML 5ML SOL - 6096721 DIFLUNISAL 250MG TAB - 6096722 DIGOXIN 0.05MG/ML 60ML EL - 6096723 DILTIAZEM 12MG/1ML PEDPO - 6096724 DIPYRIDAMOLE 50MG/10MLINJ - 6096725 DISOPYRAMIDE ER 150MG CAP - 6096726 DOCETAXEL 20MG/2ML INJJG - 6096727 DOFETILIDE 500MCG CAP - 6096728 DOTY IRRIG 1000ML TOP - 6096729 DOTY IRRIG 500ML TOP - 6096730 DOXEPIN 150MG CAP -

6096731 DOXERCALCIFER 2MCG/1ML VL - 6096732 DOXOR LIP 50MG/25ML INJJG - 6096733 DTAP HIB IP VACCINE IM - 6096734 E ESTRAD/NORETH 20/1MG TB - 6096735 E ESTRAD/NORETH 35/1MG TB - 6096736 ENALAPRILAT 0.25MG/10MLIV - 6096737 EPINEPH 6MG/D5W 250ML IV - 6096738 EPOPROSTENOL PWD 1.5MGSDV - 6096739 ERGOCALC 400IU/0.05MLPDPO - 6096740 MAG SULF 50MG/1ML PEDPO - 6096741 ERYTHRO BASE 250MG TAB - 6096742 ERYTHRO LA500MG/250MLPBJG #REF!6096743 ERYTHROM E.S. 40MG/1MLPPO - 6096744 ESCITALOPRAM 5MG TAB #REF!6096745 ESOMEPRAZOLE 20MG EC CAP - 6096746 EST/METHYLTEST 1.25/2.5MG - 6096747 ESTROPIPATE 0.75MG TAB - 6096748 ESTROPIPATE 1.5MG TAB - 6096749 ETANERCEPT 50MG/ML INJ - 6096750 ETH ESTRADIOL/NORETH 35/0 - 6096751 ETHOSUXIMIDE 250MG CAP - 6096752 ETODOLAC 400MG TAB - 6096753 EXTRAOCULAR IRR 15ML OPS - 6096754 FAMOTIDINE 0.4MG/ML PEDIV - 6096755 FAMOTIDINE 10MG TAB - 6096756 FAMOTIDINE 40MG/5ML LIQ - 6096758 FAT EMULSIONS 20% 1000ML - 6096759 FELBAMATE 600MG/5ML SUSP - 6096760 FENOFIBRATE 130MG CAP - 6096761 FENT/BUP 2-.125%250ML EPD - 6096762 FENTANYL 10MCG/ML 30ML PB - 6096763 FENTANYL 25MCG/ML 50MLPCA - 6096765 FESOTERODINE ER 8MG TAB - 6096766 FEXOFENADINE 180MG TAB - 6096767 FILGRAST 300MCG/1MLPDIVJG - 6096768 FINASTERIDE 1MG TAB - 6096769 FLAX SEED OIL 1000MG CAP - 6096770 FLUCONAZOLE 1.4GM/35ML LQ - 6096771 FLUCONAZOLE 10MG/ML PEDPO - 6096773 FLUCONAZOLE 40MG/1MLPEDPO - 6096774 FLUOCINOL 0.01% 120ML OIL - 6096775 FLUOCINOL 0.025% 60GMTOP - 6096776 FLUOCINOL 0.59MG INTRVTJG - 6096777 FLUOROURACIL 5% 40GM TOP - 6096778 FOSPHENY125MG/5ML PEDIVJG - 6096779 GABAPENTIN 600MG TAB - 6096780 GALLIUM NIT 25MG/1ML INJ - 6096781 GANCICLOVIR 5MG/1ML PEDIV - 6096782 GENTAMICIN 4MG/1ML PEDIV - 6096783 GI COCKTAIL 200ML LIQ - 6096784 GI COCKTAIL 30ML LIQ - 6096785 GI COCKTAIL MOD 30ML LIQ - 6096786 GLUCOSE 5GM ODT -

6096787 GLYCOPYRROLA 0.2MG/ML 20M - 6096788 GRISEOFUL MIC125/5 120MLQ - 6096789 HALOPERIDOL 2MG/ML 1ML CO - 6096791 HCTZ 1MG/1ML PEDPO - 6096792 HCTZ 5MG/1ML PEDPO - 6096793 HEP A VACC 25U/0.5MLPEDIM - 6096795 HEPARIN FL 1U/ML 1ML IV - 6096796 HEPAR FL PF 100U/1ML INJ #REF!6096797 HEPARIN 1KU/250ML IRRIG - 6096799 HEPAR 15KU/NS 500ML PMX - 6096801 HEPARIN 3KU/1L IRRIG - 6096803 HEPARIN 5KU/NS 500ML PMX - 6096805 HEPARIN PF 5KU/0.5ML INJ - 6096806 HEPARIN FL 20U/2ML INJ - 6096807 HEPARIN FL PF 2U/2ML INJ - 6096809 HEPARIN FL 50U/5ML SYR - 6096811 HIB VACC PRP-OMP CONJ IM #REF!6096813 HPV VACC 4-VAL 0.5ML INJ - 6096815 HYALUR/CHOND 1ML OPSINJ - 6096816 HYDRALAZINE 2MG/1ML PEDIV - 6096817 HYDROCORT 1% 1.5GM CRM - 6096818 HYDROCORT 1% 21GM TOP PR - 6096820 HYDROCORT 100MG/1DL IVPB - 6096821 HYDROCORT 1MG/1ML PEDPO #REF!6096822 HYDROCORT 1MG/ML 5MLPEDIV - 6096823 HYDROCORT 2.5% 20GM OINT - 6096824 HYDROMORPH 0.5MG/0.5MLSYR - 6096825 HYDROMORPH 50MG/50ML PCA - 6096826 HYDROMORPH 5MG/25ML PCA - 6096827 HYDROXOCOBALMN 1000MCG/M - 6096828 HYDROXYUREA 200MG CAP - 6096829 HYDROXYZINE 10MG/5ML PDPO - 6096831 IBUPROFEN 100MG/5ML 120ML - 6096833 IG CYTOMEG2.5GM/50MLINJJG - 6096834 IG GAMMAGARLQ5GM/50MLIVJG - 6096835 IG GAMMAGRD10GM/100MLIVJG - 6096836 IG GAMMAGRD20GM/200MLIVJG - 6096837 IG GAMUNEX10GM/100MLINJJG - 6096838 IG GAMUNEX 20GM INJJG - 6096839 IG LYOPHILIZ 12GM IVINJJG - 6096840 IG PRIVIG 20GM/200ML IVJG - 6096841 IG PRIVIG10%10GM/100 IVJG - 6096842 ILOPERIDONE 10MG TAB - 6096843 ILOPERIDONE 1MG TAB - 6096845 ILOPERIDONE 2MG TAB - 6096847 ILOPERIDONE 6MG TAB - 6096848 IMATINIB 400MG TAB #REF!6096849 INDOMETHACIN 1MG/1ML PDIV - 6096851 INOSITOL HEXANIC 500MGCAP - 6096852 INS ASPART 1000U/10ML INJ - 6096853 INS REG 125U/ML 250ML PB - 6096854 INSULIN 70/30 30U SYR - 6096855 IOHEXOL 240MG/ML 50ML INJ -

6096856 IOPAMID 250MG/ML 200MLINJ - 6096857 ISOPROTER 0.6MG/30ML PDIV - 6096858 KETAMINE 10MG/ML 20ML INJ #REF!6096859 KETOTIFEN 0.025% 5ML OPS - 6096860 LABETALOL 100ML/1DL PEDIV - 6096862 LABETALOL 40MG/1ML PEDPO - 6096863 LACOSAMIDE 100MG/10ML LIQ - 6096864 LACOSAMIDE 10MG/ML 5ML LQ - 6096865 LACOSAMIDE 200MG TAB #REF!6096866 LACTASE 9000UNIT CHEW TAB - 6096867 LACTOBACILLUS LACT 5MU TB - 6096868 LACTULOSE 10GM 15ML SOL - 6096869 LAMIVUDINE 100MG TAB - 6096870 LAMIVUDINE 10MG/ML 240ML #REF!6096872 LANSOPRAZ 3MG/1ML 3DL BQ - 6096874 LEUCOVORIN CA 100MG SDV - 6096876 LEVETIRACET 10MG/1ML PDIV - 6096878 LEVOBUNOLOL 0.5% 15ML OPS - 6096879 LEVOLEUCOVORIN 50MG INJJG - 6096880 LEVOTHYROX 20MCG/1ML PDIV - 6096881 LIDO/PHENYL 1-1.5%/1MLOPS - 6096882 LIDOCAINE 1% 10MG/ML 10ML - 6096883 LIDOCAINE 200MG/5ML PEDIV #REF!6096884 LIDOCAINE 4% 5GM TOP DSG - 6096885 LIDOCAINE MPF 0.5% 50ML - 6096886 LINEZOLID 20MG/10ML PEDIV - 6096887 LISINOPRIL 2MG/1ML PDSUSP - 6096888 LORATAD/PSEUD ER 5/120MG - 6096889 LOSARTAN/HCTZ 50/12.5MG - 6096890 LOTEPREDNOL 0.5% 5ML OPS - 6096891 LOVASTATIN 40MG TAB - 6096892 LURASIDONE 80MG TAB - 6096893 LYSINE 0.685MEQ/1ML PEDPO - 6096894 MAGNESIUM SUL 480GM GRAN - 6096895 MAGNESM CHL20%200MG/ML 50 - 6096896 MANNITOL 20% 25GM/125MLPB - 6096897 MAPROTILINE 25MG TAB - 6096898 MECLOFENAMATE 100MG CAP - 6096899 MED CHAIN TRIGLYC 30MLOIL - 6096900 MENING VAC ACYW PF0.5MLIM - 6096901 MENTH/ZINC OX 0.125OZ OIN - 6096902 MENTHOL ZINC OX 113GM OIN - 6096903 MEPROBAMATE 400MG TAB - 6096904 MEROPENEM 10MG/1ML PEDIV - 6096905 MEROPENEM 1GM/NS 50ML PMX - 6096906 MEROPENEM 500MG/50ML IVPB - 6096907 MESALAMINE 800MG ER TAB - 6096908 METAPROTEREN 100MG/10MLLQ - 6096910 METAPROTERENOL 20MG TAB - 6096911 METHYL SAL/MENTH 30GMOINT - 6096912 METHYLPHENIDATE 2.5MG TAB - 6096913 METHYLPHENIDATE 5MG CHEW - 6096915 METHYLPHENIDATE ER 54MG -

6096916 METHYLTESTOST 10MG CAP - 6096917 METOCLOP 0.9MG/0.9ML SYRN - 6096918 METOCLOPRAM 0.5MG/ML PEDI - 6096919 METOCLOPRAM 30MG/30ML INJ - 6096920 METOLAZONE 1MG/1ML PEDPO - 6096921 METOPROLOL 100MG/20MLSUSP - 6096922 METOPROLOL 10MG/1ML PEDPO - 6096923 METRONIDAZOL 1GM/1DL PB - 6096924 METRONIDAZOLE 250MG 50ML - 6096925 MICAFUNGIN 15MG/10ML PDIV - 6096926 MIDODRINE 10MG TAB - 6096927 MIDODRINE HCL 2.5MG TAB - 6096928 MILRINONE 20MG/20ML SDV - 6096929 MIRTAZAPINE 30MG ODTAB - 6096930 MISOPROSTOL 50MCG TAB - 6096931 MOEXIPRIL 15MG TAB - 6096932 MOMETASONE 17GM NAS SPRY - 6096933 MORPHINE 50MG/ML 20ML INJ - 6096934 MORPHINE PF 1MG/ML5ML SYR - 6096935 MORPHINE PF 2MG/2ML INJ - 6096936 MORPHINE PF 2MG/2ML PEDIV - 6096937 MULTIVIT CHEW TAB PEDPO - 6096938 MULTIVIT/MINERL/LUTEIN TB - 6096939 MVI THERAP 8OZ 237ML LIQ - 6096940 MVI W/A+C+D3 1ML PEDPO - 6096942 MVI/MIN/FA/CO Q10 CHWTAB - 6096944 NA/K PH MB-DB 0.8/1MLPDPO - 6096945 NABUMETONE 750MG TAB - 6096946 NACL 5% 30ML OP SOL - 6096947 NAFCILLIN 20MG/1ML PEDIV - 6096948 NAFCILLIN 30MG/1ML PEDIV - 6096950 NAPHAZOLIN/PHENIR 5ML OPS - 6096951 NATAMYCIN 5% 15ML OP SUSP - 6096952 NELARABINE 5MG/ML 50ML IN - 6096953 NEOMYCIN 1% 1GM/1L ENEMA - 6096954 NEPAFENAC 0.1% 3ML OPSUS - 6096955 NILUTAMIDE 150MG TAB - 6096956 NITAZOXANIDE 100MG/5ML SU - 6096957 NORGESTIMATE/ETH ESTRADL - 6096958 NTG 0.5MG/5ML PEDIV - 6096959 NTG 2MG/20ML PEDIV - 6096960 NYSTATIN 6MU/60ML SUSP - 6096961 OCTREOTIDE 100MCG/1ML PIV - 6096962 OCTREOTIDE 5MCG/1ML PEDIV - 6096963 OCULAR LUBRICANT 15ML OPS - 6096964 OFLOXACIN 0.3% 10ML OPSOL - 6096965 OFLOXACIN 200MG TAB - 6096966 OFLOXACIN 300MG TAB - 6096967 OLMESARTAN 20MG TAB - 6096968 OLOPATADINE 0.2% 2.5ML OP - 6096969 OXYBUTYNIN XL 10MG TAB - 6096970 PALIPERIDONE 6MG ER TAB - 6096971 PALIPERIDO ER 117MG SYRJG -

6096972 PALIPERIDO ER 156MG SYRJG - 6096973 PALIPERIDO ER 234MG SYRJG - 6096974 PALIPERIDONE ER 3MG TAB #REF!6096975 PANTOPRAZOLE EC 20MG TAB - 6096976 PAROXETINE 10MG/5ML LIQ - 6096977 PAROXETINE 40MG TAB - 6096978 PAROXETINE ER 25MG TAB - 6096979 PAROXETINE ER 37.5MG TAB - 6096980 PEGINTERFER A2A 180MCGSDV - 6096981 PEGINTERFER A2B 120MCGSDV - 6096982 PEMETREXED 100MG INJJG - 6096983 PEN G K 2.5MMU/100ML PB - 6096984 PEN G K 2.5MMU/50ML PB - 6096985 PEN G K 5MMU/100ML PB #REF!6096986 PEN G K 5MMU/150ML PB - 6096987 PEN VK 125MG/5ML 5ML SUS - 6096988 PEN VK 25MG/1ML PEDPO - 6096989 PENICIL VK 250MG/5ML 200M - 6096990 PENTOBAR100MG/2ML PEDIVJG - 6096991 PENTOSAN 100MG CAP - 6096992 PENTOXIFYL 400MG/20ML SUS - 6096993 PHENOBARB 10MG/1ML PEDPO - 6096994 PHENOBARB 13MG/1ML PEDIV - 6096995 PHENOBARBITAL 32.4MG TAB #REF!6096996 PHENOL 14.5MG LOZENGE - 6096997 PIPERAC/TAZO 2.25GM SYR - 6096998 QUINUP/DALFOP 2MG/1MLPDPO - 6096999 SALICYL AC 3% 133ML SHAMP - 6097000 SALIVA SUB 42GM ORAL GEL - 6097001 SALIVA SUBST 474ML SOLN - 6097002 SPIRONOLACT 100MG/100MLLQ - 6097003 TETRAHYD/ZN 0.05% 15MLOPS - 6097004 TIMOLOL 0.25% 10ML OP SOL - 6097005 TPN 1L PERIPHERAL IV - 6097006 TPN 1L RENAL CENTRAL IV - 6097007 TPN 1L RENAL PERIPH IV - 6097008 TPN 2L PERIPHERAL IV - 6097009 TPN 2L RENAL CENTRAL IV - 6097010 TPN 2L RENAL PERIPH IV - 6097011 TPN 3L PERIPHERAL IV - 6097012 TPN 3L RENAL CENTRAL IV - 6097013 TPN 3L RENAL PERIPH IV - 6097014 TPN W LIPIDS 2000ML IV - 6097015 VALSARTAN/HCTZ 80/12.5MG - 6097016 VIT B3 (NIACIN) 250MG TAB - 6097017 VIT D(DOXERCALCIF) 2.5MCG #REF!6097018 ZINC OXIDE 16% 120GM OINT - 6097019 ZINC OXIDE 16% 56.7GM TOP #REF!6097021 ZINC SULF 10MG/1ML PEDPO - 6097022 NACL 3% 4ML NEB - 6097024 NIVOLUM 100MG/10ML SDVJG - 6097025 NEOSTIG 1:2K /0.5MG10MLMD - 6097026 BELATACEPT LYO 250MGSDVJG -

6097027 PHENYL/KETOR1%/0.3%OPSINJ - 6097028 OMEPRAZOLE 2MG/1ML PEDPO - 6097030 AMOX/CLAV 600MG/5ML PEDPO - 6097032 AMOX/CLAV 600MG/5ML SUSP - 6097033 PHENYL/KETO1/0.3%4MLOPINJ - 6097040 CEFTAZ/HEP 10MG-5KU/1MLIV - 6097041 GENT/HEP 1MG-2.5KU/1MLSYR - 6097042 CEFAZ/HEP 5MG-2.5KU/MLSYR - 6097044 CEFAZ/GENT/HEP 5/5/5KUSYR - 6097045 VANC/GENT/HEP10-5-5/MLSYR - 6097046 CEFTAZ/HEP 10MG-100U/MLIV - 6097047 CIPRO/HEP0.1MG-100U/MLSYR - 6097048 CEFAZ/HEP 5MG-10U/1ML SYR - 6097049 VANC/HEP 2MG-100U/1MLSYRN - 6097050 CEFTAZIDIME 0.5MG/1MLSYRN - 6097051 CEFAZOLIN 10MG/1ML SYRN - 6097052 AMIKACIN 1MG/1ML SYRN - 6097053 VANCOMYCIN 5MG/1ML SYRN - 6097054 TROLAMINE 10% 113GM CRM - 6097055 PIPERAC/TAZ 45MG/1ML PDIV #REF!6097056 SOFOSBUVIR 400MG TAB - 6097057 INS GLARGINE 100U/1ML SYR #REF!6097058 ARIPIPRAZOLE 30MG TAB - 6097059 BECLOMETH 42MCG 25GM NAS - 6097060 CEPHALEXIN 50MG/1ML PEDP - 6097061 CITALOPRAM 10MG/5ML 5ML - 6097062 DARBEPOET200MCG/0.4 NONJG - 6097063 DORZOLAM/TIMOL 2% 5ML OPS - 6097064 ERGOLOID MESYL 1MG CAP - 6097065 ETANERCEPT 25MG/0.5ML - 6097066 HEPARN 1U/ML1/2NAAC250PED - 6097067 HYOSCYAMINE 0.125MG TAB #REF!6097068 INS REG HUM 100U/ML 10ML - 6097069 LIDO/EPI 1.5% 5ML INJ #REF!6097070 LINEZOLID 100MG/5ML PEDPO - 6097071 LIOTRIX 30MG TAB - 6097072 LORAZEPAM 2MG/1ML PEDPO #REF!6097073 METHSUXIMIDE 300MG CAP - 6097074 MORPHINE 8MG/ML 1ML INJ - 6097075 MYCOPHENOLATE 200MG/1MLLQ - 6097076 DIGOXIN 50MCG/1ML PEDPO - 6097077 PHENOBARBITAL 64.8MG TAB - 6097078 PRAVASTATIN 40MG TAB - 6097079 SMZ-TMP 800-160MG/10ML LQ - 6097080 ZINC OXIDE 20% 56.7GM TOP - 6097081 HEP B IMM GLOB 1ML SDVJG - 6097082 HYDROCORT 5MG/ML 1MLPEDIV #REF!6097083 BOSENTAN 6.25MG TAB - 6097084 AMYL/LIPAS/PR DR 33/10/37 - 6097085 BARIUM SUL 60% 355ML SUSP - 6097086 CARMUSTINE POLIFE 7.7MG - 6097087 ESOMEPRAZOLE 40MG INJ - 6097088 HYPROMELLOSE 0.5% 15ML OP #REF!

6097089 ASCORBIC AC 100MG/1MLPDPO - 6097090 ZIDOVUDINE 10MG/ML PEDPO - 6097091 METHADONE 0.5MG/0.5ML SOL - 6097092 AMOX/CLAV 600/5 75ML SUSP - 6097093 ENTECAVIR 0.5MG TAB - 6097094 LEUPROLIDE ACET 5MG INJ - 6097095 GALANTAMINE 8MG TAB - 6097096 AZITHROM 200/5 15ML PEDPO - 6097097 ROPIVACAINE 0.2% 400ML PB - 6097098 VIT D(ERGOCAL) 8KIU/1MLLQ - 6097099 IOPAMID 370MG/ML 125MLINJ - 6097100 SPIRONOLACT 5MG/ML PEDPO #REF!6097101 MULTIVIT/FL 0.25MG/1MLPED - 6097102 CALCITONIN 10 IU/ML PEDIV - 6097103 AMPICILLIN 30MG/ML PEDIV - 6097104 ONDANSETRON 4MG/5ML LIQ #REF!6097105 NA BICARB 1MEQ/1ML PEDPO - 6097106 INS GLAR 20UNIT/0.2ML INJ - 6097107 PENTOBARBIT 50MG/1ML INJG - 6097108 CETIRIZINE 1MG/ML 5ML SOL - 6097109 CEFTRIAX 500MG/12.5MLPDIV - 6097110 AZITHRMY 500MG/250MLPEDIV - 6097111 MEROPENEM 500MG/50ML PDIV - 6097112 BARIUM 40% 188ML THIN LIQ #REF!6097113 ERYTHRO ETH 200/5ML LIQ #REF!6097115 PHENOBARBITAL 97.2MG TAB - 6097116 PRED NA PHOS 1% 10ML OPS - 6097117 AZTREONAM 400MG/20MLPEDIV - 6097118 AZITHROMYCIN 200MG/5ML LQ - 6097119 AZITHROMYCIN 20/1ML PEDPO - 6097120 ROPIVACAIN 0.5% 400ML ONQ - 6097121 ALBUTEROL/IPRATROP 4GMINH - 6097122 PHENYLEPH PF 1MG/10MLSYR - 6097123 CYTARABINE PER 100MG INJ - 6097124 FUROSEMIDE 20MG/10ML PDIV - 6097125 PHENYTOIN 10MG/1ML PEDIV - 6097126 AMINO AC 8.5% SF 0.5L INJ #REF!6097127 ACETAMIN 80MG/0.8ML SYQ - 6097128 PHENOBARB 65MG/1ML PEDIV - 6097129 SUCRALFA 100MG/ML 10MLPDO - 6097130 SUCRALFA 100MG/ML 10MLPDO - 6097131 PREDNISOLONE 15MG/5MLPDPO - 6097132 AMPICILLIN 250MG/1ML PDIV - 6097133 RIFAMPIN 60MG/10ML PEDIV - 6097134 NA BICARB 4.2% 10ML PEDIV - 6097135 ACETIC ACID 3% 0.5L IRRIG - 6097136 VANCO 125MG/25ML PEDIV - 6097137 NA POLYSTYRENE 454GM PWD - 6097138 LEVETIRAC 500MG/5ML PDLIQ - 6097139 MORPHINE 10MG/5ML PEDPO - 6097140 MORPHINE 4MG/1ML PEDIV - 6097141 MORPHINE 4MG/1ML PEDIV - 6097142 NAFCILLIN 250MG/25ML PDIV -

6097143 PHENOBARB 30MG/7.5ML PDPO - 6097144 PHENYTOIN 100MG/4ML PEDPO - 6097145 KCL 19.95MEQ/15ML PEDSYQ - 6097146 MULTIVIT W/FE 50ML PEDPO - 6097148 ALPROSTAD 40MCG/20MLPEDIV - 6097149 ALPROSTAD100MCG/20MLPEDIV - 6097150 CAFF CIT 20MG/2ML PEDIV - 6097151 CA GLUC 100MG/10ML PEDIV - 6097152 CEFAZOLIN 200MG/10MLPEDIV - 6097153 CEFTAZIDI 300MG/10ML PEDI - 6097154 CEFTRIAXON 40MG/10ML PDIV - 6097155 CEFUROXIM 500MG/10ML PDIV - 6097156 CLINDAMYCIN 200MG/10MLPIV - 6097157 FENTANYL 200MCG/20MLPEDIV - 6097158 FENTANYL 100MCG/20MLPEDIV - 6097159 GENTAMICIN 40MG/25MLPEDIV - 6097160 HEPARN 1U/ML1/2NAAC60PED - 6097161 INSULIN REG 4U/20ML PEDIV - 6097162 MORPHINE 20MG SUPP - 6097163 NEOSTIGMINE 5MG/5ML SYG - 6097164 ALPHA D GALACTOS 150U TAB - 6097165 DIATRIZOATE 18% 300ML SOL - 6097166 LEVETIRAC 100MG/10ML PDIV - 6097167 LEVALBUTER 0.31MG/3ML NEB - 6097168 LEVALBUTER 0.63MG/3ML NEB - 6097169 BUDESONIDE 0.5MG/2ML NEB - 6097170 BUDESONIDE 0.25MG/2ML NEB - 6097171 BARIUM 40% W/V 240ML NECT - 6097172 BARIUM 40% W/V 230ML PDG - 6097173 BARIUM 40%W/V 250ML HONEY - 6097174 TERBUTALINE 1MG/1ML PEDIV - 6097175 NA NITR-THIO 0.3-12.5GMIV - 6097176 ALFUZOSIN SR 10MG TAB - 6097177 PEN VK 250MG/5ML SUS - 6097178 PEN V K 50MG/1ML PEDPO - 6097179 PARICALCITOL 2MCG/ML 1ML #REF!6097180 GADOBEN DIMEG /1ML-10MLVL - 6097181 GADOBEN DIMEG /1ML 15MLVL - 6097182 GADOBEN DIMEG /1ML-20MLVL - 6097183 RAMUCIR PF100MG/10MLSDVJG - 6097184 RAMUCIR PF500MG/50MLSDVJG - 6097185 INTRA-ARTICUL INJ 60MLSYR - 6097186 CEFTAZ/AVIB 2-0.5GM SDVJG #REF!6097187 K/NA PHOS DI/MONO 250MGTB - 6097188 BENZOCAINE/MENTHOL LOZ(8) #REF!6097189 SPIRONOLACTONE 12.5MG TAB - 6097190 BUSPIRONE 15MG TAB - 6097191 BUSPIRONE 7.5MG TAB - 6097192 IRON SUCROS 200MG/10MLSDV - 6097193 BALSAM PER/CAST 60GM OINT - 6097194 DOXYLAM/PYRID 10-10MGERTB - 6097195 NTG 3000MCG/30ML VL - 6097196 METHYLNALTR 8MG/0.4ML SYR -

6097197 IRON SUC 100MG/100ML IVPB - 6097198 IRON SUC 200MG/100ML IVPB - 6097200 LEVOFLOX 5MG/1ML PEDIV #REF!6097201 CEFDINIR 50MG/1ML PEDPO - 6097202 AMPICILLIN 250/5 100ML SU - 6097203 COBICISTAT 150MG TAB - 6097204 ISAVUCONAZ SULF 186MG CAP - 6097205 ISAVUCONAZ SUL372MG SDVJG - 6097206 NACL 2MEQ/ML 1ML PEDPO #REF!6097207 KCL 10% 40MEQ/30ML LIQ - 6097208 GENTAMICIN 40MG/ML 2ML IN #REF!6097209 MULTIVIT W MINERALS TAB #REF!6097210 AMPICILLIN 500MG/1ML PDIV - 6097211 AMPICILLIN 125MG/1ML PDIV - 6097212 PEG 3350/NASU/BICR/CL/KCL - 6097213 GUAIF/DM SF 100-10/5MLLQ - 6097214 FACTOR 8VWF/1IU 250U VLJG #REF!6097216 ATROP/HYOS/PB/SCOP 5MLPQ - 6097217 BENZOYL PEROX 5% 60GM GEL - 6097218 FLUDARABIN 50MG/2ML INJJG - 6097219 GUAIF/DM/PE 100-10-5/5MLQ - 6097220 HEP A VACC 50U/1ML INJ #REF!6097221 KETAMINE 50MG/ML 1ML SYRN - 6097222 MULTIVIT W VIT K 50ML SDV - 6097223 NAPROXEN 125MG/5ML SU PED - 6097224 NAPROXEN 125MG/5ML 5ML SU - 6097225 PEGINTERFER A2A 180MCGSYG - 6097226 PROPRANOL 20MG/5ML PEDLIQ - 6097227 SILVER SULFAD 1% 25GM CRM - 6097228 NA PHOS 10MM/NS 100ML PMX - 6097229 ALBUTEROL 0.63MG/3ML INH - 6097230 BUPRENORP 10MCG WKLY PTCH - 6097231 OXYCODONE IR 10MG TAB - 6097232 FUROSEMIDE 10MG/ML 4ML LQ #REF!6097233 VIT C(ASCORB)500MG/5ML 5M - 6097234 ATENOLOL/CHLORT 50/25MG - 6097235 FLUOR/CA CARB 3.75/145CAP - 6097236 LIDOCAINE MPF 1% 10ML AMP - 6097237 METHYL SALICYL 113ML CRM - 6097238 VIT B/C/FA COMB RENAL TAB - 6097239 PHENYL/MO/PET 60GM OINT - 6097240 SOMATROPIN 0.6/0.25ML SYG - 6097241 THEOPH 80MG/15ML 18.75ML - 6097242 VIT A 8000IU SOFGEL - 6097243 D12.5%W 250ML INJ - 6097244 ADO-TRAST EMT 100MG SDVJG - 6097245 BENZO/MENTH 15-3.6MG LOZ #REF!6097246 SELENIUM 200MCG TAB - 6097247 COLCHICINE 0.6MG CAP #REF!6097248 DEXPANTHENOL 500MG/2MLINJ - 6097249 MULTIVIT W FE 50ML PEDDRP - 6097250 PROPOFOL 10MG/1ML INJ - 6097251 ZINC SULF 10MG/ML 220MLBQ -

6097252 GLYCOPYR 0.2MG/ML 100MLBQ - 6097253 TOPIRIMATE 6MG/ML 100MLBQ - 6097254 AMLODIPINE 1MG/ML 120MLBQ - 6097255 LEVOCARNIT 11.8GM/118MLBQ - 6097256 LOPERAMIDE 2MG/15ML LIQ - 6097257 COD LIVER OIL 120ML BQ - 6097258 FERR SUL 220MG/5 480ML LQ - 6097259 VALPROIC AC 250/5 473MLLQ - 6097261 CA CARB 500MG/5ML 500ML - 6097262 PEN G K 20MIL UNIT INJ #REF!6097263 ROPIVACAIN 0.5%100MG/20ML #REF!6097264 LEVETIRACET 1.5GM/1DL PB #REF!6097265 FLUTIC/VILAN 100/25 14PWD - 6097266 ALBUTEROL 2MG/5ML 120ML - 6097267 ATENOLOL 2MG/5ML 200ML BQ - 6097268 CALCITRIOL 15MCG/15ML LIQ - 6097269 CA CARB 100MG/1ML 500MLBQ - 6097270 CAPTOPRIL 1MG/1ML 50ML BQ - 6097271 FLUCONAZOLE 350MG/35ML LQ - 6097272 FOLIC AC 50MCG/1ML100MLBQ - 6097273 GABAPENTIN 250/5 470ML LQ - 6097274 LAMOTRIGIN 1MG/1ML125MLBQ - 6097275 LINEZOLID 100MG/5ML 150ML - 6097276 NAPROXEN 125MG/5ML120MLBQ - 6097277 NEVIRAPIN 10MG/1ML240MLBQ - 6097278 PROPRANOL 20MG/5ML500MLBQ - 6097279 URSODIOL 20MG/1ML 150MLBQ - 6097280 ZIDOVUDINE50MG/5ML240MLBQ - 6097281 ACYCLO 200MG/5ML 473ML BQ - 6097283 MEROPENEM 1GM/NS 50ML PMX - 6097285 MORPHINE 2MG/1ML 30ML PCA - 6097286 FLECAINIDE 5MG/1ML PEDPO - 6097287 FLECAINIDE 20MG/1ML PEDPO - 6097288 BUP/MORPH 0.125-0.1 120EP - 6097289 FIBRIN SEAL TISS PF10MLKT - 6097290 FIBRIN SEAL TISSEL 10MLKT - 6097291 FIBRIN SEAL TISSEL 2ML KT - 6097292 FIBRIN SEAL EVICEL 5ML KT #REF!6097293 ROP/CLO.5/80MCGNS99MLIVPB - 6097294 MORPHINE 10MG/0.5ML SOL - 6097295 PREDNISOLONE 15MG/5MLPDPO - 6097296 NICARDIPINE 25MG/250ML PB - 6097297 FLU VACC 4 V <=3YR IM - 6097298 FLU VACC SPL V PF>=3YR IM - 6097299 HEPARIN 4KU/NS 500ML PMX - 6097300 FE CARBOX 750MG/15MLSDVJG - 6097301 VIT K(PHYTON)2MG/1ML PO - 6097302 ARIPIPRAZ ER 400MG PFSJG - 6097303 PEN G K 10KU/ML ID SYG - 6097304 CLOBAZAM 12.5MG/5ML LIQ #REF!6097305 TICAGRELOR 60MG TAB - 6097306 POV IOD 1%/NS 1000ML IRR - 6097307 FLUTIC/VILAN 200/25 14PWD -

6097308 PALIPERIDON ER 78MG SYRJG - 6097309 PHENYLEPH 0.25%PARAB SUPP - 6097310 OBINUTUZUM(1GM) 10MGINJJG - 6097311 OBINUTUZUMAB /10MG WASTE - 6097312 CEFACLOR 125MG/5ML 5ML - 6097313 IDARUCIZUM 2.5GM/50ML SDV #REF!6097314 ACD FORMULA-A 10ML INJ - 6097315 NA BICARB 0.5MEQ/1ML PDPO #REF!6097316 GLUCOSE 4GM TAB - 6097317 GLUCOSE 4GM TAB 4PK DOSE - 6097318 NACL 0.9% 50ML PB - 6097319 DIANEAL LO CA D2.5%2L UB - 6097320 DIANEA LO CA D4.25%2L AFX - 6097321 ELECTROLYTE S 1000ML INJ - 6097322 D5% 250ML INJ - 6097324 ELECTROLYTE S 1000ML INJ - 6097325 TADALAFIL 10MG TAB - 6097326 ALBUTEROL HFA 18GM INH - 6097327 FILGRAST 0.3MG/0.5MLSYRJG - 6097328 TIROFIBAN 5MG/100ML INJJG - 6097329 FILGRAST 0.3MG/0.5MLSYRJG - 6097330 APAP/BUT/CAFF 300/50/40CP #REF!6097331 VANCOMYCIN 500MG/100ML PR - 6097332 OXYCODONE IR 30MG TAB - 6097333 CRANBERRY EXTR 200MG CAP - 6097334 CIPROFLOX 0.2% .25ML OTIC - 6097335 VILAZODONE 40MG TAB - 6097336 TRIAMCIN 55MCG/INH 10.8ML - 6097337 OXACILLIN 1GM/100ML PB - 6097338 OXACILLIN 2GM/100ML PB - 6097339 PIPERA/TAZO 2.25GM/1DL PB - 6097340 PIPERA/TAZO 3.375GM/1DLPB - 6097341 TIGECYCLIN50MG/100ML PBJG - 6097342 MICAFUNGIN 100MG/100ML PB - 6097343 AMP/SUL 1.5GM/NS100MLIVBG - 6097344 PEN G K 5MMU/100ML PB - 6097345 MEROPENEM 500MG/50ML IVPB - 6097346 MEROPENEM 1GM/NS 50ML PMX - 6097347 NICARDIPINE 25MG/250ML PB - 6097348 INS GLARGINE 100U/1ML SYR - 6097349 TRANEXAMIC AC 650MG TAB - 6097350 IOPAMID 300MG/ML 30ML INJ - 6097351 PHENYLEPH 1% 30ML NAS SPR - 6097352 VIT D3(CHOLECAL)50000 CAP - 6097353 IG FLEBOGAMM5GM/50ML IVJG #REF!6097354 MELATONIN 3MG ER TAB - 6097355 BENZOCAINE/TETRA 20GM SPY #REF!6097356 CASTOR/BALS PERU 4OZ SPRY - 6097357 GLIPIZIDE ER 10MG TAB - 6097358 COAL TAR 1% 177ML SHAMP - 6097359 SUGAMMADEX100MG/ML2MLINJ - 6097360 IOVERSOL 320MG/ML 50ML IN - 6097361 PEMBROLIZUMAB 100MG SDVJG -

6097362 COD LIVER/ZINC 57GM OINT - 6097363 OLANZAPINE 20MG ODT - 6097364 SUGAMMADEX100MG/ML2MLINJ #REF!6097365 MEROPENEM DESENSITIZAT NC - 6097366 SMZ/TMP DESENSITIZAT NC - 6097367 VANCOMYCIN DESENSITIZA NC - 6097368 CEFTRIAXONE DESENSITIZ NC - 6097369 CEFAZOLIN DESENSITIZAT NC - 6097370 CEFEPIME DESENSITIZAT NC - 6097371 PENICILLIN DESENSITIZ NC - 6097372 ISOS DIN/HYDRZ10/18.75 TB - 6097373 CLINDAMYCIN 6MG/ML PEDIV #REF!6097374 IOVERSOL 320MG/ML 50ML IN #REF!6097375 PATIROMER 8.4GM PKT - 6097376 CANGRELOR 50MG/5ML SDVTB - 6097377 BENDAMUST 25MG/ML1MLINJJG - 6097378 VIT D CHOLECALCIF 5KU CAP - 6097379 LACTULOS 200GM/300ML ENMA - 6097380 VANCOMYC 125MG/2.5ML SUS - 6097381 GABAPENT 300MG/6ML 6MLPDO - 6097382 LANREOTID120MG/0.5MLINJJG - 6097383 FLUCONAZOLE 350MG/35ML LQ - 6097384 METOCLOPRAMID 1MG/1MLPDP #REF!6097385 FLUOCINON 0.05% 30GM CRM - 6097386 MENING B RECOMB LIPO VAC - 6097387 DARUNAV/COBIC 800-150MGTB - 6097388 HPV VACC 9-VAL 0.5ML IM - 6097389 LEVONORGEST 13.5MG IUDDEV - 6097390 LEVONOR (MIRENA) 52MG IUD - 6097391 BALSAM PER/CAST 30GM OINT - 6097392 VANCOMYC 31MG/ML 15ML OPS - 6097393 DIANEAL LO CA D1.5%2L AFX - 6097394 DIANEAL LO CA D2.5%2L AFX - 6097395 VECUR 100MG/NS 100ML IVPB - 6097396 LACTATED RINGERS 3L IRRIG - 6097397 TETRACAINE 0.5% 5ML OPS - 6097398 LINAGLIPTIN 5MG TAB - 6097399 LINACLOTIDE 145 MCG CAP - 6097400 RIMEXOLONE 1% 10ML OP SUS - 6097401 DOXYLAM/PYRID 10-10MGERTB - 6097402 TIOTROPIUM 18MCG INH 5DOS #REF!6097403 TIMOLOL 0.25% 5ML OP GEL - 6097404 MOXIFLOXACIN 0.5% 1ML OPS - 6097405 FOSPHENYT 100MG/2ML SDVJG #REF!6097406 NA BICARB/CITRIC1.9-1GMTB - 6097407 L-LYSINE 1MEQ/1ML 1ML PO - 6097408 PENCICLOVIR 1% 5GM CRM - 6097409 VANCO 500MG/D5W 100ML PMX #REF!6097410 VANCO 500MG/NS 100ML PMX - 6097411 VANCO 1GM/NS 250ML VIA - 6097412 VANCO 1GM/D5W 250ML VIA - 6097413 SUGAMMADEX100MG/ML5MLINJ - 6097414 ESZOPICLONE 2MG TAB -

6097415 ARTEMETH/LUMEF 20/120 TAB - 6097416 RAMELTEON 8MG TAB - 6097417 DARBEPO 100MCG/0.5MLNONJG - 6097418 FONDAPARIN 10MG/0.8ML SYR - 6097419 IG 5GM POWDER IVJG - 6097420 SACUBIT/VALSAR 24/26MGTAB #REF!6097421 SACUBIT/VALSAR 49/51MGTAB #REF!6097422 SACUBIT/VALSA 97/103MGTAB #REF!6097423 TOBRAMYCIN 2MG/1ML PEDIV #REF!6097424 HEP B IMM GLOB 1ML SDVJG - 6097425 ARFORMOTER 15MCG/2ML INH #REF!6097426 ENOXAPARIN 100MG/ML 3ML - 6097427 BISMUTH SUBGALLAT 25GMPWD - 6097428 VANCO 1GM/D5W 200ML PMX #REF!6097429 HEP 25KU/NS 0.45%500MLPMX - 6097430 TAPENTADOL 50MG ER TAB - 6097431 HEP 25KU/D5W 250ML PMX #REF!6097432 TADALAFIL 20MG TAB - 6097433 INSULIN REG 500U/ML KWPEN - 6097434 ORITAVANC 400MG/50MLSDVJG - 6097435 HIB VACCINE PRP-T CONJ IM - 6097436 MITOMYCIN 0.2MG OPS KIT - 6097437 PYRETHRINS/PIP 60ML SHAM - 6097438 INSULIN LISP 75/25 PEN3ML - 6097439 INS LIS/NPL50/50 300U/3ML - 6097440 ADMIN HEP B VACCINE - 6097441 ADMIN INFLUENZA VACCINE - 6097442 ADMIN OTHER IMMUN VAC ADD - 6097443 ADMIN OTHER IMMUN VAC ONE - 6097444 ADMIN PNEUMO VACCINE - 6097445 IRINOT LIP43MG/10ML SDVTB - 6097446 COPPER T 380A 313.4MG IUD - 6097447 TETRACAINE 0.5% 4ML OPS - 6097448 LANSOP FRST 3MG/ML 3OZKIT - 6097449 CIPROFL 60MG/MLOTIC SUSTB - 6097450 TETRAC FORTE 0.5% 5ML OPS - 6097451 ACD FORMULA-A 750ML INJ - 6097452 SALICYL ACID 6% 420ML LOT - 6097453 OXYCODONE ER 9MG CAP - 6097454 OXYCODONE ER 13.5MG CAP - 6097455 ZINC SULF 220MG TAB #REF!6097456 CEFDINIR 250MG/5ML SUSP - 6097457 ARGAT 250MG/2.5MLNOESRDJG #REF!6097458 ARGATR 250MG/2.5ML ESRDJG - 6097459 AZTREONAM 1GM/NS 100ML IV - 6097460 AZTREONAM 2GM/NS 100ML IV - 6097461 CEFAZOLIN 1GM/NS 100ML IV #REF!6097462 CEFEPIME 1GM/NS 100ML IV - 6097463 CEFOTAXIME 1GM/NS 100MLIV - 6097464 CEFOTETAN 2GM/NS 100ML IV - 6097465 CEFTRIAXON 1GM/NS 100MLIV - 6097466 CEFTRIAXON 2GM/NS 100MLIV - 6097467 DORIPENEM 500MG/NS100MLIV -

6097468 ERTAPENEM 1GM/NS 100ML IV - 6097469 MEROPENEM 1GM/NS 100ML IV - 6097470 MEROPEN 500MG/NS 100ML IV - 6097471 OXACILLIN 1GM/NS 100ML IV - 6097472 OXACILLIN 2GM/NS 100ML IV - 6097473 PIPE/TAZ 2.25GM/NS100MLIV - 6097474 PIPE/TAZ3.375GM/NS100MLIV - 6097475 PIPE/TAZ 4.5GM/NS 100MLIV - 6097476 DOXYCYC 100MG/NS 100ML IV - 6097477 HYDROMORPH 10MG/50ML PCA - 6097478 CEFAZOLIN 2GM/100ML PB - 6097479 CEFEPIME 2GM/100ML INJPMX - 6097480 TENOFOVIR ALAFEN 25MG TAB - 6097481 FENT/BUP 2.5-0.1%250MLEPD - 6097486 ALBUM H 25% 50ML INFUSJG - 6097487 ALBUM H 5% 250ML INFUSJG - 6097488 INFLIXIM(NOTBIO)10MGINJJG - 6097489 EPOET A NONESRD 1KU INJJG - 6097490 ALTEPLASE RECOM 1MG INJJG - 6097491 EPTIFIBATIDE 5MG INJJG - 6097492 IG FLEBOGAMMA 500MG INJJG - 6097493 RITUXIMAB 100MG INJJG - 6097494 AMPHO B LIPOS 10MG INJJG - 6097495 DESMOPRESS ACE 1MCG INJJG - 6097496 DAPTOMYCIN 1MG INJJG - 6097497 ERYTHROMYC LAC500MG INJJG - 6097498 DOCETAXEL 1MG INJJG - 6097499 BEVACIZUM 10MG INJJG - 6097500 VISUALIZATION ADJ1MGINJJG - 6097501 IVIG NOS 500MG INJJG - 6097502 FILGRAST G-CSF 1MCG INJJG - 6097503 FOSPREPITANT 1MG INJJG - 6097504 CYCLOPHOPHAM 100MG INJJG - 6097505 PEN G BENZ 100KU INJJG - 6097506 DENOSUMAB 1MG INJJG - 6097507 OXALIPLATIN 0.5MG INJ - 6097508 BENDAMUSTIN HCL 1MG INJJG - 6097510 TOCILIZUMAB 1MG INJJG - 6097511 NIVOLUMAB 1MG INJJG - 6097512 PALONOSETR HCL25MCG INJJG - 6097513 VORICONAZOLE 10MG INJJG - 6097514 CEFTAROLINE FOS10MG INJJG - 6097515 NATALIZUM 1MG INJJG - 6097516 CETUXIMAB 10MG INJJG - 6097518 OLANZAP LONG ACT 1MG INJ - 6097519 IVIG PRIVIGEN 500MG INJJG - 6097520 BORTEZOM 0.1MG INJJG - 6097521 AZACITIDINE 1MG INJJG - 6097522 DECITABINE 1MG INJJG - 6097523 IVIG GAMMAGARD500MG INJJG - 6097524 PEMTREXED 10MG INJJG - 6097525 FULVESTRANT 25MG INJJG - 6097527 BELIMUMAB 10MG INJJG -

6097528 RABIES IG150IU IM/SCINJJG - 6097529 CEFTOLOX TAZO 75MG INJJG - 6097530 FAC VIIA RE PER 1MCGINJJG - 6097531 PACLITAX PRO BND 1MGINJJG - 6097532 MITOMYC 5MG INJJG - 6097533 IFOSFAMIDE 1GM INJ - 6097534 IVIG GAMU/GAMMA500MGINJJG - 6097535 ECULIZUMAB 10MG INJJG - 6097536 ROMIPLOST PER 10MCG INJJG - 6097537 TIGECYCLINE 1MG INJJG - 6097539 PERTUZUMAB 1MG INJJG - 6097540 DOXORUBIC LIPO 10MG INJJG - 6097541 HEP B IG HUM0.5ML IMINJJG - 6097542 ONABOTULINTOXINA 1U INJJG - 6097543 DARBE A NONESRD1MCG INJJG - 6097546 CLEVIDIPINE BUTYR 1MG INJ - 6097547 IRON DEXTRAN 50MG INJJG - 6097548 TRIAMCIN ACE PF 1MG INJJG - 6097549 FERRIC CARBOXYM 1MG INJJG - 6097550 LEUPROLID ACE 7.5MG INJJG - 6097551 RAMUCIRUMAB 5MG INJJG - 6097552 TIROFIBAN HCL0.25MG INJJG - 6097553 ADO-TRASTUZ EMT 1MG INJJG - 6097554 CARFILZOMIB 1MG INJJG - 6097555 RISPERIDON LA 0.5MG INJJG - 6097556 PRALATREXATE 1MG INJJG - 6097557 CASPOFUNGIN ACE 5MG INJJG - 6097558 RASBURICASE 0.5MG INJJG - 6097559 RSV MAB REC 50MG IM INJJG - 6097560 FOMEPIZOLE 15MG INJJG - 6097561 IBANDRONATE SOD 1MG INJJG - 6097563 GOSERELIN ACE 3.6MG IMPJG - 6097564 IVIG OCTAGAM 500MG INJJG - 6097565 PEMBROLIZUMAB 1MG INJJG - 6097566 PEN G PRO UP TO 600KU INJ - 6097567 CEFTAZ AVIB 0.625G INJJG - 6097569 ERIBULIN MESY 0.1MG INJJG - 6097570 HUMAN RHO-D IG100IU INJJG - 6097571 PALIPERID PAL ER1MG INJJG - 6097572 LEUPROLID ACE 3.75MGINJJG - 6097573 TELAVANCIN 10MG INJ - 6097574 PANITUMUMAB 10MG INJJG - 6097576 HYDROXYPROGES C 10MG INJ - 6097577 SARGRAMOSTIM 50MCG INJJG - 6097578 DEGARELIX 1MG INJJG - 6097579 IPILIMUMAB 1MG INJJG - 6097580 CLADRIBINE 1MG INJJG - 6097581 LANREOTIDE 1MG INJJG - 6097582 CANGRELOR 1MG INJTB - 6097583 BACLOFEN 10MG INJJG - 6097584 HEPB(HEPAGMB)0.5MLIVINJJG - 6097585 ATEZOLIZUMAB 10MG INJ - 6097586 ARIPIPRAZOLE 1MG ER INJJG -

6097587 HEMIN 1MG INJJG - 6097588 TEDIZOLID PHOS 1MG INJJG - 6097589 IDARUBICIN HCL 5MG INJJG - 6097590 MITOXANTRONE HCL 5MG INJ - 6097594 TENECTEPLASE 1MG INJJG - 6097595 OCTREOTID DEP1MG IM INJJG - 6097596 TRIPTOREL PAM 3.75MGINJJG - 6097597 AMOBARB UP TO 125MG INJJG - 6097598 ALBUM H 25%50MLINFUS JWJG - 6097599 INFLIX(NOTBIO)10MGINJJWJG - 6097600 EPO A NESRD 1KU INJ JWJG - 6097601 ALTEPLASE REC 1MGINJ JWJG - 6097602 EPTIFIBATIDE 5MG INJ JWJG - 6097603 IG FLEBOGAM 500MGINJ JWJG - 6097604 RITUXIMAB 100MG INJ JWJG - 6097605 AMPHO B LIP 10MGINJ JWJG - 6097606 DESMOPRESSIN1MCG INJ JWJG - 6097607 DAPTOMYCIN 1MG INJ JWJG - 6097608 ERYTHROMYC 500MG INJ JWJG - 6097609 DOCETAXEL 1MG INJ JWJG - 6097610 BEVACIZUMAB 10MG INJ JWJG - 6097611 VISUALIZAT ADJ1MGINJ JWJG - 6097612 IVIG NOS 500MG INJ JWJG - 6097613 FILGRA G-CSF 1MCGINJ JWJG - 6097614 FOSPREPITANT 1MG INJ JWJG - 6097615 CYCLOPHOPH 100MG INJ JWJG - 6097616 PEN G BENZ 100KU INJ JWJG - 6097617 DENOSUMAB 1MG INJ JWJG - 6097618 OXALIPLATIN 0.5MG INJ JW - 6097619 BENDAMUST HCL1MGINJ JWJG - 6097621 TOCILIZUMAB 1MG INJ JWJG - 6097622 NIVOLUMAB 1MG INJ JWJG - 6097623 PALONOSE HCL25MCGINJ JWJG - 6097624 VORICONAZOL 10MG INJ JWJG - 6097625 CEFTAROL FOS 10MGINJ JWJG - 6097626 NATALIZUMAB 1MG INJ JWJG - 6097627 CETUXIMAB 10MG INJ JWJG - 6097629 OLANZAP LA 1MG INJ JW - 6097630 IVIG PRIVIG 500MGINJ JWJG - 6097631 BORTEZOMIB 0.1MG INJ JWJG - 6097632 AZACITIDINE 1MG INJ JWJG - 6097633 DECITABINE 1MG INJ JWJG - 6097634 IG GAMMAGAR 500MGINJ JWJG - 6097635 PEMTREXED 10MG INJ JWJG - 6097636 FULVESTRANT 25MG INJ JWJG - 6097638 BELIMUMAB 10MG INJ JWJG - 6097639 RAB IG150IUIM/SCINJ JW JG - 6097640 CEFTOLOX TAZO75MGINJ JWJG - 6097641 FACT VIIA RE1MCG INJ JWJG - 6097642 PACLIT PRO BND 1MGINJJWJG - 6097643 MITOMYCIN 5MG INJ JWJG - 6097644 IFOSFAMIDE 1GM INJ JW - 6097645 IG GAMU/GAM500MGINJJWJG -

6097646 ECULIZUMAB 10MG INJ JWJG - 6097647 ROMIPLOSTIM10MCG INJ JWJG - 6097648 TIGECYCLINE 1MG INJ JWJG - 6097650 PERTUZUMAB 1MG INJ JWJG - 6097651 DOXORUB LIP 10MGINJ JWJG - 6097652 HEP B IG H0.5MLIMINJ JWJG - 6097653 ONABOTULINTOXIN1UINJ JWJG - 6097654 DARB ANONESRD1MCGINJ JWJG - 6097657 CLEVIDIPINE BUT 1MGINJ JW - 6097658 IRON DEXTRAN50MG INJ JWJG - 6097659 TRIAMC ACE PF 1MGINJ JWJG - 6097660 FERRIC CARBOX 1MGINJ JWJG - 6097661 LEUPROL ACE7.5MGINJ JWJG - 6097662 RAMUCIRUMAB 5MG INJ JWJG - 6097663 TIROFIB HCL0.25MGINJ JWJG - 6097664 ADO-TRASTUZUM1MG INJ JWJG - 6097665 CARFILZOMIB 1MG INJ JWJG - 6097666 RISPER LA 0.5MGINJ JWJG - 6097667 PRALATREXATE 1MG INJ JWJG - 6097668 CASPOFUNG ACE 5MGINJ JWJG - 6097669 RASBURICASE0.5MG INJ JWJG - 6097670 RSV MAB REC50MG IMINJJWJG - 6097671 FOMEPIZOLE 15MG INJ JWJG - 6097672 IBANDRONAT SOD1MGINJ JWJG - 6097674 GOSEREL ACE 3.6MGIMP JWJG - 6097675 IG OCTAG 500MG INJ JWJG - 6097676 PEMBROLIZUM 1MG INJ JWJG - 6097677 PEN G PR UPTO 600KUINJ JW - 6097678 CEFTAZ AVIB0.625GINJ JWJG - 6097680 ERIBUL MESY 0.1MGINJ JWJG - 6097681 HUM RHO-D IG100IUINJ JWJG - 6097682 PALIPER PAL ER1MGINJ JWJG - 6097683 LEUPROLIDE3.75MG INJ JWJG - 6097684 TELAVANCIN 10MG INJ JW - 6097685 PANITUMUMAB 10MG INJ JWJG - 6097687 HYDROXYPROGES C10MGINJ JW - 6097688 SARGRAMOST 50MCG INJ JWJG - 6097689 DEGARELIX 1MG INJ JWJG - 6097690 IPILIMUMAB 1MG INJ JWJG - 6097691 CLADRIBINE 1MG INJ JWJG - 6097692 ALBUM H 5%250MLINFUS JWJG - 6097693 LANREOTIDE 1MG INJ JWJG - 6097694 CANGRELOR 1MG INJ JWTB - 6097695 BACLOFEN 10MG INJ JWJG - 6097696 HEPB(HEPAG)0.5MLIVINJJWJG - 6097697 ATEZOLIZUMAB 10MG INJ JW - 6097698 ARIPIPRAZ 1MG ERINJ JWJG - 6097699 HEMIN 1MG INJ JWJG - 6097700 TEDIZOLID PH 1MG INJ JWJG - 6097701 IDARUBIC HCL 5MG INJ JWJG - 6097702 MITOXANTRONE HCL5MGINJ JW - 6097706 TENECTEPLASE 1MG INJ JWJG - 6097707 OCTREOTID 1MG IM INJ JWJG -

6097708 TRIPTOREL 3.75MGINJ JWJG - 6097709 AMOBAR UPTO 125MGINJ JWJG - 6097710 CEFTRIAXON 20MG/D5W 1MLIV - 6097711 OXACILLIN 100MG/1ML PEDIV - 6097712 NIVOLUMAB 40MG/4ML SDVJG - 6097713 ADO-TRAST EMT 160MG SDVJG - 6097714 ICATIBANT ACETAT 30MG SYR - 6097715 METHYL BLU50MG/10ML SDVJG #REF!6097716 PHENYLEPH 10MG/1ML INJ - 6097717 BELATACEPT 1MG INJJG - 6097718 BELATACEPT 1MG INJ JWJG - 6097719 BIVALIRUDIN 1MG INJ - 6097720 BIVALIRUDIN 1MG INJ JW - 6097721 LEVOLEUCOV 0.5MG INJJG - 6097722 LEVOLEUCOV 0.5MGINJ JWJG - 6097723 CERTOLIZUMAB 1MG INJJG - 6097724 CERTOLIZUMAB 1MG INJ JWJG - 6097725 DARBE A ESRD 1MCG INJJG - 6097726 DARBE A ESRD1MCG INJ JWJG - 6097727 ARGATROB 1MGNONESRD INJJG - 6097728 ARGATROB 1MGNESRDINJ JWJG - 6097729 DEXRAZOX HCL 250MG INJJG - 6097730 DEXRAZOX HCL250MGINJ JWJG - 6097731 TBO-FILGRASTIM 1MCG INJJG - 6097732 TBO-FILGRAST 1MCG INJJWJG - 6097733 FOSCARNET NA 1000MG INJ - 6097734 FOSCARNET 1000MG INJ JW - 6097735 ISAVUCONAZONIUM 1MG INJJG - 6097736 ISAVUCONAZON 1MGINJ JWJG - 6097737 MILRINONE LACTATE 5MG INJ - 6097738 MILRINONE LACT 5MG INJ JW - 6097739 NESIRITIDE 0.1MG INJJG - 6097740 NESIRITIDE 0.1MG INJ JWJG - 6097741 ORITAVANCIN 10MG INJJG - 6097742 ORITAVANCIN 10MG INJ JWJG - 6097743 PENTOBARBIT NA 50MG INJJG - 6097744 PENTOBAR NA 50MG INJ JWJG - 6097745 PERAMIVIR 1MG INJJG - 6097746 PERAMIVIR 1MG INJ JWJG - 6097747 SECRETIN (HUMAN) 1MCG INJ - 6097748 SECRETIN(HUMAN)1MCGINJ JW - 6097749 ANTITHR III HUM 1IU INJJG - 6097750 ANTITHR III HUM1IUINJJWJG - 6097751 HYALURO(SYNVISC) 1MG INJ - 6097752 HYALURO(SYNVISC)1MGINJ JW - 6097753 ARSENIC TRIOX 1MG INJJG - 6097754 ARSENIC TRIOX1MGINJ JWJG - 6097755 CLOFARABINE 1MG INJJG - 6097756 CLOFARABINE 1MG INJ JWJG - 6097757 BRENTUXIMAB VED 1MG INJJG - 6097758 BRENTUXIM VED 1MGINJ JWJG - 6097759 CARBAZITAXEL 1MG INJJG - 6097760 CARBAZITAXEL 1MG INJ JWJG -

6097761 CYTARABINE LIP 10MG INJJG - 6097762 CYTARAB LIPO10MGINJ JWJG - 6097763 DAUNORUBIC 10MG INJJG - 6097764 DAUNORUBIC 10MG INJ JWJG - 6097765 IXABEPILONE 1MG INJJG - 6097766 IXABEPILONE 1MG INJ JWJG - 6097767 INTER ALFA-2BREC1MU INJJG - 6097768 INTER ALFA-2BRE1MUINJJWJG - 6097769 OFATUMUMAB 10MG INJJG - 6097770 OFATUMUMAB 10MG INJ JWJG - 6097771 ROMIDEPSIN 1MG INJJG - 6097772 ROMIDEPSIN 1MG INJ JWJG - 6097773 TEMSIROLIM 1MG INJJG - 6097774 TEMSIROLIMUS 1MG INJ JWJG - 6097775 TOPOTECAN 0.1MG INJ - 6097776 TOPOTECAN 0.1MG INJ JW - 6097777 IRINOTECAN LIP 1MG INJTB - 6097778 IRINOTEC LIP 1MG INJ JWTB - 6097779 FENT/BUP 2.5-0.1%100MLEPD - 6097780 CEFTAZIDIME 50MG/1ML PDIV - 6097781 DEXAM PH 1MG/NS1ML IV - 6097782 DEXAM PH 0.1MG/NS 1ML IV - 6097783 FLUCONAZ 100MG/NS 50ML IV - 6097784 RUFINAM 40MG/ML 460ML SUS - 6097785 CEFTAZID 40MG/D5W 1ML IV - 6097786 ENOXAPARIN 20MG/NS 1ML IV - 6097787 OXACILLIN 40MG/NS 1ML IV - 6097788 FAMOTIDINE 2MG/1ML PEDIV - 6097789 PROMETH/PHENYL/COD 5ML - 6097790 CONIVAPTAN 1MG INJTB - 6097791 CONIVAPTAN 1MG INJ JWTB - 6097792 DOLUTEGRAVIR 10MG TAB - 6097793 ECULIZUM 300MG/30ML INJJG - 6097794 NA BICARB 8.4%/50ML SYR #REF!6097795 DALBAVANC PWD 500MG SDVJG - 6097796 DALBAVANCIN 5MG INJJG #REF!6097797 DALBAVANCIN 5MG INJ JWJG - 6097798 ASPARAG ERW10KU/3ML INJJG - 6097799 ASPAR(ERWINAZ)1KIUINJJWJG - 6097800 ASPAR(ERWINAZE)1KIU INJJG - 6097801 EPINEPH PF 0.1MG/10ML INJ - 6097802 AMPIC/HEP 10MG-5KU 1MLSYR - 6097803 AMIK/HEPA 10MG-5KU 2MLSYR - 6097804 LIDOCAINE 5% 30GM TOP - 6097805 CARB/LEVO48.75/195MGERCAP - 6097806 CYCLOSPORINE 100MG/1ML LQ - 6097807 BENDAMUST1MG/0.04MLINJTB - 6097808 NITROPRUS 50MG/NS100MLINJ - 6097809 PRISMASATE BGK 2/0 5L BAG - 6097810 PRISMASOL BGK 4/2.5 5L BG - 6097811 PRISMASOL BGK 2/3.5 5LBAG - 6097812 PHOXILLUM BK 4/2.5 5L BAG - 6097813 PRISMASATE BGK4/2.5 5LBAG -

6097814 PRISMASATE BGK0/3.5 5LBAG - 6097815 PRISMASATE B22GK4/0 5LBAG - 6097816 PRISMASOL BGK 0/2.5 5L BG - 6097817 FENTANYL 10MCG/ML PEDIV - 6097818 ITRACONAZ 100MG/10ML SOL - 6097819 NA ACET 4MEQ/ML 1ML INJ - 6097820 DOCUSATE 100MG/25ML SOL - 6097821 CALCIUM ACETATE 667MG TAB - 6097822 NORETHINDRONE 0.35MG TAB - 6097823 DARATUMUM 100MG/5ML SDVTB - 6097824 DARATUMUM400MG/20ML SDVTB - 6097825 DARATUMUMAB 10MG INJTB - 6097826 DARATUMUMAB 10MG INJ JWTB - 6097827 PRISMASOL B22GK 4/0 5LBAG - 6097828 MINOCYCLINE HCL 1MG INJJG - 6097829 MINOCYCL HCL1MG INJ JWJG - 6097830 TIROFIB 3.75MG/15ML SDVJG - 6097831 CARFILZOMIB 30MG SDVJG - 6097832 CYCLOPHOSPHAMIDE 50MG CAP - 6097833 MIDAZOL PF5MG/ML 1ML SDV #REF!6097834 MIDAZOLAM 1MG(50MG)MDV #REF!6097835 DOPAM 800MG/D5W 500ML PMX - 6097836 ARGININE 100MG/1ML SDV - 6097837 ELUXADOLINE 100MG TAB - 6097838 CARDIOPL HIGHK 830ML INJ - 6097839 CARDIOPL LOW-K 810ML INJ - 6097840 DESMO AC 1MCG(40MCG)MDVJG - 6097841 OCTREOT 25MCG(1000MCG)MDV - 6097842 TOBRAMYC 80MG(1200MG)MDV - 6097843 MEROPEN 500MG/NS 50ML PMX - 6097844 NEO/POLY/GRAM 10ML OP SOL #REF!6097845 VANCO 1.5GM/D5W 250ML VIA - 6097846 NTG 4.1GM 0.4MG/SPRAY SL - 6097847 OXYTOCIN 20U NS 1000ML PB - 6097848 GENTAMICIN 80MG(800MG)MDV - 6097849 KCENTRA 1KIUVL PER1IUIVJG - 6097850 FAC 7A REC1MCG(1000MCG)JG - 6097851 FAC 7A REC1MCG(2000MCG)JG - 6097852 CEFAZOLIN 500MG(10GM)MDV - 6097853 FLU VAC RIV4 RECOM DNA IM - 6097854 EPINEPH PF 1MG/ML 1ML SDV - 6097855 FENTANYL 1000MCG/100ML PB - 6097856 FENTAN 1000MCG/NS 100MLIV - 6097857 TEMOZOLOM 100MGSDV INJJG - 6097858 TEMOZOLOMIDE 1MG INJJG - 6097859 TEMOZOLOMIDE 1MG INJ JWJG - 6097860 TEMOZOLOM 100MGSDVINJJWJ - 6097861 MAG SULF 10GM/D5W250MLPMX - 6097862 BENZOCAINE 20% 15ML GEL - 6097863 DESCOVY 200-25MG TB #REF!6097864 TEMOZOLOMIDE 140MG CAP - 6097865 MAG SULF 3GM/NS 50MLVIABG - 6097866 SCOPOLAMINE 1MG/3DAY -

6097867 DOCOSANOL 10% 2GM TOP #REF!6097868 FILGR(ZARXIO)300MCG SYRTB #REF!6097869 FILGRAS(ZARXIO)1MCG INJTB - 6097870 FILGR(ZARXIO)1MCG INJJWTB - 6097871 FILG(ZARXIO)300MCGSYRJWTB - 6097872 FILGR(ZARXIO)480MCG SYRTB #REF!6097873 FILG(ZARXIO)480MCGSYRJWTB - 6097874 LIDOCAINE 4% PATCH - 6097875 MAG SULF 3GM/NS 150ML PMX - 6097876 K ACETATE 2MEQ(100MEQ)MDV - 6097877 LANOLIN 40GM OINT - 6097878 FACTOR 8(MON)1IU(1KU)VLJG - 6097879 FACT8(MONO)1IU(1.5KU)VLJG - 6097880 ATROPINE PF 1.2MG/3ML SYR - 6097897 CLORAZEPATE 7.5MG TAB - 6097898 OCRELIZUM 300MG/10MLSDVTB - 6097899 OCRELIZUMAB 1MG INJ TB - 6097900 OCRELIZUMAB 1MG INJ JWTB - 6097901 OCRELIZ 300MG/10MLSDVJWTB - 6097902 ARGATROB ESRD 1MG INJJWJG - 6097903 ARGATROBAN ESRD 1MG INJJG - 6097904 ARIPIPRAZ 0.25MGINJ JWJG - 6097910 ARIPIPRAZOLE 0.25MG INJJG - 6097911 DIMECAPR UPTO 100MG INJJG - 6097912 DIMECAPR UPTO100MGINJJWJG - 6097913 FOSAPREPITANT 1MG INJJG - 6097914 FOSAPREPITANT 1MG INJJWJG - 6097915 FOSPHENYT PE 50MG INJJG - 6097916 FOSPHENYT PE50MG INJJWJG - 6097917 CHLORHEXID 0.12% 120ML LQ - 6097918 NALOXEGOL 25MG TAB - 6097919 MORPHIN 100MG/NS 100MLPB - 6097920 MORPHINE 250MG/NS 250MLPB - 6097921 ANGIOTEN II 2.5MG/1ML SDV - 6097922 MAG SULF 3GM/D5W 50ML PMX - 6097923 DARUNAV/COBIC 800-150MGTB - 6097924 FENTANYL 2MG/NS 100ML PB - 6097925 PANTOPRAZ 40MG/NS 100MLIV - 6097926 KCL 2MEQ(500MEQ)MDV - 6097927 FENT 2.5MG/NS 125ML PB - 6097928 LIDOCAINE 2% 11ML UROJET - 6097929 ATROP 0.01MG(20ML)MDV INJ - 6097930 VANCOMYCIN 7.5GM/150MLSUS - 6097931 TACROLIMUS 0.03% 30GM TOP - 6097932 NEOMY/POLY B/HC 7.5GM TOP #REF!6097933 BUPIV 0.125%/NS 100ML PMX - 6097934 LID/EPI1%1:1 1ML(10ML)MDV #REF!6097935 NITRIC OXIDE PER HR - 6097936 FAMOTIDINE 10MG(40MG)MDV - 6097937 NACL 14.6% 40ML CONC INJ #REF!6097938 LEVETIRACET 5MG/1ML PEDIV - 6097939 VANCOMYCIN 125MG/5ML SUS - 6097940 LACTULOSE 200GM/1L ENEMA -

6097942 VANCOMYCIN 25MG/1ML LIQ - 6097943 VEDOLIZUM 300MG/20MLSDVJG - 6097944 VEDOLIZUMAB 1MG INJJG - 6097945 VEDOLIZUMAB 1MG INJ JWJG - 6097946 ATOVAQUNE/PROGU 250/100MG - 6097947 LACTOB RHAM 10BIL CFU PKT - 6097948 SMOFLIP 20%FAT EML100MLIV - 6097949 K BIC/CIT AC 10MEQ EFFTAB - 6097950 K BIC/CIT AC 20MEQ EFFTAB - 7008999 PACU STANDARD 1ST 30MIN 1,096.50 7009000 PACU COMPLEX 1ST 30MIN 1,428.85 7009001 PACU STANDARD ADDL 15MIN 382.50 7009002 PACU COMPLEX ADDL 15MIN 501.50 7070280 PRE/POST VISIT PT CNT NC - 7070281 LASER PROCEDURE 1,630.00 7070494 PREG URINE VISUAL POC 185.00 7100001 CT IMAGE COPY NC - 7100002 US IMAGE COPY NC - 7100003 XR IMAGE COPY NC - 7101000 CATH ATHR DIR 2087X-2714 7,203.00 7101001 CATH ATHR DIR 2714X-3529 9,366.00 7101002 CATH ATHR ROT 2714X-3529 9,366.00 7101003 CATH DIALYS LT 67X-88 312.00 7101004 CATH DIALYS LT 195X-254 788.00 7101005 CATH DIALYS LT 254X-331 879.00 7101006 CATH DIALYS LT 331X-431 1,143.00 7101007 CATH DIALYSIS ST 39X-51 180.00 7101008 CATH DIALYSIS ST 67X-88 312.00 7101009 CATH DIALYSIS ST 88X-115 408.00 7101010 CATH DIALYSIS ST 115X-150 466.00 7101011 CATH DIALYSIS ST 195X-254 788.00 7101012 CATH DRAINAGE <10 25.00 7101013 CATH DRAINAGE 10-13 60.00 7101014 CATH DRAINAGE 17X-23 100.00 7101015 CATH DRAINAGE 23X-30 108.00 7101016 CATH DRAINAGE 51X-67 236.00 7101017 CATH DIALYSIS ST 254X-331 879.00 7101018 CATH DRAINAGE 115X-150 466.00 7101019 CATH DRAINAGE 150X-195 606.00 7101020 CATH DRAINAGE 195X-254 788.00 7101021 CATH DRAINAGE 254X-331 879.00 7101022 CATH DRAINAGE 561X-730 1,938.00 7101023 CATH DRAINAGE 730X-949 2,520.00 7101024 CATH GUIDING 13X-17 75.00 7101025 CATH GUIDING 17X-23 100.00 7101026 CATH GUIDING 30X-39 140.00 7101027 CATH GUIDING 39X-51 180.00 7101028 CATH GUIDING 115X-150 466.00 7101029 CATH GUIDING 150X-195 606.00 7101030 CATH GUIDING 254X-331 879.00 7101031 CATH GUIDING 331X-431 1,143.00 7101032 CATH INFUSION <10 25.00 7101033 CATH INFUSION 10-13 60.00

7101034 CATH INFUSION 13X-17 75.00 7101035 CATH INFUSION 17X-23 100.00 7101036 CATH INFUSION 23X-30 108.00 7101037 CATH INFUSION 39X-51 180.00 7101038 CATH INFUSION 51X-67 236.00 7101039 CATH INFUSION 67X-88 312.00 7101040 CATH INFUSION 115X-150 466.00 7101041 CATH INFUSION 331X-431 1,143.00 7101042 CATH INFUSION 431X-561 1,488.00 7101043 CATH NONVAS DIL 150X-195 606.00 7101044 CATH NONVAS DIL 195X-254 788.00 7101045 CATH NONVAS DIL 254X-331 879.00 7101046 CATH NONVAS DIL 561X-730 1,938.00 7101047 CATH NONVAS DIL1605X-2087 5,538.00 7101048 CATH OCCLUSION 254X-331 879.00 7101049 CATH OTHER 10-13 60.00 7101050 CATH OTHER 13X-17 75.00 7101051 CATH OTHER 17X-23 100.00 7101052 CATH OTHER 23X-30 108.00 7101053 CATH OTHER 30X-39 140.00 7101054 CATH OTHER 39X-51 180.00 7101055 CATH OTHER 51X-67 236.00 7101056 CATH OTHER 67X-88 312.00 7101057 CATH OTHER 88X-115 408.00 7101058 CATH OTHER 115X-150 466.00 7101059 CATH OTHER 150X-195 606.00 7101060 CATH OTHER 195X-254 788.00 7101061 CATH OTHER 949X-1234 3,276.00 7101062 CATH PTA NLASR 88X-115 408.00 7101063 CATH PTA NLASR 115X-150 466.00 7101064 CATH PTA NLASR 150X-195 606.00 7101065 CATH PTA NLASR 195X-254 788.00 7101066 CATH PTA NLASR 254X-331 879.00 7101067 CATH PTA NLASR 331X-431 1,143.00 7101068 CATH PTA NLASR 431X-561 1,488.00 7101069 CATH PTA NLASR 730X-949 2,520.00 7101070 CATH PTA NLASR 949X-1234 3,276.00 7101071 CATH SUPRAPUBIC 13X-17 75.00 7101072 CATH SUPRAPUBIC 39X-51 180.00 7101073 CATH SUPRAPUBIC 51X-67 236.00 7101074 CATH THROM EMB 30X-39 140.00 7101075 CATH THROM EMB 39X-51 180.00 7101076 CATH THROM EMB 51X-67 236.00 7101077 CATH THROM EMB 67X-88 312.00 7101078 CATH THROM EMB 1234X-1605 4,260.00 7101079 CATH URETERAL <10 25.00 7101080 CATH URETERAL 10-13 60.00 7101081 CATH URETERAL 17X-23 100.00 7101082 CATH URETERAL 23X-30 108.00 7101083 CATH URETERAL 51X-67 236.00 7101084 ENT IMPLANT 10-13 60.00 7101085 ENT IMPLANT 17X-23 100.00 7101086 ENT IMPLANT 561X-730 1,938.00

7101087 INST/SUPP STERL 10-13 60.00 7101088 INST/SUPP STERL 13X-17 75.00 7101089 INST/SUPP STERL 17X-23 100.00 7101090 INST/SUPP STERL 23X-30 108.00 7101091 INST/SUPP STERL 39X-51 180.00 7101092 INST/SUPP STERL 88X-115 408.00 7101093 INST/SUPP STERL 115X-150 466.00 7101094 INST/SUPP STERL 150X-195 606.00 7101095 INST/SUPP STERL 331X-431 1,143.00 7101096 INST/SUPP STERL 431X-561 1,488.00 7101097 INST/SUPP STERL 561X-730 1,938.00 7101098 INST/SUPP STERL 730X-949 2,520.00 7101099 INST/SUPP STERL 949X-1234 3,276.00 7101100 INST/SUPP STERL2087X-2714 7,203.00 7101101 KIT/PACK DISP 51X-67 236.00 7101102 KIT/PACK DISP 67X-88 312.00 7101103 KIT/PACK DISP 88X-115 408.00 7101104 KIT/PACK DISP 115X-150 466.00 7101105 KIT/PACK DISP 150X-195 606.00 7101106 KIT/PACK DISP 195X-254 788.00 7101107 KIT/PACK DISP 254X-331 879.00 7101108 KIT/PACK DISP 331X-431 1,143.00 7101109 KIT/PACK DISP 561X-730 1,938.00 7101110 KIT/PACK DISP 730X-949 2,520.00 7101111 ORTHO A4565 <10 25.00 7101112 PORT INDWELL 150X-195 606.00 7101113 PORT INDWELL 195X-254 788.00 7101114 PORT INDWELL 254X-331 879.00 7101115 PORT INDWELL 331X-431 1,143.00 7101116 PORT INDWELL 431X-561 1,488.00 7101118 INS INTRAVAG SUPRT DEVICE 498.00 7101119 COLP CERV VAG LEEP W BX 6,593.00 7101120 COLP CERVIX CONIZATION 6,593.00 7101122 INSERT CATH BLADDER CPLX 460.00 7101123 CYSTO FB URET STN REM SMP 5,336.00 7101124 INSERT CATH BLADDER 323.00 7101125 UA NONAUTO W/O MICRO POC 142.00 7101126 CYSTOURETHROSCOPY 1,858.00 7101129 IMP ELEC ARRAY SACRAL NRV 18,576.00 7101130 PREG URINE VISUAL POC 154.00 7101131 RESIDUAL UA POST US WO 323.00 7101132 MA MAMMO DIAG W CAD BIL 369.00 7101133 MA MAMMO DIAG W CAD RT 295.00 7101134 MA MAMMO DIAG W CAD LT 295.00 7150000 CATH DRAINAGE 67X-88 312.00 7150001 CATH INFUSION 88X-115 408.00 7150004 INST/SUPP NONST 17X-23 100.00 7150005 INST/SUPP NONST 51X-67 236.00 7150006 INST/SUPP STERL 30X-39 140.00 7150007 INST/SUPP STERL 51X-67 236.00 7150008 INST/SUPP STERL 67X-88 312.00 7150009 INST/SUPP STERL 195X-254 788.00 7150010 INST/SUPP STERL 254X-331 879.00

7150011 INST/SUPP STERL1234X-1605 4,260.00 7150015 ORTHO L0625 10-13 60.00 7150016 ORTHO L3908 <10 25.00 7150017 TISSUE MARKER 67X-88 312.00 7150018 TISSUE MARKER 88X-115 408.00 7150172 XR BODY COMPOSITION 1+ 121.00 7150178 ASP FINE NDL W IMAGING 942.00 7150179 MAMMARY DUCTOGRAM INJ 208.00 7150192 US BREAST COMPLETE RT 394.00 7150193 US PELVIS NON OB LTD F/U 186.00 7150194 US GUIDED NEEDL PLACEMENT 525.00 7150197 ASP FINE NDL WO IMAGING 332.00 7150198 BIOPSY SKIN SINGLE LESION 309.00 7150199 BIOPSY SKIN LESION EA ADD 181.00 7150200 EXC BEN LES T/A/L 0.6-1CM 912.00 7150201 EXC BEN LES T/A/L 1.1-2CM 912.00 7150202 EXC MAL LES T/A/L 1.1-2CM 912.00 7150203 LR SMPL TRNK/NECK <=2.5CM 246.00 7150206 BREAST CYST PUNC ASPIRATE 881.00 7150207 BREAST CYST ASP EA ADDL 432.00 7150208 BX BRST NDL CORE WO GUIDE 1,114.00 7150212 EXC LES BREAST OPN 1 OR > 5,248.00 7150215 ANOSCOPY DIAG 134.00 7150217 INSERT CATH BLADDER SMPL 323.00 7150218 DESTR VULVA LES SIMPLE 4,467.00 7150219 COLPOSCOPY CERVIX 327.00 7150220 COLPOSCPY CERVX BX CURET 718.00 7150221 BIOPSY CERVIX 1,811.00 7150222 CAUTERY CERVIX CRYO 327.00 7150223 BIOPSY ENDOMETRIAL WO DIL 497.00 7150231 VISIT LEVEL 1 NEW PT 226.00 7150232 VISIT LEVEL 1 NEW W PROC 158.00 7150233 VISIT LEVEL 2 NEW PT 438.00 7150234 VISIT LEVEL 2 NEW W PROC 213.00 7150235 VISIT LEVEL 3 NEW PT 659.00 7150236 VISIT LEVEL 3 NEW W PROC 281.00 7150237 VISIT LEVEL 4 NEW PT 792.00 7150238 VISIT LEVEL 4 NEW W PROC 384.00 7150239 VISIT LEVEL 5 NEW PT 1,063.00 7150240 VISIT LEVEL 5 NEW W PROC 520.00 7150241 VISIT LEVEL 1 EST PT 161.00 7150242 VISIT LEVEL 1 EST W PROC 158.00 7150243 VISIT LEVEL 2 EST PT 213.00 7150244 VISIT LEVEL 2 EST W PROC 213.00 7150245 VISIT LEVEL 3 EST PT 213.00 7150246 VISIT LEVEL 3 EST W PROC 213.00 7150247 VISIT LEVEL 4 EST PT 281.00 7150248 VISIT LEVEL 4 EST W PROC 281.00 7150249 VISIT LEVEL 5 EST PT 384.00 7150250 VISIT LEVEL 5 EST W PROC 384.00 7150251 I&D HEMATOMA/SEROMA/FLUID 2,705.00 7150252 ECG 12 LEAD TRACING ONLY 79.00 7150261 VENIPUNCTURE NON LAB 8.00

7150287 US ABD COMPLETE WO CON 285.00 7150295 US ABDOMEN WO CON LIMITED 285.00 7150329 ECHO TEE WO CON 2,403.00 7150352 BONE DENSITY(DXA)AXAL 288.00 7150378 MAMMARY DUCTOG MULTI RT 733.00 7150386 ECHO STR TEST COMP W CON 1,641.00 7150394 US BREAST COMPLETE LT 394.00 7150402 MAMMARY DUCTOG MULTI LT 733.00 7150410 US PELVIS NON OB COMP 285.00 7150436 TTE W/DOPPLER COMPLETE 1,158.00 7150444 US BREAST COMPLETE BIL 382.00 7150451 MAMMARY DUCTOGRAM SNGL R 733.00 7150469 ECHO STR TEST COMP WO CON 1,158.00 7150477 ECHO 2D LTD WO CON 652.00 7150485 MAMMARY DUCTOGRAM SNGL L 368.00 7150493 US TRANSVAGINAL 183.00 7150519 ECHO 2D COM WO CON WO DOP 1,158.00 7150584 MA MAMMO SCREEN W CAD BIL 341.00 7150626 XR SURGICAL SPECIMEN EA 1,319.00 7151285 COLPOSCOPY CERVIX W BX 738.00 7151293 COLPOSCOPY CERVIX W CURET 683.00 7151319 US GUIDED VASCULAR ACCESS 395.00 7151327 INS TUNNEL CVAD W PORT>5 5,066.00 7151335 XR FLUOR GUIDE CATH DRAIN 202.00 7151343 BX VAGINAL MUCOSA SIMPLE 388.00 7151350 BX VAGINAL MUCOSA EXTENS 4,134.00 7151368 ENDOCERVICAL CURETTAGE 1,416.00 7180279 BX BREAST STEREO PERC 1ST 3,146.00 7180280 BX BRST STEREO PERC EA AD 3,146.00 7180283 BX BREAST US PERC 1ST 3,148.00 7180284 BX BRST US PERC EA ADD 3,148.00 7180291 PLC BRST LOC DEV MAMM 1ST 285.00 7180292 PLC BRST LOC DEV MAMM ADD 285.00 7180295 PLC BRST LOC DEV STER 1ST 285.00 7180296 PLC BRST LOC DEV STER ADD 285.00 7180299 PLC BRST LOC DEV US 1ST 606.00 7180300 PLC BRST LOC DEV US ADD 606.00 7180301 BX/EXC LYMPH NODE SUPERFI 1,755.00 7180302 BIOPSY VULVA/PERIN 1 LES 923.00 7180303 BIOPSY VULVA/PERI ADD LES 75.00 7180304 IR FLUORO CVAD PL/RPL/REM 372.00 7190004 CYSTOMETROGRAM COMPLEX 963.00 7190005 CYSTOMETROGRAM CPLX W/VP 963.00 7190006 CYSTOMETROGR CPLX W/VP/UP 963.00 7190007 UROFLOWMETRY COMPLEX 182.00 7190008 EMG ANAL/URETHR NO NEEDL 182.00 7190011 PLC BRST LOC DEV MAMM 1ST 569.00 7190013 PLC BRST LOC DEV US 1ST 606.00 7190094 MA IMAGE COPY NC - 7190098 PERITONEAL LAVAGE 1,134.00 7190099 XR BONE DENSITY(DXA)APEND 156.00 7190100 MA TELERADIOGRPY/EXAM NC - 7190101 XR TELERADIOGRPHY/EXAM NC -

7190102 US TELERADIOGRAPY/EXAM NC - 7190103 XR READ OUTSIDE IMAGES NC - 7190104 PACK WOUND DEHISCENCE 516.00 7190107 INST/SUPP STERL 150X-195 606.00 7190109 INST/SUPP STERL 17X-23 100.00 7190110 INST/SUPP STERL 13X-17 75.00 7190113 INST/SUPP STERL 730X-949 2,520.00 7190114 INST/SUPP NONST 39X-51 180.00 7190115 IMAGE CATH FLUID SOFT TIS 2,705.00 7190116 I&D WOUND POSTOP COMPLEX 1,300.00 7190117 PLC SOFT TISS LOC DEV 1ST 709.00 7190118 MR IMAGE COPY NC - 7190119 CYSTO FB URET STN REM CMP 5,336.00 7190120 CYSTO W URET PRESS COMPLX 1,858.00 7190121 IRRIG/LAV/INSTL BLADDER 732.00 7190122 RECTAL SENSATION TEST 460.00 7190123 ANORECTAL MANOMETRY 1,858.00 7190124 ANALY NEUROSTIM CMPLX PRO 377.00 7190125 VOIDING PRESSURE INTRAABD 298.00 7190126 US JOINT NONVAS LTD LT 388.00 7190127 US JOINT NONVAS LTD RT 388.00 7190128 MA MAM DX POST SCR CAD RT 295.00 7190129 MA MAM DX POST SCR CAD LT 295.00 7190130 MA MAM DX POST SCR CAD BI 369.00 7190131 US PREG<14WK SNGL1ST GEST 263.00 7190132 COLPOSCOPY VAGINA W BX 738.00 7190133 MA MAMMO DIAG W CAD BI FY 369.00 7190134 MA MAMMO DIAG W CAD RT FY 295.00 7190135 MA MAMMO DIAG W CAD LT FY 295.00 7190136 XR BODY COMPOSITION 1+ FY 121.00 7190137 BONE DENSITY(DXA)AXAL FY 288.00 7190138 MAMMAR DUCTOG MULTI RT FY 733.00 7190139 MAMMAR DUCTOG MULTI LT FY 733.00 7190140 MAMMARY DUCTOG SNGL RT FY 733.00 7190141 MAMMARY DUCTOG SNGL LT FY 368.00 7190142 MA MAMMO SCREEN CAD BI FY 341.00 7190143 XR SURGIC SPECIMEN EA FY 1,319.00 7190144 XR FLUOR GUIDE CTH DRN FY 202.00 7190145 IR FLUOR CVAD PL/RP/RE FY 372.00 7190146 XR BONE DENS(DXA)APEND FY 156.00 7190147 MA MAM DX POST CAD RT FY 295.00 7190148 MA MAM DX POST CAD LT FY 295.00 7190149 MA MAM DX POST CAD BI FY 369.00 7190150 PARACENTSIS ABD W IMAGING 1,434.00 7190151 THORACENTESIS W IMAGING 1,182.00 7200000 MC INFNT HEAR SCRN INI IP 873.00 7900012 P-CARE CONSULT NC - 8200099 BREAST CYST PUNC ASPIRATE 925.00 8200164 BASIC RAD DOSIM CALC PLAN 408.00 8200180 CONTINUING PHYSICS CONSLT 898.00 8200230 TELETX ISODOSE PLAN CPLX 1,340.00 8200255 TELETX ISODOSE PLAN SIMP 710.00 8200347 SPEC MED RAD PHYS CONSULT 1,376.00

8200412 RADIOTHERAPY PLAN 3D 4,837.00 8200420 BREAST CYST ASP EA ADDL 454.00 8200600 CATH ATHR DIR 2087X-2714 7,203.00 8200601 CATH ATHR DIR 2714X-3529 9,366.00 8200602 CATH ATHR ROT 2714X-3529 9,366.00 8200603 CATH DIALYS LT 67X-88 312.00 8200604 CATH DIALYS LT 195X-254 788.00 8200605 CATH DIALYS LT 254X-331 879.00 8200606 CATH DIALYS LT 331X-431 1,143.00 8200607 CATH DIALYSIS ST 39X-51 180.00 8200608 CATH DIALYSIS ST 67X-88 312.00 8200609 CATH DIALYSIS ST 88X-115 408.00 8200610 CATH DIALYSIS ST 115X-150 466.00 8200611 CATH DIALYSIS ST 195X-254 788.00 8200612 CATH DRAINAGE <10 25.00 8200613 CATH DRAINAGE 10-13 60.00 8200614 CATH DRAINAGE 17X-23 100.00 8200615 CATH DRAINAGE 23X-30 108.00 8200616 CATH DRAINAGE 51X-67 236.00 8200617 CATH DRAINAGE 67X-88 312.00 8200618 CATH DRAINAGE 115X-150 466.00 8200619 CATH DRAINAGE 150X-195 606.00 8200620 CATH DRAINAGE 195X-254 788.00 8200621 CATH DRAINAGE 254X-331 879.00 8200622 CATH DRAINAGE 561X-730 1,938.00 8200623 CATH DRAINAGE 730X-949 2,520.00 8200624 CATH GUIDING 13X-17 75.00 8200625 CATH GUIDING 17X-23 100.00 8200626 CATH GUIDING 30X-39 140.00 8200627 CATH GUIDING 39X-51 180.00 8200628 CATH GUIDING 115X-150 466.00 8200629 CATH GUIDING 150X-195 606.00 8200630 CATH GUIDING 254X-331 879.00 8200631 CATH GUIDING 331X-431 1,143.00 8200632 CATH INFUSION 10-13 60.00 8200633 CATH INFUSION 13X-17 75.00 8200634 CATH INFUSION 17X-23 100.00 8200635 CATH INFUSION 23X-30 108.00 8200636 CATH INFUSION 39X-51 180.00 8200637 CATH INFUSION 51X-67 236.00 8200638 CATH INFUSION 67X-88 312.00 8200639 CATH INFUSION 115X-150 466.00 8200640 CATH INFUSION 331X-431 1,143.00 8200641 CATH INFUSION 431X-561 1,488.00 8200642 CATH NONVAS DIL 150X-195 606.00 8200643 CATH NONVAS DIL 195X-254 788.00 8200644 CATH NONVAS DIL 254X-331 879.00 8200645 CATH NONVAS DIL 561X-730 1,938.00 8200646 CATH NONVAS DIL1605X-2087 5,538.00 8200647 CATH OCCLUSION 254X-331 879.00 8200648 CATH OTHER 10-13 60.00 8200649 CATH OTHER 13X-17 75.00 8200650 CATH OTHER 17X-23 100.00

8200651 CATH OTHER 23X-30 108.00 8200652 CATH OTHER 30X-39 140.00 8200653 CATH OTHER 39X-51 180.00 8200654 CATH OTHER 51X-67 236.00 8200655 CATH OTHER 67X-88 312.00 8200656 CATH OTHER 88X-115 408.00 8200657 CATH OTHER 115X-150 466.00 8200658 CATH OTHER 150X-195 606.00 8200659 CATH OTHER 195X-254 788.00 8200660 CATH OTHER 949X-1234 3,276.00 8200661 CATH PTA NLASR 88X-115 408.00 8200662 CATH PTA NLASR 115X-150 466.00 8200663 CATH PTA NLASR 150X-195 606.00 8200664 CATH PTA NLASR 195X-254 788.00 8200665 CATH PTA NLASR 254X-331 879.00 8200666 CATH PTA NLASR 331X-431 1,143.00 8200667 CATH PTA NLASR 431X-561 1,488.00 8200668 CATH PTA NLASR 730X-949 2,520.00 8200669 CATH PTA NLASR 949X-1234 3,276.00 8200670 CATH SUPRAPUBIC 13X-17 75.00 8200671 CATH SUPRAPUBIC 39X-51 180.00 8200672 CATH SUPRAPUBIC 51X-67 236.00 8200673 CATH THROM EMB 30X-39 140.00 8200674 CATH THROM EMB 39X-51 180.00 8200675 CATH THROM EMB 51X-67 236.00 8200676 CATH THROM EMB 67X-88 312.00 8200677 CATH THROM EMB 1234X-1605 4,260.00 8200678 CATH URETERAL <10 25.00 8200679 CATH URETERAL 10-13 60.00 8200680 CATH URETERAL 17X-23 100.00 8200681 CATH URETERAL 23X-30 108.00 8200682 CATH URETERAL 51X-67 236.00 8200683 INST/SUPP STERL 10-13 60.00 8200684 INST/SUPP STERL 13X-17 75.00 8200685 INST/SUPP STERL 17X-23 100.00 8200686 INST/SUPP STERL 30X-39 140.00 8200687 INST/SUPP STERL 39X-51 180.00 8200688 INST/SUPP STERL 51X-67 236.00 8200689 INST/SUPP STERL 67X-88 312.00 8200690 INST/SUPP STERL 88X-115 408.00 8200691 INST/SUPP STERL 115X-150 466.00 8200692 INST/SUPP STERL 150X-195 606.00 8200693 INST/SUPP STERL 195X-254 788.00 8200694 INST/SUPP STERL 254X-331 879.00 8200695 INST/SUPP STERL 331X-431 1,143.00 8200696 INST/SUPP STERL 431X-561 1,488.00 8200697 INST/SUPP STERL 561X-730 1,938.00 8200698 INST/SUPP STERL 730X-949 2,520.00 8200699 INST/SUPP STERL 949X-1234 3,276.00 8200700 INST/SUPP STERL1234X-1605 4,260.00 8200701 INST/SUPP STERL2087X-2714 7,203.00 8200702 KIT/PACK DISP 115X-150 466.00 8200703 KIT/PACK DISP 195X-254 788.00

8200704 PORT INDWELL 150X-195 606.00 8200705 PORT INDWELL 195X-254 788.00 8200706 PORT INDWELL 254X-331 879.00 8200707 PORT INDWELL 331X-431 1,143.00 8200708 PORT INDWELL 431X-561 1,488.00 8200709 CATH INFUSION <10 25.00 8202269 BRACHY ISO PLAN COMPLEX 840.00 8202277 BRACHY ISO PLAN INTERMED 623.00 8202434 BRACHY ISO PLAN SIMPLE 446.00 8202707 TX DEVICE DESIGN COMPLEX 849.00 8202806 TX DEVICE DESIGN INTERMED 649.00 8202905 TX DEVICE DESIGN SIMPLE 450.00 8203333 SIMUL AIDED FIELD SIMPLE 2,710.00 8203358 SIMUL AIDED FIELD COMPLEX 5,079.00 8203515 SIMUL AIDED FIELD INTER 4,256.00 8204604 SPECIAL TX PROCEDURE 1,495.00 8204786 THERAPEUT RAD PORT IMAGES 414.00 8230310 VISIT LEVEL 5 EST PT 1,063.00 8240152 BIOPSY SKIN SINGLE LESION 324.00 8240285 BIOPSY ENDOMETRIAL WO DIL 522.00 8240335 CYSTO W CALIB/DIL STRICT 3,786.00 8240384 TRANSFUS BLD/BLD COMP 1,908.00 8260465 INSERT UTER TANDEM/OVOIDS 2,309.00 8260770 IMRT TREATMENT PLAN 4,010.00 8260995 INST/SUPP STERL 23X-30 108.00 8265597 INJ TX/DX/PROPH SUBQ/IM 419.00 8265746 CYSTOMETROGR CPLX W/VP/UP 652.00 8265753 VISIT LEVEL 1 NEW W PROC 226.00 8265779 VISIT LEVEL 3 NEW W PROC 659.00 8265787 VISIT LEVEL 4 NEW W PROC 823.00 8265795 VISIT LEVEL 5 NEW W PROC 1,063.00 8265803 VISIT LEVEL 1 NEW PT 226.00 8265811 VISIT LEVEL 2 NEW PT 438.00 8265829 VISIT LEVEL 3 NEW PT 659.00 8265837 VISIT LEVEL 4 NEW PT 823.00 8265845 VISIT LEVEL 5 NEW PT 1,063.00 8265852 VISIT LEVEL 1 EST W PROC 226.00 8265860 VISIT LEVEL 1 EST PT 226.00 8265878 VISIT LEVEL 2 EST W PROC 438.00 8265886 VISIT LEVEL 3 EST W PROC 659.00 8265894 VISIT LEVEL 4 EST W PROC 823.00 8265902 VISIT LEVEL 2 EST PT 438.00 8265910 VISIT LEVEL 3 EST PT 659.00 8265928 VISIT LEVEL 4 EST PT 823.00 8265936 VISIT LEVEL 5 EST W PROC 1,063.00 8267569 VISIT LEVEL 2 NEW W PROC 438.00 8267577 DESIGN MLC DEVIC FOR IMRT 1,065.00 8267601 PLC/REM APPLICATOR BREAST 6,503.00 8267619 INTEROP RAD TX X-RAY SNGL 9,193.00 8267627 INTEROP RAD TX ELCTR SNGL 9,193.00 8267628 RAD TX SIMPLE >1 MEV 400.00 8267629 RAD TX INTERMED >1 MEV 877.00 8267630 RAD TX COMPLEX >1 MEV 900.00

8267631 IMRT SIMPLE 1,686.00 8267632 IMRT COMPLEX 2,023.00 8267633 HDR SKIN <=2CM/1 CHANNEL 3,506.00 8267634 HDR SKIN >2CM&2>=CHANNELS 3,853.00 8267635 HDR INTERSTITIAL 1CHANNEL 3,506.00 8267636 HDR INTERSTITIAL 2-12CHAN 3,853.00 8267637 HDR INTERSTITIAL >12 CHAN 4,201.00 8400012 MR PELVIS WO CON 3,032.00 8400020 MR L SPINE WO&W CON 6,866.00 8400038 MR L SPINE WO CON 4,112.00 8400046 MR T SPINE WO CON 3,392.00 8400053 MR C SPINE WO&W CON 6,684.00 8400061 MR C SPINE WO CON 4,003.00 8400062 GADODIAMIDE 287 10ML INJ 1,612.00 8400063 GADODIAMIDE 287 15ML INJ 2,363.00 8400064 GADODIAMIDE 287 20ML INJ 2,919.00 8401606 MR CHEST WO CON 5,020.00 8402554 MR ABDOMEN W CON 7,210.00 8402604 MR ABDOMEN WO CON 4,973.00 8405060 MR C SPINE WO CON LTD 4,003.00 8405102 MR L SPINE WO CON LTD 4,112.00 8406043 MR BRAIN WO CON LTD 5,052.00 8406530 MR UPP EXTREM WO CON RT 4,075.00 8406555 MR UPP EXTREM W CON LT 5,908.00 8406589 MR UPP EXTREM WO&W CON LT 6,804.00 8407074 MR LOW EXTREM WO CON LT 4,340.00 8407090 MR LOW EXTREM W CON LT 6,291.00 8407322 MR ORB/FAC/NECK WO CON 4,884.00 8407579 MR ANGIO NECK WO CON 5,132.00 8408569 MR BRAIN WO&W CON 8,437.00 8408650 MR C SPINE WO&W CON LTD 6,684.00 8408668 MR T SPINE WO&W CON 5,665.00 8408767 MR ORB/FAC/NECK W CON 7,082.00 8408775 MR C SPINE W CON 5,802.00 8408783 MR T SPINE W CON 4,918.00 8408791 MR L SPINE W CON 5,963.00 8408809 MR PELVIS W CON 4,396.00 8408817 MR PELVIS WO&W CON 5,062.00 8408825 MR UPP EXTREM WO CON LT 4,075.00 8408833 MR UPP EXTREM W CON RT 5,908.00 8408841 MR UPP EXTREM WO&W CON RT 6,804.00 8408858 MR LOW EXTREM WO CON RT 4,340.00 8408866 MR LOW EXTREM W CON RT 6,291.00 8409096 MR BRAIN W CON 7,324.00 8411001 MR ANGIO HEAD WO CON 5,283.00 8411019 MR ANGIO HEAD WO&W CON 8,824.00 8411027 MR ANGIO HEAD W CON 7,662.00 8411035 MR ORB/FAC/NECK WO&W CON 8,158.00 8411043 MR UPP EXTREM JNT W LT 3,123.00 8411050 MR UPP EXTREM JNT W RT 3,123.00 8411068 MR UPP EXTREM JNT WO&W LT 3,597.00 8411076 MR UPP EXTREM JNT WO&W RT 3,597.00 8411092 MR ABDOMEN WO&W CON 8,305.00

8411142 MR CHEST W CON 3,970.00 8411191 MR TMJ(S) UNI OR BIL 3,674.00 8411241 MR UPP EXTREM JNT WO LT 2,155.00 8411258 MR UPP EXTREM JNT WO RT 2,155.00 8411324 MR LOW EXTREM WO&W CON LT 7,246.00 8411332 MR LOW EXTREM WO&W CON RT 7,246.00 8411340 MR LOW EXTREM JNT WO LT 1,863.00 8411357 MR LOW EXTREM JNT WO RT 1,863.00 8411365 MR LOW EXTREM JNT W LT 2,699.00 8411373 MR LOW EXTREM JNT W RT 2,699.00 8411381 MR LOW EXTREM JNT WO&W LT 3,111.00 8411399 MR LOW EXTREM JNT WO&W RT 3,111.00 8412124 MR CHEST WO&W CON 4,148.00 8450017 MR ANGIO ABDOMEN W CON 4,164.00 8450033 MR ANGIO CHEST W CON 5,915.00 8450074 MR ANGIO PELVIS W CON 4,164.00 8450090 MR ANGIO SPINE W CON 1,408.00 8450108 MR ANGIO SPINE WO CON 1,239.00 8450116 MR ANGIO SPINE WO&W CON 3,595.00 8480931 MR SPECTROSCOPY 1,226.00 8480949 MR BRAIN WO CON 5,052.00 8480964 MR BREAST WO&W CON BIL 1,720.00 8480972 MR GUIDED NDL BX/ASP/INJ 1,455.00 8480980 MR GUIDED NDL BX/ASP/INJ 1,455.00 8480998 MR CARDIAC VELOCITY FLOW 1,107.00 8481004 MR CARDIAC STRES WO&W CON 2,094.00 8481012 MR CARDIAC W STRESS IMG 1,328.00 8481020 MR CARDIAC WO CON 1,301.00 8481038 MR CARDIAC WO CON LTD 1,301.00 8481046 MR CARDIAC WO&W CON 2,094.00 8481053 MR CARDIAC WO CON 1,301.00 8481079 MR CARDIAC WO&W CON 2,094.00 8481095 MR CARDIAC VELOCITY FLOW 1,107.00 8481097 BX BREAST MRI PERC 1ST 2,323.00 8481099 BX BREAST MRI PERC EA ADD 287.00 8481100 MR BREAST WO&W CON RT 1,703.00 8481101 MR BREAST WO&W CON LT 1,703.00 8481102 XR READ OUTSIDE IMAGES NC - 8481103 MR BREAST W CON LT 1,674.00 8481104 MR BREAST W CON RT 1,674.00 8481105 MR BREAST WO CON LT 1,123.00 8481106 MR BREAST WO CON RT 1,123.00 8481107 MR BREAST W CON BIL 2,511.00 8481108 MR BREAST WO CON BIL 1,685.00 8481109 GADOLINIUM-BAS MR CON/ML 63.00 8481110 MR FETAL SINGLE/1ST GEST 1,239.00 8481111 MR FETAL EA ADD GESTATION 1,239.00 8481112 KIT/PACK DISP 561X-730 1,938.00 8481113 INST/SUPP STERL 17X-23 100.00 8481122 MR ANGIO PELVIS WO CON 1,028.00 8481123 MOD SEDAT =>5YRS 1ST 15M 401.00 8481124 MODERATE SEDAT ADD 15MIN 401.00 8481125 MR ANGIO LOWER EXTR WO&W 1,657.00

8481126 MR ANGIO LOWER EXTR W CON 6,290.00 8481127 MR ANGIO LOWER EXTR WO 998.00 8481128 MR ANGIO UPP EXTR W CON 1,534.00 8481129 MR ANGIO UPP EXTR WO CON 998.00 8481130 MR ANGIO UPP EXTR WO&W 1,657.00 8500002 MOD SEDAT =>5YRS 1ST 15M 401.00 8500003 MODERATE SEDAT ADD 15MIN 401.00 8500035 US V DPLX VENOUS EXT LT 1,303.00 8500043 US V DPLX ART UP EXT LT 1,157.00 8500050 US V DPLX ART LOW EXT LT 1,265.00 8500100 US CHEST 1,209.00 8500118 US BREAST COMPLETE BIL 413.00 8500126 US GUIDED VASCULAR ACCESS 440.00 8500183 US HIPS INFANT LTD STATIC 1,269.00 8500357 US DOP ART EXT 1-2 LVL BI 674.00 8500365 US DOP ART EXT >=3 LVL BI 1,037.00 8500373 US V DOP ART LOWEXT W/S B 1,297.00 8500381 US V DPLX ART LOW EXT BIL 2,040.00 8500399 US V DPLX ART LOW EXT RT 1,265.00 8500407 US V DPLX ART UP EXT BIL 1,770.00 8500415 US V DPLX ART UP EXT RT 1,157.00 8500431 US V DPLX VENOUS EXT BIL 2,037.00 8500449 US V DPLX VENOUS EXT RT 1,303.00 8500450 PLC SOFT TISS LOC DEV 1ST 744.00 8500451 PLC NEPHROSTOM CTH W IMAG 5,783.00 8500456 US V DPLX AB/PEL/RET CMP 641.00 8500464 US V DPLX AB/PEL/RET LTD 449.00 8500472 US V DPLX AO/IVC/GRFT CMP 449.00 8500480 US V DPLX PENILE VES CMP 467.00 8500498 US V DPLX PENILE VES LTD 467.00 8500878 BIOPSY PROSTATE NDL/PUNCH 2,886.00 8501173 ASP FINE NDL W IMAGING 2,064.00 8501330 US RETROPERITONEAL COMPL 2,087.00 8501363 US DPLX EXTRACRAN CMP BIL 2,161.00 8501405 US PREG 1 OR >FETUSES LTD 1,440.00 8501470 US SOFT TISS HEAD & NECK 1,778.00 8501488 US EYE B-SCAN 1,387.00 8501512 US GUIDED NEEDL PLACEMENT 1,636.00 8501553 US PELVIS NON OB LTD F/U 1,195.00 8501561 US KIDNEY TRANSPLANT 1,127.00 8501587 US TRANSVAGINAL 2,844.00 8501603 US GUIDE INTRAOP 1-2 HOUR 1,836.00 8501728 BX/EXC LYMPH NODE SUPERFI 2,140.00 8501744 BX PANCREAS NEEDLE PERC 2,129.00 8501769 BX MUSCLE NEEDLE PERC 1,762.00 8501777 BX SALIVARY GLAND NDL 1,866.00 8501785 PET W CT LTD AREA 2,107.00 8501819 US V DOP TRANSCRAN CMP 939.00 8501827 US V DOP TRANSCRAN LTD 939.00 8501843 US GUIDE CATH DRAIN 714.00 8501918 INS CATH PLEURAL W IMAG 1,191.00 8502007 US GUIDED NEEDL PLACEMENT 1,636.00 8502213 US BONE DENSITY PERIPHERL 405.00

8502300 CATH ATHR DIR 2087X-2714 7,203.00 8502301 CATH ATHR DIR 2714X-3529 9,366.00 8502302 CATH ATHR ROT 2714X-3529 9,366.00 8502303 CATH DIALYS LT 67X-88 312.00 8502304 CATH DIALYS LT 195X-254 788.00 8502305 CATH DIALYS LT 254X-331 879.00 8502306 CATH DIALYS LT 331X-431 1,143.00 8502307 CATH DIALYSIS ST 39X-51 180.00 8502308 CATH DIALYSIS ST 67X-88 312.00 8502309 CATH DIALYSIS ST 88X-115 408.00 8502310 CATH DIALYSIS ST 115X-150 466.00 8502311 CATH DIALYSIS ST 195X-254 788.00 8502312 CATH DRAINAGE <10 25.00 8502313 CATH DRAINAGE 10-13 60.00 8502314 CATH DRAINAGE 17X-23 100.00 8502315 CATH DRAINAGE 23X-30 108.00 8502316 CATH DRAINAGE 51X-67 236.00 8502317 CATH DRAINAGE 67X-88 312.00 8502318 CATH DRAINAGE 115X-150 466.00 8502319 CATH DRAINAGE 150X-195 606.00 8502320 CATH DRAINAGE 195X-254 788.00 8502321 CATH DRAINAGE 254X-331 879.00 8502322 CATH DRAINAGE 561X-730 1,938.00 8502323 CATH DRAINAGE 730X-949 2,520.00 8502324 CATH GUIDING 13X-17 75.00 8502325 CATH GUIDING 17X-23 100.00 8502326 CATH GUIDING 30X-39 140.00 8502327 CATH GUIDING 39X-51 180.00 8502328 CATH GUIDING 115X-150 466.00 8502329 CATH GUIDING 150X-195 606.00 8502330 CATH GUIDING 254X-331 879.00 8502331 CATH GUIDING 331X-431 1,143.00 8502332 CATH INFUSION 10-13 60.00 8502333 CATH INFUSION 13X-17 75.00 8502334 CATH INFUSION 17X-23 100.00 8502335 CATH INFUSION 23X-30 108.00 8502336 CATH INFUSION 39X-51 180.00 8502337 CATH INFUSION 51X-67 236.00 8502338 CATH INFUSION 67X-88 312.00 8502339 CATH INFUSION 115X-150 466.00 8502340 CATH INFUSION 331X-431 1,143.00 8502341 CATH INFUSION 431X-561 1,488.00 8502342 CATH NONVAS DIL 150X-195 606.00 8502343 CATH NONVAS DIL 195X-254 788.00 8502344 CATH NONVAS DIL 254X-331 879.00 8502345 CATH NONVAS DIL 561X-730 1,938.00 8502346 CATH NONVAS DIL1605X-2087 5,538.00 8502347 CATH OCCLUSION 254X-331 879.00 8502348 CATH OTHER 10-13 60.00 8502349 CATH OTHER 13X-17 75.00 8502350 CATH OTHER 17X-23 100.00 8502351 CATH OTHER 23X-30 108.00 8502352 CATH OTHER 30X-39 140.00

8502353 CATH OTHER 39X-51 180.00 8502354 CATH OTHER 51X-67 236.00 8502355 CATH OTHER 67X-88 312.00 8502356 CATH OTHER 88X-115 408.00 8502357 CATH OTHER 115X-150 466.00 8502358 CATH OTHER 150X-195 606.00 8502359 CATH OTHER 195X-254 788.00 8502360 CATH OTHER 949X-1234 3,276.00 8502361 CATH PTA NLASR 88X-115 408.00 8502362 CATH PTA NLASR 115X-150 466.00 8502363 CATH PTA NLASR 150X-195 606.00 8502364 CATH PTA NLASR 195X-254 788.00 8502365 CATH PTA NLASR 254X-331 879.00 8502366 CATH PTA NLASR 331X-431 1,143.00 8502367 CATH PTA NLASR 431X-561 1,488.00 8502368 CATH PTA NLASR 730X-949 2,520.00 8502369 CATH PTA NLASR 949X-1234 3,276.00 8502370 CATH SUPRAPUBIC 13X-17 75.00 8502371 CATH SUPRAPUBIC 39X-51 180.00 8502372 CATH SUPRAPUBIC 51X-67 236.00 8502373 CATH THROM EMB 30X-39 140.00 8502374 CATH THROM EMB 39X-51 180.00 8502375 CATH THROM EMB 51X-67 236.00 8502376 CATH THROM EMB 67X-88 312.00 8502377 CATH THROM EMB 1234X-1605 4,260.00 8502378 CATH URETERAL <10 25.00 8502379 CATH URETERAL 10-13 60.00 8502380 CATH URETERAL 17X-23 100.00 8502381 CATH URETERAL 23X-30 108.00 8502382 CATH URETERAL 51X-67 236.00 8502383 INST/SUPP STERL 10-13 60.00 8502384 INST/SUPP STERL 13X-17 75.00 8502385 INST/SUPP STERL 17X-23 100.00 8502386 INST/SUPP STERL 23X-30 108.00 8502387 INST/SUPP STERL 30X-39 140.00 8502388 INST/SUPP STERL 39X-51 180.00 8502389 INST/SUPP STERL 51X-67 236.00 8502390 INST/SUPP STERL 67X-88 312.00 8502391 INST/SUPP STERL 88X-115 408.00 8502392 INST/SUPP STERL 115X-150 466.00 8502393 INST/SUPP STERL 150X-195 606.00 8502394 INST/SUPP STERL 195X-254 788.00 8502395 INST/SUPP STERL 254X-331 879.00 8502396 INST/SUPP STERL 331X-431 1,143.00 8502397 INST/SUPP STERL 431X-561 1,488.00 8502398 INST/SUPP STERL 561X-730 1,938.00 8502399 INST/SUPP STERL 730X-949 2,520.00 8502400 INST/SUPP STERL 949X-1234 3,276.00 8502401 INST/SUPP STERL1234X-1605 4,260.00 8502402 INST/SUPP STERL2087X-2714 7,203.00 8502403 KIT/PACK DISP 115X-150 466.00 8502404 KIT/PACK DISP 195X-254 788.00 8502405 PORT INDWELL 150X-195 606.00

8502406 PORT INDWELL 195X-254 788.00 8502407 PORT INDWELL 254X-331 879.00 8502408 PORT INDWELL 331X-431 1,143.00 8502409 PORT INDWELL 431X-561 1,488.00 8502410 CATH INFUSION <10 25.00 8502411 US PREG NUCAL TRANSLU 1ST 346.00 8502512 US GUIDED TISSUE ABLATION 4,551.00 8502613 US PORTABLE PER TRIP NC - 8502714 LIVER TUMOR ABLAT RF PERC 5,107.00 8502815 RENAL TUMOR(S ABLAT RADIO 12,630.00 8502916 ASP ABSC/HEMA/CYST/BULLA 375.00 8503017 BX LIVER NEEDLE PERC 2,567.00 8503118 BX RENAL NDL/TROCAR PERC 3,887.00 8503219 BX THYROID NDL CORE PERC 2,072.00 8503320 BX ABD/RETROPERITONL MASS 2,335.00 8503421 IMAGE CATH FLUID VISCERAL 3,338.00 8503522 BIOPSY LUNG/MEDIASTIN NDL 2,793.00 8511008 US ABD COMPLETE WO CON 2,048.00 8511016 US ABDOMEN WO CON LTD 1,575.00 8522104 US PREG FOLLOWUP/EA GEST 1,858.00 8523003 US SCROTUM 1,588.00 8523102 US GUIDED AMNIOCENTESIS 931.00 8530370 US ENCEPHALOGRAM 1,279.00 8530487 US PELVIS NON OB COMP 1,782.00 8532608 US RETROPERITONEAL LTD 1,023.00 8540015 US SONOHYSTEROGRAM 1,346.00 8550006 US PREG<14WK SNGL1ST GEST 1,394.00 8550014 US PREG=>14WKS EA ADD GES 1,072.00 8550022 US TRANSRECTAL 980.00 8550030 US PREG<14WKS EA ADD GEST 739.00 8550048 US PREG=>14WK SNG 1ST GES 1,616.00 8550071 US GUIDED NEEDL PLACEMENT 1,636.00 8550089 US PREG+DETL SNGL1ST GEST 1,685.00 8550097 US PREG+DETL EA ADDL GEST 1,920.00 8550105 US PREG TRANSVAGINAL 1,617.00 8550386 US BREAST COMPLETE RT 283.00 8550394 US BREAST COMPLETE LT 283.00 8550402 US SPINAL CANAL & CONTENT 510.00 8550410 US FETAL ECHO UMBIL ART 638.00 8550428 US FETAL ECHO MID CEREBRL 638.00 8550501 US HIPS INFANT DYNAMIC 1,762.00 8550535 US JOINT NONVAS LTD RT 400.00 8550543 US JOINT NONVAS LTD LT 400.00 8550550 US JOINT COMPLETE RT 1,334.00 8550568 US JOINT COMPLETE LT 1,334.00 8550576 US FETAL BIOP PROF WO NST 1,560.00 8550584 PERITONEAL LAVAGE 1,191.00 8550592 PARACENTSIS ABD W IMAGING 1,523.00 8550600 PARACENTESIS ABD WO IMAG 1,035.00 8550624 BX BREAST US PERC 1ST 2,678.00 8550626 BX BRST US PERC EA ADD 3,305.00 8550631 IMAGE CATH FLUID PERITO 3,507.00 8550632 US DPLX EXTRACRAN LTD LT 1,448.00

8550633 US DPLX EXTRACRAN LTD RT 1,448.00 8550634 US IMAGE COPY NC - 8550635 BREAST CYST PUNC ASPIRATE 925.00 8550637 PLC BRST LOC DEV US 1ST 782.00 8550640 IMAGE CATH FLUID SOFT TIS 1,170.00 8550643 PLC BRST LOC DEV US ADD 744.00 8550644 THORACENTESIS W IMAGING 2,470.00 8550645 US TELERADIOGRAPY/EXAM NC - 8550646 XR READ OUTSIDE IMAGES NC - 8550647 CATH DRAINAGE 13X-17 75.00 8550648 GUIDEWIRE 13X-17 75.00 8550649 GUIDEWIRE 17X-23 100.00 8550650 KIT/PACK DISP 67X-88 312.00 8550651 INTRO EP FC PEEL 51X-67 236.00 8550652 US ARTHROCEN ASP SMALL JT 831.00 8550653 US ARTHROCEN ASP INTER JT 831.00 8550654 US ARTHROCEN ASP MAJOR JT 831.00 8550655 BX NECK/THORAX SOFT TISS 3,675.00 8550657 US GUIDE CATH DRAIN FY 693.00 8550658 RENAL CYST ASP/INJ PERC 1,659.00 8550659 IR RENAL CYST STDY TRANSL 672.00 8550660 XR RENAL CYST STDY TRANSL 672.00 9700014 EMPLOYEE PHYSICALS - 9700030 SHORT/DOYLE CLINIC - 9700048 CAP MAXICARE MCAL HCLA - 9700055 CAP FHP HCP - 9700063 CAP FHP POS HCP - 9700071 CAP BLUE SHIELD SR LATINO - 9700089 CAP COMMUNITY MCAL HCLA - 9700097 TCU ADJUSTMENT - 9700105 ADMINISTRATIVE ADJ - 9700113 MINOR BALANCE WRITE-OFF - 9700139 OBRA MEDI-CAL PENDING - 9700147 P.P.P. CA FAMILY MED GRP - 9700154 MSR OSCAR ROMERO - 9700162 Z*COUNTY/CITY UNBILLABLE - 9700170 CHARITY CARE ADJ - 9700188 Z*DEN LEVEL OF CARE MCR - 9700212 CAP FOUNDATION MCAL HCLA - 9700220 CAP MAXICARE IMGLA - 9700238 MEDICARE LATE CHARGE - 9700253 DEN MCR RAC - 9700261 LATE CHARGE COMMERCIAL - 9700287 HOSPITAL CAUSED WRITE OFF - 9700303 QUEENS CARE ADJUSTMENT - 9700329 WORKERS COMP ALLOWANCE - 9700345 Z*MEDICARE NON-COV PART B - 9700352 MEDI-CAL CONTRACTUAL ADJU - 9700360 MEDI-CAL LATE CHRG ADJ - 9700378 MEDI-CAL SUSPENSE PEND - 9700394 DEN MAC - 9700436 Z*DENIAL MED NEC (HSAG) - 9700451 Z*MEDI-CAL DENIED ADJ -

9700493 MEDI-CAL OUTPATIENT ADJ - 9700535 MEDI-CAL TAKEBACK ADJ - 9700568 MEDICARE TAKEBACK ADJUST - 9700584 BLUE CROSS TAKEBACK - 9700618 MEDI-CAL RETENT PT INS - 9700675 LATE CAHRGE MANAGED CARE - 9700683 SNF TCU LT CAL MGD CARE - 9700691 Z*MEDICARE UNBILLABLE ADJ - 9700709 Z*MEDI-CAL UNBILLABLE ADJ - 9700717 SNF TCU LT OTP TRADITIONA - 9700725 SNF TCU LT OTP MGD CARE - 9700741 DENIAL MEDICARE RAC REHAB - 9700766 TRANSFER FROM O/P ACCT - 9700774 TFR FROM BABY ACCT TO MOM - 9700782 SNF/TCU CONTRACTUALS - 9700790 TRANSFER TO O/P ACCT - 9700816 SNF TCU LT CAL TRADITION - 9700824 SNF TCU LT-CAL AT RISK - 9700840 IP/OP MCAL REFUND CST REP - 9700857 PATIENT REF M-CAL AUDITCR - 9700865 W/O TO CHARITY W/MEDI-CAL - 9700873 TFR TO MOM ACCT FROM BABY - 9700881 TRAUMA MATCH GL ADJ - 9700899 DEN ADMINISTRATIVE DAYS - 9700923 DEN ABN - 9700931 Z*MEDICARE ABN DENIED ADJ - 9700949 RETRO CLS ACT STLMNT DISC - 9700956 UNINSURED DISCOUNT - 9700964 AR TRANS-UNCLMD PROP LIAB - 9700980 SECTION 1011 WRITE OFFS - 9701038 COURTESY ALLOWANCE - 9701087 REFUND TO PATIENT - 9701152 CHARITY PROP 99 ADJ - 9701202 REFUND TO INSURANCE - 9701210 CCS SMR ALLOWANCE - 9701228 PRIVATE PAYMENT-PATIENT - 9701236 DEN NO AUTH PART PMT - 9701244 DEN LEVEL OF CARE - 9701277 MEDICARE PREPAID CONTRACT - 9701285 MEDI-CAL PREPAID CONTRACT - 9701293 CAP CAREAMER8CA AHMG IND - 9701301 CAP DRAW RATE - 9701327 FOUNDATION MCAL UHPLA IOE - 9701491 CAP BLUE SHIELD SENIOR - 9701582 TRANSFER - 9701608 COUNTY/CITY ADJUSTMENT - 9701616 MCARE SR HMO NON-COV CHGS - 9701731 BANKRUPTCY ADJUSTMENT - 9701756 VICTIMS OF CRIME W/O ADJ - 9701764 CONTRACTUAL GROUP INSUR - 9701780 PPO O/P OTHER ADJ - 9701798 FYE2007 PARO CHARITY RECL - 9701814 RETURNED CHECK NSF ADJ -

9701822 FYE2006 PARO CHARITY RECL - 9701830 HMO O/P OTHER ADJ - 9701848 DEN TAR - 9701889 CAREAMERICA IMGLA ADJ - 9701897 FOSHAY CLINIC ADJUSTMENT - 9701947 HEALTHNET GLOBALCARE CAP - 9701962 MEDI/MEDI ZERO PYMT ADJ - 9701988 PROP 99 RECOVERY ADJ - 9702002 Z*MCARE RAC OFFSET ACUTE - 9702010 Z*MCARE RAC OFFSET REHAB - 9702028 Z*MEDICARE REVIEW DENIAL - 9702051 DISCOUNT PROFESSIONAL ADJ - 9702069 DISCOUNT EMPL/FAM ADJ - 9702077 DISCOUNT ADM(VP) ADJ - 9702085 DISCOUNT ADM(HOSP AUX)ADJ - 9702127 INS ZERO PAY - 9703026 DEN UNTIMELY ADMTG/REG - 9703034 DEN UNTIMELY AR APPEAL - 9703042 DEN UNTIMELY AR CHRG CAP - 9703059 DEN UNTIMELY AUDIT/COMPLN - 9703067 DEN UNTIMELY CLINICAL DPT - 9703075 DEN UNTIMELY PAYOR - 9703083 DEN UNTIMELY PFS HANDLING - 9703091 DEN UNTIMLEY IT/SYSTEMS - 9703109 DEN UNTIMELY CODING/HIM - 9703224 MED EDUCATION MCARE MGD C - 9703240 POLICY SELF PAY AND OTHER - 9703257 ADMIN SELF PAY & OTHER - 9703430 DEN NOT AUTHORIZED - 9703448 DEN NON COVERED - 9703554 WORKER'S COMP MGD CARE - 9703661 DEN MEDNEC MCAL IP NOTMET - 9703935 CHARITY COM W/C & OTH GOV - 9704008 CREDIT CARD CHARGE BACK - 9704040 MEDI-CAL ALLOWANCE - 9704073 MEDICARE DRG CONTRACTUAL - 9704081 MEDICARE IP PSYCH - 9704107 MEDICARE SNF CONTRACTUAL - 9704115 MEDICARE CONTRCTUAL ADJUS - 9704131 TCU SNF DENIED MEDICARE - 9704545 MEDI-CAL NON-CAP HMO - 9704628 INTEREST PMT PATIENT - 9704636 ADJ NON 340B - 9704669 OUTREACH LAB W/O - 9704842 MEDICARE DENIED PART B - 9705450 L A P D PRE/POST BOOKING - 9705484 MEDICARE SR HMO - 9705567 ADMIN W/O SELF PAY & OTHE - 9705641 SELF PAY & OTHER CONTACTU - 9705666 UHA WORKERS COMP ADJ - 9705716 UHA NON HOSP WORK COMP - 9705781 OMEGA COLLECTIONS - 9705823 COMMERCIAL TRAD CONTRAT -

9705948 NON COVERED ACUTE MEDICAR - 9705997 CAP W/O COMMERCIAL - 9706268 CHARITY W/O EARTHQUAKE - 9706847 COMM HEALTH PLAN ADJ - 9706854 CAP MAXICARE MEDI-CAL/MGL - 9706862 WORKER'S COMP HMO/PPO ADJ - 9706870 IMGLA MEDICAL GROUP ADJ - 9706995 CAP W/O SENIOR - 9707233 IMGLA LAB W/O ADJ - 9707316 OB ALLOWANCE - 9707332 ESCHEAT TO STATE - 9707746 CAP MAXICARE/IMGLA IP/OPS - 9707837 LAPD OUT AREA SEXUAL ASSA - 9707894 DU UNDER PAY WRITE OFF - 9707910 DEN MED NEC - 9707936 ADJ NON MCR IN/OUT - 9707944 ADJ MCR IN/OUT - 9707951 ADJ DRG DWNGRD AGREE - 9707969 DEN DRG DWNGRD DISAGREE - 9707977 CAP FHP MED-CAL IP/ER ADJ - 9707993 CAP W/O MEDI-CAL - 9708066 CHARITY W/O PMT ASST AR - 9708074 PROF COURTESY DISCOUNT - 9708090 PROMPT PAY DISCOUNT - 9708108 CAP FOUNDAITON CFG PYMT - 9708231 CA HEALTH COLLABORATIVE - 9708249 HARDSHIP ADJUSTMENT - 9708256 ADMIN ALLOWANCE FAP - 9708413 Z*MEDICAL NON-COVERED ADJ - 9708447 CAP CAREAMERICA IMGLA ADJ - 9708454 CAP FOUND MEDI-CAL CFMG - 9708496 Z*DEN HMO MEDI-CAL MGDCR - 9708512 SNF/TCU NONCOVERED UNBILL - 9708561 OTHER GOVERNMENT ADJ - 9708660 COMM HLTH PLN UHPLA IP/SD - 9708678 COMM HEAM HCLA I/OS/E - 9708686 FOUND MCAL LAVIDA I/O/E - 9708694 FOUND MCAL UNI AFF I/OS/E - 9708777 DENIED MEDICARE W/O - 9708801 CONTRACTUAL ALLOW CHAMDR - 9708827 CAP CAREAMER INGLA POS-IN - 9708892 B/D CANFIELD EARLY OUT PG - 9708959 CHARITY SELF PAY & OTHER - 9709130 SNF TCU LT MEDI-CAL MGD - 9709189 B/D IHMS EARLY OUT PROG - 9709197 B/D RISARC ACCOUNTS - 9709205 CAP CAREAMER UHPLA POS-IN - 9709239 HEALTH NET SR MIPA I/O/E - 9709247 HEALTH NET MCAL MED IOE - 9709320 OTHER GOV MANAGED CARE AD - 9709353 RETURNED CHECK PENALTY FE - 9709387 MEDI-CAL BREAST CA EARLY - 9709452 NO INVOICE MED-ICAL -

9709460 FAMILY P.A.C.T. - O/P - 9709478 NO INVOICE MEDI-CARE - 9709494 DENIED MANAGED MEDI-CAL H - 9709502 PAYMENT POSTING EROR ADJ - 9709577 CAP W/O - 9709593 MEDICARE BAD DEBT - 9709643 FAMILY P.A.C.T. - O/P - 9709676 C.P.S.P. - I/P - 9709684 C.P.S.P. O/P - 9709692 UNCLAIM PAT CR, RET TO ST - 9709726 NO INVOICE MANAGED CARE - 9709742 NOT ELIGIBLE COMMERCIAL - 9709759 NOT ELIGIBLE MEDI-CAL - 9709767 DMV CONTRACTUALS - 9709783 HMO I/P - O/P POS - 9709825 BAD DEBT HHL REFERRAL ADJ - 9709833 BAD DEBT RISARC REFERRAL - 9709841 BAD DEBT OTHER ADJ - 9709858 CAP POS - 9709866 NOT ELIGIBLE MEDI-CARE - 9709874 NOT ELIGIBLE MANAGED CARE - 9709882 OTHER GOVERNMENT TRADI - 9709890 UNIVERSAL HFAM CAP W/O - 9709908 PPO I/P - O/P OTHER ADJ - 9709916 HMO I/P - O/P OTHER ADJ - 9709932 DEN MCD RAC - 9709965 DEN CONTRACT INTERP - 9709999 CLINIC-ALLOWANCE - 9710013 CIGNA SR MIPA IP/OP/ER - 9710021 *Z MIPA OP CAP/CIGNA SR - 9710096 ROGERS RATE VARIANCE - 9794983 DENIED HMO CAL MANAGED - 9799917 BAD DEBT REVERSAL - 9799990 BAD DEBT TRANSFER - 9800004 BAD DEBT ADJUSTMENT - 9800012 ADJ TO BAD DEBT ACCOUNT - 9800020 B/D ADJ - EE PHYSICAL - 9800038 BAD DEBT BANKRUPTCY ADJ - 9800046 MEDICARE BAD DEBT ADJ - 9800053 CARE MGD CARE BAD DEBT AD - 9800079 MEDI-CAL MGD CARE BAD DEB - 9800087 BAD DEBT BANKRUPTCY DELE - 9800095 COMMERCIAL MGD CARE BAD - 9800111 BAD DEBT MINOR BAL W/O - 9800129 BD GRANT WEBER BAL ADJ - 9800228 DENIED UR CAUSED BAD DEBT - 9800251 MEDICARE RAC BD ACUTE ADJ - 9800459 DU UNDERPAY BAD DEBT ADJ - 9800483 MCAL MGD CARE BAD DEBT AD - 9800749 MEDICARE RAC BD REHAB ADJ - 9800780 PROP 99 BAD DEBT ADJUST - 9800863 B/D ADJ CHARITYW/MEDI-CAL - 9800921 MEDICARE ABN B/D ADJ W/O -

9800939 MEDICARE ABN B/D DENIED - 9800947 RETRO CLS ACT STLMNT DISC - 9801028 WRITE OFFS UNCOLLECTABLE - 9801309 W/0 UNCOLLECTIBLE BADDEBT - 9801374 BAD DEBT BLUE X MGD CARE - 9801507 TRAD COMMERCIAL BAD DEBT - 9801606 WORKER'S COMP BAD DEBT AD - 9801713 ADMIN BAD DEBT ADJ - 9801754 WC BAD DEBT ADJUSTMENT - 9801770 MEDI-CAL BAD DEBT ADJ - 9801804 PARO BAD DEBT CHARITY ADJ - 9801812 CHARITY BAD DEBT ADJ - 9801820 CHARITY W/O PMT ASST BD - 9801846 UNINSURED DISCOUNT BD - 9801853 BD HARDSHIP ADJUSTMENT - 9801861 BD ADMIN ALLOWANCE FAP - 9802000 MCR PEND RAC OFFSET BD AC - 9802018 MCR PNDNG RAC OFFST BD RH - 9802059 BAD DEBT MEDICARE O/P - 9802489 MEDI-CAL - 9802992 WRITE OFF IN PATIENT - 9803073 BAD DEBT INS ZERO PAY - 9803370 WRITE OFF EMERGRNCY ROOM - 9803453 WRITE OFF OUT PATIENT - 9803628 BAD DEBT WRITE OFF ADJ - 9803636 B/D UNTIMELY FILING CODE - 9803644 DELETE BAD DEBT ACCT BAL - 9803818 MANAGED CARE COMM BAD DEB - 9804006 BAD DEBT REFUND ADJUSTMEN - 9804105 ERROR - 9804345 TRANS BALANCE DEBIT - 9804428 TRANS BALANCE CREDIT - 9804501 B/D ADJ AR-UNCLAIMED PROP - 9805102 BAD DEBT RECOVERY COLLTE - 9805110 BAD DEBT RECOVERY OTP - 9806001 BD DEN ABN - 9806019 BD DEN ALL OTH ADMIN - 9806027 BD DEN CONTRACT INTERP - 9806035 BD DEN DAYS MCL - 9806043 BD DEN LEVEL OF CARE - 9806050 BD DEN MCR RAC - 9806068 BD DEN MCD RAC - 9806076 BD DEN MED NEC - 9806084 BD DEN NO AUTH FULL PMT - 9806092 BD DEN NO AUTH PART PMT - 9806100 BD DEN NON COVERED - 9806118 BD DEN NOT AUTHORIZED - 9806126 BD DEN OTHER - 9806134 BD DEN TAR - 9806175 BD DEN ADMINISTRATIVE DAY - 9806183 BD DEN MAC - 9806191 BD DEN UNTIMELY ADMTG/REG - 9806209 BD DEN UNTIMELY CLINICAL -

9806217 BD DEN UNTIMELY PAYOR - 9806225 BD DEN UNTIMELY PFS - 9806233 BD DEN UNTIMLEY IT/SYSTEM - 9806241 BD DEN UNTIMLY AUDT/CMPLN - 9806258 BD DEN UNTIMELY CHG CAP - 9806266 BD DEN UNTIMELY APPEAL - 9806274 BD DEN UNTIMLY CODING/HIM - 9806282 BD ADJ NON MCR IN/OUT - 9806290 BD ADJ MCR IN/OUT - 9806316 BD ADJ DRG DWNGRD AGREE - 9806324 BD DEN DRG DWNGRD - 9806803 MCARE MGD CARE BAD DEBT - 9807710 MEDICARE B/D MED EDU ADJ - 9808627 MEDICARE BAD DEBT ADJUSTM - 9808965 COMMERCIAL BAD DEBT ADJ - 9810029 RECOVERY GESS & ASSOC - 9810045 MEDICARE BAD DEBT PAYMENT - 9810052 RECOVERY BAD DEBT-NO AGEN - 9810060 MEDI-CAL BAD DEBT PAYMENT - 9810078 RECOVERY DEBT ENFORCEMEN - 9810086 MEDI-CAL MGD CARE BAD DEB - 9810094 RECOVERY OTHER AGENCIES - 9810102 GRANT & WEBER RECVRY SVCS - 9810110 REC UNIV ACCTS 2NDS - 9810128 RECOVERY PHR REG BD PRI P - 9810136 RECOVERY BILL FEUER - 9810144 RECOVERY PHR WORK COMP - 9810151 CARE MGD CARE BAD DEBT - 9810169 RECOVERY PHR MEDICARE BD - 9810177 MEDI-CAL BAD DEBT PAYMENT - 9810193 RECOVERY PHR BANKRUPTCY - 9810201 RECOVERY PHR VICTIM CRIME - 9810219 RECOVERY PHR LIEN/LEGAL - 9810227 MCAL MGD CARE BAD DEBT PA - 9810250 RECOVERY HHL WORK COMP PY - 9810326 RECOVERY CALIF AGENCY - 9810334 RECOVERY REASSIGNED AG PY - 9810359 RECOVERY AMER FIN PYMT - 9810367 HOUSE SUSPENSE PAYMENT - 9810375 RECOVERY FEDERAL SUSPENSE - 9810383 RECOVERY CREDIT BUREAU - 9810409 RECOVERY CREDIT BUS BUR - 9810417 RECOVERY SERV-UNIVERSAL - 9810441 BAD DEBT BLUE X MGD CARE - 9810482 RECOVERY PASC - 9810508 CANFIELD SPEC COLLECT - 9810516 IHMS REC SPEC COLLECT - 9810524 REC SVCS REC SPEC COLLECT - 9810532 RISARC - COLLECTION REC - 9810540 RECOVERY PMS - 9810557 RECOVERY RISARC SPEC COLL - 9810565 RECOVERY R&R SPEC PROJECT - 9810599 MANAGED CARE BAD DEBT PAY -

9810615 COMMERCIAL BAD DEBT PAY - 9810649 RECOVERY NCO - 9810656 PROP 99 BAD DEBT PAYMENT - 9810680 MCARE MGD CARE BAD DEBT P - 9810755 WORKER'S COMP BAD DEBT PA - 9810763 WC BAD DEBT PAYMNENT - 9810771 MEDICARE B/D MED EDU PYMT - 9810797 SELF PAY BAD DEBT PAYMENT - 9810854 NOTHING - 9810862 MEDICARE BAD DEBT PAYMENT - 9810896 COMMERCIAL BAD DEBT PAYME - 9810995 CANFIELD AND ASSOCIATES - 9812108 RECOVERY MAXICARE BD - 9812462 RECOVERY HHL/MEDI-CAL B/D - 9813007 RECOVERY RELIANT 2NDS - 9813015 RECOVERY PMS - 2NDS - 9813023 RECOVERY HHL - 2NDS - 9813106 RECOVERY GESS & ASSOC 2ND - 9813205 RECOVERY COAST CREDIT 2ND - 9815549 NOTHING - 9816083 RECOVERY GRANT AND WEBBE - 9820010 COLLECTION EXPENSE CA BUS - 9820028 COLLECTION EXPENSE GESS - 9820036 COLLECTION EXPENSE COAST - 9820069 COLLECTION EXPENSE DEBT - 9820085 COLLECTION EXPENSE RELIAN - 9820093 COLLECTION EXPENSE OTHER - 9820119 CAFETERIA DEBIT CARD - 9820143 HEALTH NET GLOBALCARE CAP - 9820150 ICO-GLENDALE HOSPITAL - 9820168 GRT-PICO UN WESTLAKE CL - 9820176 GRT-PICO UN PRESERVAT YR3 - 9820184 GRT-EXTENDED CHILD CARE 2 - 9820192 NOTE REC-DR. DAVID DUARTE - 9820200 HEALTH FAMILY PROG PYMT - 9820218 CO.OF LA-PATERNITY DECLRA - 9820226 FAMILY PRACTICE RESID FUN - 9820259 RECEIVABLES OTHER - 9820267 RADIOLOGY - 9820291 EXCHANGE ACCOUNT NON-REC - 9820333 MEDI-CAL WITHHOLD () / RE - 9820341 CAP BLUE SHIELD SENIOR - 9820374 PARKING/TRANSPORTATION - 9820416 PRIMEROS PASITOS CLINIC - 9820424 MEDICARE RETENTION ACUTE - 9820432 MEDICARE RETENTION PART B - 9820440 MEDI-CAL RETENTION NON CO - 9820457 W/O SMR OUTPATIENT - 9820465 MEDI-CAL RETENTION CONTRA - 9820481 BAD DEBT MEDI-CAL - 9820499 TELEPHONE COMMISSION - 9820515 TENDER CARE DOULA - 9820549 CHILD CARE CRYSTAL STAR -

9820556 MEDICARE PRIOR YEAR - 9820564 BLUE CROSS ADVANCE - 9820580 BLUE CROSS CALIFORNIA CAR - 9820598 CHILD CARE CENTER - 9820614 UNIVERSAL CARE MED-CAP PA - 9820622 NOTES RECEIVABLE-SCHWARTZ - 9820630 INCOME SCHWARTZ - 9820648 PERSONNEL - 9820663 INVESTMENT INCOME-CHEVRON - 9820697 CHIER INFO - 9820747 PBX - 9820754 INTERIM PAYROLL CHECKS - 9820762 POST GRAD EDUC RESID - 9820770 MEDICARE PASS THRU - 9820788 MEDICARE PENALTY WITHHOLD - 9820846 DATA CENTER - 9820853 PLAY THERAPY - 9820887 LICENSES & TAXES - 9820895 FILMING - 9820911 MEDICAL RECORDS - 9820929 EMERGENCY ROOM - 9820937 FOUNDATION DONATION - 9820952 HIGH RISK MATERNITY GRANT - 9820960 VICKS RESEARCH CENTER - 9820986 PHARMACY CASH SALES - 9821000 MCNEIL CONSUMER PROD - 9821026 MISC CASH MEDICARE CARRY - 9821091 DEBT ENFORCE (PHR) INTERE - 9821109 PMS INTEREST FROM 2NDS - 9821117 HHL INTEREST FROM 2NDS - 9821125 CARE-CHARGE INTEREST - 9821208 CAFETERIA SALES EMPLOYEE - 9821240 INTEREST COAST CREDIT 2ND - 9821406 EVEN START FAMILY LITERAC - 9821414 OPERATION IMMUNIZATION PR - 9821422 NOTE PAYABLE CRA - 9821521 INT 10% LATE INSURAN PYMT - 9821570 AFFILIATE PROVIDER WITHDS - 9821596 SHOULD BE REUSED - 9821653 CHILD CARE FEDERAL STATE - 9821695 CNA WITHHOLD - 9821711 OTHER GOVERNMENT ALLOWAN - 9821737 CHILD CARE PRIVATE PAY - 9821752 PROPERTY TAX REFUND - 9821760 CAP PYMT INDEP MED GRP LA - 9821778 REFUND INVENTORY - 9821786 REFUND PURCHASING - 9821794 AETNA WITHHOLD - 9821802 PATIENT REFUND NHRC INTER - 9821810 PATIENT REFUND NHSW INTER - 9821828 PATIENT REFUND SGVMC INTE - 9821836 INTERCOMPANY NHRC PAYMEN - 9821844 INTERCOMPANY PAYMENT NHS -

9821851 INTERCOMPANY PAYMENT SGV - 9821869 INTERCOMPANY PAYMENT GMH - 9821885 INC RENTAL PHYSICIAN - 9821893 PATIENT REFUND GMH INTERC - 9821943 MALPRACTICE INS PROF - 9821950 CHILD CARE CHMC PROVIDER - 9821984 NOTHING - 9821992 PROP 99 CASH - 9822008 TRYLON CORPORATION GRANT - 9822024 OB/GYN CLINIC RECEIVABLE - 9822040 PARKING UNIHEALTH - 9822073 MISC INCOME - 9822099 PREPAID TAXES - 9822149 DUE TO MEDI-CAL HOLDING - 9822248 GROUP LIFE - 9822255 LONG TERM INCOME PAYMENT - 9822263 GARNISHMENTS - 9822305 VISION PLAN - 9822313 DENTAL - 9822321 CARE AMERICA - 9822339 PACIFICARE - 9822354 FOSHAY CLINIC - 9822362 EDUCATION ADMIN OFFICE - 9822420 FHP SENIOR REVENUE - 9822438 FHP COMMERCIAL REVENUE - 9822453 COMMUNITY HEALTH-FLU SHOT - 9822495 AMERICAN EXPRESS DISCOUNT - 9822503 PATIENT ACCOUNTING COPIES - 9822560 PPO-OTHER - 9822578 REC TIGER VALLEY MED GRP - 9822594 RTD BUS PASS RECEIPTS - 9822669 GRANT-CIBA GEIGY - 9822677 GRANT-WARNER LAMBERT - 9822685 GRANT-SYNTEX - 9822693 CATERING SERVICE - 9822750 STAFF FAMILY HLTH MED GR - 9822768 STAFF OBGYN CLINIC - 9822941 MALPRACTICE PHYS REFUND - 9822974 FACULTY PRACT RENTAL LEAS - 9823113 CHARITY RECOVERIES OTHER - 9823147 REGAL PAYMENTS (IBNR) - 9823204 MAXI/MEDI-CAL UHPLA IP/OP - 9823899 NOTE RECEIV SHIRLEY JAMES - 9823980 TPL RECOVERIES MEDI-CAL - 9824012 CHANGE FUND - 9824038 OPEN ITEM RETURNED CHECKS - 9824053 FOUNDATION INCOME - 9824061 MINOR BALANCE RECOVERY - 9824079 ICO-ST. VINCENT - 9824087 MEDICARE I/P CROSSOVER - 9824095 CHILD DEV HOPE STREET FAM - 9824111 MEDI-CAL RETENTION CONTRA - 9824129 MEDI-CAL RETENTION CONTRA -

9824137 MEDICARE RETENTION PSYCH - 9824145 MEDICARE RETENTION REHAB - 9824152 MEDICARE RETENTION SNF - 9824160 MEDICARE RETENTION PART B - 9824210 INCOME UNIVER PHYS NOTE - 9824228 INCOME SHIRLEY JAMES NOTE - 9824327 CAP MAXICARE MEDI-CAL/MGL - 9824442 COMM HFAMHCLA - 9824616 COLLECTION EXPENSE PMS - 9824624 COLLECTION EXPENSE HHL - 9824707 RADIOLOGY SALE OF SCRAP - 9824913 OTHER GOVERNMENT CAP PRE - 9824988 TPL RECOVERIES MEDICARE - 9824996 EXTENDED CHILD CARE - 9825092 REBATES - 9825134 UNIVERSAL CARE UNDERPAY - 9825233 FICA - 9825316 SOC SEC TAXES - 9825563 CAP MAXICARE/IMGLA IP/OPS - 9825571 FOUNDATION MCAL UHPLA IOE - 9825720 RECV MEDCORP LOCUM TENEN - 9825910 CLINICA MUJERES DE BROAD - 9825928 CAP CAREAMERICA UHPLA - 9825936 BROWNING-FERRIS INDUST - 9825944 UFP REIMB FOR SALARIES - 9825951 IHO CLAIMS REFUND - 9825977 CAP FOUND MEDI-CAL CFMG - 9825993 COMM CFMG FOUNDATION HLTH - 9826520 COMM HLTH PLN UHPLA IP/SD - 9826702 CAP CAREAMER IMGLA POS-IN - 9826785 SONG BROWN 97 - 9826793 SONG BROWN 98 CYCLE - 9826983 TPL RECOVERIES OTP - 9826991 CAP CARAMER UHPLA POS-IN - 9827205 CALIFORNIA FAMILY CARE - 9827213 VOLUNTEER UNIFORM - 9827312 HOPE STREET - 9827320 PRIMEROS PASITOS - 9827338 WOMEN'S HEALTH CENTER - 9827346 MLK - 9827353 CAMINO NUEVO CLINIC - 9827361 URGENT CARE CENTER - 9827379 FAMILY CLINIC LONG BEACH - 9827387 LONG BEACH OB CLINIC - 9827395 LONG BEACH MEDICINE CLIN - 9827494 SEA VIEW CLINIC - 9827957 HEALTH NET SR MIPA I/O/E - 9827965 CIGNA SR MIPA IP/OP/ER - 9827973 *Z MIPA OP CAP/CIGNA SR - 9827981 HEALTH NET MCAL MED IOE - 9827999 HLTNT MCAL PIPA IOSE PMT - 9828047 UNIDENTIFIED CASH - 9828138 VENDING MACHINE COMMIS -

9828153 SB 1255 PAYMENT - 9828161 ER - OTHER REVENUES - 9828179 ER QUICK CASE - SAME COUR - 9828195 BALDWIN PACIFIC MED GRP - 9828203 INT. INCOME ZAMUDIO NOTE - 9828211 SB 855 1998 - 1999 - 9828260 SB855 1997-1998 - 9828278 MEDI-CAL ARDS DHS SV CHG - 9828286 GRANT REC EARLY HEAD ST - 9828294 GRANT REC-LA BRIDGES FOSH - 9828302 GRANT REC-LA BRIDGES BERN - 9828310 GRANT REC-DOMESTIC VIOL - 9828328 GRANT RE-PICO UN WESTLAKE - 9828336 GRANT-PICO UNION FAM PRES - 9828344 GRANT-PICO UNION START UP - 9828351 GENERAL GRANTS - 9828369 GRANT REC HAZARD MIT GRT - 9828377 SAULD 2000/ZAMUDIO NOTE - 9828385 INT. INCOME-SAULD2000/ZAM - 9828393 GRANT REC PICO UN FAM - 9828401 GRANT REC FEMA BLDG DEMOL - 9828500 GRNT REC EXT CHILD CR YR3 - 9828518 GRANT REC PICO UN FAM P4 - 9828526 GRANT REC EV ST LIT YR3 - 9828534 GRANT REC DOM VIO DHS0001 - 9828542 GRANT REC SONG BROWN 9-02 - 9828559 GNT REC SONG BROWN 99-02 - 9828567 SB855 2000-2001 REC - 9828815 INTERCOMPANY SMMC PAYMEN - 9828880 PLEASE RESUSE - 9828914 DIABETIC TEAM TREATMENT - 9828997 FAMILY BIRTH DEVELOPMENT - 9829003 CAP MAXICARE REVENUE - 9829029 CAREAMERICA IMGLA - 9829052 INCOME RENTAL - 9829110 MEDICARE INTEREST INCOME - 9829839 MEDI-CAL CLAIM ADJUSTMENT - 9830811 MANAGED CARE BAD DEBT ADJ - 9900002 SELF PAY PYMT - 9900010 SELF PAY / UNINSURED - 9900028 PT LIABILITY AFTER INS - 9900036 MEDI-CAL-CM PENDING PAYME - 9900044 PT LIABILITY AFTER MCARE - 9900051 PMT PENDING BANKRUPTCY - 9900069 MEDICAL SHARE COST PYMT - 9900077 INDUSTRIAL PENDING PYMT - 9900093 SELF PAY OB PKG PYMT - 9900127 P.P.P. CA FAMILY MEDICAL - 9900135 PPP CA FAM CARE MED PYMT - 9900143 CA BREAST CANCER TRMT FD - 9900168 CALIF HLTH COLLABOR PYMT - 9900176 GUARDSMARK PYMT - 9900192 SO CALIF ORGAN PROC PYMT -

9900200 RESTRICT FOR PHI PYMT - 9900226 MSR OSCAR ROMERO - 9900259 SELF PAY CASH PRICE - 9900291 STJOHN WELL CHILD CT PYMT - 9900317 UNIVERSAL AFFILIATES - 9900325 MRI PAYMENT - 9900366 SELF PAY CASH PRICE PYMT - 9900374 MIA PEND TRN/COND PYMT - 9900382 WESTON REID PAYMENT - 9900481 CANFIELD SPEC PROJ PYMT - 9900499 IHMS SPEC PROJ PYMT - 9900507 REC SVCS SPEC PROJ PYMT - 9900523 DRUG SCREENING PYMT - 9900549 GROUP INS PAYMENT - 9900564 REGAL BILTMORE PHYS PYMT - 9900580 PPO SELF PAY PYMT - 9900614 INGRAM & ASSOC PYMT - 9900655 MEDICARE SELF PAY PYMT - 9900697 RISK MGMT-CHMC PYMT - 9900705 SELF PAY CNTRCT PLAN PYMT - 9900713 XTRA PAYMENT - 9900754 SELF PAY DISCOUNT PAYMENT - 9900762 SCOPC (ORGAN HARVEST) PYM - 9900770 HEALTHCHECK PROG PAYMENT - 9900838 PED/FAMILY MED CTR PYMT - 9900846 PPP PED FAMILY MED PYMT - 9900911 QC-CUSHMAN&WAKEFIELD PYM - 9900929 SO CALIF MED GRP PYMT - 9900952 ORTHOPEDIC HOSP LAB PYMT - 9901125 SPECIAL PROJECTS PAYMENT - 9901174 SAC - 9901182 XTRA DEPARTMENT WORK COM - 9901190 NOVUS - 9901265 IHMS ELIGIBILITY PYMT - 9901539 GRANT WEBER PAYMENT - 9901554 MCRU ZERO ACCTS - 9901562 PAYMENT ARRANGEMENTS - 9902032 AIDS HLTH FOUNDATION PYMT - 9903030 PENDING CHARITY - 9908997 Z*MISC SELF PAY PYMT - 9909011 MEDICAL PEND ELIG PYMT - 9909045 RISARC ELIG PYMT - 9909052 COMPSPEC ELIG PYMT - 9910001 MEDICARE PYMT - 9910027 MEDICARE IP B ONLY PYMT - 9910035 MEDICARE PSYCH PYMT - 9910076 MEDICARE TCU/SNF PYMT - 9910084 MEDICARE SNF B ONLY PYMT - 9910100 MEDICARE MEDICAL EDUC PAY - 9910118 UNDOCUMENTED FEDERAL PRO - 9910126 MEDICARE UNDER 65 PYMT - 9910134 ENCOUNTER DATA SENIOR MC - 9910142 RAC MAC PAYMENT -

9910605 KAISER SR NON-KT PYMT - 9910977 PMT UNID MCARE - 9910985 Z*MEDICARE UNDER 65 PYMT - 9911009 MD CARE HEALTH PLAN - 9911017 PAYMENT AETNA SR - 9911025 PAYMENT BC CA CARE SR - 9911033 PAYMENT BLUE SHIELD 65+ - 9911058 HEALTH NET SR PYMT - 9911066 PAYMENT INTER VALLEY SR - 9911074 KAISER SR PYMT - 9911082 MAXICARE 65 PYMT - 9911090 SCAN SR PYMT - 9911108 SECURE HORIZONS PYMT - 9911124 CAREMORE AKA CA HLTH PLAN - 9911132 CENTRAL HP - 9911140 CITIZENCHOICE HEALTH PLAN - 9911157 AIDS HEALTH FOUNDATION - 9911165 CARE 1ST SR/GLOBAL - 9911173 MOLINA MEDICARE ADVANTAGE - 9911181 HMO SENIOR OTHER - 9911199 SAN MIGUEL HEALTH PLAN - 9911207 EASY CHOICE HEALTH PLAN - 9911215 LA CARE SR - 9911223 HUMANA SR HMO - 9911231 CARE 1ST CAL MEDI CONNECT - 9911249 CAREMORE CAL MEDI CONNECT - 9911256 LA CARE CAL MEDI CONNECT - 9911264 HLT NET CAL MEDI CONNECT - 9911272 MOLINA CAL MEDI CONNECT - 9911280 BRAND NEW DAY MCARE ADV - 9911306 PYMT IEHP CAL MEDICONNECT - 9913062 VITAS HOSPICE PYMT - 9914052 BC MEDICARE PPO - 9914060 PYMT BS OUT OF STATE SR - 9914078 PYMT BC OUT OF STATE SR - 9914938 Z*BLUE SHIELD 65+ PYMT - 9914995 Z*MISC MCARE MGD CAR PYMT - 9915109 HLTH NT CAL MEDI CONN CAP - 9915513 MAXICARE 65 OTR PAYMENT - 9917220 MAXICARE 65 UA OPD PYMT - 9917287 SCAN UA OPD PAYMENT - 9917436 UHP SR UA OPD PAYMENT - 9919994 Z*MISC MEDICARE CAP PYMT - 9920000 MEDICAL PYMT - 9920018 MEDI-CAL WITH MEDICARE IP - 9920026 MCARE IP B W/CAL PYMT - 9920034 MCARE IP B PSY W/CAL PYMT - 9920059 MEDI/MEDI OUT-PATIENT PAY - 9920075 MEDICAL TCU/SNF PYMT - 9920083 MCAR IPB TCU/SNF CAL PYMT - 9920091 CCS-LA PYMT - 9920117 PAYMENT MEDI-CAL BCCTP - 9920125 MEDI-CAL ANU -

9920141 MEDI-CAL RESTRICTED ELIG - 9920158 MEDICAL OB PRSM ELIG PYMT - 9920166 MEDICAL RESTRCT ELIG PYMT - 9920182 MEDICAL RISARC PYMT - 9920190 MEDI-CAL COMSPEC PAYMENT - 9920208 MEDI-CAL CIGNA PREPAID PY - 9920216 CCS PEND FINANCIAL PYMT - 9920224 MEDICAL CPSP PYMT - 9920240 MEDICAID OUT OF STATE PMT - 9920257 HEARING SCREEN PYMT - 9920315 MEDICAL BCEDP PYMT - 9920331 MEDICAL PCCM PYMT - 9920364 MEDICLA FAMILY PACT PYMT - 9920372 MEDI-CAL W/OBLIGATED SOC - 9920380 MEDI-CAL HLTH ADV RESTRIC - 9920398 MEDI-CAL COMPSEC REST ELI - 9920406 MEDICARE B INPT TCU/SNF C - 9920414 MEDI-CAL HEALTH ADVOCATES - 9920422 MEDI-CAL HA DED - 9920455 CHILD HEALTH DISABILITY P - 9920463 MEDI-CAL PRESUMPT PAYMENT - 9920497 KAISER MEDI-CAL PYMT - 9920570 COMMNTY HP MCAL OTR PYMT - 9920620 CALOPTIMA PYMT - 9920984 PMT UNID MCAID - 9921016 BC MCAL PYMT - 9921024 CARE 1ST MCAL PYMT - 9921032 COMMUNITY HP MCAL PYMT - 9921040 HEALTH NET MCAL PYMT - 9921057 MAXICARE MCAL PYMT - 9921065 MOLINA MCAL PYMT - 9921073 TOWER MCAL PYMT - 9921099 UNIVERSAL MCAL PYMT - 9921107 MEDICAL VNA HOSPICE PYMT - 9921115 KAISER MC CAL PAYMENT - 9921123 AIDS HLTH FND PYMT - 9921131 CAL OPTIMA PAYMENT - 9921149 GOLD COST HEALTH PLAN - 9921156 MEDI-CAL HMO PAYMENT - 9921164 LA CARE MCAL - 9921172 LA CARE HOMECARE WORKERS - 9921180 PYMT IEHP MEDI CAL - 9924515 BC HFAM PAYMENT - 9924531 CARE 1ST HFAM PAYMENT - 9924549 COMMUNITY HP HFAM PAYMENT - 9924564 LA CARE HFAM PAYMENT - 9924572 MOLINA HFAM PAYMENT - 9924598 UNIVERSAL HFAM PAYMENT - 9924911 Z*UNIVERSAL MCAL PYMT - 9924929 Z*DANIEL FREEMN MCAL PYMT - 9925025 COMMUNITY HP MCAL CAP PMT - 9925033 HEALTH NET MCAL CAP PYMT - 9925058 MAXICARE MCAL CAP PYMT -

9925066 UNIVERSAL MCAL CAP PYMT - 9925074 BC MCAL CAP PAYMENT - 9927153 HEALTH NET MCAL OTR PYMT - 9927203 MOLINA MCAL UA IOSE PYMT - 9928037 BC CA CARE MCAL UA OPD PY - 9928102 HEALTH NET MCAL KPC OPD P - 9928144 MAXICARE MCAL UA OPD PAYM - 9928151 MOLINA MCAL UA OPD PYMT - 9928201 BC HFAM UA OPD PYMT - 9928300 UHP MCAL UA OPD PYMT - 9928359 UNIVERSAL MCAL UA OPD PMT - 9929514 COMMUNITY HP HFAM CAP - 9929993 Z*MISC MCAL CAP PYMT - 9930090 LA CO OB OVERFLOW PYMT - 9933003 PROP 99 PYMT - 9933052 QUEENS CARE OTR - 9933508 CHARITY CARE PYMT - 9934027 TRICARE PRIME HMO PAYMENT - 9934035 TRICARE EXTRA PPO PAYMENT - 9934043 TRICARE STANDARD PAYMENT - 9934050 TRICARE PRIME POS PAYMENT - 9934068 TRICARE FOR LIFE SR PAY - 9934076 TRICARE UMVS PAYMENT - 9934308 CHAMPUS FOUND PPO PYMT - 9934407 CHAMPUS FOUND HMO PYMT - 9935008 HEALTHY WAY LA COUNTY HMO - 9935032 LAW ENFORCEMENT MISC PYMT - 9935073 REGIONAL CENTERS PAYMENTS - 9935081 GRANTS & RESEARCH PAYMENT - 9935099 IN CUSTODY PAYMENT - 9935107 VETERANS ADMIN PYMT - 9935115 LAPD OOA/SEXUAL ASLT PYMT - 9935149 LAC/USC RAD ONCOLOGY PYMT - 9935164 GENETICALLY HANDICAP PYMT - 9935172 REGIONAL CENTER PAYMENT - 9935180 TRAUMA AB75 PAYMENT - 9935198 EMERGENCY TRM FUND PYMT - 9935206 US TREASURY PYMT - 9935222 MLK - 9935313 PAYMENT PPP CA FAMILY CAR - 9935339 PAYMENT CALIFORN. HEALTH - 9935354 PAYMENT SO CALIFORNIA ORG - 9935370 PAYMENT PEDIATRIC FAMILY - 9935396 PAYMENT PPP PEDIATRIC FAM - 9935412 PAYMENT SO CENTRAL FAMILY - 9935438 ONE LEGACY PYMNT ROPA ORG - 9935453 PAYMENT AIDS HEALTH FOUND - 9935479 PAYMENT IMPACT GRANT - 9935503 VICTIM OF CRIME PYMT - 9935552 SART PAYMENT - 9935602 RAPE/CHLD ABS EV COL PYMT - 9935784 CITY OF LOS ANGELES PYMT - 9936006 WORKERS COMPENSATION PYM -

9936014 US DEPT OF LABOR PAYMENT - 9936022 CHW WC FIRST AID PAYMENT - 9936030 EMPLOYEE HEALTH PAYMENTS - 9936055 SEDGEWICK WC OTHER - 9937012 NETWORKS BY DESIGN WC PMT - 9937020 AETNA WC PYMT - 9937038 BEECH ST WC PYMT - 9937046 BC WC UNICARE PYMT - 9937061 COMM CARE NETWORK WC PYM - 9937079 FIRST HEALTH WC PYMT - 9937087 HEALTH NET WC PYMT - 9937095 INTERPLAN WC PYMT - 9937145 PVT HLTHCARE SYS WC PYMT - 9937152 PREFRD HLTH NETWK WC PYMT - 9937160 PROF RISK MGT WC PYMT - 9937186 NHMC EMPLOYEES WC PYMT - 9937202 PAYMENT PPO NEXT WC - 9937210 PAYMENT BC WC UNIVCARE MS - 9937228 SEDGEWICK WORKERS COMP - 9939992 Z*MISC WC MGD CARE PYMT - 9940081 CALIF WESTERN LIFE PAYMEN - 9940115 SNF/GROUP INS PAYMENT - 9940123 CONNECTICUT GENERAL PAYME - 9940149 INTERNATIONAL CARRIER PAY - 9940172 AARP ASSOC RET PERSN PYMT - 9940222 EQUITABLE PAYMENT - 9940248 INTEGRATED MEDICAL SOLUTI - 9940412 PAYMENT OC-CUSHMAN & WAKE - 9940438 PAYMENT SOUTHERN CALIFOR - 9940446 PMT KSR NON CONTR INDV EX - 9940461 COORDINATED HEALTH CARE P - 9940479 CIGNA HEALTH PLAN PYMT - 9940487 SECURE HORIZONS OUT OF AR - 9940529 CIGNA PRIVATE PYMT - 9940602 CIGNA MEDICAL PRE-PAID PY - 9940677 COMMUNITY HEALTH PLAN NON - 9940941 SNF/BLUE SHIELD PAYMENT - 9940990 PMT UNID COMM - 9941022 FIREMAN'S FUND PAYMENT - 9941121 JOHN HANCOCK PAYMENT - 9941485 SNF/FHP COMMERCIAL (GROUP - 9941907 MEDICAL ACQUISITION CO. - 9942012 MASS MUTUAL PAYMENT - 9942053 MUTUAL OMAHA PAYMENT - 9942095 NEW YORK LIFE PPO PAYMENT - 9942103 OCCIDENTAL LIFE PAYMENT - 9942111 PACIFIC MUTUAL PAYMENT - 9942343 METROPOLITAN PAYMENT - 9942368 SNF/MOORE WHITE SENIOR CA - 9942509 PHP CAREFIRST HEALTHPLAN - 9942707 COMM HP MCAL OTR PYMT - 9943010 REPUBLIC NATIONAL PAYMENT - 9943036 SAFECO PAYMENT -

9943093 TRANSAMERICA PAYMENT - 9943101 TRAVELERS PAYMENT - 9943333 UNION MUTUAL LIFE INS PAY - 9943549 KAISER MEDI-CAL PYMT - 9943556 KAISER COM INS PYMT - 9943564 KAISER SR NON-KT PYMT - 9944075 CROWN LIFE PAYMENT - 9944448 PRUDENTIAL COM INS PYMT - 9944679 AETNA UNIFORM PLAN PAYMEN - 9945072 CHMC EMPLOYEE PHYSCL PYMT - 9948803 HMO ALL OTHER PYMT - 9948811 PPO ALL OTHER PYMT - 9949009 MISC INS PRIMARY UNL PYMT - 9949017 MISC INS SECOND UNL PYMT - 9950015 ADMAR PPO PYMT - 9950023 AETNA OPEN CHOICE PAYMENT - 9950031 AFFIL HLTH FUNDS PPO PYMT - 9950049 AMER INS CONSLT PPO PYMT - 9950056 BC PRUDENT BUYER PYMT - 9950072 BC MCS PYMT - 9950080 BLUE SHIELD PPO PYMT - 9950098 BLUE SHIELD OUT OF STATE - 9950106 COMM CARE NETWK PPO PYMT - 9950114 CIGNA PPO PYMT - 9950130 BC CAL PERS PPO - 9950155 FIRST HEALTH PPO PYMT - 9950163 FORMOST PPO PYMT - 9950189 BC FEDERAL EMPLOYEE PROGR - 9950197 HEALTH NET FLEX NET PYMT - 9950205 HEALTH PAYRS ORG PPO PYMT - 9950213 INTERPLAN PPO PYMT - 9950239 MULTIPLAN PPO PYMT - 9950247 ONE HEALTH PPO PYMT - 9950254 UHC OPTIONS - 9950262 PACIFICARE PPO PYMT - 9950270 PVT HLTHCARE SYS PPO PYMT - 9950296 THREE RIVERS PPO PYMT - 9950320 UHC CHOICE - 9950361 PRUDENTIAL PPO PYMT - 9950379 UNITED HC PPO PYMT - 9950387 BEECH ST PPO PYMT - 9950395 BENEFIT PANL SVS PPO PYMT - 9950411 REPUBLIC INDEMNITY CCN PA - 9950452 BC OUT OF STATE PYMT - 9950460 PPO NEXT PPO - 9950478 BCE EMERGIS PAYMENT - 9950502 HUMANA PPO PAYMENT - 9950510 TEAMSTERS & FOOD/AFFORDAB - 9950528 ACA ADMIN PAYMENT - 9950536 CHOICE CARE PPO PAYMENT - 9950544 BC EPO IND EXCH PAYMENT - 9950551 BS PPO IND EXCH PAYMENT - 9950569 OTHER NON CONTRACTED PAY -

9950643 PMT NETWORKS BY DESIGN PP - 9950692 EMPLOYEE BEN PLAN/PPOA+ P - 9950734 UNIHEALTH AMERICA WORKERS - 9950759 FOUNDATION HEALTH PLAN PP - 9950767 FOUNDATION WORKERS COMP - 9950858 JOINT BENEFIT/AHCC MSTR P - 9950866 SO CA 831/AHCC MSTR PAYME - 9950874 STEEL FABRICATORS/AHCC MA - 9950890 TEAMSTERS MISC/AHCC MSTR - 9950908 MET-ELECT/MTRO PAYMENT - 9950916 CONSERVCO TRAVELLERS/AHC - 9950924 BEVERLY ENTERPRISES/AHCC - 9950932 CA HEALTH FEDER/AHCC MSTR - 9950940 CONSERVCO GEORGIA/AHCC M - 9950957 COOLEY,GODWARD/AHCC MSTR - 9950965 PYMT UHC NAVIGATE - 9950973 TEXAS INSTRUMENTS/AHCC MS - 9950981 STATIONARY ENGINEERS/AHCC - 9950999 PIONEER LIFE/AHCC-M PYMT - 9951005 HARBOR CO PPPN/COMED PAYM - 9951021 FIRST FUND PPO PAYMENT - 9951047 NEW YORK LIFE PAYMENT - 9951062 UNUM LIFE/CAPP CARE PAYME - 9951088 HOME LIFE INS/CAPP CARE P - 9951153 FHP OUT OF AREA PAYMENT - 9951328 PAUL REVERE/CAPP CARE PAY - 9951336 ALLSTATE/CAPP CARE PAYMEN - 9951369 ADMAR TOTALCOMP PYMT - 9951377 USA HEALTHNET/PPOA PLUS P - 9951385 NATIONAL HEALTH/CAPP CARE - 9951393 MORNINGSTAR FOODS/CAPP CA - 9951401 INTERNATIONAL TRAINING/CA - 9951419 FEDERATED MUTUAL/CAPP CAR - 9951427 T M COBB/CAPP CARE PAYMEN - 9951435 WESTERN CASUALTY/CAPP CAR - 9951443 WESTERN FIDELITY/CAPP CAR - 9951450 CENTENNIAL/PLAN SVS/CAPP - 9951468 CENTENNIAL/AMERICAN/CAPP - 9951484 EMPLOYEE BENEFITS AM/CAPP - 9951492 INSURANCE DESIGN/CAPP CAR - 9951633 INTERSTATE CR SYS/PPOA PL - 9951666 DONOVAN/CAPP CARE PAYMENT - 9951674 ACORDIA BENEFIT SVCS/CAPP - 9951682 EMPLOYER PLAN SVS/CAPP CA - 9951716 SPONSORED MKT/CAPP CARE P - 9951724 FIRST INTEGRATED HLTH/CAP - 9951732 MSK INS/CAPP CARE PYMT - 9951740 PROV MUT/CORROON/CAPP CAR - 9951765 BENEFIT RESOURCES/CAPP CA - 9951773 CASHMED/COMM ASSOC/CAPP C - 9951781 MUTUAL ADMIN/CAPP CARE PA - 9951799 POE & ASSOC/CAPP CARE PAY - 9951815 AMERICAN INS ADMIN PAYMEN -

9951823 UNITED INS CO OF AM/CAPP - 9951849 CA TEACHERS ASSOC/AHCC MS - 9951864 HEALTHCARE COMPARE/AHCC - 9951872 MASTERS MATES PILOTS/AHCC - 9951880 OPERATING ENG 501/AHCC MS - 9951898 UNITED AIRLINES/AHCC MSTR - 9951914 BRENNCO BENEFIT/CAPP CARE - 9951922 E.B.A. & M. CORP/CAPP CAR - 9951930 BENEFIT CLAIMS/CAPP CARE - 9951948 CORROON & BLACK/CAPP CARE - 9951955 HEALTHCARE TUSTIN/CAPP CA - 9951963 CENTENNIAL/CENTECARE/CAPP - 9951971 THORSON BUICK/CAPP CARE P - 9951989 GILBERT-MAGILL/CAPP CARE - 9951997 HELLER ASSOC/CAPP CARE PA - 9952011 BENEFIT TRUST LIFE PAYMEN - 9952029 BUSINESSMEN ASSUR/PHCS PA - 9952037 CENTRAL LIFE PAYMENT - 9952045 CONFED LIFE/PHCS PAYMENT - 9952052 CONTINENTAL (CNA)/PHCS PY - 9952060 MED CR MGT (CROWN)/PHCS/P - 9952078 GENERAL HEALTH/PHCS PAYME - 9952086 GREAT-WEST BEN/PHCS PAYME - 9952094 GUARDIAN LIFE/PHCS PAYMEN - 9952110 JEFFERSON-PILOT/PHCS PAYM - 9952128 MONY PREFERRED/PHCS PAYM - 9952136 MUTUAL BEN LIFE/PHCS PAYM - 9952144 NEW ENGLAND MUT/PHCS PAYM - 9952151 PHOENIX MUTUAL/PHCS PYMT - 9952177 STATE MUTUAL/PHCS PAYMENT - 9952185 TIME INS CO/PHCS PAYMENT - 9952193 WASHINGTON NATL/PHCS PAYM - 9952201 WESTERN LIFE/PHCS PAYMENT - 9952219 WISCONSIN LIFE/PHCS PAYME - 9952227 PACIFIC MUTUAL/PHCS PAYME - 9952235 PM GROUP/PHCS PAYMENT - 9952243 EMPLOYEE BENEFIT AM/PHCS - 9952268 NORTHWESTERN NATIONAL/PHC - 9952276 FORTIS/PHCS PYMT - 9952284 MAILHANDLERS/PHCS PYMT - 9952292 PAN AMERICAN/PHCS PYMT - 9952508 CLOVIS UNIFIED/INTERPLAN - 9952516 DE VRIES & CO/INTERPLAN P - 9952524 NORTH COAST/INTERPLAN PAY - 9952532 OMNI PREFERRED/INTRPLN PA - 9952540 WESTERN ADMIN/INTERPLAN P - 9952557 DELTA BENEFIT/INTERPLAN P - 9952565 NO CA BAKERY DRIVERS/INTE - 9952573 UNOCAL/INTERPLAN PYMT - 9952607 INTERPLAN (GENERIC) PYMT - 9953019 PROVIDENT LIFE/TRANSAM PA - 9953449 BENEFIT PANEL SVS PPO PYM - 9953514 COST CARE PAYMENT -

9953522 LA FOUND MED CR PAYMENT - 9953530 INT'L UNION ELECTRINIANS - 9953571 PREFERRED PROV OF AMER PY - 9953688 Z*COMPPRO/PHN WC PYMT - 9953704 PARKING EMPLOYERS/PECTF P - 9953712 CHAMPUS EXTRA/FOUNDATION - 9953761 ASI/FLEX PPO PYMT - 9953779 USA HEALTHNET PYMT - 9954009 CCEBT/AHCC-M PYMT - 9954017 GTECH CORP/AHCC-M PYMT - 9954025 HEREIU #118/AHCC-M PYMT - 9954033 HEREIU #170/AHCC-M PYMT - 9954041 Z*GALLAGHER BASSET/AHCC P - 9954058 Z*LWP SVCS/AHCCD-M PYMT - 9954082 GEHA/AHCC-M PYMT - 9954090 OUCH/AHCC-M PYMT - 9954116 AFL/CIO LAUNDRY/AHCC-M PY - 9955519 PACIFIC MUTUAL/CAPP CARE - 9955527 AMERICAN BENEFIT MGT/CAPP - 9955535 AUTOMATED BENEFIT SYS/CAP - 9955543 BENEFIT MGT CORP/CAPP CAR - 9955550 DELTA GROUP/CAPP CARE PYM - 9955568 DURAKON IND/CAPP CARE PYM - 9955576 GENERAL MILLS/CAPP CARE P - 9955584 GROUP PLANS/CAPP CARE PYM - 9955592 MIS INS ADMIN/CAPP CARE P - 9955600 PROVIDENT LIFE/CAPP CARE - 9955618 STATES GENERAL LIFE/CAPP - 9955626 SOUTHEAST HEALTH PLAN/CAP - 9955634 CAPP CARE ADMIN/CAPP CARE - 9955642 WILLSE & ASSOC/CAPP CARE - 9956608 ESCOBAR DIVERS SVS/PPOA P - 9956616 AMERICAN ALLIANCE/PPOA PL - 9956624 AMERISELECT/PPOA PLUS PAY - 9956632 PREFERRED ADMIN/PPOA PLUS - 9956640 PROAMERICA/PPOA PLUS PYMT - 9956657 PROTOCAL/PPOA PLUS PYMT - 9956665 CARNATION/PPOA PLUS PYMT - 9956673 CAREAMERICA/PPOA PLUS PYM - 9956681 MASTER PLAN, THE/PPOA PLU - 9956699 MAP/MAXIMUM ALLOWABLE/PPO - 9956707 MUTUAL OF OMAHA/PPOA PLUS - 9956715 COTTAGE HOSPITAL/PPOA+ PY - 9956723 EMPLOYEE BENEFIT ADMIN/PP - 9956731 IMPERIAL HOLLY SUGARS/PPO - 9956749 7TH DAY ADVENTIST, NO CA/ - 9956756 UNITED WESTERN MED CTR/PP - 9957002 SO CA EDISON PAYMENT - 9957010 ALEXIS (ARA)/AHCC MSTR PA - 9957036 PRO-DEV/AHCC MSTR PAYMENT - 9957051 AM POSTAL WKR/AHCC MASTER - 9957077 BIG FIVE UNITED/AHCC MSTR - 9957085 MONTGOMERY WARD/AHCC MST -

9957093 MOVING & STORAGE/AHCC MST - 9957101 PRINT IND NO CA/AHCC MSTR - 9957119 SO CA SOFT DRINK/AFFORDAB - 9957127 AUTOMOTIVE IND/AHCC MSTR - 9957143 CONSERVCO ENSERCH/AHCC M - 9957150 DIETZGEN CORP/AHCC MSTR P - 9957168 CONSERVCO/VANLINER/AHCC-M - 9957176 ELECTRICAL WORKERS/AHCC-M - 9957184 HYATT HOTEL/AHCC-M PYMT - 9957192 MANCHESTER TANK/AHCC-M PY - 9957200 STATE FARM/AHCC-M PYMT - 9957218 GOLD COAST/AHCC-M PYMT - 9957226 MCDONALDS CORP/AHCC-M PYM - 9957234 CMTA-IAM JOINT/AHCC-M PAY - 9957242 CONGRESS LIFE/AHCC-M PAYM - 9957259 EPIC LIFE/AMERICAN/AHCC-M - 9957267 EPIC LIFE/THIRD PARTY/AHC - 9957275 NATIONAL ASSOC/AHCC-M PAY - 9957283 SECURITY/AMERICAN/AHCC-M - 9957291 SECURITY/ABI ADMIN/AHCC-M - 9957309 SECURITY/THIRD PARTY/AHCC - 9957317 SHERWIN-WILLIAMS/AHCC-M P - 9957325 SPECIAL AGENTS/AHCC-M PYM - 9957333 Z*TEAMSTERS BENEFIT/AHOC - 9957341 ALUMINUM FORGE/AHCC-M PYM - 9957358 AON CORP/AHCC-M PYMT - 9957366 CONSERVCO/SHERWIN/AHCC-M - 9957374 COTTER MEMBER/AHCC-M PYMT - 9957382 GAB BUSINESS/AHCC-M PYMT - 9957390 LEASAMETRICS/AHCC-M PYMT - 9957408 METAL INDUSTRY/AHCC-M PYM - 9957416 NATIONAL HOMECARE/AHCC-M - 9957424 POSTMASTERS BEN PLAN/AHCC - 9957432 WALGREEN CO/AHCC-M PYMT - 9957440 WHOLESALE BEER/AHCC-M PYM - 9957465 GENERAL BINDING/AHCC-M PY - 9957473 HOLIDAY RAMBLER/AHCC-M PY - 9957481 INTERNATIONAL CLAIMS/AHCC - 9957499 CONSERVCO/YELLOW FREIGHT/ - 9957507 BENEFIT ADMIN OF AM/CAPP - 9957515 NCAS NORTHWEST/CAPP CARE - 9957523 WESTERN GROWERS/CAPP CAR - 9957531 CONSTRUCTION & SVS/CAPP C - 9957549 CYCARE SYS/CAPP CARE PYMT - 9957556 NEW ENGLAND/CAPP CARE PYM - 9957564 ADVANCED SLEEP/CAPP CARE - 9957572 IBEW-NECA SOUTHWESTERN/CA - 9957580 L&H ADMIN/CAPP CARE PAYME - 9957598 MANAGED HEALTH FUNDING/CA - 9957606 MAP/CAPP CARE PAYMENT - 9957614 NATIONAL BENEFIT/CAPP CAR - 9957622 QUORUM FINANCIAL/CAPP CAR - 9957630 TYCO LABORATORIES/CAPP CA -

9957648 BUILDING TRADES/AHCC-M PA - 9957655 CORROON & BLACK/NET/CAPP - 9957663 IOWA BENEFITS/CAPP CARE P - 9957671 LIBBEY-OWENS-FORD/CAPP CA - 9957689 CORP HLTH STRATEGIES INC/ - 9957697 FINANCE & INS MGT/CAPP CA - 9957705 R PERNECKY/CAPP CARE PYMT - 9957713 HUB DIST DBA MILLERS/CAPP - 9957721 AMALGAMATED TRANSIT/CAPP - 9957770 NEW YORK LIFE/BPS PYMT - 9957788 JOHN ALDEN/BPS PYMT - 9957796 FHP LIFE/BPS PYMT - 9957804 DRAKE INS/CAPP CARE PYMT - 9957820 PENN GENERAL/CAPP CARE PY - 9957838 CENTENNIAL/CHALLENGER/CAP - 9957846 MAXICARE/CAPP CARE PYMT - 9957853 JP KENNEDY & CO/CAPP CARE - 9957861 BROKERAGE SVS/CAPP CARE P - 9957879 CC SYSTEMS/CAPP CARE PYMT - 9957887 FIDELITY & DEPOSIT/CAPP C - 9957895 HEALTH RISK/CAPP CARE PYM - 9957929 LEWER AGENCY/CAPP CARE PY - 9957937 FHP LIFE INS/CAPP CARE PY - 9957945 KCS MGT/CAPP CARE PYMT - 9957952 MEDCO VALUE PLUS (MVP) CA - 9957960 MEDICAL INS SVS/CAPP CARE - 9957978 NGS AMERICAN/CAPP CARE PY - 9957986 PROFESSIONAL CLAIMS/CAPP - 9957994 VALLEY CAPITAL/CAPP CARE - 9958018 ADMAR EPO PYMT - 9958026 AETNA ELECT CHOICE PYMT - 9958034 AMER INS CONSLT EPO PYMT - 9958042 FIRST HEALTH EPO PYMT - 9958067 PVT HLTHCARE SYS EPO PYMT - 9958083 BENEFIT PANL SVS EPO PYMT - 9958091 UNITED HC EPO PYMT - 9958117 CHOICE CARE EPO PAYMENT - 9958125 DUAL PLUS PAYMENT - 9958158 UNION ROOFERS/PPOA AHF PA - 9958166 SHEET METAL/PPOA AHF PAYM - 9958174 GENCON/PPOA PLUS PAYMENT - 9958182 MANAGED CR ADM/PPOA PLUS - 9958208 CONNECTICUT GEN/PPOA PLUS - 9958232 IPM/AFFORDABLE PAYMENT - 9958240 LABORER H&W/AFFORDABLE PA - 9958257 CAREAMERICA PPO PAYMENT - 9958273 NEW WORLD/PPOA PLUS PAYME - 9958281 HARDEN/PPOA PLUS PAYMENT - 9958315 BANKERS LIFE PPOA PLUS PA - 9958323 INTRACORP/PPOA PLUS PAYME - 9958331 SCOLARI WAREHOUSE/PPOA PL - 9958356 UNIVERSAL FURN/PPOA PLUS - 9958364 COLUMBIA GENERAL PAYMENT -

9958372 SO CA BAKERY/AHCC MSTR PA - 9958398 LA COUNTY PAINT/PPOA AHF - 9958406 SO CA IBEW NECA/PPOA AHF - 9958414 SO CA ROCK/PPOA AHF PAYME - 9958422 ALTA HLTH STRAT/PPOA PLUS - 9958430 HELLER/PPOA PLUS PAYMENT - 9958455 INTERNATIONAL TECH/PPOA P - 9958463 MONY PAYMENT - 9958471 WESTERN STATES/PPOA PLUS - 9958554 CEMENT MASONS/PPOA AHF PA - 9958562 SHEET METAL 170/PPOA AHF - 9958570 UNITED TRANS/PPOA AHF PAY - 9958596 SO CA DRUG/AHCC-M PYMT - 9958604 SO CA DAIRY/AHCC MASTR PA - 9958620 HEALTH PROG MGR/PPOA PLUS - 9958646 MSK INS ADMIN/PPOA PLUS P - 9958653 SPONSORED MKT/PPOA PLUS P - 9958687 OPTIMUM PLAN/PPOA PLUS PY - 9958695 CONTINENTAL ASSUR/PPOA PL - 9958703 CHEVRON CORP MEDICAL PLAN - 9958711 ALTA HEALTH STRATEGIES CA - 9958729 AMERICAN UNITED CAPP CARE - 9958737 WAUSAU, EMPL OF/CAPP CARE - 9958745 NATIONWIDE LIFE/CAPP CARE - 9958752 PACIFIC COAST ADM/CAPP CA - 9958760 PACIFIC SAVINGS/CAPP CARE - 9958786 UNUM LIFE/CAPP CARE PAYME - 9958794 WEISER LOCK/CAPP CARE PAY - 9958810 LINCOLN PPO/TAKECARE PYMT - 9958844 JEFFERSON-PILOT/BPS PAYME - 9958851 CUNA MUTUAL INS/BPS PAYME - 9958869 PACIFIC ATLANTIC/BPS PAYM - 9958877 AFSA/MASTER PAYMENT - 9958885 PACIFIC BELL/AHCC MASTER - 9958893 THRIFTY/AHCC MASTER PAYME - 9958950 NORTHROP/NMA PAYMENT - 9958968 CARTER HAWLEY/NMA PAYMENT - 9959024 BLUE SHIELD PPO IP PYMT - 9959040 CARPENTER H&W/PPOA AHF PA - 9959073 MASS MUTUAL/BPS PAYMENT - 9959081 OPERATING ENGINEER/PPOA A - 9959099 SO CA PIPE/PPOA AHF PAYME - 9959107 ANTHEM/BPS PYMT - 9959123 CA IRONWORKERS/PPOA AHF P - 9959149 ALLSTATE PPOA PLUS PAYMEN - 9959164 NORTHWESTERN NTL/PPOA PLU - 9959172 SO CA PLASTER/PPOA AHF PA - 9959180 SHOPMEN/PPOA AHF PAYMENT - 9959198 AIR COND/PPOA AHF PAYMENT - 9959206 OPEIU/PPOA AHF PAYMENT - 9959313 UNION LABOR LIFE/PPOA PLU - 9959354 EQUICOR PREFERRED PAYMENT - 9959370 MUTUAL OF OMAHA/PPOA PAYM -

9959388 FIREMANS FUND PPO/WC PAYM - 9959396 FREMONT COMPENSATION/CCN - 9959404 LIBERTY MUTUAL/CCN PAYMEN - 9959446 INDUSTRIAL INDEM PAYMENT - 9959578 LIBERTY LIFE/PPOA PLUS PA - 9959602 TEAMSTERS INDUSTRIAL/AHCC - 9959610 FOOD EMPLOYERS BENEFIT/AH - 9959750 OUCH PAYMENT - 9959776 SANUS PYMT - 9959792 WASHINGTON NATL/PPOA PLUS - 9959818 ADMAR MEDSENSE PYMT - 9959826 HARTFORD/BPS PAYMENT - 9959834 PRINCIPAL MUTUAL/BPS PAYM - 9959867 GENERAL AMERICAN/BPS PAYM - 9959982 PPO OTHER PAYMENT - 9959990 Z*MISC PPO PYMT - 9960006 AMERIMED PAYMENT - 9960014 AETNA HMO PYMT - 9960022 MOLINA HMO PYMT - 9960030 BC CA-CARE HMO PYMT - 9960048 BLUE SHIELD HMO PYMT - 9960055 CARE AMERICA HMO PAYMENT - 9960063 CIGNA HMO PYMT - 9960071 HEALTH NET HMO PYMT - 9960097 LA CARE HMO PYMT - 9960105 KAISER HMO PYMT - 9960113 MAXICARE HMO PYMT - 9960121 ONE HEALTH HMO PYMT - 9960139 UHC WEST HMO AKA PCARE - 9960147 TOWER HMO PYMT - 9960162 UHP HMO PYMT - 9960204 PRUDENTL PRUCARE HMO PYMT - 9960238 CENTRAL HP PAYMENT - 9960253 FIRST INTERSTATE/MET POS - 9960261 HEALTHCARE PARTNERS HLTPL - 9960279 HN HMO IND EXCH PAYMENT - 9960287 KAISER SELF FUNDED - 9960295 HN PPO IND EXCH PAYMENT - 9960303 KAISER IND EXCH PYMT - 9960311 LA CARE IND EXCH PYMT - 9960329 MOLINA IND EXCH PYMT - 9960337 PMT HEALTH NET EPO INDV E - 9960345 HEALTH PLAN OF AM/HPA PAY - 9960394 CARE AMERICA POS - 9960410 HEALTH NET WHOLECARE PYMT - 9960428 HEALTH NET SMARTCARE PYMT - 9960436 HEALTH NET PURECARE PYMT - 9960444 PYMT HEALTH NET BLUE/GOLD - 9960451 PYMT HEALTHNET EXCEL CARE - 9960469 PYMT HEALTH NET SALUD - 9960493 CARE 1ST MCAL PIPA OPD PY - 9960550 HEALTH NET OTHER PYMT - 9960592 HEALTH NET LATINO OPD -

9960741 PRUCARE HMO LATINO IP/OPS - 9960766 PRUCARE/PRUDENTIAL/OTHER - 9960857 FHP COMMERCIAL OUT OF ARE - 9960865 FOUNDATION HMO UHPLA OPD - 9960923 FHP SENIOR OUT OF AREA PY - 9961079 CALIFORNA CARE HMO PAYMEN - 9961129 TAKECARE HMO PAYMENT - 9961186 BC CA-CARE REGAL I/O/E - 9961228 CALIFORNIACARE CPP/BLUE C - 9961285 BLUE SHIELD HMO IMGLA OP - 9961368 AMERIMED IMGLA OP PYMT - 9961376 BLUE SHIELD HMO IMGLA OPD - 9961384 UNIVERSALCARE HMO HCP OPD - 9961392 UNIVERSAL CARE M-CAL UHPL - 9961400 UNIVERSALCARE M-CAL PREF - 9961418 PRUCARE/PRUDENTIAL/CPP PY - 9961426 PRUCARE/PRUDENTIAL/IMGLA - 9961434 PRUCARE HCP OPD - 9961442 PRUCARE IMGLA OP/PRUDENTI - 9961459 BLUE SHIELD HMO/IMGLA IP - 9961467 BLUE SHIELD HMO/IMGLA/OP/ - 9961475 BLUE SHIELD KPC IOSE PYMT - 9961509 METROPOLITAN POS (GENERIC - 9961525 METLIFE HMO PLUS PYMT - 9961533 METLIFE POS IMGLA OPD PYM - 9961558 BLUE SHIELD SR LATINO OPD - 9961582 BLUE SHIELD KPC OPD PAYME - 9961616 HEALTH NET SELECT POS-OUT - 9961657 HEALTH NET SELECT POS-IN - 9961699 TOWER COMM CFMG OPD - 9961723 ONE HEALTH PLAN OTHER - 9961798 BLUE CROSS MEDI-CAL OPD - 9961806 BLUE CROSS MEDI-CAL IP/OP - 9961814 BC CA CARE UA OPD PYMT - 9961822 CALIFORNIA CARE HCP OPD P - 9961830 UNIVERSALCARE M-CAL PREF - 9961863 UNIVERSALCARE M-CAL OTHER - 9961871 UNIVERSALCARE HMO OTHER P - 9961889 BPS HMO HCP IP/OPS/ER - 9961897 TOWER M-CAL CFMG OPD - 9961905 BC CA-CARE REGAL OPD - 9961939 PRUCARE PLUS OTHER PYMT - 9961947 PRUCARE POS-IN IMGLA IP/O - 9961954 PRUCARE POS-IN IMLA OPD - 9961988 CAREAMERICA POS-IN UHPLA - 9962028 HEALTH NET PAYMENT - 9962044 HEALTH NET SR KPC OPD PAY - 9962051 UHP-GROUP PAYMENT - 9962077 HEALTH NET CPP PAYMENT - 9962085 HEALTH NET MWMG PAYMENT - 9962127 HEALTH NET REGAL IOSE PYM - 9962135 HEALTH NET REGAL OPD PYMT - 9962143 HEALTH NET UA IOSE PYMT -

9962150 HEALTH NET MCAL GLOBAL OP - 9962168 HEALTH NET UA OPD PYMT - 9962176 HEALTH NET HCP OPD - 9962192 HEALTH NET SR LATINO IP/O - 9962200 COMMUNITY MCAL UHPLA OPD - 9962218 COMMUNITY MCAL UHPLA OTHE - 9962234 CIGNA M-CAL FRIENDLY OPD - 9962325 *Z CIGNA SR MIPA OPB - 9962358 CARE 1ST M-CAL OPD - 9962408 HMO CALIFORNIA SR PYMT - 9962416 BLUE SHIELD LATINOCARE I/ - 9962440 CARE 1ST M-CAL IP/OPS/ER - 9962465 HMO CALIFORNIA POS PYMT - 9962481 CARE 1ST MCAL OTR - 9962499 BPS HMO HCP OPD - 9962523 MENTRAHEALTH HMO PYMT - 9962549 METRAHEALTH POS PYMT - 9962556 METRAHEALTH POS-IN HCP OP - 9962598 TOWER M-CAL CFMG IP/OPS/E - 9962614 TOWER MCAL PIPA I/OS/E - 9962630 BLUE SHIELD LATINOCARE OP - 9962648 PRUCARE LATINOCARE OPD PY - 9962655 UNIVERSAL CARE LATINOCARE - 9962689 UNIVERSAL M-CAL LATINOCAR - 9962713 ONE HEALTH POS-IN HCP OPD - 9962721 ONE HEALTH POS-OUT IP/OPD - 9962739 ONE HEALTH PLAN POS/PPO - 9962754 MEDPARTNERS/F HILLS ER/UC - 9962762 MEDPARTNERS/F HILLS ER/UC - 9962770 MEDPARTNERS/F HILLS ER/UC - 9962788 MEDPARTNERS/F HILLS ER/UC - 9962796 MAXI MEDI-CAL OTHER PYMT - 9962804 MAXI/MEDI-CAL UHPLA OPD P - 9962812 MAXICARE MEDI-CAL/IMGLA O - 9962853 MEDPARTNERS/F HILLS ER/UC - 9962861 MEDPARTNERS/F HILLS ER/UC - 9962903 CIGNA M-CAL FRIENDLY IP/O - 9962952 CIGNA HMO LATINOCARE IP/O - 9962960 CIGNA HMO LATINOCARE OPD - 9963000 CIGNA HMO UHPLA OPD PYMT - 9963018 EQUICOR HLTH PLAN PAYMENT - 9963042 CIGNA PPP PYMT - 9963059 LINCOLN HMO/TAKECARE PYMT - 9963117 PACIFICARE CFMG IP/OPS/ER - 9963125 PACIFICARE CFMG OPD - 9963166 PACIFICARE CPP PAYMENT - 9963174 PACIFICARE PAYMENT - 9963182 PACIFICARE MWMG PAYMENT - 9963208 PACIFICARE REGAL I/OS/E P - 9963216 PACIFICARE KPC IOSE PAYME - 9963224 PACIFICARE KPC OPD PAYMEN - 9963232 PACIFICARE IMGLA PYMT - 9963273 PACIFICARE IMGLA OP PYMT -

9963281 PACIFICARE REGAL OPD PYMT - 9963315 PACIFICARE POS-OUT IMGLA - 9963323 PACIFICARE CHOICE/HCP PYM - 9963349 PACIFICARE POS-OUT IP/OPS - 9963356 PACIFICARE POS-IN IMGLA I - 9963364 PACIFICARE POS-IN CFMG I/ - 9963372 PACIFICARE POS-IN CFMG OP - 9963380 UNIVERSALCARE MCAL UHPLA - 9963406 PACIFICARE MCAL HCP OPD P - 9963422 PACIFICARE MEDI-CAL/OOA P - 9963430 PACIFICARE MEDI-CAL/HCP P - 9963612 BPS HMO OTHER - 9963711 BC HFAM I/OS/E - 9963752 AETNA SELECT HMO REGAL OP - 9963992 SCAN HEALTH PLAN SR/CPP P - 9964073 SCIPA OP SERVICES - 9964107 BLUE CROSS+POS-IN IMGLA I - 9964115 BLUE CROSS+POS-IN IMGLA O - 9964354 BLUE SHIELD+POS-IN IMGLA - 9964362 BLUE SHIELD+POS-IN IMGLA - 9964511 MOLINA M-CAL CFMG IP/OPS/ - 9964891 HEALTH NET SR REGAL IOSE - 9964909 HEALTH NET SR REGAL OPD P - 9964974 MAXICARE SR IMGLA OPD PYM - 9964990 MAXICARE 65 CPP OP PYMT - 9965005 MAXICARE 65 REGAL I/OS/E - 9965013 UNITED HEALTH PLAN GOLDEN - 9965070 MOORE WHITE SENIOR CARE P - 9965120 SECURE HORIZONS REGAL I/O - 9965138 SECURE HORIZONS/HCP PYMT - 9965146 SECURE HORIZONS PYMT - 9965187 SECURE HORIZONS REGAL OPD - 9965203 CAREAMERICA 65 OTHER - 9965302 HEALTH NET SENIORITY PLUS - 9965310 HEALTH NET SR LATINO OPD - 9965328 HEALTH NET SR HCP OPD - 9965344 HEALTHNET SENIORITY+ OTHE - 9965377 FHP SR LA PLAN OP/SDS PYM - 9965955 PRUCARE SR IMGLA IP/OPS/E - 9965963 PRUCARE SR IMGLA OPD PYMT - 9965971 PRUDENTIAL SR OTHER - 9966052 CAREAMERICA UHPLA OP PYMT - 9966060 CAREAMERICA IMGLA OP PYMT - 9966078 CAREAMERICA OUT OF AREA O - 9966086 CAREAMERICA IMGLA POS-IN - 9966094 CAREAMERICA POS-OUT IP/OP - 9966102 CAREAMERICA UHPLA POS-IN - 9966110 CAREAMERICA HCP IP/OPS/ER - 9966128 CAREAMERICA HCP OPD PYMT - 9966169 CAREAMERICA POS-IN HCP I/ - 9966185 CAREAMERICA POS-IN HCP OP - 9966201 CAREAMERICA 65 HCP IP/OPS - 9966219 CAREAMERICA 65 HCP OPD PY -

9966391 FHP POS-OUT - 9966409 FHP POS-IN HCP OPD - 9966433 CIGNA HMO UA IOSE PYMT - 9966441 CIGNA HMO UA OPD PYMT - 9966508 GROUP ALLIANCE(GAHP)/CPP - 9966540 INTERVALLEY KPC IOSE PAYM - 9966557 INTER VALLEY KPC OPD PAYM - 9966581 MAXICARE KPC IOSE PAYMENT - 9966599 MAXICARE KPC OPD PAYMENT - 9966607 MAXICARE UA IOSE PYMT - 9966615 MAXICARE UA OPD PYMT - 9966631 FOUNDATION MEDI-CAL CFMG - 9966649 FOUNDADTION MEDI-CAL HCP - 9966656 FOUNDATION MEDI-CAL HCP O - 9966664 FOUNDATION HMO UHPLA IP/O - 9966672 FOUNDATION HMO HCP IP/OPS - 9966680 FOUNDATION HMO HCP OPD PY - 9966698 FOUNDATION HMO/CFMG/IP PY - 9966706 FOUNDATION HEALTH PLAN HM - 9966714 FOUNDATION HMO OTHER PYMT - 9966722 FOUNDATION OTHER OP/ER PY - 9966730 FOUNDATION HEALTH PLAN PY - 9966748 FOUNDATION SR CFMG IP/OPS - 9966755 FOUNDATION SR CFMG OP - 9966763 FOUNDATION SR OTHER - 9966797 FOUNDATION POS OUTNET IP/ - 9966805 FOUNDATION POS INNET HCP - 9966813 FOUNDATION POS INNET HCP - 9966870 FOUNDATION M-CAL FHILS I/ - 9966888 FOUNDATION MCAL LAVIDA OP - 9966896 FOUNDATION MCAL UNI AFF O - 9966953 ONE HEALTH PLAN KPC IOSE - 9966961 ONE HEALTH PLAN KPC OPD P - 9967019 ANAHEIM GENERAL HOSP/JUPI - 9967027 BELLFLOWER DRS HOSP/JUPIT - 9967035 BUENA PARK DRS HOSP/JUPIT - 9967043 HAWTHORNE HOSPITAL/JUPITE - 9967050 LOS ANGELES DRS HOSP/JUPI - 9967092 BELLWOOD GENERAL HOSPITAL - 9967159 HEALTH NET MCAL PIPA OPD - 9967167 GOOD SAMARITAN HOSPITAL P - 9967241 PRUCARE UA IOSE PYMT - 9967282 MEDITECH INSURANCE SERVIC - 9967290 GOOD SAMARITAN IPA PYMT - 9967316 SCAN SR KPC IOSE PAYMENT - 9967514 MOLINA MED CNT/MEDI-CAL P - 9967563 MOLINA OTHER - 9967571 MOLINA MCAL PIPA I/OS/E - 9967647 PRUCARE UA OPD PYMT - 9967753 PRUCARE HMO KPC IOSE PAYM - 9967761 PRUCARE HMO KPC OPD PAYME - 9967779 UHP HMO KPC IOSE PAYMENT - 9967787 UHP HMO KPC OPD PAYMENT -

9967795 UHP UA IOSE PAYMENT - 9967837 UHP UA OPD PAYMENT - 9967886 UNITED HCARE HMO KPC IOSE - 9967894 UNITED HCARE HMO KPC OPD - 9967936 UNIVERSAL CARE HMO KPC IO - 9967944 UNIVERSAL CARE HMO KPC OP - 9967969 UNIVERSAL UA IOSE PYMT - 9967977 UNIVERSAL UA OPD PAYMENT - 9967985 TOWER HMO KPC IOSE PAYMEN - 9967993 TOWER HMO KPC OPD PAYMENT - 9968009 MOLINA UA IOSE PYMT - 9968090 AETNA HMO/HCP PYMT - 9968108 AETNA SELECT HMO HCP OPD - 9968116 MOLINA UA OPD PYMT - 9968199 LA CARE HFAM UA OPD PYMT - 9968231 MOLINA HFAM UA IOSE PYMT - 9968249 MOLINA HFAM UA OPD PYMT - 9968256 AETNA SELECT CHOICE OTHER - 9968264 AETNA SELECT CHOICE OHTER - 9968272 AETNA MAN CH OTHER - 9968280 AETNA MAN CH POS-IN HCP O - 9968330 SCAN SR KPC OPD PAYMENT - 9968371 MAXICARE REGAL I/OS/E PYM - 9968389 MAXICARE REGAL OPD PYMT - 9968405 UNITED HEALTHCARE REGAL I - 9968413 UNITED HEALTHCARE REGAL O - 9968488 FHP MEDI-CAL OP - 9968538 FHP SAN GABRIEL CPP PAYME - 9968553 FHP COMM OOA OP/ER PYMT - 9968637 FHP SR SAN GABRIEL OP/ER - 9968645 FHP COMM SAN GABRIEL IP/S - 9968652 FHP COMM SAN GABRIEL OP/E - 9968660 FHP COMM LA PLAN OP/SDS P - 9968710 MAXICARE HMO PAYMENT - 9968769 MAXICARE 65 REGAL OPD PYM - 9968785 MAXICARE 65 OTHER PYMT - 9968827 MAXICARE/IMGLA OPD PYMT - 9968876 MAXICARE OUT OF AREA PAYM - 9968983 UNITED HEALTH PLAN OP PYM - 9969007 UNITED HPLAN MEDI-CAL OPD - 9969031 UNITED HPLAN GOLDEN AGE O - 9969049 UNITED HEALTH PLAN MEDI-C - 9969189 UNITED HLTHPLN VERNBRO OP - 9969197 UNITED HPLN URGENT MED OP - 9969239 FHP SR OOA OP/ER PYMT - 9969262 PRUCARE REGAL I/OS/E PMT - 9969270 PRUCARE REGAL OPD PAYMENT - 9969312 TOWER REGAL I/OS/E PYMT - 9969320 TOWER REGAL OPD PYMT - 9969338 LINCOLN HMO CPP/TAKECARE - 9969429 TOWER M-CAL LATINO IP/OPS - 9969437 COMMUNITY M-CAL LATINO I/ - 9969445 TOWER M-CAL LATINO OPD -

9969452 TOWER COMM CFMG IP/OPS/ER - 9969460 TOWER M-CAL CFMG IP/OPS/E - 9969478 PRUCARE HMO LATINO OPD - 9969494 UNITED HCARE SR HCP IP/OP - 9969502 CIGNA HEALTHPLAN PYMT - 9969536 CIGNA HMO UHPLA IP/OPS/ER - 9969577 PRUDENTIAL SR LATINO OPD - 9969643 AETNA EPO/HCP PYMT - 9969676 PRUCARE+ POS-IN HCP OPD - 9969783 TAKECARE CPP PYMT - 9969791 MOLINA OPD - 9969809 Z*UNITED HC HMO PYMT - 9969825 UNITED HCARE SR OTHER - 9969833 TOWER COMM LATINO IP/OPS/ - 9969841 TOWER COMM LATINO OPD - 9969866 Z*UNIVERSAL HMO PYMT - 9969908 UNIVERSALCARE LATINOCARE - 9969916 UNIVERSALCARE LATINOCARE - 9969957 PRUDENTIAL SR LATINO IP/O - 9969965 MOLINA M-CAL CFMG OPD - 9969973 UNITED HCARE SR HCP OPD - 9969981 HMO PEND DETERM PYMT - 9969999 Z*MISC HMO PYMT - 9970047 CAREAMERICA AHMG CAPITATE - 9970070 SNF/CAREAMERICA PAYMENT - 9970112 CAREAMERICA IMGLA PYMT - 9970120 CAREAMERICA UHPLA PYMT - 9970146 PSY MGD HLTH NETWK PYMT - 9970211 FOUNDATION MCAL UHPLA IP/ - 9970740 UNITED HCARE HMO IMGLA - 9970872 CIGNA SR MIPA IP/OP/ER - 9970880 *Z MIPA OP CAP/CIGNA SR - 9971391 FHP POS-IN HCP IP/OPS/ER - 9972043 SNF/SECURE HORIZONS PAYME - 9972225 PRUDENTIAL SR IMGLA - 9972498 HEALTH NET SR MIPA IP/OP/ - 9973017 BC HFAM PYMT - 9973025 CARE 1ST HFAM - 9973041 COMMUNITY HP HFAM PYMT - 9973074 LA CARE HFAM PYMT - 9973082 MOLINA HFAM PYMT - 9973108 UNIVERSAL HFAM PATIENT PA - 9973355 MAXICARE IMGLA - 9974015 AETNA SELECT CHOICE PYMY - 9974023 BC CA-CARE POS PYMT - 9974031 BLUE SHIELD POS PYMT - 9974049 PAYMENT CIGNA POS - 9974056 FIRST HEALTH POS PYMT - 9974064 HEALTH NET SELCT POS PYMT - 9974072 PRUCARE HMO IMGLA - 9974098 ONE HEALTH POS PYMT - 9974106 PACIFICARE POS PYMT - 9974114 PRUDENTIAL PRUCR POS PYMT -

9974122 UNITED HC POS PYMT - 9975996 BLUE SHIELD HMO IMGLA - 9976002 CAREAMERICA IMGLA - 9976119 BC CA CARE IMGLA - 9978255 UNIVERSAL CARE M-CAL UHPL - 9979030 FHP COMMERCIAL PYMT - 9979048 FHP SENIOR/UP PYMT - 9979063 SNF/FHP SENIOR PAYMENT - 9979113 FHP COMMERICAL SNF PYMT - 9980038 STATE COMPENSATION PAYMEN - 9980046 INDUSTRIAL EMPLOYEE PAYME - 9980400 WORKERS COMP PAYMENT - 9980418 SNF/INDUSTRIAL (WORK COMP - 9980426 W/C INTERCARE INS SERVICE - 9980913 CUSHMAN & WAKEFIELD PYMT - 9981135 BLUE CROSS SNF PYMT - 9982026 ADMAR TOTALCOMP PYMT - 9982034 ALEXSIS(ARA)/AHCC-M PYMT - 9982117 ASI/FLEX PPO PYMT - 9982125 STATE FARM/AHCC-M PYMT - 9982166 THRIFTY/AHCC-M PYMT - 9982182 FIREMANS FUND/CCN PYMT - 9982190 FREMONT COMPENSATION/CCN - 9982208 LIBERTY MUTUAL/CCN PYMT - 9982224 INDUSTRIAL INDEMNITY/MED - 9982414 ACMI/PRICE CLUB COMP ALLI - 9982422 ASSOC CA HOSP DIST COMP A - 9982448 ANAHEIM FND COMP ALLIA PP - 9982463 AUFAIT RISK MGT COMP ALLI - 9982471 CARONDELET HLTH COMP ALLI - 9982489 CITY OF GLENDALE COMP ALL - 9982497 CITY OF LA PALMA COMP ALL - 9982505 CITY OF SIMI VALLEY COMP - 9982513 CRA COMP ALLIANCE PPOA PY - 9982521 CYPRESS INS CO COMP ALLIA - 9982539 GAB BUSINESS SVS COMP ALL - 9982547 GI TRUCKING COMP ALLIA PP - 9982554 HAMILTON BALLARD COMP ALL - 9982562 HERTZ-GLENDALE COMP ALLIA - 9982570 HERTZ-PASADENA COMP ALLIA - 9982588 INTRACORP COMP ALLIA PPOA - 9982596 ITT CANON COMP ALLIA PPOA - 9982604 JAMES RIVER CORP COMP ALL - 9982612 KM INSURANCE CO COMP ALLI - 9982620 SCRMA COMP ALLIA PPOA PYM - 9982638 POWER ASSOC COMP ALLIANCE - 9982646 SCOTT WETZEL-NESTLE COMP - 9982653 SOLAR TURBINE COMP ALLIA - 9982661 SUPERIOR NATIONAL COMP AL - 9982679 US RENTALS COMP ALLIANCE - 9982687 UTICA NATL INS COMP ALLIA - 9982695 WARD-THG COMP ALLIANCE PP - 9982703 WCIC COMP ALLIANCE PPOA P -

9982711 WEYERHAEUSER COMP ALLIANC - 9982745 METRAHEALTH W/C PYMT - 9982752 ADVENTIST HLTH-WEST COMP - 9982802 PRUDENTIAL WORK COMP(PRUC - 9987033 COMM HP HFAM CAP PYMT - 9989997 Z*MISC MGD CARE CAP PYMT - 9990011 BC HFAM PAYMENT - 9990029 BLUE SHIELD HFAM PAYMENT - 9990037 CARE 1ST HFAM PAYMENT - 9990045 COMMUNITY HP HFAM PAYMENT - 9990052 HEALTH NET HFAM PAYMENT - 9990060 LA CARE HFAM PAYMENT - 9990078 MOLINA HFAM PAYMENT - 9990094 UNIVERSAL HFAM PAYMENT - 9990102 LA CARE HEALTHY KIDS - 9991019 COMMUNITY HP HFAM PAYMENT -

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Hospital Name: California Hospital Medical CenterOSHPD Facility No: 106190125Effective Date of Charges: April 1, 2018

Facility Name Gross RevenueInitial Increase

306 CALIFORNIA HOSPITAL MED CTR 1,442,288,106 40,104,219

Gross RevenueFinal Total

1,482,392,325 2.78%